Dr. Pawan N. Dalal

If the pulp inside your tooth is infected, you may need root canal treatment. This procedure involves removing the infected pulp and then inserting a special type of filling to seal the tooth and prevent re-infection. If the infection is severe & if can be noticed only after opening into the tooth, extraction of tooth is required.

Hi sir, please consult a dentist but the pain might be due to improper brushing technique. Use a ultra soft bristle brush and brush for 2-3 mins only. Do not brush hard as it might damage your gums.

Almost every person has some degree of bad breath upon waking in the morning (this is called morning breath) and is easily eliminated by brushing the teeth. It is only when bad breath progress after brushing ones teeth that a diagnosis of halitosis can be made. Halitosis is often caused by a mouth or throat infection or in response to a food item in one’s diet. The main food culprit is garlic which can often be easily counteracted by eating parsley. Oral health conditions can also cause bad breath and are responsible for the development of halitosis in 85-90% of bad breath sufferers. Severe diets which restrict carbohydrate intake such as ketogenic diets are also responsible for the development of bad breath. Certain anatomical deviations such as corrugations or striations in the tongue do allow for the accumulation and growth of bacteria in the oral cavity. Certain foods Foods such as garlic, onions and spicy foods etc. Cause foul smelling breath after eating them. These foods are absorbed into the bloodstream, transferred into the lungs and become expelled in the air you breathe. Regular eating of such foods is likely to cause halitosis. People who diet are more likely to develop unpleasant breath from infrequent eating. You also get direct expulsion of these gases from your digestive tract. Poor oral health care Without proper and regular brushing, flossing and routine examinations by your dentist, food remains in the mouth causing bacteria to multiply and produce toxic waste which in turn causes breath odor. Food stuck on the teeth, gums, and tongue creates an environment where bacteria can feed and multiply. These bacteria release certain chemicals as a by-product which causes damage and decay of the gums and teeth. The chemicals that are released by the bacteria and the resulting decay in the mouth contribute to the bad breath. Improper cleaning of dentures Dentures that are not cleaned properly may be collecting bacteria and food particles which cause bad breath. Periodontal disease One of the primary symptoms of periodontal gum disease is foul, odorous breath, and an unpleasant taste in the mouth. This condition requires immediate care by an oral health professional. Dry mouth (xerostomia) This condition is often a large contributor to halitosis. It occurs when the flow of saliva decreases. Saliva is required to cleanse the mouth and remove particles that may cause odor. Xerostomia may be caused by certain medications, a salivary gland disorder, or by continuously breathing through the mouth instead of the nose. Tobacco products Not only do tobacco products such as cigarettes, cigars, smokeless tobacco and snuff stain the teeth and put the body at risk for a host of other diseases, they also contribute to bad breath. Tobacco products cause bad breath, stained teeth, reduces one's ability to taste foods and irritates the gum tissue. Tobacco users are more likely to suffer from periodontal disease and are at greater risk for developing oral cancer. Medical condition Bad breath may be an indication or symptom of any of the following conditions. However, each individual may experience different symptoms such as: A respiratory infection Infection of the nose, windpipe, or lungs Chronic bronchitis Post nasal drip Chronic sinusitis Diabetes Gastrointestinal disorders Liver or kidney disorders Severe dieting Dieters may develop unpleasant "fruity" breath from keto-acidosis which is due to the breakdown of chemicals during fasting. Restriction of caloric intake leads to hunger which can lead to a dry mouth. Factors that affect the airways and cause bad breath: Nasal Polyps Foreign bodies Sinusitis Dryness Bronchitis Pneumonia Factors that affect the esophagus and stomach and cause bad breath: Gastritis and food reflux (GERD- gastro-esophageal reflux disease) Stagnation of food FOR MEDICATION CONSULT ONLINE IN PRIVATE.

You may have to get basic teeth cleaning and polishing done first .and if problem not resolved you may require a full mouth x-ray. To see the relationship of teeth with bones and gums. To check the level of pyorrhoea. You may have to get .advance gum flap procedures. Kindly visit dentist first. You may use chlohex plus mouthwash rinse two times daily for 15 days and for pain keterol dt.

Fixed orthodontics wud be the probable treatment of choice. Time period wud depend on the severity of the problem. In general it wud range from 1 to 2 yrs.

Sensodyne is of no use. You need to find out why sensitivity occurs, either too much cold drinks, smoking, acidic food, gastritis, or because of teeth grinding. You need to cure the cause first, sensodyne will only increase the problem.

Do not irritate that area by touching. Apply mucopain gel 3-4 tyms a day. Dis will relive your pain and give it tym to heal.

You need to take few medication after your complete examination may be your dentiat advice you some mouth opening exersices follow that.

Do you think that a fallen tooth is always a waste? That's not true. Saving a fallen tooth can be useful.  Try to keep it in place while you seek immediate medical attention. If that is not the case, try wrapping the tooth in a piece of plastic or soaking it into milk and call for immediate dental service.