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Quackery In Dentistry

August 20, 2019August 20, 2019 rrdch

Quackery has been in practice in the dental ecosystem for a long time now. A simple reason behind the same being the demand is more than supply, viz. there is a scarcity of qualified dental professionals. The domino effect, gullible people falling to the dupes of quacks, who provide dental treatment apparently backfires.

In India particularly people residing in remote areas, are deprived of affordable oral healthcare services. Quackery, for those who aren’t aware of the term means ‘fraudulent misrepresentation of one’s ability and experience in the treatment and diagnosis of a disease or the effects of the treatment that is provided’.

Even the high court has mentioned a quack as ‘a person who does not have knowledge of a particular system of medicine but practices in that system is a quack and a mere pretender of medical knowledge or skill’.

If we go by the statistics, approximately 3000 quacks are already practicing dentistry across India on an illegal basis. Well, there is this huge difference in the allocation of dentists in public and private sector. Again wherever there is some basic oral healthcare facility available the infrastructure is really poor with limited workforce and resources.

Malpractices that the quacks carry out in dentistry include life threatening risks like using the same needle on multiple patients, not using sterilized equipment, no usage of aspepsis while undertaking procedures, using self-curing acrylic for replace a missing teeth. Using an already extracted tooth for replacing a missing one. The aforementioned are just a few examples of unethical practices that people fall prey to due to paucity of oral healthcare professionals. In the name of providing instant and pain-free treatment these quacks fool the people who are not well informed around oral care and are in need of immediate solution to their problems. In contrast, the treatment they receive when they consult such quacks is not only painful but destructive too, at times causing irreversible damage.

This problem too has a solution and the solution lies in providing accessibility to dental services in remote areas alongside stringent polices against unethical practice. Alternatively, spreading awareness amongst people around dental quacks and furthermore training these quacks after absorbing them would certainly help curb these problems to a great extent.

*Sourced from the Internet

Frailty Among Indian Elderly. Is Poor Dental Health The Culprit?

August 8, 2019August 16, 2019 rrdch

For those who aren’t aware what frailty is all about, it means vulnerability towards dental health conditions or inability to perform daily routines due to declining health. One of the risk factors of frailty is poor oral health because it effects the abilities like smiling, eating and even speaking, ultimately the quality of life.

A study including 7735 British male participants and published in the American Geriatrics Society Journal does show that frailty and oral hygiene to go hand in hand.

The study started off when the participants were 40-59 years old in 1978 -1980. Then again in 2010-2012 the 1722 participants who were alive then were called for re-examination. At that time their age was 71-92 years. The participants were examined for their physical health, vital statistics as well as weight, walking and grip test as well. A questionnaire explaining their medical history as well as lifestyle was also needed to be answered besides information around social medical and health.

Additionally, there was a dental exam for noting the frailty status of the participants. The confirmation of frailty was done on the basis of three issues – weak grip, slow walking speed, weight loss, exhaustion or low physical activity levels.

Dental examination showed that around more than half viz. 64 percent had less than 21 teeth, over 54 percent were suffering from gum disease, 34 percent of the participants rated their oral health as poor or fair, 29 percent exhibited minimum two symptoms of dry mouth while almost 20 percent were having no teeth at all. 11 percent of the participants had difficulty eating food.

Well, considering this study, there seems to be a direction connection between frailty and oral health. As per an expert Dr. Carter, Chief Executive Oral health Foundation, in UK the people have good longevity but it comes at the cost of significant health problems for people over 65 years of age. Hence, brushing teeth effectively is necessary but due to dexterity and limited mobility, it makes it hard for the elders to do so. Hence, its advisable that elders give priority to their oral health and even the government takes measures in devising a effective oral health system particularly for the elder population.

*Sourced from the Internet

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Wisdom Teeth – All You Need To Know About The Third And The Last Molars

July 9, 2019July 9, 2019 rrdch

Known to be the last of the permanent teeth that erupt on side of the upper and lower jaws, the process of eruption can be a problem many a times because there is very little room left to accommodate these molars. As a result most of the times these teeth erupt either partially or in a crooked form. There is therefore a possibility of these teeth getting impacted is high further resulting into tenderness and swelling of the areas around them.

As per the American Dental Association it is better that teenagers of 16-19 years age evaluate their wisdom teeth for if there is a need to remove them. Once you visit your dentist, he/she will carry out the routine diagnosis for the same. If there’s a need for uprooting the molar, he/she will recommend the removal of the impacted teeth. This will include either the use of local or general anesthesia or IV sedation. In order to limit the bleeding caused due to the extraction the doctor will ask you to bite on a soft gauze piece for over 30 to 45 minutes.

The procedure is also a simple one, wherein the Surgeon puts an incision into the gums incase the impacted teeth is imbedded in the bone and will remove it in sections so that he is able to save as much bone as possible. The side effect includes a probable swelling that would go away within a few days. If the swelling, pain, fever or bleeding continuous consult the doctor on an immediate basis.

One of the complications that could occur and is rare is dry socket. Normally, after the tooth extraction, a blood clot forms in the tooth socket and helps the area to heal. In rare cases dry socket occurs wherein the blood clot breaks down exposing the nerves as well as the bone of the tooth. It is a highly painful condition and needs medical attention on an immediate basis.

The dentist primarily rinses the affected area, removes debris around it if any and then dresses it up in order to reduce the pain and protect it from further damage. Additionally, he/she might prescribe painkillers to pain relief and prevent infection. The condition takes around 10 days to heal with proper medical care and rest.

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*Sourced from the Internet

Thumsucking And Pacifier – How It Affects The Teeth Of Infants And Children

June 12, 2019June 12, 2019 rrdch

A natural reflex in infants and growing toddlers, thumb sucking or pacifying themselves with objects is very common. The reason cited around the same is that the little ones feel happy and secure as well. Apparently, it helps them know the world better and many times it helps to soothe themselves and fall asleep.

Thumb sucking can be considered a problem for the teeth of the child only if the intensity is too high. Even pacifiers have the same effect on children as thumb sucking, based on the frequency of using them. Also, if kids only use the pacifier or thumb to rest it in the mouth, it does not have any harm but if they suck the thumb or pacifier too vigorously, it does affect your teeth for sure.

The thumb sucking or using pacifiers continuous for upto four years of age generally. Children who suck their thumb aggressively do tend to affect the primary teeth and hence it’s important to take steps when you find that your child is into thumb-sucking or pacifying continuously. It is also known that once the permanent teeth are in place, thumb sucking or pacifying can cause To help your child give up the habit you may do your bit by doing the following –

Make them feel comfortable and secure
Explain your child, if he/she can understand about the disadvantages of thumb sucking / pacifying
Try to use different methods for getting rid of the habit
Whenever you find your child not sucking, appreciate it
Even trying to put a bandage around the thumb is a good idea

If problems persist even after trying, then it is advisable to consult a dentist or pediatrician. They will help you with medication that tastes bitter or with some thumb coater.

Thumb sucking or using pacifiers is a very common problem that infants and toddlers face in their early years. Nevertheless, it is not a problem that has no solution, so try working it out with kids at home through some tried and tested ways or else coordinate with your pediatrician or dentist and you’ll find a way out.

*Sourced from the Internet

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Brushing Teeth Before or After Breakfast – The Right Way

November 28, 2018January 8, 2019 rrdch

Many people debate on brushing teeth before or after breakfast, just like people who debate the idea of taking shower in the morning or night and which one is better. Brushing teeth before breakfast is about get away with the bad breadth and the bacteria that are the cause behind it. If you brush after breakfast, you clean up the developing bacteria as well as the particles that are stuck inside.

Apparently, let’s understand how the process inside the mouth works. The bacteria are active when there is less saliva in the mouth. This is during the night time. In the day time as the mouth is able to make enough saliva the bacteria’s are not able to do much of a damage. The percentage production in the day time is 80-90 % compared to 10-15 % in the day time.
Saliva plays a critical role in bacteria in maintain your teeth as well as gums. Also one of the most harmful ingredient is sugar. It encourages the growth of bacteria in mouth and hence eating sweet at night is not a good idea. If possible limit your sugar intake in the evenings so that you restrict the bacteria growth as well. Bacteria feeds on sugar and growth causing tooth decay eventually.

Now considering the question about what is better, brushing before or after breakfast, experts say that is entirely an individual’s choice. If you feel that you can’t take the bad breath then brush your teeth before breakfast and if you feel you are not smelling bad and brushing after breakfast makes you feel clean and fresh, do that. Only point to remember is that if you are going to eat an acidic breakfast like pineapple juice or lemonade for that matter then a better idea will be to brush after breakfast after waiting for some-time. This will give time to your surface enamel to stabilise and this can be done when you eat food while drinking thus causing stability. When you vomit is when the strongest acid gets into your mouth and hence it is advisable to take some tooth paste and apply it on the teeth.

The idea is to keep bacteria in the mouth at bay by brushing teeth atleast couple of times during the day and avoid intake of sugar more so during the night time as you know how it can boost the growth of bacteria.

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*Sourced from the Internet

All You Need to Know About Tooth Whitening

November 12, 2018November 13, 2018 rrdch

India is a dental tourism destination and people from around the world visit India to get dental treatment done at inexpensive prices. Whitening is one such form of dental treatment which is available in India and that too at much cheaper prices as compared to countries like dubai, USA and other countries. With state of the art facilities in terms of technology as well as qualified and expert dental professionals India has already topped the list of countries offering one stop dental health solutions. The cost benefit to people choosing India for their dental needs.

There are primarily to main types of teeth whitening procedures in India. The first is the in office procedure carried out by a cosmetic dentist with the help of laser or gel of professional grade, high in carbamide peroxide or hydrogen peroxide concentration.

The need for tooth whitening
Teeth are an important part of your personality and you smile lights up your personality completely. Hence, it’s obvious to be conscious about your smile. But,

Over the years the outer layer of the teeth known as the enamel gets stained or yellow due to a number of reasons like addiction to tobacco, drinking beverages like coffee, cola, red wine or tea (dark colored ones) regularly. Even carelessness around dental care also results in staining of teeth.

A variety of alternatives are available with tooth whitening. Right from simple take home kits to using veneers for removal of the traditional bleaching methods. Here’s a look through the various choices around teeth whitening for you.

Try at home Kits – These are simple readymade kits for whitening. There are very much similar to over the counter type of kits but the concentration levels of bleach are much more generally. This procedure can cost around INR 4K – 7K in India.

Boost – this is a type of teeth whitening procedure wherein hydrogen peroxide based power bleaching gel is used for stain removal, without the use of any special light. It does not take a long time and you are done within 40 minutes at the dentists clinic. The cost of chemical or boost whitening is India ranges from INR 5K to INR 15K.

Zoom Teeth Whitening – It costs around INR 12K – INR 15 K and the procedure is similar to boost wherein hydrogen peroxide gel is used. Only that a special lamp is used together with the gel in order to whiten the teeth. It is a 45 minute procedure.

Laser Teeth whitening – It is also an effective method of teeth whitening and has the ability to remove stains fast. It is so effective that as per the American Academy of Cosmetic Dentistry, laser whitening can whiten your teeth by as much as 10 shades.

Well, to put that gorgeous smile on your face and enhance your looks teeth whitening is what is needed. You may choose one as per you requirements and brighten up your smile.

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*Sourced from the Internet

5 Dental Problems for People Above 50 Years of Age

October 24, 2018November 13, 2018 rrdch

Teeth problems are caused throughout the lifetime but after 50 its starts going southwards. Tooth issues are generally very painful issues and precaution for prevention is always a good idea. Also, 50 plus is an age when everything other than health is secondary. So, let us run through some of the tooth problems that commonly occur in the 50’s and care to be taken in order to avoid the same.

Dry Mouth
Dry mouth is often a result of medications. As people grow older, the number of medications also increase hence resulting into dry mouth problems. Sometimes it could occur due to an accidental blow to the head or smoking addictions due to damage to salivary glands. The symptoms of dry mouth include dry throat, issues swallowing, dry and cracked lips. It may also cause bad breadth and trouble with swallowing food.

Care – Sipping water throughout the day for stimulating saliva production is a good remedy for dry mouth. Alternatively, you may also sugar free xylitol chewing gum or candy. Over the counter formulations are also available and could on the advice and prescription of your Dentist.

Tooth Decay
While many of us may presume that cavities are only a problem of the sunny days, apparently we’re not aware enough. Cavities can occur even after 50 years. The roots of your teeth turn softer as well as are even more exposed once you cross the golden jubilee mark. So, they are more prone to tooth decay not only on the surface of the teeth but also affect the root and over old fillings.

Care – Flouride is a simple solution to the problem called cavities. Be it children or adults, is works alike for both and is known to be one of the top 10 dental health measures. In India people do not drink fluorinated water, like Americans do. Hence, it is advisable that you do a fluoride rinse after brushing daily. Alternatively, you may also ask your dentist to prescribe you some flouride prescription gel.

Gingivitis/ Gum Disease
Gingivitis is a first stage of gum disease and needs and needs early intervention or it can progress further into bone loss and eventually loss of teeth. The symptoms of gum disease include red and swollen gums that bleed easily.

Care – Follow your routine teeth care and visit your dentists regularly for oral check-up and cleaning.

Tooth Crowding
As per the X-president of American association of Orthodontists, our teeth shift as we age. This makes it difficult to clean the teeth increasing the risk of tooth decay. Additionally, it also increases the risk of periodontal disease that could lead to a loss of teeth.

Care – Meet your dentist to find out if your teeth have actually shifted. The dentist may suggest refitting them with a spacer, retainer or braces as well. It is advisable to do a regular visit to your dentist to check on the shifting part and even regular cleaning.

Oral Cancer
Oral cancer is ranks in the top three cancers in India as per a research paper published in Journal of Cancer Epidemiology in 2012. As you age the risk of oral cancer only increases. The people who are addicted to smoking and drinking often are at a greater risk of the same. The discovery of Human Papilloma virus has also added to the cause of oral cancer.

Care – Mortality rate for those suffering from oral cancer is very low. If detected at an early stage then the survival rate is upto 5 years or so. Hence, it’s advisable to do a checkup for oral cancer regularly.

*Sourced from the Internet

Dental Treatment for Children With Special Needs

July 10, 2018November 13, 2018 rrdch

Many of us are not aware that children with dental practices do vary for children with special needs and most of the times parents concentrate on their mental needs. Somewhere down the line dental needs take a back seat, at times due to ignorance about this fact as well.

As per the Maternal and Child Health Bureau, children with special needs are twice as likely as normal children to get dental issues. Hence, when you are a parent of a special child, you need to be twice as alert to check for any underlying symptoms of dental health and take due action against it.

Children with special needs include children having physical, emotional, behavioral or developmental conditions of chronic nature and suffer from neurological disorders, vision and hearing impairment, cerebral palsy, down syndrome and more, to name a few.

Common Oral Conditions in Special Needs Children
In general it is not easy to keep the teeth of children with special needs clean due to their irregular alignment and crowding as well. Some kids with special needs might also have conditions like cerebral palsy, connective tissue disorders or impaired immune systems.
At times kids with special needs are on medications for a prolonged period of time. This also results in decay of tooth or gum tissue overgrowth.

Dental Advice and Preventive Care
Dental care needs attention right from the very beginning after birth. When the infant does not have teeth, using wet pads to clean the gum region helps and when the kid develops teeth, brushing them twice a day certainly helps not only in keeping the dental conditions at bay but also maintaining a daily routine. To maintain the health of your child’s teeth use toothpastes that contain flouride and avoid excess intake of foods loaded with sugar or starch. Get your kid into a habit of brushing teeth after meals and rinsing properly with water in order to reduce the acidity of sugary foods.

Well, it’s not a big deal to manage the dental health of your little ones with special needs. With some mindfulness, preventive measures and support of your dentist you can avoid related issues with ease.

RRDCH is a premier dental college and hospital in Bangalore offering BDS, MDS, Phd and certificate courses. One of the best Dental Colleges in Mysore Road

*Sourced from the Internet

Where do Your Teeth Actually Go After Extraction?

May 24, 2018November 13, 2018 rrdch

Well, it’s different in different places of the world and while countries like USA might have stringent rules and regulations pertaining disposal of medical waste, in India the laws are not as stringent or put into effect as abroad. Well, the tooth is yours and you have full control over what you want to do it as in whether you want to keep it or dispose it. But, not many know that If you are living in a country like USA there are rules and regulations that you need to adhere to even if it’s about your won dental waste. Here’s some information around it.

As per the local, state and federal health regulations, your tooth could have tissue residue, saliva or blood on it, hence making it a medical waste product. The dentists are already taught to deal with medical waste and that returning it to the patient is against the dental law. Though, many dental association in America like the Occupational Safety and Health Administration (OSHA), The Centre for Disease Control and Prevention (CDC) and the American Dental Association – all do permit taking the tooth home, yet the dentist would have to sterilize it before he or she hands it over.

Tooth without metal Filings
The Centre of Disease control and Prevention (CDC) in America consider an extracted tooth without any metal fillings as infectious and are to be disposed of using the hazardous waste containers, which are picked up by the medical waste management companies and is incinerated.

Tooth with metal filingsX
If your teeth contain metal particularly if its amalgam, which is a combination of many metals like tin, copper, zinc, silver and mercury then as per CDC it cannot be incinerated because there are concerns regarding emission of toxic fumes on exposure to high temperatures for incineration.

So, this sort of an extracted tooth is placed separately away from the medical waste and sent to a specialized medical recycling centre. At the centre, the hazardous material are removed off the teeth and are disposed of safely before further procedures are undertaken. Dental scrap like molds and grindings are also sent for recycling many a times.

The dentist is paid for the metal though but if you are thinking of taking your tooth home for earning some bucks out of it, well, then it is not a good idea. The recycling business is a bulk business and hence to earn a fat amount you need to sell quite a few.

Not all dentists sell it, there are many who donate teeth for research purpose in medical labs and dental schools. Well, celebrity teeth might gain a lot of bucks and there have been cases where celebrity tooth have been auctioned for a fat amount for the purpose of cloning. Dentists use teeth for advertising and fulfilling some bizarre desires like teeth jewelry or as visual aids in educational seminars

RajaRajeswari Dental College & Hospital was established in the year 1992 with just 40 admissions in BDS course. It was housed in a rented building measuring 40,000 Sq. Feet. Now it has progressed to a full- fledged Postgraduate Dental Institution with 100 BDS admissions and MDS courses in all specialties of Dental Surgery. In addition, PhD in Orthodontics, Periodontology and certificate course in Implantology are also offered in RRDCH.

*Sourced from the Internet

Bone Graft – Dental treatment That Works well

October 18, 2017June 21, 2018 rrdch

Bone graft is an alternative to dental implants. It is generally done when the jaw bone is too soft or thin and fails to have the ability to keep the implanted tooth in place or causes implant surgery to fail.
It is apparently a type of surgery which is also used for fixing the damages done by gum diseases, trauma or tooth loss. As we age dental implants are needed and bone graft surgery apparently is very useful as it provides structural stability by filling up the voids in areas where the bone is not present. Even for maintaining the bone structure post tooth extraction bone grafting is carried out.

Graft surgery is of two types –

1. Autograft – As the name suggests the use of bones that are present in the body like wrist bone, pelvis bone or ribs.

2. Allograft – This surgery uses the bone of a donor who is dead or a cadaver after it is cleaned and archived in the tissue bank.

Your dentist does the diagnosis and decides on the type of bone graft is required. It is an anaestheisa assisted surgery so should be almost pain free. The process includes skin incision above the area where the graft is required. Then the bone is shaped to fit the area and with the help of plates, screws, cables or wires and pins is held in place. Once secure, the incision is stitched up.

After the surgery care needs to be taken in order to ensure the success of the surgery. The healing time is generally of over 3 months. It is advisable to eat foods that are soft and to avoid extreme exercising. In order to avoid infection of any kind, the dentist will also orient you on flossing and brushing in a suitable way. For smokers though, it is advisable to stop smoking or else the graft might fail due to prolonged bone healing on account of smoking.

Here is a run down some of the benefits of Bone Graft
It can be used for various dental issues like tooth implant, poor jaw conditions or tooth loss.
It is useful if you have an implant in the future.
It helps protecting the mouth against shrinkage in width and height over a period of time
The aesthetics of the jaw line as in the strength and shape of the bony ridge post tooth loss.
It helps in avoiding the otherwise fragile jaw structure from shortening or narrowing down

Bone grafting can be expensive but in India its quite affordable as compared to foreign countries where people opt in for medical tourism to countries like India or Mexico for dental treatments.

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