Lybrate.com has an excellent community of Dentists in India. You will find Dentists with more than 39 years of experience on Lybrate.com. You can find Dentists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
Treatment & Management of Braces
Treatment of Tetracycline Stains
Root Canal Treatment
Management of Dental Hygiene
Artificial Teeth Treatment
Braces Treatment for Adults and Teens
Ceramic Braces Treatment
Teeth Scaling & Polishing
Dental Extractions Procedure
Orthosis Fitting Procedure
Fixed Partial Denture Procedure
Submit a review for Dr. Poonam PunjabiYour feedback matters!
Hello doctors, I found out that I have wisdom teeth erupting and its very painful even when I make any movement and i am unable to eat anything. Please suggest me any pain killer or gel? Thank you.
My wife's teeth becoming blackish colour n also strenthless, ahe is 45 yes old. please Let me know the treatment/ remedy/ medicines in ayurvedic, homeopathic, etc.
My teeth is damaged in medium of a teeth. So now its get too pain when I took anything in mouth. So what treatment is there for it.
My teeth is very bad and show the yellow color then after eat and my teeth is very weakness so please suggest me.
Sir my mouth not open fully I habit eat gutka and I want to open fully my mouth, mouth can open fully by do exercise? What exercise I can do? And how? Please give me advice.
I have little (small dot) cavity in my 3, 4 teeth. Is there any medicine to cure it? And how much will it cost?
I have 23 years old and I am male. My problem is from my mouth, few times some blood is coming may I know what is the cause?
I am 36 years old 3 days back unfortunately I take some acid type chemical in my mouth and spit it and washed with water repeatedly but already damages my mouth some medicine taken like mint flavour syrup, ointment for mouth ulcers. What type of medicine have to taken pls suggest me.
Sir I am using sensodine toothpaste from last 10 days. As I'm having bleeding gums as no other toothpaste cure my bleeding. After doing sensodine I am not able to taste my food. I find it tasteless .does it have any side effect I am 31 years old. Should I Cary on sensodine.
Those who have experienced it would vouch for the fact that toothache is one of the worst pains. There could be times when the attack happens out of nowhere and you are crying for relief.
The tooth has 2 parts - the visible part called the crown and the invisible part called the root which is embedded in the jaw bone and covered by the gums.
Both the crown and the root have 3 layers from inside out. The crown has enamel, dentin, and pulp. The enamel is the mineralized part of the tooth, dentin has fine sensory dentinal tubules, and the pulp receives nerve and blood supply to the tooth through a small orifice at the end of the tooth called the apex. On the root surface, instead of enamel, there is a softer substance called cementum. The dentin and the pulp continue through the tooth, but are thinner in the root portion of the tooth.
The mouth has the largest amount of bacteria in the body. These act on the food deposits on the tooth and produce acid which leads to breakdown of the enamel. The only symptom when enamel breakdown happens is food lodgment, and it continues till treatment ensues. Once the breakdown reaches the dentin, sensitivity sets in, and most people go for treatment then. If not, the next layer is the pulp, when there is severe pain. This acute pulpitis causes pain in spurts and can be unbearable.
On the root surface, if there is periodontal disease and the gum line goes down, then cementum gets worn off (far more easily than enamel) and decay reaches the dentin and pulp (again faster than in the crown).
Whatever the case, the treatment would be the same:
- Dental examination, clinical testing, and x-rays would be diagnostic. Tapping the tooth would reproduce the same pain and that is indicative of acute pulpitis
- Antibiotics and pain killers would be given to control the pain
- Once the infection subsides, root canal therapy is initiated. Using the decayed portion to gain access to the root, thin instruments called reamers and files are used to clean out the pulp space completely. They are then shaped to accommodate an inert substance called gutta percha which ensures infection does not seep into the tooth again.
- With RCT, the tooth is weakened, and therefore a crown needs to be placed. This could either be a ceramic crown or a full metal crown based on economic and esthetic reasons.
The best way to avoid this is regular visits to a dentist so that decay is identified in the early stages and treated with the minimal cost and maximum natural tooth preservation.