Post and Core Treatment at its Best. Odontos Dental Hospital

Patient gave h/o Trauma 12years ago, Tooth was Fractured in two pieces when he reported at ODONTOS  on 13/12/12. The tooth was Restored using Post and Core followed by Splinting with Composite.

Wish you all a Very Happy Diwali-Odontos Dental Hospital ,Zirakpur

For this, is a special time when family
And friends get together,for fun.
Wishing laughter and fun to cheer your days,
In this festive season of diwali and always!!!!!!!!

May this diwali Light up new dreams, fresh hopes, undiscovered avenues, different perspectives, everythin bright & beautifulfil and fill ur days with pleasant surprises and moments.


Wishes From - Dr.aman Singh , Odontos Dental Hospital ,Zirakpur

Dental problem in sugar disease / dibetes Patient

Diabetes, or as we like to call it - the sweet disease, increases your chances of gum diseases like gingivitis and periodontitis, both being gum diseases. Poor control of blood glucose levels means that your body isn't able to fight off bacteria that invade your gums, causing infections that can lead to the loss of teeth. Another oral problem is dry mouth, which sounds like a minor issue, but can lead to cavities. So in that case, steady control of your glucose levels is the best way to maintain good oral health when you have diabetes.

“Because of this relationship between diabetes and your teeth, it's important to tell your dental hygienist and your dentist that you have diabetes and about any medications you take,” points
  Dr .AmanSingh 
Odontos dental hospital Zirakpur 
.

Startling facts

• Periodontal (gum) disease is more common in people with diabetes. 1/3rd of diabetics have it.
• Persons with poorly controlled diabetes are 3 times more likely to have severe periodontitis than those without diabetes.
• 60% of the people with Diabetes have a dry mouth, gum inflammation (gingivitis and periodontitis), poor healing of oral tissues, plaque & fungal infection and burning mouth and/or tongue. 

Is There a Two-Way Street?

Emerging research also suggests that the relationship between serious gum disease and diabetes is two-way. Not only are people with diabetes more susceptible to serious gum disease, but serious gum disease may have the potential to affect blood glucose control and contribute to the progression of diabetes. Research suggests that people with diabetes are at higher risk for oral health problems, such as gingivitis (an early stage of gum disease) and periodontitis (serious gum disease). People with diabetes are at an increased risk for serious gum disease because they are generally more susceptible to bacterial infection, and have a decreased ability to fight bacteria that invade the gums.

Severe periodontal disease can increase blood sugar, contributing to increased periods of time when the body functions with a high blood sugar. This puts diabetics at increased risk for diabetic complications. Thus, diabetics who have periodontal disease should be treated to eliminate the periodontal infection.



Dental Care tips for People With Diabetes

• Since people with diabetes are more prone to conditions that may harm their oral health, it's essential to follow good dental care practices and to pay special attention to any changes in your oral health and to seek a prompt dental consultation if such changes occur. Here are some points to consider.
• Keep your blood sugar as close to normal as possible. 
• At each dental care visit, tell your dentist about the status of your diabetes. 
• See your diabetes doctor before scheduling treatment for periodontal disease. 
• Make sure to give your dentist your diabetes doctor's name and phone number to include on your personal file. This information will then be readily accessible by your dentist should any questions or concerns arise. 
• Bring your dentist a list of all the names and dosages of all medications you are taking. Your dentist will need to know this information to prescribe medications least likely to interfere with the medications you are already taking if medications are needed. If a major infection is being treated, your insulin dose (for those taking insulin) may need to be adjusted. Check with your doctor. 
• Postpone non-emergency dental care procedures if your blood sugar is not in good control. However, acute infections, should be treated right away. 
• Keep in mind that healing may take longer in people with diabetes. Follow your dentist's post-treatment instructions closely. 
• People with diabetes with orthodontic appliances (such as braces) should contact their orthodontist immediately if a wire or bracket results in a cut to their tongue or mouth. 

*Images Courtesy: Thinkstock/Getty Images/ http://healthmeup.com/news-healthy-living/how-diabetes-the-sweet-disease-affects-dental-health/16225
Article by - Dr .AmanSingh 

Odontos dental hospital Zirakpur 
Sco-1 Near N.k sharma office  ,

Take care and happy Diwali

DRUG INTERACTIONS IN DENTISTRY- ODONTOS DENTAl HOSPITAL

DRUG INTERACTIONS IN

DENTISTRY

INDEX

 Pages-

1-2                             Introduction & definition

3                                Antibiotics, Antifungals, antiinfectives

4-7                            Antibiotics/oral contraceptives;antibiotics-   

                                                                             enzyme induction                      

                                                                                                          

7-8                           Antibiotics/Cationic agents

9 -13                       LA & vasoconstrictor interactions

14                           Drugs causing P450 enzyme induction

15-16                     Opioid analgesic interactions

17-18                     Serotonin Syndrome

19-21                    NSAID interactions

22                          References & Conclusion

DEFINITION-

Drug interaction may be defined as a measurable modification (in magnitude and/or duration) of the action of one drug by prior or concomitant administration of another substance, including prescription, non-prescription drugs, food, alcohol, cigarette smoking or diagnostic tests.

The mechanism of drug-drug interactions can be categorized

    into 5 major areas:

Ø Additive or synergistic pharmacological responses

Ø Antagonistic pharmacological responses

Ø Incompatibility

Ø Common pharmacokinetic pathways

Ø Altered defense mechanism of the host

Ø ADDITIVE OR SYNERGISTIC PHARMACOLOGICAL RESPONSE

EXAMPLE:

    When opioid analgesics such as hydrocodine or oxycodine are prescribed for pain and phenothiazine anti-emetics such as promethazine are prescribed for nausea, each causes sedation and will have an additive effect of potentially excessive sedation.

                                                    1                                              

Ø ANTAGONISTIC PHARMACOLOGICAL RESPONSE

 EXAMPLE:

    Patients treated for attention deficit disorder may be more difficult to sedate with benzodiazepines such as midazolam because of the stimulant effects of psychostimulants

Ø INCOMPATIBILITY

 EXAMPLE:

•         When the antibiotic vancomycin is administered parenterally through the same intravenous line either before or after the antibiotic ceftazidime, a cephalosporin, a precipitate will be formed which may occlude the line. Thus to avoid this ceftazidime should be administered first and the intravenous line should be flushed before administering vancomycin.

•         Tetracycline antibiotics such as doxycycline form insoluble complexes called chelates with divalent cations, such as calcium or magnesium. Therefore, if doxycycline is taken with milk, other dairy products or antacids, a chelate will form and doxycycline will not be absorbed in the GIT but will be excreted. To avoid this tetracyclines should not be administered within 2 hrs of calcium sources.

                                                      2

Ø COMMON PHARMACOKINETIC PATHWAY

  EXAMPLE:

  The drug probenecid was designed to occupy the tubular secretion site for organic acids in the kidney. By administering probenecid to a patient, their kidneys did not tubularly secrete other organic acids such as penicillins, prolonging the length of time that the penicillin stayed in the body.

    ( this drug interaction was utilized to preserve the small supplies   of penicillin antibiotics when treating the wounded during          World War II) 

ANTIBIOTICS, ANTIFUNGALS AND OTHER ANTI-INFECTIVE AGENTS

Antibiotic prophylaxis before treatment for periodontal patients is required in following cases:

Ø Patients at risk of developing endocarditis

Ø Patients with prosthetic cardiac valve

Ø Congenital heart disease

Ø Orthopedic joint replacement

Ø Patients who have received an organ transplant

                                                        3

ANTIBIOTICS 

                    &

           

                 ORAL CONTRACEPTIVES

Mechanism of interaction:

  

  The mechanism in this interaction involves the enterohepatic recycling of the conjugated estrogen excreted in the bile, reactivated by the gastrointestinal flora and reabsorbed as active drug. Because today’s oral contraceptives are low-dose or very low-dose estrogen products, it is theorised that even small decreases in estrogen absorption could render the pill ineffective.

Table: Inhibition of cytochrome P450 enzymes by antibiotics, antifungals

and anti-infectives which increase interacting drug effects

                                              

                                                     4

                                                                                        5

kz

                                                                          6       

Ø The macrolide antibiotic azithromycin does not inhibit hepatic enzymes and is a safe alternative in patients taking these interacting medications.

Ø  Nystatin may be used as an alternative antifungal for mild oral fungal infections in patients who are not immunocompromised, but true therapeutic alternatives do not exist for treatment with azole anti-fungals.

Ø Metronidazole is used to treat the anaerobic component of oral infection with penicillin treating the aerobic component, clindamycin may be used alone as an alternative to treat those mixed infections.

Ø ANTIBIOTICS Vs CATIONIC AGENTS

Ø Several agents can substantially reduce the absorption of fluoroquinolones and tetracyclines thereby causing treatment failure.

Ø Divalent cations (calcium and magnesium) and trivalent cations (aluminum and ferrous sulfate) can form insoluble complexes in the gut if they are taken concurrently with fluoroquinolones thus reducing absorption of fluoroquinolones and tetracyclines by 60-75%.

Ø To avoid this, the fluoroquinolone/tetracycline and cation product should be administered at least two hours apart (preferably four hours apart).

Ø Common products containing divalent or trivalent cations are listed in Table .

                                                               7

TABLE
Common Products Containing Divalent or Trivalent Cations

Aluminum	Alu-Cap, AlternaGel, Amphojel, Basaljel
Aluminum and magnesium combinations	Gelusil, Maalox, Mylanta, Riopan
Calcium	Caltrate, Citracal, Os-Cal, PhosLo, Titralac, Tums
Iron	Feosol, Fergon, Niferex, Nu-Iron, Slow Fe
Magnesium	Almora, Citrate of Magnesia, Mag-Ox 400, Milk of Magnesia, Slow-Mag, Uro-Mag

                                                                      8

LOCAL ANESTHETICS

   The most common time for an emergent or adverse event to occur in a dental office is around the time of the administration of the local anesthetic. Local anesthetics carpules used in dentistry frequently contain a vasoconstrictor in addition to the local anesthetic. The presence of vasoconstrictor provide the greater source for potential drug-drug interactions than does the local anesthetic.

VASOCONSTRICTOR

The vasoconstrictor is present to localise the injection to the site of administration and to decrease bleeding in the area. The two vasoconstrictors commonly used in dentistry are epinephrine and levonordefrin.

Ø Epinephrine stimulates both alpha and beta (both beta-1 and beta-2) adrenergic receptors equally(50/50)

Ø Levonordefrin stimulates alpha receptors 3 times more than beta-1 receptors(75/25).

Good Oral Hygiene Plays Role in Overall Healthly body

Dentist in Harlem agrees with the American Academy of Periodontology and other dental professionals that the public needs to be informed and educated about studies that link oral inflammation and infections to problems elsewhere in the body. Research shows that there is a connection between periodontal disease and other chronic conditions, such as diabetes, cardiovascular disease, and Alzheimer's.

A recent study found clear associations between bacteria infections of the mouth and pancreatic cancer. Dentists believe that treating periodontal inflammation - such as gingivitis or gum disease - can also help with the management of other conditions. Oral hygiene and maintaining oral health is critical to overall well-being.

The new study published in the journal, Gut, is revealing. Subjects with high antibody levels of the more infectious periodontal bacteria strains were at twice the risk for developing pancreatic cancer, which is responsible for 40,000 deaths a year in the United States. On the other hand, those with high levels of antibodies of some type of harmless oral bacteria had 45% less risk of getting pancreatic cancer.

If you suspect, or have been diagnosed, with an inflammatory condition, it is critical that you see both a general physician and a dental health professional, such as your NYC dentist. Signs of gum disease or gingivitis, include bleeding gums, mouth sores, swollen gums, and gums that are tender to the touch or have a shiny appearance. Sometimes the only way to find out if you have an infection is to have a thorough dental evaluation. An evaluation may be critically important if you have the following:

    High risk for periodontal disease
    Have heart disease, diabetes, respiratory disease, osteoporosis, or are thinking about getting pregnant.
    Have a family member with periodontal disease (research suggests that the bacteria that causes periodontal disease can be passed through saliva).
    Have a sore or irritation in the mouth that lasts longer than two weeks.

Dentists have known for a long time that there is a correlation between oral bacteria and systemic diseases. Although studies are still ongoing, the public needs to be educated on the issue in order to take preventive measures. Brushing and flossing regularly, eating a healthy diet, and visiting your NYC dentist on a regular basis is vital. Regular checkups, not only keep your mouth healthy, but can catch early signs of problems.

Not smoking is also a good preventive measure. Tobacco users are six times more likely to develop gum disease. They also have more serious gum disease that doesn't respond to treatment and can lead to tooth loss.

Dentists agree - and the public needs to know - that an unhealthy mouth is linked to other serious diseases. Taking care of your teeth can keep the rest of the body healthy and vibrant. Preventive care is critical to maintaining healthy teeth and a healthy body.
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Is Dental implants are safe in to do in India Chandigarh find best

After huge advances in dentistry in recent years, dental implants have become a treatment of choice for people missing one or more or all of their teeth, and also for those with falling teeth or severe periodontal disease. Dental implants can be life changing. They can restore one to an active lifestyle. Dental implants look and perform more like natural teeth. One can swim, ski, give business presentations, and eat what they like without worrying about their teeth slipping or falling out. Dental implants are rooted to the bone, there is no artificial plastic on the roof of the mouth, and the need for adhesives and denture creams is eliminated. For qualified patients, replacement teeth can be restored immediately, returning a spectacular smile quickly. Unlike dentures or bridges, dental implants don’t move or shift and can last a lifetime.

Dental implants are made up of three parts: the titanium implant that fuses with the jaw bone, the abutment, which fits over the portion of the implant that protrudes from the gum line, and the crown which is created by a prosthodontist and fitted onto the abutment for a natural appearance. If you are looking for dental implants, contact dentists for Dental Implants around Chandigarh  area as they believe that experience breeds excellence. It backs its dedication to excellence with modern technologies and a strong commitment to an extensive and continued education in today’s dental techniques.
 For more information about Dental Implants around Chandigarh
.

- Dr Aman Singh,
M.S. Endodontics
B.D.S. , M.A.D.A., M.I.D.A., M.A.N.T., M.K.D.A.
Ex. National Dental College and Hospital, Chandigarh
For any dental consultation contact: 9988446478, dr.aman@aol.in


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Dental Problems and Solutions

When you think about dental health, your focus is likely to be on preventingcavities in your teeth. But it's important to pay attention to your gums, too. Your gums play a major role not only in your dental health, but in your overall well-being.

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In many instances, swollen and bleeding gums are a sign of gum disease. But there are a number of other factors that could be causing your gum problems. Whatever the cause of your sore, painful gums, there are steps you can take to minimize gum damage and discomfort.

Causes of Sore, Swollen, and Bleeding Gums: Improper Brushing Technique

In your quest to keep your teeth clean, you might be tempted to brush your teeth as vigorously as you can. Your gums are made of sensitive tissue, though, so brushing the wrong way could damage them.

Whether you opt for a manual or electric toothbrush, choose one with soft nylon bristles that have blunted ends. Even though you can find brushes with medium or hard bristles, they may damage the enamel on your teeth or cause red and swollen gums.

When you brush, make sure you use gentle, circular motions to massage and clean the teeth and gums. While many people use a back-and-forth motion, this motion can actually irritate and damage your gums, making them sore and more likely to bleed or recede.

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Causes of Sore, Swollen, and Bleeding Gums: Improper Flossing Technique

We all know the importance of flossing every day to help remove plaque from places where your toothbrush cannot reach. To make sure that your healthy habit isn't causing swollen or bleeding gums, be gentle when you floss. Rather than forcing the floss between your teeth, carefully slide it up and down, following the curve of each tooth.

Causes of Sore, Swollen, and Bleeding Gums: Gum Disease

More than three-quarters of American adults over the age of 35 suffer from periodontal (gum) disease. While most people with gum disease have the less severe form, called gingivitis, between 5% and 15% of the population has a much more serious type of gum disease known as periodontitis.

When people do not practice proper dental hygiene, bacteria in the mouth form plaque on the teeth. These bacteria may cause your gums to become inflamed, which results in red, swollen, or bleeding gums. For many people with gingivitis, this inflammation is not painful. If you catch gingivitis early, it can be reversed and healed with proper oral hygiene. But left untreated, gingivitis can worsen and ultimately lead to tooth loss. Be sure to seek medical attention if you have the following symptoms, even if you are not experiencing any discomfort:

• changes in the way teeth fit together on biting, or in the fit of partialdentures
• formation of deep pockets between teeth and gums
• gums that bleed during and after toothbrushing
• loose or shifting teeth
• persistent bad breath or bad taste in the mouth
• receding gums
• red, swollen, or tender gums

When gingivitis progresses, it develops into periodontitis, a condition in which the gums and bones that hold the teeth in place can be severely compromised. The bacteria on the teeth release toxic substances that harm your gums and cause them to become infected. The infection and the inflammation that result when your body attacks the bacteria can degrade your gums and the bones in your jaw. You may experience exceptionally swollen, painful gums that are likely to bleed. If not treated, periodontitis can lead to tooth loss.

Causes of Sore, Swollen, and Bleeding Gums: Canker Sores

Common culprits behind painful gums arecanker sores, or mouth ulcers. These painful sores can develop anywhere inside the mouth, including on the gums, and they often have a whitish center with red around the edges. You may experience one canker sore at a time, making only one area on your gums sore, or you may have multiple sores at the same time throughout your mouth.

While researchers don't know exactly what causes canker sores, and they're not contagious, there may be bacterial or viral involvement. People with certain autoimmune diseases may also be more likely to suffer gum problems caused by canker sores. Canker sores often recur over time.
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Causes of Sore, Swollen, and Bleeding Gums: Chemotherapy

Chemotherapy can have a number of unpleasant side effects, including painful, swollen, and bleeding gums. Many people undergoing treatment forcancer suffer from stomatitis, which causes the development of painful sores and ulcers on the gums and throughout the mouth.

Causes of Sore, Swollen, and Bleeding Gums: Tobacco Products

Using cigarettes and other tobacco products can be extremely damaging to your gums, and people who smoke are far more likely to develop gum disease. You may find that your smoking habit gives you a number of gum problems from sensitive gums that bleed to painful sores.

Causes of Sore, Swollen, and Bleeding Gums: Hormonal Changes

Some women find that they experience gum problems during puberty,menstruation, pregnancy, and menopause. The increase in hormones during puberty can heighten blood flow to the gums, making them red, swollen, and sensitive. For women with menstrual gingivitis, the gums become red, swollen, and more likely to bleed shortly before each menstrual period. These problems typically subside after the period begins. Pregnancy gingivitis typically starts in the second or third month of pregnancy and continues through the eighth month, causing sore, swollen, and bleeding gums. The use of oral birth control products may cause similar gum problems. Though uncommon, some women going through menopause may find that their gums become extremely dry and therefore sore and likely to bleed.

- Dr Aman Singh,
M.S. Endodontics
B.D.S. , M.A.D.A., M.I.D.A., M.A.N.T., M.K.D.A.
Ex. National Dental College and Hospital, Chandigarh
For any dental consultation contact: 9988446478, dr.aman@aol.in


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