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TMJ Pain

Tempromandibular pains are on the most agonizing, stubborn pains to cure. The age of occurrence of this pain initially was largely limited to middle aged women but with the drastic changes in life styles of Individuals and a great part of our life, today being ruled by online activities & increased screen time, this pain is seen in a wider age range from 15 to 70 years of age.

 

The symptoms are highly variable too. It can radiate to multiple places like the forehead, lowe/upper jaw, teeth, neck region or at times even the shoulder. Most common symptom being pain in the ear, this is how most patients land up to consult an ENT specialist instead of a Oral Physician. Most patients experience variable symptoms like painful jaw opening,  difficulty in chewing food, deviation of the jaw, pain in neck, clicking sounds in the joint, etc.

 

An oral Physician is highly skilled in examining these patients, understanding the nature, severity of pain and can systematically formulate a treatment plan. It is he/she who understands the complexities of such pain and among many factors that triggers its occurrence, can rightly point out the exact cause.

 

Due to a complex interplay between occlusion of teeth, muscles, bone, etc in the region of pain, examining these patients is a skillful job. Today, introduction of state-of-the art equipments like T-scan, EMG, TENS machines, CBCT imaging, examining these patients has become more precise and accurate.

 

Treatment of TMJ pain involves restoring the disbanced occlusion of teeth in the mouth and re-gaining the muscular equilibrium on the affected side. Counseling the patient too has a major role to play in the treatment as psychogenic stress is one of the causative factors of pain.

 

My personal experience in managing these patients at SnC speciality dental clinic has been a great learning experience. We have been treating these patients for more than 18 years now and more than 500 patients of TMJ pain have happily been rendered pain free. Our dedicated team is experienced and committed in working in this field since more than 1 decade.

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ORAL PRE-CANCER

The term ” ORAL -PRE-CANCER” is relevant to us, Indian Dentists, since the habit of Tobacco is so deep rooted in our country. The continuous placement of tobacco pouch in the mouth or smoking numerous Beddis/ cigarattes causes millions of harmful, cancer causing chemicals to enter into our body through the delicate skin in our mouth.

This habit over more than 8-10 years results in thinning of the skin in the mouth, producing non healing ulcers, white patches, burning sensation in the mouth, etc.

All of which are referred to as “PRE- CANCER STAGE.”

It silently progresses to Oral Cancer & 80% of patients are not aware that cancer in their mouth has developed as it progresses without any symptom of pain/ burning. Only when the lump gets bigger & starts shwing on the face they seek consultation from the dentist.

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Atma Nirbhar Bharat

India being a developing Nation and the country now seriously employing a policy of ‘ATMANIRBHAR  BHARAT’ OR ‘SELF RELIANT INDIA’, the nation can well achieve this dream in less than a decade with its biggest strength being that we are a young nation with maximum population being in their middle ages. Having said this, it also remains a fact that most of our Rural sector consists of a population who among many challenges in their life like good housing, secure jobs, education is also facing a big challenge of Tobacco habit like Gutka, Beddi smoking, etc and serious health concerns due to this habit like Oral Cancer, throat cancer

 

Tobacco habit is deep rooted among the low social economic status population of India. They keep the quid in the mouth for hours, as a result suffer from white/ red precancerous patches in the mouth that causes severe burning on eating food. Over the months, the appetite is also lost and they begin to loose weight and suffer from malnutrition.

All this when they are in their most productive years of life that is 18 – 45 years, as a result working efficiency  drops at an individual level, organisational level and National level as a result.

Also let’s bear in mind that Tobacco habit along with alcohol intake has a 10 fold rise in cancer risk at the early age of 50-55 years.

There is a need to address this serious health issue that is crippling our working population.

 

Three health care activities that needs to be employed:
  1. General checkup to evaluate the health status & effects of tobacco, smoking &/or alcohol on their general health.
  2. Screening of the mouth for white/ red patches, early signs of Oral cancer.
  3. Tobacco cessation counseling & regular follow ups.

 

With Digital Technology, the whole process can also be implemented remotely and through video conferencing after initial sensitization of the people, this will cut the cost immensely.

Addressing this issue timely, will save the life of many men who are perhaps  the soul bread earner in their families

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Diabetic Mouth

Diabetes Mellitus is caused by absolute or relative deficiency of Insulin in the body. India is presently the Diabetic capital of the world. It is not uncommon to see that many patients with maturity onset Diabetes may visit a Dental Office for treatment as they have an increase incidence of Dental Infections, both in the soft-tissue and hard tissue of the mouth.

Diabetic Patients diagnosed or undiagnosed have very specific general and Oral manifestations and need thorough evaluation before initiating any Dental treatment.

In our practice at SnC Dental Speciality Clinic since last 20 years, we have diagnosed a lot of NIDDM  (Adult onset Diabetes) based upon their oral Manifestations, saving a lot of agony to the patient.

 

Common Oral findings in Diabetics include:
  1. Periodontitis ( Gum Infections)
  2. Multiple periodontal abscesses
  3. Bad breath ( Mal Odour)
  4. Oral Fungal Infection
  5. Dry Mouth, Burning mouth
  6. Coated tongue
  7. Oral Ulcers.
  8. Missing Teeth.

Further, these Oral problems prevent the patients from eating a ‘Balanced Diet’ which is low in Sugars (Salads, vegetables, legumes, etc)  and an absolute necessity for Diabetic patients. They restore to eating foods that are soft ( Rice/ sweets/ potato, etc) and easy to chew, as a result their Blood Sugar rises further and the vicious cycle goes on.

 

 

POOR ORAL HYGIENE & DIABETES

At ‘SnC Dental Speciality Clinic’, we have an organized approach to managing the Diabetic Patients. Our approach is systematic and methodical:

  1.  Detailed case history recording
  2. Determining status of Blood sugar and other ailments if present.
  3. Evaluating the Oral Findings.
  4. Rendering needful Dental treatment.

Our patients are also counseled on maintaining appropriate oral Hygiene using various oral cleaning aids to facilitate proper chewing of food and keep the blood Sugars under control.