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Dental Screening Tips

Health Screening!

Dt. Archna Gupta 89% (678 ratings)
PG Diploma in Nutrition & Dietetics, M.Sc.in Food & Nutrition
Dietitian/Nutritionist, Ghaziabad
Health Screening!

HEALTH SCREENING 

ARE YOU UP TO DATE?     

REGULAR HEALTH CHECKS CAN KEEP YOU HEALTHY AND HEAD OFF MAJOR PROBLEMS. READER’S DIGEST HAS THE RUN-DOWN ON THE SCREENING TESTS THAT HELP YOU STAY IN TOP FROM     

AGE

TEST

DESCRIPTION

FREQUENCY

COMMENTS

FROM

2 YRS

DENTAL CHECK-UP

 REGULAR EXAMINATION  BY A DENTIST

EVERY 12 MONTHS

TIMINING VISITS SHOULD BE ASSESSED BY DENTIST ON A CASE –BY-CASE BASIS

FROM SCHOOL AGE

EYE CHECK

THOROUGH OF EYE HEALTH AND VISION BY AN OPHTHALMOLOGIST

EVERY 2 YEARS

CHECKS MAY NEED TO BE MORE OFTEN IF ADVISED BY OPHTHALMOLOGIST

FROM

18 YRS

BLOOD PRESSUR

BP CUFF APPLIED TO ARM BY GP

EVERY 12 MONTH

MORE FREQUENTLY IF YOU HAVE RISKY LIFESTYLE FACTORS OR ARE AT HIGH RISK DUE TO FAMILY HISTORY OF HIGH BP

FROM

 18 YRS

CHOLESTEROL AND LIPIDS

BLOOD TEST ORDERED BY GP

EVERY 12 MONTHS

MORE FREQUENTLY IF YOU HAVE RISK FACTOR AND FAMILY HISTORY OF PREMATURE CARDIOVASCULAR DISEASE OR EXISTING DIAGNOSES

FROM ADVENT OF SEXUAL ACTIVITY

CHLAMYDIA

BLOOD TEST ORDERED BY GYNAECOLOGIST/UROLO-GIST

EVERY 1-2 YEARS

GYNAECOLOGIST/UROLOGIST MAY ASK ABOUT SEXUALLY TRANSMITTED INFECTIONS

1 person found this helpful

Dental Cleaning: Why It Is Necessary?

Dr. Vikash Kumar 90% (42 ratings)
BDS, MDS Endodontist
Dentist, Noida
Dental Cleaning: Why It Is Necessary?

Oral hygiene is a very critical issue which you should not neglect at any condition. Proper oral care helps your body in maintaining good overall health and also protects you from developing oral infections and diseases. For this purpose, regularly visiting your dentist is of paramount importance and additionally following his/her advice is also necessary. Dentists usually prescribe measures such as brushing your teeth twice daily, regular and frequent cleaning and dental flossing to ensure good oral health. Here are some benefits of dental cleaning which would surely motivate you to take good care of your teeth and gums.

1. Reduces risks of oral cancerOral cancer is a chronic condition of the teeth and the gums in general which can be fatal if left undiagnosed. To ensure proper screening of oral cancer, you should regularly visit your dentist for a dental cleaning.

2. Prevents gum diseases - Dentists are not only concerned about your teeth, in particular, they take care of your entire oral health. Thus, a dental cleaning minimizes your risk of suffering from any kind of gum related infections or diseases.


3. Brightens your smile - The dental cleaning procedure also ensures that you have a clean and a bright smile. It not only improves your external appearance but also gives you the necessary confidence to smile. It involves picking out of even the minutest particles of food that get stuck inside your teeth so that you can have a flawless smile to boast about.

4. Ensures easy diagnosis of oral problems - It also helps in the easy detection of any kind of mild infection or severe disease that is affecting your oral health. An early detection subsequently ensures timely treatment of your condition and hence a dental cleaning is required.

5. Prevent bad breathBad breath is also an oral condition and can be eliminated easily. Regular dental cleaning ensures that you have a pleasant breath by helping you maintain proper oral hygiene. If you wish to discuss about any specific problem, you can consult a Dentist.

4658 people found this helpful

How To Maintain Dental Health in Pregnancy?

Dr. Premendra Goyal 90% (821 ratings)
BDS
Dentist, Mumbai
How To Maintain Dental Health in Pregnancy?

Pregnancy is a transformation phase in itself -it brings with it changes to almost all body systems. The oral tissues and the teeth are also affected significantly. Extra precaution is required to maintain regular oral health and avoid severe decay and/or gum disease. If not avoided, the dental infections can cause severe systemic infections and require strong antibiotics, x-rays, minor surgeries, and root canal therapy which may not be safe during pregnancy.

Higher levels of estrogen during pregnancy in the blood lead to a lot of visible changes in the oral cavity -higher incidence of tooth decay, gingival and periodontal inflammation, and even minor benign tumours in some cases. The notorious morning sickness plays havoc with the person's oral hygiene habits, thereby further complicating the situation.

Prior to pregnancy: A pre-pregnancy dental check-up to look for gum health and decay would go a long way in a healthy pregnancy, from the dental point of view at least. A thorough scaling and screening for cavities done before pregnancy can help avoid dental visits during the term, other than for routine checkup.

Pregnancy: If that pre-pregnancy visit could not happen, then visiting your dentist should be one of the first things to do as soon as you have confirmed your pregnancy. At this stage, no dental treatment can be done. Any elective procedures (cosmetic, etc.) will have to be done only after delivery. If the dentist identifies no cause for worry, that is great news. However, if there are any causes for concern, like a decay, the non-invasive treatment should be done at the earliest. When you are pregnant, note the following from a dental point of view:

1. Noninvasive treatments like minor fillings can be done
2. Regular scaling and polishing is not a problem
3. Let the dentist know about all the medications you are taking
4. Visit the dentist every 3 to 4 months for a regular check-up
5. Follow good oral hygiene practices including, brushing, rinsing, and flossing
6. Switch to a bland toothpaste in case of severe morning sickness
7. Watch your diet - the teeth forming in the fetus require nutrition through you, so ensure adequate intake of minerals like calcium and potassium
8. Avoid sweets and sticky/chewy foods that can lead to plaque formation

Though dental procedures can be done during the 4th to 6th month, they are best avoided, which can be done with better planning and some minimal care.

After delivery: After the delivery of the baby, please visit your dentist to ensure you have again ensured there is no emergent dental condition requiring attention. Resume your regular dental care after delivery.
With a little planning and extra care, dental health can be managed nicely during pregnancy with minimal to no pain. If you wish to discuss about any specific problem, you can consult a Dentist.

6315 people found this helpful

Dental Health in Pregnancy

Dr. Amit Yadav 92% (996 ratings)
BDS
Dentist, Gurgaon
Dental Health in Pregnancy

Pregnancy is a transformation phase in itself -it brings with it changes to almost all body systems. The oral tissues and the teeth are also affected significantly. Extra precaution is required to maintain regular oral health and avoid severe decay and/or gum disease. If not avoided, the dental infections can cause severe systemic infections and require strong antibiotics, x-rays, minor surgeries, and root canal therapy which may not be safe during pregnancy.

Higher levels of estrogen during pregnancy in the blood lead to a lot of visible changes in the oral cavity - higher incidence of tooth decay, gingival and periodontal inflammation, and even minor benign tumours in some cases. The notorious morning sickness plays havoc with the person's oral hygiene habits, thereby further complicating the situation.

Prior to pregnancy: A pre-pregnancy dental check-up to look for gum health and decay would go a long way in a healthy pregnancy, from the dental point of view at least. A thorough scaling and screening for cavities done before pregnancy can help avoid dental visits during the term, other than for routine checkup.

Pregnancy: If that pre-pregnancy visit could not happen, then visiting your dentist should be one of the first things to do as soon as you have confirmed your pregnancy. At this stage, no dental treatment can be done. Any elective procedures (cosmetic, etc.) will have to be done only after delivery. If the dentist identifies no cause for worry, that is great news. However, if there are any causes for concern, like a decay, the non-invasive treatment should be done at the earliest. When you are pregnant, note the following from a dental point of view:

  1. Oninvasive treatments like minor fillings can be done
  2. Regular scaling and polishing is not a problem
  3. Let the dentist know about all the medications you are taking
  4. Visit the dentist every 3 to 4 months for a regular check-up
  5. Follow good oral hygiene practices including, brushing, rinsing, and flossing
  6. Switch to a bland toothpaste in case of severe morning sickness
  7. Watch your diet - the teeth forming in the fetus require nutrition through you, so ensure adequate intake of minerals like calcium and potassium
  8. Avoid sweets and sticky/chewy foods that can lead to plaque formation

Though dental procedures can be done during the 4th to 6th month, they are best avoided, which can be done with better planning and some minimal care.

After delivery: After the delivery of the baby, please visit your dentist to ensure you have again ensured there is no emergent dental condition requiring attention. Resume your regular dental care after delivery.
With a little planning and extra care, dental health can be managed nicely during pregnancy with minimal to no pain. If you wish to discuss about any specific problem, you can consult a dentist.

3085 people found this helpful

Dental Health in Pregnancy

Dr. Ritika Goyal 88% (33 ratings)
Dentist, Agra
Dental Health in Pregnancy

Pregnancy is a transformation phase in itself -it brings with it changes to almost all body systems. The oral tissues and the teeth are also affected significantly. Extra precaution is required to maintain regular oral health and avoid severe decay and/or gum disease. If not avoided, the dental infections can cause severe systemic infections and require strong antibiotics, x-rays, minor surgeries, and root canal therapy which may not be safe during pregnancy.

Higher levels of estrogen during pregnancy in the blood lead to a lot of visible changes in the oral cavity - higher incidence of tooth decay, gingival and periodontal inflammation, and even minor benign tumours in some cases. The notorious morning sickness plays havoc with the person's oral hygiene habits, thereby further complicating the situation.

Prior to pregnancy: A pre-pregnancy dental check-up to look for gum health and decay would go a long way in a healthy pregnancy, from the dental point of view at least. A thorough scaling and screening for cavities done before pregnancy can help avoid dental visits during the term, other than for routine checkup.

Pregnancy: If that pre-pregnancy visit could not happen, then visiting your dentist should be one of the first things to do as soon as you have confirmed your pregnancy. At this stage, no dental treatment can be done. Any elective procedures (cosmetic, etc.) will have to be done only after delivery. If the dentist identifies no cause for worry, that is great news. However, if there are any causes for concern, like a decay, the non-invasive treatment should be done at the earliest. When you are pregnant, note the following from a dental point of view:

  1. Oninvasive treatments like minor fillings can be done
  2. Regular scaling and polishing is not a problem
  3. Let the dentist know about all the medications you are taking
  4. Visit the dentist every 3 to 4 months for a regular check-up
  5. Follow good oral hygiene practices including, brushing, rinsing, and flossing
  6. Switch to a bland toothpaste in case of severe morning sickness
  7. Watch your diet - the teeth forming in the fetus require nutrition through you, so ensure adequate intake of minerals like calcium and potassium
  8. Avoid sweets and sticky/chewy foods that can lead to plaque formation

Though dental procedures can be done during the 4th to 6th month, they are best avoided, which can be done with better planning and some minimal care.

After delivery: After the delivery of the baby, please visit your dentist to ensure you have again ensured there is no emergent dental condition requiring attention. Resume your regular dental care after delivery.
With a little planning and extra care, dental health can be managed nicely during pregnancy with minimal to no pain. If you wish to discuss about any specific problem, you can consult a dentist.

Screening for Prehypertension

Dr. Naresh Kumar Monigari 90% (309 ratings)
MD - General Medicine, MBBS
General Physician, Karimnagar
Screening for Prehypertension

Guidelines for vary from time to time, but generally accepted classification of hypertension ( JNC7)is

Average of two or more properly measured readings at each of two or more visits after an initial screen:

Normal                  < 120 mm Hg SBP             AND   DBP < 90 mm Hg

Prehypertension    120 -139 mm Hg SBP     OR      DBP 80 to 89 mm Hg

Stage 1 HTN            140 -159 mm Hg SBP     OR      DBP 90 to 99 mm Hg

Stage 2 HTN            >/= 160 mm of Hg SBP   OR     DBP >/= 100 mm Hg.

Prevalence of prehypertension among adults in United States is approximately 37 percent.

Study done by Yadhav S et al showed prevalence of prehypetension was 32.3 percent in India with highest  36% among 30-39 yrs age group, indicates that awareness is necessary for regular blood pressure check up.

People diagnosed with hypertension represents “tip  of an iceberg”.

Many patients get to know about their raised blood pressures at the time of diagnosis, heart attack, stroke or kidney disease( end organ failures) which would have been preventable  if treated at an early stage.

Why hypertension should be diagnosed and treated ?

Hypertension currently causes  2/3rd s of all strokes and half of all cases of ischemic heart disease.

Reduction in high blood pressure leads to large reduction in stroke, heart failure, renal failure, aortic dissection, coronary events and death.

Prehypertension: It is an entity where SBP >120 -139 mm Hg or DBP 80-89 mm Hg.

Multiple epidemiological studies demonstrated increased cardiovascular risk in patients with prehypertension.People with prehypertension have increased risk of progression to sustained hypertension, the prevalence of hypertension increases from approximately 10 percent at age of 30 yrs to as high as 90 percent after age of 65 yrs.

Framinham hypertension risk prediction score, may help identification of prehypertensive patients who are at gretest risk for pregression to hypertension. Risk calculator includes variables like age, sex, family history of hypertension, body mass index and smoking.  Most important predictors of these were higher baseline blood pressure and older age.

Screening for hypertension: optimal interval for screening is not known.

2007 USPSTF( United States Preventive Services Task Force) guidelines recommend

Screening every    two years for persons with SBP <120 mm Hg and DBP < 80 mm Hg     

                                 Yearly for persons with SBP 120-139 mm Hg or a DBP 80 -89 mm Hg

How to manage Prehypertension:

TROPHY stydy( TRial Of preventing Hypertension)  results showed that there is no role for pharmacotherapy in prehypertension except in special conditions like diabetes, chronic kidney disease etc.

Treatment:As per JNC 7 reccomendations patients with prehypertension who do not have diabetes, chronic kidney disease , end organ damage , or clinical evidence of cardiovascular disease are generally treated with non pharmacological therapies.

Major non pharmacological therapies that aid to decrease blood pressure are: 

Weight reduction:  Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2)  this can reduce BP by 5 to 20 mm hg per 10kg weight loss.

Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low-fat dairy products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg.

Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.

Physical activity: Engage in a regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hg.

Moderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hg.

2 people found this helpful

Dental Care

Dr. Vishal Malik 85% (19 ratings)
BDS
Dentist, Panchkula
Dental Care
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.

Dental care!

Dr. Bikramjeet Singh 90% (73 ratings)
BDS
Dentist, Amritsar
Dental care!

Toothpicks can be an alternative to use for flossing if dental floss is not available. Remember not to be too harsh while using it.

2 people found this helpful

Dental Care!

Dr. Mithunesh Sayasikamal 90% (1471 ratings)
BDS
Dentist, Betul
Dental Care!

For healthier teeth, flossing daily in a sawing motion is highly recommended. Take the floss to the point where the teeth meet the gums.

5 people found this helpful

Dental Care

Dr. Neha Dixit 85% (41 ratings)
MDS
Dentist, Delhi

Fruits and vegetables which require continuous biting like apples, carrots and corn should be avoided as it can become quite difficult while the braces are on.

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