Toothaches : What to do..?

Aching tooth

Although there are many causes for "toothaches", the correct procedure is to call your dentist. If you do not have one, call a friends dentist. If its after hours, call and take the appointment. Ok, but what to do until then?

The first thing to try is to take a pain killer such as Ibuprofen (Combiflam or Flexon) or Crocin. Both of these medications are not only good at cutting down inflammation but also provide pain relief for mild and moderate pain. Both are excellent to be used as first line medications for tooth pain. Do not take a stronger narcotic medication without trying one of these two. The sole exception would be for someone who  has a bleeding  problem or an allergy that can be caused by either of these drugs.

              It is not advisable to place tablets or clove inside the mouth in an attempt to alleviate the pain. Some patients try and holding this against the tooth in an attempt to stop the pain, but the medicines can cause burns in the gingiva. Rinsing frequently with warm saline solution can help in the event that a patient has a swelling in the gum.  It is not advisable to place a hot compress on the outside of the face, since this can draw an infection toward the skin of the face and can cause more swelling.

              Sometimes patients experience toothaches immediately after eating. Usually these people have a tooth or teeth with deep caries and eating can cause the teeth to throb. For these patients I advise not letting food come in contact with the painful tooth (teeth) since it can cause a worsening of the tooth ache. Often teeth with deep cavities and vital pulps will calm down on their own if left alone for a short period of time (an hour).

            If you are experiencing an "after office hours" tooth ache and cannot reach your dentist, a trip to the hospital emergency room is an option, since many emergency rooms have oral surgeons on call.

Wisdom Tooth Demystified

Hello All,

         Over the last one month or so, i have been flooded with problems of people over twitter and my clinic mainly with one condition.. 

Wisdom tooth. So i decided to Demystify this condition for you a little bit.. 

Wisdom tooth: Why r they known as Wisdom tooth.. Simple reason is that it erupts at the age of 18 - 25 yrs when a person is supposed to attain wisdom.. Although eruption of this doesnt guarantee any wisdom.. :) 

It is the Last of the Molar teeth which are present in our mouths and they are total 4 in number..

Why there is a problem with them everytime.? Now as we have evolved over a period of thousands of years, our eating habits have also changed and so Nature decided to give us smaller jaws to do away with these wisdom teeth. So whenever a person has smaller jaw, these wisdom teeth shall not get a proper space for them to erupt and so hence the problem.. If we see the ratio now 30% of females dont have one or more wisdom teeth (Now that again doesnt mean they have less wisdom but just that they are more evolved ..:) )

What are the problems that can happen because of these wisdom teeth : 

There are various problems that can develop with these teeth majorly being Impaction or failure to erupt, Pathology such as cysts or ameloblastoma, decay, Posteruption malposition, Non function, Difficulty with hygiene which in turn damages adjacent teeth also and Pericoronitis (Inflammation of gums over the tooth)

Symptoms : The most regular symptom is PAIN... Its a throbbing kind of pain and lasts for days till intervention is sought by medications or by surgery. The medications temporarily relieve the pain but it usually keeps coming back after few months..

Treatment: 

For Partially erupted or Non erupted teeth the only treatment is Extraction. Extraction should be performed as soon as the dentist determines that the tooth is impacted. Removal of Impacted teeth becomes more DIFFICULT with advancing age with the bone getting dense and more complications coming in.

The dentist should typically not recommend leaving the impacted teeth in place until they cause difficulty.

When ultimately the tooth has to be removed, better get it done rather than waiting for more days..

Precautions as a patient:

Personally I would recommend to get the tooth extraction done by an Oral Surgeon Whos a specialised dentist (MDS) for all these procedures.

       As i always say with other dental treatment, Even Tooth Extractions DO NOT PAIN.. With anesthesia It is as easy a procedure as all others are.. After extractions there shall be some discomfort n some precautions to be taken which shall be explained by the dentist.

       Any other queries or doubts i shall be more than happy to clarify.. Connect me through
www.dentalclinicnoida.in
www.facebook.com/dentistnoida
https://twitter.com/#!/princebds