Doctors in Dr Dodhiwala's Dental Clinic
Treatment of Painful Teething
Treatment of Stained Teeth
Treatment of Toothache
Treatment of Cavities
Root Canal Treatment
Treatment of Bleeding Gums
Teeth Cleaning Procedure
Treatment of Bad Breath
Teeth Whitening Procedure
Treatment of Sensitive Teeth
Root Canal Treatment
Treatment of Oral Thrush
Treatment of Broken Teeth
Treatment of Tooth Decay
Treatment of Wisdom Teeth
Management of Dental Hygiene
Chronic Skin Allergy Treatment
Tooth Extraction Procedure
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Bleeding gums and bad breathe. I don't smoke or tobacco and I brush only once in the morning. My teeth are becoming yellowish and my breathe smells. I think its pyorrhea. Please suggest some medication.
The anterior cruciate ligament is one of the most delicate yet vital ligaments that holds the knee bones in place and stabilizes the movement. Injury to the ligament, on account of a sprain, can prove to be a cause of severe distress. This may lead to a partial or a complete destabilization of the knee joints and impair the normal movements to a great extent.
Some of the most common causes of this sort of a ligament tear are accidental injuries during a sporting activity, unexpected collision or incorrect body postures. This is a fairly common occurrence among the athletes. However, the physiological and neuromuscular controls make women more susceptible to damage to the Anterior Cruciate Ligament than men.
There are two cruciate ligaments in our body, i.e. the anterior and the posterior cruciate ligaments. They run in crosses to connect the insides of the knee joints. They regulate the back and forth movement of your knees. They therefore, may incur substantial damage through sudden movements like jerks or an abrupt change of direction; the degree of tear may vary from minor strains to complete detachment. Accordingly, treatments are available to cure the distress. The treatments may either be surgical or nonsurgical, depending about the extent of the injury as well as the age of the patient. A complete tear in the ligament necessitates surgery for recovery. However, one may choose to opt for other non - surgical methods to minimize the damage.
Some of the most effective treatments for a tear in the anterior cruciate ligament have been enlisted below:
- Bracing: Wearing a brace or using a crutch for the purpose of movement can accord the knees with some stability. It also keeps the joints intact and alleviates pain.
- Physiotherapy: Once the inflammation reduces, you may opt for physiotherapy to restore movement and reduce the pain. Heat and Ice therapies work as ideal adjuvants to physiotherapy in such cases.
- Surgery: Regrowth of the anterior cruciate ligament may be possible through a surgical process of grafting. This enables the tissues to repair themselves. Knee caps and adequate rest accord better rehabilitation. The recovery is faster and steadier in this process.
If you are suffering from back pain, you should know that the tiniest of movements can trigger the same. Back pain may occur due to several factors or reasons and it hampers your daily activities and standards of life to a great extent. However, you need to become active instead of being immobile for relieving back pain. If any movement increases your pain, you must avoid doing it.
There are several exercises which help in strengthening your back muscles and performing these on a regular basis will provide you relief from back pain drastically. Here are 7 common exercises which you should carry out:
1. Pelvic tilt: You have to lie on your back and keep your knees bend, but touching. Your feet should stay flat on the floor. By flattening your lower back against the wall and tilting your pelvis downwards, you must maintain the position for 20 to 40 seconds. Meanwhile, you must breathe slowly and deeply and then release. This stretch requires small movements for reducing tension, thereby easing your back pain.
2. Lumbar stretch: You need to sit on a chair, roll your head, chest, neck and lower back forward till your head gets between the knees. Hold the position and take deep breaths. Slowly, get back to the sitting position. Repeat this twice.
3. Cat position: You have to kneel on your fours and keep the knees and hip width separate. Keep the stomach muscles tense, arch your back like a cat does and maintain the position for five seconds. Repeat this and then allow your stomach to drop towards the floor direction and hold it for five seconds again.
4. Curl ups: For this exercise, you should lie on your back with the knees bent and your feet kept flat on the floor. Placing your hands behind the head will make the stomach muscles tense. Then, lift your shoulders, head and upper back from the floor. Do this around 10 times. This is ideal for strengthening your back.
5. Dry swimming: Begin by lying on your stomach, keeping a rolled-up towel under your belly for support. By tightening your buttocks, raise one arm and the opposite leg simultaneously. Switch your arms and legs and perform this for about two minutes.
6. Leg lift: For leg lifts, you should lie on your back with the knees kept bend and the feet kept flat on the floor. You have to press your lower back to the floor and straighten a leg with the knees aligned. After bending your leg, return to the starting position and repeat the exercise on the other side.
7. Cobra stretch: The cobra stretch is another ideal movement for stretching your tight abdominal muscles and lower back. You need to lie on your stomach with your legs extended and your palms planted on the sides of your head.
The knee is known as the largest and one of the most complex joints in the human body, and also one of the most vulnerable, as it supports the weight of the entire body. The knee joint is made up of several elements including the knee cap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain. So how can you protect your knee from damage and injury? Take a look at these three points!
- Dealing with Load: Weight is a big one. Carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
- Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
- Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to see a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury. Also, it is important to take a bone density test regularly, especially after the age of 40 or for women going through menopause, as this will point to any deficiencies and even warn you in case there is any trace of osteoporosis.
Rest, exercise, and food should be kept in fine balance for a healthy body. These are a few measures that one can take to keep knee pain at bay. Yet, it is also advisable to speak with a doctor at length regarding measures to protect your knees.
The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.
Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-
Smaller incision compared to traditional surgical procedures, where only the injured area is accessed
The surrounding tissues are untouched, unless they are injured and require repair
Lesser bleeding compared to earlier techniques
Lesser painful procedure
Reduced hospitalization period
Quicker recovery and return to normal activities
The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.
Presence of symptoms relating to nerve compression, including pain from the spine down the leg.
Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.
People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.
Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.
Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.
Talk to your doctor keeping these points in mind, and you can bid farewell to your back pain forever.
Sir there is inside my teeth some yellow spot it is becoming thick sir even I don't smoke and any kind of habit. please suggest me what to do.
Hi, I am facing neck pain and back pain at upper side below neck. I am working as marketing manager and used to travel a lot on 2 wheeler as well as car self driven.
Hi, I am 32. l feel pain in my back from 7 days. I am worried about kidney infection. Actually I had kidney stones, no need for operation, too tiny. Now just I want to test for checking that my kidneys are OK. please suggest me the tests.
Modern oral implantology can be traced since the 1960s, and it is now a predictable and successful treatment modality for edentulous (toothless) situations. A dental implant is a prosthetic tool that is fixed into the jaw to provide support to a crown, fixed denture, or removable denture.
A dental implant is a titanium pillar which helps to provide support when embedded into the jaw bone. Such titanium pillars are compatible with the human body and thus, are incredibly safe for usage. The implants then blend in with the bones and tissues and create a stable foundation for teeth restoration. By indulging into a process called abutment where the repair is attached with the help if a connector, a natural look is then obtained for the implants.
Dental implant procedure
Problems solved by dental implants
Used in for any tooth replacement; particularly useful for the:
Single tooth replacement
Completely toothless state
Long toothless spans.
When a fixed partial denture is compromised due to:
Long toothless spans
Unfavorable number & location of abutments.
When a conventional complete denture may be compromised due to:
Poor muscular coordination.
Low tolerance of mucosal tissues
Hyperactive gag reflex
Procedure for dental implants
The surgical site is thoroughly cleaned and painted with 1% povidone-iodine solution to bring down the bacterial colony count in the mouth.
Incision: standard trapezoidal incision or branemark system buccal incision is made midway between the crest and depth of the vestibule, and then the flap is reflected lingually.
Drilling into bone: the manufacturer gives a guide to the sequence of drills (sizes) to be used to make proper sized drill hole for a particular implant.
Drilling: â the first drill invariably is the round one, to puncture the cortex at the crest. After that, the drills are used in ascending order of thickness.
Drilling speed: bone must be drilled at a speed less than 800 rpm. The drills are marked for depth to guide the surgeon as to how deep the hole should be.
Insertion: implants are provided in a sterile pre-packed container with an implant carrier, which is gently taken to the drilled site and hand twisted to engage a few threads, and then a special ratchet is used to screw the implant up to its required depth. The implant carrier is removed then and healing cap is screwed on to the visible implant top.
Irrigation: it is done with normal saline to keep the local bone temperature at normal body temperature and also to flush out the bone to debris from the drill hole.
Closing the wound: Black silk is the preferred suture material with a traumatic curved needle. Interrupted sutures are placed and are removed 5-7 days postoperatively.
Advantages of dental implants
Some of the advantages are as follows:
Preservation of bone: the placement of an implant will ensure that the bone level is maintained in that region.
Teeth can be positioned for aesthetics: with an implant, the teeth may be positioned where the natural one existed rather than in the neutral zones for stability.
Maintenance of vertical dimension: the loss of vertical dimension decreases due to wear and bone resorption. Implant dentures can maintain the vertical dimension, as bone resorption is minimal.
Occlusion: easier to establish proper occlusion and occlusal loads can be directed.
Improved mastication: enhanced bite force and masticatory efficiency.
Increased stability and retention
Reduced size of the prosthesis
The enhanced success rate of prosthesis
Healthy smile with dental implants
Disadvantages of dental implants
Some of the disadvantages include:
Prolonged treatment duration
Involves a surgical procedure.
After effects of dental implants
Tear of flap
Puncture of the buccal or lingual cortex
Lack of irrigation or insufficient irrigation
Lack of primary stability of implants
Rarely fracture of the implant
Loosening of implant
Loss of implant
So, if a person wants healthy and natural teeth, then go for dental implants. It is found that the success rate for dental implants is 98%.
Spacing is a very common complication in upper front teeth.
Its treatment varies with it's cause and factors affecting spacing.
Treatment to correct adult spacing in teeth:
1. Orthodontic braces:
This is the most commonly preffered treatment where complete tooth movement is done
2. Composite bonding:
It is a cosmetic filling tooth colour material used to close small gap between the teeth.
3. Indirect veneers:
Many types of materials are used like porcelain and composite where minimal tooth cutting is required for the material to accomodate and close the space.
4. Crown and bridges:
It is a more invasive treatment where the space is more and other options cannot be indicated.