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DENTAL CLINIC LUCKNOW

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About Us

WELCOME TO RAMA DENTAL CLINIC AND IMPLANT CENTRE (an ISO 9001:2008 CERTIFIED CENTRE)(ADDRESS- 546/528 MAHANAGAR GOL MARKET CHAURAHA, OPP. ARIHANT RESTAURANT, OPP HYUNDAI SHOWROOM, MAHANAGAR LUCKNOW).

We offers MULTI SPECIALITY treatment for all sorts of dental and oral problems where Dr AMAY TRIPATHI provides cosmetic dentistry and smile makeovers for his Essex dental patients.for us your problem is our chief concern.we help diagnosisng your problem and then suggesting you best possible treatment plan.

Our motto is to guide our patients along a path of optimal health and wellness, for life.

 

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  • To non-judgmentally deliver the highest possible level of care, with empathy and understanding. 
  •  To continually pursue excellence through continuing education, personal and team growth and mastery of leading edge technology.
  •  To treat our patients as individuals,with empathy and understanding.
  •  To deliver this care with first-class, five-star service.
  •  To respect our patient's time.
  •  To accept our patients as partners in their wellness.
  •  To assume a leadership role as a resource - a window of information with concern for our patient's overall well-being.
  •  To consistently deliver more than would reasonably be expected.
  • plz view our patients response

 

 

Cosmetic Treatments:

various types of dental cosmetic treatments are provided in rama dental clinic.

treatments like

SMILE DESIGN , -

smile design and smile correction

Treatment of Gummy Smiles-

treatment of gummy smile

Lips Re-contouring- Cosmetic Lip Re-contouring is done with fillers

lips rcontouring using dermal fillers

lips cosmetic procedures

Removing Wrinkles and Facial Lines.

wrinkle removal   wrinkles remocal facial

Removal of Facial Warts, Moles and Pigmentation

skin tags, moles and warts

 

 

 

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Dental Diaries

How To Choose The Best Dentist Lucknow For Yoursel

Prevention is considered as the best treatment for all dental problems. The prevention and maintenance regimen includes a couple of checkups on an annual basis that includes professional cleaning and evaluating one's teeth and gum condition.

 

Choosing the best dentist lucknow service provider is very essential. Every single day you will find brand new methods becoming launched with regard to improving associated with dentist care cleanliness together with all around health of the person's the teeth. It's resulted in the necessity of the much more specific dentist care professional, that may carry out each one of these methods successfully. When you begin trying to find the dentist professional, it is very required that you simply choose the ideal dental care company.

 

This might not necessarily end up being simple as much dental practitioners tend to be promoted every day, nevertheless via looking with the internet as well as talking to family and friends you'll find an ideal dentist professional for that work. Keep in mind absolutely no 2 dentist practitioners would be the exact same. Considering the dentist's significance so far as dental care cleanliness as well as wellness can be involved, it is very essential that you choose a specialist as well as experienced dental professional who's recognized with regard to their efficient providers, has experience as well as competent.

 

So far as strategies for finding the lucknow best dentist can be involved, listed here are a few needs that needs to be adopted to find the ideal dental care company.

 

Checklist just about all dentist practitioners existing in your town as well as ask regarding what kinds of dental care providers they offer. A few dental practitioners provide aesthetic providers as well as other providers while a few dental practitioners don't. Verify if the particular dental professional you want to select provides the providers you're looking for.

 

Understanding on which your own insurance coverage handles assists whenever selecting a dental professional, because your own chosen dental professional ought to a minimum of supply those providers which are protected inside your dental care strategy or even insurance coverage.

 

Following choosing that support you're looking for, ask about the medical encounters from the dental professional and when the actual dental professional retains any kind of unique learning any kind of unique region.

 

Ask regarding regardless of whether any kind of crisis support is actually supplied just in case an abrupt dental care turmoil occurs. Additionally ask upon regardless of whether this particular support is actually supplied within away several hours.

 

Discover in which the workplaces of the chosen dentist professional can be found all around the region. You ought to have a good workplace near to your dwelling in the event you need to go to instantly or even in the center of the night time, or even within an crisis. Additionally, in the event you need regular appointments for your dental professional, getting a good workplace close to your home is definitely advantageous.

 

Additionally, go to the workplace of the chosen dentist professional as well as check up on the entire situation from the workplace as well as individual cleanliness from the dental professional as well as their assistants together with workplace staff as well.

 

All these issues are very important in selecting the best dentist in lucknow, as your teeth and gums are dependent on you in taking the right decision.


 

How to clean food between your teeth

Everyone is fedup from cleaning food that is stuck between your teeth.particularly if you are eating fibrous food, fruits or non veg then you are more prone for this.

the teeth-gum juntion is also another place whichis hard to clean.and often periodontitis starts from here.we reommend three ways to clean your nterdental/gums region

1) dental floss

2)interdental brush

3) water floss (easiest)

dental floss- threads have been used from ages to clean inter teeth areas.now waxed thread which are sturdy and dont injure your gums are designed and known as 

dental floss.

few good flosses available in market are of colgate , oral b.

interdental brsuh- small brush used for cleaning interdental spaces.prominent in market are colgate, stim

use mouthwash to clean afterusing floss.

Inter-dental brush- specifically designed for the ares between your teeth where normal brush cant go.you have to put the brush in wedging motion between your teeth very lighly.birstle will gently go between the interdental groove thereby taking out any food debris inside.

Water floss

these are most effective devices to clean your interdental spaces.

The water flosser are also known as water floss and are tools for cleaning the teeth. In addition to the teeth and teeth in the mouth, there are deep wrinkles and gingival sulcus in the mouth, especially the gingival sulcus.

At the junction of the teeth and the gums, there is a ditch about 2 mm deep called the gingival sulcus, which is an important passage to the root of the tooth and the most vulnerable to dirt, but it is not easy to be The clean area, that is to say it is often one of the main culprits in our oral diseases.

According to the research, as many as 40% of the oral cavity cannot be cleaned with toothbrushes and dental floss. According to research by related agencies in the United States, the use of water flow impact is the most ideal oral cleaning method. The pressure water column of the red teeth can be washed deep into the gingival sulcus. With a depth of 50-90%, it can thoroughly clean the gaps of the teeth as well as the uneven surface.

water pik

The water flosser device pressurizes the water through the pump body to generate a high-frequency pulse water column, and the water column impacts the teeth or the gingival sulcus through the nozzle to achieve a clean effect. The impact of water flow is also divided into different technologies. Sometimes the difference in technology gives us different cleaning effects and feelings of use.

the best ones to buy are  dr trust 

why dental implants can be your best options

Have you lost a tooth or multiple teeth through an accident or an oral disease? Do your missing teeth make it
uncomfortable for you to laugh in public? Has your missing tooth impacted your speech and how you chew?
While there are several solutions to the problem, dental implant is your best option for several reasons. It is
the process of implanting metal frames or posts in the jawbone to allow for the mounting of replacement
teeth onto them. 

How does dental implant work?

A metal frame is drilled into your jawbone before a tooth or some teeth are mounted on it. This fastens the teeth to your jawbone. That way, they won’t shift or slip in your mouth. The best part is that dental implants feel natural. Dental implants have the following benefits.

best dentist in lucknow

Benefits of a dental implant
• It is very convenient as it does not require any adhesive and you don’t have to remove it often.
• It is very durable. It can last a lifetime but dentists often put a 25-year guarantee on it.
• It does not require the removal of any other tooth as does a tooth-supported bridge.
• It will give you a great smile and restore your self-esteem and self-confidence.
• Since dental implant functions like your natural teeth, it can easily correct any chewing difficulty that you
may have suffered.
• It is very comfortable.
• The surgical procedure can also improve your speech if your missing teeth have affected it already

However, you can only get all the benefits listed above if your dental implant is carried out by a highly experienced dentist. In other words, it is important to get your dental implant done in a highly reputable dental clinic. Rama Dental Clinic & Implant Centre is the best clinic in Lucknow. It is owned by Dr. Amay Tripathi, the best dentist in Mahanagar. In fact, he is the best dentist in Lucknow and he has been carrying out dental implants for so many years. 

While Rama Dental Clinic is not the only clinic where you can fix your teeth, it is head and shoulders above
others in many ways. Here are a few reasons to consult Dr. Tripathi for your dental implant.

 

Availability of state-of-the-art equipment
The clinic offers the latest technology-driven equipment to make oral surgery effective, fast, and painless.
By virtue of their top-notch equipment, the clinic can offer advanced diagnostics and treatment of many
dental or oral diseases or anomalies. 

Experience
Dr. Tripathi is a highly experienced dentist that has been providing dental services to patients from all over
the world. So, when you choose his clinic, you’ll get experience, premium dental services, and peace of
mind. He is not only a dentist; he is also a mentor and coach to other dentists.

Experience
Dr. Tripathi is a highly experienced dentist that has been providing dental services to patients from all over
the world. So, when you choose his clinic, you’ll get experience, premium dental services, and peace of
mind. He is not only a dentist; he is also a mentor and coach to other dentists.

Versatility
Apart from dental implant, the clinic also provides many other dental treatments. More importantly, the
environment in the clinic is comfortable and hygienic. 

Free consultation
New patients get free consultations. It is needless to remind you that having consultation with a dentist of
Dr. Tripathi’s caliber is priceless.
For more information about the dental services in Rama Dental Clinic, you can visit
http://ramadentalclinic.com/ or contact them to book an appointment. 

dental implants trends

WHAT IS A DENTAL IMPLANT?
A dental implant is a substitute tooth root that serves the same function as a natural tooth root. It preserves bone and provides a stable foundation for a replacement tooth that look, feel and function like a natural tooth. Dental implants are made of titanium, which is a biocompatible material used in orthopedic implants.

WHY ARE DENTAL IMPLANTS BETTER THAN BRIDGES, PARTIALS AND DENTURES?
Dental implants can last a lifetime, unlike bridges, partials and dentures that may need to be replaced several times. Since dental implants prevent the bone resorption that occurs when teeth are missing, the natural appearance of the smile is preserved. With implant treatment, there is no compromise to adjacent teeth; they are not cut down to place a bridge, or loosened by the hooks on removable partials. Dentures and partials have the added disadvantage of accelerating the bone resorption process, which causes the appearance of premature aging.

WILL MY NEW TEETH LOOK NATURAL?
Your new replacement teeth will look, feel and function like natural teeth. And since implant treatment is the only solution that prevents bone resorption, which can cause your smile to look unnatural, the long term esthetics will be superior to any other treatment option.

WHO IS A CANDIDATE FOR DENTAL IMPLANT TREATMENT?
Nearly everyone who is missing one or more teeth and in general good health is a candidate for dental implant treatment. There are a few medical conditions that can undermine the success of implant treatment, such as uncontrolled diabetes. However, there are very few conditions that would keep someone from having implant treatment altogether. Quality and quantity of available bone for implant placement is more often a factor in qualifying for dental implants than medical conditions. However, even people who have lost a significant amount of bone can qualify for dental implant treatment with additional procedures to add bone or create new bone. Advances in this type of treatment have made it possible for most people who would not previously have been considered candidates to have successful implant treatment.

IS ANYONE EVER CONSIDERED TOO OLD FOR DENTAL IMPLANTS?
Overall health and a desire to improve the quality of life are much more important considerations than age. When dental implants were first developed, back in the 1950's, implant supported replacement teeth were originally designed as a solution for older patients who were missing all of their teeth. Since then, many patients well into their nineties have had dental implant treatment without a single problem.

Hypokalemia

As we have discussed in our previous article, the optimal amount of potassium in our blood serum is 3.5 to 5.0 mmol/L. whenever its level falls down below 3.5 mmol/L then the condition is known as Hypokalemia. Hypokalemia is also termed as hypokalemic syndrome, low potassium syndrome, hypopotassemia syndrome. Mild hypokalemia does not present any symptoms but if level of potassium falls below 2.5 mmol/L then it is classified as severs Hypokalemia and can pose life threatening complications.

Signs & Symptoms

Hypokalemia can be differentiated into three types, and we will discuss their symptoms in these categories.

Mild hypokalemia – level of potassium in blood serum from 3.5 mmol/L to 3.0 mmol/L can be termed as mild hypokalemia. This condition is symptom free and therefore difficult to trace unless someone is routinely getting his/her potassium levels checked.
Hypokalemia – level of of potassium in blood serum from 3.0 mmol/L to 2.5 mmol/L can be termed as hypokalemia. The symptoms are
weakness
fatigue
constipation
muscle cramping
palpitations
myalgia
severe hypokalemia -– level of potassium in blood serum below 2.5 mmol/L can be termed as severe hypokalemia. This condition can be life threatening. symptoms are
paralysis
respiratory failure
breakdown of muscle tissue
ileus (lazy bowels)
rhabdomyolysis
Causes

The causes of hypokalemia can be broadly divided into three groups

due to low potassium intake
due to excessive loss of potassium from our body
side effect of other medical conditions or medications
Low potassium intake

This is most obvious and somewhat rare cause of hypokalemia. Whenever someone take less potassium in his/her diet then the normal prescribed amount, hypokalemia happens. This type of condition is usually seen in

starvation
ketogenic diet
anorexia nervosa
Excessive loss of potassium

Excessive loss of potassium is seen in many conditions but mainly seen when associated with heavy flush of fluid from our body. For example, vomiting, diarrhea, excessive perspiration, muscle crush injury and urinary losses. Out of theses Urinary losses is one which is often ignored and should be discussed in detail

Urinary loss-patients who have uncontrolled diabetes have condition called polyuria meaning frequent urination. This can lead to hypokalemia. Patients who are on prolonged use of loop diuretics such as furosemide or blood control medication are often prone to loss of excessive potassium from body. A special case of potassium loss occurs with diabetic ketoacidosis. Hypokalemia is observed with low total body potassium and a low intracellular concentration of potassium. In addition to urinary losses from polyuria and volume contraction, also an obligate loss of potassium from kidney tubules occurs as a cationic partner to the negatively charged ketone, β-hydroxybutyrate.


 
A low level of magnesium in the blood can also cause hypokalemia. Magnesium is required for adequate processing of potassium. This may become evident when hypokalemia persists despite potassium supplementation. Other electrolyte abnormalities may also be present.

An increase in the pH of the blood (alkalosis) can cause temporary hypokalemia by causing a shift of potassium out of the plasma and interstitial fluids into the urine. Disease states that lead to abnormally high aldosterone levels can cause hypertension and excessive urinary losses of potassium. These include renal artery stenosis and tumors (generally nonmalignant) of the adrenal glands, e.g., Conn’s syndrome (primary hyperaldosteronism).

Cushing’s syndrome can also lead to hypokalemia due to excess cortisol binding the Na+/K+ pump and acting like aldosterone. Hypertension and hypokalemia can also be seen with a deficiency of the 11-beta-hydroxysteroid dehydrogenase type 2 enzyme which allows cortisol’s to stimulate aldosterone receptors. This deficiency—known as apparent mineralocorticoid excess syndrome—can either be congenital or caused by consumption of glycyrrhizin, which is contained in extract of licorice, sometimes found in herbal supplements, candies, and chewing tobacco.

Other factors

In addition to alkalosis, other factors can cause transient shifting of potassium into cells, presumably by stimulation of the Na+/K+ pump. These hormones and medications include insulin, epinephrine, and other beta agonists (e.g. salbutamol or salmeterol), and xanthines (e.g. theophylline).

Rare hereditary defects of muscular ion channels and transporters that cause hypokalemic periodic paralysis can precipitate occasional attacks of severe hypokalemia and muscle weakness. These defects cause a heightened sensitivity to the normal changes in potassium produced by catecholamines and/or insulin and/or thyroid hormone, which lead to movement of potassium from the extracellular fluid into the muscle cells.


 
A handful of published reports describe individuals with severe hypokalemia related to chronic extreme consumption (4–10 l/day) of colas. The hypokalemia is thought to be from the combination of the diuretic effect of caffeine and copious fluid intake, although it may also be related to diarrhea caused by heavy fructose ingestion.

Pseudo hypokalemia is a decrease in the amount of potassium that occurs due to excessive uptake of potassium by metabolically active cells in a blood sample after it has been drawn. It is a laboratory artifact that may occur when blood samples remain in warm conditions for several hours before processing. Fructose ingestion.

Rare hereditary defects of renal salt transporters, such as Bartter syndrome or Gitelman syndrome, can cause hypokalemia, in a manner similar to that of diuretics. As opposed to disease states of primary excesses of aldosterone, blood pressure is either normal or low in Bartter’s or Gitelman’s.

Diagnosis.

Blood test normally confirms hypokalemia. The levels of potassium are checked. if it falls below 3.5 mmol/L hypokalemia is diagnosed.

Electrocardiogram- Hypokalemia leads to characteristic ECG changes (QRS prolongation, ST-segment and T-wave depression, U-wave formation).

Treatment.

Treatment of hypokalemia consists of treating life threatening symptoms and eliminating there causes. Instant hospitalization is required if symptoms worsens with constant monitoring of heart rate and rhythms. Treating low potassium levels in the hospital requires a multi-step approach:

Remove causes: After identifying the underlying cause, your doctor will prescribe the appropriate treatment. For example, your doctor may prescribe medications to reduce diarrhea or vomiting or change your medication.
Restore potassium levels: You can take potassium supplements to restore low potassium levels. But fixing potassium levels too quickly can cause unwanted side effects like abnormal heart rhythms. In cases of dangerously low potassium levels, you may need an IV drip for controlled potassium intake.
Monitor levels during hospital stay: At the hospital, a doctor or nurse will check your levels to make sure the potassium levels don’t reverse and cause hyperkalemia instead. High potassium levels can also cause serious complications.
After you leave the hospital, your doctor may recommend a potassium-rich diet. If you need to take potassium supplements, take them with lots of fluids and with, or after, your meals. You may also need to take magnesium supplements as magnesium loss can occur with potassium loss.

Hypokalemia which is recurrent or resistant to treatment may be amenable to a potassium-sparing diuretic, such as amiloride, triamterene, spironolactone, or eplerenone. Concomitant hypomagnesemia will inhibit potassium replacement, as magnesium is a cofactor for potassium uptake.


 
Mild hypokalemia (>3.0 mmol/L) may be treated by eating potassium-containing foods or by taking potassium chloride supplements in a tablet or syrup form (oral supplements). Foods rich in potassium include leafy green vegetables, avocados, tomatoes, coconut water, citrus fruits, oranges, or bananas. However, the quantities of potassium present in these foods are often not high enough to correct hypokalemia and additional potassium is generally required.

Hope you enjoyed this part. Stay tuned for next.share with family and friends.

Dr Ameya Tripathi is celebrated dental surgeon, social worker, writer, dental implantologist working at Rama Dental Clinic & Implant center Mahanagar Lucknow and Gomti Nagar Lucknow as its director. His works can be visited at www.ramamdentalclinic.com

TMPD

MPD is a pain disorder characterized by spontaneous pain and jaw function-induced pain in the joint and muscles of mastication of the TMJ because of the interplay between the muscles and joints, a problem with either one can lead to stiffness, headaches, ear pain, malocclusion, clicking sounds, or trismus.

“I want to take a bite” Anita snatched the apple from her husband’s hand and bit a huge hunk.

 click” a sound came from her jaw, nearby her ear.

“what’s that” Anand asked. “I’m hearing these sounds frequently while u move your mouth or try to bite something.”

“yes, I’m also feeling them, but nothing to worry, may be some muscle soreness.” Anita ignored this for a while.

 

But gradually the pain increased to significant level, accompanied by headache and neck pain so much, that they had to visit their consulting dentist. on examination their dentist told them that Anita was suffering from TMPD (temporomandibular joint disorder). doctor explained to him that there is a joint in their jaw known as temporomandibular joint which acts like a sliding hinge, connecting your jawbone to your skull. You have one joint on each side of your jaw. TMJ(temporomandibular joint) disorders — a type of temporomandibular disorder or TMD — can cause pain in your jaw joint and in the muscles that control jaw movement.

he exact cause of a person’s TMJ disorder is often difficult to determine. Your pain may be due to a combination of factors, such as genetics, arthritis or jaw injury. Some people who have jaw pain also tend to clench or grind their teeth, although many people habitually clench or grind their teeth and never develop TMJ disorders. like Anita millions of individuals suffer and ignore the early signs of TMPDS and there by worsening it.

TMPD is a pain disorder characterized by spontaneous pain and jaw function-induced pain in the joint and muscles of mastication of the TMJ because of the interplay between the muscles and joints, a problem with either one can lead to stiffness, headaches, ear pain, malocclusion, clicking sounds, or trismus. It is a common but misunderstood muscular pain disorder involving pain referred from small, tender trigger points within myofascial structures in or distant from the area of pain. The disorder and the resultant dysfunction can result in significant pain and impairment.

Temporomandibular pain dysfunction syndrome (TMPDS) comprises a variety of signs and symptoms which may be present in any combination, dependent upon the progress and stage of the disorder. The diagnostic criteria are pain on palpation of the temporomandibular joint (TMJ), muscle tenderness on examination, joint sounds, and limitation or deviation of jaw movement on opening. Headache may also be a symptom. Physiotherapy is commonly used to treat this disorder but there is little published material in the field of clinical trials comparing different methods of physiotherapy. Most reports are anecdotal. This paper reports four different physiotherapy modalities in the management of TMPDS when compared with a placebo group. Short-wave diathermy, megapulse, ultrasound and soft laser were tested.

Symptoms

Signs and symptoms of TMJ disorders may include:

Pain or tenderness of your jaw

Clicking sound while opening or closing of your mouth

Pain on biting from one or both the sides

crepitus

Pain in one or both of the temporomandibular joints

Aching pain in and around your ear

Difficulty chewing or pain while chewing

Aching facial pain

Locking of the joint, making it difficult to open or close your mouth

 

TMJ disorders can also cause a clicking sound or grating sensation when you open your mouth or chew. But if there’s no pain or limitation of movement associated with your jaw clicking, you probably don’t need treatment for a TMJ disorder.

The temporomandibular joint (TMJ) combines a hinge action with sliding motions. The parts of the bones that interact in the joint are covered with cartilage and are separated by a small shock-absorbing disk, which normally keeps the movement smooth.

Causes

Many theories and etiological models have been presented by various authors in the literature which includes dental occlusal interferences, extraction of teeth for orthodontic treatment, use of certain orthodontic appliances, non-concentricity of the mandibular condyle, internal derangements, hyperactivity or hypo activity of masticatory muscles, hyperactivity or hypo activity of central nervous system, emotional disturbances with or without bruxism and increased psychological strain of life. The etiology of TMDs is multidimensional. Biomechanical, neuromuscular, biopsychosocial and neurobiological factors may contribute to the disorder. These factors are classified as:

  • Predisposing (structural, metabolic and/or psychologic conditions)
  • Initiating (e.g., trauma or repetitive adverse loading of the masticatory system)
  • Aggravating (parafunction, hormonal or psychosocial factors) to emphasize their role in the progression of TMD

Generally speaking, there can be various causes, sometimes they cannot be diagnosed also but to pin point we can list the following

  • Bruxism
  • Various types of arthritis, such as rheumatoid arthritis and osteoarthritis
  • Malocclusion
  • Stress
  • Jaw injury
  • Long-term (chronic) grinding or clenching of teeth
  • Certain connective tissue diseases that cause problems which may affect the temporomandibular joint
  • The disk erodes or moves out of its proper alignment
  • The joint’s cartilage is damaged by arthritis
  • The joint is damaged by a blow or other impact
  • In many cases, however, the cause of TMJ disorders isn’t clear

MANAGEMENT

In mild case many times these pain go away on their own, but majority of cases need early diagnosis, and proper treatment.

Treatment comprises basically of three parts i.e. prevention (identify the disease or disease causing conditions early and work on them), interception (interrupting the cause there by arresting the future deterioration of joint) and treatment (restoring the joint to its normalcy. the options can be non-surgical like splints, crowns to more complex like surgical intervention.

Medications

Along with other nonsurgical treatments, these medication options may help relieve the pain associated with TMJ disorders:

Pain relievers and anti-inflammatories. If over-the-counter pain medications aren’t enough to relieve TMJ pain, your doctor or dentist may prescribe stronger pain relievers. Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others), are a mainstay of treatment.

Tricyclic antidepressants. These medications used to be used mostly for depression, but now are sometimes used for pain relief.

Muscle relaxants- These types of drugs are sometimes used for a few days or weeks to help relieve pain caused by TMJ disorders.

Nondrug therapies for TMJ disorder include:

Oral splints or mouth guards -Often, people with jaw pain will benefit from wearing a soft or firm device inserted over their teeth, but the reasons why these devices are beneficial are not well-understood.

Physical therapy- Treatments might include ultrasound, moist heat and ice — along with exercises to stretch and strengthen jaw muscles. They have proved useful in reducing the pain.

Counseling –proper and guided education and counseling can help you understand the factors and behaviors that may aggravate your pain, so you can avoid them. Examples include teeth clenching or grinding, leaning on your chin, or biting fingernails. Special precaution should be taken against self-medication and google doctoring

Surgical or other procedures

When other methods don’t help, your doctor might suggest certain invasive procedures such as:

Arthrocentesis. Arthrocentesis is a minimally invasive procedure that involves the insertion of small needles into the joint so that fluid can be irrigated through the joint to remove debris and inflammatory byproducts.

Injections-botulinum toxin has found its way into medical practices decades ago. Now they and steroids are used to relieve TMJ pain. In some people, corticosteroid injections directly into the joint may be helpful. Infrequently, injecting botulinum toxin type A (Botox, others) into the jaw muscles used for chewing may relieve pain associated with TMJ disorders.

TMJ arthroscopy- In many cases, arthroscopic surgery can be as effective for treating various types of TMJ disorders as open-joint surgery. A small thin tube (cannula) is placed into the joint space, an arthroscope is then inserted, and small surgical instruments are used for surgery. TMJ arthroscopy has fewer risks and complications than open-joint surgery does, but it has some limitations as well.

Modified condylotomy. Modified condylotomy addresses the TMJ indirectly, with surgery on the mandible, but not in the joint itself. It may be helpful for treatment of pain and if locking is experienced.

Open-joint surgery. – Considered by some as last resort. If your jaw pain does not resolve with more-conservative treatments and it appears to be caused by a structural problem in the joint, your consulting oral surgeon or dentist may suggest you to go for open-joint surgery (arthrotomy) to repair or replace the joint. However, due to its strategic presence near bifurcation of facial nerve and other anatomic structures open-joint surgery involves more risks than other procedures do and should be considered very carefully, discussing the pros and cons.

Summoning Up

 

The story of Anita and Anand is just an example that how clicking sound, pain in biting and other early symptoms of your jaw discomfort should not be ignored and brushed aside. A normal medical checkup can inform you about your conditions and management. individuals should never shy away from a diagnostic checkup if they think something is not right. “stitch in time, saves nine” that’s an old proverb but fits beautifully here. catching the disorder in its infancy will make sure that individual will not suffer. read it and share it with your loved ones if you really care.

dental implants facts

DENTAL IMPLANTS
Dental implants were present from decades but from last 15 yrs it had carefully cemented and consolidated its position as best tooth replacement option.it has been established its place in developed countries but in developing countries like India,Pakistan,Mexico,South Africa it is now considered as a definitive tooth replacement option.but what happens as new patients does not have much information about the procedure and implants they are quite apprehensive.just to answer there basic queries is the aim of this blog.now what are these queries?

What are dental implants?
Dental implants are and can be described in a layman term as a screw which is planted in the bone to which a teeth is attached.now to describe it.a noble material "root-form" implant is surgically placed in the position where earlier root of your exisiting tooth was.it is left to osseointegrate i.e. development of bone around the implant.it takes normally 3 to 4 months.after osseointegration is completed , an abutment or a crown portion is attached and on that a tooth is fixed.nowdays even after one week of implant placement ,a temporary crown is given which s replaced by permanent crown after 3 months.

above is a image description about different levels in implant surgery.

who are candidates for implant surgery?
barring a few conditions everybody is candidate for implants but for good prognosis certains things are required
1)non-smoker
2)good oral hygiene should be maintained
3)systemice diseases should be under controlled and dental surgery not ruled out by consulting physician owing to that deseases
4)patient under radiotheraphy
5)immunocompromised patients
6)parafunctional habits like bruxism
any person who is fit for dental extraction is a case for dental implant given he passes above conditons.however a reference with your consulting dentist should be done.some dentist offer it free .u can contact at www.ramadentalclinic.com for free consultation.

SURGERY WORD MAKES ME NERVOUS.IS IT A PAINFUL SURGERY?
Normally dental implant surgery is done under local anesthesia,that is same numb shot u get while getting dental extraction or root canal treatment,in maximum implant cases even complete nerve block is also not reuired,only local infiltration serves the purpose.in ideal condition it is virtual painless job.i had a patient aged 78 yrs and was very nervous before the surgery.surgery was done,in the evening our staff called him to know the status as we routinely do to all our dental surgery patients.the phone was not picked.after two hours he called back and said that he was sleeping so he couldnt pick the phone.he thanked us for the procedure and said he didnt felt a thing.that was easier then the root canal treatment.he was apprenhensive as some metal will go inside his bone and will pain him a lot ,but he was painfree and happy.here is picture of that patien

 
 
 

WHY IS IMPLANT SURGERY EXPENSIVE AS COMPARED TO OTHER TREATMENTS?
implant surgery is not expensive when u see it in long term success rate.if properly maintained its a one time investment which is going to serve you for lifetime.as implant is made of noble metal like titanium it increases the cost.as noble metal does not react and cause infection ,they are considered as best options for surgery,plus there is a surgery cost.all the surgical protocols are follwed for a sterile enivironment required for the surgery.in growing countries earlier dental surgeries were not considered as important as nose or ear surgery,a concept which was accentuated by a large number of "QUACK" dentist working here.but now concepts are changing and charges are cost -effective.when u will consider that our organ is getting replaced rather then getting a additional tooth your prespective will change.

DO I NEED TO TAKE EXTRACARE OF MY IMPLANT TEETH
dental implant are fixed prosthesis.prosthesis means its not natural.dentistry says that u need to take care of your natural teeth also,else they will be damaged.same goes with implants.u dont need any special care for them but you need to take basic care of your teeth and implants.which is properly cleaning,flossing,mouthwash and regular check up at your dentist.if u dont clean for your teeth u get periodontitis,if u dont clean aroung your implant u get peri-implantitis, both affect stability of teeth and implants.

WHAT IS OSSEOINTEGRATION OF IMPLANTS?
osseo-integration means bone integration of implant .that is impant surface have tendency ti stimulate bone forming cells which leads to deposition of bone around implant.this aids in stability of implant and preservance of your jaw bone height.osseointegration a key part in success of your dental implant.

DOES MY JAW BONE SHRINKS AFTER TOOTH IS LOST
The jaw bone is basically made up of two type of bones cancellous and alveolar bone.alveolar bone is your dental socket forming bone and as soon as teeth are lost they tend to resorb,thus by shrinking your jaw bone whereas basal bone does not resorb.the benefit of implants are that they keep jaw bones from shrinking thus maintaining your face heaight,volume and esthetics.



when is the right time to get implants?
the right time can be decided by ur consulting dentist.nowdays immediate implant placement at the time of teeth extraction is also done.in few cases this is done after 3-4 months of dental extraction.consult ur dentist for exact timing.

for more information right to me or visit www.ramadentalclinic.com.patient pics used in this blog is taken from www.ramadentalclinic.com and graphic pics from internet.
regards
dr amay tripathi
amay_pd@yahoo.co.in
www.ramadentalclinic.com

root canal cost in singapore of indian minister

Every tooth in a man's head is more valuable than a diamond. ~Miguel de Cervantes, Don Quixote, 1604.
a news is viral these days about remursement of root canal treatment of an AP minister of rs 2.9 lakhs.
Andhra Pradesh Government issued a GO Reimbursing a medical claim Rs 2,88,000/ to the Finance Minister for the Root canal Treatment, he took on 12 April 2018 in Singapore.

the cost difference is huge in comparison to indian dentist.we regularly recieve foreign patients in our clinic from many countries and many from singapore.we recently published a blog of dental implant surgery treatment given to singapore resident.we proudly state that we charge same amount from indian as well as NRI or foreigners visitng us for dental treatment as a part of dental tourism initiative.we at rama dental clinic & dental implant centre are constantly been reciepient of awards, accolades , recognition, ISO 9001:2015, certified by Quality council of india which are certifying body for National Accredition Board for Hospitals & Healthcare .(NABH). we were chosen as top cosmetic dental clinic of india by SILICON india 2018.we work hard to maintain the quality standard yet maintaining  it with humblessness.

we take pride in providing world class facilities under one roof.we are specialized in smile makeover and dental implants.contact us for more info on 9452065082

if you are looking for good dentist, dentist in mahanagar lucknow contact us.

 

 

dental implant insights

what are dental implants?
Dental implant is a sterile, biocompatible and osseointegratable root part of your teeth. This is inserted inside your bone.it bio-integrates and joins with your jaw bone on which a tooth can be placed. This implants serves as “root” for your teeth’s crown. It is considered as one of best options to replace missing teeth and serve you for your whole life if certain precautions and guidelines are followed.
Normally teeth are surrounded by “alveolar bone” or let’s call it teeth bone. As your tooth is extracted the bone starts resorbing. the resorption of bone is faster if you have any underlying diseases like diabetes, osteoporosis or any malnutrition. Or if you are wearing removable dentures, which exerts direct force on jaw, there by speeding their resorption. Dental implants promote bone growth by Osseo integrating. They act as root forms for crowns and upon them tooth is cemented or screwed.
What is cost of dental implants

dentalimplant pic
Cost of dental implants can’t be just streamlined into a standard cost for every patient. sometimes there are additional adjunctive treatments are done to stabilize the implants depending upon the bone defects and available bone volume .procedures like bone grafting, direct or indirect sinus lifts, connective tissue grafts, PRF procedures often accompany implant surgery. the exact cost of dental implant can be predicted following checkup of your mouth.at Rama dental clinic we regularly organize free implant surgeries and subsidized implant surgeries for the poor sectors as our social responsibility.
What is success rate of dental implants
The success rate of dental implants are very high as comparaing to its other two cousin (removable dentures and teeth supported bridges) given that proper care is followed. If properly taken care of, dental implants can last you for a very long time in your mouth.

 

a tale of smile design

A tale of smile design. A very gorgeous lady approached us for his broken teeth.on inspection we found out that her central incisor (front teeth) edge was broken.making it look asymmtrical. Now the problem.was that filling on edge of the tooth which are very small,does not show great strength and can often wear off while biting.giving her crown or veneer will still need reducing her existing natural teeth.shade matching was our another concern.however we decided to go with composite veneering, using enamel and dentin shades we finally matched it to her existing teeth.a mock up was done and on her satisfaction was finalized.attached pic is pre and post operative pics of the tooth in question.total transparency is matched with the adjacent tooth.

smile design in lucknow

 

while matching the contour of teeth, special emphasis have to be given on triparite shade of the restoring materials.your smileis your identity card helping you to excel in your public life.if you are looking for smile design, dental implants, best dentist in lucknow, dentist in hazratganj, dentist in mahanagar or dentist in gomti nagar , contact our website. www.ramadentalclinic.com or call on 9452065082

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Dental Blog

How To Choose The Best Dentist Lucknow For Yoursel

Prevention is considered as the best treatment for all dental problems. The prevention and maintenance regimen includes a couple of checkups on an annual basis that includes professional cleaning and evaluating one's teeth and gum condition.

 

Choosing the best dentist lucknow service provider is very essential. Every single day you will find brand new methods becoming launched with regard to improving associated with dentist care cleanliness together with all around health of the person's the teeth. It's resulted in the necessity of the much more specific dentist care professional, that may carry out each one of these methods successfully. When you begin trying to find the dentist professional, it is very required that you simply choose the ideal dental care company.

 

This might not necessarily end up being simple as much dental practitioners tend to be promoted every day, nevertheless via looking with the internet as well as talking to family and friends you'll find an ideal dentist professional for that work. Keep in mind absolutely no 2 dentist practitioners would be the exact same. Considering the dentist's significance so far as dental care cleanliness as well as wellness can be involved, it is very essential that you choose a specialist as well as experienced dental professional who's recognized with regard to their efficient providers, has experience as well as competent.

 

So far as strategies for finding the lucknow best dentist can be involved, listed here are a few needs that needs to be adopted to find the ideal dental care company.

 

Checklist just about all dentist practitioners existing in your town as well as ask regarding what kinds of dental care providers they offer. A few dental practitioners provide aesthetic providers as well as other providers while a few dental practitioners don't. Verify if the particular dental professional you want to select provides the providers you're looking for.

 

Understanding on which your own insurance coverage handles assists whenever selecting a dental professional, because your own chosen dental professional ought to a minimum of supply those providers which are protected inside your dental care strategy or even insurance coverage.

 

Following choosing that support you're looking for, ask about the medical encounters from the dental professional and when the actual dental professional retains any kind of unique learning any kind of unique region.

 

Ask regarding regardless of whether any kind of crisis support is actually supplied just in case an abrupt dental care turmoil occurs. Additionally ask upon regardless of whether this particular support is actually supplied within away several hours.

 

Discover in which the workplaces of the chosen dentist professional can be found all around the region. You ought to have a good workplace near to your dwelling in the event you need to go to instantly or even in the center of the night time, or even within an crisis. Additionally, in the event you need regular appointments for your dental professional, getting a good workplace close to your home is definitely advantageous.

 

Additionally, go to the workplace of the chosen dentist professional as well as check up on the entire situation from the workplace as well as individual cleanliness from the dental professional as well as their assistants together with workplace staff as well.

 

All these issues are very important in selecting the best dentist in lucknow, as your teeth and gums are dependent on you in taking the right decision.


 

How to clean food between your teeth

Everyone is fedup from cleaning food that is stuck between your teeth.particularly if you are eating fibrous food, fruits or non veg then you are more prone for this.

the teeth-gum juntion is also another place whichis hard to clean.and often periodontitis starts from here.we reommend three ways to clean your nterdental/gums region

1) dental floss

2)interdental brush

3) water floss (easiest)

dental floss- threads have been used from ages to clean inter teeth areas.now waxed thread which are sturdy and dont injure your gums are designed and known as 

dental floss.

few good flosses available in market are of colgate , oral b.

interdental brsuh- small brush used for cleaning interdental spaces.prominent in market are colgate, stim

use mouthwash to clean afterusing floss.

Inter-dental brush- specifically designed for the ares between your teeth where normal brush cant go.you have to put the brush in wedging motion between your teeth very lighly.birstle will gently go between the interdental groove thereby taking out any food debris inside.

Water floss

these are most effective devices to clean your interdental spaces.

The water flosser are also known as water floss and are tools for cleaning the teeth. In addition to the teeth and teeth in the mouth, there are deep wrinkles and gingival sulcus in the mouth, especially the gingival sulcus.

At the junction of the teeth and the gums, there is a ditch about 2 mm deep called the gingival sulcus, which is an important passage to the root of the tooth and the most vulnerable to dirt, but it is not easy to be The clean area, that is to say it is often one of the main culprits in our oral diseases.

According to the research, as many as 40% of the oral cavity cannot be cleaned with toothbrushes and dental floss. According to research by related agencies in the United States, the use of water flow impact is the most ideal oral cleaning method. The pressure water column of the red teeth can be washed deep into the gingival sulcus. With a depth of 50-90%, it can thoroughly clean the gaps of the teeth as well as the uneven surface.

water pik

The water flosser device pressurizes the water through the pump body to generate a high-frequency pulse water column, and the water column impacts the teeth or the gingival sulcus through the nozzle to achieve a clean effect. The impact of water flow is also divided into different technologies. Sometimes the difference in technology gives us different cleaning effects and feelings of use.

the best ones to buy are  dr trust 

why dental implants can be your best options

Have you lost a tooth or multiple teeth through an accident or an oral disease? Do your missing teeth make it
uncomfortable for you to laugh in public? Has your missing tooth impacted your speech and how you chew?
While there are several solutions to the problem, dental implant is your best option for several reasons. It is
the process of implanting metal frames or posts in the jawbone to allow for the mounting of replacement
teeth onto them. 

How does dental implant work?

A metal frame is drilled into your jawbone before a tooth or some teeth are mounted on it. This fastens the teeth to your jawbone. That way, they won’t shift or slip in your mouth. The best part is that dental implants feel natural. Dental implants have the following benefits.

best dentist in lucknow

Benefits of a dental implant
• It is very convenient as it does not require any adhesive and you don’t have to remove it often.
• It is very durable. It can last a lifetime but dentists often put a 25-year guarantee on it.
• It does not require the removal of any other tooth as does a tooth-supported bridge.
• It will give you a great smile and restore your self-esteem and self-confidence.
• Since dental implant functions like your natural teeth, it can easily correct any chewing difficulty that you
may have suffered.
• It is very comfortable.
• The surgical procedure can also improve your speech if your missing teeth have affected it already

However, you can only get all the benefits listed above if your dental implant is carried out by a highly experienced dentist. In other words, it is important to get your dental implant done in a highly reputable dental clinic. Rama Dental Clinic & Implant Centre is the best clinic in Lucknow. It is owned by Dr. Amay Tripathi, the best dentist in Mahanagar. In fact, he is the best dentist in Lucknow and he has been carrying out dental implants for so many years. 

While Rama Dental Clinic is not the only clinic where you can fix your teeth, it is head and shoulders above
others in many ways. Here are a few reasons to consult Dr. Tripathi for your dental implant.

 

Availability of state-of-the-art equipment
The clinic offers the latest technology-driven equipment to make oral surgery effective, fast, and painless.
By virtue of their top-notch equipment, the clinic can offer advanced diagnostics and treatment of many
dental or oral diseases or anomalies. 

Experience
Dr. Tripathi is a highly experienced dentist that has been providing dental services to patients from all over
the world. So, when you choose his clinic, you’ll get experience, premium dental services, and peace of
mind. He is not only a dentist; he is also a mentor and coach to other dentists.

Experience
Dr. Tripathi is a highly experienced dentist that has been providing dental services to patients from all over
the world. So, when you choose his clinic, you’ll get experience, premium dental services, and peace of
mind. He is not only a dentist; he is also a mentor and coach to other dentists.

Versatility
Apart from dental implant, the clinic also provides many other dental treatments. More importantly, the
environment in the clinic is comfortable and hygienic. 

Free consultation
New patients get free consultations. It is needless to remind you that having consultation with a dentist of
Dr. Tripathi’s caliber is priceless.
For more information about the dental services in Rama Dental Clinic, you can visit
http://ramadentalclinic.com/ or contact them to book an appointment. 

dental implants trends

WHAT IS A DENTAL IMPLANT?
A dental implant is a substitute tooth root that serves the same function as a natural tooth root. It preserves bone and provides a stable foundation for a replacement tooth that look, feel and function like a natural tooth. Dental implants are made of titanium, which is a biocompatible material used in orthopedic implants.

WHY ARE DENTAL IMPLANTS BETTER THAN BRIDGES, PARTIALS AND DENTURES?
Dental implants can last a lifetime, unlike bridges, partials and dentures that may need to be replaced several times. Since dental implants prevent the bone resorption that occurs when teeth are missing, the natural appearance of the smile is preserved. With implant treatment, there is no compromise to adjacent teeth; they are not cut down to place a bridge, or loosened by the hooks on removable partials. Dentures and partials have the added disadvantage of accelerating the bone resorption process, which causes the appearance of premature aging.

WILL MY NEW TEETH LOOK NATURAL?
Your new replacement teeth will look, feel and function like natural teeth. And since implant treatment is the only solution that prevents bone resorption, which can cause your smile to look unnatural, the long term esthetics will be superior to any other treatment option.

WHO IS A CANDIDATE FOR DENTAL IMPLANT TREATMENT?
Nearly everyone who is missing one or more teeth and in general good health is a candidate for dental implant treatment. There are a few medical conditions that can undermine the success of implant treatment, such as uncontrolled diabetes. However, there are very few conditions that would keep someone from having implant treatment altogether. Quality and quantity of available bone for implant placement is more often a factor in qualifying for dental implants than medical conditions. However, even people who have lost a significant amount of bone can qualify for dental implant treatment with additional procedures to add bone or create new bone. Advances in this type of treatment have made it possible for most people who would not previously have been considered candidates to have successful implant treatment.

IS ANYONE EVER CONSIDERED TOO OLD FOR DENTAL IMPLANTS?
Overall health and a desire to improve the quality of life are much more important considerations than age. When dental implants were first developed, back in the 1950's, implant supported replacement teeth were originally designed as a solution for older patients who were missing all of their teeth. Since then, many patients well into their nineties have had dental implant treatment without a single problem.

Hypokalemia

As we have discussed in our previous article, the optimal amount of potassium in our blood serum is 3.5 to 5.0 mmol/L. whenever its level falls down below 3.5 mmol/L then the condition is known as Hypokalemia. Hypokalemia is also termed as hypokalemic syndrome, low potassium syndrome, hypopotassemia syndrome. Mild hypokalemia does not present any symptoms but if level of potassium falls below 2.5 mmol/L then it is classified as severs Hypokalemia and can pose life threatening complications.

Signs & Symptoms

Hypokalemia can be differentiated into three types, and we will discuss their symptoms in these categories.

Mild hypokalemia – level of potassium in blood serum from 3.5 mmol/L to 3.0 mmol/L can be termed as mild hypokalemia. This condition is symptom free and therefore difficult to trace unless someone is routinely getting his/her potassium levels checked.
Hypokalemia – level of of potassium in blood serum from 3.0 mmol/L to 2.5 mmol/L can be termed as hypokalemia. The symptoms are
weakness
fatigue
constipation
muscle cramping
palpitations
myalgia
severe hypokalemia -– level of potassium in blood serum below 2.5 mmol/L can be termed as severe hypokalemia. This condition can be life threatening. symptoms are
paralysis
respiratory failure
breakdown of muscle tissue
ileus (lazy bowels)
rhabdomyolysis
Causes

The causes of hypokalemia can be broadly divided into three groups

due to low potassium intake
due to excessive loss of potassium from our body
side effect of other medical conditions or medications
Low potassium intake

This is most obvious and somewhat rare cause of hypokalemia. Whenever someone take less potassium in his/her diet then the normal prescribed amount, hypokalemia happens. This type of condition is usually seen in

starvation
ketogenic diet
anorexia nervosa
Excessive loss of potassium

Excessive loss of potassium is seen in many conditions but mainly seen when associated with heavy flush of fluid from our body. For example, vomiting, diarrhea, excessive perspiration, muscle crush injury and urinary losses. Out of theses Urinary losses is one which is often ignored and should be discussed in detail

Urinary loss-patients who have uncontrolled diabetes have condition called polyuria meaning frequent urination. This can lead to hypokalemia. Patients who are on prolonged use of loop diuretics such as furosemide or blood control medication are often prone to loss of excessive potassium from body. A special case of potassium loss occurs with diabetic ketoacidosis. Hypokalemia is observed with low total body potassium and a low intracellular concentration of potassium. In addition to urinary losses from polyuria and volume contraction, also an obligate loss of potassium from kidney tubules occurs as a cationic partner to the negatively charged ketone, β-hydroxybutyrate.


 
A low level of magnesium in the blood can also cause hypokalemia. Magnesium is required for adequate processing of potassium. This may become evident when hypokalemia persists despite potassium supplementation. Other electrolyte abnormalities may also be present.

An increase in the pH of the blood (alkalosis) can cause temporary hypokalemia by causing a shift of potassium out of the plasma and interstitial fluids into the urine. Disease states that lead to abnormally high aldosterone levels can cause hypertension and excessive urinary losses of potassium. These include renal artery stenosis and tumors (generally nonmalignant) of the adrenal glands, e.g., Conn’s syndrome (primary hyperaldosteronism).

Cushing’s syndrome can also lead to hypokalemia due to excess cortisol binding the Na+/K+ pump and acting like aldosterone. Hypertension and hypokalemia can also be seen with a deficiency of the 11-beta-hydroxysteroid dehydrogenase type 2 enzyme which allows cortisol’s to stimulate aldosterone receptors. This deficiency—known as apparent mineralocorticoid excess syndrome—can either be congenital or caused by consumption of glycyrrhizin, which is contained in extract of licorice, sometimes found in herbal supplements, candies, and chewing tobacco.

Other factors

In addition to alkalosis, other factors can cause transient shifting of potassium into cells, presumably by stimulation of the Na+/K+ pump. These hormones and medications include insulin, epinephrine, and other beta agonists (e.g. salbutamol or salmeterol), and xanthines (e.g. theophylline).

Rare hereditary defects of muscular ion channels and transporters that cause hypokalemic periodic paralysis can precipitate occasional attacks of severe hypokalemia and muscle weakness. These defects cause a heightened sensitivity to the normal changes in potassium produced by catecholamines and/or insulin and/or thyroid hormone, which lead to movement of potassium from the extracellular fluid into the muscle cells.


 
A handful of published reports describe individuals with severe hypokalemia related to chronic extreme consumption (4–10 l/day) of colas. The hypokalemia is thought to be from the combination of the diuretic effect of caffeine and copious fluid intake, although it may also be related to diarrhea caused by heavy fructose ingestion.

Pseudo hypokalemia is a decrease in the amount of potassium that occurs due to excessive uptake of potassium by metabolically active cells in a blood sample after it has been drawn. It is a laboratory artifact that may occur when blood samples remain in warm conditions for several hours before processing. Fructose ingestion.

Rare hereditary defects of renal salt transporters, such as Bartter syndrome or Gitelman syndrome, can cause hypokalemia, in a manner similar to that of diuretics. As opposed to disease states of primary excesses of aldosterone, blood pressure is either normal or low in Bartter’s or Gitelman’s.

Diagnosis.

Blood test normally confirms hypokalemia. The levels of potassium are checked. if it falls below 3.5 mmol/L hypokalemia is diagnosed.

Electrocardiogram- Hypokalemia leads to characteristic ECG changes (QRS prolongation, ST-segment and T-wave depression, U-wave formation).

Treatment.

Treatment of hypokalemia consists of treating life threatening symptoms and eliminating there causes. Instant hospitalization is required if symptoms worsens with constant monitoring of heart rate and rhythms. Treating low potassium levels in the hospital requires a multi-step approach:

Remove causes: After identifying the underlying cause, your doctor will prescribe the appropriate treatment. For example, your doctor may prescribe medications to reduce diarrhea or vomiting or change your medication.
Restore potassium levels: You can take potassium supplements to restore low potassium levels. But fixing potassium levels too quickly can cause unwanted side effects like abnormal heart rhythms. In cases of dangerously low potassium levels, you may need an IV drip for controlled potassium intake.
Monitor levels during hospital stay: At the hospital, a doctor or nurse will check your levels to make sure the potassium levels don’t reverse and cause hyperkalemia instead. High potassium levels can also cause serious complications.
After you leave the hospital, your doctor may recommend a potassium-rich diet. If you need to take potassium supplements, take them with lots of fluids and with, or after, your meals. You may also need to take magnesium supplements as magnesium loss can occur with potassium loss.

Hypokalemia which is recurrent or resistant to treatment may be amenable to a potassium-sparing diuretic, such as amiloride, triamterene, spironolactone, or eplerenone. Concomitant hypomagnesemia will inhibit potassium replacement, as magnesium is a cofactor for potassium uptake.


 
Mild hypokalemia (>3.0 mmol/L) may be treated by eating potassium-containing foods or by taking potassium chloride supplements in a tablet or syrup form (oral supplements). Foods rich in potassium include leafy green vegetables, avocados, tomatoes, coconut water, citrus fruits, oranges, or bananas. However, the quantities of potassium present in these foods are often not high enough to correct hypokalemia and additional potassium is generally required.

Hope you enjoyed this part. Stay tuned for next.share with family and friends.

Dr Ameya Tripathi is celebrated dental surgeon, social worker, writer, dental implantologist working at Rama Dental Clinic & Implant center Mahanagar Lucknow and Gomti Nagar Lucknow as its director. His works can be visited at www.ramamdentalclinic.com

TMPD

MPD is a pain disorder characterized by spontaneous pain and jaw function-induced pain in the joint and muscles of mastication of the TMJ because of the interplay between the muscles and joints, a problem with either one can lead to stiffness, headaches, ear pain, malocclusion, clicking sounds, or trismus.

“I want to take a bite” Anita snatched the apple from her husband’s hand and bit a huge hunk.

 click” a sound came from her jaw, nearby her ear.

“what’s that” Anand asked. “I’m hearing these sounds frequently while u move your mouth or try to bite something.”

“yes, I’m also feeling them, but nothing to worry, may be some muscle soreness.” Anita ignored this for a while.

 

But gradually the pain increased to significant level, accompanied by headache and neck pain so much, that they had to visit their consulting dentist. on examination their dentist told them that Anita was suffering from TMPD (temporomandibular joint disorder). doctor explained to him that there is a joint in their jaw known as temporomandibular joint which acts like a sliding hinge, connecting your jawbone to your skull. You have one joint on each side of your jaw. TMJ(temporomandibular joint) disorders — a type of temporomandibular disorder or TMD — can cause pain in your jaw joint and in the muscles that control jaw movement.

he exact cause of a person’s TMJ disorder is often difficult to determine. Your pain may be due to a combination of factors, such as genetics, arthritis or jaw injury. Some people who have jaw pain also tend to clench or grind their teeth, although many people habitually clench or grind their teeth and never develop TMJ disorders. like Anita millions of individuals suffer and ignore the early signs of TMPDS and there by worsening it.

TMPD is a pain disorder characterized by spontaneous pain and jaw function-induced pain in the joint and muscles of mastication of the TMJ because of the interplay between the muscles and joints, a problem with either one can lead to stiffness, headaches, ear pain, malocclusion, clicking sounds, or trismus. It is a common but misunderstood muscular pain disorder involving pain referred from small, tender trigger points within myofascial structures in or distant from the area of pain. The disorder and the resultant dysfunction can result in significant pain and impairment.

Temporomandibular pain dysfunction syndrome (TMPDS) comprises a variety of signs and symptoms which may be present in any combination, dependent upon the progress and stage of the disorder. The diagnostic criteria are pain on palpation of the temporomandibular joint (TMJ), muscle tenderness on examination, joint sounds, and limitation or deviation of jaw movement on opening. Headache may also be a symptom. Physiotherapy is commonly used to treat this disorder but there is little published material in the field of clinical trials comparing different methods of physiotherapy. Most reports are anecdotal. This paper reports four different physiotherapy modalities in the management of TMPDS when compared with a placebo group. Short-wave diathermy, megapulse, ultrasound and soft laser were tested.

Symptoms

Signs and symptoms of TMJ disorders may include:

Pain or tenderness of your jaw

Clicking sound while opening or closing of your mouth

Pain on biting from one or both the sides

crepitus

Pain in one or both of the temporomandibular joints

Aching pain in and around your ear

Difficulty chewing or pain while chewing

Aching facial pain

Locking of the joint, making it difficult to open or close your mouth

 

TMJ disorders can also cause a clicking sound or grating sensation when you open your mouth or chew. But if there’s no pain or limitation of movement associated with your jaw clicking, you probably don’t need treatment for a TMJ disorder.

The temporomandibular joint (TMJ) combines a hinge action with sliding motions. The parts of the bones that interact in the joint are covered with cartilage and are separated by a small shock-absorbing disk, which normally keeps the movement smooth.

Causes

Many theories and etiological models have been presented by various authors in the literature which includes dental occlusal interferences, extraction of teeth for orthodontic treatment, use of certain orthodontic appliances, non-concentricity of the mandibular condyle, internal derangements, hyperactivity or hypo activity of masticatory muscles, hyperactivity or hypo activity of central nervous system, emotional disturbances with or without bruxism and increased psychological strain of life. The etiology of TMDs is multidimensional. Biomechanical, neuromuscular, biopsychosocial and neurobiological factors may contribute to the disorder. These factors are classified as:

  • Predisposing (structural, metabolic and/or psychologic conditions)
  • Initiating (e.g., trauma or repetitive adverse loading of the masticatory system)
  • Aggravating (parafunction, hormonal or psychosocial factors) to emphasize their role in the progression of TMD

Generally speaking, there can be various causes, sometimes they cannot be diagnosed also but to pin point we can list the following

  • Bruxism
  • Various types of arthritis, such as rheumatoid arthritis and osteoarthritis
  • Malocclusion
  • Stress
  • Jaw injury
  • Long-term (chronic) grinding or clenching of teeth
  • Certain connective tissue diseases that cause problems which may affect the temporomandibular joint
  • The disk erodes or moves out of its proper alignment
  • The joint’s cartilage is damaged by arthritis
  • The joint is damaged by a blow or other impact
  • In many cases, however, the cause of TMJ disorders isn’t clear

MANAGEMENT

In mild case many times these pain go away on their own, but majority of cases need early diagnosis, and proper treatment.

Treatment comprises basically of three parts i.e. prevention (identify the disease or disease causing conditions early and work on them), interception (interrupting the cause there by arresting the future deterioration of joint) and treatment (restoring the joint to its normalcy. the options can be non-surgical like splints, crowns to more complex like surgical intervention.

Medications

Along with other nonsurgical treatments, these medication options may help relieve the pain associated with TMJ disorders:

Pain relievers and anti-inflammatories. If over-the-counter pain medications aren’t enough to relieve TMJ pain, your doctor or dentist may prescribe stronger pain relievers. Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others), are a mainstay of treatment.

Tricyclic antidepressants. These medications used to be used mostly for depression, but now are sometimes used for pain relief.

Muscle relaxants- These types of drugs are sometimes used for a few days or weeks to help relieve pain caused by TMJ disorders.

Nondrug therapies for TMJ disorder include:

Oral splints or mouth guards -Often, people with jaw pain will benefit from wearing a soft or firm device inserted over their teeth, but the reasons why these devices are beneficial are not well-understood.

Physical therapy- Treatments might include ultrasound, moist heat and ice — along with exercises to stretch and strengthen jaw muscles. They have proved useful in reducing the pain.

Counseling –proper and guided education and counseling can help you understand the factors and behaviors that may aggravate your pain, so you can avoid them. Examples include teeth clenching or grinding, leaning on your chin, or biting fingernails. Special precaution should be taken against self-medication and google doctoring

Surgical or other procedures

When other methods don’t help, your doctor might suggest certain invasive procedures such as:

Arthrocentesis. Arthrocentesis is a minimally invasive procedure that involves the insertion of small needles into the joint so that fluid can be irrigated through the joint to remove debris and inflammatory byproducts.

Injections-botulinum toxin has found its way into medical practices decades ago. Now they and steroids are used to relieve TMJ pain. In some people, corticosteroid injections directly into the joint may be helpful. Infrequently, injecting botulinum toxin type A (Botox, others) into the jaw muscles used for chewing may relieve pain associated with TMJ disorders.

TMJ arthroscopy- In many cases, arthroscopic surgery can be as effective for treating various types of TMJ disorders as open-joint surgery. A small thin tube (cannula) is placed into the joint space, an arthroscope is then inserted, and small surgical instruments are used for surgery. TMJ arthroscopy has fewer risks and complications than open-joint surgery does, but it has some limitations as well.

Modified condylotomy. Modified condylotomy addresses the TMJ indirectly, with surgery on the mandible, but not in the joint itself. It may be helpful for treatment of pain and if locking is experienced.

Open-joint surgery. – Considered by some as last resort. If your jaw pain does not resolve with more-conservative treatments and it appears to be caused by a structural problem in the joint, your consulting oral surgeon or dentist may suggest you to go for open-joint surgery (arthrotomy) to repair or replace the joint. However, due to its strategic presence near bifurcation of facial nerve and other anatomic structures open-joint surgery involves more risks than other procedures do and should be considered very carefully, discussing the pros and cons.

Summoning Up

 

The story of Anita and Anand is just an example that how clicking sound, pain in biting and other early symptoms of your jaw discomfort should not be ignored and brushed aside. A normal medical checkup can inform you about your conditions and management. individuals should never shy away from a diagnostic checkup if they think something is not right. “stitch in time, saves nine” that’s an old proverb but fits beautifully here. catching the disorder in its infancy will make sure that individual will not suffer. read it and share it with your loved ones if you really care.

dental implants facts

DENTAL IMPLANTS
Dental implants were present from decades but from last 15 yrs it had carefully cemented and consolidated its position as best tooth replacement option.it has been established its place in developed countries but in developing countries like India,Pakistan,Mexico,South Africa it is now considered as a definitive tooth replacement option.but what happens as new patients does not have much information about the procedure and implants they are quite apprehensive.just to answer there basic queries is the aim of this blog.now what are these queries?

What are dental implants?
Dental implants are and can be described in a layman term as a screw which is planted in the bone to which a teeth is attached.now to describe it.a noble material "root-form" implant is surgically placed in the position where earlier root of your exisiting tooth was.it is left to osseointegrate i.e. development of bone around the implant.it takes normally 3 to 4 months.after osseointegration is completed , an abutment or a crown portion is attached and on that a tooth is fixed.nowdays even after one week of implant placement ,a temporary crown is given which s replaced by permanent crown after 3 months.

above is a image description about different levels in implant surgery.

who are candidates for implant surgery?
barring a few conditions everybody is candidate for implants but for good prognosis certains things are required
1)non-smoker
2)good oral hygiene should be maintained
3)systemice diseases should be under controlled and dental surgery not ruled out by consulting physician owing to that deseases
4)patient under radiotheraphy
5)immunocompromised patients
6)parafunctional habits like bruxism
any person who is fit for dental extraction is a case for dental implant given he passes above conditons.however a reference with your consulting dentist should be done.some dentist offer it free .u can contact at www.ramadentalclinic.com for free consultation.

SURGERY WORD MAKES ME NERVOUS.IS IT A PAINFUL SURGERY?
Normally dental implant surgery is done under local anesthesia,that is same numb shot u get while getting dental extraction or root canal treatment,in maximum implant cases even complete nerve block is also not reuired,only local infiltration serves the purpose.in ideal condition it is virtual painless job.i had a patient aged 78 yrs and was very nervous before the surgery.surgery was done,in the evening our staff called him to know the status as we routinely do to all our dental surgery patients.the phone was not picked.after two hours he called back and said that he was sleeping so he couldnt pick the phone.he thanked us for the procedure and said he didnt felt a thing.that was easier then the root canal treatment.he was apprenhensive as some metal will go inside his bone and will pain him a lot ,but he was painfree and happy.here is picture of that patien

 
 
 

WHY IS IMPLANT SURGERY EXPENSIVE AS COMPARED TO OTHER TREATMENTS?
implant surgery is not expensive when u see it in long term success rate.if properly maintained its a one time investment which is going to serve you for lifetime.as implant is made of noble metal like titanium it increases the cost.as noble metal does not react and cause infection ,they are considered as best options for surgery,plus there is a surgery cost.all the surgical protocols are follwed for a sterile enivironment required for the surgery.in growing countries earlier dental surgeries were not considered as important as nose or ear surgery,a concept which was accentuated by a large number of "QUACK" dentist working here.but now concepts are changing and charges are cost -effective.when u will consider that our organ is getting replaced rather then getting a additional tooth your prespective will change.

DO I NEED TO TAKE EXTRACARE OF MY IMPLANT TEETH
dental implant are fixed prosthesis.prosthesis means its not natural.dentistry says that u need to take care of your natural teeth also,else they will be damaged.same goes with implants.u dont need any special care for them but you need to take basic care of your teeth and implants.which is properly cleaning,flossing,mouthwash and regular check up at your dentist.if u dont clean for your teeth u get periodontitis,if u dont clean aroung your implant u get peri-implantitis, both affect stability of teeth and implants.

WHAT IS OSSEOINTEGRATION OF IMPLANTS?
osseo-integration means bone integration of implant .that is impant surface have tendency ti stimulate bone forming cells which leads to deposition of bone around implant.this aids in stability of implant and preservance of your jaw bone height.osseointegration a key part in success of your dental implant.

DOES MY JAW BONE SHRINKS AFTER TOOTH IS LOST
The jaw bone is basically made up of two type of bones cancellous and alveolar bone.alveolar bone is your dental socket forming bone and as soon as teeth are lost they tend to resorb,thus by shrinking your jaw bone whereas basal bone does not resorb.the benefit of implants are that they keep jaw bones from shrinking thus maintaining your face heaight,volume and esthetics.



when is the right time to get implants?
the right time can be decided by ur consulting dentist.nowdays immediate implant placement at the time of teeth extraction is also done.in few cases this is done after 3-4 months of dental extraction.consult ur dentist for exact timing.

for more information right to me or visit www.ramadentalclinic.com.patient pics used in this blog is taken from www.ramadentalclinic.com and graphic pics from internet.
regards
dr amay tripathi
amay_pd@yahoo.co.in
www.ramadentalclinic.com

root canal cost in singapore of indian minister

Every tooth in a man's head is more valuable than a diamond. ~Miguel de Cervantes, Don Quixote, 1604.
a news is viral these days about remursement of root canal treatment of an AP minister of rs 2.9 lakhs.
Andhra Pradesh Government issued a GO Reimbursing a medical claim Rs 2,88,000/ to the Finance Minister for the Root canal Treatment, he took on 12 April 2018 in Singapore.

the cost difference is huge in comparison to indian dentist.we regularly recieve foreign patients in our clinic from many countries and many from singapore.we recently published a blog of dental implant surgery treatment given to singapore resident.we proudly state that we charge same amount from indian as well as NRI or foreigners visitng us for dental treatment as a part of dental tourism initiative.we at rama dental clinic & dental implant centre are constantly been reciepient of awards, accolades , recognition, ISO 9001:2015, certified by Quality council of india which are certifying body for National Accredition Board for Hospitals & Healthcare .(NABH). we were chosen as top cosmetic dental clinic of india by SILICON india 2018.we work hard to maintain the quality standard yet maintaining  it with humblessness.

we take pride in providing world class facilities under one roof.we are specialized in smile makeover and dental implants.contact us for more info on 9452065082

if you are looking for good dentist, dentist in mahanagar lucknow contact us.

 

 

dental implant insights

what are dental implants?
Dental implant is a sterile, biocompatible and osseointegratable root part of your teeth. This is inserted inside your bone.it bio-integrates and joins with your jaw bone on which a tooth can be placed. This implants serves as “root” for your teeth’s crown. It is considered as one of best options to replace missing teeth and serve you for your whole life if certain precautions and guidelines are followed.
Normally teeth are surrounded by “alveolar bone” or let’s call it teeth bone. As your tooth is extracted the bone starts resorbing. the resorption of bone is faster if you have any underlying diseases like diabetes, osteoporosis or any malnutrition. Or if you are wearing removable dentures, which exerts direct force on jaw, there by speeding their resorption. Dental implants promote bone growth by Osseo integrating. They act as root forms for crowns and upon them tooth is cemented or screwed.
What is cost of dental implants

dentalimplant pic
Cost of dental implants can’t be just streamlined into a standard cost for every patient. sometimes there are additional adjunctive treatments are done to stabilize the implants depending upon the bone defects and available bone volume .procedures like bone grafting, direct or indirect sinus lifts, connective tissue grafts, PRF procedures often accompany implant surgery. the exact cost of dental implant can be predicted following checkup of your mouth.at Rama dental clinic we regularly organize free implant surgeries and subsidized implant surgeries for the poor sectors as our social responsibility.
What is success rate of dental implants
The success rate of dental implants are very high as comparaing to its other two cousin (removable dentures and teeth supported bridges) given that proper care is followed. If properly taken care of, dental implants can last you for a very long time in your mouth.

 

a tale of smile design

A tale of smile design. A very gorgeous lady approached us for his broken teeth.on inspection we found out that her central incisor (front teeth) edge was broken.making it look asymmtrical. Now the problem.was that filling on edge of the tooth which are very small,does not show great strength and can often wear off while biting.giving her crown or veneer will still need reducing her existing natural teeth.shade matching was our another concern.however we decided to go with composite veneering, using enamel and dentin shades we finally matched it to her existing teeth.a mock up was done and on her satisfaction was finalized.attached pic is pre and post operative pics of the tooth in question.total transparency is matched with the adjacent tooth.

smile design in lucknow

 

while matching the contour of teeth, special emphasis have to be given on triparite shade of the restoring materials.your smileis your identity card helping you to excel in your public life.if you are looking for smile design, dental implants, best dentist in lucknow, dentist in hazratganj, dentist in mahanagar or dentist in gomti nagar , contact our website. www.ramadentalclinic.com or call on 9452065082

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