Dr. Anmol Billore

If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection. If the infection is severe & if can be noticed only after opening into the tooth, extraction of tooth is required.

Since you mentioned black layer, brushing alone will not be helpful. You need to undergo oral prophylaxis by a dentist. Visit a dentist every six months for cleaning and get a thorough dental check-up done.

•Eat a healthy, balanced diet and avoid eating strongly flavoured or spicy food. •Cut down on sugary food and drink, as it can increase the amount of bacteria in your mouth. •Reduce your alcohol consumption. •Stop smoking. •Cut down on coffee. •Drink plenty of water to help prevent your mouth becoming dry. •Chew sugar-free gum after eating, to stimulate the flow of saliva. This will help clean away any remaining food particles. •Don't use toothpaste to clean your dentures, as it can scratch the surface and cause stains. •Clean your dentures thoroughly using soap and lukewarm water, denture cream or a denture-cleaning tablet. •Use a separate toothbrush to clean your dentures. •Make sure you visit your dentist for regular check-ups. Having regular dental check-ups will ensure that any plaque is removed from your teeth, particularly in areas that are difficult to reach. •Your dentist can recommend the best way to clean your teeth and gums, and point out areas you might be missing. They can also identify any signs of gum disease and ensure early treatment. •Gastritis, lung & sinus infection may also be the cause of bad smell in the mouth. 90% of bad breath is due to a dirty tongue. •If your bad breath is caused by a gastrointestinal problem, such as an H. Pylori infection or gastro-oesophageal reflux disease (GORD), you may be referred to a gastroenterologist. •Persistent bad breath or a bad taste in the mouth may be a warning sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth. •You may need deep cleaning & fill tooth cavities with artificial enamel filling. Rinse your mouth thoroughly with a mouth wash until then. Advance procedures can be done with laser too. You may consult me in person.

Get your mouth clinically examined by dentist to determine root cause of the problem. One possible cause can be high points if thats the case little grinding of tooth would resolve your problem.

If it is erupting in the right way then no need to remove or else it should be removed it can be known by the full mouth x-ray.

The psychodynamic explanation of the dentist–patient relationship
From a psychodynamic viewpoint dental healthcare is a 2-person endeavour. It is the dentist working with the patient and the patient being able to accept (use) the work (treatment) offered and provided by the dentist. It acknowledges that there is a uniqueness in the interaction for both dentist and patient while accepting the potential for inequalities within the interaction. Nevertheless it requires the health professional to remain flexible, to be able, as the need arises, to make adjustments in treatment plans thereby maximising status equality while minimising the potential for disruptions within the relationship. Benefits exist for the dental health professional when the equality between themselves and their patients is maintained. These include improved time and behavioural management skills, increased awareness of their patients' concerns and anxieties, the ability to readjust treatment plans and to provide patient-centred care

Calcium is one of your best friends when it comes to preventing tooth decay. This is especially true for growing children and those with dental issues. Dairy products-be it milk, cheese or yogurt are all good source of calcium.
Other sources includes almonds, broccoli, dried beans.
Have happy smile and healthy teeth.

Kindly consult a dentist in person for further suggestion. We need more investigations (full mouth x-ray) to decide upon treatment. You may consult me in person. Dental tips: - visit a dentist every six months for cleaning and a thorough dental check-up. Limit sugary food to avoid tooth decay. Gargle your mouth thoroughly after every meal. Scrub gently to clean your tongue with a tongue cleaner. Floss all your teeth inter dentally & brush twice daily, morning & night, up & down short vertical strokes, with ultra-soft bristles, indicator brush.

Usually price of an implant including surgery and prosthesis may cost you around Rs 20000 to Rs 45000, if it requires bone grafting then price might increase little more, prices depends on material they use and implants.