ALL YOU NEED TO KNOW ABOUT ORAL CANCER – By Dr.Manasa

Cancer is defined as the uncontrollable growth of cells that invade and cause damage to surrounding tissue.

Oral cancer appears as a growth or sore in the mouth that does not go away. Oral cancer, which includes cancers of the lips, tongue, cheeks, floor of the mouth, hard and soft palate, sinuses, and pharynx (throat), can be life threatening if not diagnosed and treated early.

Most of us may fear an ulcer in our mouth to be a cancer. Here is a guide to help you decide   WHEN TO GO SEE A DOCTOR :

  • Ulcers that do not heal: A broken area of skin (ulcer) that will not heal can be a symptom of mouth cancer. Pain or discomfort in your mouth that doesn’t go away.

 

  • White or red patches in the mouth or

An abnormal looking patch could be a sign of cancer or potentially mailgnant lesions. These patches are not cancer, but if left untreated they may lead to cancer.

A fungal infection called thrush In the mouth can cause red and white patches. The white patches of thrush usually rub off, leaving a sore red patch underneath. If you have anti fungal treatment and the patches go away, they are not related to cancer.

  • Difficulty swallowing Mouth cancer can cause pain or a burning sensation when chewing and swallowing food. Or you might feel like your food is sticking in your throat. Difficulty swallowing can also be caused by a harmless narrowing of the foodpipe (oesophagus).
  • A lump in your neck You may have a lump in your neck caused by an enlarged lymph node. Swelling in one or more lymph nodes in the neck is a common symptom of mouth and orpharyngeal cancer.

A hot red painful lump usually means an infection, rather than a       cancer. Lumps that come and go are not usually due to cancer.       Cancer usually forms a lump that slowly gets bigger.

  • Numbness of the tongue or elsewhere in the mouth
  • Jaw swelling that makes dentures hurt or fit poorly
  • Loosening of the teeth loose teeth for no clear reason
  • Weight loss Weight loss is a common symptom of many different types of cancer. Mouth and oropharyngeal cancer can make it painful to eat and difficult to swallow. This might cause weight loss.

Extreme weight loss (when you are not dieting) can be a sign of advanced cancer.

RISK FACTORS:

Factors that can increase your risk of mouth cancer include:

  • Tobacco use of any kind, including cigarettes, cigars, pipes, chewing tobacco and snuff, among others
  • Heavy alcohol use
  • Excessive sun exposure to your lips
  • A sexually transmitted virus called Human Papilloma Virus (HPV)
  • weakened immune system

 

“EARLY DETECTION HELPS IN BETTER CURE”

When found early, oral cancer has an 80-90% survival rate. Most cases of oral cancer are identified late because of a lack of public awareness.

Here are some important steps you can take to practice prevention:

  • Request an oral cancer screening at every dental checkup.
  • Talk to your dentist if you experience any of the following symptoms – persistent mouth sores or pain, numbness, white or red patches on your gums, tongue, or tonsils, difficulty chewing or swallowing, weight loss or persistent bad breath.
  • Perform monthly self-screenings, paying attention to the floor of the mouth and sides of the tongue. Ask your dentist if any of these symptoms continue for more than two weeks: white, red spots or sores on your tongue or mouth, swelling in your throat, neck, or mouth.
  • If something is suspicious, get it biopsied—this is the only way to diagnose oral cancer.

  • What Can I Do to Prevent Oral Cancer?

    To prevent oral cancer:

    • Don’t smoke or use any tobacco products and drink alcohol in moderation (and refrain from binge drinking).
    • Eat a well balanced diet.
    • Bi-annual visits to the dentist and routine oral cancer screenings are critical to maintaining your well-being, regardless your age, gender and/or overall health.
  • TREATMENT OF ORAL CANCER:Treatment of Oral cancer depends upon the stage of cancer :
    • Chemotherapy
    • Radiotherapy
    • Surgery

    A late diagnosis could mean a death sentence.. Hence, it is crucial be aware of Oral cancer and spread the awareness among our near and dear ones.

     

WHY CHOOSE DENTAL IMPLANTS? By Dr.Santhosh Kumar

WHY CHOOSE DENTAL IMPLANTS?

                                   –BY DR.SANTHOSHKUMAR

                                 

If you have lost teeth you are the right person for dental implants.There are some conditions and diseases that dictate whether dental implants are right for you: uncontrolled diabetes,cancer and radiation of jaws, smoking,alcoholism,or uncontrolled periodontal disease may affect whether dental implants fuse to the bone.

  • How do implant tooth replacement differ from teeth?

Natural teeth and dental implants may look the same, feel the same, and even function in a similar way, but they are very different. The most important differences are in the way they attach to the surrounding bone, their response to dental disease, their maintenance, and repair.

MEDICAL USES OF IMPLANTS

Primary use of dental implants is to support dental prosthetics. Modern dental implants make use of OSSEOINTEGRATION, the biologic process where bone fuses tightly to the surface of specific materials such as titanium and some ceramics. The integration of implant and bone can support physical loads for decades without failure.

Ok, let us talk about implant supported dentures,many patients have the doubt of what is implant supported dentures?

Lets make a clear idea about that…. 

For a cost-effective way of replacing many missing teeth, dentures can be held securely in place with implants, providing a great improvement from traditional                        removable dentures.

  • No need for denture adhesives, pastes, sticky gum or powders.
  • Implants help to maintain your facial structures by preserving the remaining bone in your jaws
  • Minimises wrinkles around the mouth by restoring lost lip-support.
  • Markedly improves your ability to chew, you can eat whatever you want and enjoy your food again.
  • Secure and comfortable – no more embarrassing moments caused by loose dentures!

A lower denture may only need two conventional implants to give a completely life-changing transformation to your ability to chew foods, and smile with confidence. An alternative to this is four ‘mini’ implants – this requires very minimal surgery, and in many cases your current denture can be attached to    these immediately.

                                                                                 

                 Why should I have dental implant bridges?

A dental implant bridge, replacing several teeth in a row is a great stable alternative to a denture or conventional bridge.

                                                         

Dental implant treatment is a possible solution to restore teeth missing or failing in a row, whether there are teeth missing or loose teeth in a row, decayed teeth / teeth with a bad prognosis, broken or cracked teeth or root treatments which have failed

Procedures and time consumption for implants

Dental implant surgery is usually an outpatient surgery performed in stages:

 

  • Your damaged tooth is removed.
  • Your jawbone is prepared for surgery, a process that may involve bone grafting.
  • After your jawbone heals, your oral surgeon places the dental implant metal post in your jawbone.
  • You go through a healing period that may last several months.
  • Your oral surgeon places the abutment, which is an extension of the implant metal post. (In some cases, when the implant is very stable, this can be done at the same time that the implant is placed.)
  • After the soft tissue heals, your dentist will make molds of your teeth and jawbone and later place the final tooth or teeth.

The entire process can take many months from start to finish. Much of that time is devoted to healing and waiting for the growth of new bone in your jaw.

Is there any special maintenance for implants?

Practice excellent oral hygiene. Just as with your natural teeth, keep implants, artificial teeth and gum tissue clean. Specially designed brushes, such as an interdental brush that slides between teeth, can help clean the nooks and crannies around teeth, gums and metal posts.

See your dentist regularly. Schedule regular dental checkups to ensure the health and proper functioning of your implants.

Avoid damaging habits. Don’t chew hard items, such as ice and hard candy, which can break your crowns — or your natural teeth. Avoid tooth-staining tobacco and  caffeine products

 

SMOKING AND YOUR ORAL HEALTH – By Dr.Manasa

Why smoking is harmfull to your teeth ?

Smoking leads to dental problems, including:

  • Bad breathe

  • Tooth discolouration

  • Inflammation of the salivary gland openings on the roof of the mouth
  • Increased build up of plague and tartar on the teeth.
  • Increased loss of bone within the jaw
  • Increased risk of leukoplakia, white patches inside the mouth.
  • Increased risk of developing gum disease, a leading cause of tooth loss
  • Delayed healing process following tooth extraction , periodontal treatment, or oral surgery
  • Lower success rate of dental implant procedures
  • Increased risk of developing oral cancer.

 

It Doesn’t End There !!

Not only are smokers bound to have dental problems, but the more you smoke, the worse they will get.
Unfortunately, smokers also tend to be more careless with their oral health. But even if you are practicing excellent
oral hygiene, you won’t greatly improve your chances of preventing some of the oral problems associated with smoking. Tobacco products often contain gritty materials that work like sandpaper against your teeth, and once tooth enamel is damaged, it doesn’t grow back. You should also consider that if cancer-causing agents enter your system, they can’t be brushed away!

 

You Can Do It!

The nicotine in cigarettes is highly addictive, and keeps smokers reaching for their packs. But as hard as it is, you can — and should — quit smoking. Abandoning the habit will significantly decrease the risk of many health problems. Nicotine gum and patches, herbal remedies, therapy and support groups are all available to help you stop smoking.

 

The effects of smoking make it extremely difficult to live a healthy lifestyle. So if you don’t smoke, don’t start. If you are a smoker and looking to quit, start by seeing a dentist to evaluate your dental health and get an oral cancer exam . Your dentist can help you decide on a plan to quit smoking, and will provide any necessary dental therapy to repair the damage that’s been done. If you care about your health, you’ll take the steps to improve it — and prolong your life in the process!

Is flossing necessary? – By Dr. Nivedita

How to floss?

Proper flossing removes plaque and food particles in places where a toothbrush cannot easily reach — under the gum – line and between your teeth as plaque build-up can lead to tooth decay and gum disease, daily flossing is highly recommended.

To receive maximum benefits from flossing, use the following proper technique:

  • Starting with about 18 inches of floss, wind most of the floss around each middle finger, leaving an inch or two of floss to work with

  • Holding the floss tautly between your thumbs and index fingers, slide it gently up-and-down between your teeth

  • Gently curve the floss around the base of each tooth making sure you go beneath the gumline. Never snap or force the floss, as this may cut or bruise delicate gum tissue

  • Use clean sections of floss as you move from tooth to tooth

  • To remove the floss, use the same back-and-forth motion to bring the floss up and away from the teeth.

 

 

Use about 18″ of floss, leaving an inch or two to work with.

 

 

 

 

Gently follow the curves of your teeth.

 

Be sure to clean beneath the gum-line, but avoid snapping the floss on the gums.

Dental Myths – By Dr. Manasa

Denths: Separating Fact From Fiction, Finally!

Over the years, dentistry has evolved from an imprecise practice based on folk cures to a structured medical discipline that relies on science and technology.

Although modern dentistry has come a long way, there are still many dental myths that are passed on by word of mouth. Here is the truth about some common dental misconceptions:

Myth: If there is no visible problem with my teeth, I don’t have to see a dentist.

Fact: Just because your teeth look healthy doesn’t mean that it is a good idea to skip going to the dentist. You should visit your dentist twice a year for a routine examination and dental cleaning to make sure that your teeth stay healthy and that any dental problems are treated before they become serious.

Myth: My parents had good dental health so I don’t really have to worry about mine.
Fact: Though genetics may play a small role in determining your dental health, it is mostly up to you to take good care of your teeth and gums to keep them healthy in the long term.

Myth: Brushing my teeth more than once a day can harm my teeth enamel.
Fact: Most dentists recommend using a soft toothbrush to avoid being overly rough on gums and teeth. If you do so, you shouldn’t run into any problems brushing twice a day or — if possible — after each meal.

Myth: Chewing sugar-free gum after a meal is just as effective as brushing.
Fact: While chewing sugar-free gum after meals can help clean your teeth and freshen your breath after meals, it is no replacement for thoroughly brushing and flossing to remove dental plaque and debris.

Myth: I shouldn’t brush my teeth if my gums are bleeding.
Fact: Bleeding gums  are often caused when dental plaque or food debris is not properly removed by regular brushing and flossing. If you notice that your gums become more prone to bleeding, it is a good idea to thoroughly and gently brush and floss them at least twice a day. If the bleeding continues, visit your dentist.

Myth: If I have a toothache, placing an aspirin tablet next to the tooth will relieve pain.
Fact: At-home toothache remedies won’t correct your dental problems. Putting an aspirin tablet in direct contact with the soft tissues of your mouth will not help relieve a toothache, and can lead to painful chemical burns — don’t do it!

Myth: Teeth whitening will damage my enamel.
Fact:Teeth whitening has gotten much safer as new technological developments in both over-the-counter and in-office products have evolved. In general, if you follow directions and consult your cosmetic dentist about possible dental treatment options, you should have nothing to worry about.

Myth: It isn’t really important to take care of my child’s baby teeth because they are going to fall out in a few years anyway.
Fact: Not only is it a good idea to start teaching your child about good oral hygiene at an early age, neglecting to take proper care of their baby teeth can cause problems with their bite or permanent teeth if they fall out too early.

Myth: All dental procedures must be avoided during pregnancy.
Fact: Although certain procedures, such as X-rays or dental surgery, should be avoided during pregnancy, regular dental treatments should continue as usual.

How to maintain Good Oral Health – By Dr. Nivedita

Proper brushing takes hardly two minutes which is just 120 seconds ! Most of us do not spend that time to brush. To achieve desired result of clean oral cavity, use small circular motions with the toothbrush brostles angulated ar 45º towards the gum – line and clean each section as follows

  • Clean outer surface of lower teeth and then inner surface of lower teeth.
  • Clean outer surface of upper teeth and then inner surface of upper teeth.
  • Clean the chewing surfaces.
  • Brush your tongue too to prevent bad breath.

 

 

 

Tilt your brush at 45º angle against the gumline and sweep or roll the brush away from the gumline using a circular motion

 

 

 

 

 

Gently brush the outside, inside and chewing surface of  each tooth using short back-and-forth strokes.

 

 

 

 

 

Clean the inside surfaces of the upper front teeth by titlting the brush vertically with small up and down strokes .

 

 

 

Clean the inside surfaces of lower front teeth by tilting the brush vertically with small up and downstrokes.

 

 

 

 

 

Gently follow the curves of your teeth.

 

Kind of toothbrush to use

It is better to use a soft bristle too brush and small headed as it is easy to use in the hard to reach areas . Many people prefer powered toothbrush as an alternative. It can be helpful for those who have difficulty in brushing or people with manual dexterity.

When to change the toothbrush?

If the toothbrush starts to wear off or if its 3 months which ever comes first.

How to floss?

Proper flossing removes plaque and food particles in places where a toothbrush cannot easily reach — under the gum – line  and between your teeth as plaque build-up can lead to tooth decay and gum disease, daily flossing is highly recommended.

To receive maximum benefits from flossing, use the following proper technique:

  • Starting with about 18 inches of floss, wind most of the floss around each middle finger, leaving an inch or two of floss to work with
  • Holding the floss tautly between your thumbs and index fingers, slide it gently up-and-down between your teeth
  • Gently curve the floss around the base of each tooth making sure you go beneath the gumline. Never snap or force the floss, as this may cut or bruise delicate gum tissue
  • Use clean sections of floss as you move from tooth to tooth
  • To remove the floss, use the same back-and-forth motion to bring the floss up and away from the teeth.

EFFECTS OF MISSING TEETH – By Dr.Manasa

The problems caused by missing teeth :

It is easy to think that losing a tooth is not going to cause you any problems. But unfortunately the long-term consequences of tooth loss can be quite serious.

When you lose a tooth you may wonder what to do next. One of your thoughts is likely to be, why replace it?

Effects of Missing Tooth / Teeth:

  1. Difficulty in speech
  2. Difficulty in eating food / chewing. Thus, affecting the general health.
  3. Change in facial profile
  4. Bone loss in the area of missing teeth , gradually remaining teeth can become loose
  5. Difficult to clean and more at risk from decay.
  6. SHIFTING OF TEETH: Although the teeth are firmly attached to the jaw bone, they can nonetheless shift and move over time if a missing tooth / teeth are not replaced. This issue of shifting can be accelerated significantly with one or more missing teeth. The gap(s) create vast spaces into which adjacent teeth can shift. This shifting creates more space for other teeth to shift and, in a domino effect, the entire bite can be impacted,teeth may become tilted and crooked.

                                     

  1. BITE IRREGULARITIES: Missing one or more teeth can cause bite irregularities that impact the health of your remaining teeth, your gums, your head and neck, your jaw muscles and your jaw joint (temporomandibular joint). The manner in which the chewing surfaces of your teeth come together determines occlusion(your bite). Missing teeth can lead to shifting of the teeth, which can drastically impact how your teeth come together when you bite.

An improper bite (malocclusion) can lead to a variety of problems, including things like headaches, muscle pain, unnatural wearing of the teeth,tooth loss , sensitivity and evenTMJD. Orthodontics can help to correct malocclusion, but it can be an expensive and lengthy treatment process.

Missing teeth can actually affect your overall health and the health of your mouth. We tend to think about teeth as individual units, but in fact they make up a complete system. Teeth work together in harmony, and problems can occur when they don’t.

Hence, it is always advisable to immediately replace the missing tooth / teeth.

LASERS IN DENTISTRY – By Dr.Manasa

HARD TISSUE LASERS : IMPROVING  RESTORATIVE DENTAL TREATMENT

LiteTouch Er:YAG laser (AMD LASERS)

                                   

Patients often avoid dental care due to the fear of pain that they perceive they will feel either related to the local anesthetic injection or during drilling to remove caries.

Additionally, the vibration and sound associated with the dental handpiece during caries removal increases patient stress while in the chair for needed treatment. This may lead to treatment avoidance until the actual intraoral pain surpasses the feared pain of treatment. Providing a more comfortable experience for the patient aids in patients accepting and following through on dental care at an earlier stage.

A hard tissue laser allows the practitioner to remove carious tooth structure while preserving healthy enamel and dentin for truly minimal invasive dentistry. The more of the native tooth structure that can be preserved, the better the long-term prognosis

 

Caries noted in the distal pit of a first molar.

Preparation following caries removal with the LiteTouch Er:YAG hard tissue laser demonstrating a minimally invasive preparation performed without the need for local anesthetic ready for restoration placement.

SOFT TISSUE LASERS :

Laser Soft-tissue Procedures

Soft-tissue lasers can be used for gingival contouring, leveling, troughing, gingivectomy, other periodontal procedures.Exposure of unerupted teeth, operculectomy, frenectomy, treatment of oral aphthous ulcers,soft-tissue incision, ablation and removal of soft-tissue lesions.

Laser gingival troughing also offers excellent hemostasis, and the removal of soft tissues such as fibromas or frenulae can be easily accomplished with minimal collateral damage, again with excellent hemostasis.

Diode lasers (i.e. Picasso, AMD LASERS, Indianapolis, IN) are designed for soft tissue applications. These allow the practitioner to remove gingival tissue to expose root caries, esthetically recontour gingival tissues, to treat periodontal pockets and a range of other applications that present daily in the typical practice.

 

  FRENECTOMY DONE USING SOFT TISSUE LASERS

 

 

Advantages of lasers in dentistry :

  1. Excellent hemostasis
  2. Good visibility with pen-style holder
  3. Efficient and effective soft-tissue removal
  4. Safe around implants
  5. Typically requires no/topical anesthesia
  6. No periodontal pack or suturing is required
  7. Reduced post-operative pain
  8. Reduced gingival recession following margin exposure
  9. Reduced swelling and discomfort.

SPACING BETWEEN YOUR FRONT TEETH – By Dr.Manasa

HERE IS THE SOLUTION…

Spacing between your upeer front teeth (MIDLINE DIASTEMA) is a common dental aesthetic concern.
People loose their confidence to smile and find oneself unattractive because of midline diastema.

What causes the diastema?

1.Physiological tooth development.
2.A diastema also can be caused by an oversized labial frenum. The labial frenum is the piece of tissue that normally extends from the inside of your upper lip to the gum just above your two upper front teeth.
3. Genetic

How is diastema treated?

 

1. Orthodontic treatment to move the teeth and close the diastema.
2. Use porcelain veneers, very thin pieces of porcelain bonded to the outside of the teeth.

3. Crown and bridge work or replacement of teeth with implants (adults only).
4. Composite restoration to close the gap.

BABY BOTTLE TOOTH DECAY – By Dr.Manasa

What is Nursing bottle caries/ Baby bottle tooth decay ?

It is tooth decay occuring in Infants and children till the age of 71months. Hence also reffered to as Early childhood caries.
Upper front teeth are commonly affected.

Why and How does nursing bottle caries occur?

Nursing bottle caries occur due to frequent, prolonged exposure of the baby’s teeth to drinks that contain sugar. Tooth decay can occur when the baby is put to bed with a bottle, or when a bottle is used as a pacifier for a fussy baby.

 

 

It is a disease that can begin with cavity-causing bacteria being passed from the mother (or primary caregiver) to the infant. These bacteria are passed through the saliva. When the mother puts the baby’s feeding spoon in her mouth, or cleans a pacifier in her mouth, the bacteria can be passed to the baby.

 

 

If your infant or toddler does not receive an adequate amount of fluoride, they may also have an increased risk for tooth decay.
At risk are children whose pacifiers are frequently dipped in sugar or syrup. Giving an infant a sugary drink at nap time or nighttime is particularly harmful because the flow of saliva decreases during sleep.

How to prevent Nursing bottle caries?

Think baby teeth are temporary, and therefore, not important? Think again. Baby teeth are necessary for chewing, speaking, and smiling. They also serve as placeholders for the adult teeth. If baby bottle tooth decay is left untreated, pain and infection can result. Severely decayed teeth may need to be removed.

 


If teeth are infected or lost too early due to baby bottle tooth decay, your child may develop poor eating habits, speech problems, crooked teeth, and damaged adult teeth. In addition, the chances that adult teeth will end up being crooked are greatly increased.

The good news is that a few simple steps can help stave off baby bottle tooth decay. They include implementing good oral hygiene at an early age. Here’s how:
• Wipe the baby’s gums with a clean gauze pad or washcloth after each feeding.
• Begin brushing your child’s teeth, without toothpaste, when his or her first tooth comes in.
• Clean and massage gums in areas without teeth.
• Floss once all the baby teeth have come in.
• Make sure your child is getting enough fluoride, which helps lessen cavities. If your local water supply does not contain fluoride, ask your dentist or doctor if you need to use a supplement.
• Avoid feeding sweets and orther sugar products in-between meals.
• Avoid overnight bottle feeding of milk/liquids such as sugar water, juice or soft drinks. Infants should finish their bedtime and nap time bottles before going to bed.
• Schedule regular dental visits by your child’s first birthday. Dentists also offer special sealant coatings, which can help prevent tooth decay in children.

Treatment of Nursing bottle caries :

Treatment varies based on your child’s age and the severity of the condition. At the earliest signs of a problem, you and your child’s dentist can work together to formulate an approach to management and treatment.

White spots on a tooth’s surface are early symptoms of baby bottle tooth decay. At this stage, fluoride treatment or placing fluoride varnish can be done to remineralize all of the teeth. This treatment actually reverses decay in its earliest stages by helping to rebuild the surface enamel. Your child’s dentist might also recommend fluoride supplements.

If decay is spotted at later stages, fluoride treatments will no longer be sufficient. Symptoms of more severe decay include:

  • Brown or black spots / cavities on the teeth
  • Bleeding or swollen gums
  • Fever, swelling or irritability, which could indicate infection

Bad breath
If your child shows any of these symptoms, it’s imperative to see a dentist as soon as possible.
Dentist will carry out extensive restorative treatment for the affected teeth and place stainless steel crowns / remove (extract) badly decayed teeth follwed by space maintainers depending upon the severity of affected teeth.


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