Author - Dr. Pramanik Namrata

Oral Submucous Fibrosis (OSMF) by – Dr. Pramanik Namrata

It is a chronic, complex, pre-malignant condition of oral cavity in which there is inflammatory reaction and progressive fibrosis of submucosal tissues. As the condition progresses the patient is unable to open  mouth as the jaws get rigid. The codition is associated with chewing of areca nut/betel quid In the initial phase of the disease, the mucosa feels leathery with palpable fibrotic bands. In the advanced stage the oral mucosa loses its resiliency and becomes blanched and stiff. The disease [...]

Mouth Breathing and Tooth Decay by Dr. Pramanik Namrata

People who sleep with their mouth open are more prone to dental caries. Saliva/spit coats the teeth to prevent dental decay. In mouth breathers, as they suffer from the dry mouth the protective action by saliva is decreased. The tooth starts to loose its minerals when ph drops below 5.5(ph is used to determine the acidity or basicity of water based solution like saliva) Acid producing bacteria thrive in absence of saliva. Acids breakdown the teeth causing cavities and cause [...]

How to Choose a Mouthwash by Dr. Pramanik Namrata

Though it may seem that all mouthwashes are the same, they are not! There are 2 major categories of mouthwashes-cosmetic and therapeutic. a cosmetic mouth rinse acts as a temporary breath freshner. It contains no agents that help protect teeth against cavities or prevent gingivitis. On the other hand, the therapeutic mouth rinses help prevent cavities and gum disease. If you are prone to cavities you need to choose a mouthwash that contains fluoride, this mineral helps protect your teeth by [...]

Magnifying Loupes by- Dr. Pramanik Namrata

Dental loupes are magnifying glasses that dentists wear to enlarge everything that they see in the mouth. By wearing these loupes everything in the field of view appears larger and they get a better view of the site of treatment which allows for more precise dental work. This also enables dentists to make a more accurate and complete diagnosis of what is occurring in the patient’s mouth. Loupes worn by dentist’s while working also allows them a more physiologic posture [...]

Dental Cone Beam Computed Tomography (CBCT) by – Dr. Pramanik Namrata

Dental cone beam computed tomography (CBCT) is a special type of x-ray machine used in situations where regular dental or facial x rays are not sufficient. It is not used routinely as radiation exposure from this scanner is significantly more than regular dental x rays. This scanner uses technology to generate 3-dimensional images of dental structures, soft tissues, nerve path and bone in craniofacial region in a single scan. These images allow for more precise treatment planning. CBCT scans are used for [...]

Is root canal treatment painful? by Dr. Pramanik Namrata

The thought of having a root canal done can be pretty nerve racking! Root canal therapy is required when there is an infection in the nerve/pulp of the tooth. Pain in teeth requiring root canal is due to the infection/injury caused to the nerve of the tooth due to decay/fracture in tooth and not due to root canal therapy. Thanks to advancements in the field of dentistry and local anesthetics used to numb the tooth requiring a root canal, this procedure [...]

Sinusitis and Tooth Pain by Dr. Pramanik Namrata

Sinusitis is an inflammation of the cavities(sinus spaces)  present around the nose. In cases of acute sinusitis , most often caused by cold, there is a build up of mucus in these cavities.  This may often lead to pain  in the upper back  teeth area. The roots of upper molars  often extend into the sinus area. In case of pain in upper molar teeth , dental causes like cavities or gum problems can also lead to persistent/intermediate pain .These  causes [...]

What is tartar? by Dr. Pramanik Namrata

Tartar is a hardened layer of plaque that forms on the teeth. Plaque is a biofilm of bacteria present on tooth surfaces. When not cleaned, this layer hardens due to precipitation of minerals from the saliva forming a layer known as calculus/tartar. If not removed, plaque can cause tooth decay and gum problems. Tartar is hard and cannot be removed by brushing. Visit a dentist is essential. If left unattended, this layer of tartar can cause the destruction of healthy gum tissues [...]

Why do gums bleed? by – DR. Pramanik Namrata

The most common cause of bleeding gums is gingivitis i.e. inflammation of the gums. When plaque is allowed to collect on the teeth, the bacteria in them destroy the healthy gum tissue thus causing the gums to get inflamed and irritated which in turn leads to bleeding from gums. If left untreated, the plaque forms a harder layer known as tartar which can lead to further destruction of gums and lead to periodontitis and loss of bone around tooth, [...]

Tobacco and Oral Health

The risk of oral cancers is 5-10 times greater in smokers. Some of the chemicals present in tobacco smoke can cause genetic changes in the cells of the oral cavity (mouth)  thus increasing the risk of oral cancers. In oral cancer, there is an uncontrolled growth of the abnormal cells causing a tumour. These cancers generally occur on the tongue, lip, floor of the mouth. Symptoms of oral ulcers include red/white spots which later get ulcerated if tobacco use is not stopped. Treatment [...]