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Book Clinic Appointment with Dr. Madhur P. Hulkopkar
Root Canal Treatment
Teeth Cleaning Procedure
Teeth Whitening Procedure
Root Canal Treatment
Management of Dental Hygiene
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
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Doctor sir/madam my teeth is yellow inside the mouth, because of not having brush regularly in early age about to 15 years. Now I am 24 years old. Which toothpaste should I use? what should I do now? thanks rohit.
I have a problem my mouth. When I talk then locked my tooth. Place help. Sometimes pain my tooth side.
People have a lot of misconceptions regarding orthodontic / braces treatment.
1. Most commonly I have heard people say if you extract healthy teeth for orthodontic treatment eyesight is affected. Now that is not true. If that was the case then when your teeth decays your eyes should also have the effect. Your teeth are in no ways connected to your eye.
2. Braces weaken your teeth: no braces do not weaken your teeth in fact well aligned teeth are much stronger than crooked teeth because you can clean them better.
3. Braces are meant only for children: that was the early adage. With new technology now braces have become invisible and even adults can get their teeth aligned without the braces being visible outside.
4. Braces can be put only after all permanent teeth have erupted. Not only teeth can be mal aligned but in few cases the jaw bones are also mal aligned. When such is the case visit a orthodontist at a very early age so that we can alter your jaw growth. Once growth ceases you will have to undergo surgery to correct the jaw problem. Ideal age to have your kids shown to an orthodontist is 7 years.
5. Braces do all the job we don't have anything to do. Braces will do their job only if you allow them to. Follow your orthodontist instructions properly and meticulously. Do not break your braces by eating hard food substances. Keep your mouth clean.
Hope these instructions help some of you.
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.