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Rajathan's First ISO 9001 : 2008 Centre for Advanced Endodontics using Carl Zeiss OPMI PICO Microscope
International Dental Healthcare Centre for promoting Medical Tourism in Rajasthan
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Rajasthan's First ISO 9001 : 2000 Certified Hi-Tech Super Specialty Dental Set-up
GENERAL PROBLEMS
Certain medical problems may necessitate the delay of dental treatment till the problem is controlled. Here are a few common ones to site.
1. Hypertension and Removal of Teeth
  • When a patient is hypertensive and needs extractions of tooth then usually the extraction of tooth is delayed till the blood pressure is under control.
  • Super vision of Physician is must.
Bleeding after tooth removal

This is a common problem in hypertensive patients. Bleeding may not stop after tooth removal or may begin after 24 - 48 hours of removal. Under any of the above circumstances, your dentist needs to be contacted immediately. Bleeding is usually controlled by pressure packs, external ice application, placing of stitches in the area of tooth removal, ligation of blood vessels, electro cauterization etc.

The above precautions are taken to ensure that there is no prolonged bleeding after extraction.

2. Diabetes mellitus and removal of Teeth
  • Uncontrolled diabetes is again a contra indication for extraction. Blood sugar level should be in normal range before extraction.

This is necessary to avoid prolonged period of wound healing and recurrent bleeding.
If you are suffering from any medical problems and want to know if you can undergo dental treatment or not please fill in your query form we shall get back to you soon.

3. Dental Emergencies
3.1 Fracture of Tooth

This is generally prone in children with bunny teeth. If at any time there is a traumatic injury to the tooth, please consult your dentist immediately.

If the tooth angle is chipped off, it can be resorted to normal with the help of cosmetic filling.

If the tooth is fractured midway then there might be pain as the nerve of the tooth becomes open. In these circumstances Root Canal Treatment of that tooth followed by capping or veneering may be advised.

If left untreated, there may be pain or swelling. Over a period of time the untreated tooth will turn black in color.

 
3.2 Avulsion

When a whole tooth fall out from the socket, it is termed as avulsion. It usually happens in front teeth of children or young adults.

If the tooth is avulsed, it may be possible to put the same tooth back into its socket. Steps to followed are:-

  • Place the avulsed tooth back into the socket. If this is painful then carry the tooth to the dentist either in milk or ice or just in the mouth.
  • Do not brush off the tissues from the tooth.
  • Contact the dentist within 30 minutes of avulsion.


If conditions are favourable, the dentist may be able to place the tooth back into the socket. He will then take help of wires or light cure composite resin to hold in place till it is finally accepted back and becomes firm.
Basic Facts
QUESTIONS AND ANSWERS

Question?
How regularly should I visit my Dentist?

Answer.
A dental check up is mandatory every 6 months. This is because a dentist may be the first to sight

  • New Cavities
  • Tartar Accumulation
  • Gum Problems
  • Any other initiating/ progressing Oral problems in the oral cavity

Question?
How important are baby teeth ?

Answer.
Baby teeth are very important. Most of us tend to ignore the health of baby teeth thinking that they are going fall out but once ignored the baby teeth tend to decay which may cause pain to the child, the child may not eat proper finally effecting the child's health. Also baby teeth act as space maintainers for permanent teeth. Removal of baby teeth may cause closure of spaces for permanent teeth to erupt leading to crowding of the permanent teeth. When front baby teeth are missing the child may develop speech problems, may lack confidence, may develop an altered lip support etc. Thus care for baby teeth is of utmost importance.

Question?
Why does my baby gets diarrhoea during the teething period ?

Answer.
During the teething period the baby is restless and there is an itchy sensation in the mouth. To curb this irritation the baby tends to chew on various objects which may be unclean. In such cases bacteria travel within the baby's body through the oral cavity. This most frequently leads to diarrhoea.

Question?
My tooth has fractured what do I do? My teeth has fallen out by accident / trauma . Can the same tooth be fitted back?

Answer.
Trauma to the tooth may cause the whole tooth to fall out or it may fracture.

  • Whole tooth falling out :- This is known as avulsion. An avulsed tooth may be filled back into its original position. Carry the tooth saliva or milk to your local dentist. Do not rub of the tissue tags attached to the tooth. The dentist fits the same tooth back and holds it in place by wiring or bonding. Once the tooth is firm it is treated with root canalling or cropping.
  • Fracture of tooth :- Vertical fracture usually need removal of the tooth. Horizontal fracture may be treated with bonding or root canalling and capping
Question?
Is dental extraction painful?
Is there need of antibiotics before extraction?
What happens if I have diabetes or hypertension and I want to go for removal of teeth?
Can I extract teeth when I have swelling 

Answer.
Dental extractions are done usually under local anesthesia. The prick of the needle is the only pain felt which is also mellowed down by using surface anesthesia jelly. Extraction under local anesthesia is not painful. Antibiotic coverage is advised before extractions as it helps control the infection and any swelling that is there will subside. If there is a swelling it is advisable till the swelling subsides. Medical problems like hypertension or uncontrolled diabetes are a contradiction to extraction. Hypertension may lead to bleeding problems.

 
QUESTIONS AND ANSWERS

Question?
How can I have a more beautiful smile within a few hours?

Answer.

  • Brighter Smile
  • Crooked Teeth
  • Broken Teeth

A brighter smile may be achieved by a simple procedure of bleaching by a simple procedure of bleaching. This can be done at home too thus saving your time of visiting the dentist. Crooked and Broken teeth may be straightened with the help of cosmetic fillings, a veneering combined with cosmetic contouring.

Question?
What is better removable denture or fixed bridge?

Answer.
A removable denture is very economical. However it may have problems of food lodging, speech problems, unaesthetic look etc. The fixed bridge though costlier has a better life. It can be given only if the teeth adjacent to the missing tooth have good bone support. Its advantages are that there is no need for removal to clean it, less food lodging, more natural look etc.

Question?
Why do teeth decay in spite of me brushing regularly?

Answer.
Dental decay is caused due to various reasons :

  • Improper oral cleaning
  • Improper brushing technique
  • Dietary factors like eating excessive sweets and not washing off the accumulated food on teeth.
  • Hereditary factors

So in spite of brushing regularly you may have dental decay. It is very essential to visit your dentist every 6 months to keep your teeth decay in check.

Question?
If teeth are decayed earlier, will brushing right help?

Answer.
Brushing right at any stage is always helpful. However, once dental decay has started in 90% of the cases progresses. Dental decay or caries may be progressive or arrested. Arrested caries need not be treated as with proper oral care it will not progress. However, progressive caries continues to destroy teeth in spite of proper oral care. The answer to control decay is to get teeth cleaned, free of cavities and then brush right.

Question?
Do I need to go for a Root Canal treatment. Will only a filling not be enough?

Answer.
Each tooth has 3 parts in cross section :-

  • Outer Layer -- The Enamel
  • Middle Layer -- The Dentline
  • Inner Layer -- The pulp

When dental decay is in the enamel or dentin a filling will suffice. However when the decay reaches the pulp or the nerve of the tooth, the whole tooth is infected. Filling such a tooth where the nerve is infected may lead to pain and swelling if the nerve is not removed and infection traverses till the bone. Hence it is mandatory to clean the whole pulp chamber by root canalling and then fill the tooth.
 
QUESTIONS AND ANSWERS

Question?
Which medicines should I take for immediate relief from :-

  • Pain / Sleepless nights
  • Swelling
  • Bleeding from gums
  • Sensitivity

Answer.

  • Pain in the oral cavity may be due to gums of tooth problems. Under any circumstances a pain killer ( analgesic ) gives instant relief from pain.

    Drugs and Dosage
    Tab Combiflam - 1 Tablet in case of pain
    Tab Nise - 1 Tablet in case of pain
    Tab Calpol - 1 Tablet in case of pain
  • Swelling : This is after accompanied by pain. It is advised to antibiotics to control the swelling coupled with analgesics.
    Drugs and Dosage
    Cap LMX ( 250 mg ) - Morning-Afternoon-Evening ( 5 days )
    Cap Ceff ( 250 mg ) - Morning-Afternoon-Evening ( 5 days )
  • Bleeding from gums is cured by scaling which is a method to remove unwanted deposits from the total surface.
  • Sensitivity : Using a desensitizing paste is the first step towards control of sensitivity.

    Drugs and Dosage
    TabCap Terramycin SF - Morning-Afternoon-Evening-Night ( 4 days )
    Gummex Gum Paint - Local Application
    Note : Hexidine Mouth Wash

All the above drugs should be taken only after the consultation of a dental surgeon or a medical practioner only. Persons having drug sensitivity or allergy to any of the above mentioned drugs should not take them.

Question?
Why do I have bad breath?
Why do my gums bleed?
Why are my teeth turning yellow?

Answer.
All the above problems may be caused due to gum problems. Inadequate gum and tooth care leads to accumalation of a white film of plaque on teeth. Unclean plaque turns into tartar which gives the necks of the teeth its yellow / grey / black appearance. Also the accumulation of tartar leads to gum infection which in turns causes the gums to swell, get puffy and infected. This is responsible for bleeding and bad breath. Bad breath may also be caused due to other reasons like dietary problems, excessive intake of pungent / garlic / onion food, stomach problems / constipation etc.

 
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