Thursday, 31 March 2016

Alzheimer and Dental Gum Disease a bidirectional connection!....an Insight....


ALZHEIMER DISEASE AND GUM DISEASE:







WHAT IS ALZHEIMER DISEASE?



Alzheimer disease is a neurodegenerative disease that usually starts slowly and get worse overtime

It is a Type of DEMENTIA.It is one of the leading cause for dementia worldwide.






It is common in old age people


A study has found that people with poor oral hygiene or gum disease(Periodontal disease) could be at a high risk of developing Alzheimer disease.




Researches,discovered the bacterium porphyromonas gingivalis in the brain of patients who have dementia,when they are alive.

HOW BACTERIA ENTERS BRAIN??CORRELATION BETWEEN GUM DISEASE AND ALZEHIMER DISEASE

1.Porphyromonas gingivalis is usually found in oral cavity and, is found associated with gum disease(periodontal disease).

2.This bacteria enters the bloodstream through a variety of daily activities like chewing,eating and brushing teeth.


3.This bacteria, through the blood stream can enter the brain

4.Damages the neurons in the brain,resulting in neurodegenerative disorder.


6.Results in dementia
  • Short-term memory loss
  • Problem with language
  • Easily getting lost
  • Mood swings
  • Loss of motivation
  • Not managing self care
  • Behavioural issues
SIGNS OF ORAL CARE PROBLEM:
A person with dementia may not be able to tell you that there is a problem.here are some signs to look out for
  • Refusal to eat,especially hot or cold foods
  • Refusal to wear dentures
  • Changes in restlessness,moaning or shouting
  • Change in sleep
  • Refusal to participate in daily activities
  • Aggressive behaviour
TIPS FOR ORAL CARE

  • Make sure that the patient has regular dental check up
  • Take special care of dentures
  • Maintain good oral hygiene
  • Take preventive measures
  1. In early stage ,they brush by their own but in the later stage,you may need to take care of the task
  2. Try fluoride gels/pastes,if he refuses tooth brushing
  3. If they can tolerate the noise and vibration ,use electronic tooth brush and water pik to remove the deposits in between the teeth
  • Medication like antidepressant can reduce the flow of saliva and result in dry mouth,this can make you difficulty in wearing denture,gum disease,tooth decay.In such case visit dentist,dentist will guide you how to increase salivary flow..

For more details and information visit us at www.blog.gumsandteeth.in
 our website www.gumsandteeth.in

427/200B Gums and teeth laser dental clinic
Mambakkam main road, Medavakkam
Chennai 600100

Ph:9962497766








Wednesday, 30 March 2016

Paan chewing and its ill effects!

PAAN SOCIAL NORM OR HEALTH HAZARD:
Though it looks enticing , here are a few facts why not to use chronically....





Paan is a mixture of arecanut and tobacco, is popular among South Asian population

Paan is chewed and often held  in the mouth in between the teeth and inside the cheek for minutes or for hours,some chewers swallow it and some spit it out.


Paan chewing becomes an addictive habit and it gives them a feel of euphoria(Person experience intense feeling of happiness,joy,well being)

Ingradients of paan:
  • Betel leaf.
  • Arecanut.
  • Slaked lime(calcium hydroxide).
  • Tobacco.
  • Aromatic species include aniseed,fennel, coriander,cardomom pods,gulkhand(rose),saffron.
The primary cause for the high incidence of oral cancer in south Asian population is the widespread habit of paan chewing and related arecanut use.

The arecanut is said to be the fourth most commonly use psychoactive substance.

The risk depends on duration and dosage of use.


long term use of pan chewing can result in,
  • Oral submucous fibrosis
  • leukoplakia
Precancerous condition,which further predispose to cancer.

Paan chewing can result in dental problem,
  • Tooth wear i.e.,grinding or rubbing away of teeth,enamel is lost results in sensitivity of teeth
  • Stains
  • Tooth fractures
  • Bleeding gums and loosen teeth as supporting tissues are affected
ORAL SUBMUCOUS FIBROSIS:

Precancerous condition of the mouth.It is more common at the age of 20-40 years.
  • The first symptom of OSMF is burning sensation in the mouth,especially when eating spicy food.







The mouth becomes dry with ulcers.


  • In early stage ,on examination the oral mucosa looks white marble like pattern,either throughout the mouth or in localised area.
  •  In later stage of fibrosis,
  1. Mouth cannot be opened  as wide as normal.
  2. Tongue becomes smooth white and cannot be moved easily.restricted tongue movement.
  3. The cheek feel thick and firm cannot puff out
  4. Lip becomes rubbery and thick
  5. Pigmentation of oral mucosa
  • In very severe case
  1. Difficulty in swallowing and inability to hear
  2. Leukoplakia



TREATMENT:


  • Stop chewing paan /alcohol/smoking/betel nut/tobacco chewing and spicy food.
  • Intake vitamin supplements(vitamin A,B,C and iron).
  • Visit your dentist and round off your sharp teeth edges and extract your 3rd molar.
  • local injection of placental extract 2 ml is given every week for 10 weeks.
  • lycopene 10% (2000 mcg orally).
  • Methylcobalamine injection intramuscular every week.
  • Jaw dilator exercise is explained to the patient.
  • In severe cases,surgical removal of fibrous band under general anesthesia.
  • Visit your dentist and follow the instructions and prescribed tablets accordingly.




For more details visit us atwww.gumsandtteeth.in
427/200B Gums and teeth laser dental clinic
Mambakkam main road
Medavakkam
Chennai 600100

Ph 9962497766


Monday, 28 March 2016

IS USING A TOOTH PICK GOOD OR BAD FOR TEETH?







PEOPLE OPINION ABOUT TOOTH PICK:

You wouldn't think that tooth pick could be bad for your teeth.After all, it's called a tooth pick.

DENTIST OPINION ABOUT TOOTH PICK:

Frequent and forceful use of tooth pick can cause damage to your gums and teeth.

WHY TOOTH PICK ARE BAD FOR TEETH?

  • Gum injury.
  • Damaging tooth enamel.
  • Chipping of dental restoration,veneering and bonding.
  • Damaging tooth root.








CASE PRESENTATION

                         29 year old female, came to our dental clinic with chief complaint of pain in the upper right back tooth region.History of tooth pick usage, as food got impacted between teeth .On clinical examination ,inflammed reddish swollen gums in between 15 and 16 region(premolar and molar region).

                                                              PREOPERATIVE IMAGE

         Picture showing Inflammed swollen gums between 15 and 16 region, due to tooth pick usage.

Scaling , curettage, LANAP (laser assisted new attachment procedure) and suture placed.
Patient was advised not to take any hot or spicy food until healing.
Adivsed review and suture removal after 3 days

                                                                POSTOPERATIVE IMAGE




Post operative image showing complete adaptation of gums to teeth .Completely healed gums.

ADVISE ABOUT TOOTH PICK USE:
You can use tooth pick if you clean your teeth with it gently ,but it is still not recommended.
Toothpick can be used gently if no other cleaner are readily available.


IS THERE ANY OTHER METHODS TO CLEAN TEETH OTHER THAN TOOTH PICK?
There are better solutions for tooth cleaning like
  • Tooth brush
  • FLOSS



  • Interdental brush


For more details visit us at www.gumsandteeth.in
427/200B Gums and teeth laser dental clinic
Mambakkam main road
Medavakkam
Chennai 600100

Ph 9962497766



Sunday, 27 March 2016

HOW STRESS CAN AFFECT YOUR ORAL HEALTH???

With today's economic pressure more and more stress are showing up in dental practice.

To much stress can cause problem to your mouth,gums,teeth,TMJ joint, Orofacial pain,mouth ulcer.







ULCER : 
  • Everyone in your lifetime would have experienced ulcer in your mouth.it is little painful.
  • There are several reasons for ulcer in mouth.one quite possible reason is stress.
WHAT TO DO?
  • Stress related ulcers usually disappears in 10 days
  • .Use some topical anesthetic gel and 
  • intake Vitamin supplements.

                                                                                   TEETH GRINDING: 


  • Also known as Bruxism,Grinding teeth and clenching jaws.
  • It is caused by sleep disorder,People are not aware that they are grinding their teeth especially at night known as night grinding.,People unknowingly grind their teeth at day or night.


 Some signs of night grinding

  1. Tip of the tooth appears flat
  2. Tooth enamel is rubbed off causing tooth sensitivity.
  3. you have indentation in your tongue and cheek,damage from chewing your tongue and cheek.
  4. Abfraction
             

  


On long term grinding

  1. Tooth fractures
  2. On continuous rubbing of enamel,tooth becomes sensitive,once it reaches your pulp it becomes painful.tooth becomes weak and even fractures.






TMJ (Temporomandibular joint disorder):TMJ is located in the front of your ear where you skull and lower jaw meet.

  • Jaw joint pain or face pain with headache
  • Muscle tighting
  • Clicking sound
  • Inability to open and close your mouth easily

 WHAT TO DO?

If you are diagnosed with night grinding ,then you will be prescribed with night guard to protect your teeth and jaw.



DRY MOUTH

  • When your mouth doesn't produce enough saliva,you will experience dryness of mouth,not only dryness is due to stress,it can even be due to common side effects of drug used to treat depression.


                                                                                                                                                                                                                                                                                        your dentist may advise you to take,

  • Vitamin c chewable tablet
  • Sugarfree gums
  • Sip water regularly
  • Use salivary substitute mouth wash under dentist prescription




BURNING MOUTH SYNDROME:
psychological problems are just one of the many factor known to cause BURNING MOUTH SYNDROME ,burning sensation in the tongue lip cheek gums and palate.

HOW STRESS ENDS UP AS A CAUSE FOR GUM DISEASE??
steps how stress results in gum disease


1.Increased stress level

2.Increased steroid release from adrenal gland

3.Which makes the macrophages lazy(the first line of defense against bacteria lazy)

4.Incapable of destroying bacteria

5.Gums prone to infection

6.Results in gum disease like gingivitis or periodontititis (severe form of gum disease)

                                                                                    7.If gum disease is untreated it results in
  • Bleeding gums
  • Bad breathe
  • Loose teeth
8.Recent survey shows, severe form of gum disease is shown to increase blood sugar level ,which results in diabetes.
9.Greater risk of fungal and viral infection

People under stress make poor lifestyle choices

  • Smoking
  • Consuming too much alcohol
 POOR EATING HABIT
  • Eating more sugary foods,when we are stressed sometimes we turn to bad food habits to comfort us,leading to serious issues including, gum disease and tooth decay.






It is impossible to eliminate all stress from your life,but you can take simple steps to reduce its impact over life

  1. Yoga 
  2. Councelling
  3. Exercise daily
  4. meditation
  5. Stay active,a 30 min walk every day is a good start.
  6. Brush atleast twice a day and floss daily
  7. Eat a balanced diet,with plenty of fruits and vegetables
  8. Get plenty of sleep
  9. drink plenty of water,keep your mouth moist.
  10. Schedule and keep regular appointments with your dentist, for, your dentist can tell you if you are stressed based on the above dental symptoms. 

"Its hard for most people to identify, how much stress they are experiencing and to what degree its affecting their body until they get sick".

During routine dental examination ,Dental doctors are able to detect oral symptom of stress.

"Regular 6 months dental check up can be the first line of defense for detecting the stress-related disorders early"





For more details visit us at www.gumsandteeth.in
427/200B Gums and teeth laser dental clinic
Mambakkam main road
Medavakkam
Chennai 600100

Ph 9962497766

.



Friday, 25 March 2016

What to do if your tooth is knocked out??...

WHAT TO DO IMMEDIATELY ,IF YOUR TOOTH IS KNOCKED- OUT OF YOUR SOCKET??


 In dental terminology ,we call it as Avulsed tooth.

This is one of the most serious dental emergencies for permanent tooth.

CAN MILK TEETH BE RE IMPLANTED INTO SOCKET?

NO,milk tooth cannot be re implanted,and there is no need for re implantation of milk teeth .
if re implanted it affects the permanent tooth bud.

No worries,here are some tips to preserve your teeth, if your teeth comes completely out of your socket.

CAN YOU REPLACE THE KNOCKED OUT TEETH AGAIN INTO SOCKET???

YES,you can replace the knocked out teeth again into the socket.you have to visit your nearby dentist within 30 min of the injury.


Steps to be followed immediately if your tooth is knocked out

 Your tooth gets knocked out due to an accident or trauma.

STEP 1 : Care should be taken while picking up your teeth from the spot
Pick the tooth with the head/crown portion,do not touch the root,to minimize injury to the root

STEP 2: If dirty rinse the tooth with milk ,if you dont have milk rinse it with water

  • Do not use chemicals
  • Do not use soap water
  • Do not scrub you teeth
  • Do not wrap the tooth in cloth
Regular tap water is not recommended because root cells are injured

STEP 3: Re- position the tooth in the socket immediately, if possible.
The sooner the tooth is replaced the greater the likelihood to survive


  • To reinsert,carefully push the tooth into the socket with your finger or position above the socket and close your mouth slowly.
  • Do not force the knocked out tooth into the socket.

STEP 4:IF NOT,KEEP THE TOOTH MOIST ALL TIME

  • If you place the tooth outside your mouth ,the tooth becomes dry.So place the tooth in any one of this solution.

STORAGE MEDIA FOR AVULSED TOOTH:
  • Milk
  • Hanks balanced salt solution (HBSS)
  • Mouth in between gums and cheeks

STEP 5: See nearest available dentist within 30 min or 1 hour of the injury.

WHAT WILL YOUR  DENTIST DO??







  • Dentist will first clinically examine your mouth (whether the bone or tooth is broken)
  • Arrest bleeding
  • Relieve your pain with local anaesthesia
  • Tetanus immunization
  • Dentist will flush your dirt in socket with saline
  • Clear the dirt in knocked out teeth with saline




  • Re-position or Re- implant the tooth in socket within 1 hour





  • Dentist will splint your knocked out teeth with adjacent tooth 
  • Dentist will advise you to intake cold and soft diet
  • Dentist will provide you mouthwash










WHEN CAN THE SPLINTING BE REMOVED??

  • Once root is firmly attached to bone,Splint removal is decided by your dentist depending upon the range of injury,
  • normally, if bone around the tooth was not fractured then your dentist will advise you to remove splint in about 3 to 4 weeks
  • If bone around the tooth is damaged, then your dentist will advise you to remove splint in about 6 to 8 weeks.
DOES ALL AVULSED TEETH REQUIRE ROOT CANAL TREATMENT (RCT)?

  • YES,When a tooth has been knocked out of the socket,the blood vessels,nerves and supporting tissues are damaged,which cannot be repaired.Hence all knocked out teeth requires root canal treatment.
  • After splinting root canal treatment is completed within 2 months.

WHAT HAPPENS IF THE TOOTH IS NOT REPLACED WITHIN 1 HOUR?

  • Within 1 to 2 hours the cells will begin to die.
  • Rejection of the tooth by the body at a later time is a usual process.
  • Once the root cells are dead our boy immunological response begins to reject it, by eating the dead root cells along with root.hence root gets resorbed. It is slow,non painful,cannot be viewed in x rays for years.
  • This can cause development problem in growing children,attaches the tooth firmly to the jaw bone,stops normal tooth eruption and impedes normal jaw growth.


                                                  Total resorption of root in a avulsed tooth

For more details visit us at www.gumsandteeth.in
427/200B Gums and teeth laser dental clinic
Mambakkam main road
Medavakkam
Chennai 600100

Ph 9962497766






Wednesday, 23 March 2016

DOES YOUR CHILD NEED BRACES

                         HOW TO TELL IF YOUR CHILD NEED BRACES??

Making the decision to get braces for your child can be especially difficult.you may be concerned about whether your child really needs them,if they are ready for braces,and how to afford them.hopefully this will shed some light on your concerns. 

Many people associate teeth with health and beauty

  • Some people wear braces for health issues
  • Some people wear braces for cosmetic purpose
AT WHAT AGE YOU HAVE TO MEET YOUR DENTIST?

Normally  child should visit dentist at the age of 6 months or 1 year.
kids should see an orthodontist once their permanent teeth starts erupting,around age 6.orthodontist will be able to find problems and decide the best time to start treatment.

WHY GET BRACES FOR YOUR CHILD?

There are several reasons why your child may need braces

Their teeth could be
  •  Crooked,
  • Overcrowded,
  • Overlapping,
  • Malocclusion (when the upper and lower jaws are different sizes, resulting in an overbite or under bite ). 

These jaw and tooth issues can be result of,
  • Accident 
  • Early tooth loss 
  • Decay or 
  • Habits like thumb sucking,finger biting
  • Most orthodontic problems are genetic
  • Early, late, or irregular loss of baby teeth
  • Difficulty in chewing or biting
  • Mouth breathing
  •  Misplaced, or blocked-out teeth
  • Jaws that shift, make sounds, protrude,
  • Biting the cheek or roof of the mouth
  • Teeth that meet abnormally or not at all
  • Jaws and teeth that are out of proportion to the rest of the face
 What is the best age to be fitted with braces?
The best age varies from person to person
Orthodontic treatment most commonly begins between ages 9 and 14, because kids in this age range have at least some permanent teeth and are still growing.
once patient is diagnosed to wear braces
Patient is advised to take x-rays like OPG (orthopantomogram) and lateral cephalogram






WILL DENTIST EXTRACT TEETH FOR BRACES TREATMENT?
If the child is having enough space to align teeth ,then extraction of teeth is not required.
If the child is not having enough space to align teeth ,then extraction of teeth is required.
Orthodontist decides whether the child comes under extraction or non extraction treatment by clinical examination and with x rays.

ALONG WITH BRACES CERTAIN ORTHODONTIC TREATMENTS ARE UNDERTAKEN SIMULTANEOUSLY

MAXILLARY EXPANDER : It is used to widen the upper jaw, if it is narrow  .




This is a photograph of a patient with narrow arch and thumb sucking habit


palatal expander with tongue grib,palatal expander to widen narrow arch and tongue grip to stop thumb sucking habit



INDICATON

  • Posterior cross bite
  • Crowding
  • Malocclusion
  • Respiratory ailments
  • Cleft lip 
  • Cleft palate
 HEAD GEAR
  • Head gear is used to correct jaw growth and improving jaw alignment.
  • When the upper jaw is too far back , the lower jaw is too far forward or a combination of both exist
Visit your dentist not less than 4 years, if you think you are in need of  head gear.





For more details visit us at www.gumsandteeth.in
427/200B Gums and teeth laser dental clinic
Mambakkam main road
Medavakkam
Chennai 600100

Ph 9962497766








      
















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                             TOOTH DISCOLORATION

There are two factors causing tooth discoloration

  1. Extrinsic factor
  2. Intrinsic factor
EXTRINSIC FACTORS: 

1.BROWN AND BLACK STAINS:


                                                                                                                               CAUSES:
  • Habitual smoking
  • Drinking dark coloured beverages like tea or coffee 
 TREATMENT
  • Scaling
  • Dental pumice to remove the stains and then prophylactic paste to smoothen the tooth surface
          PREVENTION
  • Avoid smoking
  • Avoid drinking dark colored beverages to minimize food colours being absorbed



2.GREEN OR ORANGE STAINS 

CAUSES
  • Tooth has not been cleaned thoroughly,accumulating dental plaque containing bacteria and fungi that can produce color and formed green and orange stains 
TREATMENT
  • Scaling
PREVENTION
  • Brush twice daily both morning and night
  • Use dental floss


INTRINSIC STAINS :
1.GREYISH BLUE TO BROWNISH YELLOW STAINS:



CAUSES:

  • If antibiotic like tetracyclin is taken during development of teeth
TREATMENT:

  • Bleaching
  • laminate veneer

GREYISH BLACK STAINS:

    CAUSE 1:

Tooth decay

TREATMENT

  • The dentist removes the tooth decay and put on a filling.






CAUSE 2:

Pulp necrosis 
  • Trauma
  • Tooth decay
TREATMENT:
  • Endodontic treatment like root canal treatment, sometimes with or without periapical surgery.
  • If teeth still appears discoloured ,dentist treat the discoloured tooth with veneering or crown




BROWNISH YELLOW OR WHITE PATCH:

1. EARLY TOOTH DECAY
TREATMENT:

  • Dentist can apply topical fluoride on to the surface of the tooth,early tooth decay can be remineralised









2. DISTURBANCE DURING TOOTH DEVELOPMENT


CAUSE:
If the milk tooth is so much decayed then the pulp gets exposed ,the bacteria moves beyond the apex of milk tooth and affect the permanent tooth bud.

TREATMENT:
Filling 
Laminate veneers
Crown







3. FLUOROSIS STAINS

CAUSE
  • Intake of excessive fluoride concentrated water

TREATMENT
  • Bleaching
  • Veneering
  • Crown





For more details visit us at www.gumsandteeth.in
427/200B Gums and teeth laser dental clinic
Mambakkam main road
Medavakkam
Chennai 600100

Ph 9962497766