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Root Canal Treatment
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Treatment of Root Canal Treatment (RCT)
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Hi I am 26 year old.. Single.. Major issue I facing tiredness soon and I don't want it to happen.. Also I have an ulcers problem I usually get ulcers and you can't imagine the pain I am non- smoker.. I do drink occasionally but I don't understand why I get mouth ulcers.. Can you please help me on that. Also us that right it can happen due to eating onions.. Many people has said me that..
I have two teeth coming much front (like rabit teeth) so that my smile looks so bad. How to adjust my teeth without clips. My age is 21.
I am 31 years old male, yesterday while brushing my teeth I noticed a kind of black blister inside my upper lip and it is not painful. I remember its not from accident tooth bite or injury. Please advice.
I have throat infection since 1 month. Irritation cough with mucus. Redness behind pharynx wall. Palate also affected. Some time ear itching inside cavity. No fever and chill. And no history of lymph enlarged. Pain in upper later side of neck. Pls doctor give me perfect diagnosis. Help me. I have already take azithromycin but not effective. Give me solution.
Brush twice a day and floss daily even when your braces are on. The food particles get stuck into the braces very easily. It is very important to keep them clean.
I remove my wisdom tooth but after 2 days I have Numbness in my tongue is that any complication Behind this what's the treatment how long the time will take to recover from the last 20 days of removing the wisdom tooth its not quite regular but on or off only small space of the tongue.
I am a student and I have some big teeth and they have come out of my mouth also. So I should consult a doctor or not and to do surgery or anything.
My mouth opens only 1 cm due to pan masala tobbaco I want my mouth full open. What to do? please advise.
I undergone root canal for two teeth. But for one teeth I feel sensitivity. One teeth while keeping cap dentist tried to shape the teeth and in that my above teeth got shaped and it is also paining now. Please advise what to do for my loosen teeth and what to do with the cap already placed.
Sir I want to know what is charge of one route canal dadh in mouth? And after route canal, is it guaranteed for clear dadh in mouth? Thank you
My gums are bleeding very nuch everyday without doing any thing because of that my mouth getting bad smell give me any description.
I feel bitter taste in my mouth most of the time. It is specially severe when I get up in the morning. Motions are more or less normal. Shall be grateful for advise.
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.