Lybrate.com has a nexus of the most experienced Dentists in India. You will find Dentists with more than 30 years of experience on Lybrate.com. You can find Dentists online in Lucknow and from across India. 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. Swati GuptaYour feedback matters!
Mother is 70 years old and requires tooth implant. Doctor is going to do after 2 days but has not advice any pressure check or blood test. How safe is that? Should we go ahead with the surgery?
The inner lining of my mouth has become very sensitive since past 5 years. I find difficulty in eating spicy items, rough items like papad and hot drinks. All my blood test results are normal. Vit B12 levels are near the lower limit , around 250.
A few years unexpectedly in an accident, One of my tooth came little forward and another one moved back. Can I use braces and how much it costs for me?
My wisdom tooth removed there is a hole and blister at that place unable to bite or swallow due pain ice pack & pain killer amox 375 thrice & lornasafe tabs thrice for 5 days no use please advise.
Hello madam/sir, I am putting braces on teeth before that doctor as put some rubber kind of material in my mouth from last 2 days, which is paining terrible to me, so will you please suggest me some medicine or exercise.
I have bleeding when I did brushing, and many times I have poor smell in my mouth, please tell me what should I do.
To understand what happens when your teeth decay, it's helpful to know what's in your mouth naturally. Here are a few of the elements:
Saliva ? Your mouth and teeth are constantly bathed in saliva. We never give much thought to our spit, but this fluid is remarkable for what it does to help protect our oral health. Saliva keeps teeth and other parts of your mouth moist and washes away bits of food. Saliva contains minerals that strengthen teeth. It includes buffering agents. They reduce the levels of acid that can decay teeth. Saliva also protects against some viruses and bacteria.
Plaque ? Plaque is a soft, gooey substance that sticks to the teeth a bit like jam sticks to a spoon. Like the slime that clings to the bottom of a swimming pool, plaque is a type of biofilm. It contains large numbers of closely packed bacteria, components taken from saliva, and bits of food. Also in the mix are bacterial byproducts and white blood cells. Plaque grows when bacteria attach to the tooth and begin to multiply. Plaque starts forming right after a tooth is cleaned. Within an hour, there's enough to measure. As time goes on, the plaque thickens. Within two to six hours, the plaque teems with bacteria that can cause cavities and periodontal (gum) disease.
Calculus ? If left alone long enough, plaque absorbs minerals from saliva. These minerals form crystals and harden into calculus. Then new plaque forms on top of existing calculus. This new layer can also become hard.
Bacteria ? We have many types of bacteria in our mouths. Some bacteria are good; they help control destructive bacteria. When it comes to decay, Streptococcus mutans and Lactobacilli are the bacteria that cause the most damage to teeth.
How Your Teeth Decay
The bacteria in your mouth need food to live and multiply. When you eat sugary foods, or even starches such as rice, the bacteria use them as food, too. The bacteria then produce acids that can dissolve tooth enamel (outer layer of the tooth).
It's not just candy and ice cream we're talking about. All carbohydrate foods eventually break down into simple sugars. Some of this process begins in the mouth.
Foods that break down into simple sugars in the mouth are called fermentable carbohydrates. These include the obvious sugary foods, such as cookies, cakes, soft drinks and candy. But they also include pretzels, crackers, bananas, potato chips and breakfast cereals.
Bacteria in your mouth turn the sugars in these foods into acids. These acids begin to dissolve the mineral crystals in teeth. The more times you eat each day, the more times your teeth are exposed to an acid attack.
This attack can lead to tooth decay, also known as dental caries or cavities. First, the acid begins to dissolve calcium and phosphate crystals inside a tooth. A white spot may appear on the enamel in this weakened area. But the loss of minerals develops beneath the surface of the enamel. The surface may still be smooth.
At this stage, the tooth can be repaired with the help of fluoride, proteins and minerals (calcium and phosphate) in the saliva. The saliva also helps reduce the acid levels from bacteria that attack the tooth.
Once the decay breaks through the enamel to cause a cavity, the damage is permanent. A dentist must clean out the decay and fill the cavity. Left untreated, the decay will get worse. It can destroy a tooth all the way through the enamel, through the inside dentin layer and down to the pulp or nerve of the tooth. That's why it is important to treat caries at a very early stage, when the process can be reversed.
Types of Decay
Young children can get a type of decay called baby bottle tooth decay or early childhood caries. It destroys enamel quickly. This type of decay is common in children who are put to sleep with a bottle of milk or juice. The bottle exposes the teeth constantly to carbohydrates through the night. Bacteria can grow rapidly and produce acid that decays teeth.
Decay can become worse if the parent does not clean the child's teeth. It can eat through enamel and leave a large cavity in a matter of months.
In older adults, the exposed roots of teeth can develop cavities. This is called root caries. Older adults are more likely to have receding gums caused by years of hard brushing or periodontal disease. They also are more likely to have dry mouth (xerostomia). The decrease in saliva results in less protection of the teeth. This increases the risk of decay. Many common medicines can cause dry mouth. Be sure to ask the doctor or pharmacist if any of your medicines cause dry mouth.
Decay can form beneath fillings or other tooth repairs, such as crowns. Sometimes bacteria and bits of food can slip between the tooth and a filling or crown. This can happen if the filling cracks or pulls away from the tooth, leaving a gap.
Do you or your family members get cavities often? Dental research has found out that certain factors can affect your risk of tooth decay. These factors include:
The current number of decayed or filled teeth
Your fluoride exposure, including fluoride in drinking water, toothpaste and rinses, and fluoride treatments in the dental office
Parents or siblings with dental decay
How well you take care of your teeth
The amount of saliva and the balance of minerals, enzymes and buffering agents it contains
How often and what types of foods you eat (especially fermentable carbohydrates)
Ask your dentist about the best ways to reduce your risks and limit dental decay.
To prevent your teeth from decaying, you can do three things:
Strengthen your teeth's defenses with fluoride, sealants and agents that contain calcium and phosphate ions.
Have your dentist or dental hygienist place sealants on your back teeth.
Reduce the number of bacteria in your mouth.
Fluoride penetrates into teeth. It strengthens them by replacing minerals that acid has removed. The benefits of fluoride to teeth were first discovered in the 1930s. Dentists started to notice that people who drank water that naturally contained fluoride had less tooth decay. In 1945, communities started to add fluoride to water supplies. Adding fluoride to water systems has been the most successful cavity prevention method to date.
In the early 1960s, fluoride also began to be added to toothpaste. This also had a major impact on cavity prevention. Now almost all toothpastes contain fluoride. Everyone should brush with a fluoride toothpaste every day. Dental offices sometimes recommend higher levels of fluoride in toothpastes, gels and mouth rinses for both children and adults.
Sealants are protective coatings placed over the tops of the back teeth ? molars. They block bacteria and acids from sticking in the tiny grooves on the chewing surfaces of these teeth. Sealants can be placed in adults and children. Children can have sealants placed on their permanent molars once they come in, around age 6. Sometimes they are also used on primary (baby) molars. Dentists can put sealants on molars with signs of early decay, as long as the decay hasn't broken through the enamel.
You can never get rid of all the bacteria in your mouth. But you can take steps to control and disrupt the bacteria so they don't attack your teeth:
Brush twice a day.
Reduce the number of times each day that you consume fermentable carbohydrates.
Some mouthwashes reduce bacteria in your mouth. This can help prevent decay. Chewing sugarless gums, especially those with xylitol, can help reduce the number of bacteria that cause cavities and increase the flow of saliva.
Most importantly, visit your dentist regularly. Then the dentist can find any decay early, when it can be treated and reversed.
Teeth need to be maintained well be it natural or artificial. While the natural teeth have their own built-in safety mechanisms, the artificial ones do not and the onus is completely on the owner to care for them. Dentures can be fixed or removable (partial or complete). For best appearance and proper functioning, these need to be cared for as listed below.
Removable dentures, whether partial or complete, do the following with your removable dentures.
1. Remove and rinse dentures after eating: Take out your dentures and wash it under running water to remove food debris.
2. Handle with care: Especially if your denture has clasps, be sure to not bend them as it may alter the fit. While removing and wearing it, be careful to not drop it, the denture can break.
3. Mouth rinse: Rinse your mouth each time after you remove the denture and before each time you put them back in.
4. Brushing: Use a soft-bristled brush for regular cleaning of teeth and tongue. If no teeth are present, use a soft gauze pad and plain finger massage to clean the gum line and bone on which the denture sits.
5. Soak dentures: When not in the mouth, always place your dentures in a bowl of water. Solution for soaking dentures are available, to be used for overnight denture soaking. When left in open air, the material used to make the denture is affected and may not fit properly over a period of time. Rinse them thoroughly before putting it back in the mouth.
6. Clean your dentures: Rinse the dentures at least twice daily. This will help remove food and plaque.
7. Denture adhesive: When using a denture adhesive, extra cleaning around the area that fits into the gum and bone should be done.
8. Regular dental visits: Visit your dentist regularly to ensure that dentures are fitting properly, functioning as expected and the other parts of the mouth are constantly checked for general health. Ill-fitting dentures can lead to irritation, sores and infection and so should be immediately attended to.
Some things to avoid if you are a denture user are as follows:
1. Soaking the denture in hot water: The denture material can get warped when it is soaked in hot water and have spots on it, which impacts the looks of it.
2. Hard toothbrushes: Always use a soft toothbrush
3. Toothpastes with whitening agents: In most cases, the denture cleanser and normal water and sufficient to clean dentures with a soft brush.
4. Fixed dentures: These are easier to manage than the removable ones. However, periodic visits to the dentist for regular check up is a must. A visit every 6 months is ideal to maintain proper oral hygiene. In addition, regular brushing, flossing, and rinsing are to be continued.