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Love Dental Love Dental is a Practice providing general, aesthetic and preventive dentistry for all our patients to maintain healthy teeth and happy smile.

24/05/2026

Many parents worry when they see spaces between their child’s baby teeth. But in most cases, those small gaps are actually a healthy sign.

Baby teeth are naturally smaller than permanent teeth. As a child grows, the jaws also grow and create extra space to prepare for the much larger adult teeth that will erupt later. That’s why dentists often like to see some spacing between baby teeth during early childhood.

When baby teeth are very tight together with little or no spacing, there may be less room available for the permanent teeth in the future. This can increase the likelihood of crowding, overlapping, or crooked teeth as adult teeth begin to come in.

Of course, spacing alone cannot perfectly predict future orthodontic needs, but it can give important clues about how the teeth and jaws are developing.

Sometimes, the gaps parents worry about today are actually helping create a healthier smile tomorrow.

09/05/2026

The first 24 hours after a tooth extraction are critical for proper healing.

Your body forms a protective blood clot inside the socket. If this clot gets disturbed, healing can become painful and delayed.

For the first 24 hours:
β€’ Bite on gauze as advised
β€’ Don’t rinse or spit forcefully
β€’ Avoid smoking and to***co
β€’ Don’t use a straw
β€’ Eat soft foods only
β€’ Apply ice packs for swelling
β€’ Take medicines exactly as prescribed

After 24 hours:
β€’ Start gentle warm salt water rinses 3–4 times daily
This helps keep the area clean and supports healing.

Mild bleeding and swelling are normal initially.

But severe pain, bad smell, pus, fever, or continuous bleeding should never be ignored.

Good aftercare can make recovery faster, smoother, and far less painful.

Save this post β€” it may help someone heal properly after a tooth extraction or wisdom tooth removal.

06/05/2026

Dry Mouth

πŸ”Ή Xerostomia = subjective dry mouth
πŸ”Ή Hyposalivation = objective low salivary flow

Causes
πŸ”Ή Medications = most common
πŸ”Ή Anticholinergics, antihistamines, antidepressants, antipsychotics, antihypertensives
πŸ”Ή SjΓΆgren syndrome, diabetes, HIV
πŸ”Ή Head & neck radiation β†’ thick, scant saliva

Clinical
πŸ”Ή Dry/sticky mucosa, mirror sticks
πŸ”Ή Fissured/depapillated tongue
πŸ”Ή Cervical/root/incisal caries
πŸ”Ή Candidiasis
πŸ”Ή Dysphagia, dysgeusia, poor denture retention

Management
πŸ”Ή Frequent water, saliva substitutes
πŸ”Ή Pilocarpine or cevimeline if gland function remains
πŸ”Ή Avoid sialogogues in narrow-angle glaucoma and uncontrolled asthma
πŸ”Ή Strong fluoride prevention + frequent recalls

High-yield pearl
πŸ”Ή Most common cause of xerostomia = medications
πŸ”Ή Radiation xerostomia is often irreversible

06/05/2026

⚑ Avulsed Tooth? You Have Minutes, Not Hours! πŸ¦·πŸ’€

(The ONE dental emergency where speed decides the fate of the tooth)

A patient walks in… holding a tooth in their hand.
πŸ‘‰ What you do in the next few minutes can determine whether that tooth survives… or is lost forever.

🧠 FIRST RULE β€” THINK FAST

βœ”οΈ Permanent tooth β†’ REPLANT IMMEDIATELY
❌ Primary tooth β†’ NEVER replant

πŸ‘‰ Always hold the tooth by the CROWN
πŸ‘‰ NEVER touch or scrub the root (you’ll destroy PDL cells!)

🚨 STEP-BY-STEP MANAGEMENT (EXAM GOLD)

🟒 STEP 1: QUICK ASSESSMENT

Extraoral dry time?

Storage medium?

Open vs closed apex?

Any associated injuries?

πŸ”΅ STEP 2: IF TOOTH IS OUTSIDE

If DIRTY:

Gently rinse with saline

❌ DO NOT scrub or scrape root

⚑ STEP 3: REPLANTATION

Irrigate socket with saline

Reinsert tooth gently with finger pressure

Confirm position clinically + radiographically

πŸ‘‰ This is the single most important step

🟑 STEP 4: SPLINTING

Use flexible/passive splint

Duration: 2 weeks

❌ Rigid splints β†’ ↑ ankylosis risk (classic exam trap)

πŸ’Š STEP 5: MEDICATIONS

Systemic antibiotics (Amoxicillin commonly)

Check tetanus status

Chlorhexidine mouth rinse (adjunct)

πŸ”΄ STEP 6: ROOT CANAL DECISION (VERY HIGH-YIELD)

πŸ”Ή CLOSED APEX

❌ Revascularization NOT possible

βœ… Start RCT within 2 weeks

πŸ”Ή OPEN APEX

βœ… Attempt revascularization

⏳ Delay RCT

Monitor vitality

πŸ‘‰ If necrosis develops β†’ then endodontic treatment

⏱️ TIME = PROGNOSIS

🟒 < 60 minutes dry time

βœ”οΈ PDL cells viable
βœ”οΈ Better prognosis

πŸ”΄ > 60 minutes dry time

❌ PDL necrosis
⚠️ Ankylosis + replacement resorption likely

πŸ‘‰ Still replant (to preserve bone & esthetics)

πŸ§ͺ STORAGE MEDIA (FAVORITE MCQ AREA)

Best to worst:

1. HBSS πŸ§ͺ

2. Milk πŸ₯› (exam favorite)

3. Saline πŸ’§

4. Saliva πŸ‘„

5. Water 🚫

πŸ‘‰ Dry storage = WORST

⚠️ COMPLICATIONS (DON’T MISS THESE)

Pulp necrosis

Inflammatory root resorption

Replacement resorption (ANKYLOSIS) ⭐ most important

Infraocclusion (especially in children)

🧠 ONE-LINE REVISION

πŸ‘‰ Avulsed permanent tooth = Replant ASAP + flexible splint 2 weeks + antibiotics + RCT (closed apex) or revascularization (open apex)

❓ MCQ TIME

🧠 MCQ 1

A 10-year-old presents with an avulsed permanent incisor stored in milk for 20 minutes. The apex is open. What is the BEST next step?

A. Immediate root canal treatment
B. Replantation and monitor for revascularization
C. Do not replant
D. Scrub root and replant

🧠 MCQ 2

Which of the following is the MOST important factor determining prognosis of an avulsed tooth?

A. Patient’s age
B. Type of splint used
C. Extraoral dry time
D. Type of antibiotic

Post your answers in comment πŸ‘‡

03/05/2026

😜😍

01/05/2026

Peri-implantitis points to Remember ⬇️

πŸ”Ή Irreversible inflammation around implant with supporting bone loss
πŸ”Ή Peri-implant mucositis = soft tissue only, no bone loss

Etiology
πŸ”Ή Plaque-induced biofilm
πŸ”Ή Mainly gram-negative anaerobes
πŸ”Ή Risks: poor OH, smoking, history of periodontitis, uncontrolled diabetes, residual cement, occlusal overload

Clinical
πŸ”Ή Bleeding on probing
πŸ”Ή Suppuration
πŸ”Ή Deep probing depths (often β‰₯ 6 mm)
πŸ”Ή Red, swollen peri-implant mucosa
πŸ”Ή Mobility = late failure β†’ remove implant

Radiograph
πŸ”Ή Progressive crestal bone loss
πŸ”Ή Often saucer-shaped / crater-like defect

25/04/2026

🧠 Periapical Radiolucency: The ONE Rule You Can’t Afford to Miss ⚠️

You see a radiolucency at the apex…
Your brain screams: β€œAbscess! RCT!” 😀

πŸ‘‰ STOP right there.

Because this is where most students lose marks on INBDE.

🎯 The Golden Rule

πŸ‘‰ ALWAYS check vitality before diagnosing.

πŸ”΄ Non-Vital Tooth = Endodontic Origin

Think:

Periapical granuloma

Radicular cyst

Chronic apical abscess

Acute abscess

Phoenix abscess

πŸ’‘ Management: RCT or extraction

πŸ”΅ Vital Tooth = NOT Endodontic (Big Trap 🚨)

Think:

Periapical cemento-osseous dysplasia (early)

Lateral periodontal cyst

Odontogenic keratocyst

Traumatic bone cyst

Central giant cell granuloma

Mental foramen (mimic!)

πŸ’‘ Rule:
πŸ‘‰ Never start RCT on a vital tooth blindly

⚑ Rapid Differentiation (Exam Hack)

πŸ”΄ Endodontic:

Non-vital tooth

Caries/restoration present

Lesion centered at apex

Loss of lamina dura

πŸ”΅ Non-endodontic:

Vital tooth

No obvious caries

Lesion not exactly at apex

Scalloping / unusual shape

🚨 Red Flags = Think Beyond Routine

Ill-defined borders

Paresthesia

Rapid growth

No healing after RCT

Multiple lesions

πŸ‘‰ Could be tumor / malignancy β€” don’t miss it.

🧠 Final INBDE Pearl

β€œVitality test decides EVERYTHING.”

❓ MCQs

MCQ 1

A 32-year-old patient presents with a well-defined periapical radiolucency in relation to mandibular anterior teeth. The teeth are asymptomatic and respond normally to vitality testing. There is no history of caries or trauma.

What is the most likely diagnosis?

A. Periapical cemento-osseous dysplasia (early stage)
B. Radicular cyst
C. Periapical granuloma
D. Chronic apical abscess

MCQ 2

A patient presents with pain on percussion in relation to a maxillary molar with a large carious lesion. Radiograph shows a periapical radiolucency centered at the apex. The tooth does not respond to vitality testing.

What is the most appropriate initial management?

A. Monitor and review after 6 months
B. Root canal treatment
C. Surgical excision of the lesion
D. Biopsy before any treatment

Post your answers in comment πŸ‘‡

25/04/2026

🚨 Why Do Teeth Become Impacted?

Don’t just memorize β€œthird molar impaction.” Know why eruption fails.

A tooth becomes impacted when its normal eruption path is blocked, altered, or biologically disturbed.

High-Yield Etiology of Impaction

βœ… 1. Lack of space β€” most common practical cause
Especially for mandibular third molars due to inadequate retromolar space.

βœ… 2. Physical obstruction
Common blockers include:
β€’ Mesiodens
β€’ Odontoma
β€’ Retained primary tooth
β€’ Dense bone
β€’ Cyst/tumor
β€’ Thick fibrous gingiva

βœ… 3. Abnormal eruption path
Classic example: maxillary canine impaction, often linked with ectopic eruption and lateral incisor guidance problems.

βœ… 4. Retained or ankylosed primary teeth
An ankylosed primary molar may cause infraocclusion, tipping of adjacent teeth, space loss, and premolar impaction.

βœ… 5. Trauma-related eruption disturbance
Trauma may cause tooth germ displacement, dilaceration, or ankylosis.

βœ… 6. Genetic/developmental factors
Impacted maxillary canine may be associated with peg-shaped or missing lateral incisors.

βœ… 7. Systemic/syndromic causes
Multiple impacted teeth? Think:
β€’ Cleidocranial dysplasia
β€’ Gardner syndrome
β€’ Hypothyroidism
β€’ Craniofacial syndromes

πŸ”₯ Exam Pearl:
Single impacted tooth β†’ usually local cause.
Multiple impacted teeth β†’ think systemic/syndromic cause.

MCQ 1

A 9-year-old child presents with failure of eruption of the maxillary right central incisor. Radiograph shows a small conical tooth between the maxillary central incisors obstructing the eruption path. What is the most likely etiology?

A. Ankylosed primary molar
B. Mesiodens
C. Hypothyroidism
D. Peg-shaped lateral incisor

MCQ 2

A 14-year-old patient has an impacted maxillary canine. Clinical examination reveals a peg-shaped maxillary lateral incisor on the same side. Which etiologic explanation best fits this finding?

A. Lateral incisor guidance disturbance/genetic association
B. Excessive retromolar space
C. Acute periapical infection
D. Hypercementosis of primary molars

Post your answers in comment πŸ‘‡





25/04/2026

Implant selection 🦷❀️




#Ψ£Ψ³Ω†Ψ§Ω†

19/04/2026

Bruxism Highyield Points ⬇️

Definition
πŸ”Ή Parafunctional grinding/clenching/rubbing of teeth
πŸ”Ή Can be awake or during sleep

Types
πŸ”Ή Awake bruxism: stress/anxiety-related clenching
πŸ”Ή Sleep bruxism: centrally mediated sleep-related movement disorder

Etiology
πŸ”Ή Central factors most important: stress, anxiety, psychosocial factors, sleep micro-arousals
πŸ”Ή Drugs: SSRIs (fluoxetine, sertraline), amphetamines, co***ne
πŸ”Ή Associated conditions: OSA, Parkinson disease, GERD
πŸ”Ή Occlusion is not a primary cause

Clinical features
πŸ”Ή Teeth: attrition/wear facets, fractures, hypersensitivity, abfraction, ↓ VDO
πŸ”Ή Muscles: masseter hypertrophy β†’ square jaw, morning pain/fatigue
πŸ”Ή TMJ: pain, clicking, popping, limited opening
πŸ”Ή Soft tissue: linea alba, scalloped tongue

Management
πŸ”Ή Goal: protect teeth, reduce muscle activity
πŸ”Ή Hard acrylic night guard
πŸ”Ή Soft splints usually avoided
πŸ”Ή Stress control, biofeedback, relaxation, sleep hygiene
πŸ”Ή Severe cases: cyclobenzaprine short term or Botox
πŸ”Ή Suspect OSA β†’ sleep study; suspect SSRI-induced β†’ physician review

High-yield pearl
πŸ”Ή SSRI + new bruxism = classic board association
πŸ”Ή Square jaw + wear facets + scalloped tongue = bruxism

Address

Suite 2 321 Bay Street
Brighton East, VIC
3186

Opening Hours

Monday 8:30am - 5pm
Tuesday 8:30am - 5pm
Wednesday 8:30am - 2pm
Thursday 8:30am - 5pm
Friday 8:30am - 5pm

Telephone

03 95963379

Website

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