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Old 13th January 2014, 12:09   #1786
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Default Re: Bleeding gums & Gum astringent

Quote:
Originally Posted by carboy View Post
Dr.Tejas who has started this thread, has written about Stolin many pages back.
Thanks for the reminder.

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Originally Posted by Spinnerr View Post
In November 2013, I had my teeth cleaned. The dentist mentioned that I had excessive gum bleeding on the lower jaw. Post this he suggested that I use Stolin Gum Astringent and massage my gums 3-4 times a day for 3 weeks.

I followed the 3 times a day regime for about 3 weeks. Then moved to 2 times a day (morning post breakfast; then at night before I went to bed).

Problem is, when I stop using it, the bleeding is back. I notice blood after brushing, or even a good gum massage. Not that it fully stopped in the 3 weeks that I had used it regularly.

Had some questions regarding this, could someone help me with the answers or some pointers?
1. How long do I have to use Stolin to fix to the bleeding gum problem?
2. I have started flossing twice a day, is flossing actually opening up the gums, without letting it heal?
3. Would regular use of Stolin or such gum astringent result in teeth color loss?

Ps- I did read about bleeding gums being sign of BP, this gave me some sleepless nights, so I did have that checked out. Thankfully that is not over the top.
Quoting that post from the past:

Quote:
Originally Posted by Tejas@perioimpl View Post
That's the biggest mistake dentists in India are making. I'm a periodontist (gum specialist) and take it from me in writing that gum massaging is not good. In fact, our association wants to ban stolin, gumex, G32 and other such gum massage ointments.

These products give temporary relief from bleeding gums but don't treat the cause. So patient gets a false sense of well being and doesn't go to the dentist until the condition becomes too bad. The patient will also advice his friends use XYZ product, it stopped my bleeding and no need to go to the dentist. So the cycle continues! It's like taking a crocin/metacin for high fever without taking antibiotics. It will give relief from symptoms but not kill the bacteria.

The most effective cure for bleeding is scaling.

Yes, let your gums bleed during brushing and flossing, it's hardly a few ml anyways. It'l gradually stop. But DO NOT stop brushing out of fear.
Why do your gums bleed? There are a myriad causes for that but the most common cause is poor hygiene / infrequent dental clean ups that result in tartar / calculus build up.

There's always a slight space between your gums and teeth called a 'sulcus'. A correct brushing habit will clean this area; but if not cleaned well, tartar starts building up there. Tartar or as dentists call it calculus is a hard material.

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Now as you brush or massage your gums, the inner part of the gums start rubbing against this hard material and you start getting bleeding gums. An astringent like stolin / gumex will stop bleeding by blocking your blood capillaries by precipitating proteins but not removing the cause. Thus, you will have a false sense of security but the damage is being done.

The only way is to remove these deposits by sub-gingival scaling (deep cleaning).


Hope this helps.

Last edited by Tejas@perioimpl : 13th January 2014 at 12:10.
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Old 13th January 2014, 12:35   #1787
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Default Re: Bleeding gums & Gum astringent

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Originally Posted by carboy View Post
Not a dentist, but...
Dr.Tejas who has started this thread, has written about Stolin many pages back.
Thank you!
I had forgot to add in my first post, I too was recommended to use Paradontax and a mouthwash called Chlorhex.

Quote:
Originally Posted by Tejas@perioimpl View Post
...Why do your gums bleed? There are a myriad causes for that but the most common cause is poor hygiene / infrequent dental clean ups that result in tartar / calculus build up.
Thanks for clearing that out and the ref to the old post.
Talking about tartar deposit, yes, I have that. Especially on the inner part of my molars. So I guess, I should be spending more time cleaning the gaps between the teeth.

What is your take on using tooth pastes like Paradontex; they are more abrasive compared to normal tooth paste. Would continued use of this scratch the enamel and leave the teeth discoloured?

If there is anything that you could suggest, along with regular brushing that I can do to keep the bacteria build up down, so that I get a control on this tarter build-up?

I now have a floss pack at office, to clear the teeth after lunch.
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Old 13th January 2014, 12:54   #1788
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

I remember well Tejas's post about Stolin. My dentist has always recommended it as a sort of local, external anti-inflammatory, but I doubt that he would want anyone to use it long term.

In fact, a couple of years ago, he prescribed for me a deep cleansing, which his associate gum specialist performed over a couple of visits. It was (err... seemed to me) expensive, but I guess I needed it at the time. And I'd accept his recommendation to do it again if that became necessary.
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Old 13th January 2014, 13:45   #1789
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

I had written about toothpastes somewhere in some thread. Don't remember where. But all toothpastes follow a recommended abrasive level. Atleast the big brands do and therefore you must only buy pastes from a known big brand that invests in research as well.

Most of the enamel wearing happens due to toothbrushes rather than the toothpaste.

Dentists recommend toothbrushes to be changed every 3 months. Now this is not because we get a commission, it's due to two main reasons:

1. The bristles over use get hard. And they loose their flexibility and start harming the tooth and gums
2. You always have food and plaque that gets stuck on your toothbrush and no matter how well you clean it after use, some will still be left back. So now you have a moist brush, stored in a dark cabinet with food: the perfect growth medium. Studies show that the bacterial counts on a toothbrush peak in 2 months.

I recommend all patients to change their brush after every illness.

To disinfect your brush, dip the head in undiluted listerine for one hour. Recommended to do it once every two weeks.

Unfortunately, people treat their Rs. 50 brush like a family heirloom and don't want to throw it away.

Always buy a soft bristled brush. Keep the medium one to clean your car and the hard one for your bathroom tiles.

How much force to use while brushing? Unfortunately i cannot give figures but simple test is that in 3 months, the top 1mm of your bristles should show slight bending. If any more, you are using too much force and if none, then too less. This test is for a soft bristled brush only.

Zig-zag, cross action, etc you can choose what suits your fancy.

If you are using a powered brush, then touch the tooth surface and a bit on the gums and let it work for 4-5 seconds for each surface. Do not scrub along as well.

Last edited by Tejas@perioimpl : 13th January 2014 at 13:47.
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Old 13th January 2014, 14:49   #1790
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Quote:
Originally Posted by Tejas@perioimpl View Post
Unfortunately, people treat their Rs. 50 brush like a family heirloom and don't want to throw it away.
And I treat my vastly-more-expensive Braun electric brush heads the same.

Dentists that I have asked agree that the electric brush is better for dental and oral health, but, from what you say, I think I should review how I use it and, at least disinfect the thing every few days. Just the fact that there is a mechanism means more places for micro-organisms to hide.

Thanks for making me think
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Old 13th January 2014, 18:00   #1791
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Ppl, need suggestions/references to good breast oncologists in Hyderabad.
Didn't find many on this thread.
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Old 17th January 2014, 16:24   #1792
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Dear All,
This is regarding a condition im facing for a long time. When im out in the sun for more than 10-15 mins my head starts aching after coming back.This is regardless of the season Incase the exposure to sun is followed by ac environment, then there is no headache.
I had a so-called desk job, so it does not bother me on weekdays, but weekends when im out to get my personal work completed, it strikes.

I was advised to go for ayurvedic treatment, as it was chronic in nature. However, the Vaid gave medicines, which led to belly bulging and constipation.

I dont mind allopathy, but a right diagnosis would help. Doctors have given varied reasons starting from hyperacidity to sinus. I do not eat spicy food nor do I have sinus issues.

Request if anyone can help, as travelling gets more of punishment.

Regards,
Kavesh
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Old 17th January 2014, 18:20   #1793
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Looks like you have hydration prob. Increase water intake considerably. Also it's when u drink water, drink it when you are not thirsty. Headache is symptom of fatigue. Also get your vitamins and salt levels checked .

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Old 21st January 2014, 20:59   #1794
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Yesterday took my 4yr old daughter to a dentist for her 1st time general check up.
Dentist told me that she needs 3 root canal treatment/pulpoctomy and 5 cavity fillings.
I was almost in tears thinking about the trauma she has to undergo for these treatments.
And also i am not sure how i can make her cooperate for the treatment.

Is it really necessary to do the root canal treatment for her? Is there any other alternative?
What will happen if i do not do any treatment for her as she is just a kid and all these are temporary tooth?

Kindly suggest alternatives.
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Old 21st January 2014, 21:44   #1795
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

2nd opinion, please.
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Old 21st January 2014, 22:03   #1796
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Curious. Dentists: do you guys do root canal therapy on milk teeth?

related, but not personal to rock18's request: might be a good community initiative if one of you pros put together a set of guidlines for parents to keep the children's mouths and teeth healthy.
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Old 21st January 2014, 22:40   #1797
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Quote:
Originally Posted by Thad E Ginathom View Post
Curious. Dentists: do you guys do root canal therapy on milk teeth?
In a way, root canal therapy IS sometimes performed on milk teeth - except that
(a) an attempt is made the preserve the pulp if it is even partially vital, to delay / avoid root canal therapy as far as possible;
(b) an effort is made to control bacterial growth in the pulp chamber and canals with anti-bacterial washes (e.g. chlorhexidine, 1% sodium hypochlorite), since the root canals of deciduous teeth don't follow a set pattern and have too many variations to allow for proper physical cleaning through instrumentation; and
(c) the materials used to fill root canals of deciduous teeth are entirely different from that used in fully developed permanent teeth - these need to be resorbable (e.g. calcium hydroxide), to allow the root as well as the material to be resorbed when the permanent tooth erupts.
Quote:
might be a good community initiative if one of you pros put together a set of guidlines for parents to keep the children's mouths and teeth healthy.
Some web resources that offer genuine advice:
http://www.adha.org/resources-docs/7...ral_Health.pdf
http://www.nhs.uk/Livewell/dentalhea...kidsteeth.aspx
http://www.webmd.com/oral-health/tc/...s-and-children

I've found toothbrushes such as these to be convenient and comfortable for parents to clean very young children's milk teeth.
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Old 21st January 2014, 22:40   #1798
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Hi,
Root canal treatment in children (milk teeth) is called pulpectomy. Yes, it's very imp to get it done if indicated as infected teeth can lead to infected permanent teeth which are just below milk teeth.
Always go for pedodontist as they are specially trained to handle children. If you guys in mumbai I can suggest few names.

Quote:
Originally Posted by SS-Traveller View Post
In a way, root canal therapy IS sometimes performed on milk teeth - except that (a) an attempt is made the preserve the pulp if it is even partially vital, to delay / avoid root canal therapy as far as possible; (b) an effort is made to control bacterial growth in the pulp chamber and canals with anti-bacterial washes (e.g. chlorhexidine, 1% sodium hypochlorite), since the root canals of deciduous teeth don't follow a set pattern and have too many variations to allow for proper physical cleaning through instrumentation; and (c) the materials used to fill root canals of deciduous teeth are entirely different from that used in fully developed permanent teeth - these need to be resorbable (e.g. calcium hydroxide), to allow the root as well as the material to be resorbed when the permanent tooth erupts. Some web resources that offer genuine advice: http://www.adha.org/resources-docs/7...ral_Health.pdf http://www.nhs.uk/Livewell/dentalhea...kidsteeth.aspx http://www.webmd.com/oral-health/tc/...s-and-children I've found toothbrushes such as these to be convenient and comfortable for parents to clean very young children's milk teeth.
Ss-traveller, buddy are you dentist / doctor ?

Last edited by Eddy : 21st January 2014 at 22:48. Reason: Please use the edit / multiquote option instead of posting back to back posts within 30 mins on the same thread. Thanks.
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Old 22nd January 2014, 08:40   #1799
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Default re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Quote:
Originally Posted by rock18 View Post
Yesterday took my 4yr old daughter to a dentist for her 1st time general check up.
Dentist told me that she needs 3 root canal treatment/pulpoctomy and 5 cavity fillings.
I was almost in tears thinking about the trauma she has to undergo for these treatments.
And also i am not sure how i can make her cooperate for the treatment.

Is it really necessary to do the root canal treatment for her? Is there any other alternative?
What will happen if i do not do any treatment for her as she is just a kid and all these are temporary tooth?

Kindly suggest alternatives.
Please do get a second opinion BUT do not fear for your child if she has to undergo root canal. Last year I got 2 root canals done for my 4 yr old son and surprisingly if the dentist is good, they will take it better than you or me! Their only fear is the first injection for local anesthesia and the sound of the drill. More than pain they are a bit uncomfortable with having something in their mouth which is making such a motorized sound! Also they get tired sitting with their mouth open. This is where a good dentist works wonder. They would give the child time to rest and not just rush through it. They would put a metal cap so that the adjacent teeth would keep space for the new tooth to grow.

Please do not delay the second opinion and the treatment. And do not fear how they would cope up. During our experience it helped my child if we were NOT in the room. For the first session when I was in the room, he was trying all kinds of stunts to get my sympathy and avoid the treatment. Once I trusted the dentist and went out, it was all smooth from there. This is an age where they have started going to pre-school and are comfortable with some strangers and would communicate with them better than we expect them to.
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Old 22nd January 2014, 08:58   #1800
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I agree. Go to pedodontist. Can't stress on it enough !
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