Dr. Bharat Jobanputra

You should not brush immediately after meals.

Food contains carbohydrates which results in minute quantities of acid production. This acid weakens enamel temporarily for about 45 minutes after which enamel reminiralizes itself from saliva.
If we brush within 45 mins to 1 hr, we are brushing weakened enamel which will wear off more easily, gradually leading to enamel loss and sensitivity.
Hence it is advisable to brush either before meals or after an hour of having meals.

Keep smiling

Guava has the maximum content of Vitamin C and very useful for gums.Specially the Water got after boiling the guava leaves in it acts as the best mouth rinse.

Diabetes and Oral Health

During the past 10 years, much research has been undertaken on the link between diabetes and periodontal disease. Periodontal disease is the sixth leading complication of diabetes. If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease, with a higher rate of more severe levels of bone loss and gum infection.1

What Is Diabetes? Diabetes is a serious disease in which the body does not produce or properly use insulin, a hormone needed to convert sugar, starches, and other foods into energy. Normally, insulin helps get sugar from the blood to the body's cells, where it is used for energy. When you have diabetes, your body has trouble making and/or using insulin, so your body does not get the fuel it needs and your blood sugar stays too high. High blood sugar sets off processes that can lead to complications, such as heart, kidney, and eye disease, or other serious problems.2,3

If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease.

Are There Different Types of Diabetes? It is estimated that more than 20 million adults and children in the United States have some form of diabetes?14 million having been diagnosed with the disease and 6 million being unaware they have it. There are different types of the disease: type 1, type 2, and gestational diabetes, as well as prediabetes. Most Americans (around 90%) who are diagnosed with diabetes have type 2 diabetes.2,3

What Is Periodontal Disease? Periodontal disease, or gum disease, is a bacterial infection of the gums, ligaments, and bone that support your teeth and hold them in the jaw. If left untreated, you may experience tooth loss. The main cause of periodontal disease is bacterial plaque, a sticky, colorless microbial film that constantly forms on your teeth. Toxins (or poisons) produced by the bacteria in plaque irritate the gums, causing infection.4

Diabetes Control and Periodontal Treatment

Periodontal disease may make it more difficult for you to control your blood sugar. Your body's reaction to periodontal disease can increase your blood sugar level. Consequently, it is important for patients with diabetes to treat and eliminate periodontal infection for optimal diabetes control. Periodontal treatment combined with antibiotics has been shown to improve blood sugar levels in patients with diabetes, suggesting that treating periodontal disease could decrease insulin requirements.1

What Are the Warning Signs?

DIABETES

Constant hunger or thirstFrequent urinationBlurred visionConstant fatigueWeight loss without tryingPoor wound healing (cuts or bruises that are slow to heal)Dry mouthItchy, dry skinTingling or numbness in the hands or feetMost people with diabetes do not notice any warning signs
PERIODONTAL DISEASE 
Red and swollen gums that bleed often during brushing or flossing and are tender to the touchGums that have pulled away from the teeth, exposing the rootsMilky white or yellowish plaque deposits, which are usually heaviest between the teethPus between the teeth and gums accompanied by tenderness or swelling in the gum areaA consistent foul, offensive odor from the mouth

IMPORTANT: Physicians and Dentists Need to Work Together

It is important that your dentist be kept up-to-date on your diabetic condition and treatment and that your physician be kept up-to-date on your oral condition and treatment, so that they can work together to help you control your diabetes and prevent or control periodontal disease.1

Keep your dentist up-to-date on your diabetic condition and your physician up-to-date on your oral condition.

If your diabetic condition is well controlled, periodontal treatment would be the same for you as for a patient without diabetes. In early stages, treatment usually involves removing the plaque and calculus from the pockets around your teeth. If the periodontal disease is more severe or if your diabetes is not well controlled, treatment will be more specialized and tailored toward your specific condition. Your dentist may recommend more frequent oral prophylaxes (dental cleanings) involving scaling and root planing or may recommend periodontal surgery.1

Diabetes and Your Mouth

Periodontal disease is not the only problem that can occur if you have diabetes. Although you might not be able to prevent these problems, you can minimize the trouble they cause you5:

Dry mouth: Xerostomia occurs when your salivary glands don't produce sufficient saliva to keep your mouth moist, causing tissues in your mouth to become inflamed and sore. It can make chewing, tasting, and swallowing more difficult, as well as cause difficulty in eating, making it more difficult to control blood sugar.Fungal infection: Candida albicans is a fungus that normally lives inside the mouth without causing any problems. But when you have diabetes, deficient saliva in your mouth and extra sugar in your saliva allow the fungus to cause an infection called candidiasis (thrush), which appears as sore white or red areas in your mouth.Burning mouth syndrome: If you feel severe burning and pain in your mouth even though you don't see any problems causing it, you may have this syndrome.Oral surgery complications:If you need oral surgery, diabetes? particularly if poorly controlled?can complicate oral surgery. Diabetes retards healing and increases risk of infection. Your blood sugar levels also may be harder to control after oral surgery. Your dentist should work closely with your physician to minimize possible complications. If you need oral surgery, the American Diabetes Association recommends that you: 
Remind your dentist that you have diabetes and discuss any specific diabetes-related issues.Eat before your dental visit so your blood sugar is within normal range.Take your usual medications. Your dentist should consult with your physician about whether you can adjust your diabetes medications or take an antibiotic to prevent infection before surgery.Plan for your eating needs after surgery. If you're having dental work that may leave your mouth sore, plan to eat soft or liquid foods that will allow you to eat without pain.Wait until your blood sugar is under control. It's best to have surgery when your blood sugar levels are within your goal range. If your dental needs are urgent and your blood sugar is poorly controlled, talk to your dentist and physician about receiving dental treatments in a hospital.

Brush your teeth twice daily but this is not sufficient it is must to massage your gums after brushing and after each meals. As gums are living tissue when you massage your gums the blood circulation improves and the adoption to teeth becomes better and also soft food remnants which has penetrated after having meals would come out this will not let bacteria growth and prevent gums from inflammation otherwise the food remnants which continues to build up the deposit called plaque which can lead to gingivitis later advance to periodontis wherein the inner supporting bone is destroyed by bacterial deposit surrounding the gum and bone thus weakening the teeth. This bones are shockabsorber as in vehicle's they take up the pressure of chewing food. As you do service to your vehicles similarly this is a daily service in your mouth thus massage your gums after brushing and after each meals you will never have bleeding gums or any kind of chronic infection around gums and teeth, thus teeth remains stronger may be life long. Good oral hygiene means maintains good overall health and keeps your other systemic disease undercontrol.

Hi lybrate-user! there are various reasons for mouth ulcers occuring in the mouth. It would have been easier to come to a diagnosis if you could have provided us with few pictures of your ulcer along with your query. Meanwhile you could apply glycerin over your ulcer and avoid hot and spicy food. Keep drinking water to keep yourself hydrated. Hope it helps you.

Get scaling and polishing done by dentist and start brushing two times a day with proper brushing technique.

Use pyx-g tooth paste. It has got mild bleaching property, if would improve shade of you teeth. You can visit a clinic to get teeth bleaching done.

Hello, Bleeding from gums could be because of deposits on your teeth and food lodged in between your teeth. You need to visit the dentist and get a deep scaling and polishing done. Brush twice a day. Maintain proper brushing technique. Rinse after every meal. Floss regularly.

For mouth ulcers start taking Multivitamins tablets and avoid spicy food. increase intake of fibrous food and drink plenty of water. keep your stomach fit and reduce stress level

Consult a orthodontist it can b decided only after evaluating the case if ext is required, cost will best given by your Dr. It depends on place, case n Dr. Consulted, it takes about 18-24 months for complete tt normally, you get normal profile after tt, it's safe tried n tested mode of tt.

Sometimes a cavity is just too deep to be fixed and may require a root canal. Root canal procedures are used to treat problems of the tooth's soft core, otherwise known as dental pulp. The pulp contains the blood vessels and the nerves of the tooth, which run like a thread down into the root. The pulp tissue can die when it’s infected or injured. If you don't remove it, your tooth gets infected and you could lose it. During a root canal treatment, the dentist removes the pulp, and the root canal is cleaned and sealed off to protect it. Your dentist may then place a crown over the tooth to help make it stronger and protect it.

It means you might have a cavity. Which needs a filling or root canal treatment. Kindly get it checked by the dentist. And get an xray done to understand the depth of cavity.

Brushing your teeth is the cornerstone of any good oral hygiene routine. To keep your teeth and gums healthy, always be sure to brush your teeth twice a day with a soft-bristled brush. The size and shape of your brush should fit your mouth allowing you to reach all areas easily. Also, don’t forget to replace your toothbrush every three or four months or sooner if the bristles are frayed. A worn toothbrush won’t do a good job of cleaning your teeth

Dear lybrate-user, gums are important part of attachment apparatus of teeth. Do not ignore and visit your dentist soon. A long standing problem will need sometime and professional help to restore health.

To lessen the degree of pain or soreness in the mouth during the orthodontic treatment, you can gargle with 8 ounces of lukewarm water with one teaspoonful of salt dissolved in it. Swish it around your mouth and then spit it out. It will dull the pain and provide relief.

Hi lybrate-user. Have your teeth cleaned professionally by a dentist who will remove tartar thus lessening the bacterial count of the mouth and the smell will disappear.

here is the comparison To replace lost teeth, you can either get a dental bridge or you can rely on dental implants. Do you know the benefits and disadvantages of each option? One of the biggest benefits of dental implants is that they protect the other teeth. In the case of a dental bridge, the natural teeth have to perform the function of support. The implant is not putting any strain on other teeth. Another great advantage of implants is that they can be used to replace more than one missing natural tooth. In the case of a bridge, a dentist will need healthy adjacent teeth for support. Various combinations are possible in the case of implants. The dentist can replace a single missing tooth or a denture. Implants require little maintenance. This is one of the biggest differences between this option and dental bridges. High quality implants can last a lifetime. Dental crowns and bridges will have to be replaced every 10 to 15 years. If you are considering implants, you should take in consideration another important advantage – implants are easier to maintain. The cleaning process is very simple and flossing between implants is possible. In addition, implants look more natural and facilitate chewing, since the dental bridge may slip. Dental bridges, on the other hand, come with a number of advantages, as well. To get a bridge, you will have to undergo a simple dental procedure that involves no surgery. In order to be placed in the mouth, dental implants require surgical intervention. It is easier and quicker to get dental bridges. The entire procedure will visit in approximately two to three visits to your dentists. A dental bridge is recommended in the case of jaw bone loss or significant damage. The process will be simpler, less painful and less expensive in such instances. It is important to know that the positioning of dental implants demands healthy bone. Once fixed, the bridge is very stable. It will provide for effortless chewing of food and it will feel comfortable, once you get familiar with it. Dental bridges are also a less expensive option than other dental methods for the replacement of missing teeth. Knowing these factors will help you make an informed decision about dental implants and bridges. Each option has its advantages that need to be compared for an informed decision to be made.

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you can choose for braces to naturally close the gap or you can go for veneers or composite fillings

It is very necessary to use a mouthwash after every meal the orthodontic treatment, to remove the leftover food particles.