Do you know the value of appointment?

I am sure all of you take appointment before meeting your dentist. If you don’t have that habit then you must read on.

Quite often we hear “What is the need to take appointment, you are not so busy”. One need not be busy to give appointment. So this article focuses on the value of taking appointment.

The value of appointment can never be over emphasized. Every clinic which works in an orderly manner needs to see patients by appointment.

When I give appointment and work, I know on whom I will be working on,it gives me convenience, I enjoy what I am doing and most important, I remain stress free. Can you do a work you can’t enjoy?

These were my advantages of giving appointment. Now look at your advantages.

Firstly the work area, instruments and equipment will be clean and ready to ...

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Herpes Zoster

Herpes Zoster is an acute viral infection caused by the virus Varicella Zoster (VZV). This infection usually occurs in persons who have had an infection of chicken pox in the past (Primary VZV) caused by the same virus.

Chicken pox is commonly seen in school going children.The virus remains latent in the body of those who have had chicken pox and gets reactivated and manifests as Herpes Zoster when their immunity goes down for some reason or the other.

Chicken pox is highly contagious. There may be mild systemic symptoms like fever and eruptions on the skin which are itchy.

Herpes Zoster is less common. It begins with skin rashes,usually on one side of the face / body...

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Removable Partial Denture (RPD)….

Replacement of missing teeth with fixed artificial teeth is usually preferable. However if fixed partial denture (Bridge) is not possible then the other options for the missing teeth is either implant (Which is fixed ) or a removable partial denture.

Although Implant is quite successful these days and is the treatment preferred by many, there may be few who would still prefer a removable partial denture.

Those patients for whom we may replace missing teeth with removable partial denture are:

1. Patients requiring temporary teeth after extraction till a more definite treatment is carried out.
2. Those who do not wish to go for surgery or implant.
3. Patients in whom implant is not possible due to various reasons.

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Odontogenic Keratocyst

Among the various cysts of the jaws, a cyst though rare but one which can cause much harm, which comes to my mind is the Odontogenic Keartocyst. The cyst is now termed keratocystic Odontogenic tumor or KCOT since it is considered a benign neoplasm. It is known for its high rate of recurrence and aggressiveness . Common in posterior part of lower jaw (Mandible) often associated with impacted teeth.

This lesion is thought to originate from remnants of dental lamina.All odontogenic cysts appear as radiolucenceies associated with teeth.

Common in mandibular ramus- premolar area and maxillary molar regions.The patient generally presents with a swelling.Pain may be present only if there is infection. Can occur at any age with equal chances in both males and females.

Other notable features of K...

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Occlusal splint therapy……

When a dentist feels that a patient shows signs of parafunctional habit, he can give an occlusal splint. For information on parafunctional habits go to “search” in this blog. (November 2013, archives)
The ones which I prefer for my patients is made up of soft plastic sheets customised for each patient. A single occusal splint in the lower or the upper jaw may be enough for bruxers.
For preparation of occlusal splint the dentist takes impression of the teeth. Plaster models are made from those impression. The occlusal splint is manufactured by the technecian in the laboratory. Once ready they are given to the patient.
Indications for occlusal splints:
1. For treatment of parafunctional habits like bruxism,clenching,grinding. (helps prevent premature wearing away of teeth)

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DId you have difficulty in opening your mouth some time or the other in your life?

If yes, then this article may interest you.

What is Trismus? Normally the opening of the mouth should permit at least three fingers vertically to enter the mouth without difficulty. In case it is not so then we may say there is restricted mouth opening.

Trismus is a condition where there is restricted opening of the mouth. It can be complete trismus if the patient cannot open the mouth completely or partial where some opening is possible.

Trismus is seen quite frequently in a dental practice.

When the mouth is not opening normally the patient can have many difficulties such as:

1. Inability to eat properly (Including chewing, swallowing)
Patient has to confine himself to soft or liquid diet or ma...

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Migraine…..Let us recognize it

One may think what place the subject of migraine has in a dentist’s blog. You will soon know.
Often patients with headaches come for dental consultations. The dentist has to rule out dental cause of headaches like acute pulpitis, sinusitis of dental origin, TMPD , trigeminal neuralgia,migraine etc.

What is migraine?
It is a recurrent paroxysmal headache, usually on one side of head. However it may involve the whole head.It is mainly seen in adult females but can occur in men and children also. It is thought to be due to vascular changes (contraction and dilatation of blood vessels) in the head.It is very common in emotional, sensitive and creative people.

The word migraine is derived from the Greek word “Hemicrania” which means pain affecting one half of the head...

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Braces…how you can take care of them?

Every one who wears braces needs to follow instructions, some of which are as follows.

1) Avoid biting from front teeth. Break food into small bits and chew with your molars. This will help in preventing any breakages in the braces.

2) Avoid hard and sticky food (eg. Toast,toffees, chewing gum, in India we have “chikki, til ka ladoo” etc, eclairs ).

3) Keep your teeth and braces clean by brushing after every meal to ensure that you don’t suffer from cavities and gum problems.

4) Your treatment will be faster if you are regular in keeping up with follow up appointments and have fewer breakages. Remember if you break your braces frequently by not adhering to instructions it can be a nightmare for the Orthodontist who is treating you. Your treatment will not be completed in time...

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Braces: Which are the different types?

Braces are devices which help to align crooked teeth, thereby improving the bite and overall looks of the patient to quite an extent. They are given after thorough diagnosis of the malalignement of teeth.For the timing of the braces please read my article (Braces……. what is the right age? In October 2013 archives).

Some of the investigations done to arrive at the dignosis and treatment planning after history taking before you are given braces are:
1. Study models of your teeth
2. Dental OPG
3. Lateral Cephalogram

Depending upon the diagnosis braces may be either Fixed or removable.
Some of the commonly given braces these days are:
1. Fixed stainless steel brackets
2. Fixed ceramic brackets (tooth colored)
3. Fixed lingual brackets for adult patients who don’t want visible braces.

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Enlargement of Gums (Gingival enlargement, Hyperplasia, Hypertrophy,overgrowth)

Gingival or gum enlargement is increase in size of your gums.

Gingival enlargement may be Inflammatory or non-inflammatory or both

1. Non-Inflammatory gingival (gum)enlargement:
The Various causes may be:

1) Drug induced eg.

a) Anti-convulsants- phenytoin induced.
b) Calcium channel blockers-Nifedipine,amlodipine,Verapmil
c) Cyclosporin (Immunosuppressant drug)

2) Conditioned
3) Neoplastic (Tumors) or false enlargement: Fibromas, papillomas, giant cell granuloma,Carcinomas
4) Leukemia

2. Inflammatory gingival (gum)enlargement:

1) Gingivitis-caused by bacterial plaque and tartar on the teeth. Treated by cleaning or scaling of teeth (Oral Prophylaxis).It is most common.
2) Puberty
3) Pregnancy-gingival hyperplasia due to poor oral hygiene, inadequate nutrition, systemic h...

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