Dr.Abha's Dental And Implant Center

22/01/2022

One week follow up of PYOGENIC GRANULOMA

A pyogenic granuloma or lobular capillary hemangioma
It is a vascular tumor that occurs on both mucosa and skin, and appears as an overgrowth of tissue due to irritation, physical trauma, or hormonal factors.It is often found to involve the gums, skin, or nasal septum, and has also been found far from the head, such as in the thigh.

Pyogenic granulomas may be seen at any age, and are more common in females than male

10/03/2021

Diastema Closure using Resin Composite..
Immediate postoperative photos..

30/07/2020

BREATH:

WHAT CAUSES IT AND WHAT TO DO ABOUT IT

Almost everyone experiences bad breath once in a while. But for some people, bad breath is a daily problem, and they struggle to find a solution. Approximately 30% of the population complains of some sort of bad breath. Halitosis (Latin for “bad breath”) often occurs after a garlicky meal or in the morning after waking. Other causes of temporary halitosis include some beverages (including alcoholic drinks or coffee) and to***co smoking.

Some people may not be aware of their own halitosis and learn about it from a relative, friend, or coworker, causing some degree of discomfort and distress. In severe cases, bad breath may negatively impact personal relationships and a person’s quality of life.

WHAT CAUSES BAD BREATH? AND WHAT CAN YOU DO ABOUT IT?

Bad breath can originate both inside and outside of the mouth. Bad breath is typically caused by bacteria present on the teeth and debris on the tongue. So it’s no surprise that most cases of halitosis are associated with poor oral hygiene, gum diseases such as GINGIVITIS and PERIODONTITIS, AND
DRY MOUTH (A condition in which the salivary glands cannot make enough saliva to keep your mouth moist) A visit with a dentist may help rule out periodontal disease and identify any mouth problem that could be contributing to bad breath.

Tonsillitis, respiratory infections such as sinusitis or bronchitis, and some gastrointestinal diseases may be responsible for a small number of cases of bad breath. Advanced liver or kidney disease and uncontrolled diabetes can also lead to unpleasant breath. In these cases, a person is likely to experience significant symptoms beyond bad breath, and should seek medical attention.

Sometimes people think they have bad breath, even when their breath is objectively fine. This is called “PSEUDO-HALITOSIS.” HALITOPHOBIA, or fear of bad breath, is real and may persist despite reassurance from a doctor. People with pseudo-halitosis respond well to reassurance, and may benefit from speaking with a therapist or psychiatrist who has expertise in the field.

A person complaining of bad breath can be initially evaluated by a primary care physician (P*P). The doctor will begin with a thorough medical and dental history and an oral exam. Tests may be done to confirm the presence of halitosis by measuring the strength of bad breath on a predefined scale, and by using instruments to detect specific compounds related to halitosis. The intensity of malodor is usually assessed by the doctor smelling the air that the person breathes out through the nose or mouth, or from judging the odor of a tongue scraping, a length of dental floss, or a dental appliance such as a night guard.

Your P*P may refer you to a dentist if there is evidence of dental or gum problems, which is the cause in the majority of people with bad breath. Visits with other medical specialists are warranted when an underlying medical problem requires attention.

TIPS TO IMPROVE BAD BREATH

Here are some helpful tips to improve bad breath:

1)Brush your teeth at least twice a day, after meals, with a fluoridated toothpaste.

2)Avoid to***co smoking and chewing to***co-based products.

3)Rinse and gargle with an alcohl-free mouthwash before bed.

4)If you have dry mouth, make sure to drink enough fluids throughout the day and use over-the-counter moisturizing agents, such as a dry mouth spray, rinses, or dry mouth moisturizing gel. If you don’t see any improvement, you may want to schedule a visit with an oral medicine specialist. Oral medicine doctors provide comprehensive care for mucosal diseases, salivary gland disorders, orofacial pain conditions, and oral complications of cancer therapies, among other things.

Visit your dentist regularly. Remember, oral causes are responsible for most cases of bad breath!

FOR MORE INFORMATION
CONSULT
Dr-Abha Singh

26/06/2020

THE FOUR-STEP DAILY ROUTINE YOU NEED FOR HEALTHY TEETH AND GUMS

Problems like gum diseases, cavities, tooth pain, bad breath and deposits of plaque and tartar are the result of bad oral hygiene and can be prevented.

We all try to take good care of our bodies. We make sure that we eat healthy food, use good products to protect and nourish our skin and hair, workout to improve our stamina and heart health. But we often end up neglecting our oral health. While this negligence may not harm you immediately, it can lead to many oral problems in the longer run. Problems like gum diseases, cavities, tooth pain, bad breath and deposits of plaque and tartar are the result of bad oral hygiene. It has also been reported that bacteria present in the mouth can travel to other organs and damage them.

Here are FOUR ORAL HYGIENE HABITS that you should follow to keep your mouth and teeth healthy.

1) BRUSHING

Brushing is the most essential part of the oral hygiene routine. We all know that it is advised to brush your teeth twice a day: once in the morning before eating breakfast and once in the evening after having dinner. It is best to use a soft or ultra-bristled toothbrush. There are basically two types of brushes that are available in the market: manual toothbrushes and electronic toothbrushes. Both of them provide adequate cleaning of the teeth.

2) FLOSSING

When food gets stuck between two teeth, many of us use a toothpick to dig out that piece of food. But most people do not know that using a toothpick can harm the gums and can create an unnatural space between the teeth. Instead of using a toothpick, people should switch to flossing. Dental floss is a waxed piece of thread which is can be available in a twisted or non-twisted form. It is can be inserted between two teeth to remove the food stuck in that area. It is either available in a spool or along with a plastic handle. You can floss your teeth after every meal for good oral health.

3) TONGUE CLEANING

Oral hygiene does not consist only of cleaning the teeth and the spaces in between - tongue cleaning is an equally important aspect of it. If you have bad breath despite brushing twice a day, a thick-coated tongue could be the reason behind this. Metallic and plastic tongue scrapers are commercially available at most stores. Nowadays, small tongue cleaners are also present at the non-bristle end of some toothbrushes.

4) MOUTHWASH

Mouthwashes do not directly clean your teeth or mouth but they help in lowering the bacterial load and masking bad breath. Mouthwashes should only be used for 21 days consecutively and then should be discontinued for at least two weeks before continuing again. The overuse of mouthwashes can lead to staining of teeth and loss of taste buds.

Mouthwashes are of two types: commercial and therapeutic. Commercial mouthwashes do not have a medicinal benefit, they just temporarily control bad breath.

Therapeutic mouthwashes are prescribed by dentists as they can help treat or manage conditions like bad breath, gingivitis (inflammation of gums) and cavities. Chlorhexidine digluconate (0.2%) is one of the most widely recommended mouthwashes for therapeutic purposes. Make sure you dilute all the mouthwashes before using.

For more information
Consult
Dr-Abha Singh

21/05/2020

DENTAL FACTS YOU NEED TO KNOW

1) You know that we each have unique fingerprints, but did you know we each have unique tongue prints?

2) When you’re born, the tongue is the only fully developed organ.

3) A mouth produces an average of 10,000 gallons of spit in a lifetime — enough to fill a very big swimming pool.

4) Dental plaque is made up of more than 300 types of bacteria (300 reasons for why plaque needs to be removed!)

5) Tooth enamel is the hardest material in the human body

6)Teeth begin forming before we are born

7) There are more bacteria in your mouth than the people on Planet Earth.

03/03/2020

“Because of your smile, you make life more beautiful.”😊

14/11/2019

26/09/2019

DILACERATION

Dilaceration is a developmental disturbance in shape of teeth. It refers to an angulation, or a sharp bend or curve, in the root or crown of a formed tooth.

ETIOLOGY

The condition is thought to be due to trauma or possibly a delay in tooth eruption relative to bone remodeling gradients during the period in which tooth is forming.The result is that the position of the calcified portion of the tooth is changed and the remainder of the tooth is formed at an angle.

The curve or bend may occur anywhere along the length of the tooth, sometimes at the cervical portion, at other times midway along the root or even just at the apex of the root, depending upon the amount of root formed when the injury occurred.

Such an injury to a permanent tooth, resulting in dilaceration, often follows traumatic injury to the deciduous predecessor in which that tooth is driven apically into the jaw.

06/09/2019

PERIODONTITIS :
(per-e-o-don-TIE-tis) is a serious gum infection that damages the soft tissue and destroys the bone that supports your teeth. Periodontitis can cause teeth to loosen or lead to tooth loss. Periodontitis is common but largely preventable. It's usually the result of poor oral hygiene.

REASON FOR PERIODONTITIS: Bacterial plaque, a sticky, colorless membrane that develops over the surface of teeth, is the most common cause of periodontal disease. Brushing teeth gets rid of plaque, but it soon builds up; within a day or so.If it is not removed, within two or three days it hardens into tartar. Tartar is much harder to remove than plaque. Another name for tartar is calculus.

Getting rid of tartar requires a professional - you cannot do it yourself. Plaque can gradually and progressively damage teeth and surrounding tissue. At first, the patient may develop gingivitis - inflammation of the gum around the base of the teeth. Persistent gingivitis can result in pockets developing between the teeth and gums. These pockets fill up with bacteria. Bacterial toxins and our immune system's response to infection start destroying the bone and connective tissue that hold teeth in place. Eventually the teeth start becoming loose, and can even fall out.

RISK FACTOR:

▪ Smoking

* Poor Oral Hygiene

▪ Hormonal changes in females - puberty, pregnancy, and the menopause are moments in life when a female's hormones undergo changes. Such changes raise the risk of developing gum diseases.

▪ Diabetes & Obesity

▪ AIDS - people with AIDS have more gum diseases

▪ Genetics - some people are more genetically susceptible to gum diseases.

SYMPTOMS/ SIGN:

▪ Inflamed (swollen) gums, gum swelling recurs

▪ Gums are bright red, sometimes purple

▪ Gums hurt when touched

▪ Gums recede, making teeth look longer

▪ Extra spaces appear between the teeth

▪ Pus may appear between the teeth and gums

▪ Bleeding when brushing teeth

▪ Bleeding when flossing

▪ Metallic taste in the mouth

▪ Halitosis (bad breath)

▪ Loose teeth The most common complication from periodontitis is the loss of teeth. However, patients with periodontitis are also at a higher risk of having respiratory problems, stroke, coronary artery disease, and low birth weight babies. Pregnant women with bacterial infections that cause moderate-to-severe periodontal disease have a higher risk of having a premature baby. Periodontitis can make it harder for patients with diabetes to control blood sugar.

PERIODONTITIS IS THE REASON FOR HEART DISEASE: Untreated periodontitis will eventually result in tooth loss, and may increase the risk of stroke, heart attack and other health problems.

TREATMENT:

In dentistry, periodontics deals with the prevention, diagnosis and treatment of diseases involving the gums and structures which support teeth. Initial treatment It is important to remove plaque and calculus (tartar) to restore periodontal health. The healthcare professional will use clean (non-surgically) below the gumline. This procedure is called scaling and debridement. Sometimes an ultrasonic device may be used. In the past Root Planing was used (the cemental layer was removed, as well as calculus).

Medications

▪ Prescription antimicrobial mouth-rinse Advanced periodontitis If good oral hygiene and non-surgical treatments are not enough, the following surgical interventions may be required:

▪ Flap 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.

▪ 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.

▪ The dental professional may suggest a soft tissue graft - tissue taken from another part of the mouth, or synthetic material is used to cover exposed tooth roots.It is not possible to predict how successful these procedures are - each case is different. Treatment results also depend on how advanced the disease is, how well the patient adheres to a good oral hygiene program, as well as other factors, such as smoking status.

PREVENTION

It is mandatory, to have a professional oral prophylaxis procedure by a specialist once in 6 months.Healthy habits and good oral hygiene are critical in preventing gum disease. Regular and effective tooth brushing and mouth washing, however, are effective only above and slightly below the gum line. Once periodontal disease develops, more intensive treatments are needed.