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Know your mouth


Mouth / Oral ulcers are commonly seen in people with poor oral hygiene, dental problems, chronic gastric issues, nutritional deficiencies and sometimes due to other systemic diseases. Usually an oral ulcer heals with in a period of 7 - 10days. Any such wound not healing beyond 10days should be taken seriously because such lesions are either present due to trauma from teeth, autoimmune diseases and sometimes are malignant as well. One should consult a Dentist first for the management of such lesions.

Cavities and plaque build-up may be what’s on your mind before seeking dental consultation , but your dentist is looking for a whole lot more . “your mouth is the window to the body” and is a mirror to your overall general and nutritional health.

Burning sensation in the mouth associated with reddish white patches over the cheeks or gums, is a common complaint which require proper diagnosis and early management. Addictive habits, like consuming arecanut, tobacco and even excessive chillies acts as a predisposing factors in causing such problems. Whatever may be the reason early consultation with the right specialist plays a key role in diagnosing and treating the disease in time. General Dental Surgeons and Oral and Maxillofacial Surgeons are usually the first specialist to attend such problems.

Your mouth can say a lot about you like your eating habits, your psychological status , your systemic health and to your surprise a dentist may be the first person to spot some of the most common diseases like – anemia , diabetes and other potential nutritional imbalances during a routine examination.

Nutritional deficiencies result when there is an imbalance between what the body needs and what its getting.

These imbalances may reflect in the mouth through some signs like bleeding gums , burning cheeks, blisters ulcers white patches bad breath etc

Mouth is one site of our body where soft tissue renews very quickly – often in as little as 3-7 days. Recent studies shows that patient with gum disease are prone for many other systemic diseases like hepatitis , hepatobiliary & GI cancer etc.

The sensitivity of oral tissue can particularly depict about deficiencies in iron, vitamins C,D folic acid , zinc which can show up as gum disease , burning mouth , white or red patches on the gums and cheeks. Other conditions , such as diabetes , viral infections , pancreatic disorders , gastric problems and even stress disorders can also show symptoms in the mouth.

Nutritional deficiencies limits the body’s ability to fight against a disease , and in many cases the mouth is the first line of defense . Healthy gum tissue and saliva are crucial in fending off invading pathogens.

Patients can improve their oral health and reduce the risk of periodontal (gum) disease by eating a balanced diet and maintaining oral hygiene . Based on the well-known food Pyramid , eating a variety of foods from the five major food groups – grains , fruits , vegetables , milk and meats. Vitamin and minerals supplements also can help preserve periodontal health and boost overall health and well-being.

One should also understand that missing teeth leads to reduction in chewing capability of the food which in turns results in its improper digestion and non utilization of the actual nutrition it contains , thereby leading to reduced immunity of the body. Missing teeth also lead to imbalanced chewing on one side of jaw which can result in jaw related pain.

Oral Health In Pregnancy


Pregnancy is a very exciting and busy time. There are so many changes going on in your body and your mouth is no exception . Good oral hygiene is extremely important during pregnancy because the increase of hormone levels during pregnancy can cause dental problems to be intensified.

Good oral health during pregnancy could also be important to your fetus. Some researchers have suggested that the serious stage of gum disease, periodontitis, could cause premature birth and low birth weight.

Generally speaking, if a dental procedure improves your overall health, it’s probably good for your baby as well, so go ahead with it during pregnancy.

Unfortunately, most women don’t visit their dentist during pregnancy, even if they have dental problems. Remember- taking care of yourself is the best way to ensure the health of your child, so do what’s best for both of you and maintain your regular dental care.

Expectant mothers (and women who take some oral contraceptives) experience-elevated levels of the hormones estrogenand progesterone. This causes the gums to react differently to the bacteria found in plaque , and in many cases can cause a condition know as “ pregnancy gingivitis during”. 65% to 70% of all pregnant women develop gingivitis during this time. The Symptoms include swollen, red gums and bleeding of gums when you brush.

Pregnancy tumors (Pyogenic granuloma) are inflammatory , being growth that develops on the gums as part of an exaggerated response to the irritants that cause periodontal disease . These “tumors” are rare , usually painless and develop on your gums in response to plaque. Although they are not cancerous, they should be treated. Pregnancy tumors usually subside shortly after childbirth.

New research suggest a link between pre-term , low birth weight babies and gingivitis. Excessive acteria, which cause gingivitis , can enter the bloodstream through your mouth (gums). If this happens , the bacteria can travel to the uterus, triggering the production can travel to the uterus triggering the production of chemicals called “prostaglandins”, which are suspected to induce premature labour.

Good oral health care is vital during your pregnancy. Continue with your regular dental cleaning and check ups to avoid oral infections that can affect the fetus, such as gingivitis and periodontal disease.

Dentist recommend that major dental treatment that aren’t urgent be postponed until after your child is born . The first trimester, the stage of pregnancy in which most of the baby’s organs are formed, is the most crucial to your baby’s development, so it is best to have procedures performed during the second trimester to minimize any potential risk.

Dental work is not recommended during the third trimester because the dental chair tends to be too uncomfortable for the mother. I f you lie back, the chair may cut off circulation by placing pressure on the vein that returns blood to the heart from the lower part of the body.

Be extremely cautions of all drugs during pregnancy. If you have gingivitis or periodontal disease , your dentist may want to treat you more often to achieve healthy gums and a healthy baby. Although dental anesthetics such as novocaine or lidocaine can enter the placenta, which filters out most drugs , the doses used in most dental procedures are considered safe. If you need to have dental work done during your pregnancy , research has shown that some acceptable antibiotics has shown that some acceptable antibiotics include penicillin amoxicillin and clindamycian, but avoid tetracycline, which can cause discoloration of your child’s temporary and permanent teeth.

Products Containing paracetamol, such as crocin , are approved, but you should be wary of other over-the-counter medications such as aspirin or ibuprofen. Avoid using narcotics for dental pain until after your child is born.

•Keep your teeth clean , especially near your gumline.

• Brush your teeth at least twice a day and after meals when possible.

• Floss daily.

• If you suffer from morning sickness, repeatedly rinse your mouth with water and brush your teeth as often as possible to neutralize the acid caused by vomiting.

• If brushing your teeth causes morning sickness, rinse your mouth with water, brush without toothpaste and follow with anti-plaque fluoride mouthwash.

• Eat a well – balanced diet with plenty of vitamin C and B12.

• See your dentist for help in controlling plaque and preventing gingivitis.

Remember, the healthier your mouth is, the healthier and happier your pregnancy and baby will be. Pregnancy is an exciting time and proper dental care can help keep everything going smoothly.

TEMPOROMANDIBULAR JOINT DISORDERS (TMD)


The Temporomandibular Joint (TMJ), is a pair of unique joints located at the base of the skull in front of the ear and connects the lower jaw (mandible) and the upper jaw (maxilla). Any problem that occurs in the joint and it's movement is termed as Temporomandibular Joint Disorder.

The TMJ helps to open and close the mouth just like a hinge and to move the jaws in the downward and forward direction. It also helps the jaws to slide backward and forward and side to side for eating, talking, yawning etc.

The TMJ is prone to damage like any other joint of the body. This may lead to severe pain and swelling which limits the movement of the lower jaw. The pain can radiate to the neck, head or shoulders. Pain may sometimes arise in the joint from the surrounding ligaments or the teeth. Improper alignments of your teeth or the jaws, Grinding of Teeth associated with snoring or disturbed sleep are other common causes of Temporomandibular Joint Disorders.

One must be aware of the symptoms of this disorder, so that early steps can be taken to cure the problem. The common symptoms of TMD includes unexplained headaches accompanied with sharp ear ache. Patients often face clicking and popping sensations when they open or close their mouth. A strong pain is felt when one tries to open their mouth wide or yawns or open their mouth to eat. The jaws may get locked or stuck due to TMD.

However, it is best advised to consult a doctor to get the symptoms examined and get treatment done at the earliest. Neuromuscular Dentistry objectively evaluates the complex relationship between teeth, airway, temporomandibular joints(TMJ) and the masticatory muscles in order to achieve an occlusion that is based on the optimal relationship between the mandible and the skull.

TMJ disorders may present from mild on and off pain in the ear region to severe continuous pain in the jaws and head. Such disorders might be associated with restricted mouth opening leading to difficulty in chewing food. Oral and Maxillofacial Surgeons are the trained specialist in the field TMJ disorders. The Temporomandibular Joint (TMJ), is a pair of unique joints located at the base of the skull in front of the ear and connects the lower jaw (mandible) and the upper jaw (maxilla). Any problem that occurs in the joint and it's movement is termed as Temporomandibular Joint Disorder.

The TMJ helps to open and close the mouth just like a hinge and to move the jaws in the downward and forward direction. It also helps the jaws to slide backward and forward and side to side for eating, talking, yawning etc. The TMJ is prone to damage like any other joint of the body. This may lead to severe pain and swelling which limits the movement of the lower jaw. The pain can radiate to the neck, head or shoulders. Pain may sometimes arise in the joint from the surrounding ligaments or the teeth. Improper alignments of your teeth or the jaws, Grinding of Teeth associated with snoring or disturbed sleep are other common causes of Temporomandibular Joint Disorders.

One must be aware of the symptoms of this disorder, so that early steps can be taken to cure the problem. The common symptoms of TMD includes unexplained headaches accompanied with sharp ear ache. Patients often face clicking and popping sensations when they open or close their mouth. A strong pain is felt when one tries to open their mouth wide or yawns or open their mouth to eat. The jaws may get locked or stuck due to TMD. However, it is best advised to consult a doctor to get the symptoms examined and get treatment done at the earliest. Neuromuscular Dentistry objectively evaluates the complex relationship between teeth, airway, temporomandibular joints(TMJ) and the masticatory muscles in order to achieve an occlusion that is based on the optimal relationship between the mandible and the skull.

Dental Implants

Healthy Mouth + Healthy body = Total Wellness !!!


A dental implant is an artificial tooth root (usually made of titanium) that is surgically positioned into the jaw bone over which missing teeth can be replaced. It is the most advanced and next to natural way for replacing missing tooth or teeth.

Healthy gums and adequate available bone in all the 3 dimensions are the 2 basic criteria’s for a patient to undergo dental implants placements . If the available bone is too thin or soft and unable to bear biting load , one may require additional procedure to augment the jaw bone for example bone grafting , sinus lift etc.

Although it is totally subjective , but dental implants placement can be performed almost painless under local anesthesia. Most of the patients who have undergone dental implants placement reports that the procedure inv mucinvolves much lesser discomfort than one actually faces during tooth removal . Mild soreness , postoperatively can be treated with minimal medications.

In general , dental implants have a success rate of up to 98% and if taken care properly implants can last for your lifetime. Success rates do sometimes vary , depending on general health of the patient , site of placement and associated habits etc.

• Feels Natural – no altered taste or bad smell.

• Eliminate the need of grinding healthy teeth.

• Allow better chewing ability.

• Improved oral health.

• Long term durability.

• No social embarrassment.

• Improved self-esteem and confidence.

• Varied option to replace single or multiple missing teeth.

• Negligible chance of breakage.

• Cost effective in ling term.

Dental Implants , aren’t like your grandparent’s dentures . In fact, they are the most sophisticated dental rehabilition solution that have become a popular way of permanently fixing missing teeth – says Dr. Anmol Agarwal, Consultant Oral & Maxillofacial Surgeon and Implantologist.

Facial Surgery

Find a new you with corrective facial surgery !!!


Corrective facial surgery is performed to correct a wide range of dental, skeletal and soft tissue discrepancies of the face. Surgery can improve the function like chewing, breathing etc, while the patient’s appearance may be dramatically enhanced which in turn boosts the morale / confidence & give psychological satisfaction to the patient.

Few conditions that may require corrective facial surgery:

• Facial Imbalance.

• Prominent Nose.

• Receding chin.

• Protruding jaws.

• Incompetent lips.

• Snoring / Breathing difficulties.

• Difficulty in chewing or swallowing.

• Chronic jaw or jaw joint (TMJ) pain.

• Birth defects.

Individuals suffering from any of the above mentioned conditions might be a candidate for corrective facial surgery and should consult a Cranio-Maxillofacial Surgeon (CMFS) who actually determines and performs the appropriate corrective facial surgical procedures.

Corrective Facial surgery usually can be performed entirely from inside your mouth / nose resulting in no facial scars. In case of dento- skeletal abnormalities , most patients require a combined approach of braces and facial skeletal surgery. In addition smile correction via camouflage techniques may also be performed by the dentist. Braces are usually on for 9 to 18 months before / after surgery to level and align the teeth . The entire process including surgery may vary from 12 to 24 months.

Corrective facial surgery is performed in a hospital setup and require 2/3 days hospital stay . complete recovery at home typically takes three to six weeks.

Last but not the least it takes a couple of weeks for the patients to accepts his/her new facial appearance. So you need to be patient and talk to your CMFS today.

Laser Dentistry

An innovative & more precise technology for soft tissue applications teeth whitening and pain therapy !!!


Pain is what we all fear before undergoing any treatment . Advent of laser has revolutionize medical field and made treatment relatively pain free. Eye surgeries , skin procedures , treatment for kidney stone etc have become a cake walk for the patient . Not only this , today laser technology has become as integral part for choice for both patients as well as clinicians to raise the standard of care.

There are several advantages of using Lasers in Dentistry .

In fact laser therapy conceivably could offer better clinical results with shorter treatment period while reducing discomfort and perhaps reducing the need for more invasive from of therapy. Laser therapy is considered to be needleless (sparing the need of anesthesia), bloodless (due to mode of action) and offers bacteria free surgical field due to its self sterilization property.

Several oral and dental procedures can be performed using lasers few of them are Gum treatment, Treatment of sensitive teeth , teeth whitening, Frenectomy / Tongue Tie Excision , Excision of tissue growth , oral ulcer healing, Treatment of oral white patches and blackish gums , post operative pain reduction.

“Laser are absolutely safe to work on patients with heart, liver or kidney problems, and also on patients who are taking blood thinning medicines. They are especially a born for diabetic patients due to its self sterilization property and facilitating healing says Dr . payal Agarwal , Oral Laser specialist .

Sedation Dentistry


Sedation dentistry is a field of dentistry which is used for treating extremely fearful and anxious patients who suffer from unavoidable dental problems but not able to get their treatment done due to phobia. It uses medication which makes the patient sleep for couple of minutes.

Dentistry under General Anesthesia


General anesthesia, as the name suggests, patient is made totally unconscious for the desired period of time, this technique is designed for long or multiple dental procedure to be performed in single sitting.

Neuromuscular Dentistry


Neuromuscular Dentistry is a new field of dentistry which objectively evaluates the complex relationship between teeth, jaws, temporomandibular joints (TMJ), masticatory muscles and airway in order to achieve a dental occlusion that is based on the harmonic relationship between the lower jaw and the skull.

Neuromuscular Dentistry is the holistic way to prevent and treat unexplained jaw pains, headaches, cervical pains and well as postural problems. Altogether these problems are known as Cranio Cervical Mandibular Disorder (CCMD) or Temporomandibular Joint Disorder (TMD) which may present from mild on and off pain in the ear region to severe continuous pain in the jaws and head. Such disorders might be associated with restricted mouth opening or lock jaw leading to difficulty in chewing food at the beginning. One must be aware of the symptoms of this disorder, so that early steps can be taken to cure the problem.

Many people suffer from headaches, cervical pain or unexplained facial pains, which might occur due to varied reasons. The most unknown and unexplored cause of the same are the teeth or jaws and associated muscles. Imbalance in the harmony of the jaws and associated muscle leads to majority of longterm, unexplained headaches and craniofacial pains. None other than the Dentist and or Oral and Maxillofacial Surgeons can understand better how to restore this harmony and treat the unexplained facial pains.

Dental Sleep Medicine


Snoring is a matter of day to day discussion in humorous context but the harmful effects of the same usually remains unknown. Snoring associated with sleep apnea has got deleterious effects on the body. Which needs to be taken care well in time. Treatment options range from the most simple oral appliance therapy to CPAP and surgical correction for severe cases. Dentists and Maxillofacial Surgeons play a crucial role managing it in a simpler and effective way.

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