[ultimatechamp]

Originally Posted by Tejas@perioimpl

If it has been dislodged and you can see bone, go back to the dentist and get the area curetted to induce bleeding and a new blood clot to be formed there. Absence of a blood clot, where the underlying bone is exposed to the oral cavity may lead to a condition called "dry socket" which is very painful.

Blimey!!Thats probably what I have now!!
To be very honest,I didn't even spit once and didn't do gargle for more than 24hrs and no warm food or drinks.

But the upper left canine(just the tooth next to which was extracted) is tender now,is painful on occlusion,when I tapped it gently with a spoon it is slightly tender,tolerable but there is a nagging ache,not sharp pain.Now I rang my dentist yesterday and told him this problem in the tooth,and also asked him whether this had anything to do with the process of extraction?The tooth which was ectracted was very short but the roots were pretty long and it has a small piece of ?broken bone chip with it! He said usually tooth extraction does not cause damage to the ones beside it,but asked me to do the warm saline gargle 5-6 times a day and for 5-6 days,and also wait for 7 days.Then he will see me after 7 days.But today I could feel that there is a bit of a swelling in the gum just where the tooth was extracted.But I didn't do the warm saline gargle for more than twice in the last 2-3 days.

So whats the problem now?

[Tejas@perioimpl]

Originally Posted by ultimatechamp

Blimey!!Thats probably what I have now!!
To be very honest,I didn't even spit once and didn't do gargle for more than 24hrs and no warm food or drinks.

But the upper left canine(just the tooth next to which was extracted) is tender now,is painful on occlusion,when I tapped it gently with a spoon it is slightly tender,tolerable but there is a nagging ache,not sharp pain.Now I rang my dentist yesterday and told him this problem in the tooth,and also asked him whether this had anything to do with the process of extraction?The tooth which was ectracted was very short but the roots were pretty long and it has a small piece of ?broken bone chip with it! He said usually tooth extraction does not cause damage to the ones beside it,but asked me to do the warm saline gargle 5-6 times a day and for 5-6 days,and also wait for 7 days.Then he will see me after 7 days.But today I could feel that there is a bit of a swelling in the gum just where the tooth was extracted.But I didn't do the warm saline gargle for more than twice in the last 2-3 days.

So whats the problem now?

OK. Salvageable. Were you prescribed antibiotics and anti-inflammatory drugs? If not, go to your dentist and ask for it. Also ask him to check that you are not getting a "dry socket". If not, then continue with warm saline gargles. Advice you to start betadine gargles as well. Betadine, is an common over the counter available antiseptic. Use 1 ml of betadine in 5ml of water (1:5) and gargle as many times a day as possible.

[Proxima]

Originally Posted by Tejas@perioimpl

Ok. First thing, tumour is the wrong word to be used. Call it a growth (or in technical terms a pulp polyp). This growth is caused due to pulpitis (inflammation of tooth pulp). Antibiotics will shrink it a bit. Ask him to do a root canal and try to save the tooth. Extraction should be the last option unless the tooth is completely unsalvageable.
But first thing is that you ask him if it is a pulp polyp or a gum (gingival) overgrowth which can also look similar. Treatment plans differ.

This is where advice on forums can be dicey. From what you have told me, the tooth seems salvageable, but i strongly urge you to let another dentist see it just to confirm diagnosis and don't only go on what i say since i have neither seen you, your intraoral photos or your xrays.

Another general point to all: It's my hobby to teach and i am a visiting periodontist to a college in bombay. So, my point is, if ever you doubt any private dentist's diagnosis, just walk into a college for an opinion. You will get the exact diagnosis, since they are not looking at making money and want to teach the students the right thing. Also postgraduates students and staff will also diagnose right to hone their skills.
However, getting a procedure done there is a different issue since most of the colleges i have seen throughout india (atleast 30) have questionable methods of sterilization of instruments.

Thanks Tejas! Appreciate the valuable advice. Great job youre doing!

[Guite]

Hi Tejas, sorry to have to decline your offer to meet in Navi Mumbai, I have since moved to NCR. Thanks all the same.

Originally Posted by Tejas@perioimpl

However, getting a procedure done there is a different issue since most of the colleges i have seen throughout india (atleast 30) have questionable methods of sterilization of instruments.

Back in Mumbai, a friend got infected with Hepatitis. The most probable source him and the doctors could think of was the dental clinic he used to get treatment from. So when I went to a dentist here in Noida, I expressed my concern. He assured me that he sterilises his tools (?) and, moreover, unless there is bleeding, nothing to worry. Tejas, what's your take on this? I mean, no bleeding = no risk whatsoever?

Cheers,
Guite

[Tejas@perioimpl]

Originally Posted by Guite

I mean, no bleeding = no risk whatsoever?

One word: Rubbish.

There's a certain protocol on sterilization, i'll write up in detail when i have more time.

[tsk1979]

I agree with Tejas, no bleeding=no risk is absolute rubbish.

[bhp1]

Originally Posted by Guite

Back in Mumbai, a friend got infected with Hepatitis. The most probable source him and the doctors could think of was the dental clinic he used to get treatment from. So when I went to a dentist here in Noida, I expressed my concern. He assured me that he sterilizes his tools (?) and, moreover, unless there is bleeding, nothing to worry. Tejas, what's your take on this? I mean, no bleeding = no risk whatsoever?

Very precise indication! Dentists are a major source of spreading many infectious diseases. Most of them do not practice proper sterlisation techniques or are unaware of the harm they can cause.

Regarding bleeding, this particular Doctor's license should be cancelled for giving such false/misguiding information. I once visited a dentist & expressed similar concern, he replied " its fate", I slapped the Doctor there & then & walked out of his clinic.
A similar situation arose at an ENT specialists clinic too & I had to resort to violent means to teach him his lessons which he missed at Medical college.
Such Doctor's should be sued & their licenses cancelled.
Many Doctor's are the spreading dens of deadly infectious diseases & nobody cares!
Through this post I don't intend to malign, disrespect good Doctors. My anger is towards those who do more harm than cure.

[ascertain]

[quote=Tejas@perioimpl;1088972]Are there any medical professionals on this forum? If so please post. Atleast our members can get a free consultation here!

Strictly no soliciting clients though!!!


Hi all,
I can pitch in my little bit-I can help out on some consultations and health issues, I'm into cardiology, doesn't mean I only treat lub-dub lub-dub problems - lol.
So if anyone needs any help, just email me, or PM me, glad to be of help to anyone of the team-BHP family

thx

[Guite]

So can someone please enlighten me on how viruses are transmitted during oral examination- whether it is by a dentist or an other specialist? With respect to the hygiene standard of a clinic/hospital, is there some way that patients can watch out for and judge for themselves?

[Tejas@perioimpl]

Originally Posted by Guite

So can someone please enlighten me on how viruses are transmitted during oral examination- whether it is by a dentist or an other specialist? With respect to the hygiene standard of a clinic/hospital, is there some way that patients can watch out for and judge for themselves?

There are many ways in which viruses can be transmitted and different viruses are transmitted in different ways.

I'll try to broadly categorize:

1) Transmitted more patient to doctor: patient has a X disease and the viruses/bacteria (pathogen) is transmitted to the doc via aerosol (air spray) into the docs nose/eyes, via maybe a prick of a needle, or onto the surface of the chair/equipment which the doctor subsequently handles without gloves. Also non usage of gloves can give the dentist herpes.

2) From doctor to patient in the similar reverse fashion. Also there can be patient to patient transfer via unsterile or poorly sterilized instruments, reusing disposables, & poor disinfection of the operatory in general.

[Bass&Trouble]

I went to a dentist yesterday. He took X rays of both molars that have caps.

He showed me one X ray where the bottom of the cap looked "eroded", or narrowed near the gums on both sides. This cap, he said, will need replacement. The other one was fine in his opinion.

He said the cap will have to be removed either by a "hammer-like" thing, or by cutting. Its scary.

Also, has anyone observed that when a dentist wants to bring an affected area to the patient's notice, he usually does it by pushing his sharp, probe like instrument deep into the affected part till it sends a wave of pain to every extremity of your body? Wonder why they do that. I would rather they told me about it. I'd believe it.

[Samurai]

Originally Posted by shantyrocks

your lucky that all your fillings are intact after such a long time.they have to be silver fillings right?
even after the advent of tooth coloured fillings, silver fillings have the best longevity

Silver? It thought it was mercury. Anyway, it was done over 7-8 sittings and was absolutely free. The dentist didn't charge because he used to borrow my dad's Lambretta during his college days. Incidently, now he is the VC of Rajiv Gandhi University of Health Sciences.

Originally Posted by carfreak

Ha ha,i guess the childrens' surgeon is anand?we both in kmc manipal!!

Exactly. Hey, we all gotta meet some day. I'll get in touch soon.

[Tejas@perioimpl]

Originally Posted by Bass&Trouble

Also, has anyone observed that when a dentist wants to bring an affected area to the patient's notice, he usually does it by pushing his sharp, probe like instrument deep into the affected part till it sends a wave of pain to every extremity of your body? Wonder why they do that. I would rather they told me about it. I'd believe it.

Ha ha ha... i guess your dentist read frank's thread about the drunk hermit and wanted to check how drunk...!
Anyways, getting to back to the topic: we poke around everywhere with the probe with the similar pressure, and only when it gets to your affected area will you feel pain! Understand! Not all dentists are sadists ya...!
And the probing is to locate the affected tooth and also to find other areas of problem...

[Jayabusa]

Any dermatologists/skin specialists out here? A family member is suffering from folliculitis. What would be the best cure?

Thanks and regards

[kalpeshc]

This is for all doctors in general.

I am a believer in allowing the body to fight the diseases rather than going to the doctor at the very first instance of discomfort. The human body's immunity is built this way and if we keep taking medicines, our immunity would decrease over time. So i go to the doc only when there is some major problem and avoid taking medicines for regular issues like fever, cold, headache, body ache, etc.

How true is this?