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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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.
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Truly Professional, Guide properly, dedicated to his work.
TRULY AMAZING AND VERY CARING IS A PERFECT DENTIST
Wisdom teeth are known to be the final molars to grow out and complete the set of permanent teeth. They generally start to erupt during the late teens or the beginning of the twenties.
In case of some people there is a possibility that the wisdom teeth never erupt, while others may even grow four and more wisdom teeth.
Do all wisdom teeth create dental problems?
No. If a wisdom tooth has completely erupted through the gum and tissue, without actually harming the teeth next to it, it does not require to be extracted. But, this is only if the individual is able to clean and brush it thoroughly. The wisdom teeth should be properly examined and dental care is necessary to prevent any complications.
When do wisdom teeth need extraction?
Proper oral care of the teeth will keep them healthy and clean. But there may arise a situation in which the removal of the wisdom teeth is quite necessary-
1. In certain cases, the wisdom tooth may erupt at a weird angle, compromising the teeth next to it. This may make it difficult to clean the teeth thoroughly, thus resulting in the onset of bacterial growth and periodontal disease. In this case, the wisdom teeth should be removed as soon as possible.
2. While the wisdom teeth grows out, it may happen that there is not enough space for it to grow properly. As a result the adjacent teeth may face pressure due to crowded teeth, leading to headaches, toothaches and jaw pain. It is best that the wisdom teeth is extracted in this situation.
3. In case a wisdom tooth develops a cavity, it should be extracted.
4. An impacted wisdom tooth, that is, if it has only partially grown out of the tissue, should also be extracted before it can cause serious complications.
Lot of people have phobia about dental problems and they end up visiting a dentist to get the same checked. Prevention is better than cure. Regular check ups are important but if everyone believes in taking preventive steps in advance , problems may not become big.
The gums are also called the periodontium - perio for around and dontium for tooth as the gums are literally present "around the tooth." There is a softer mucosal portion that runs along the tooth in a curved manner and a stronger fibrous portion that connects the tooth to the jaw bone. Together, they provide the structural support for the tooth to be held in place. In addition, they also have an esthetic value with the healthy pink color. The mouth has the largest number of bacteria in the body, which act on the food debris that is present on the tooth and the gums. This causes infection in both the gums and the tooth.
Types: Periodontal disease can be localized or general.
- Localized disease happens when a tooth is not accessible for thorough cleaning. The inside surface of lower incisors and outer surfaces of the upper last molars are common areas of localized periodontal disease.
- Generalized periodontal disease can be due to conditions like pregnancy, puberty, diabetes where gums around all the teeth are affected.
Symptoms: In both the cases, the following symptoms:
- Fiery Red gums
- Swollen and/or painful gums
- Spontaneous bleeding from the gums: This may be localized or generalized
- Chronic bad breath: Due to food accumulation in the infected gums
- Pus from the gums when the gums are pressed
- Bad taste in the mouth (arising from pus in the gums)
- Gingival recession, producing an effect of having longer tooth
- Sensitive teeth
- Loosening of the tooth/teeth
- Painful chewing, as it puts pressure on the inflamed periodontium
- Dentist will identify what are called pockets, which is an indication of severity - the deeper the pockets, the severe the disease.
Management and Prevention:
Gum disease is very easy to identify and can be completely cured.
- Regular brushing and flossing can help maintain regular oral hygiene.
- With each brushing session, plain finger massage of the gums improves blood circulation and their overall health.
- Regular use of mouth rinse is a good way to improve gum health.
- Regular visits to the dentist can help keep a check on the health of the teeth and the gums - early identification of disease and early treatment.
- Once it has set in, deep scaling followed by root planning may be required to thoroughly clear out the infection.
- More surgical options like gingival grafts, flap surgery, bone grafting in case of severe bone loss may be required.
- Management of conditions like diabetes The best way to avoid periodontal disease is to know its symptoms, follow oral hygiene practices, and visit a dentist regularly.
3 primary causes of tooth cavity you shouldn't ignore!
Permanently damaged regions on the enamel of the teeth that later develop into holes or openings are known as cavities. They are a common dental problem and can affect people belonging to all age groups. If left untreated, they can lead to infection, severe toothache, and even tooth loss.
Cavities can be caused due to a number of factors. Some of those factors are discussed below-
1. Bacterial action
Cavities can be caused due to tooth decay by the action of bacteria. Bacteria are naturally found in the mouth and they thrive on food and drinks that contain sugar. If the sugar is not cleaned off the teeth, bacteria can react with it to produce acids. This results in the formation of bacterial plaque that sticks to the teeth, resulting in cavities.
2. Frequent snacking
Eating too frequently can result in the formation of cavities as more food intake means more bacteria and bacterial plaque contain harmful acids. These acids remove the mineral content in the hard surface of the tooth. This erosion can lead to cavities and expose the tooth to decay.
3. Unclean tooth
If the tooth is not cleaned well and regularly using good brushing and flossing techniques, cavities can occur more frequently. Unclean teeth are exposed to the risk of cavities more than healthy and clean teeth. In fact, unclean teeth can pose a serious threat to the inner layers of your teeth as well as make the bacterial action more frequent and dangerous. In case you have a concern or query you can always consult an expert & get answers to your questions!
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!
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.