There are numerous advances made in the field of dentistry, but still many people suffer from tooth loss - The main reason being decay, periodontal disease or an injury. For many years the best option to replace a missing tooth has been through bridges and dentures. Thanks to the times we live in, dentistry has made many advances. One such intelligent innovation is the usage of implants for repairing a missing tooth. Implants are nothing but replacement tooth roots. Implants technically provide a foundation in the gums where a permanent tooth or a removable, replaceable tooth can be fixed. There are many advantages of using an implant - The biggest being that the appearance of the alignment and the speech can improve drastically. Also, your oral hygiene and health care can improve when using implants. They have a long durability, are convenient and do not cause much discomfort to the user. They have a high success rate, and with proper care, they can even last a lifetime. The treatment plan is also custom made, and your dentist will prepare one based on your requirements and your oral conditions. The implant procedures are precise and do not involve the usual grittiness that accompanies a bridge or dentures.
As a part of the treatment, the first step would be to identify the correct type of foundation for you. Implants treatment is not tailor made, and they are customized as per the individual’s need. The first step would be to identify the options available for you. Then the tooth implant which is like a small post is affixed into the bone socket of the missing tooth. These implants are mostly made of titanium. Once the artificial root takes the grip, it is left to heal for a few weeks. This might once again depend on various factors and the average healing time would be around three months. Once the implant is bonded with the jaw, the next step follows. In this step, a small post is attached to the base. This is the post in which your new tooth would be affixed. Based on the structure of your teeth pattern, your new replacement tooth called the crown would be made. This is then attached to the post. You dentist has to make sure that new tooth are sync with your other teeth and even the color should match.
Every individual who is suffering from tooth loss due to a weak root or tooth decay can be a potential candidate for implants. The treatment can be a more reliable solution and is done when the other types of treatments like dentures and bridges do not yield the desired result. The treatment can be done irrespective of age and can be done by both the genders.
The treatment is not advisable for people who are suffering from chronic conditions such as diabetes and heart diseases. You can best check with your dentist, if you have such symptoms and if you are a suitable candidate. Also, the procedure may not be suitable for people who are greater than 75 years of age as the gums would be feeble and may not support the implants.
Since these are artificial implants that are embedded into your cavities, you might have a slight discomfort initially. The place of the implant can also experience swelling and you might experience slight pain till the implant gets accustomed to your surroundings. But these conditions are very rare, and the symptoms can go away on its own.
Since the implants are technically artificial roots that are embedded in your mouth, you need to be extra careful initially post the treatment. You might be advised to eat foods that are soft and stay on a liquid diet. Also, a good healthy oral hygiene is a must as bacteria can quickly develop in the treated areas. You have to ensure that you clean the place and care for your implants just like how you would do for your own teeth. Regular brushing and flossing are mandatory.
It might take a week to ten days for the swelling to subsidize and post that your implants can behave normally. Dentists usually give them a time frame of at least three months so that they take root and gets accustomed to the gum cavities. You need to have regular checkups with your dentist. Once the implants have completely fallen in sync with your mouth, then the artificial tooth may be affixed.
In India, the implants depend on the type of product you are choosing and the treatment center where you are getting the treatment. It can cost from INR 15,000 and can go up to INR 50,000. The artificial tooth/crown and the post medical expenditures can be extra.
Dental implants are made for durability. They act as an artificial root in keeping the teeth affixed. Hence they are made of finest qualities, and with proper care, dental implants can be long standing. They have an average lifespan of greater than ten years. And in some cases with proper attention, they can last a lifetime.
Bridges and denture are the other alternatives to implants. They are similar to implants but however, they are heavy and require more space in your teeth. The healing process is also time-consuming. Nowadays with technological advances, more people are opting for implants rather than bridges or dentures.
To look good is one of the best ways to help yourself feel good. With the help of the latest technology, we now have cosmetic solutions to our appearance related problems and these are available at numerous salon or in jars that can sit on our nightstand, ready for regular use. Yet, there are more long-term solutions with greater efficacy that one can get from a cosmetic surgeon. Facial implants are one such solution which can help us in many ways.
Here are the various benefits of facial implants.
As we all know that IVF stands for In vitro fertilisation. It is a method of stimulating the ovaries in a female body, to release an ovum (egg), which is taken out of the body and fertilised artificially in the laboratory with the help of a sperm. After this, the embryo is transferred back to the uterus where it grows and develops naturally.
Understanding the Procedure
Can IVF have side effects?
But it offers a number of benefits too...
Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus — the endometrium — grows outside your uterus. Endometriosis most commonly involves your ovaries, fallopian tubes and the tissue lining your pelvis. Rarely, endometrial tissue may spread beyond pelvic organs.
With endometriosis, displaced endometrial tissue continues to act as it normally would — it thickens, breaks down and bleeds with each menstrual cycle. Because this displaced tissue has no way to exit your body, it becomes trapped. When endometriosis involves the ovaries, cysts called endometriomas may form. Surrounding tissue can become irritated, eventually developing scar tissue and adhesions — abnormal bands of fibrous tissue that can cause pelvic tissues and organs to stick to each other.
Endometriosis can cause pain — sometimes severe — especially during your period. Fertility problems also may develop. Fortunately, effective treatments are available.
The primary symptom of endometriosis is pelvic pain, often associated with your menstrual period. Although many women experience cramping during their menstrual period, women with endometriosis typically describe menstrual cramp that's far worse than usual. They also tend to report that the pain increases over time.
Common Signs and Symptoms of Endometriosis may include:
Painful periods (dysmenorrhea). Pelvic pain and cramping may begin before your period and extend several days into your period. You may also have lower back and abdominal pain.
Pain with intercourse. Pain during or after sex is common with endometriosis.
Pain with bowel movements or urination. You're most likely to experience these symptoms during your period.
Excessive bleeding. You may experience occasional heavy periods (menorrhagia) or bleeding between periods (menometrorrhagia).
Infertility. Endometriosis is first diagnosed in some women who are seeking treatment for infertility.
Other symptoms. You may also experience fatigue, diarrhea, constipation, bloating or nausea, especially during menstrual periods.
The severity of your pain isn't necessarily a reliable indicator of the extent of the condition. Some women with mild endometriosis have intense pain, while others with advanced endometriosis may have little pain or even no pain at all.
Endometriosis is sometimes mistaken for other conditions that can cause pelvic pain, such as Pelvic Inflammatory Disease (PID) or ovarian cysts. It may be confused with irritable bowel syndrome (IBS), a condition that causes bouts of diarrhea, constipation and abdominal cramping. IBS can accompany endometriosis, which can complicate the diagnosis.
When to see a doctor
See the doctor if you have signs and symptoms that may indicate endometriosis.
Endometriosis can be a challenging condition to manage. An early diagnosis, a multidisciplinary medical team and an understanding of your diagnosis may result in better management of your symptoms.
Although the exact cause of endometriosis is not certain, possible explanations include:
Retrograde menstruation. In retrograde menstruation, menstrual blood containing endometrial cells flows back through the fallopian tubes and into the pelvic cavity instead of out of the body. These displaced endometrial cells stick to the pelvic walls and surfaces of pelvic organs, where they grow and continue to thicken and bleed over the course of each menstrual cycle.
Transformation of peritoneal cells. In what's known as the "induction theory," experts propose that hormones or immune factors promote transformation of peritoneal cells — cells that line the inner side of your abdomen — into endometrial cells.
Embryonic cell transformation. Hormones such as estrogen may transform embryonic cells — cells in the earliest stages of development — into endometrial cell implants during puberty.
Surgical scar implantation. After a surgery, such as a hysterectomy or C-section, endometrial cells may attach to a surgical incision.
Endometrial cells transport. The blood vessels or tissue fluid (lymphatic) system may transport endometrial cells to other parts of the body.
Immune system disorder. It's possible that a problem with the immune system may make the body unable to recognize and destroy endometrial tissue that's growing outside the uterus.
Several factors place you at greater risk of developing endometriosis, such as:
Never giving birth
Starting your period at an early age
Going through menopause at an older age
Short menstrual cycles — for instance, less than 27 days
Having higher levels of estrogen in your body or a greater lifetime exposure to estrogen your body produces
Low body mass index
One or more relatives (mother, aunt or sister) with endometriosis
Any medical condition that prevents the normal passage of menstrual flow out of the body
Endometriosis usually develops several years after the onset of menstruation (menarche). Signs and symptoms of endometriosis end temporarily with pregnancy and end permanently with menopause, unless you're taking estrogen.
The main complication of endometriosis is impaired fertility. Approximately one-third to one-half of women with endometriosis have difficulty getting pregnant. Endometriosis may obstruct the tube and keep the egg and sperm from uniting. But the condition also seems to affect fertility in less-direct ways, such as damage to the sperm or egg. Inspite of this, many women with mild to moderate endometriosis can still conceive and carry a pregnancy to term. Doctors sometimes advise women with endometriosis not to delay having children because the condition may worsen with time.
Ovarian cancer does occur at higher than expected rates in women with endometriosis. Although rare, another type of cancer — endometriosis-associated adenocarcinoma — can develop later in life in women who have had endometriosis.
Diagnosis: To diagnose endometriosis and other conditions that can cause pelvic pain, the doctor will ask you to describe your symptoms, including the location of your pain and when it occurs.
Tests to check for physical clues of endometriosis include:
Pelvic exam. During a pelvic exam, the doctor manually feels (palpates) areas in your pelvis for abnormalities, such as cysts on your reproductive organs or scars behind your uterus. Often it's not possible to feel small areas of endometriosis, unless they've caused a cyst to form.
Ultrasound. A transducer, a device that uses high-frequency sound waves to create images of the inside of your body, is either pressed against your abdomen or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view of your reproductive organs. Ultrasound imaging won't definitively tell the doctor whether you have endometriosis, but it can identify cysts associated with endometriosis (endometriomas).
Laparoscopy. Medical management is usually tried first. But to be certain you have endometriosis, the doctor may advise a surgical procedure called laparoscopy to look inside your abdomen for signs of endometriosis.
While you're under general anesthesia, the doctor makes a tiny incision near your navel and inserts a slender viewing instrument (laparoscope), looking for endometrial tissue outside the uterus. He or she may take samples of tissue (biopsy). Laparoscopy can provide information about the location, extent and size of the endometrial implants to help determine the best treatment options.
Treatment for endometriosis is usually with medications or surgery. The approach you and the doctor choose will depend on the severity of your signs and symptoms and whether you hope to become pregnant.
Generally, doctors recommend trying conservative treatment approaches first, opting for surgery as a last resort.
The doctor may recommend that you take an over-the-counter pain reliever, such as the nonsteroidal anti-inflammatory drugs (NSAIDs) ibuprofen (Advil, Motrin IB, others) or naproxen (Aleve, others), to help ease painful menstrual cramps.
If you find that taking the maximum dose of these medications doesn't provide full relief, you may need to try another approach to manage your signs and symptoms.
Supplemental hormones are sometimes effective in reducing or eliminating the pain of endometriosis. The rise and fall of hormones during the menstrual cycle causes endometrial implants to thicken, break down and bleed. Hormone medication may slow endometrial tissue growth and prevent new implants of endometrial tissue.
Hormone therapy isn't a permanent fix for endometriosis. You could experience a return of your symptoms after stopping treatment.
Therapies used to treat endometriosis include:
Hormonal contraceptives. Birth control pills, patches and vaginal rings help control the hormones responsible for the buildup of endometrial tissue each month. Most women have lighter and shorter menstrual flow when they're using a hormonal contraceptive. Using hormonal contraceptives — especially continuous cycle regimens — may reduce or eliminate the pain of mild to moderate endometriosis.
Gonadotropin-releasing hormone (Gn-RH) agonists and antagonists. These drugs block the production of ovarian-stimulating hormones, lowering estrogen levels and preventing menstruation. This causes endometrial tissue to shrink. Because these drugs create an artificial menopause, taking a low dose of estrogen or progestin along with Gn-RH agonists and antagonists may decrease menopausal side effects, such as hot flashes, vaginal dryness and bone loss. Your periods and the ability to get pregnant return when you stop taking the medication.
Progestin therapy. A progestin-only contraceptive, such as an intrauterine device (Mirena), contraceptive implant or contraceptive injection (Depo-Provera), can halt menstrual periods and the growth of endometrial implants, which may relieve endometriosis signs and symptoms.
Danazol. This drug suppresses the growth of the endometrium by blocking the production of ovarian-stimulating hormones, preventing menstruation and the symptoms of endometriosis. However, danazol may not be the first choice because it can cause serious side effects and can be harmful to the baby if you become pregnant while taking this medication.
If you have endometriosis and are trying to become pregnant, surgery to remove as much endometriosis as possible while preserving your uterus and ovaries (conservative surgery) may increase your chances of success. If you have severe pain from endometriosis, you may also benefit from surgery — however, endometriosis and pain may return.
The doctor may do this procedure laparoscopically or through traditional abdominal surgery in more extensive cases.
Assisted reproductive technologies
Assisted reproductive technologies, such as in vitro fertilization (IVF) to help you become pregnant are sometimes preferable to conservative surgery. Doctors often suggest one of these approaches if conservative surgery doesn't work. If you wish to discuss about any specific problem, you can consult a gynaecologist.
Urinary incontinence is a health condition in men, which is caused by loss of bladder control. Urinary incontinence usually occurs in cases of medical conditions such as an enlarged prostate, Parkinson’s disease and diabetes, and may also occur after a prostate surgery. Urinary incontinence is an irritating and embarrassing condition, but with proper treatment, it can be cured. There are several ways to treat this condition which include home remedies as well as medications and surgery.
Here are several methods used to treat urinary incontinence:
There are several medicines, which help in the treatment of urinary incontinence in men. Some of these work to relax muscles for preventing unwanted bladder contractions, while others help in blocking the nerve signals to the bladder. Drugs used for the shrinking and treatment of an enlarged prostate are also used as blocked by prostate lead to bladder irritation. Now-a-days, more than 80% cases of incontinence in males respond well to medications.
Surgery may be the ultimate option for the treatment of urinary incontinence. Options depend on the cause of incontinence. If it is because of obstructing prostate, prostate surgery by TURP / HOLEP is curative. If it is because of bladder overactivity, BOTOX injection in bladder is useful. If it is TRUE incontinence after radical prostate surgery then treatment include a male sling or artificial urinary sphincter implantation. In sling operations, a type of material is wrapped around the urethra for compressing it. In Artificial sphincter implantation, a cuff is used in order to close the urethra. Urine is released by squeezing the pump to open the cuff. A Interstim device similar to a pacemaker is used to stimulate nerves, which help in relaxing the bladder and pelvic floor. If you wish to discuss about any specific problem, you can consult an urologist.
Progesterone is a characteristic female hormone, which is also known as the pregnancy hormone, its percentage is generally higher before and during pregnancy. Progesterone supplementation is regularly important during assisted reproductive technology (ART) systems; for example, In-vitro Fertilization (IVF). This is recommended because the medicines you may use during these strategies can change your body's capacity to deliver progesterone. Certain techniques can even expel progesterone delivering cells from your ovaries. All women who wish to end up pregnant need progesterone to help the uterus get ready for and sustain a prepared egg.
Progesterone readies the uterus for pregnancy. After ovulation happens, the ovaries begin to deliver progesterone required by the uterus. Progesterone causes the uterine covering or endometrium to thicken. This readies a strong domain in your uterus for a fertilized egg.
Progesterone sustains the baby. A supply of progesterone to the endometrium keeps on being critical during pregnancy. After an effective implantation, progesterone keeps up a steady domain for the forming baby. Following eight to ten weeks of pregnancy, the placenta takes control of progesterone creation from the ovaries and considerably builds the hormone.
Other sources of progesterone supplements
A few types of progesterone supplements are accessible, including vaginal items that deliver progesterone straight to the uterus. The diverse structures include the following:
1. Vaginal gel:
• Utilized once every day for progesterone supplementation
• Over a time of involvement and more than forty million dosages recommended
• In studies where quiet inclination was measured, a dominant part of women favored the gel for comfort over other progesterone medicines
• Some discharge felt during use
2. Vaginal suppositories:
• Generally utilized yet not FDA-endorsed
• Utilized two to three times each day
• Spillage can be chaotic
3. Vaginal supplements:
• Intended for vaginal use
• FDA-endorsed for progesterone supplementation yet not for progesterone substitution
• Useful in ladies under thirty-fie years; no settled outcomes in women of more than thirty-five years
• Utilized two to three times each day
4. Progesterone oral cases, utilized vaginally:
• Not planned or FDA-affirmed for vaginal utilization
• Less symptoms when it is utilized vaginally rather than orally
• Utilized approximately three times each day
• An oil-based arrangement (now and then called progesterone in oil)
• Generally utilized; most settled strategy for progesterone delivery
• Infused into the bottom once every day
• Requires long, thick needle to enter layers of skin and fat
• Hard to oversee
• Infusions might be difficult
• Skin responses are normal
Progesterone is a vital piece of infertility treatment since it boosts implantation and pregnancy. Human services suppliers regularly have an inclination towards which type of progesterone they recommend for fertility treatment. Their application is by and large in view of their involvement with the different techniques. However, accommodation and demand are likewise critical. Most women lean toward a progesterone definition that is simple, advantageous, and agreeable. Thus, make sure to talk about your choices with your social insurance supplier or your doctor. If you wish to discuss about any specific problem, you can consult a gynaecologist.