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 .read more
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.
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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.
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Patient Review Highlights
I needed dental hygiene. Not only he is very calm and composed, but is also a very understanding doctor. During the complete dental hygiene program he always supported and motivated me. The atmosphere in the dr Goyal's Dental Care is always so positive and full of life. On the very first day he identified my problem. Someone from the office, referred us that Premendra Goyal. Thanks to him I am much better now.
During the complete gap closing program he always supported and motivated me. It's been so long, I have lost all hope, but then I met Premendra Goyal and I am hopeful again that I will be fine. I was shocked to experience the symptoms of gap closingThe overall atmosphere in the dr Goyal's Dental Care is very soothing. Premendra Goyal has a very positive attitude towards all the patients.
i took dental check-ups. My previous experiences were not so good, but Premendra Goyal has completely changed my opinion as he is very helpful and humble. So many doctors I consulted, but hertreatment was the best. Even though Premendra Goyal is not from our city, he is still very famous, so we consulted him. The facilities available in the dr Goyals Dental Care are very nice.
All of sudden I developed this tooth pain and didn't know what to do. One of my friends recommended Dr PremchanDra , a known and knowledgeable dentist in Mumbai. He is not just friendly, but also is very motivating. He gave me root canal treatment which benefitted me to great extent. I feel so great after the completion of treatment.
I thank Dr PremenDra for the root canal treatment he provided. I must say that the Dental Care clinic has all the amenities which patient requires. He is a well knowledgeable and experienced dentist and I am quite benefitted with his root canal treatment.
Thanks to Dr PrechanDra for providing me the best suitable tips for keeping my teeths healthy. I follow his guidance and my consition has improved to great extent. I must say that he is well knowledgeable in the field of dentistry.
I was embarassed about my stained teeths. I consulted Dr PremenDra. I must say that he is very sweet doctor and listens to patient's problem. The treatment he provided benefitted me alot. I thank him for the treatmnet he offered.
Dr. Goyal is a dedicated doctor, very compassionate and very caring. The dental care of our entire family is under his care for the last more than fifteen years.
I took dental care treatment with Dr. Premendra Goyal at herclinic in mumbai. I loved herservices and the way he treated me.
Truly Professional, Guide properly, dedicated to his work.
TRULY AMAZING AND VERY CARING IS A PERFECT DENTIST
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:
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.
- 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.
- 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.
- 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.
- 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.
- 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!
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.
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!
Tobacco has many ill effects on the health of an individual. Dental health is equally affected with use of tobacco. From dark stains to poor gum health to increased incidence of decay to the more severe effects like oral cancer, tobacco has a very detrimental effect on your dental health. Read on know more about how harmful tobacco can be on the dental system.
- Brown teeth and tongue: One of the tell-tale signs of a smoker are the brown teeth and stained tongue and lips. A dentist need not even be told that the person smokes, it just shows!! What is interesting is that these stains on the teeth do not easily go away with a scaling (Cleaning of teeth), they just continue to form as long as tobacco is being put into the system.
- Gum disease: The oral health of a smoker is definitely not at its best. With the stains on the teeth, the gums are more prone for irritation and infection. This leads to grayish, unhealthy gums. The periodontal fibers are also affected, leading to bad breath, pocket formation and even tooth mobility in severe cases. The mouth is generally drier in comparison and so bacterial growth is more favored, further accelerating the process of gum disease and teeth decay.
- Dental caries: The increased amount of bacteria and dryness in the mouth leads to greater incidence of dental decay. Chances of cervical decay (decay around the gum line) and root decay are higher in smokers.
- Bad breath: Use of tobacco in itself cause bad breath which is exacerbated by dry mouth caused by useof tobacco.
- Impaired taste: The tongue has a constant coating too, leaving the taste buds unable to completely taste food substances. Ask any smoker a couple of questions and you would realize how they never get to enjoy and taste the food as it should be.
- Poor healing: Whether it is a gum disease, a tooth removal or a root canal therapy, smokers who go for dental treatment need a longer time to respond compared to nonsmokers. If smoking is continued at the same pace, then the chances of developing a dry socket with an extraction or a failed root canal therapy are quite high. There are more failures reported in success of implant in smokers as compared to non smokers.
- Cancer: The most dangerous and the most severe of all, cancer of the cheek, gums, lips, tongue, roof of the mouth can all happen in smokers, twice more likely in comparison with non-smokers.
Now, if all these are not good enough to kick the habit, remember this list is only for the mouth and the teeth. The whole body goes through a lot more harmful effects, and that should be a good reason to quit tobacco use in any form. If you need professional help, do not be embarrassed to seek.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Pregnancy is a transformation phase in itself -it brings with it changes to almost all body systems. The oral tissues and the teeth are also affected significantly. Extra precaution is required to maintain regular oral health and avoid severe decay and/or gum disease. If not avoided, the dental infections can cause severe systemic infections and require strong antibiotics, x-rays, minor surgeries, and root canal therapy which may not be safe during pregnancy.
Higher levels of estrogen during pregnancy in the blood lead to a lot of visible changes in the oral cavity -higher incidence of tooth decay, gingival and periodontal inflammation, and even minor benign tumours in some cases. The notorious morning sickness plays havoc with the person's oral hygiene habits, thereby further complicating the situation.
Prior to pregnancy: A pre-pregnancy dental check-up to look for gum health and decay would go a long way in a healthy pregnancy, from the dental point of view at least. A thorough scaling and screening for cavities done before pregnancy can help avoid dental visits during the term, other than for routine checkup.
Pregnancy: If that pre-pregnancy visit could not happen, then visiting your dentist should be one of the first things to do as soon as you have confirmed your pregnancy. At this stage, no dental treatment can be done. Any elective procedures (cosmetic, etc.) will have to be done only after delivery. If the dentist identifies no cause for worry, that is great news. However, if there are any causes for concern, like a decay, the non-invasive treatment should be done at the earliest. When you are pregnant, note the following from a dental point of view:
1. Noninvasive treatments like minor fillings can be done
2. Regular scaling and polishing is not a problem
3. Let the dentist know about all the medications you are taking
4. Visit the dentist every 3 to 4 months for a regular check-up
5. Follow good oral hygiene practices including, brushing, rinsing, and flossing
6. Switch to a bland toothpaste in case of severe morning sickness
7. Watch your diet - the teeth forming in the fetus require nutrition through you, so ensure adequate intake of minerals like calcium and potassium
8. Avoid sweets and sticky/chewy foods that can lead to plaque formation
Though dental procedures can be done during the 4th to 6th month, they are best avoided, which can be done with better planning and some minimal care.
After delivery: After the delivery of the baby, please visit your dentist to ensure you have again ensured there is no emergent dental condition requiring attention. Resume your regular dental care after delivery.
With a little planning and extra care, dental health can be managed nicely during pregnancy with minimal to no pain. If you wish to discuss about any specific problem, you can consult a Dentist.
I am having a pain in my upper rear teeth when they got pressurised. From yesterday. Can I know what it is? Thank you.
Omega-3 fatty acids are 'good' fats that reduce cholesterol levels and 'bad' saturated fats from your body. They belong to a family of unsaturated fatty acids and are necessary for the normal functioning of the body. The body cannot synthesize omega-3 fatty acids; hence, you can get it from sources such as salmon which provides omega-3 fatty acids known as ALA (alpha-linolenic acid) and vegetable oils such as soybean oil, rapeseed oil and flaxseed oil that are rich in omega-3 fatty acids EPA (eicosapentaenoic acid) and DHA (docosahexaenoic acid).
How can they help in gum problems?
A study, published in the Journal of the American Dietetic Association, was based on a survey called the National Health and Nutrition Examination Survey, researched and studied the effects of consumption of DHA on dental health. After studying data from over 9000 participants, researchers found that the people, who consumed the highest amount DHA amongst all, were 20% less prone to developing periodontitis.
Periodontitis is an inflammatory gum disease caused by bacteria that accumulate around the gums. It causes the gums to recede, leading to the development of gaps between the gums and teeth and loss of bones that provide support to the teeth. Periodontitis may even cause tooth loss.
The research showed that even consuming a small amount of omega-3 fatty acids offered protection against gum diseases. Omega-3 fatty acids have anti-inflammatory properties, which help relieve inflammation of gums that occurs in periodontitis. Researchers from Kentucky University found that omega-3 fatty acids have anti-bacterial properties, which prevent and cure gum diseases. Gum diseases have been related to other conditions such as heart disease, pneumonia and diabetes, hence keeping gum diseases at bay keeps other fatal diseases away as well. If you wish to discuss about any specific problem, you can consult a Dentist.