Lybrate.com has a nexus of the most experienced Dentists in India. You will find Dentists with more than 38 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 with Dr. Prashant Kothari
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. Prashant KothariYour feedback matters!
HIV is a systemic disease which affects all parts of the body. The oral cavity also has some tell-tale symptoms which indicate HIV / AIDS. A careful examination and detailed history of symptoms is essential. In some cases, the oral manifestations could be the area where HIV is suspected. This can help in reducing morbidity and improves prognosis. The oral lesions that occur in HIV patients can vary and differ significantly in children and adults. While there are a variety of oral lesions in HIV-infected individuals, listed below are some common infections seen in HIV patients. These are a combination of fungal, viral and bacterial infections.
- Candidiasis: Candida is an opportunistic fungus that is normally present in the oral cavity and with reduced immunity of HIV, recurrent bouts of the infection begins to show up. It can be in the form of regular thrush which is whitish and cannot be scraped off (pseudomembranous candidiasis), hyperplastic candidiasis (white patches which can be scraped off) or erythematous (reddish patches). Candida can involve any part of the oral mucosa including the pharynx and the palate.
- Herpes Simplex: This is the most common viral infection seen in patients with HIV/AIDS. There could be primary or secondary infection of herpes virus, especially inside the mouth and the vermillion border of the lips.
- Herpes zoster: This virus, when already present in the body, can be reactivated with HIV/AIDS and with oral herpes. The distinction with herpes simplex is from their distribution. These are unilateral, along the distribution of the maxillary or mandibular nerve. The lesions appear both on the facial skin and the oral mucosa. While the facial ones break open and form crusts, the mucosal ones coalesce to form larger lesions.
- Hairy Leukoplakia: This is present in about 20% of asymptomatic HIV patients. Onset of hairy leukoplakia is an indication of rapid progression of HIV with increased CD4 counts. The typical lesion is a non-movable, hairy lesion along the side of the tongue and can spread to the top and the undersurface of the tongue. There are large amounts of Epstein-Barr virus (EBV) identified from biopsies of hairy leukoplakia.
- Cytomegalovirus: If the ulcers have a necrotic base with a halo surrounding it, it is CMV infection, usually seen on any oral mucosal surface.
- Periodontal disease: This is one of the bacterial infections that manifests itself in HIV patients. It can take two forms such as Linear Gingival Erythema (LGE) which can subsequently lead to Necrotizing Ulcerative Periodontitis (NUP). The oral hygiene is generally good with minimal plaque and there is rapid bone loss and soft tissue reddening and swelling. The, mouth, therefore is certainly a window to one’s health.
Diagnosing HIV with Western Blot Test-
It is a series of blood screenings are performed to test for HIV. The enzyme-linked immunosorbent assay (ELISA), also known as an enzyme immunoassay (EIA), is the first test that your healthcare provider will order to screen for HIV. ELISA, like the Western blot test, detects HIV antibodies in your blood. Antibodies are proteins your immune system produces in response to the presence of foreign substances, such as viruses. If you test positive for HIV on the ELISA test, your provider will order the Western blot test to confirm HIV infection. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
My mouth is not open only 2 finger inserted. How can I open mouth and inserted 4 finger in mouth. Suggest me. Tell me gud medicine name or injection. To recover my mouth problem.
I am suffering from the disease pyria on my gum since last 10 years. Please give me some suggestion.
Having cavity in teeth totally damaged if we remove teeth it will what and to fix new permanent teeth so it will pain or not.
"Common mistakes People Do in Dental Care "
1. Regular Check-ups: Check-up is utmost important part of dental treatment , even if you do not find any usual finding in your mouth you have to go for annual check -ups to your Dentist.It is mandatory to take preventive measure before hand .So ,from next time do not wait for caries pain,sensitivity develop in your teeth ,just visit to your dentist for a general check up.
2. Follow ups: Follow up is always mandatory in between and after your treatment .Whatever is the treatment ,it is necessary to visit to a doctor if he/she mention that you have to come for follow up.Specialy after your surgery, extraction(teeth removal),Root canal etc .You find everything is done ,treatment is over and didn’t find time to visit again to your dentist ,but you have to understand this that any healing will take time and it is a normal biological process. So from next time ,don’t miss appointments and a follow up after your treatment too.
3. Self Medication: Strict No-No .I have seen lot of people that they take medicine on their own ,without seeing a dentist /physician .See, every drug has side effects ,if you are taking for a longer time without asking to your doctor .Even if you had old prescription of a doctor ,don’t take any medicine without consulting to your Dentist/Physician. So next time ,if you find anything abnormal or find pain ,swelling in your teeth ,just consult your Dentist as soon as possible .
4. Proper Tooth Brushing: For proper dental care, be sure to brush gently two or three times per day each for two to three minutes, using long, horizontally angled strokes. Waiting too long between tooth brushing can cause harmful bacteria and plaque to develop. However, do not brush too often, which can lead to exposure of the roots, or brush too aggressively, which can cause erosion of the tooth enamel.Discard your toothbrush every 3 months or else if its bristles torn out.
Not using the correct tooth brushing technique is another common dental care mistake. According to family dentistry experts, the best technique is the thorough brushing of every tooth. Thoroughly brushing the inner surfaces of the teeth is important, but many skip that step, which can cause issues to show up at the next visit to their family dentistry office.
5. A Dental Floss and a Antiseptic Mouthwash: Also a necessary additionally with the two times brushing. Food accumulates in between teeth and a major cause too for developing dental caries in between two teeth and also it inflamed your gums and sometimes lead to pockets and Gingival and Periodontal problems .So for a healthy teeth and gums ,use a dental floss/interdental brushes to keep the area clean in between teeth and gargle with the mouthwash once daily before bedtime .
6. Chomping on Tooth Destroyers: A lot of food items and beverages may cause destructions of enamel of your teeth if you are addicted to them .Don’t brush just after having an acidic beverages ,wait for some time than brush your teeth as it will cause more destruction of enamel of your teeth. Everyone has" sweet tooth "so watch your portion of sweets and candies you are taking on daily basis ,it is advisable not to have these items (choclates,chips,candies,soda,cola etc ) on daily basis .So restrict them or if not possible for children ,than give them only in one day in a week (Sundays)
7. Eat vegetables and fruits: Lots of vitamin is needed for your health of your teeth and gums ,so make sure the green vegetables and fruits are in part of your daily diet.Drink atleast 4-5 litres water per day.
8. Any Unusual Habits like Tobacoo use: Along with all of the other health care issues caused by tobacco, smoking or using other tobacco products can also increase your chances of developing gum disease and experiencing rapid bone loss around your teeth.
9. Tooth trauma: Clenching teeth, chewing ice, or gnawing on pencils can put excess pressure on your teeth and wear away tooth enamel. If you grind your teeth unconsciously – especially at night, your dentist can create a customized mouth guard for you to wear at night. In addition, you should wear a mouth guard when playing contact sports to lessen your risk of broken or cracked teeth if you experience a severe blow to your face, and also when swimming to decrease your teeth’s exposure to chlorine, which can erode and stain tooth enamel.
10. Lack of Vitamin C: Vitamin C is important for the health of your gum tissue and should be consumed daily. People who consume less that 180 g daily are 25% more likely to develop gum disease.
Lack of calcium – Calcium is known for its ability to strengthen bones. In fact, people who consume at least 800 mg a day are less likely to develop severe gum disease. While calcium can be found in foods like cheese, yogurt, and milk, you should still consider calcium supplements to help strengthen your teeth and bones.