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Old 22nd July 2020, 18:26   #3106
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Default Re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Dear dentist BHPians, I am in of need of some advice.

I had visited a dentist today for consultation regarding options to fix a ~2mm gap between my upper central incisor teeth (it has been that way since childhood), as well as to do something about my teeth colour which has always been somewhat yellowish despite regular care. Of late, I have started noticing brownish deposits on my upper canine teeth. The upper central incisors have also started to slightly protrude outwards, though not excessively to term it as buck teeth.

He examined my teeth and informed me that I have a condition called Deep Bite. The teeth in the lower row are hitting the mouth lining behind the upper teeth, which has eroded the gums as well as the enamel in the lower incisor teeth. When I close my mouth, the lower incisor teeth get completely hidden behind the upper ones.

I was expecting him to prescribe Dental Braces to correct this condition, but he suggested a cosmetic procedure using caps/crowns. He explained that if I get caps/crowns installed on 6 molar teeth, that would prevent the lower row incisor teeth from hitting the ceiling behind the upper incisor teeth, since the crown would act as a spacer. Later, he would do a root canal treatment on the 4 upper incisors and then install crowns on them which would fix the gap, to complete the procedure. When I asked him whether braces would be effective, he said this is the better option with no further remarks. The entire thing would cost more than half-a-lakh, from the approximate estimate provided to me by the clinic. He remarked that if I prolong and leave this untreated, the already bad condition will only further worsen.

I have an apprehension as to why root canal treatment was suggested in this case, since I have not experienced any sort of pain, infection or functional issues in my teeth. As per my layman understanding, isn't root canal treatment required only when the tooth pulp gets infected or starts decaying? Also, from what I've researched online, braces seem to be the commonly prescribed solution for Deep Bite correction.

He has instructed me to get a dental X-Ray and visit next week. I am thinking of considering a second opinion before going ahead, since I am not fully confident with the reasoning given.

Any advice/suggestions would greatly help. Thanks in advance.
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Old 22nd July 2020, 19:59   #3107
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Default Re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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Any advice/suggestions would greatly help. Thanks in advance.
That's a quack, not a dentist whom you visited. Find a qualified orthodontist and get your deep bite managed with braces, before there is further damage to the teeth and gums.
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Old 22nd July 2020, 20:39   #3108
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Default Re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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That's a quack, not a dentist whom you visited. Find a qualified orthodontist and get your deep bite managed with braces, before there is further damage to the teeth and gums.
Thanks a lot, Sir! Exactly my thoughts as well. I am not at all inclined towards temporary cosmetic corrections and would prefer a proper orthodontic treatment with braces to treat the problem, even if it means dealing with pain/discomfort as well as treatment time.

I have anyway taken a dental X-Ray, will visit another dentist with it and explain my case.

Is Root Canal treatment really required when there is absolutely no pain?
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Old 22nd July 2020, 22:19   #3109
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I have anyway taken a dental X-Ray, will visit another dentist with it and explain my case.

Is Root Canal treatment really required when there is absolutely no pain?
Need for root canal treatment is decided by multiple factors, not just pain. X-rays of the teeth in question would clarify matters.
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Old 22nd July 2020, 23:43   #3110
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Default Re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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Originally Posted by ram.iyer95 View Post
Dear dentist BHPians, I am in of need of some advice.

I had visited a dentist today for consultation regarding options to fix a ~2mm gap between my upper central incisor teeth
Closing small spaces may not warrant orthodontic treatment in all cases, sometimes small veneers or crowns may be preferred to longer albeit more physiological treatment. One also has to inspect the labial frenum that is the muscle attachment from upper lip to your gums. It might need surgical release.
Deepbite correction is an entirely different topic and requires much longer and exhaustive treatment. Suffice to say, increasing height of back teeth via rct and crown is not the way to go.
@tejas@perioimpl can throw much more light on this topic.

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That's a quack, not a dentist whom you visited. Find a qualified orthodontist and get your deep bite managed with braces, before there is further damage to the teeth and gums.
Thank God found someone who thinks on a similar line.
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Old 23rd July 2020, 12:19   #3111
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Default Re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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Originally Posted by ram.iyer95 View Post
I had visited a dentist today for consultation regarding options to fix a ~2mm gap between my upper central incisor teeth (it has been that way since childhood), as well as to do something about my teeth colour which has always been somewhat yellowish despite regular care. Of late, I have started noticing brownish deposits on my upper canine teeth. The upper central incisors have also started to slightly protrude outwards, though not excessively to term it as buck teeth.
Any advice/suggestions would greatly help. Thanks in advance.


Braces are best and most effective way to correct imprefections in alignment which, in your case, is deep bite and spaces . Furthermore, crowns done on all molar teeth in one arch to raise the bite may lead to more complications and attrition in the other arch over a period of time.

Such cases are complicated and need to be planned well by qualified specialists. You surely need to get a second opinion.

Last edited by Sheel : 23rd July 2020 at 14:00. Reason: Please quote ONLY the relevant bits of a post. Quoting a full, long post inconveniences our mobile readers. Thanks!
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Old 23rd July 2020, 12:41   #3112
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Default Re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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Originally Posted by ram.iyer95 View Post
Thanks a lot, Sir! Exactly my thoughts as well. I am not at all inclined towards temporary cosmetic corrections and would prefer a proper orthodontic treatment with braces to treat the problem, even if it means dealing with pain/discomfort as well as treatment time.

I have anyway taken a dental X-Ray, will visit another dentist with it and explain my case.

Is Root Canal treatment really required when there is absolutely no pain?
Iím sorry but you need to stop visiting this dentist and get a second opinion. Trimming your molars and giving crowns to raise the bite is a very aggressive form of treatment. Please find an orthodontist and get it corrected with braces.

Depending on the case (which I have no idea off), you could get veneers or get the space between your incisors closed by ortho.
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Old 23rd July 2020, 14:08   #3113
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Default Re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

Thank you dear BHPians for the timely help.

I decided not to proceed with the said dentist and consulted another Orthodontist. After inspection, he remarked that there has been some attrition on the lower row teeth and also said that while the previous dentist had done the diagnosis part (over-bite) correctly, braces are definitely required to get this corrected. I'll be getting the braces done on the upper teeth row next week, as per the treatment plan. The plan is to first correct the alignment and spacing issues with the upper teeth row and then proceed further. He said crowns on molars might be required at a later stage to improve the bite further, after seeing how the treatment using braces proceeds.

I am just posting a couple of pictures to give an idea of what's going on.

Thanks.

Calling doctors/dentists/specialists on Team-BHP to provide free consultations-cv_357644882794486.jpg

Last edited by Aditya : 24th July 2020 at 21:20. Reason: Replacement image added on request
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Old 24th July 2020, 08:03   #3114
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Default Re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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Originally Posted by ram.iyer95 View Post
After inspection, he remarked that there has been some attrition on the lower row teeth....
I'll be getting the braces done on the upper teeth row next week, as per the treatment plan. The plan is to first correct the alignment and spacing issues with the upper teeth row and then proceed further. He said crowns on molars might be required at a later stage to improve the bite further, after seeing how the treatment using braces proceed.
You basically need what is called a Full Mouth Rehabilitation treatment. I would advise you to consult a Prosthodontist as well and make a comprehensive plan where the orthodontist and the prosthodontist work together to achieve a common goal.

Like i said earlier, such cases are complicated and need comprehensive planning and execution.

Just going ahead with braces without further plan of action in place may only give limited benefits.
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Old 24th July 2020, 08:45   #3115
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Default Re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

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Originally Posted by car-dent View Post
You basically need what is called a Full Mouth Rehabilitation treatment. I would advise you to consult a Prosthodontist as well and make a comprehensive plan where the orthodontist and the prosthodontist work together to achieve a common goal.

Like i said earlier, such cases are complicated and need comprehensive planning and execution.

Just going ahead with braces without further plan of action in place may only give limited benefits.
Thanks a lot, Sir! I will definitely discuss this with the orthodontist when I visit him next week. He runs a multi-speciality dental clinic, so I believe he must be in touch with a consulting Prosthodontist as well.

I am now cursing myself for prolonging the diagnosis for so long!
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Old 14th August 2020, 12:24   #3116
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Default Re: Calling doctors/dentists/specialists on Team-BHP to provide free consultations

hi Doctors,

Can any dermatologist suggest some good ointment for

insect bites
heat boils?

Also, any preferred antibiotics please..

Last edited by deemash : 14th August 2020 at 12:42.
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Old 3rd September 2020, 20:22   #3117
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Default Storage of glucometer strips

Few days back, was given an Accu-Chek "Guide" glucometer kit. The strip pack says it should be stored at temperature below 30⁰C. My query is, with temperatures well above 30⁰ C on several days, (Kochi, KL) as per weather app, should the strips be stored in a fridge?
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Old 4th September 2020, 11:49   #3118
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Originally Posted by BaCkSeAtDrIVeR View Post
Few days back, was given an Accu-Chek "Guide" glucometer kit. The strip pack says it should be stored at temperature below 30⁰C. My query is, with temperatures well above 30⁰ C on several days, (Kochi, KL) as per weather app, should the strips be stored in a fridge?
Not an expert but my parents use Accu-Check active for many years and they keep the strips (infact the whole package including lancets, device and strips) at room temperature. And the temperature and humidity can get very high up here in North.
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Old 4th September 2020, 12:25   #3119
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Default Re: Storage of glucometer strips

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Originally Posted by BaCkSeAtDrIVeR View Post
Few days back, was given an Accu-Chek "Guide" glucometer kit. The strip pack says it should be stored at temperature below 30⁰C. My query is, with temperatures well above 30⁰ C on several days, (Kochi, KL) as per weather app, should the strips be stored in a fridge?
Ventilated cupboard should be fine.
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