Find numerous Dentists in India from the comfort of your home on Lybrate.com. You will find Dentists with more than 41 years of experience on Lybrate.com. Find the best Dentists online in Hyderabad. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Root Canal Treatment
Teeth Cleaning Procedure
Teeth Whitening Procedure
Chronic Skin Allergy Treatment
Tooth Extraction Procedure
Dental Extractions Procedure
Skin Rash Treatment
Gap Closing (Dental) Treatment
Artificial Teeth Treatment
Treatment of Root Canal Treatment (RCT)
Wisdom Tooth Removal Procedure
Teeth Scaling & Polishing
Braces Treatment for Adults and Teens
Teeth Cleaning (Scaling) Procedure
Submit a review for Dr. Shabaz Ahmed KhanYour feedback matters!
Hi, my tooth hurts when I walk or while I exercise. But it doesn't when I eat. Kindly suggest what might be the factors.
We all love a set of perfectly aligned teeth to show off when we smile. Many get braces done to get this straight set of teeth. However, many people find it mysterious that their teeth have suddenly started to crowd. Somebody could even be in their late 20s, well past their growing years, and suddenly realize that there is crowding setting in for the last few months. It poses a big cosmetic problem and also affects the way teeth bite with each other.
Causes: The sudden appearance of crowding seems very mysterious. However, in most people, there is no exact reason to pinpoint and it seems it is hereditary and genetic. Despite having braces done, there is sudden crowding after the growing years are over. Though an exact correlation has not been established, it is believed that strange habits of people not related to their mouth at all causes tooth crowding. Regular pressure on the mouth by either placing the face on the head or sleeping on the belly puts a constant pressure on the mouth and leads to crowding over a prolonged period of time.
The most logical explanation is however, what is termed as ‘physiologic mesial drift’. By nature, the teeth have a constant, very gradual movement towards the incisors which is the midpoint of the jaw. Given this inherent quality, there is mild constant pressure from the molars towards the incisors and this is what leads to crowding. Stronger jaw bones may slow the process, but it is not yet proven. This physiologic mesial drift is the reason why the lower front teeth are the most common area of crowding.
Management: The earlier the dentist intervenes, the shorter the treatment duration and the quicker the correction. Radiographs and models would be required to identify the problem completely. The bite with the upper teeth needs to be assessed though to make sure it is not very deep. The age of the person also determine the results.
Mild to moderate crowding in this area can be managed with just a lower brace for about 5 to 10 months. In some cases, even an upper brace would be required. In cases of severe crowding, some cases even presenting with two rows of teeth, some teeth definitely have to be removed and the remaining teeth need to be aligned and the extra spaces closed. Severe crowding may also require you to wear a retained for a long period. This could be placed on the inner side (tongue or palatal side) to improve cosmetic effect.
There is no need to panic when you realize the teeth are crowding, there is definitely a way to flash that bright smile again!
I have got a a lump on the side of my tongue its black in colour but doesn't pain its been there for a long time now. What can it be?
Those who have experienced it would vouch for the fact that toothache is one of the worst pains. There could be times when the attack happens out of nowhere and you are crying for relief.
The tooth has 2 parts - the visible part called the crown and the invisible part called the root which is embedded in the jaw bone and covered by the gums.
Both the crown and the root have 3 layers from inside out. The crown has enamel, dentin, and pulp. The enamel is the mineralized part of the tooth, dentin has fine sensory dentinal tubules, and the pulp receives nerve and blood supply to the tooth through a small orifice at the end of the tooth called the apex. On the root surface, instead of enamel, there is a softer substance called cementum. The dentin and the pulp continue through the tooth, but are thinner in the root portion of the tooth.
The mouth has the largest amount of bacteria in the body. These act on the food deposits on the tooth and produce acid which leads to breakdown of the enamel. The only symptom when enamel breakdown happens is food lodgment, and it continues till treatment ensues. Once the breakdown reaches the dentin, sensitivity sets in, and most people go for treatment then. If not, the next layer is the pulp, when there is severe pain. This acute pulpitis causes pain in spurts and can be unbearable.
On the root surface, if there is periodontal disease and the gum line goes down, then cementum gets worn off (far more easily than enamel) and decay reaches the dentin and pulp (again faster than in the crown).
Whatever the case, the treatment would be the same:
- Dental examination, clinical testing, and x-rays would be diagnostic. Tapping the tooth would reproduce the same pain and that is indicative of acute pulpitis
- Antibiotics and pain killers would be given to control the pain
- Once the infection subsides, root canal therapy is initiated. Using the decayed portion to gain access to the root, thin instruments called reamers and files are used to clean out the pulp space completely. They are then shaped to accommodate an inert substance called gutta percha which ensures infection does not seep into the tooth again.
- With RCT, the tooth is weakened, and therefore a crown needs to be placed. This could either be a ceramic crown or a full metal crown based on economic and esthetic reasons.
The best way to avoid this is regular visits to a dentist so that decay is identified in the early stages and treated with the minimal cost and maximum natural tooth preservation.