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Guide for choosing right dental treatment for Dental Patients


List of more than 100 General Dental Chief Complaints

Just click on link to choose options given below to know more about them


Pain in tooth Sensitivity in tooth Swelling in gums Tooth Decay - Caries in tooth Bleeding from gums Halitosis - Bad breath - Bad odor from mouth Attrition in tooth Abrasion in tooth TMJ Issues - Joint pain Mobility in teeth Missing teeth Wisdom tooth problems Mal-aligned teeth or croocked teeth Abnormal bite Abnormal tooth Size Pericoronitis


Pain in tooth
  • Usually it is concentrated to perticular tooth but in many cases we feel radiating pain along the nerve course means part of jaw or face, even ear pain and headache.
  • It is due to infected pulp or abscess below tooth, many times failed previous dental treatments.
  • 1. Clinical evaluation
    2. Pain On Percussion test
    3. X ray Evaluation.
  • ...
  • Your doctor may suggest you -
    1. RCT
    2. Extraction of tooth.

Sensitivity in teeth

Sensitivity in teeth

What - You may feel mild to moderate sensations / currents while using perticular tooth or side of jaw.

Why - It usually happens due to recession of gums, attrition in teeth, trauma from occlusion, abrasion in teeth ( excessive brushing), Erosion in teeth ( excessive intake of citrous food ) or Cavities in teeth.

Advice - Heat and Cold test, X ray Evaluation.

Note - Your doctor may suggest you Using De-sensitizing Pastes, Composite restoration or RCT of tooth.

Swelling in gums

Swelling in gums

What - We can see mild to moderate bulge in gums near tooth which may or may not be painful and with or without sinus tract with pus.

Why - It is due to infected pulp or abscess below tooth, excessive food accumulation inside gums which eventually rottens and create pockets in gums, many times failed previous dental treatments.

Advice - Check tenderness, Extent of swelling and X ray Evaluation.

Note - Your doctor may suggest you RCT, Re-RCT or Extraction of tooth.

Tooth Decay - Caries in tooth

Tooth Decay - Caries in tooth

What - You can see small pits or black lines or visible hole on any surface of a tooth, sometimes part of tooth is even fractured if cavities are really deep.

Why - It usually happens due to accumulated food and bacterial action on it which causes acidic byproducts which further dissolves calcium of tooth surface involved and a hole is created which increases in size over a period of 3 to 5 years.

Advice - Clinical Evaluation and X ray Evaluation.

Note - Your doctor may suggest you Composite restoration or RCT of tooth or even extraction in late cases.

Bleeding from gums

Bleeding from gums

What - We can see mild to moderate yellow staining on surfaces of teeth, also accumulation of calculus layers on difficult to clean areas of teeth.
Whenever poked with brush or hard stuff usually associated with bleeding in gums.

Why - It is due to improper tooth brushing habits and lack of awareness regarding Interdental Brushes, Floss, Mouth Washes and missed regular Scaling ( Teeth Clening) by dentists.
Habits - Tea, coffee, smoking, Paan eating habit, tobacco in any form, sometimes medicines.

Advice - Check for Stains, Calcium layerings near gum levels, swelling / bleeding from gums, also halitosis. ( bad breath)

Note - Your doctor may suggest you Scaling. ( Teeth cleaning procedure )

Halitosis - Bad breath - Bad odor from mouth

Halitosis - Bad breath - Bad odor from mouth

What - It is a condition characterized by an unpleasant or foul odor originating from a person's mouth when they exhale.

It can be a temporary or chronic issue.

Why -
Poor Oral Hygiene, Failure to maintain cleanliness of tongue, Dental Issues, Food and Beverages, Dietary choices, Dry Mouth, Smoking, Acidity reflexes, Medical Conditions

Advice - Check for Stains, Calcium layerings near gum levels, swelling / bleeding from gums, Cleanliness of tongue, Dental cavities mostly hidden between teeth or any acidity reflexes or food digestion issues.

Note - Your doctor may suggest you Scaling. ( Teeth cleaning procedure ) and / advice from Ayurveda doctors for acidity reflexes related issues.
also advice you to change your tooth brush oftenly, new brushing techniques, Use of interdental cleaning brushes, dental flosses, mouthwash gargles.

Attrition in tooth

Attrition in tooth

What - You can see sharp edges or depressions on occlusal surfaces of few teeth or even whole arch, as Enamel outer layering of tooth got weared off rapidly in recent few years and usually associated with sensitivity or pain in teeth.

Other Symptoms - Sensitivity in many teeth, Pain while Chewing, Pain radiating near ears and TMJ joint issues ( Difficult in opening and closing, pain in joints) Sometimes Headache.

Why - The most common cause of dental attrition is bruxism, the grinding and clenching of the teeth that occurs during sleep, usually due to muscle hypertonicity or tension.
- temporomandibular joint disorders (TMD) within your jaw.
- bite misalignment.

Advice - Clinical Evaluation and X ray Evaluation teeth and TMJ ( Temporo-mandibular joint)

Note - Your doctor may suggest you Composite restoration or RCT of tooth or even extraction in late cases.
In most case Splint, Biteguard, TMJ analysis ( T-scan, Open Closed Mouth X ray, CBCT of Joints, MRI of Joints, Surgery in sever cases.

Abrasion in tooth

Abrasion in tooth

What - Tooth abrasion is the wearing down of tooth enamel and structure usually seen near the gum line.
Over time, tooth abrasion can lead to tooth sensitivity, enamel loss, and increased susceptibility to decay.

Why - Tooth abrasion occurs primarily due to repeated mechanical friction on the tooth surface from brushing too hard, using abrasive toothpaste, or engaging in habits like using teeth as tools for tasks like tearing open packages.

Advice - Clinical Evaluation, Check depth of ditch formed and extent horizontally and X ray Evaluation.

Note - Your doctor may suggest you Composite restoration, but remember they usually fail to stay on teeth as brusing action or chewing action acts as force on it.
or if moderate sensitivity then RCT of tooth or even extraction in late cases.

Use a soft-bristled toothbrush & avoid abrasive toothpaste

TMJ Issues - Joint pain

TMJ Issues - Joint pain

What - You can feel pain while opening and closing jaws and many times radiating pain near ear or tinnitus in ear + Clicking in joints or even locked jaw in severe cases.

Why - It usually happens due to improper eating habits ( using only one side of mouth ), Bruxism ( Night Clenching ), Anxiety disorders, exceessive grinding of teeth. ( Habitual or compulsive disorders )

Advice - Clinical Evaluation of jaws and movements then X ray Open and Closed mouth Evaluation.
T-scan, CBCT, MRI of joints in severe cases.

Note - Your doctor may suggest you Symptomatic treatment + Splints ( Bite Guard ) + for Muscle - rest or exersises as required. Usually it is a long process so your faith and co-operation is the key for success of treatment.

Mobility in teeth

Mobility in teeth

What - We can see mild to moderate mobility in associated teeth usually painless condition as it take years to develop such problems.

Why - It is due to poor oral hygiene or excessive bushing with force near gums or periodontitis ( Localised or generalised )
In may cases failed RCT or chronic dental decay in associated tooth.

Advice - Check Grade of mobility.
Grade I - Slightly mobile tooth.
Grade II - Moderately mobile tooth.
Grade III - Severe mobility in tooth.

Note - Your doctor may suggest you symptomatic tretment as follows -
Grade I - Scaling and Polishing of teeth + Pocket Elimination or Gingival Curettage if required.
Grade II - Deep Scaling and Root Planing of teeth. ( Sometimes reffered as Flap Surgery of Gums ).
Grade III - Extraction of tooth.

Missing teeth

Missing teeth

What - Simply means missing or previously extracted teeth.

Why - Usually associated tooth was removed for mobility reason or previously failed treatment ( Failed RCT, fractured teeth) or Accident ( Road accident or Injury from something )

Advice - Clinical Evaluation of site and X ray Evaluation for analysis of Bone or adjacent teeth.
CBCT Scan in case of Dental Implant is recommended.

Note - Your doctor may suggest you one of the following treatments -
1 - Removable Partial dentures.
2 - Dental Bridges.
3 - Dental Implants.

Wisdom tooth problems

Wisdom tooth problems

What - We can see mild to moderate swelling in gums, excessive food lodgement, pus around last tooth in jaw.
associated with difficulty in opening and closing of jaw, restricted mouth opening.

Why - It is due to incorrect angulation or impaction of wisdom tooth which may hamper adjacent second molar if not treated in time.

Advice - Check tenderness, Extent of swelling and X ray Evaluation Sometimes CBCT or CT Scan of Jaws.

Note - Your doctor may suggest you Extraction of Wisdom tooth and analysis of second molar if any action is needed.

Mal-aligned teeth or croocked teeth

Mal-aligned teeth or croocked teeth

What -
Protruded teeth
Gap between teeth
Tooth alignment issues
Tooth size isuue
Open bite
Deep bite
Cross bite

Why -
Usually due to forces encountered while tooth were erupting
Late tooth exfoliation
Over retained deciduous tooth
Extra teeth
Tongue pushing habit
Thumb sucking habit

Advice - Clinical Evaluation and X ray Evaluation teeth, OPG or CBCT Scan of whole jaws.

Note - Your doctor may suggest you Orthodontic intervention.
In most case Braces, Splint, Biteguard, TMJ analysis ( T-scan, Open Closed Mouth X ray, CBCT of Joints, MRI of Joints, Surgery in sever cases.)

Abnormal bite - Crossbite, Overbite, Underbite, Deepbite

Abnormal bite

What - An abnormal bite, or malocclusion, refers to the misalignment of the upper and lower teeth, disrupting the normal bite relationship.

Types - Crossbite, Overbite, Underbite, Deepbite

Why - Malocclusions can result from factors such as genetic predisposition, improper jaw development, or habits like thumb-sucking, leading to an improper fit between the teeth.

Advice - Seek advice from an orthodontist for a comprehensive evaluation. Early intervention is crucial to prevent complications, and treatment options may include braces, retainers, or, in severe cases, surgical correction.

Note - Regular dental check-ups are vital to monitor bite development. Awareness of potential causes, such as genetics or habits, can aid in prevention. Timely professional consultation is key to managing abnormal bites effectively. Personalized treatment plans cater to individual needs, highlighting the importance of tailored approaches in addressing malocclusions.

Abnormal tooth Size - Macrodontia / Microdontia

Abnormal tooth Size

What - Abnormal tooth size refers to teeth that deviate from the typical dimensions, either larger or smaller than the average size for a particular tooth.

Type 1. Macrodontia
Type 2. Microdontia.

Why - Factors contributing to abnormal tooth size include genetic influences, developmental abnormalities, or environmental factors during tooth formation, impacting the size and shape of the teeth.

Advice - Consult with a dentist to assess the cause and potential implications of abnormal tooth size. Treatment options may include cosmetic dentistry procedures like dental bonding, veneers, or orthodontic interventions to address size discrepancies and improve overall aesthetics.

Note - Regular dental check-ups are essential for early detection of abnormal tooth size. Genetic predisposition can play a role, so understanding family dental history is valuable. Personalized treatment plans are crucial, considering the unique nature of each case. Addressing abnormal tooth size not only improves aesthetics but also ensures functional harmony within the oral cavity.

Pericoronitis

Pericoronitis

What - Pericoronitis is an inflammation of the soft tissues surrounding the crown of a partially erupted tooth, typically a wisdom tooth.

Why - It occurs when the tooth does not have enough room to fully emerge or is only partially erupted, leaving a flap of gum tissue that can trap food and bacteria. This leads to infection and inflammation.

Symptoms -
> Pain around the affected tooth
> Swelling of the gum tissue
> Difficulty opening the mouth (trismus)
> Bad taste in the mouth or bad breath (halitosis)
> Pus discharge from the gum near the affected tooth
> Swollen lymph nodes

Advice - Check for inflammation, bleeding, pus discharge, swelling and evaluate radiating pain near ear and jaws

Note - Thorough cleaning of the area by a dentist or oral surgeon Rinsing with warm salt water to reduce inflammation Antibiotics if there is a significant infection Pain relief medication Surgical removal of the gum flap (operculectomy) or extraction of the wisdom tooth if the condition recurs frequently

Yellow Stains on teeth

Yellow Stains on teeth


What - Yellow stains on teeth refer to discoloration that gives teeth a yellowish hue, often caused by factors affecting the tooth enamel or dentin.

Why - Common causes include consumption of staining substances like coffee, tea, red wine, tobacco use, inadequate oral hygiene leading to plaque buildup, or certain medications that affect tooth coloration.

Calculus / Tartar on teeth

Calculus / Tartar on teeth


What - Calculus on teeth, also known as tartar, is a hardened deposit of dental plaque that forms on teeth over time due to the mineralization of plaque.

Why - Plaque, a soft, sticky film of bacteria, combines with minerals in saliva to form calculus. Inadequate oral hygiene, irregular brushing, and neglecting regular dental cleanings contribute to its formation.

Black stains on gums

Black stains on gums


What - Black stains on gums typically indicate pigmentation or, in some cases, a buildup of dark-colored substances on the gum tissue.

Why - The pigmentation can result from genetics, ethnic background, or certain medical conditions. External factors like smoking or the use of certain medications may also contribute to dark stains on the gums.


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Bruxism or teeth grinding

Bruxism or teeth grinding


What - Bruxism refers to the involuntary and excessive grinding or clenching of teeth, often occurring during sleep (sleep bruxism) or unconsciously during wakefulness.

Why - The exact cause of bruxism can vary and may be linked to stress, anxiety, misaligned teeth, sleep disorders, or lifestyle factors. It can also be a result of an abnormal bite (malocclusion).

Advice - To manage bruxism, stress reduction techniques, such as relaxation exercises, may be beneficial. A dentist might recommend a mouthguard or splint to protect teeth from grinding during sleep. Addressing any underlying causes, such as misaligned teeth or sleep disorders, is crucial. Cognitive-behavioral therapy or lifestyle changes may be recommended for stress-related bruxism.
Note - Bruxism can lead to dental issues like tooth wear, fractures, or temporomandibular joint (TMJ) problems. Regular dental check-ups are important for early detection. Awareness of grinding noises during sleep or jaw pain can be indicative of bruxism. Tailored interventions based on the specific cause of bruxism contribute to effective management. Seeking professional advice ensures a comprehensive approach to address both symptoms and underlying factors.
Jaw pain

Jaw pain


What - Jaw pain refers to discomfort or pain in the jaw area, which can include the temporomandibular joint (TMJ) or surrounding muscles.

Why - Causes of jaw pain can include bruxism (teeth grinding), temporomandibular joint disorders (TMD), dental conditions, stress, arthritis, or injury to the jaw.

Advice - Practice good oral hygiene, maintain a well-balanced diet, and avoid excessive chewing of hard or tough foods. Manage stress through relaxation techniques, and if bruxism is a factor, consider a mouthguard. Seeking dental or medical evaluation is crucial to identify the underlying cause and determine appropriate treatment.
Note - Persistent or severe jaw pain may indicate a more serious condition and requires prompt professional attention. Avoid habits like clenching or grinding teeth. Applying warm compresses, gentle jaw exercises, and over-the-counter pain relievers may offer temporary relief. Lifestyle adjustments, such as posture improvement and stress reduction, can contribute to long-term jaw health. Regular dental check-ups help monitor oral health and detect issues early. Tailored interventions based on the specific cause of jaw pain are essential for effective management.
Stiffness in jaws

Stiffness in jaws


What - Stiffness in the jaws refers to a sensation of reduced mobility or flexibility in the jaw joint, commonly the temporomandibular joint (TMJ).

Why - Causes of jaw stiffness can include temporomandibular joint disorders (TMD), muscle tension, bruxism (teeth grinding), arthritis, or injury to the jaw.

Advice - Practice gentle jaw exercises to improve flexibility. Apply warm compresses to alleviate muscle tension. Avoid excessive chewing of tough foods and gum. Manage stress through relaxation techniques. If teeth grinding is a factor, consider a mouthguard. Seek professional evaluation for an accurate diagnosis and appropriate treatment.

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Swelling in the cheeks

Swelling in the cheeks


What - Swelling in the cheeks refers to an abnormal enlargement or puffiness of the soft tissue in the cheek area.

Why - Causes of cheek swelling can include dental infections, salivary gland disorders, trauma or injury, allergic reactions, or underlying medical conditions like mumps or cellulitis.

Advice - Seek prompt medical or dental attention to identify the cause of cheek swelling. Maintain good oral hygiene to prevent dental infections. Apply a cold compress to reduce inflammation and relieve discomfort. Over-the-counter antihistamines may help if the swelling is due to allergies. Avoid irritating substances and foods that may worsen the condition.
Note - Persistent or severe cheek swelling requires professional evaluation to rule out serious conditions. Dental infections should be addressed promptly to prevent complications. Allergic reactions may necessitate emergency medical attention. Salivary gland disorders may benefit from increased fluid intake and sour candies to stimulate saliva flow. Lifestyle factors, such as avoiding tobacco and maintaining a balanced diet, contribute to overall oral health. Regular dental check-ups are essential for monitoring oral health and addressing any concerns early.
Swelling near TMJ

Swelling near TMJ


What - Swelling near the temporomandibular joint (TMJ) indicates an abnormal enlargement or inflammation of the soft tissue around the jaw joint.

Why - Causes of swelling near the TMJ can include temporomandibular joint disorders (TMD), injury or trauma to the jaw, arthritis, teeth grinding (bruxism), or infections.

Advice - Rest the jaw by avoiding excessive jaw movements and giving it time to heal. Apply a cold or warm compress to reduce inflammation and alleviate discomfort. Over-the-counter pain relievers may help manage pain and swelling. If symptoms persist, seek professional evaluation, especially if there are signs of infection or worsening pain.
Note - Persistent or severe swelling near the TMJ requires professional assessment to determine the underlying cause. Dental or medical interventions may be necessary based on the diagnosis. Lifestyle adjustments, such as avoiding hard or chewy foods, can aid in recovery. Bruxism management, if identified, may involve the use of a mouthguard. Regular dental check-ups are essential for monitoring TMJ health and addressing concerns early. Ignoring persistent symptoms may lead to more severe complications, emphasizing the importance of proactive management.
Extra oral Swellings

Extra oral Swellings


What - Extraoral swellings refer to abnormal enlargements or lumps that occur outside the oral cavity, often affecting the face or neck.

Why - Causes of extraoral swellings can range from soft tissue infections, salivary gland disorders, lymph node enlargement due to infections or malignancies, to cysts or tumors.

Advice - Seek prompt medical or dental attention for a thorough evaluation and diagnosis of the swelling. Avoid self-diagnosis and self-treatment, especially for persistent or progressively enlarging swellings. Follow prescribed treatments, which may include antibiotics, surgical removal, or other medical interventions, based on the underlying cause.

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Mouth ulcers or canker sores

Mouth ulcers or canker sores


What - Mouth ulcers, also known as canker sores, are shallow, painful sores that can develop on the inside of the mouth, on the tongue, gums, or inside the cheeks.

Why - The exact cause of mouth ulcers can vary and may include factors such as minor injuries from dental work, stress, hormonal changes, nutritional deficiencies, immune system issues, or certain medical conditions.

Advice - Maintain good oral hygiene with regular brushing and flossing. Avoid foods that may irritate the ulcers, such as spicy or acidic foods. Over-the-counter topical gels or mouthwashes can help alleviate pain and promote healing. If ulcers persist or are recurrent, consult with a dentist or healthcare professional for further evaluation.
Note - Stress management, a balanced diet, and adequate hydration contribute to overall oral health and may help prevent mouth ulcers. Vitamin and mineral supplements may be recommended for nutritional deficiencies. Persistent or severe ulcers may require professional examination to rule out underlying health issues. Avoiding tobacco and limiting alcohol intake can also contribute to oral health. Regular dental check-ups are essential for monitoring oral health and addressing any concerns early.
Recurrent tongue ulcers

Recurrent tongue ulcers


What - Recurrent tongue ulcers are persistent and repetitive sores or lesions that develop on the tongue, causing discomfort and pain.

Why - The causes of recurrent tongue ulcers can include factors such as stress, nutritional deficiencies (especially of vitamin B12, iron, or folic acid), immune system disorders, gastrointestinal issues, or hormonal fluctuations.

Advice - Maintain good oral hygiene with regular brushing and flossing. Avoid trigger foods that may exacerbate tongue ulcers, such as spicy or acidic foods. Incorporate a balanced diet rich in essential vitamins and minerals. If nutritional deficiencies are suspected, consider supplements under the guidance of a healthcare professional. Manage stress through relaxation techniques. Consult with a dentist or healthcare provider to determine the underlying cause and appropriate treatment plan.
Note - Persistent or worsening tongue ulcers warrant professional evaluation to rule out underlying health conditions. Lifestyle modifications, such as quitting tobacco and limiting alcohol intake, can contribute to overall oral health. Monitoring for additional symptoms, changes in diet, or medication adjustments may be recommended based on the diagnosis. Regular dental check-ups remain crucial for monitoring oral health and addressing any concerns early. Ignoring persistent symptoms may lead to complications, emphasizing the importance of proactive management.
Denture sore mouth

Denture sore mouth


What - Denture sore mouth refers to discomfort, irritation, or pain experienced by individuals wearing dentures, often involving the gums or soft tissues of the mouth.

Why - Causes can include ill-fitting dentures, improper hygiene, prolonged denture use, or underlying conditions like fungal infections (e.g., candidiasis) due to the accumulation of plaque.

Advice - Ensure proper denture fit by seeking professional evaluation and adjustments. Practice good oral hygiene, including cleaning dentures daily and maintaining a clean mouth. Remove dentures at night to allow the tissues to rest. Use a soft toothbrush and mild toothpaste for cleaning. Over-the-counter oral gels or rinses can provide relief, and any persistent discomfort should prompt consultation with a dentist.
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