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Dr. Premendra Goyal - Dentist, Mumbai

Dr. Premendra Goyal

92 (748 ratings)
BDS

Dentist, Mumbai

27 Years Experience  ·  200 at clinic  ·  ₹200 online
Dr. Premendra Goyal 92% (748 ratings) BDS Dentist, Mumbai
27 Years Experience  ·  200 at clinic  ·  ₹200 online
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How to Get Whiter Teeth?

How to Get Whiter Teeth?

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Hi friend, I am  Dr Goyal. I am a dentist from Mumbai India. Tday I will talk about cavities and ...

Hi friend, I am  Dr Goyal. I am a dentist from Mumbai India. Tday I will talk about cavities and dental caries as we call it. This is the condition which is affecting almost everyone in some or the other form. Most commonly seen in children and teens even adults post 50 years of age are not insulated from this sort of problems , because the moment the gums start to go down we start getting cavities on the root surfaces of our teeth.

How do these cavities form?

We have a lot of normal bacteria in our mouth which use up the food staff which we eat and form a thin film called plaque on our teeth. This plaque thermos the acid which in turn removes the calcium from the enamel of our tooth making the tooth soft and susceptible to removal by any means. The best way to keep our mouth free of cavities is to clean our mouth after eating anything, that has been always told by everyone. But there is more, this give and take of calcium from enamel is always going on. The moment we eat something the acid levels of our saliva goes up which removes the calcium from our tooth but at the same time the same saliva is going on replenishing this calcium and phosphate iron in our teeth. If this balance is broken the moment the removal of calcium is more, then the resupply of calcium we end up getting cavities.

The best way to avoid this is to limit the number of meals e have per day. It is recommended to have not more than four meals a day . after every meal we need to clean our mouth properly possibly brush our teeth but at the same time it is very important to note that we should not brush our teeth immediately after eating because that is when the saliva is more acidic leaving our enamel more susceptible to damage by brushing itself. Brushing itself may cause lot of damage so wait for a few minutes before you brush your teeth. If it is not possible to brush atleast rinse your mouth forcefully there are lot of fluoridated toothpaste available in India also which have a formulation called as anti k which lets our saliva carry more calcium and phosphate which will repair the damage which has been done by the acids on the enamel . all in all get into a healthy habbit of brushing after every meal , eat healthy food , avoid very sticky food avoid too many colas avoid too many chocolates and you can get rid of habbit of cavity formation and be healthy.

Thank you very much for more information you can contact us via lybrate .

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Hi friends, this is Dr Goyal from Mumbai, I am a dentist. I am here to talk about the most compli...

Hi friends, this is Dr Goyal from Mumbai, I am a dentist. I am here to talk about the most complicated topic which is the least discussed topic in dentistry is bad breath.

Studies have shown that more than 50% of people suffer from bad breath at some or the other time in their life. Bad breath as we in our language call Halitosis, can be because of a barrage of reasons there can be a lot of reasons for bad breath something like bacteria which are there in our mouth, they are there in the mouth always. When we feed them with a lot of food stuff which we don’t clean from our mouth they eat up that food causing a lot of bad breath, the second can be dry mouth which may happen because of dehydration certain medicines or some other reasons which are not letting you saliva form. Gum disease can form a lot of bad breath. There is certain food stuff which can cause bad breath, something like garlic onions they can give you bad breath, some unhealthy lifestyle habits like smoking, tobacco chewing can cause a lot of trouble. Then there are systemic diseases which can lead to bad breath, the systemic diseases may be something like diabetes, sinusitis or gastro oesophagal reflux which can lead to bad breath.

Now that we know what causes bad breath let us try and understand how we can control this bad breath. First and foremost comes to the healthy habit of keeping our mouth clean after eating anything after consuming anything we need to clean our mouth, brushing after every meal may not be possible it is recommended but not possible many times, at least rinse your mouth forcefully to remove all your food stuff. In case you notice your gums bleeding or any other problem developing in your mouth please visit your dentist who can rectify the problem at the earliest. Get rid of bad habits like smoking tobacco chewing which will cause many other complicated problems other than bad breath. If your dentist finds that your bad breath is not controlled even after you have a healthy mouth he may suggest you a medical opinion where in your systemic problems can be diagnosed and treated by your physicians. Keep the saliva flowing always keep consuming small sips of water throughout the day to stop your mouth from drying, you can consume healthy foods like carrots, cucumbers of and on throughout the day which will help you produce more and more saliva, which will keep your mouth clean and let you avoid bad breath.

I hope this video helps you in taking care of bad breath.

Thank you very much for more information you can contact us via lybrate.

Thank you.

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Know how Root Canal treatment helps to save a tooth<br/>Know how Root Canal treatment helps to sa...

Know how Root Canal treatment helps to save a tooth

Hi friends I am doctor Premendra Goyal. Lot of questions are asked to us about whether to save a tooth or to extract it. I will talk to you about root canal treatment today which is a treatment by which we can save your tooth and it can serve for a lifetime with good maintenance. A tooth basically is a lot of hard tissue with some tissue in the center, you can it the heart of your tooth which in our language is called as pulp and layman end up calling it something as nerve. Once that nerve or pulp portion of your tooth is exposed to the oral cavity in some way may be a fracture of your tooth, may be decay, cavities- as we call them, once the heart of your tooth, the pulp of your tooth, the nerve of your tooth is exposed to the oral cavity your tooth is in danger. Tissue goes bad, infection travels, it goes deeper and it enters your bone area.

Now to save that tooth or not that is the first question that comes to the mind. By saving that tooth we are saving the natural thing that nature has given us. We have been trying to replace or replicate what nature has given us, but 100% replication of what nature has given us is not possible till date. So the best option is always to save a natural thing, and that can be easily done by root canal treatment. In root canal treatment I will try to explain in as simple language as simple the procedure is for the patient. I will reiterate- for the patient, for the clinician or for your dentist it definitely is a process which involves a lot of intricacies but for a patient it is a very simple procedure, wherein local anesthesia is given and the area is numbed and you don’t feel any pain when you undergo the treatment.

A small hole is drilled on the top of the tooth, if it is a grinder, if it is the front tooth the hole is drilled on the back side of your tooth and the nerve area is accessed. And through small instruments the inside and the root area of your tooth is cleaned, up it is shaped, it is disinfected with lot of medicaments and then it is finally filled up with artificial material and then your tooth is restored to normalcy with a cap sometimes or a post which is a support inside the root and building up with the tooth canal material or a material of your choice.

I will give you a broad overview about how a root canal treatment goes about in the pictorial representation. (Displaying pictures) Suppose this was the decayed tooth, a small opening is made on the top of the tooth, we enter the tooth with small instruments, and with the advent of newer technologies it is possible today to complete your root canal in one single sitting, a half an hour to 45 minute appointment and you can end up with a painless tooth. First the root canal is cleaned, it is disinfected with certain medicaments, a artificial filling is placed in the root and then the tooth is restored on the top. So the question of whether to save a tooth or whether to extract it ends up with a proper restored tooth which works for a very long time serving you, thank you.

For more information you can contact us via Lybrate.

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Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more
My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.
More about Dr. Premendra Goyal
Dr. Premendra Goyal is a renowned dentist with a remarkable experience of 25 years in his field. He completed his BDS from Government Dental College and Hospital, Mumbai in 1991. Dr. Premendra Goyal is a dental surgeon and has specialized in cosmetic and asthetic dentistry. He is a professional member of the Indian Dental Association (IDA). Dr. Premendra Goyal is a well qualified dentist and believes in providing his patients with the best quality dental care. He is dedicated to the use of new advancements in health care and keeps himself well informed about the new treatment measures in medical science. He is committed to provide the best treatment to his patients? at the most affordable price. Dr. Premendra Goyal is currently practicing at Dr. Goyal?s Dental Care in Malad East, Mumbai.

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Education
BDS - Government Dental College & Hospital Mumbai - 1991
Languages spoken
English
Gujarati
Hindi
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Marathi
Professional Memberships
Indian Dental Association

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Dr. Goyal's Dental Care

Shop No-30, Ashoka Palace, Below Ashoka General Hospital, Off Jitendra Road, Malad EastMumbai Get Directions
  4.6  (748 ratings)
200 at clinic
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"Very helpful" 6 reviews "Helped me impr..." 2 reviews "Saved my life" 1 review "knowledgeable" 3 reviews

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Beautiful Sparkling Smile

BDS
Dentist, Mumbai
Play video

How to Get Whiter Teeth?

Know More About Dental Implants

BDS
Dentist, Mumbai
Play video

Dental Implants - How are they beneficial?

How to Treat Diastema?

BDS
Dentist, Mumbai
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Diastema (Gap Between Teeth)

1 person found this helpful

Osteoporosis - How It Impact Your Oral Health?

BDS
Dentist, Mumbai
Osteoporosis - How It Impact Your Oral Health?

Osteoporosis is an age related condition characterized by low bone density and fragile bones. Lack of calcium and vitamin D are the most common triggers of this condition. These are vital elements for healthy teeth as well. Osteoporosis has a direct relationship with oral health and can trigger a number of issues such as loss of teeth and gum and periodontal disease. The effects of osteoporosis on oral health are seen more in women than in men. 

This risk increases when talking about menopausal women. 

The jawbone is one of the areas which bear the brunt of osteoporosis. The loss of bone density in this area can make teeth loose and cause tooth loss. It can also affect the gum ridges that hold dentures in their place. This can result in ill fitting dentures that need to be frequently changed. 

Medication for osteoporosis is also linked to dental health. In rare cases, antiresorptive medicines that are prescribed to strengthen the bones can lead to a condition known as osteonecrosis. This refers to the death of a bone due to poor blood supply. Antiresorptive medication can be administered orally or intravenously with the latter having a higher risk of triggering osteonecrosis. Though it affects the hips and shoulder bones in most cases, it can also affect the jaw bone. It is marked by pain, swelling, infection and exposed bone. Loose teeth, gum infections and numbness or heaviness of the jaw are also symptoms of osteonecrosis of the jaw bone. 

 The risk of suffering from osteonecrosis cannot be determined beforehand. Hence it is a good idea to see your dentist before or just after starting antiresorptive treatment for osteoporosis and to schedule regular checkups for the duration of your treatment. Dental problems if any should be treated before starting medication for osteoporosis. Osteonecrosis of the jaw bone is most commonly seen after undergoing a dental procedure that affects the jawbone and associated tissues such as a tooth extraction. Ideally, invasive dental procedures should be avoided if you are taking antiresoptive medicines. However, it can also occur spontaneously. 

Biophosphonates are also commonly prescribed to treat osteoporosis. This type of medication slows down the breakdown of bone tissue. However, this can lead to the development of new bones. This is not a troublesome issue when it comes to bones like the hip, leg or arm bones but can be very disruptive if it affects the jawbone. This is because the jaw bone is constantly reforming and reshaping itself.

In case you have a concern or query you can always consult an expert & get answers to your questions!

6931 people found this helpful

Cavity-Fighting Liquid Let Kids Avoid Dentists Drills

BDS
Dentist, Mumbai
Cavity-Fighting Liquid Let Kids Avoid Dentists Drills

Silver Diamine Fluoride Kills Bacteria That Cause Decay

  • Nobody looks forward to having a cavity drilled and filled by a dentist. Now there’s  an alternative: An antimicrobial liquid that can be brushed on cavities to stop tooth decay — painlessly.
  • The liquid is called silver diamine fluoride, or SDF. It’s been used for decades in Japan, but it’s been available in the US, under the brand name Advantage Arrest, for just about a year.
  • The US’ Food and Drug Administration cleared SDF for use as a tooth desensitiser for adults 21 and older. But studies show it can halt the progression of cavities and prevent them, and dentists are increasingly using it off label for those purposes.
  • “The upside is you don’t need to drill and you don’t need an injection,” said Dr Margherita Fontana, a professor of cariology at the University of Michigan.
  • Richard Niederman of the New York University College of Dentistry, said, “Being able to paint it on … 30 seconds with no drilling is better, faster.”
  • SDF’s main downside is aesthetic: SDF blackens the brownish decay on a tooth. That may not matter on a back molar or a baby tooth that will fall out, but some patients are likely to be deterred by the prospect of a dark spot on a visible tooth.

Cavity-Fighting Liquid Let Kids Avoid Dentists Drills

BDS
Dentist, Mumbai
Cavity-Fighting Liquid Let Kids Avoid Dentists Drills

Silver Diamine Fluoride Kills Bacteria That Cause Decay

  • Nobody looks forward to having a cavity drilled and filled by a dentist. Now there’s
  •  an alternative: An antimicrobial liquid that can be brushed on cavities to stop tooth decay — painlessly.
  • The liquid is called silver diamine fluoride, or SDF. It’s been used for decades in Japan, but it’s been available in the US, under the brand name Advantage Arrest, for just about a year.
  • The US’ Food and Drug Administration cleared SDF for use as a tooth desensitiser for adults 21 and older. But studies show it can halt the progression of cavities and prevent them, and dentists are increasingly using it off label for those purposes.
  • “The upside is you don’t need to drill and you don’t need an injection,” said Dr Margherita Fontana, a professor of cariology at the University of Michigan.
  • Richard Niederman of the New York University College of Dentistry, said, “Being able to paint it on … 30 seconds with no drilling is better, faster.”
  • SDF’s main downside is aesthetic: SDF blackens the brownish decay on a tooth. That may not matter on a back molar or a baby tooth that will fall out, but some patients are likely to be deterred by the prospect of a dark spot on a visible tooth.
3 people found this helpful

Tooth Sensitivity - Why It Happens?

BDS
Dentist, Mumbai
Tooth Sensitivity - Why It Happens?

For people with no dental problems, the teeth seem to be white pearls which add beauty to a person’s smile and face. However, there is more to it. The tooth does have layers which can make it sensitive and even painful. Those who have sensitivity when sipping cold water or eating sweets know how bad the experience can be. To understand how the sensitivity sets in a tooth, it is first important to understand the structure of the tooth.

There are 3 layers to the tooth from outside inwards – the outer white layer of enamel, a second sensitive layer of dentin, and the innermost one called the pulp. The enamel is devoid of any sensation and provides a protective covering for the tooth. It is the second hardest material in the body. The next inner layer, known as dentin, is made of fine tubules, which is responsible for sensation. The third innermost layer known as the pulp contains the blood and nerve supply essential for the tooth.

The tooth also has a crown and a root portion. The crown portion is what is visible in the mouth. The root portion is what is hidden in the jaw bone, provides an anchor, and is covered by the gums. The structure of the root is very similar to the crown, except that the first layer of enamel is replaced by a much softer material known as the cementum. As the gums recede, which often happens with age, the cementum is exposed to the oral environment, which then wears off much faster, and then sensitivity sets in.

How does sensitivity sets in?
The oral cavity is a very active environment with food particles, saliva, and millions of microorganisms. In this moist environment, food is degraded and acids are produced. These acids act on the enamel and there is a constant loss of enamel. The enamel does not have any sensation, and other than cosmetic concerns, enamel loss is asymptomatic. However, once the enamel layer is completely lost, and the dentin is exposed to the oral environment, the acids that are produced penetrate the fine tubules which cause sensitivity. Due to old age, when the gums recede, the cementum is exposed, and the rate at which cementum is lost is much rapid than that of enamel. Therefore, the dentin on the root surface produces sensitivity much faster than the crown surface.

To summarize, let us take a look at some of the most common causes of sensitivity:

  • Tooth decay, often worsened by soft, sticky foods which produce acids more than grains and vegetables
  • Use of hard brush which can lead to enamel wear-off
  • Improper dental fillings, allowing seepage of the acid into the dentin
  • Age, leading to gum recession

In case you have a concern or query you can always consult an expert & get answers to your questions!

6862 people found this helpful

Tooth Sensitivity - Facts You Must Be Aware Of!

BDS
Dentist, Mumbai
Tooth Sensitivity - Facts You Must Be Aware Of!

Have you ever come across a situation when on a warm day, all you want is a tall glass of something cold; but you couldn't due to the sensitivity in the teeth. Isn't that really frustrating? This problem is known as tooth sensitivity and has become very prevalent. And due to the changing food habits, the condition has only gotten worse. While sensitivity was a common issue mostly in the aged people due to gum recession but now the condition is different and the condition affects a much bigger and younger group of people. The following are some facts to know about tooth sensitivity.

  1. It is a warning sign: Tooth sensitivity is often the second warning that something is wrong underneath. Enamel is lost first, but it only is a cosmetic issue. Once the entire enamel is lost, dentin gets exposed, which is what causes sensitivity. Since enamel loss does not cause any pain or sensitivity, it is often ignored. However, if treatment is initiated with enamel loss, then sensitivity can be avoided.
  2. Sensitivity can occur after dental treatment too: If you have had a filling or a denture or a crown that is not properly fitted, you may experience sensitivity. The dental prosthesis may not fit snugly and cause problems.
  3. Desensitizing toothpaste helps: Most of these contain potassium nitrate which blocks the sensitive dentin tubules and prevent sensitivity. Used as soon as the sensitivity sets in, it can be completely managed.
  4. Tooth sensitivity can be prevented: Proper oral hygiene measures can help in preventing tooth sensitivity. One of the major causes of tooth sensitivity is the change in food habits with a lot more processed and refined foods. Soft, sticky foods like chocolates are consumed more than ever. Compare that with eating a fruit or a vegetable. The fruit has a natural cleansing effect compared to a chocolate on the enamel. Rinsing your mouth with water after every meal helps remove food deposits in the teeth. It is also important to keep a constant watch on the oral cavity with annual checkup so that issues are addressed in their early stage is another way to prevent sensitivity.
  5. Tooth sensitivity is totally reversible: This depends on how religiously a person takes care of their oral health. With some minor change to oral maintenance, this is totally reversible.
    • As soon as sensitivity is identified, check with a doctor
    • In the initial stage, this can be totally reversed with desensitizing toothpaste and mouthwash.
    • Fillings or crowns which were not done properly can be corrected if they are causing the problem
    • In some cases, the tubules can be blocked by applying a thin layer of cement over it.

In case you have a concern or query you can always consult an expert & get answers to your questions!

7275 people found this helpful

Dental Implants

BDS
Dentist, Mumbai
Dental Implants

If you are self-conscious because you have missing teeth, wear dentures that are uncomfortable or don't want to  make a bridge, talk to your dentist to see if dental implants are an option for you.

Dental implants are a  effective way to replace missing teeth and are designed to blend in with your other teeth. They are an excellent long-term option for restoring your smile. In fact, the development and use of implants is one of the biggest advances in dentistry in the past 40 years. Dental implants are made up of titanium and other materials that are compatible with the human body. They are posts that are surgically placed in the upper or lower jaw, where they function as a sturdy anchor for replacement teeth.

Most patients find that a dental implant is secure, stable and a good replacement for their own tooth. There are generally three phases to getting an implant:

  • First, the dentist surgically places the implant into the jawbone. Your dentist may recommend a diet of soft foods, cold foods and warm soup during the healing process.
  • Next, the bone around the implant heals in a process called osseointegration. What makes an implant so strong is that the bone actually grows around it and holds it in place. Osseointegration means “combines with the bone” and takes time. Some patients might need to wait until the implant is completely integrated, up to several months, before replacement teeth can be attached to the implant. Other patients can have the implants and replacement teeth placed all in one visit.
  • Finally, it’s time for the placement of the artificial tooth/teeth. For a single tooth implant, your dentist will customize a new tooth for you, called a dental crown. The crown will be based on size, shape, color and fit, and will be designed to blend in with your other teeth. If you are replacing more than a single tooth, custom-made bridges or dentures will be made to fit your mouth and your implants. (Note: The replacement teeth usually take some time to make. In the meantime, your dentist may give you a temporary crown, bridge or denture to help you eat and speak normally until the permanent replacement is ready.)

If you are interested in dental implants, it's a good idea to discuss it carefully with your dentist first. If you are in good general health this treatment may be an option for you. In fact, your health is more of a factor than your age. You may be medically evaluated by a physician before any implant surgery is scheduled.

Chronic illnesses, such as diabetes or leukemia, may interfere with healing after surgery. Patients with these issues may not be good candidates for implants. Using tobacco can also slow healing. 

Is That Sore In Your Mouth Serious?

BDS
Dentist, Mumbai
Is That Sore In Your Mouth Serious?

Small painful mouth sores can be anywhere in the mouth lips, soft palate, hard palate, cheeks, gum base, tongue and even on the roof of the mouth. When situated  inside the mouth, they can cause pain during eating or swallowing, especially with hot or spicy foods. A bigger cause for concern is that these mouth sores or mouth ulcers or canker sores could be an indication of an underlying health condition. A lot of chronic diseases, including HIV, herpes, and syphilis, manifest themselves as mouth sores. The following are some of the health conditions to watch out for when you have mouth sores. Each disease has characteristic appearance and so very often are easy to identify.

1. Herpes simplex (HSV1): The herpes simplex virus causes sores on the lips only which are usually painful with red blisters that last about 10 to 14 days. These are caused by herpes simplex virus type 1 and the sores appear about 20 days after contracting the virus. Also, once they enter the system, they can cause recurrent attacks especially when the immunity is low.

2. Canker sore: The most common type of mouth ulcer, they are also known as aphthous ulcers and are usually seen on the soft tissues of the mouth (not the hard palate or the gum base). These are generally innocuous and heal within 5 to 7 days. Do reach out for medical help if there are more than 5 to 6 bouts of canker sores in a year.

3. Oral thrush: Also known as candidiasis, this is where there are whitish lesions on the tongue and the insides of the mouth. Candida is a fungus that is normally present in the mouth, but when the immune system is weakened, it can lead to an infection, orally manifested as white lesions. These are typical and appear in toddlers and in patients with anemia, diabetes, HIV/AIDS, or cancer patients on chemotherapy.

4. HIV/AIDS: Another disease which first can be diagnosed in the mouth is HIV/AIDS. In the first stages of infection, known as acute retroviral syndrome, where the first symptoms of the disease begin to manifest, oral ulcers are one of the first symptoms. With the other associated symptoms, more workup for diagnosis should be done followed by appropriate treatment.

5. Oral cancers: The lining of the inside of the mouth can develop cancer and usually it appears in the form of chronic non healing ulcer that just does not go away. Seen anywhere in the mouth, nonhealing ulcers are a cause for concern and should be investigated and treated.

As seen above, mouth sores may be harmless often, but in some cases, may have something more to tell about the health in some cases. Consult an expert & get answers to your questions!

6601 people found this helpful
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