Category Archives: General

Trigeminal neuralgia

 

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Trigeminal neuralgia may be a chronic pain condition that affects the trigeminal , which carries sensation from your face to your brain. Even mild stimulation of your face — like from brushing your teeth or touching the face — may trigger a jolt of excruciating pain.

Because of the variability of treatment options available, having  pain doesn’t necessarily mean you’re doomed to a lifetime of pain. Doctors usually can effectively manage with medications, injections or surgery.

Symptoms

Trigeminal neuralgia symptoms may include one or more of those patterns:

1.Episodes of severe, shooting or jabbing pain.
2.Spontaneous attacks of pain or attacks triggered by things like touching the face, chewing, speaking or brushing teeth.
3.Bouts of pain lasting from a couple of seconds to many minutes.
4.Episodes of several attacks lasting days, weeks, months or longer.
5.Constant aching, burning feeling.
6.Pain in areas supplied by the trigeminal , including the cheek, jaw, teeth, gums, lips, or less often the attention and forehead.
7.Pain affecting one side of the face at a time, though may rarely affect each side of the face.
8.Pain focused in one spot or spread during a wider pattern.
9.Attacks that become more frequent and intense over time.

When to ascertain a doctor

If you experience facial pain, particularly prolonged or recurring pain or pain unrelieved by over-the-counter pain relievers, see your doctor.

Diagnosis

Your doctor may conduct many tests to diagnose  and determine underlying causes for your condition, including:

A neurological examination.
resonance imaging (MRI).

Your facial pain could also be caused by many various conditions, so an accurate diagnosis is vital . Your doctor may order additional tests to rule out other conditions.

Treatment

Trigeminal neuralgia treatment usually starts with medications, and a few people don’t need any additional treatment. However, over time, some people with the condition may stop responding to medications, or they’ll experience unpleasant side effects. For those people, injections or surgery provide other treatment options.

Taking care of your little one’s teeth

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It’s never too early to start out taking care of your little one’s teeth. Proper oral health care should start when 1st tooth erupts.
Just say no to Bottles in bed

Never put your baby to roll in the hay a bottle or sippy cup crammed with milk, formula, fruit crush , or the sweet liquid. The sugar in these beverages can cause cavities in baby’s teeth, resulting in ‘Baby bottle tooth decay’. Give your baby a bottle when it’s getting to sleep, fill the bottle with water instead.

Be sure your baby drinks fluoridated water

By the time your baby is 6 months old, he or she is going to require some fluoride for healthy teeth. Most babies can get all of the fluoride they have from the water they drink. confine mind that drinking water usually doesn’t have fluoride, however if you’ve got questions for fluoride, ask your dentist.

Clean your baby’s gum

Twice each day , gently wipe your baby’s gum with a wet, clean, soft cloth. You ought to start doing this even before your baby’s 1st tooth erupts. The typical age is 6 months, but some infants don’t get their first tooth until they’re 14 or 15 months old. Some babies see their first tooth once they are as young as 3 months old!

Brush new teeth

Once the primary tooth erupts in, you’ll clean them using soft, flexible children’s toothbrush and water. Gently brush its first teeth with a small amount of fluoridated toothpaste .Switch to a pea-sized amount of fluoridated toothpaste once your child is age 2

See a Dentist

Whether it’s the primary tooth or first birthday, no matters which happen first –It’s time for your child first dental appointment. Your dentist will examine your child and advice you on any concerns you’ve got , like thumb sucking .

Exercises after jaw surgeries

1.Immediately following surgery: Since surgery causes soreness within the muscles and bones of your jaw, movement could also be difficult initially. We don’t recommend any specific exercises during the primary week to 10 days after surgery. However, simply attempting to open your mouth and move your jaw side to side several times each day may help increase movement.

2.Ten days to four weeks after surgery: substitute front of a mirror and plan to open and shut your jaw the maximum amount as possible. At ten days after surgery you ought to be ready to get one finger in between your teeth, and this could increase to 2 fingers by four weeks. Simply move your jaw forward and backward, side to side, and open and shut , attempting to extend your mouth opening together with your jaw muscles only. Moist heat placed on the side of your face before and through these exercises may make them easier and simpler . don’t use finger pressure on your teeth to assist stretch your jaw opening at this point .

3.Four to eight weeks after surgery: During the fourth to eighth week after surgery you ought to be ready to get two fingers in between your front teeth very comfortably and may begin using very gentle finger pressure between the rear teeth on all sides of your mouth to assist gently stretch your jaw muscles. Again, doing these stretching exercises also as moving your jaw side to side and forward and backward will help. Moist heat also can be used at this point . Use of a millimeter ruler to assist measure jaw opening will assist you monitor your progress and improvement. By the eighth week you ought to be ready to place three fingers between your front teeth. it’s also vital to maneuver the muscles used for facial expressions.

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Sterilization is an emblem of purity and Cleanliness

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what’s sterilization?

Sterilization is that the process of removing all traces of bacteria and other germs. It’s a particularly important process, which helps to scale back the danger of infection or cross contamination and prevents the spread of infections and illnesses not only from one patient to a different , but also from the patient to the doctor or staff or the other way around .

Why is sterilization important?

Sterilizing medical equipment is that the most importance within the medical field. Thousands of patients die per annum or are infected with disease because medical equipment wasn’t properly sterilized. Complications surface in many surgeries thanks to improper sterilization.

How sterilization of instruments aids in treatment?

Prevents the expansion of Diseases:

Used instrument gets contaminated with bacteria. If left unchecked or not disinfected properly, then it’s highly likely that bacteria will grow.

Prevents the Spread of Diseases:

If surgical equipment isn’t properly sterilized, there are chances that subsequent patient being treated with an equivalent tools are often exposed to a disease the previous patient had.

What protocol must be followed by a dental clinic to make sure proper sterilization?

All instruments that require to be sterilized, should first be scrubbed and washed with detergent and water, this could then be followed by placing the instruments in an ultrasonic cleaner which effectively removes debris or dried blood stains etc which will adhere to the dental instruments in spite of washing. Once the instruments are clean and dry, they’re then placed and sealed in specially pouches to take care of the sterilization, ideally sterilized instruments should be stored during a UV chamber for future use.

Does the dentist got to change his/her gloves for each patient?

Every care provider should use new gloves for every and each patient. For procedures that are likely to involve splash or spatter, including the dental team.

Why it’s necessary for care provider to wear mask?

To avoid cross contamination from doctor to patient or patient to doctor including auxiliary staff, the doctor also as assisting staff should preferably wear masks while performing on patient.

Disposable instruments like syringe, needles etc are often used reused in other patients?

Unless the instruments are often sterilized it shouldn’t be reused. Especially disposable instruments are alleged to be disposed off as soon as its use on one patient is over.

Where are the instruments sterilized in dental operatory?

Ideally there should be a separate room or zone within the dental office that’s completely dedicated to the disinfection of instruments.
I’m unsure if the dental clinic i’m going to follows the protocol regarding safety and sterilization. How am i able to find out?

Just ask!! If you’ve got any doubts or questions regarding your treatment or the protocols followed by the clinic, you’ve got every right to ask your dentist about it and even see the equipment that’s used. If you recognize that the right equipment is getting used and therefore the procedure is being followed, you’ll put your mind comfortable and rest assured that each one the instruments getting used on you’re sterilized.

Does sterilization may be a costly affair?

Yes, if proper protocol for sterilization is followed then it does cost, but less than the protection we get from the danger of exposure to secondary infection. So concentrate that the health care provider you’re visiting is following optimum sterilization protocol and don’t mind paying for an equivalent .

Do sterilization by boiling is sufficient?

The ideal temperature for killing the micro organisms is 121 degree C-132°C struggling . A general cycle is 20 minutes at 121 °C at 15 psi. Boiling isn’t the perfect process for sterilization because it gives a limited sterilization against Micro-organisms & Spores.

So what’s the perfect method for sterilization?

There are many methods of sterilization that are utilized in dentistry but the optimum sterilization is achieved by Class B autoclaves which may sterilize any quite object / instrument.

Keep your mouth clean and healthy

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Oral hygiene is that the practice of keeping one’s mouth clean and free from disease and other problems (e.g. bad breath) by regular brushing and cleaning between the teeth. … the foremost common sorts of dental disease are cavity (cavities, dental caries) and gum diseases, including gingivitis(inflammation of gums), and periodontitis (inflammation of supporting tooth structure).

Tooth decay is that the commonest global disease.  Thus saliva and fluoride haven’t any access to neutralize acid and remineralize the demineralized teeth, unlike easy-to-clean parts of the tooth, where fewer cavities occur.

Teeth cleaning is a component of oral hygiene and involves the removal of bacterial plaque from teeth with the intention of preventing cavities (dental caries), gingivitis, and periodontitis . People routinely clean their own teeth by brushing and interdental cleaning, and dental hygienists can remove hardened deposits (tartar) not removed by routine cleaning. Brushing properly twice during a day for a minimum of 2 min is important . Those with dentures and natural teeth may supplement their cleaning with a denture cleaner.

Good oral hygiene keeps teeth free from bacterial plaque build-up, staves off cavities and fights bad breath.

You’re at-home oral hygiene routine should contains regular brushing and flossing.

Warm saline gargles or rinses with a appropriate medicated mouthwash after every meal is additionally an honest practice. Ask your dentist for a mouth wash suitable for you.

A healthy diet that’s low in sugary foods and soft food is additionally an important a part of good oral hygiene.

Regular dental visits every six months allow your dentist or skilled worker to supply oral hygiene instructions.

Sjögren’s syndrome

Sjögren’s (SHOW-grins) syndrome is an autoimmune disease that reduces quantity of saliva within the mouth.Immune cells mistakenly attack and destroy healthy cells within the glands that produce saliva.

Symptoms

The main symptoms of Sjögren’s syndrome are:

xerostomia . Your tongue and your throat will feel dry and chewing and swallowing could also be difficult or painful.

Sjögren’s syndrome also can affect other parts of the body, causing symptoms such as:

Joint and muscle pain
Dry skin
Rashes on the skin of hands or feet
Numbness or tingling within the hands or feet
Dry cough that does not get away
Fatigue that does not get away

If you’ve got Sjögren’s syndrome you’ll only have mild symptoms of dry eyes and mouth, otherwise you could experience cycles of mild symptoms followed by more severe symptoms.

Diagnosis

A doctor diagnoses Sjögren’s syndrome using your medical record , a physical exam, and therefore the results from clinical or laboratory tests. counting on what the doctor finds during the medical record and physical exam, he or she might want you to require more tests or refer you to a specialist.

Treatment

There is still no cure for Sjögren’s syndrome. Treatment can vary from person to person, counting on what parts of the body are affected. There are saliva substitutes and prescribed drugs to assist increase saliva production. Simply drinking small sips of water regularly throughout the day can also help. If you’ve got joint pain, nonsteroidal anti-inflammatory drug drugs may offer some relief. If symptoms are severe, corticosteroids or immunosuppressive drugs could also be prescribed.

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Know about Midline Diastema

Whether you’re keen on it or hate it, that space between your teeth features a name. A diastema may be a gap between two teeth. Many celebrities are famous for his or her midline diastema, or space between their two upper front teeth.Diastemas are extremely common, especially among children. A diastema may be a natural a part of a child’s development and should correct on its own. In fact, up to 97 percent of youngsters have diastemas, which number significantly decreases as children grow and these spaces pack up naturally. If a diastema remains after the eruption of adult teeth, it’ll become permanent and may only be corrected with professional dental treatment.

Diastema Causes

There are several reasons that permanent diastemas form. A diastema is usually the results of a discrepancy between the dimensions of the jaws and therefore the size of the teeth. Crooked teeth usually come from overcrowding, where the teeth are too big for the jaw. the other is true for a diastema — teeth that are too small for the jaw may have gaps between them. Diastemas can also be caused by missing teeth, undersized teeth or bad oral habits, like excessive thumb-sucking.A midline diastema also can be caused by an outsized labial frenum. Frenum is that the tissue that connects your lips and gum.

Diastema Closure :- Diastemas usually cause no complications to your dental health, but many of us choose diastema closure for cosmetic purposes. There are several sorts of diastema treatment available today.

Dental Braces :-Most diastemas require a full set of dental braces and retainer therapy, as moving one tooth can affect the location of the remainder .

Cosmetic restoration:-Esthetic composite resins generally wont to close midline diastema especially in adult patients. It requires a gradual composite build-up on the mesial side of the tooth and stripping of distal surface of the tooth so as to realize shape and size of the tooth.

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Dental sealants

Normally the back teeth, especially molars, have deep grooves which are known as pits & fissures. These pits & fissures are generally deep in kid’s teeth but with age become shallow. It can be difficult to remove all food particles from these depressions and grooves. Hence the food gets stuck more in kid’s teeth leading to decay( sealants).

This situation can be prevented by placing fillings known as pit & fissure sealants. The purpose of sealants is not to replace the oral care routine of twice-daily tooth brushing and daily flossing but to provide an extra layer of protection to these deep depressions on teeth. Sealants usually last for several years before you need a re-application, but you should still visit your dentist regularly for a professional cleaning and evaluation to ensure good oral health.

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Know about Torus palatinus

Torus palatinus may be a benign peculiarity wherein there’s a bony outgrowth on the palate. it’s a traditional bump on the roof of the mouth. it’s one among the foremost common exostosis involving the mouth . it’s not cancerous, neither is it painful or sore. It comes in several shapes: nodular, spindle-like, lobular, or irregular. it’s hard upon palpation and radiography shows opacity on this area thanks to the bone’s density. Since it’s normal, there’s no symptom related to it.

Torus Palatinus Causes

torus-palatinus-picturesGenetic and ethnic factors: Torus palatinus occurs in 20% of the overall population. Torus mandibularis occurs in 6-40%.It mostly appears after puberty. it’s generally seen among adults. for youngsters in 5-15 age groups, there’s 30.9% occurrence and it had been shown that females are more likely to develop it. Torus palatinus is more common among females. Torus mandibularis is more common among males. Torus palatinus doesn’t got to be treated since its essential features appear to be normal. it’s simply an anatomical variance that doesn’t affect everyone folks . Surgical removal offers an answer if torus palatinus causes a drag within the placement of dentures or dental prosthesis.

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Know more about mucocele !

A mucocele may be a harmless cyst or bump in your mouth. you’ll catch on if a small tube (duct) that moves saliva gets damaged or blocked. This most frequently happens if you repeatedly bite or suck on your lower lip or cheek.

Causes :-

Where does a mucocele come from?

It centers on alittle exocrine gland , which makes saliva in your mouth

Symptoms :-

Mucoceles often show abreast of the within of your lower lips, your gums, the roof of your mouth, or under your tongue. Those on the ground of the mouth are called ranulas. These are rare, but because they’re larger, they will cause more problems with speech, chewing, and swallowing.

Treament of Mucocele:-

Treatment is predicated upon the severity of the mucous cyst. Sometimes cysts might not require treatment and can heal on their own over time. Superficial cysts often resolve on their own. to stop infection or tissue damage, don’t attempt to open or remove cysts reception . Frequent or recurring cysts may require further medical treatment.

Treatments utilized in mucous cysts that aren’t very severe include:

Laser therapy. This treatment uses alittle , directed beam of sunshine to get rid of the cyst.

Cryotherapy. This treatment removes the cyst by freezing its tissues.

Intralesional corticosteroid injection. This treatment injects a steroid into the cyst to scale back inflammation and speed up healing.

To prevent recurrence — or to treat especially severe cysts — your doctor may recommend surgical removal of the cyst or maybe the entire exocrine gland .

Even after healing, the sole thanks to ensure a cyst won’t come is to possess it surgically removed. Avoid habits like lip or cheek biting to assist prevent future cysts.

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