Evangelista Dental Clinic

21/01/2026

Ngiting matamis : -)

29/10/2025

Always underestimated case : -(

23/10/2025

You are welcome from tuesday to saturday : -)

06/09/2025

Have it checked if you have a red x : -)

30/07/2025

From the very generous patient : -)

31/05/2025

The Connection Between Tooth Nerves and the Brain:

The nerves in our teeth are directly connected to the brain through the trigeminal nerve, one of the largest and most sensitive nerves in the body. This nerve is responsible for transmitting sensations from the face, including pain from the teeth and gums.

Why Is Toothache So Painful?

Tooth pain is often intense because:

1. Rich Nerve Supply – Teeth have a dense network of nerves inside the pulp, making them highly sensitive.

2. Close Brain Connection – The trigeminal nerve quickly sends pain signals to the brain, amplifying discomfort.

3. Inflammation and Pressure – When a tooth is infected or damaged, swelling inside a confined space increases pressure on the nerves, causing severe pain.

4. Referred Pain – Since the trigeminal nerve also serves the jaw, face, and head, tooth pain can spread, leading to headaches and earaches.

This explains why even a small cavity or gum infection can cause unbearable pain, often requiring prompt dental care.

31/05/2025

Ameloblastoma – An Odontogenic Tumor

🔵 Definition:
Ameloblastoma is a benign but locally aggressive odontogenic tumor that originates from the odontogenic epithelium. It is believed to arise from the remnants of the dental lamina, enamel organ, the epithelial lining of an odontogenic cyst (particularly dentigerous cysts), or from the basal cells of the oral epithelium. It does not involve ectomesenchyme and does not form hard tissues like enamel or dentin.

🔵 Epidemiology:
Ameloblastomas account for approximately 10% of all odontogenic tumors. They commonly occur between the third and fifth decades of life, with a slight male predilection. The mandible is the most common site, particularly the molar–ramus area, accounting for over 80% of cases.

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🔵 Clinical Features:

Slow-growing but locally invasive

Typically asymptomatic in early stages

Later may present with facial swelling, bony expansion, loosening of teeth, or malocclusion

No pain unless secondarily infected

Large lesions may cause facial deformity

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🔵 Radiographic Features:

Multilocular radiolucency is the classic appearance (“soap bubble” or “honeycomb” pattern)

Occasionally appears as unilocular, especially in early stages or unicystic variants

Well-defined borders

May cause root resorption or cortical bone expansion and thinning

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🔵 Histopathology:

Ameloblastomas resemble the developing enamel organ histologically. Several patterns exist:

1. Follicular – The most common type, with islands of epithelium showing peripheral palisading columnar cells (resembling ameloblasts) and central stellate reticulum-like cells.

2. Plexiform – Long interconnecting strands of odontogenic epithelium in a loosely arranged stroma.

3. Acanthomatous, Granular cell, Basal cell, and Desmoplastic types – each with unique histologic variations.

The unicystic ameloblastoma appears as a cyst with mural proliferation of ameloblastic epithelium, often seen in younger patients.

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🔵 Types/Classifications:

According to the WHO 2022 Classification, ameloblastomas are categorized into:

1. Conventional/Multicystic Ameloblastoma

2. Unicystic Ameloblastoma

3. Peripheral (Extraosseous) Ameloblastoma

4. Metastasizing (Malignant) Ameloblastoma

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🔵 Treatment:

Despite its benign nature, ameloblastoma has a high recurrence rate if not treated appropriately.

Conservative treatment (curettage, enucleation) is associated with high recurrence.

Radical surgical resection with at least 1-1.5 cm margin is considered the gold standard, especially for conventional types.

Unicystic ameloblastomas, especially the luminal or intraluminal subtypes, may respond well to conservative surgery.

Long-term follow-up (5–10 years) is essential due to the tumor's slow-growing and recurrent nature.

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🔵 Prognosis:

Generally good with complete resection

High recurrence in incomplete excisions

Malignant transformation is extremely rare but possible in long-standing or recurrent lesions

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31/05/2025

Murag kami 15 students in 1 cadaver : -)

31/05/2025

Orthodontic treatment with braces requires excellent oral hygiene—more than usual! The brackets and wires trap food and plaque easily, making it harder to clean teeth properly.

🔵 Here’s what can happen if oral care is neglected:

➡️Plaque buildup: Leads to yellowish stains around brackets.

➡️Decalcification (white spots): Early signs of enamel damage.

➡️Cavities: Hard-to-clean areas become decay hotspots.

➡️Gingivitis: Swollen, bleeding gums from plaque accumulation.

🔵Daily Tips for Braces Care:

➡️Brush after every meal using a soft-bristle toothbrush and fluoride toothpaste.

➡️Use interdental brushes or a water flosser to clean between brackets.

➡️Avoid sticky, sugary foods.

➡️Don’t skip your regular professional cleanings and checkups.

Remember, braces straighten your teeth, but oral hygiene protects your smile!

31/05/2025

31/05/2025

Persistent thumb sucking beyond the age of 3–4 years can lead to significant dentofacial consequences. Prolonged pressure from the thumb on the maxillary incisors and alveolar processes can cause proclination of upper anterior teeth, retroclination of mandibular incisors, and incomplete eruption of anterior teeth, resulting in an anterior open bite. This malocclusion disrupts normal occlusal contact and may affect mastication, swallowing, speech development, and facial aesthetics. Additionally, it can influence jaw growth patterns, particularly maxillary constriction or altered vertical dimension. Management involves behavioral modification, myofunctional therapy, and, in some cases, interceptive orthodontics using habit-breaking appliances. Early intervention is critical to prevent permanent skeletal or dental deformities.

Note: This post is created for dental patient education and oral health awareness.
Dental professionals are welcome to share it with their patients. This image is AI-generated and intended for visual representation only.