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Anyone needs Dental advice - Please post ur problems

Discussion in 'Health Issues' started by hema_gladston, Jun 18, 2008.

  1. Drpreethis

    Drpreethis Gold IL'ite

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    Sri ,

    My suggestion - Go for the treatment. If yours is still Gingivitis and hasnt reached Periodontitis.. You are lucky. Periodontitis is the sequelae of GIngivits and leads to bone loss and loss of tooth itself.

    What they have found by measuring is the pocket depth in each tooth. Pockets could have been avoided had you got your scaling every 6 months. Now, since you already have them, better to get them cleaned and also apply the fibers ( which are antiseptic natural fibers kind ) which would help in healing of the pockets and proper growth of the gums.

    For a patient who has pockets.. this treatment is common. I know it is a little expensive here.. But you really dont have an alternative.. BUT you could ask your Dentist to prescribe antibiotics which cost less. There are alternate ones available.

    You wouldnt have to repeat this procedure, if you maintain a good oral hygeine and also get your scaling done once in 6 months RELIGIOUSLY ! :)

    Sri, many people think that they dont have to get the scaling done if they dont have tartar.. That is wrong. Regardless of wether your can ' see ' tartar or wether you brush teeth regularly twice daily.. A Scaling is MUST once in 6 months..

    Take care.. and follow the instructions they would be giving you after the treatment.. Dont worry. You will be fine.
     
  2. Drpreethis

    Drpreethis Gold IL'ite

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    Vatsala ,

    Since Hema hasnt been here for quite some time.. and I have been answering most of the queries.. I ask your permission to advice..

    I really dont understand what you mean by " Oil Pulling " ! :bonk There are no home remedies to this.. As you say two of your teeth are mobile and you have swollen gums, i suggest you to visit a Dentist at the earliest. You may be having a starting stage of something called Periodontitis involving the gums and bone of the teeth. This is exactly why you have shaky tooth.

    Vatsala, it is not just about pulling out these two teeth.. it is about saving the rest !!

    So, Please take care and make an appointment soon.
     
  3. Sri2007

    Sri2007 New IL'ite

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    Thanks Preethi for your immediate reply.
    I do reguraly go for the usual cleaning once every 6 months. But not scaling.I was told that the scaling is for cleaning the pockets.
    So for every 6 months I need to do scaling along with my usual cleaning? Even scaling is only 80% covered by my insurance.Will check with them for alternate antibiotics .
     
  4. Drpreethis

    Drpreethis Gold IL'ite

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    No, Sri. Scaling is regular cleaning.. The pocket treatment is called Deep gingival Scaling or Sub Gingival Scaling.

    The regular scaling is called Supra gingival Scaling which means above the gum line.

    You dont have to get a Deep scaling every six months.. Just a supra gingival would do. But if you have been doing it regularly, then your maintenance is a problem I guess.. Because , only if the maintanenace is poor you will have calculus causing Pockets. Do you go to the same Dentist for your routine cleaning and your present treatment ? If yes, ask them why you have pocket respit regular cleaning. If they say, your maintenence is not good, then ask them to go through the whole thing with you and teach you what to do.. If they have no answer as to why you have pockets.. or simply say Some people get it ! Time to change the Dentist ! :)

    I suppose in few insurance package, scaling twice a year or even once a year is free alongwith check up and few Xrays.. Maybe you should check with those once this treatment is over.
     
  5. Sri2007

    Sri2007 New IL'ite

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    Preethi- No I have been changing dentist since we have been moving around a lot (5 states in the last 4 yrs). None of my prev dentists have told me reg this issue.So when I asked abt this with the current dentist, they said that not every dentist office checks for disease unless there is any symptoms.
    Yes I do the regular cleaning (Supra gingival Scaling ) every 6 months and is covered 100% by my insurance. only the deep scaling (Deep gingival Scaling or Sub Gingival Scaling) is covered 80% + the antibiotics is not covered.
    Thanks for all youre clarification.
     
  6. Drpreethis

    Drpreethis Gold IL'ite

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    Yeah.. true. But the ' Scaling itself if done correctly ' wouldnt lead to these symptoms. That was my point here .. :) Howver, cannot help when..you have to move to different states for career reasons.. Leave it.

    Just get the sub gingival scaling and the pocket treatment soon. You dont have to do it regularly if the maintainence is good enough. So, take very very good care.. Not that you havent.. but little extra. :)

    Regular flossing
    Gargling your mouth after every meal ( even if it is a biscuit )
    Brushing teeth if you eat a candy
    Have Calcium and Vitamin C supplements if you have to and the general condition of your gums are poor. Talk to your Dentist about this.
    You could also use a mouthwash for gum health.. But make sure you dilute it a little. The concentrate usually hurts us from India.. :)

    So, just take that ' extra care ' and you will be absolutly fine !! :)
     
  7. sheshin

    sheshin Gold IL'ite

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    Hello DrPreethis,

    This is my first interaction with you. I religiously follow each and every suggestion by you to other ILs in different forums. I love the way you analyse any situation.

    Coming to the problem, last week i got severe pain in my lower left side wisdom teeth and the doc extracted it 6 days back, now i am recovering from it. He showed me the X-ray and told there are two more wisdom tooth which are impacted( one is some angular outward and one is horizontal) and need to be removed by oral surgeon. But i can see the teeth fully grown outside then why he called that as impacted?.
    I want to remove them as soon as possible as i am planning for child. My question is can i go for removal this week or next week? Is it ok to take local anesthetic within that short duration?. And one more thing I severely vomited the next day of surgery and still i am not feeling well. I took yogurt the day and juice next day morning of the surgery and started vomiting and now i am dreaded to take liquids or any juice:cry:. What do you suggest? Whether i should wait until i recover fully or should i go for removal. I feel relaxed if it is over.
    Sorry for the long post. I seriously want to end this problem so that i can start preparing myself for child.
     
  8. Drpreethis

    Drpreethis Gold IL'ite

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    Sheshin,

    You are right. When the tooth is ' fully erupted ' it cannot be called
    ' Impacted ' .. BUT.. You also say, you have two other teeth which are impacted. One is horizantal, so IT being visible is ruled out. The second one is angular, which means you can see a partial part of it ?

    Did you mean you have ' another ' tooth besides this ? If no, and you are refferring to the ' angular impacted one ' then.. it is Impacted. Maybe you could see a protion of it.. Infact , maybe more than just a portion. But it is not upright. So, any tooth which fails to erupt in the mouth ' normally ' is called Impaction.

    Or do you say, that you can see the tooth out.. completely ie., BUT your Dentist tells it is ' angular ' ? Did you mean that ? Then, I wonder why he said so. Probably if I could see your Xray, I would be able to talk precisely.

    Anyways, what I feel is, maybe it is looking completely erupted to you.. but actually angular in the Xray :)..

    Did you report to the doctor that you threw up post surgery ? Sometimes, the anesthesia if injested could cause stomach upset.

    It has been 6 days since your surgery and you had vomited just the 48 hours or do you still go through it ? If you are ok now.. maybe you can go for it by next week unless you dont have any important event coming up. You need rest. But taking Anesthesia in short duration is alright. No harm.
    But, make sure you tell your Dentist about your stomach upset issue.

    I dont think it was nauseating since you threw up ONLY after liquids, right ? So, maybe a little amount got injested. Usually, nothin happens but to sensitive people it is a dread. Dont worry though.. You will be alright.

    Go ahead and remove the tooth if,you are planning to finish it before your Ovulation ( that is what I understood when you - planning for your baby ) .. ONLY if you can handle the pain for somedays.. Else postpone it to next month and plan for a baby the next cycle.. :)

    Take care.. what ever.
     
  9. sheshin

    sheshin Gold IL'ite

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    Thank you Preethi for your immediate reply.

    The dentist didn't say any thing regarding the angular one in the estimation sheet, they only mentioned partially bony impaction regarding the horizontal impacted one. The horizontal one in the x-ray looks like completely erupted. Ohh no I don't have any doubt regarding the doc, i was just wondering why he called that as impacted. Anyway it is too complicated for me to understand all these terms though you explain very clearly in each of your post( I just need those troublesome teeth out of my mouth as soon as possible that's it:rant). Sorry for creating so much confusion. I don't have any nausea after second day but because of antibiotics and less intake of food i was very week till yesterday. From September DH's company is not providing dental insurance so planning to remove the remaining two tooth this month. And one more thing the dentist suggested Periodontal scaling and root planning. After wisdom teeth removal how many days i should wait to go for scaling. Can i go for all these within week gap so that i could end all these and relax for my next venture :biglaugh.
    And i have one RCT treated teeth done 10 years back. Will scaling harm this teeth? Sorry for lot of questions.
    Ohh i need lot of encouragement to complete all this episode.
     
    Last edited: Jul 31, 2009
  10. Drpreethis

    Drpreethis Gold IL'ite

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    Sheshin,

    Basically horizantal is like _ this.. so it cannot be erupted.. However, leave that since I cannot explain without looking at the X-ray ! :)

    Coming to your other queries..

    Get the extraction done as soon as you feel fit.. This time nourish yourself well with soups and fruit juices. Make sure you tell you Dentist about the bouts of vomiting you had last time.

    For the Scaling and Root Planing part.. it depends on how long you take to recover. You must have atleast a slight swelling post surgery, isnt ? How long does it take for you to become normal.. ? Based on that, you could schedule the Scaling and RP.. Get the extraction done first.. Wait for sometime till you are fit and then go for Scaling. But dont do it in the end of August, because just in case you have some problems in the Maintainace Phase post Scaling.. you could always go to the Dentist and be covered as well.. So give your Post Scaling phase atleast 15 days. Plan accordingly. I wouldnt be able to tell for sure about the ' week gap ' but decide according to the points mentioned above.

    Root canal tooth will not get affected by cleaning or root planing.

    Take care and have a good treatment.. :)
     

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