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Dr. Vamsee

Dentist, tirupatiTirupati

100 at clinic
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Dr. Vamsee Dentist, tirupatiTirupati
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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.
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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.

3555 people found this helpful

I am suffering from mouth pain. When I open my jaws then it's hurt me or pain me. So please help me what should I do to over come it?

MD PHYSICIAN
General Physician, Delhi
I am suffering from mouth pain. When I open my jaws then it's hurt me or pain me. So please help me what should I do ...
Give rest to your jaw. Take soft diet. You can do warm compress over to give relief, avoid yawning, munching etc. You can take a NSAIDS or painkillers to relieve pain. Consult a dentist to get yourself investigated for the same.
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i m suffering teeth problem. i had a filling done but it still pains in upper jaw.

Certified Implantologist, BDS
Dentist, Kolhapur
too short information.problem?what kind of problem?when was the filling done?which material was used?which tooth it is?xray?teeth problem or tooth problem?
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All About Taking Care Of Your Tongue

DGOI, Aesthetic , M.Sc - Master of Oral Implantology (MOI), MDS - Orthodontics & Dentofacial Orthopaedics, BDS
Dentist, Bangalore
All About Taking Care Of Your Tongue

Your tongue not only helps you in tasting, kissing, chewing or talking, but also helps in maintaining good oral health and hygiene. Since your tongue is exposed to a lot of bacteria and acid while you eat, taking proper care of it is of utmost importance. Not doing so can lead to the development of a whitish layer over your tongue, along with giving rise to bad breath. Not only that, an excess of bacteria on your tongue is harmful for your teeth and can cause tooth decay. 

When you clean your tongue properly, you enhance your sense of taste and bid adieu to a host of oral health problems. Here are some handy tips on taking care of your tongue:

  1. Cleaning your tongue every time you brush with a tongue cleaner can put an end to bacteria growth in your mouth. Make sure to use either a tongue cleaner or a toothbrush with a dedicated tongue cleaner to clean your tongue. Also, clean your tongue in a downward motion to expel all the accumulated bacteria, and never apply a lot of pressure when doing so.
  2. Apply a thin layer of your toothpaste on your tongue before cleaning it. This makes removing bacteria from your tongue that much easier. 
  3. After every time you're done cleaning your tongue, rinse your mouth thoroughly with water. Also, make sure to use a mouthwash once in a while, as that keeps foul odour at bay. Although, using a mouthwash daily is not advised as it can cause dryness in the mouth. 
  4. A saline water solution to rinse your mouth can keep your tongue clean. All you need is a glass of lukewarm water with half a teaspoon of salt for this. 
  5. Drinking green tea is particularly good for your tongue as it reduces the bacteria in your mouth to a great extent, preventing various oral health problems as a result. 
  6. Foods that are high on natural or added colours (such as berries, black grapes or orange ice popsicles) should be avoided as they leave a thin layer of color behind on your tongue, which can mar its appearance. 
  7. Sometimes, a whitish layer on your tongue can be a sign of a fungal infection, in which case you should go for a professional clean-up. 
  8. Drinking lots of water is good for your tongue as it helps in washing out all the accumulated food and bacteria. Also, discoloration of the tongue can often be caused by dehydration, which is why drinking adequate amounts of water that is 10-12 glasses a day is vital.

Related Tip: "5 Reasons To Get Regular Dental Cleaning"

3865 people found this helpful

My teeth are yellowish in color till I brush twice daily. So. Please tell me how can I get white teeth within two or three weeks as after three weeks I have to attend an farewell party with my girlfriend please tell some cure of yellowness of teeth.

Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
My teeth are yellowish in color till I brush twice daily. So. Please tell me how can I get white teeth within two or ...
Go for scaling and cleaning your teeth to dentist .And after he suggest the other treatment if required.
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Improving Dental Health

Post-Graduate Certificate in Endodontics
Dentist, Cuttack
Improving Dental Health
Do not use your teeth for doing something other than chewing food. Using them for cracking nuts, removing bottle tops or ripping open packaging can result in chipped or broken teeth.
26 people found this helpful

I am getting frequently 2-3 mouth ulcer's in a range of 2 week. Is there any way to stop or reducing this?

BDS
Dentist, Gurgaon
I am getting frequently 2-3 mouth ulcer's in a range of 2 week. Is there any way to stop or reducing this?
You can apply dologel ct over the ulcer twould to three times daily for 15 days along with that multivitamin capsule once a day for seven days
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I brush my teeth regularly and properly but still its inner side become yellow .moreover little black colour deposit in corner. How can I avoid it? My teeth are clear white from outside.

PGDHHM, BDS
Dentist, Gurgaon
I brush my teeth regularly and properly but still its inner side become yellow .moreover little black colour deposit ...
1. Brush twice daily, morning and at night. 2. Rinse your mouth after all meals. 3. Use a mouthwash. 4. Get regular cleaning of teeth done by your dentist, once in 6 months. 5. Have a healthy balanced diet. 6. Dental check up every 6 months.
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I am 22 years old male. I am having sensitivity problem in my grinding teeth upper. What to do?

Certified Implantologist, BDS
Dentist, Jaipur
I am 22 years old male. I am having sensitivity problem in my grinding teeth upper. What to do?
You should go for" night guard appliance" or any good anti sensitive toothpaste like" colgate sensitive pro relief. Apply and leave for 2 min before brushing.
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Am 26 old my front tooth broken half at my school time. Is there any needs to replace that teeth or that can modified without replace. If it possible can I have the cost of it?

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
Am 26 old my front tooth broken half at my school time. Is there any needs to replace that teeth or that can modified...
Hello, Visit a dentist and get it checked. Get an X-ray if there is an infection get it treated and get the tooth capped. If there not any you can get a veneer (composite or ceramic) or crown done. It will cost you around Rs 2,000- 12,000/-
3 people found this helpful
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Limit Your Sugar Intake to Maintain Dental Health

Certified Implantologist, Advanced Aesthetics
Dentist, Pune
Limit Your Sugar Intake to Maintain Dental Health

Sugary foods should be consumed in limited quantities as the bacteria in dental plaque changes them into acids.

239 people found this helpful

Hello sir. I want that you advise me on my dental problem which my teeth is aching form ten days.

BDS
Dentist, Bangalore
Hello sir. I want that you advise me on my dental problem which my teeth is aching form ten days.
There are many reasons for teeth pain.. You should visit the dentist for examination and proper treatment.. Temporarily you can have any pain killer but this is not a solution of pain... Visit to a dentist soon...
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MDS, BDS
Dentist, Gurgaon
Thinking of whitening your teeth? Start by speaking with your dentist. He or she can tell you whether whitening procedures would be effective for you.

If you have diabetes, you have a greater risk of developing certain oral health problems than people who don?t have diabetes. Controlling blood glucose (blood sugar) levels can reduce the risk of these effects.

A veneer placed over a tooth surface can greatly improve a tooth that is stained, badly shaped, crooked, or injured.

A balanced diet, limited number of snacks, brushing and flossing each day, and regular dental checkups are the keys to a lifetime of healthy teeth and gums.

If you are nervous about going to the dentist, tell your dentist and the dental staff. They may be able to adapt the treatment to your needs.
2 people found this helpful

BDS, MDS, MBA (Healthcare), FAM
Dentist, Hyderabad
10 Cool truths about teeth!
2 people found this helpful

My one teeth is very yellow, even after brushing many times, it's still the same. What should I do?

BDS
Dentist, Raipur
My one teeth is very yellow, even after brushing many times, it's still the same.
What should I do?
Kindly get scaling and polishing done and if you want you can also get bleaching done. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
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I have ulcer problem in my mouth from childhood I am so frustrate about that what should I have to prevent from ulcers. Pleas said me.

BDS
Dentist, Vadodara
I have ulcer problem in my mouth from childhood I am so frustrate about that what should I have to prevent from ulcer...
Common cause of ulcer is constipation. If you have it than get it treated. Avoid oilly, spicy n hard foods. Apply dologel or mucopain ointment 3-4 times a day. You can also take b complex tablets 3 times for 5 days.
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How I remove black appearance from molar teeth surface. Please suggest me .what should I do.

BDS
Dentist, Gurgaon
How I remove black appearance from molar teeth surface. Please suggest me .what should I do.
They might be just starting of a cavity. Kindly get it checked by dentist .kindly get a clinical assessment done by dentist. And take treatment accordingly.
1 person found this helpful
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My mouth become dry when I am tense and and my hard beats increases so what is the reason behind it and it can overcome.

BHMS
Homeopath, Delhi
It seems to be anxiety that you have let me know any particular reason or any other significant complaint for better advice.
8 people found this helpful
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