Dr. Puneeth Sharma

We need to check for da permanent canine (xray) and about the vitality of tht baby teeth depending on that we need to plan the treatment.

Do you mean discolouration? if its discolouration you need to brush your teeth regularly twice a day. Not better with tat then meet a dentist for tat. For scraping. If some discharge is there then it might be a gum infection. In such case you need to meet the dentist immediately.

Treatment for bad breath (halitosis) will depend on its cause. Usually, the most effective treatment is improving your dental hygiene. As part of your daily routine, you should: Brush your teeth and gums. Floss between your teeth. Clean your tongue.

I will suggest you to use sparkling white toothpaste from himalaya and avoid any stain causing food items.

Yes, we can save ur teeth but only after clinical examination & suggest u the best treatment. So consult to the dentist

Brush your teeth twice a day (morning and before sleep in night) and clean your tongue by a tongue scrapper or the tooth brush itself get your teeth and gums cleaned by a qualified dentist you can also use chlohex plus mouthwash twice a day after brushing teeth.

Please consult an Oral & Maxillofacial Surgeon. They will ask you to get some xrays done to confirm, or rule out, jaw fracture(s).

Hi, lybrate-user. There is a simple home remedy I can suggest you. Try oil pulling using pure coconut oil every morning in empty stomach atleast for 5-10 mts. Take two teaspoon full of coconut oil. Put it in your mouth. Swish it atleast for 5-10 mts. This action supposedly draws out toxins in your body, primarily to improve oral health but also to improve your overall health.

Kindly get scaling done and if you want you can also get bleaching done. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.

1. Sleep on your back sleeping on your back is a good idea because it helps saliva settle right at the back of your throat, which eventual drains down. It is a good idea to tuck yourself in so that you don't change side while sleeping. Start sleeping on your back and you will notice a substantial improvement in your condition. 2. Prop your head up propping your head up may also help when sleeping at night. Propping yourself in a vertical position will help keep your mouth close, which will prevent drooling.

When the pulp of the tooth becomes inflamed, septic or lifeless, one needs to go through the root canal treatment.

The simplest method of removing minor surface stains is polishing, or micro-abrasion if staining is more intrinsic. Provided that your discolouration is not due to inadequate enamel exposing the dentin, tooth whitening (bleaching) is often the most effective treatment for yellow stained teeth. Advance procedures can be done with laser. Use snowdent tooth paste for whitening until then. Apply snowdent paste on the teeth. Wait for 10 to 15 min. Then brush your teeth with the same paste. Applying it overnight for better results.

Kindly get scaling and polishing done and if you want you can also get bleaching done. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.

Hi, for ulceration your bowel movement is responsible, being, taxed due to irregular life style & junk food, of course. You hv not expressed d sight of ulcer to get a suitable medication in homoeopathy. Tk, plenty of water to eliminate toxins, to regulate metabolism to ease your problem. Your diet be simple, non-irritant, easily digestible on time. Homoeo medicine r gentle, rapid without adverse effect, thereof. @ merc sol 10006 pills, wkly. @ echinecea q -10 drops, thrice with little water. Avoid, junk food, caffiene, smoking, alcohol, pollution, contaminated water. Tk, care.

It seems you might be having periodontal problem. C/as pyorrhea. You need to get rid of it. It needs aggressive therapy. You need to make a habit of rinsing your mouth everytime you eat something and brush regularly (once in the morning before meals and once at night after dinner, add a mouthwash for better oral hygiene.

Implant is a very good option as it does not require support from adjacent tooth. The cost varies however depending upon the quality used by your dentist. If you want to go with sumthing cheaper then bridge is an option. Apart from these two. You do not have any other option.

There are several causes of tooth discoloration, including: foods/drinks. Coffee, tea, colas, wines, and certain fruits and vegetables (for example, apples and potatoes) can stain your teeth. Poor dental hygiene. Inadequate brushing and flossing. Here is home remedy for brighter teeth--- mix several teaspoons of baking soda with enough fresh lemon juice (or water) to make a paste. Wipe your teeth and any extra saliva off of them with a paper towel. Put a good amount of paste onto your toothbrush and apply. Leave the paste on for 1 minute, then rinse, so as to avoid the acid effecting enamel. If you are using just water you can leave it on for up to 3 minutes. For faster result you can go for teeth bleaching from dentist.

Check your acidity conditions of teeth any sharp cutting edges of tooth your balance diet intake increase the no. Of times water intake means the interval between it should be small like 15 to30 min.

Diabetes and Oral Health

During the past 10 years, much research has been undertaken on the link between diabetes and periodontal disease. Periodontal disease is the sixth leading complication of diabetes. If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease, with a higher rate of more severe levels of bone loss and gum infection.1

What Is Diabetes? Diabetes is a serious disease in which the body does not produce or properly use insulin, a hormone needed to convert sugar, starches, and other foods into energy. Normally, insulin helps get sugar from the blood to the body's cells, where it is used for energy. When you have diabetes, your body has trouble making and/or using insulin, so your body does not get the fuel it needs and your blood sugar stays too high. High blood sugar sets off processes that can lead to complications, such as heart, kidney, and eye disease, or other serious problems.2,3

If you have been diagnosed with diabetes, you are 3 to 4 times more likely to develop periodontal disease.

Are There Different Types of Diabetes? It is estimated that more than 20 million adults and children in the United States have some form of diabetes?14 million having been diagnosed with the disease and 6 million being unaware they have it. There are different types of the disease: type 1, type 2, and gestational diabetes, as well as prediabetes. Most Americans (around 90%) who are diagnosed with diabetes have type 2 diabetes.2,3

What Is Periodontal Disease? Periodontal disease, or gum disease, is a bacterial infection of the gums, ligaments, and bone that support your teeth and hold them in the jaw. If left untreated, you may experience tooth loss. The main cause of periodontal disease is bacterial plaque, a sticky, colorless microbial film that constantly forms on your teeth. Toxins (or poisons) produced by the bacteria in plaque irritate the gums, causing infection.4

Diabetes Control and Periodontal Treatment

Periodontal disease may make it more difficult for you to control your blood sugar. Your body's reaction to periodontal disease can increase your blood sugar level. Consequently, it is important for patients with diabetes to treat and eliminate periodontal infection for optimal diabetes control. Periodontal treatment combined with antibiotics has been shown to improve blood sugar levels in patients with diabetes, suggesting that treating periodontal disease could decrease insulin requirements.1

What Are the Warning Signs?

DIABETES

Constant hunger or thirstFrequent urinationBlurred visionConstant fatigueWeight loss without tryingPoor wound healing (cuts or bruises that are slow to heal)Dry mouthItchy, dry skinTingling or numbness in the hands or feetMost people with diabetes do not notice any warning signs
PERIODONTAL DISEASE 
Red and swollen gums that bleed often during brushing or flossing and are tender to the touchGums that have pulled away from the teeth, exposing the rootsMilky white or yellowish plaque deposits, which are usually heaviest between the teethPus between the teeth and gums accompanied by tenderness or swelling in the gum areaA consistent foul, offensive odor from the mouth

IMPORTANT: Physicians and Dentists Need to Work Together

It is important that your dentist be kept up-to-date on your diabetic condition and treatment and that your physician be kept up-to-date on your oral condition and treatment, so that they can work together to help you control your diabetes and prevent or control periodontal disease.1

Keep your dentist up-to-date on your diabetic condition and your physician up-to-date on your oral condition.

If your diabetic condition is well controlled, periodontal treatment would be the same for you as for a patient without diabetes. In early stages, treatment usually involves removing the plaque and calculus from the pockets around your teeth. If the periodontal disease is more severe or if your diabetes is not well controlled, treatment will be more specialized and tailored toward your specific condition. Your dentist may recommend more frequent oral prophylaxes (dental cleanings) involving scaling and root planing or may recommend periodontal surgery.1

Diabetes and Your Mouth

Periodontal disease is not the only problem that can occur if you have diabetes. Although you might not be able to prevent these problems, you can minimize the trouble they cause you5:

Dry mouth: Xerostomia occurs when your salivary glands don't produce sufficient saliva to keep your mouth moist, causing tissues in your mouth to become inflamed and sore. It can make chewing, tasting, and swallowing more difficult, as well as cause difficulty in eating, making it more difficult to control blood sugar.Fungal infection: Candida albicans is a fungus that normally lives inside the mouth without causing any problems. But when you have diabetes, deficient saliva in your mouth and extra sugar in your saliva allow the fungus to cause an infection called candidiasis (thrush), which appears as sore white or red areas in your mouth.Burning mouth syndrome: If you feel severe burning and pain in your mouth even though you don't see any problems causing it, you may have this syndrome.Oral surgery complications:If you need oral surgery, diabetes? particularly if poorly controlled?can complicate oral surgery. Diabetes retards healing and increases risk of infection. Your blood sugar levels also may be harder to control after oral surgery. Your dentist should work closely with your physician to minimize possible complications. If you need oral surgery, the American Diabetes Association recommends that you: 
Remind your dentist that you have diabetes and discuss any specific diabetes-related issues.Eat before your dental visit so your blood sugar is within normal range.Take your usual medications. Your dentist should consult with your physician about whether you can adjust your diabetes medications or take an antibiotic to prevent infection before surgery.Plan for your eating needs after surgery. If you're having dental work that may leave your mouth sore, plan to eat soft or liquid foods that will allow you to eat without pain.Wait until your blood sugar is under control. It's best to have surgery when your blood sugar levels are within your goal range. If your dental needs are urgent and your blood sugar is poorly controlled, talk to your dentist and physician about receiving dental treatments in a hospital.

Hi if your teeth are still sensitive, and you are certain of the area involved, you need to see the dentist again. There might be decay between the teeth that is often difficult to detect and maybe overlooked, esp. When other more obvious lesions are present. A more detailed examination necessitated by persistent symptoms after such symptoms might well lead to the detection of such problems. You also have the option of a second opinion. Often, a different person might be able to look at your problem more objectively, and, maybe locate the issue. In the meantime, you can use any desensitizing toothpaste 2 to 3 times a day to help with the symptoms.