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Professor Dr. Arup Ratan Choudhury
Professor Dr. Arup Ratan Choudhury

Dental Tips

Dental Pain
If the Dental pain originate from teeth then take two paracetamol tablet (500 mg) and in case of children take 1 tablet or you can place oil of cloves locally on the cavity of teeth or 1 tablet Dispirin in ½ glass of water, rinse mouth twice daily for instant relief.

Bleeding gum
If the bleeding originates from the gum then take one ampule of Caprolysin –or Tranexamic acid, aminocaproico in small piece of cotton and give pack on the bleeding spot of gum, keep it tight for 3-5 minutes. You can repeat this three times a day until you visit a dentist.

Ulcer
If the ulcer is initiated from a sharp teeth or denture or crown then place some cotton or chewing gum to stop further irritation until you see a dentist.

Swelling gum
If the swelling is originated from teeth or gum with discharge of blood then start Amoxicilline (500 mg) 3 times a day until you see a dentist with chlorhexidine mouth rinse three times daily.

Lock jaw/Trismus
You should be able to put it back in place. Putting it back is actually the opposite of what you think …you have to push down on the back teeth of the lower jaw … do not try to push on the front teeth to get it to close. You will cause damage doing so. It’s down and back movement of the lower jaw, by putting a push on the back lower teeth.

If this does not work you may have to grasp the mandible between thumb and forefinger bilaterally, and push down, then forward and then backward.
As a last resort, you can put a small tubular object (like the handle of a screwdriver, as an example) between your back teeth, bilaterally, and bite together while trying to push the lower jaw backwards.

The most probable reason for your subluxation is that you have opened your mouth wider than you to. You may also have a torn TMJ disk that is not guiding your jaw properly. You need TMJ x-rays and possible an MRI determines what is happening. If you have headaches you need to take the problem seriously because the headaches will only get worse. Let me know what happens.

You need to start muscle relaxants (Diazepam before bedtime and ParaFonFort during the day). You may also need physical therapy, but you can do this on your own to find a dentist/orthopedics
who can treat you for TMJ. : 10 minutes of ice, followed by 10 minutes of heat, followed by deep massage. Repeat 3 times. You have most likely TMJ, and you will need more in-depth analysis and future treatment. You need

Milk teeth
Sometimes milk teeth or deciduous teeth are loose during exfoliation time but does not fall and permanent teeth might come backwards. At that time if the Dentist is not available then try to take out loose teeth with some cotton or gauze and rinse mouth with chlorhexidine mouth rinse if ther is bleeding then keep a cotton pack tightly and keep the mouth close for an hour.

Fracture tooth or Loose of teeth
In case of accident teeth might come out from mouth at that time try to take the teeth from the street or place where it was fallen then place it in a normal saline or sterile water or milk  until you get dentist to replace this teeth in its own position.

Fracture teeth may be corrected by bonding  filling material with any color match to its normal teeth or may be placed with a porcelain crown later, which looks almost natural.

Dental pain
What not to do:
*        Do not insert an obstructing pack (i.e. cotton soaked with oil of cloves) into a tooth cavity when an abscess or cellulites is present.
*        Do not prescribe aspirin if you anticipate that a tooth will need to be extracted.

Important note:
Dental pain may be referred to the ear, the temple, the eye, neck or other teeth. Conversely, what appears to be dental pain may in fact be due to overlying maxillary sinusitis or otitis. Diabetes and valvular heart disease increase the risk from bacteremia, and local extension of infection can lead to retropharyngeal abscess, Ludwig’s, cellulites, cavernous sinus thrombosis, osteomyelitis, mediastinitis and pulmonary abscess.

Bleeding gum

  • Avoid the use of tobacco smoking, which aggravates bleeding gums.
  • Have poorly fitting dentures adjusted and relined by your dentist if they are causing sore spots in gums.
  • Avoid aspirin unless your health care provider has recommended that you take it.
  • Control gum bleeding by applying pressure directly on the gums with a gauze pad soaked in ice water
  • If you have been diagnosed with a vitamin deficiency, take recommended vitamin supplements.
  • If side effects of medication are irritating, ask your doctor to adjust or substitute another medication. Never change your medication without consulting your doctor.

Ulcer
Mouth sores generally last 7 to 10 days, even if you do not do anything. They sometimes last up to two weeks. There are several measures you can take, however, to feel better during that time:

  • Gargle with cool water or eat posicles. This is particularly helpful if you have a mouth burn.
  • Avoid hot beverages and foods, spicy and salty foods, and citrus.
  • Take pain relievers like acetaminophen (Tylenol) or paracetamol

For canker sores, it is helpful to also:

  • Rinse with salt water.
  • Apply a thin paste of baking soda and water
  • Mix 1 part hydrogen peroxide with 1 part water and apply this mixture to the lesions using a cotton swab.

Orabase, a non-prescription preparation, may be applied for protection   inside the lip and on the gums. Blistex or Compho-Phenique may provide some relief of canker sores and fever blisters, especially if applied when the sore initially appears.

Additional measures that may help cold sores or fever blisters include:

  • Applying ice to the lesion
  • Taking L-lysine tablets.

Your doctor may recommend anti-viral medications for herpes lesions of the mouth. Some experts feel that they shorten the time; while others claim that these drugs make no difference.

 

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