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dentist in Vikaspuri

The importance of oral health care in people with diabetes in times of coronavirus

Dentist in Vikaspuri call for extreme oral hygiene measures in this population group at special risk compared to COVID-19.

The optimal care of oral health in people with diabetes is an indispensable habit, and even more in these times of coronavirus pandemic. Proper hygiene oral as well as a rapid and efficient dental work to prevent or treat disorders gums, helps prevent and/or controlling inflammatory disorders (such as periodontitis) originating in the mouth but which impact on the overall health (due to its systemic nature) and that usually alter glycemic control in people with diabetes.

Minimizing these inflammatory phenomena is currently crucial in this group of people, especially considering that they already have a higher risk than the general population of progressing worse and suffering more complications (including death) if they develop COVID. -19. Specifically, 40% diabetic patient would be over 65 years old, which would add two important risk factors for the worst prognosis in the face of this viral infection.

These people with diabetes are advised not to postpone their consultation to the best dentist in Vikaspuri in the event of any notable event. In the face of periodontal infection, significant gingival bleeding, suppuration or periodontal abscesses, as recommended by the dentist, “it is advisable that you contact your dentist in Janakpuri to assess the need for some type of periodontal treatment of urgency, with the aim of avoiding situations that could negatively influence your general health ”. On the other hand, indicates the best dentist in janakpuri, “it is also essential that they eat in a healthy and balanced way and that, to the extent that this situation offers us, they carry out daily physical exercise.”

As detailed by the components of the ‘Diabetes and Periodontal Diseases’ Working Group, there are several reasons why a patient with diabetes has to isolate himself and take much more care of himself :

1) The person with diabetes has a compromised immune system, which responds inadequately against infections, whether they are bacterial, fungal or viral. In the case of the coronavirus, this will facilitate its spread within the lungs, against which the patient’s immune system will try to resist. This fight is based on the exaggerated release of large amounts of proinflammatory cytokines, substances whose mission is to eradicate the virus, but which, collaterally, produce a situation of inflammation not only at the pulmonary level but in a generalized way.

2) This elevation of inflammatory markers in the blood will be responsible for the production of insulin resistance and, as a consequence, for a higher elevation of the levels of glycated haemoglobin. Therefore, COVID-19 in a patient with diabetes can significantly increase the risk of uncontrolled blood glucose, with its subsequent complications.

3) On the other hand, some of the treatments used in patients with COVID-19 (such as, for example, high-dose corticosteroids) also cause an increase in both blood pressure and levels of glycated haemoglobin, which It can also uncontrol the diabetes of these patients. One of the complications observed in patients with COVID-19 is cardiovascular, both as a consequence of the viral infection itself and of the treatments used against it (as is the case with chloroquine-type antimalarials).

4) In addition, many patients with diabetes, especially those who are older, already have a cardiovascular complication, which increases the risk of worsening diabetic disease.

dentist in vikaspuri

What you need to know about gingivitis

Gingivitis is often a silent disease of the gums and teeth, but it can cause serious damage, including loss of teeth. Maintain proper dental hygiene and visit your dentist in Vikaspuri regularly to prevent it.

Find out what are the signs of gingivitis and what exactly is this disease.

What is gingivitis?

Gingivitis means inflammation of the gums, accompanied by irritation and redness. It commonly occurs because a film of plaque, or bacteria, builds upon the gum at the base of the teeth.

Gingivitis is a type of non-destructive periodontal disease, but untreated gingivitis can progress to periodontitis. This is more serious and can eventually lead to tooth loss.

What are the causes of gingivitis?

Between the gum and the tooth, there is a tiny space called a sulcus. Without good hygiene, food debris accumulates in this small space, causing an infection at the gum level or gingivitis.

In other words, the most common cause of gingivitis is the accumulation of bacterial plaque between and around the teeth, especially in hard-to-reach areas. Untreated or when not properly removed, the bacterial plaque can harden and become tartar that can, over time, lead to other complications including tenderness, gum bleeding, or periodontitis.

Risk factor’s

Anyone can develop gingivitis since it is quite common, but there are certain factors that can increase the risk of suffering it, among which can be found:

  • Poor oral care or poor nutrition
  • Tobacco (smoking or chewing)
  • Diabetes
  • Dry mouth
  • Taking certain medications (contraceptives, steroids, anticonvulsants)
  • Teeth with cavities or twisted that hinder the cleaning
  • Misplaced orthodontic appliances
  • Fractured fillings
  • Pregnancy
  • Genetic factors or advanced age
  • Weak immunity (eg, HIV / AIDS patients)

What are the symptoms of gingivitis?

best dentist in Vikaspuri

Many times we do not realize that we have gingivitis because it may not appear, but there are certain symptoms:

  • Gums that are red, swollen, soft, or bleeding when you brush or floss
  • Receding gums
  • Chewing pain
  • Sensitive teeth
  • Bad breath (halitosis)
  • change in the bite
  • Pus pockets between teeth and gums
  • Tooth loss

How to cure gingivitis?

The most important thing of all is to go to a specialized dental clinic in Vikaspuri to indicate the best treatment for your case.

Among the most common treatments are:

  • Dental cleaning – there are many techniques used to clean teeth thoroughly without the need for surgery.
  • Medications – rinses containing antibiotics (with chlorhexidine or doxycycline) may be recommended.
  • Surgery – only for severe cases.

Remember that gingivitis is a gum disease that can be easily prevented. Make sure you have a balanced diet and visit a dental clinic in Janakpuri on a regular basis. Brush twice a day with fluoride toothpaste and floss.

Diagnosis and advice

If you notice one of the symptoms of gingivitis, don’t ignore them and go to a specialized dental clinic in Uttam Nagar. The only person indicated to offer you a final diagnosis is your dentist in Uttam Nagar, since it is necessary to verify the space between the tooth and the gum, to determine the state and the correct treatment.

dental avulsion

Dental Avulsions in Temporary and Permanent Teeth

Injuries at the oral level are among the leading causes of health care. Among all the injuries that affect the head, dental trauma is the most frequent.

Today we will focus on avulsion, which is classified within traumatic injuries of the oral cavity, and are the most frequent injuries in permanent dentition.

They are also considered the most serious injuries among all dental trauma, and it is even the second leading cause of dental care after dental caries.

The traumatic injury is called avulsion when the displacement of the tooth is total, and it leaves the alveolar bone and the gum, damaging the nerve and soft tissues.

Most common ways avulsion occurs

Many of these injuries are caused by falls, violence, car accidents or the practice of contact sports, the latter two being the most frequent causes described in the international literature, in addition, there are individual features, such as vestibularized incisors or lack of lip seal, that increase the risk of this happening.

Often avulsion is related to only one tooth, although several may be involved. One of the factors that influence the treatment and prognosis is the degree of dental maturation, that is, whether the tooth is temporary (“milk”) or permanent…

Dental Avulsion Treatment

On temporary teeth

For temporary teeth, the treatment to be carried out would be to wait for the wound to heal and place a space maintainer, to make room for the final tooth.

In definitive teeth

On the other hand, in the definitive teeth, the treatment is different, since there can be two situations:

1- Definitive tooth that has not finished forming and due to its root immaturity, it is possible that its revascularization occurs after dental reimplantation.

2- Definitive tooth that has finished forming. There is no possibility of revascularization in these teeth, but if the extraoral period has been less than one hour (either because it was immediately re-implanted or maintained in a suitable preservation medium), the probabilities of periodontal and probiotic healing are acceptable.

The importance of reacting by repositioning the tooth

The success of the treatment will depend on the ability to preserve the periodontal ligament cells and the fibres attached to the root. The patient must remain calm, find the tooth, take it by the crown (never by the root) and if the tooth is dirty, wash it briefly for a few seconds under cold running water and reposition it in the mouth.

If it is not possible to position it due to loss of consciousness, nervousness or simply due to lack of confidence or self-knowledge, we must keep the tooth in some suitable means as we will recommend later and go to the dental clinic in Vikaspuri as soon as possible.

Treatment in the dental clinic

In the dental clinic, dentist in Vikaspuri will perform an x-ray and suture possible gingival injuries. Then we will re-implant and splint for 7-10 days using a flexible splint, and we will carry out an endodontic treatment with subsequent radiographic follow-ups. There are situations in which reimplantation treatment is not recommended since it presents severe periodontal disease, immunosuppression status, severe heart disease, caries or the patient is uncooperative.

Prognostic and success in avulsions

An avulsion is the type of trauma whose prognosis is most sensitive to time and storage quality. The different factors that will determine the prognosis of the treatment are:

  • The extent of the trauma.
  • The state of the tooth.
  • The tissue support.
  • The time elapsed outside the socket.
  • Pollution.
  • The storage medium.
  • Age.
  • The general health of the patient.

These conditions are directly related to the extra-alveolar time, the type of storage after the avulsion and the alterations of the root surface.

The success rate of a definitive tooth re-implanted after an avulsion is close to 90%, as long as the extraoral time and the conservation of the avulsed tooth is adequate by the patient.

The prognosis of avulsed teeth improves when the reimplantation is immediate, after cleaning the socket with saline and does not exceed 20 minutes of extraoral time, preserved in Hank’s Balanced saline solution (this being the quintessential preservation medium).

Tips For Teeth Whitening

Tips And Advice For Teeth Whitening

Teeth whitening has become one of the most demanded aesthetic dental treatments in our dental clinic in Vikaspuri. The search for bright white teeth for one reason or another has led to an increase in the number of patients who undergo this type of treatment. Let’s see some measures and tips for teeth whitening according to our specialists:

Measures before bleaching

The first thing you should do is make an appointment with our dentist in Vikaspuri and discuss what you want. Tell him what your concerns and expectations are. The more information you share with the best dentist in Vikaspuri and the better you describe what you are looking for, the better the results will be. It is also important to tell him if you are thinking of having another type of treatment such as veneers, crowns or implants.

As a measure before treatment, either with a lamp or a splint, we usually advise that the patient undergo a professional dental cleaning. Thus, the mouth will be fully prepared for dental aesthetics treatment.

Tips for teeth whitening during treatment

Your dentist in Delhi will indicate the necessary measures according to the type of teeth whitening you have chosen. If you opt for teeth whitening with a lamp, you will be accompanied at all times by a qualified professional who will supervise the treatment in the clinic itself. If, on the other hand, you opt for the splint treatment carried out at home, you must follow the measures indicated by your specialist so that the result is optimal.

Post-whitening measures

Among the post-whitening measures we recommend, we highlight the following:

  • Avoid consuming foods and drinks such as tobacco, tea, coffee or wine, as they could stain your teeth.
  • In the case of lamp teeth whitening, do not consume coloured foods for 3 days either, so try to follow a WHITE diet to avoid unnecessary staining of the teeth.
  • Drink plenty of water, this way you will keep the dental pieces hydrated, which favours the performance of the whitening gel.
  • Use the special gel indicated for brushing your teeth for as long as the specialist recommends.

Periodontal disease

What Are Periodontal Pockets?

The older you get, the more likely you are to develop periodontal disease or gum disease. However, the periodontal disease not only appears in older people, but there are also risk factors such as poor dental hygiene, diabetes, cardiovascular diseases, medication for other conditions, hereditary factors and stress, for example, that can allow the development of this disease at any stage of life.

If your mouth is healthy, your gum should fit snugly around each tooth. If, on the other hand, periodontal disease is present, the gingiva begins to retract, leaving ever wider and deeper gingival grooves around the teeth, which are called “periodontal pockets”. If left untreated, the teeth would become less and less clamped and could eventually fall out. However, with early detection and a correct treatment plan, such tooth loss could be avoided.

How is a periodontal pocket formed?

Bacteria in the mouth are constantly forming a film of plaque on your teeth, especially in the gum area. If this plaque is not removed, it becomes tartar, which could only be removed by dentist in Vikaspuri through professional dental cleaning.

The inflammation produced by plaque and tartar can cause periodontal pockets between the gum and teeth. When the gum retracts, the inflamed tissue leaves a space where more plaque and tartar accumulates, posing a threat to the bone and tissues that support the teeth.

How is periodontal disease diagnosed?

If you start to notice bad breath, bleeding or that the gums are red, inflamed or more separated from the teeth, make an appointment at your dental clinic in Vikaspuri as soon as possible. First, your dentist in Delhi will evaluate the tissues of the mouth and the gingival grooves that have formed around the teeth. Then, if necessary, determine the level of development of the periodontal disease.

How are periodontal pockets treated?

The first step in treating the periodontal disease if it is in an early stage like gingivitis is to carry out a professional dental cleaning at the dental clinic in Janakpuri. By removing the plaque and tartar that builds up between the teeth and gum, the gum can recover and get closer to the teeth. If it is in a more advanced phase such as periodontitis, the basic periodontal treatment would consist of performing curettage, scraping or root planing.

However, if periodontitis is even more advanced and periodontal pockets persist, your dentist in Janakpuri will recommend that you resort to oral surgery to stabilize the progression of the disease. Once periodontal treatment is completed, you will need to go to check-ups scheduled by your periodontist to carry out necessary periodontal maintenance and avoid a recurrence.

Prevention at home

Periodontal disease can be prevented. However, it is essential to have a good oral hygiene routine and get regular dental check-ups.

Brush your teeth at least twice a day with a soft toothbrush so that you get to the gum line where plaque builds up. Remember that flossing is as important as brushing your teeth, so make sure you do it right. The use of mouthwash is also a good prevention tool. Lastly, don’t forget to change your toothbrush every three to four months.

The diagnosis and treatment of periodontal disease and periodontal pockets in an early stage can avoid affecting bone and therefore can prevent tooth loss.