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Dr. Bijal Jhumkhawl

Dentist, Mumbai

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Dr. Bijal Jhumkhawl Dentist, Mumbai
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I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Bijal Jhumkhawl
Dr. Bijal Jhumkhawl is a popular Dentist in Mumbai, Mumbai. He is currently associated with Smile Hub Dental Care in Mumbai, Mumbai. Book an appointment online with Dr. Bijal Jhumkhawl and consult privately on Lybrate.com.

Lybrate.com has a nexus of the most experienced Dentists in India. You will find Dentists with more than 35 years of experience on Lybrate.com. Find the best Dentists online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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English
Hindi

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Smile Hub Dental Care

B-1,Yashodara CHS,Landmark;Shankar Lane, MumbaiMumbai Get Directions
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I am suffering from Submucous Fibrosis (OSF) and I recently asked for advice which I got to consult a surgeon and getting a surgery and physiotherapy done but is there any other way to cure it at home without any consultation? No matter how hard it might be.

BDS
Dentist, Gurgaon
Medical Care The treatment of patients with oral submucous fibrosis depends on the degree of clinical involvement. If the disease is detected at a very early stage, cessation of the habit is sufficient. Most patients with oral submucous fibrosis present with moderate-to-severe disease. Moderate-to-severe oral submucous fibrosis is irreversible. Medical treatment is symptomatic and predominantly aimed at improving mouth movements. Treatment strategies are described below. [4] The role of these treatments is still evolving. The US Food and Drug Administration has not yet approved these drugs for the treatment of oral submucous fibrosis. Steroids In patients with moderate oral submucous fibrosis, weekly submucosal intralesional injections or topical application of steroids may help prevent further damage. Placental extracts The rationale for using placental extract in patients with oral submucous fibrosis derives from its proposed anti-inflammatory effect, [58] hence, preventing or inhibiting mucosal damage. Cessation of areca nut chewing and submucosal administration of aqueous extract of healthy human placental extract (Placentrex) has shown marked improvement of the condition. [45] Hyaluronidase The use of topical hyaluronidase has been shown to improve symptoms more quickly than steroids alone. Hyaluronidase can also be added to intralesional steroid preparations. The combination of steroids and topical hyaluronidase shows better long-term results than either agent used alone. [59] IFN-gamma This plays a role in the treatment of patients with oral submucous fibrosis because of its immunoregulatory effect. IFN-gamma is a known antifibrotic cytokine. IFN-gamma, through its effect of altering collagen synthesis, appears to be a key factor to the treatment of patients with oral submucous fibrosis, and intralesional injections of the cytokine may have a significant therapeutic effect on oral submucous fibrosis. [60] Lycopene Newer studies highlight the benefit of this oral nutritional supplement at a daily dose of 16 mg. Mouth opening in 2 treatment arms (40 patients total) was statistically improved in patients with oral submucous fibrosis. This effect was slightly enhanced with the injection of intralesional betamethasone (two 1-mL ampules of 4 mg each) twice weekly, but the onset of effect was slightly delayed. [61] Pentoxifylline In a pilot study, 14 test subjects with advanced oral submucous fibrosis given pentoxifylline at 400 mg 3 times daily were compared to 15 age- and sex-matched diseased control subjects. Statistical improvement was noted in all measures of objective (mouth opening, tongue protrusion, and relief from fibrotic bands) and subjective (intolerance to spices, burning sensation of mouth, tinnitus, difficulty in swallowing, and difficulty in speech) symptoms over a 7-month period. [62] Further studies are needed, but this could be used in conjunction with other therapies. Surgical Care Surgical treatment is indicated in patients with severe trismus and/or biopsy results revealing dysplastic or neoplastic changes. Surgical modalities that have been used include the following: Simple excision of the fibrous bands: Excision can result in contracture of the tissue and exacerbation of the condition. Split-thickness skin grafting following bilateral temporalis myotomy or coronoidectomy: Trismus associated with oral submucous fibrosis may be due to changes in the temporalis tendon secondary to oral submucous fibrosis; therefore, skin grafts may relieve symptoms. [33] Nasolabial flaps and lingual pedicle flaps: Surgery to create flaps is performed only in patients with oral submucous fibrosis in whom the tongue is not involved. [63] KTP-532 laser: Use of a KTP-532 laser release procedure was found to increase mouth opening range in 9 patients over a 12-month follow-up period in one study. [64] ErCr: YSGG laser fibrotomy, performed under a local anesthesia: This may be a useful adjunct in managing oral submucous fibrosis. [65]Consultations Consult an ear, nose, and throat specialist for evaluation of dysplasia and close follow-up monitoring for the development of oral cancer. Consult a plastic surgeon for patients with severe trismus, in whom reconstructive surgery may be possible. Dietary focus should be on reducing exposure to the risk factors, especially the use of betel quid, and correcting any nutritional deficiencies, such as iron and vitamin B complex deficiencies. [3] Activity Physical therapy using muscle-stretching exercises for the mouth may be helpful in preventing further limitation of mouth movements. This is often combined with medical and surgical therapy. [66] Long-Term Monitoring Regular physical examinations, biopsy specimen analysis, and cytologic smear testing should be scheduled to detect oral dysplasia or carcinoma, especially in patients with severe oral submucous fibrosis. Patients with surface leukoplakias require close follow-up monitoring and repeat biopsies. Patients with dysplasias and carcinomas should receive routine treatment for these entities. [67] Watch for signs that indicate malignant change, which include the following: An unhealing ulcer in the lesion Lesion undergoing red changes (erythroplakia) A burning sensation in the mouth An exophytic mass A lump in the neck Difficulty in chewing, swallowing, or speaking.
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I have mouth ulcers on my inner side of lips. I am using ORASORE gel but it's only for 2-3 min relax.

BHMS
Homeopath, Hooghly
Maintain ur oral hygiene...at night brush with baking soda and wash ur mouth with lemon water..take kali chlor 6....4-5 globules 3 times daily fr 7 days..it's a homoeopathic medicine..u can get it from any homoeopathic medicine shop..
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His mouth always smells very bad even after he had recently brushed. What should he do to prevent this bad odour?

Post-Graduate Certificate in Endodontics
Dentist, Cuttack
His mouth always smells very bad even after he had recently brushed. What should he do to prevent this bad odour?
Hello, you need a good scaling of teeth. Due to deposits around teeth, bad odour occurs and gum problem arises. Get a scaling done. If you want more whiter teeth then prefer bleaching of teeth thank you.
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Best mouth wash for periodontal disease gum disease. please suggest good for gum.

BDS, MDS - Oral & Maxillofacial Surgery, Advanced course in maxillofacial sugery
Dentist, Lucknow
Best mouth wash for periodontal disease gum disease. please suggest good for gum.
Only mouth wash can't help consult a periodontist u may require gingival curettage or gum surgery than use apart from other measures a mouth wash
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When I drink cold drink than in my teeth comes very hard pain. I can't eat after pain. I don't know what m I doing?

G.C.E.H
Homeopath, Mumbai
When I drink cold drink than in my teeth comes very hard pain. I can't eat after pain. I don't know what m I doing?
You have problem, root of the teeth is affected, consult dentist, if infection is at the root then, root canal treatment is the answer for your problem.
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I had done a root canal on my teeth right lower back .I am not able to open my mouth fully even after 10 days. There is pain when I try to fully open my mouth. Please advice.

MDS
Dentist, Kolkata
I had done a root canal on my teeth right lower back .I am not able to open my mouth fully even after 10 days. There ...
Usually some pain does exist even after a root canal treatment is completed and there may be difficulty in opening mouth, so wait for some more time before contacting your previous dentist.
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I am having offensive bad breathe chronic. Used so many toothpaste but bad breathe remains. Also checked from ENT & he said throat is ok. I am in habit of chewing tobacco. Please advise me.

MDS ORAL MEDICINE AND ORAL RADIOLOGY
Dentist,
Stop using chewing tobacco. Brush twice daily and also do tongue cleaning. Try mouthrinses. 0.2% chlorhexidine mixed with water 1: 1 ratio use twice daily for two weeks.
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Dental problem, there is some problem in her teeth root, infected roots cause too much pain.

BDS, MDS
Dentist, Jaipur
Dental problem, there is some problem in her teeth root, infected roots cause too much pain.
If the root part is infected only two possible options to have. Either to go for root canal treatment in order to save the tooth if possible. Or get the tooth extracted if not able to save the tooth.
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Is it safe to grind and reduce tooth size. I have big squirrel front tooth and it's very uneven at the end.

BDS
Dentist, Jaipur
Is it safe to grind and reduce tooth size. I have big squirrel front tooth and it's very uneven at the end.
It depends how much reduction required to correct your uneven teeth. Slight amount of enamel reduction does not create any problem but more amount of reduction is not beneficial. It create lot of problem.
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