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Scaling and Root Planing Tips

Periodontitis: How to deal with it?

Dr.Premendra Goyal 92% (962ratings)
BDS
Dentist, Mumbai
Periodontitis: How to deal with it?

Periodontitis is a serious gum infection that damages the soft tissue and destroys the bone that supports your teeth. Periodontitis can cause tooth loss or worse, an increased risk of heart attack or stroke and other serious health problems.

Periodontitis is common but largely preventable. Periodontitis is usually the result of poor oral hygiene. Brushing at least twice a day, flossing daily and getting regular dental checkups can greatly reduce your chance of developing periodontitis.

In most cases, periodontitis is preventable. It is usually caused by poor dental hygiene.

Signs and Symptoms of Periodontitis

  • Swollen gums
  • Bright red or purplish gums
  • Gums that feel tender when touched
  • Gums that pull away from your teeth (recede), making your teeth look longer than normal
  • New spaces developing between your teeth
  • Pus between your teeth and gums
  • Bad breath
  • Bad taste in your mouth
  • Loose teeth
  • A change in the way your teeth fit together when you bite

Risk Factors

Factors that can increase your risk of periodontitis include:

  • Gingivitis
  • Heredity
  • Poor oral health habits
  • Tobacco use
  • Diabetes
  • Older age
  • Decreased immunity, such as that occurring with leukemia, HIV/AIDS or chemotherapy
  • Poor nutrition
  • Certain medications
  • Hormonal changes, such as those related to pregnancy or menopause
  • Substance abuse
  • Poor-fitting dental restorations
  • Problems with the way your teeth fit together when biting

Treatments

Non-Surgical Treatments:

If periodontitis isn't advanced, treatment may involve less invasive procedures, including:

  • Scaling. Scaling removes tartar and bacteria from your tooth surfaces and beneath your gums.
  • Root Planing. Root planing smoothes the root surfaces, discouraging further buildup of tartar and bacterial endotoxin.
  • Antibiotics. Your periodontist or dentist may recommend using topical or oral antibiotics to help control bacterial infection.

Surgical Treatments:

If you have advanced periodontitis, your gum tissue may not respond to non-surgical treatments and good oral hygiene. In that case, periodontitis treatment may require dental surgery, such as:

  • Flap surgery (pocket reduction surgery): The healthcare professional performs flap surgery to remove calculus in deep pockets, or to reduce the pocket so that keeping it clean is easier. The gums are lifted back and the tartar is removed. The gums are then sutured back into place so they fit closely to the tooth. After surgery, the gums will heal and high tightly around the tooth. In some cases the teeth may eventually seem longer than they used to.
  • Bone and tissue grafts: This procedure helps regenerate bone or gum tissue that has been destroyed. With bone grafting, new natural or synthetic bone is placed where bone was lost, promoting bone growth.

In a procedure called 'guided tissue regeneration', a small piece of mesh-like material is inserted between the gum tissue and bone. This stops the gum from growing into bone space, giving the bone and connective tissue a chance to regrow.

The dentist may also use special proteins (growth factors) that help the body regrow bone naturally.

5181 people found this helpful

7 Ways You Can Prevent and Manage Periodontal Disease!

Dr.Premendra Goyal 92% (962ratings)
BDS
Dentist, Mumbai
7 Ways You Can Prevent and Manage Periodontal Disease!

The gums are also called the periodontium - perio for around and dontium for tooth as the gums are literally present "around the tooth." There is a softer mucosal portion that runs along the tooth in a curved manner and a stronger fibrous portion that connects the tooth to the jaw bone. Together, they provide the structural support for the tooth to be held in place. In addition, they also have an esthetic value with the healthy pink color. The mouth has the largest number of bacteria in the body, which act on the food debris that is present on the tooth and the gums. This causes infection in both the gums and the tooth. 

Types: Periodontal disease can be localized or general. 

  1. Localized disease happens when a tooth is not accessible for thorough cleaning. The inside surface of lower incisors and outer surfaces of the upper last molars are common areas of localized periodontal disease. 
  2. Generalized periodontal disease can be due to conditions like pregnancy, puberty, diabetes where gums around all the teeth are affected. 

Symptoms: In both the cases, the following symptoms: 

  1. Fiery Red gums 
  2. Swollen and/or painful gums 
  3. Spontaneous bleeding from the gums: This may be localized or generalized 
  4. Chronic bad breath: Due to food accumulation in the infected gums 
  5. Pus from the gums when the gums are pressed 
  6. Bad taste in the mouth (arising from pus in the gums) 
  7. Gingival recession, producing an effect of having longer tooth
  8. Sensitive teeth 
  9. Loosening of the tooth/teeth 
  10. Painful chewing, as it puts pressure on the inflamed periodontium 
  11. Dentist will identify what are called pockets, which is an indication of severity - the deeper the pockets, the severe the disease. 

Management and Prevention: 

Gum disease is very easy to identify and can be completely cured.

  1. Regular brushing and flossing can help maintain regular oral hygiene. 
  2. With each brushing session, plain finger massage of the gums improves blood circulation and their overall health.
  3. Regular use of mouth rinse is a good way to improve gum health. 
  4. Regular visits to the dentist can help keep a check on the health of the teeth and the gums - early identification of disease and early treatment. 
  5. Once it has set in, deep scaling followed by root planning may be required to thoroughly clear out the infection. 
  6. More surgical options like gingival grafts, flap surgery, bone grafting in case of severe bone loss may be required. 
  7. Management of conditions like diabetes The best way to avoid periodontal disease is to know its symptoms, follow oral hygiene practices, and visit a dentist regularly.
7527 people found this helpful

Tinea Capitis - How Ayurveda Can Solve Your Problem?

Dr.Rohit Shah 95% (430ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS) And Naturopath (ND)
Ayurvedic Doctor, Surat
Tinea Capitis - How Ayurveda Can Solve Your Problem?

Tinea Capitis is a kind of an infection of the scalp. It is mainly caused by a fungi, known as Trichophyton and Microsporum. This condition mainly affects children, who are either in their adolescence stage or in late childhood. Scaly patches tend to occur on the scalp having some dry hairs, which are brittle in nature, going along with the inflammation, pustules as well as itching.

Let us now take a look at some of the details before going into the Ayurvedic Treatments for this problem.

Symptoms of Tinea Capitis

The different symptoms of this Tinea Capitis, which people could come across are as follows:

Causes of Tinea Capitis

Tinea Capitis, which is basically a kind of fungus, grows in stratum corneum and through which it enters the keratin. Scalp tends to become infected and hair turning out to be brittle. The causes can be listed as follows:

  • Fungi known as Dermatophytes
  • Sweating, where the skin stays wet for a long period of time
  • Some sort of minor injuries related to nail or skin
  • If the hygiene is extremely poor
  • This can also get spread by cats

Ayurvedic Treatment for Tinea Capitis

In Ayurveda, there are two doshas, which cause the accumulation of toxins in the deeper tissues like nutrient plasma, blood, muscles and lymphatic are Kapha and Vata. They ultimately lead to the contamination of deeper tissues and hence, leads to ringworm Ayurveda looks to treat the disease by going into the root cause behind it. Natural treatment in Ayurveda can heal people out from this disorder without causing any kind of side-effects.

Some of the herbal remedies used for treating this condition are:

Neem Capsules: This is a 100% natural product, which gets obtained from needm, Azadirachta indica, which belongs to family Meliaceae. Benefits are:

  • Helps to maintain healthy skin
  • Contains anti-bacterial as well as anti-inflammatory properties
  • Effective in curing skin diseases like eczema, acne or fungal infections
  • Helps to balance out Vata Dosha

Gandhak Rasayan: These are herbal tablets made from Shuddh Gandhak. Rasayan refers to Rejuvenation. It contains natural properties to rejuvenate the body without having any side-effects. The tablets help to remove toxins from one’s body and assist in maintaining healthy skin. Two tablets for two times in a day with plain water after meals would prove to be effective in treating Tinea Capitis.

Arogyavardhini Vati: These are purely herbal tablets, which help in balancing out all the three doshas. The benefits:

  • It is anti-oxidant in nature
  • There are anti-fungal properties
  • Presence of anti-bacterial properties It is beneficial against different kinds of infectious disease. The ideal dose would be taking 2 tablets for two times in a day with normal water after meals.
5541 people found this helpful

Tinea Capitis - Cure It With Ayurveda Treatment

Dr.Rohit Shah 95% (430ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS) And Naturopath (ND)
Ayurvedic Doctor, Surat
Tinea Capitis - Cure It With Ayurveda Treatment

Tinea Capitis is a kind of infection of the scalp. It is mainly caused by fungi, known as Trichophyton and Microsporum. This condition mainly affects children, who are either in their adolescence stage or in late childhood. Scaly patches tend to occur on the scalp having some dry hairs, which are brittle in nature, going along with the inflammation, pustules as well as itching.

Let us now take a look at some of the details about Tinea Capitis conditions such as symptoms and cause of this scalp condition before going into the Ayurvedic Treatments for this problem.

Symptoms of Tinea Capitis

Causes of Tinea Capitis

Tinea Capitis, which is basically a kind of fungus, grows in stratum corneum and through which it enters the keratin. Scalp tends to become infected and hair turning out to be brittle. The causes can be listed as follows:

  • Fungi are known as Dermatophytes
  • Sweating, where the skin stays wet for a long period of time.
  • Some sort of minor injuries related to nail or skin.
  • If hygiene is extremely poor.
  • This can also get spread by cats.

Ayurvedic Treatment for Tinea Capitis

In Ayurveda, there are two doshas, which cause the accumulation of toxins in the deeper tissues like nutrient plasma, blood, muscles, and lymphatic are Kapha and Vata. They ultimately lead to the contamination of deeper tissues and hence, lead to ringworm.

Best Ayurvedic Medicine for Tinea Capitis

Ayurveda looks to treat the disease by going into the root cause behind it. The natural treatment in Ayurveda can heal people out of this disorder without causing any kind of side-effects. Some of the herbal and ayurvedic remedies used for treating Tinea Capitis condition.

Neem Capsules: This is a 100% natural ayurvedic product, which gets obtained from neem, Azadirachta indica, which belongs to family Meliaceae. Benefits are:

  1. Helps to maintain healthy skin
  2. Contains anti-bacterial as well as anti-inflammatory properties
  3. Effective in curing skin diseases like eczema, acne or fungal infections.
  4. Helps to balance out Vata Dosha

Gandhak Rasayan: These are ayurvedic herbal tablets made from Shuddh Gandhak. Rasayan refers to Rejuvenation. It contains natural properties to rejuvenate the body without having any side-effects. The tablets help to remove toxins from one’s body and assist in maintaining healthy skin. Two tablets two times a day with plain water after meals would prove to be effective in treating Tinea Capitis problem.

Arogyavardhini Vati: These are purely ayurvedic medicine for tinea capitis, These herbal tablets help in balancing out all the three doshas. Benefits of Arogyavardhini Vati  are given below:

  1. It is anti-oxidant in nature
  2. There are anti-fungal properties
  3. Presence of anti-bacterial properties It is beneficial for different kinds of infectious diseases.
  4. The ideal dose would be taking 2 tablets two times a day with normal water after meals.

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6311 people found this helpful

Why Smokers are at Greater Risk of Tooth Loss?

Dr.Shikha Punjani 87% (69ratings)
MDS Prosthodontics, BDS
Dentist, Mohali
Why Smokers are at Greater Risk of Tooth Loss?

The mouth is the first organ that takes the brunt of smoking. The teeth, lips, cheeks, tongue are all affected by smoking. While most are worried about the discoloration of the teeth and lips, the damage is actually quite deep rooted literally and figuratively. The harmful effects of smoking reach the roots and eventually lead to tooth loss.

Let us look at some ways how smoking affects the teeth.

1. The black stains that are the tell-tale signs of a smoker are a major source of irritation to the teeth, especially along the gum line. On one hand, they do not allow proper cleaning of the gums and on the other, they are a constant source of irritation leading to inflammation. The result is there is damage beneath that layer of black stains, which does not become visible unless the signs of infection become evident pain, redness, swelling or even pus formation in some cases.

2. Smoking conceals the gum disease from becoming evident, thereby, reducing the chance of identifying and treating the disease at an early stage. This progresses to more severe periodontal disease, where the bones and supporting tissues that hold the tooth in place are infected and gradually the tooth weakens.

3. The nicotine in the smoke also promotes the growth of bacteria that lead to plaque formation and thereby worsen the pace at which gum disease happens.

4. Another aspect is that in smokers, the ability of the gums to heal is reduced drastically, thereby, leading to progressive incremental damage and eventual tooth loss.

5. Nicotine reduces the amount of minerals in bones and especially in postmenopausal female smokers, the bones are quite weak and the incidence of periodontal disease is also quite high.

To summarize, for smokers, the risk for gum disease is higher and the recovery of gum disease is delayed. The duration and number of cigarettes has a direct effect on the gum disease. Of note, the effects are more severe in females, compared to males.

The good news however, is that quitting smoking (and other forms of nicotine) can show immediate results, including complete reversal of the damage. Other ways to manage include:

1. Regular brushing and flossing, twice a day at least

2. Rinsing after each meal with either a medicated rinse or plain water

3. Clinical cleaning including scaling and root planing if required at regular intervals

4. Minor surgery if required if there is root exposure and/or deep periodontal pockets

5. Abstain from tobacco in any form

Smoking affects the gums and periodontium severely, tooth loss has a strong and direct correlation with smoking. Not many would have thought about the adverse effects of smoking on the dental system. While they sound very alarming, there is definitely hope, with the first step as quitting it. If you wish to discuss about any specific problem, you can consult a Dentist.

3473 people found this helpful

Smoking & Tooth Health - Can Former Affect Latter?

Dr.M. R. Pujari 93% (729ratings)
MDS, BDS
Dentist, Bangalore
Smoking & Tooth Health - Can Former Affect Latter?

The mouth is the first organ that takes the brunt of smoking. The teeth, lips, cheeks, tongue are all affected by smoking. While most are worried about the discolouration of the teeth and lips, the damage is actually quite deep-rooted literally and figuratively. The harmful effects of smoking reach the roots and eventually lead to tooth loss.

Let us look at some ways of how smoking affects the teeth.

1. The black stains that are the tell-tale signs of a smoker are a major source of irritation to the teeth, especially along the gum line. On one hand, they do not allow proper cleaning of the gums and on the other, they are a constant source of irritation leading to inflammation. The result is there is damage beneath that layer of black stains, which does not become visible unless the signs of infection become evident pain, redness, swelling or even pus formation in some cases.

2. Smoking conceals the gum disease from becoming evident, thereby, reducing the chance of identifying and treating the disease at an early stage. This progresses to more severe periodontal disease, where the bones and supporting tissues that hold the tooth in place are infected and gradually the tooth weakens.

3. The nicotine in the smoke also promotes the growth of bacteria that lead to plaque formation and thereby worsen the pace at which gum disease happens.

4. Another aspect is that in smokers, the ability of the gums to heal is reduced drastically, thereby, leading to progressive incremental damage and eventual tooth loss.

5. Nicotine reduces the amount of minerals in bones and especially in postmenopausal female smokers, the bones are quite weak and the incidence of periodontal disease is also quite high.

To summarize, for smokers, the risk for gum disease is higher and the recovery of gum disease is delayed. The duration and number of cigarettes has a direct effect on gum disease. Of note, the effects are more severe in females, compared to males.

The good news however, is that quitting smoking (and other forms of nicotine) can show immediate results, including complete reversal of the damage. Other ways to manage include:

1. Regular brushing and flossing, twice a day at least

2. Rinsing after each meal with either a medicated rinse or plain water

3. Clinical cleaning including scaling and root planing if required at regular intervals

4. Minor surgery if required if there is root exposure and/or deep periodontal pockets

5. Abstain from tobacco in any form

Smoking affects the gums and periodontium severely, tooth loss has a strong and direct correlation with smoking. Not many would have thought about the adverse effects of smoking on the dental system. While they sound very alarming, there is definitely hope, with the first step as quitting it.

4736 people found this helpful

Periodontal Disease - 7 Ways You Can Manage and Prevent them

Dr.Birendra Ahlawat 90% (73ratings)
MDS , BDS
Dentist, Delhi
Periodontal Disease - 7 Ways You Can Manage and Prevent them

The gums are also called the periodontium which means perio for around and dontium for tooth as the gums are literally present "around the tooth."  There is a softer mucosal portion that runs along the tooth in a curved manner and a stronger fibrous portion that connects the tooth to the jaw bone.  Together, they provide the structural support for the tooth to be held in place. In addition they also have an aesthetic value with the healthy pink color.

The mouth has the largest number of bacteria in the body, which act on the food debris that is present on the tooth and the gums. This causes infection in both the gums and the tooth. 

Types: Periodontal disease can be localized or general.

  1. Localized disease happens when a tooth is not accessible for thorough cleaning.  The inside surface of lower incisors and outer surfaces of the upper last molars are common areas of localized periodontal disease. 
  2. Generalized periodontal disease can be due to conditions like pregnancy, puberty, diabetes problem where gums around all the teeth are affected.

Symptoms: In both the cases, the following symptoms ensue: 

  1. The gums are of a healthy pink color and if they turn darker hue of pink
  2. Swollen and/or painful gums
  3. Spontaneous bleeding: This may be localized or generalized 
  4. Chronic bad breath: Due to food accumulation in the infected gums
  5. If it continues to form an abscess, pressure on the gums can produce pus
  6. Bad taste in the mouth (arising from pus in the gums)
  7. Gingival recession, producing an effect of having longer tooth 
  8. Dentin is exposed leading sensitivity to hot or cold foods
  9. Loosening of the tooth
  10. Painful chewing, as it puts pressure on the inflamed periodontium
  11. Dentist will identify what are called pockets, which is an indication of severity - the deeper the pockets, the severe the disease.

Management and Prevention: Gum disease is very easy to identify and can be completely cured.

  1. Regular brushing and flossing can help maintain regular oral hygiene 
  2. With each brushing session, plain finger massage of the gums improves blood circulation and their overall health
  3. Regular use of mouth rinse is a good way to improve gum health
  4. Regular visits to the dentist can help keep a check on the health of the teeth and the gums - early identification of disease and early treatment
  5. Once it has set in, deep scaling followed by root planing may be required to thoroughly clear out the infection
  6. More surgical options like gingival grafts, flap surgery, bone grafting in case of severe bone loss may be required. 
  7. Management of conditions like diabetes

The best way to avoid periodontal disease is to know its symptoms, follow oral hygiene practices, and consult a dentist regularly.

3403 people found this helpful

Periodontal Disease - How To Manage It?

Dr.Pogaku Rajkumar 92% (161ratings)
BDS
Dentist, Hyderabad
Periodontal Disease - How To Manage It?

The gums are also called the periodontium - perio for around and dontium for tooth as the gums are literally present "around the tooth."  There is a softer mucosal portion that runs along the tooth in a curved manner and a stronger fibrous portion that connects the tooth to the jaw bone.  Together, they provide the structural support for the tooth to be held in place. In addition they also have an esthetic value with the healthy pink color.

The mouth has the largest number of bacteria in the body, which act on the food debris that is present on the tooth and the gums. This causes infection in both the gums and the tooth. 

Types: Periodontal disease can be localized or general.

  • Localized disease happens when a tooth is not accessible for thorough cleaning.  The inside surface of lower incisors and outer surfaces of the upper last molars are common areas of localized periodontal disease. 
  • Generalized periodontal disease can be due to conditions like pregnancy, puberty, diabetes where gums around all the teeth are affected.

Symptoms: In both the cases, the following symptoms ensue: 

  • Red gums:  The gums are of a healthy pink color and if they turn darker hue of pink
  • Swollen and/or painful gums
  • Spontaneous bleeding: This may be localized or generalized 
  • Chronic bad breath: Due to food accumulation in the infected gums
  • If it continues to form an abscess, pressure on the gums can produce pus
  • Bad taste in the mouth (arising from pus in the gums)
  • Gingival recession, producing an effect of having longer tooth 
  • Dentin is exposed leading sensitivity to hot or cold foods
  • Loosening of the tooth
  • Painful chewing, as it puts pressure on the inflamed periodontium
  • Dentist will identify what are called pockets, which is an indication of severity - the deeper the pockets, the severe the disease.

Management and Prevention: Gum disease is very easy to identify and can be completely cured.

  • Regular brushing and flossing can help maintain regular oral hygiene 
  • With each brushing session, plain finger massage of the gums improves blood circulation and their overall health
  • Regular use of mouth rinse is a good way to improve gum health
  • Regular visits to the dentist can help keep a check on the health of the teeth and the gums - early identification of disease and early treatment
  • Once it has set in, deep scaling followed by root planing may be required to thoroughly clear out the infection
  • More surgical options like gingival grafts, flap surgery, bone grafting in case of severe bone loss may be required. 
  • Management of conditions like diabetes

The best way to avoid periodontal disease is to know its symptoms, follow oral hygiene practices, and visit a dentist regularly.

2917 people found this helpful
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