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Root Canal Treatment
Teeth Cleaning Procedure
Teeth Whitening Procedure
Chronic Skin Allergy Treatment
Tooth Extraction Procedure
Dental Extractions Procedure
Skin Rash Treatment
Gap Closing (Dental) Treatment
Artificial Teeth Treatment
Treatment of Root Canal Treatment (RCT)
Wisdom Tooth Removal Procedure
Teeth Scaling & Polishing
Braces Treatment for Adults and Teens
Teeth Cleaning (Scaling) Procedure
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I can't open my mouth properly because of my habit of chewing gutkha and pan masala. Before 1 month I leave that gutka and pan masala but after leaving that I can't open my mouth properly Give suggestions. What to do?
I was diagonized with cancer of intestine in September 2012 and was under surgical and chemotherapy treatment which have been successful and now I am free from this problem. 1. SKIN PROBLEM : For the last couple of months I have developed some skin problem on the sole of my Left foot. There appear cra cks/cuts on my left foot sole and skin too started peeling but did not come off. This problem is now spreading to right foot as well on my hand. We first consulted a family physician who prescribed an antifungal cream and tablet. The problem did not subside so we consulted a skin specialist according to whom this is allergic eczema. She stopped anti fungal cream and tablets. Instead she prescribed a cream containing steroid and salicylic acid. Even with this the problem persists. Please help. 2. DENTAL PROBLEM : I had front protruding tooth. For the correction of this one irresposible dentist had removed two upper and two lower teeth about forty years ago and I had wear dentures in their place. I have been visiting various dentists for dental problems including this and other teeth problems. For the last few months I am having pain while eating and upper molar teeth are sensitive to cold drinks etc.X rays have been taken and examined by two good dentists. They opine that this is no dental problem but is due to weak gums. They adivsed applying gumex etc. What should I do? 3. While I was operated for cancer I developed hernia which according to the operating surgeons is not threatening. I have been going for periodic tests and check ups. Pleae advise.
My teeth is very pale and I drink fluoride water 7-8 years and current I brushed everyday but no improvement in my teeth also want treatment for whitish any damage someone says that it may gape in your teeth. Thats right or not.
I’m Dr Mehul Chawla, practising, in Gurgaon. I’m practising dentistry since 2011. Since inception, I was always into two things, first was root canal treatments and second is dental implants. Both these fields are closer to each other. Root canals help to save the tooth the implants help to replace the tooth that is spoilt. So let me just tell you briefly about root canal treatments. So root canals, a root canal is a procedure of aeronautic and causative department of dentistry. So it is a procedure to save a tooth for a long time that has been decayed due to the past neglect of the person.
In root canals, they clean the canals of the tooth with an instrument so that to make sure there is no microorganism remaining. Finally, the root of the canal is filled with dental filling material. So let's come to implant now. See implants are not very recent procedures. They are in the market for the past 30 years now but these days they are very famous in India now because the implant cost has drastically decreased.
Implants is basically a procedure to replace one or number of teeth with better than before fixed prosthesis. Also, the implants are more promising replacement options than others because it gives a success rate of more than 98%. So replacement of one tooth to the number of teeth is actually possible with the help of dental implants.
So thanks for watching me. If you wish to see me again or wish to know more about dentistry, just put on the Lybrate. You can email me, you can call me. You can go online and do the video chatting with me.
I will be very happy to share my knowledge with you.
I am consuming 3-4 pomegranate from a month because I am suffering from IBS-D and it give me relief. But today I got grey black stain on my teeth. I am so scared. Is due to pomegranate or something else?
Oral cancer (OC) occurs when DNA mutations develop in the cells lining the lips and the mouth cavity. It commonly affects the tongue, floor of mouth, buccal mucosa, lips, palate, gum etc all. Mostly, oral cancers are squamous cell carcinomas that begin in the squamous cells lining the lips and the inside of mouth.
Type: of oral cancer are as enumerated below -
Gender: affects the male populace predominantly. But, it can affect both male and female. It’s the commonest cancer in India currently, and accounts for a significant percentage of the total cancer mortality.
Etiology: consumption of “khaini” (tobacco & lime mix), betel nut, areca nut, slaked lime, chronic irritation due to irregular teeth, smoking, alcohol consumption, oral infection with Herpes Simplex Virus (HSV) / Human Papilloma virus (HPV), nutritional deficiencies, chronic infections & poor dental/ oral hygiene are the common risk factors that can trigger oral carcinogenesis. It is noteworthy that the local effects of tobacco and alcohol are both dose-dependent and synergistic.
Features: the various presentations (of signs & symptoms) of Oral cancer are as given below –
Cheek cancer - hard and painless thickening, with an ulcer sometimes that does not heal for weeks together.
Lip cancer - white patch on the inner lining of the lip on which a hard mass slowly develops.
Palate cancer- persistent sore on the hard palate that may ulcerate.
Tongue cancer - ulcer on the side of the tongue that bleeds occasionally and does not heal.
Screening: is generally recommended for asymptomatic populations goal of which, as usual, is to be able to detect & diagnose oral cancer at an early stage which is potentially curable. Visual screening by healthcare personnel including dentists, general practitioners, oncologists, surgeons etc all is crucial to detect not only early asymptomatic oral cancers but also the oral pre-cancerous lesions including oral submucous fibrosis (OSMF), oral leukoplakia, erythroplakia et al which carry a high risk of malignant transformation to in-situ and invasive cancers.
Diagnosis: a complete physical exam of the local parts basis the features mentioned above arouses suspicion that prompts diagnosis -
Biopsy (punch or removal of mass of tissue (excision) for cytology) clinches the diagnosis of oral cancer. Should there be a neck mass that arises suspicion of a regional metastatic disease, a fine needle biopsy (FNB) can be attempted.
Initial staging workup includes CT, MRI scans etc all. PET CT scan though frequently employed, is not usually used for the initial workup.
A triple endoscopy that includes laryngoscopy, esophagoscopy and bronchoscopy can help definitive staging of the disease. Biopsies obtained during this procedure help confirm the primary diagnosis, define the extent to which the primary site disease has spread, and identify additional pre-malignant lesions and metastasis, if any.
Treatment / Prognosis: preventive measures, earlier diagnosis and right early treatment is key for better prognostication and efficient/ effective therapeutic management of oral cancer. Conventional treatment includes surgery, radiotherapy, chemotherapy as deems appropriate. Simultaneously, an adjunctive or integrative naturopathic treatment with suitable complementary & alternative medicines (CAM) too can help improve clinical endpoints and facilitate recovery as would be feasible contextually. As seen with other cancers, the site, stage, histopathological grading etc all determine the treatment outlook. The number of micronucleated oral mucosal cells can be a useful biomarker for predicting course of oral pre-cancerous lesions and prognosis thereof.
Prevention: rightly said, prevention is always a better choice. Although genetic risks are difficult to modify, still an increased focus on protective factors and avoidance of the risk factors can be of help. Especially, abstaining from use of tobacco/ products, alcohol, regularly maintaining oral health and hygiene and daily intake of fresh seasonal fruits and vegetables can help prevent a vast majority of oral cancers. Also, timely screening/ detection of the pre-cancerous lesions of the oral cavity and prompt treatment thereof is crucial to preventing a malignant transformation of the same. If you wish to discuss about any specific problem, you can ask a free question.