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Dr. Radhika Mengi

Dentist, Pune

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Dr. Radhika Mengi Dentist, Pune
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Radhika Mengi
Dr. Radhika Mengi is an experienced Dentist in Chinchwad, Pune. You can visit her at Dr Tamhanes Centre For Advanced Dentistry in Chinchwad, Pune. Don’t wait in a queue, book an instant appointment online with Dr. Radhika Mengi on Lybrate.com.

Lybrate.com has top trusted Dentists from across India. You will find Dentists with more than 30 years of experience on Lybrate.com. You can find Dentists online in Pune and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Dr Tamhanes Centre For Advanced Dentistry

First Floor, B Wing, Heritage Plaza, Chinchwad. Landmark: Opposite Moraya Hospital & Near Chapekar Chowk, PunePune Get Directions
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Oral Cancer - In A Nutshell!

Post Doctoral Research (Ph.D.) (A.M) (Oncology), Integrative Oncology for Physicians (MSKCC, N.Y, USA), Doctor of Natural Medicine (N.D/ N.M.D), Ayurveda (I) Cert., Advanced Strategic Management (APSM), B.E (Computer Sc. & Engg.), Clinically Relevant Herb-Drug Interactions (CME) - (Cine-Med Inc. USA)
Alternative Medicine Specialist, Bhubaneswar
Oral Cancer - In A Nutshell!

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.

  1. Type: of oral cancer are as enumerated below -

    1. Squamous cell carcinoma: is the most common, as described above.

    2. Adenocarcinoma: affects the salivary glands.

    3. Lymphoma: affects the tissues of the tonsil(s) or those involving the lymphatic system.

    4. Melanoma: may affect the mucous tissues of the oral cavity.

  2. 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.

  3. 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.

  4. Features: the various presentations (of signs & symptoms) of Oral cancer are as given below –

    1. Cheek cancer - hard and painless thickening, with an ulcer sometimes that does not heal for weeks together.

    2. Lip cancer - white patch on the inner lining of the lip on which a hard mass slowly develops.

    3. Palate cancer- persistent sore on the hard palate that may ulcerate.

    4. Throat cancer - difficulty swallowing, sore throat, voice changes, feeling of hard lump in the throat.

    5. Tongue cancer - ulcer on the side of the tongue that bleeds occasionally and does not heal.

    6. Gum cancer and cancer of the minor salivary glands - loose teeth, bad breath and sensory loss of the feelings in the face

  5. 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.

  6. Diagnosis: a complete physical exam of the local parts basis the features mentioned above arouses suspicion that prompts diagnosis -

    1. 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.

    2. Initial staging workup includes CT, MRI scans etc all. PET CT scan though frequently employed, is not usually used for the initial workup.

    3. 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.

  7. 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.

  8. 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.

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Post-Graduate Certificate in Oral Implantology (PGCOI), P.G.certificate in cosmetic dentistry , BDS
Dentist, Mandsaur
Flossing is as important as brushing on a daily basis. Taking the floss all the way down to the point where the teeth and gums meet is the appropriate way of doing it.

My mouth ulcer is coming for a long time please give any solution to clean mouth. Please advise.

oral implantology, BDS
Dentist, Jaipur
My mouth ulcer is coming for a long time please give any solution to clean mouth. Please advise.
For mouth ulcers take multivitamins, reduce stress level, drink plenty of water, keep your stomach fit. brush twice a day.
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Teeth bahut gande ho ja rahe hai kya kiya jaye iske ke liye kuch kijiye jiske liye please.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Teeth bahut gande ho ja rahe hai kya kiya jaye iske  ke liye kuch kijiye jiske liye please.
Advise deep cleaning, polishing, whitening (bleaching) procedures, artificial enamel filling or capping. 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. Cause of discoloration – Smoking, coffee, tea, drugs, aging, staining food (wine, blueberry, etc) genetics.
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I have to enquire regarding some dental problems.I have one tooth completely damaged but not paining.I want to remove and implant a new one.Also after implantation can i go for ortho treatment?what will be the approximate cost for all these.I want to clear all the damages :) :) .I want to do treatments in chennai.

Advanced Aesthetics, BDS
Dentist, Mumbai
Dear Muhammed, We can not provide you any treatment plan or cost without checking you. You can send us your x-rays or pictures of the area where Implants needs to be done. Seeing the x-rays or pictures we will be in better position to comment. Dr. Krinita Motwani's Dental Clinic
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I have cavity in my tooth which give me pain during drinking water and eating. Otherwise pain is a little bit normal.

BDS, PGDHM, MDS - Oral & Maxillofacial Surgery
Dentist,
I have cavity in my tooth which give me pain during drinking water and eating. Otherwise pain is a little bit normal.
Hi Thank you for your query The cavity in your tooth should be restored. If it is a small cavity, normal restoration is enough. If the cavity is very deep, rct should be done. Do the treatment early to avoid its removal.
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Fish thorn has stuck in my mouth (above d start of tongue) and it's difficult to remove nor to swallow. Is there any remedy to get rid of it. And is there any chances of infection at that place?

MD - Alternate Medicine, BHMS
Homeopath, Surat
Fish thorn has stuck in my mouth (above d start of tongue) and it's difficult to remove nor to swallow. Is there any ...
Take Sulphur 30C one dose daily for 5 days. It will start getting better within 2-3 days.. Still if you have any queries, please ask. Take care :)
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Hello, My mother is having thyroid and blood anemia due to which her HB remains low. She is taking daily one dilzem tablet for heart beat function control and one thyroxine early morning as advice by doctor . Now recently she got some severe teeth pain and dentist advice her for root canal treatment of that teeth. As per HB test conducted today her hemoglobin is only 4.5. Request your advice whether we can go ahead with root canal treatment for teeth or should wait for HB to be little normal. Is there any risk to undergo root canal treatment at present position. Dentist told to consult physician and take advice to go ahead. Hence request your advice. My mother is 52 years old. Thanks!

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Hello, My mother is having thyroid and blood anemia due to which her HB remains low. She is taking daily one dilzem t...
Lybrate-user, root canal treatment (rct) is a surgical procedure, so it is better that before any such procedure blood picture improves. In fact hb 4.5g/100 ml, is too low. It may need packed cell (rbcs) transfusion. Or else should immediately start on iron preparations either capsules or if needed then injections. Hb g% should come to at least 8 to 10 g/100 ml, then operative procedure may be considered. Whether rct is done or not, she has to start on iron therapy immediately, becaus of very severe anemia. Such a condition will put severe strain on her heart function, thanks.
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Is it advisable for a 21 year old with all teeth but not in perfect shape n size to get replaced by a new artificial set of teeths for a better dental care and smile?

BDS
Dentist, Mumbai
No.Always what is natural is the best.I suggest, if for cosmetic and aesthetic reasons you can't go for artificial teeth.However you can still go for orthodontic ( that's braces. We can now give you invisible braces too) or restorations like Laminates, Veneers, or composite restorations to give yourself a beautiful smile .We can give you beautiful smile designs these days. So don't get your natural teeth replaced.What's God given and natural is the best.Artificial will not be half as good.
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How much do injections before wisdom tooth extraction extraction hurt? How to calm oneself down. Upper left tooth to be removed I am just scared of the injection. Really really scared.

BHMS
Homeopath,
How much do injections before wisdom tooth extraction extraction hurt? How to calm oneself down. Upper left tooth to ...
Don't be soo much scared..it's not that much painful..one injection will give u to numb the place..don't worry..
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I'm a 23 year old male and I'm having pain in my gum since yesterday. While it may be wisdom tooth, should I consult a doctor?

MDS - Periodontics
Dentist, Delhi
I'm a 23 year old male and I'm having pain in my gum since yesterday. While it may be wisdom tooth, should I consult ...
Hello. Sudden gum pain can be caused if something sharp had pricked on your gums. If not it can be due to pocket ie food lodgment in gums. You need scaling and local drug delivery to that particular gum region.
1 person found this helpful
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BDS
Dentist, Gurgaon
Symptoms of pain in wisdom teeth.

Hi, I have hard stains on my teeth which is due to smoking and chewing pan. I hv never got my teeth cleaned earlier as I learn that after d cleaning process there would b a gap in between d teeth and dat makes me nervous. Please advice d best process and consultation too.

BHMS
Homeopath, Faridabad
Hi, I have hard stains on my teeth which is due to smoking and chewing pan. I hv never got my teeth cleaned earlier a...
Hello, Use Homeodent toothpaste twice daily, morning and night before sleep. Home remedy:- Cleaning your teeth with fresh orange peel on a regular basis will reduce the yellow tinge accumulated on your teeth. Rub orange peel over your teeth every night before going to sleep. The vitamin C and calcium in the orange peel will combat the microorganisms throughout the night. Do this for a few weeks and you will notice effective results. If fresh orange peel is not available, you can use dried orange peel powder. If don't get relief with these home remedies then consult a Dentist. Take care.
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I am 28 years male. Suffering from dental pain at left upper m1 and m2. The dentist took the xray and explained as m2 is completely infected and m1 is infected but in the outermost layer of enamel.

BDS
Dentist, Raipur
I am 28 years male. Suffering from dental pain at left upper m1 and m2. The dentist took the xray and explained as m2...
Kindly get m1 filled before the cavity becomes deep and painful. If you have pain in m2 and pulp is also infected then kindly get root canal treatment done followed by a crown or cap. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
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Hello. I am 28 years old. My mouth become dry. And I have a problem of bad breath and gum bleeding also. please give me a suggestion for this. I am very disappoint because of bad breath and dry mouth. Feeling so much embarrassment because of this. please give me a treatment and good product for dry mouth specially.

MDS - Oral & Maxillofacial Surgery
Dentist, Chennai
Hello. I am 28 years old. My mouth become dry. And I have a problem of bad breath and gum bleeding also. please give ...
FOR DRY MOUTH: Kindly consult a dentist in person for further suggestion. We need more investigations with clinical examination to decide upon treatment. Drink plenty of water. For dry mouth, consider chewing sugar-free gum or sucking on sugar-free candies to help stimulate salivary flow. There also are artificial saliva’s on the market that may help to induce salivation. Sialogogues (Pilocarpine 30 mg/day. Contraindications - include many lung conditions, such as asthma, cardiac problems, epilepsy and Parkinson's disease). FOR GUM BLEEDING: You may need deep cleaning along with surgical curettage or gum strengthening procedure. Use pepsodent tooth paste & gum paint for 2 to 3 weeks. FOR BAD BREATH: • Eat a healthy, balanced diet and avoid eating strongly flavoured or spicy food. • Cut down on sugary food and drink, as it can increase the amount of bacteria in your mouth. • You may need deep cleaning & fill tooth cavities with artificial enamel filling. Rinse your mouth thoroughly with a mouth wash until then. • Persistent bad breath or a bad taste in the mouth may be a warning sign of gum (periodontal) disease. Gum disease is caused by the buildup of plaque on teeth.
1 person found this helpful
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My cousin has a tooth problem. She is getting blood for teeth and with bad odour. What should she do now.

MDS - Periodontics
Dentist, Jaipur
Hi there. I m gum specialist. Bleeding from gums is mostly due to deposits/tartar on teeth. Your cousin needs a professional cleaning which will also reduce the bad odour. A mouthwash after cleaning will solve this issue. You can direct me your further queries in private question section.
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I have swelling in my right cheek. A dentist I consulted is advicing removal of wisdom tooth. Is that the only way or can it treated any way without removal?

BDS
Dentist, Jabalpur
You can delay but cannot avoid third molar extraction. You can try warm saline gargles for a few days.
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