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Dr. Premendra Goyal - Dentist, Mumbai

Dr. Premendra Goyal

92 (765 ratings)
BDS

Dentist, Mumbai

27 Years Experience  ·  200 at clinic  ·  ₹200 online
Dr. Premendra Goyal 92% (765 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  (765 ratings)
200 at clinic
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7 Ways You Can Prevent and Manage Periodontal Disease!

BDS
Dentist, Mumbai
7 Ways You Can Prevent and Manage Periodontal Disease!

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. 

  1. 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. 
  2. 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: 

  1. Fiery Red gums 
  2. Swollen and/or painful gums 
  3. Spontaneous bleeding from the gums: This may be localized or generalized 
  4. Chronic bad breath: Due to food accumulation in the infected gums 
  5. Pus from the gums when the gums are pressed 
  6. Bad taste in the mouth (arising from pus in the gums) 
  7. Gingival recession, producing an effect of having longer tooth
  8. Sensitive teeth 
  9. Loosening of the tooth/teeth 
  10. Painful chewing, as it puts pressure on the inflamed periodontium 
  11. 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.

  1. Regular brushing and flossing can help maintain regular oral hygiene. 
  2. With each brushing session, plain finger massage of the gums improves blood circulation and their overall health.
  3. Regular use of mouth rinse is a good way to improve gum health. 
  4. 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. 
  5. Once it has set in, deep scaling followed by root planning may be required to thoroughly clear out the infection. 
  6. More surgical options like gingival grafts, flap surgery, bone grafting in case of severe bone loss may be required. 
  7. 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.
1 person found this helpful

Tooth Cavity: Few Causes Behind It!

BDS
Dentist, Mumbai
Tooth Cavity: Few Causes Behind It!

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!

7157 people found this helpful

Beautiful Sparkling Smile

BDS
Dentist, Mumbai
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How to Get Whiter Teeth?

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Know More About Dental Implants

BDS
Dentist, Mumbai
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Dental Implants - How are they beneficial?

How to Treat Diastema?

BDS
Dentist, Mumbai
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Diastema (Gap Between Teeth)

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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.
4 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!

6864 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
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