Tell-A-Friend  |  Bookmark Us  |  Sign-Up  |  Help
 
 

Go Back   IndusLadies > Blogs > " I've Never Seen a Smiling Face that was not Beautiful "
 

Forgot username / password?
Register Now!

Notices

" I've Never Seen a Smiling Face that was not Beautiful "
How much this means to me. Having had my own practice in Bangalore, I have always found all of the patients walkin into my clinic beautiful even behind the pain ! All of them walked in with a concern about their Oral Health even if it was forced by their body. I am here to share my experiences from the time I was allowed to treat patients towards a successful career.. All of us gain information from others' experiences is what I feel. Every new day was a new experience to me and I was getting abundance in knowledge with every passing day ! I quote a saying here by Alfred Shenwold
"Learn all you can from the mistake of others. You won't have time to make them all yourself !!"
My blog space would be more interactive like the kind of person I am ! Let me read all that you wanted to know about Dental / Oral Health !
Rating: 1 votes, 5.00 average.

You Don't Have to Brush all your Teeth - Just the Ones You Want to Keep !!

Posted 4th September 2008 at 01:27 PM by Drpreethis
Updated 4th September 2008 at 01:30 PM by Drpreethis
Why did you make my Daughter a Dentist, ?? There there.. my mom complaining and regretting my dream career !! How could I not get irritated !!! ;<
" After all these years.. suddenly why this kind of lament, Ma "? My teeth are sensitive .. and its no use a dentist is at home !!! Huh ??
I attacked her like a Samurai !!! "What you mean just because your teeth are sensitive you say you are unhappy about your daughter being a dentist ??? She did not even look at me .. she knew I was as irritated as she was !
But I dont blame her when you have pain / sensitivity your brain ceases to work !!
I promised her relief and left to my clinic. Greeted with 5 patients and a happy smile wondering whom I am destined to cure today I walked in.. Prayed to God and I entered my working area where my junior doctor was deeply involved talking to a patient and trying to imitate my style of talking !! She smiled sheepishly when she saw me realising the same.. ( I used to do it when i was in class 7.. my class teacher was such an influence on me !! )
I didnt disturb her but only kept hearing weird hissing sounds around. I slowly looked at her face and saw no change. I didnt want to think of reptiles in the clinic !!!! Eeeksss!! I continued looking around and there I found the origin of the sound !! My poor patient kept making those hissing sounds ( like you hear when you suck in the saliva with clenched teeth ) and had a deep frown. He smiled at me still and said I was waiting for you , Madam ! I smiled and said
" Are you inviting snakes into my clinic ? " He gave me a deep grin assuring that his pain is getting better ( Cmon , just by me flashing a smile wouldnt stop the nerve endings to respond !! Wish it was that easy .. !! :) ) Looking at the case sheet my Junior jotted down I looked at him . He said Madam, I feel " JHUM JHUM " !! How many of us can relate to it isnt ? Yes, that is exactly what you feel when you have SENSITIVITY !!! :( He said with irrirtation I have it since quite some time , Madam ! I brush my teeth regularly and twice you know ! What is the use ? I was immedietly reminded of what my Mom said !! What use ?? I related.. Inspite of good habits he feels he has problem and the same with my Mom.. Nothing wrong.. I said ok and first applied a desensitising gel ( just ceases sensitivity for a while ) onto his teeth to relieve him of the discomfortfor the time ! Else he woudnt sit throughout the consultation I was sure !! Quickly going through his personal information I started to talk. Totally dejected with the very existance of Dentists he started ' Doctor, I brush my teeth twice daily, still I have problems !! ' It sounded like ' I dont eat sweets but still got Diabetes ' !!! Sometimes what you do and what happens may not be related in any way. Though most of the times it does. I asked him to show me the way he brushes and my junior quickly gave him the model teeth. He started rubbing his teeth like it was some kind of knife-sharpening act !! I was shocked.. said Mr. Victor , you have an amazing strength. He was delighted .. Continuing immedietly before he hit the roof with pride I said but you are able to do this only because your teeth doesnt cry !! Soon it will get emotional and leave you !! This lady must be mad , he should have thought !!
Our tooth are divided into two.. The Crown ( which you can see in your mouth ) and The Root ( which is inside your gums and Bone ) . The Crown is made of three parts. The Enamel, Dentin and Pulp . The Enamel is for all of us to see. The hardest substance in the Human body... It has no response to pain etc and is just a protection over the Dentin. As we age it gets worn out. Just like how our bones and muscles do. That is exactly why many old people lose the white color they had while they are young.
The Dentin is the second layer which has small nerve ends in them. It has an yellow shade. Imagine tube like structures which has one end at the end of enamel layer and the other towards the Pulp. This is a very sensitive area. So when the enamel gets worn out or when you have a decay and have " JHUM JHUM " it means it has reached dentin. In toto ANYTHING THAT EXPOSES DENTIN CAUSES SENSITIVITY !!
Next is the Pulp which has the nerves and blood vessels supplying our teeth. When a decay reaches the Pulp we have nothing but pain. This is when a Root Canal Treament is opted for !
Now the reasons why an enamel gets worn off could be Improper brushing ( like what you demonstrated , I said ) , carbonated drinks, teeth developmental defects , exposure of root surfaces , the gums shrinking, Vitamin deficiency etc.
Brushing needs to be done correctly. Else you land with decay, yellow teeth, lot of tartar.
Yellow teeth !! Yes now who wants yellow teeth is'nt ? When your enamel gets worn out and your dentin exposed your teeth looks yellow !! " But I thought the harder you brush the whiter your teeth becomes .. !! ", he said.. " Well .. unfortunately it does not, Mr, Victor .. Will you become fair skinned just because you rub your body with a hard scrapper ?? You will bleed eventually is'nt " ?? He smiled Of course ! But skin has blood below, Doctor .. and " Mr. Victor, your enamel has sensitive dentin below " !! ( Sabbash this man is arguing , WOW !! )
If you had blood below your enamel.. can you imagine how you would looked with that ?? Scarry .. he laughed loud :D
I could really see the joy on his face..
That is God's creation !!
For sensitivity we have treatments like Bonding. A solution is applied over the teeth and then Light cured ( a blue light is showed onto the tooth ) But this relieves it only for a short period. There are also De-Sensitising pastes/ gels which is prescribed by us for long term use. But all the treatments depends on the severity of the condition !
But the truth is Enamel can never be replaced !! Though there are many ads saying so it is never proven.. Enamel can be strengthend by good diet and oral hygiene ! You can never go against Nature and God' s creativity ! He gives you in abundance but when you do not take care of it .. he leaves you with no option sometimes !!
Ahem.. am I getting too phylosophical, I thought !! Well.. Mr. Victor didnt think so and seemed quite mesmerised with what ever I said !! Well.. what more do I need.. just that my good advice is bought !!
My junior showed him correct method of Brushing and gave him a lecture on Dos and Donts !! Wow.. the excitement I could see on her face too was a feel good factor pushing me back to my initial days of career :) !! I could still see Mr. Victor taking a sneak peek at me during the lecture !! I flashed my usual smile which sometimes shows that I am cluless about what I am upto !!
He swiped his card .. took down his appointment and left my clinic.. My junior called the next patient in while I was thinking I better do something for my Mom's teeth before she starts complaining to God again !!
Attached Images
File Type: jpg teeth grin.JPG (12.5 KB, 147 views)
Comments 21 Views 659 Email Blog Entry

Total Comments 21

Comments

Old
Drpreethis's Avatar
Prachee ,

As I promised you I am answering your query here..

Hello Preethi,

I happen to see your blog and really your are doing a
[COLOR=green! important][COLOR=green! important]good [COLOR=green! important]Job[/color][/color][/color] giving suggestions related to [COLOR=green! important][COLOR=green! important]dental [COLOR=green! important]problems[/color][/color][/color].

My tooth color is yelloish, not bright white color coz i use to brush my teeth for 15min's daily in my teen age, so polish was gone and now it has change to light yellow color.

Can you plz suggest me how to bring white color...

thanks in advance,
Prache


Sometime our teeth looks yellow but as far as it is not harming you functionally ( with sensitivity to heat and cold ) one must be alright. I agree that under cosmetic grounds it is not appealing. But as far as the shade goes well with the face .. we are gifted ! Imagine a dark skinned person having pearl white teeth ! It will definitely look bad. Likewise a white person having too white a teeth will also be weird. So having a healthy teeth is more important than having white teeth !!
But yes, if cosmetically the teeth is really bad then there are treatments like Bleaching ( done both in the dental office or at home ) Believe me there are a lot of after effects for the bleaching treament .( as they are man made isnt ?? ) :) You could develop sensitivity too after that as the Bleach may sometimes remove some enamel. Better to take a dentist's advice before in home bleaching. But , Prachee if you have a smile that can make even one person happy in this world .. believe me you are well off.. Whiteness is definitely not important. Take care..
permalink
Posted 4th September 2008 at 01:39 PM by Drpreethis Drpreethis is offline
Old
aishu22's Avatar
Preeths...Superb blog! Enjoyed your way of narration.Also, Thanks for giving us quite a lotta information on crown, dentin, pulp.
I have a question too. My sister wore the "teeth clip" for 3 years.Permanent one..like for everyteeth there is a connection - sorry i do not know those technical terms -excuse my ignorance. After removal, only her lower teeth is bright(normal). Her upper teeth still has those clip marks and red kinda patches on the teeth.Any suggestions?
permalink
Posted 5th September 2008 at 03:31 AM by aishu22 aishu22 is offline
Old
Lalitha Shivaguru's Avatar
Dear Dr. preethi,

Reading this I felt my teeth go jhum jhum. ha ha ha.

Nice way to show the correct procedure tob rush. Some people treat their teeth like that. The feel the harder they brush it is going to be white.

I have one question, I s salt as a brushing agent good for the teeth? My kids sometimes after brushing clean their teeth with salt, is it good?
permalink
Posted 5th September 2008 at 07:22 AM by Lalitha Shivaguru Lalitha Shivaguru is online now
Old
Saraswathipv's Avatar
Dear Preethi..it was an informative post with a lace of humour...
I have a doubt....Is RCT compulsory for a tooth decay........or without panoramic x -ray taken...can a dentist decide that RCT is the only option....
Hope you don't mind...I ask, because, I now hear the about the suggestion given for RCT more commonly :))
How useful is the filling procedure?
permalink
Posted 5th September 2008 at 08:28 AM by Saraswathipv Saraswathipv is online now
Old
Jithiks's Avatar

Captivating and humorous !!

Dear Dr.Preethi, :)

The title of your blog pulled me here ! I see this "You don't have to floss all your teeth, just the ones you want to keep" at my dentist's office . So, when I saw the title "brush" instead of floss, I was intrigued !

Everytime I see that , I am amused and show it to my children too ! They are fed up since they've seen,read and heard it from me many times !

I believe, flossing is not given much notice as much to brushing and it is a daily battle to make sure that the kids floss all their teeth including the ones at the very back !

Sorry to deviate Preethi, simply loved the humour sprayed throughout your blog ! I was imagining your mom's face when she was lamenting !

That was a hilarious encounter with Mr.Victor. So was he convinced with your explanation?

Really an informative blog with the details about different parts of the teeth !

And yes, there is a wrong notion prevalent among many that hard brushing leads to white teeth, when it actually damages the enamel. Probably there should be a catchy quote for that too !

Thoroughly enjoyed reading this..keep blogging !!

Cheers
Krithika
permalink
Posted 5th September 2008 at 09:08 AM by Jithiks Jithiks is offline
Old
Drpreethis's Avatar

Dear Aishu,

Thanx babes ! I am here only to share my knowledge.. and dont bother about your ignorance in technical terms.. had it not been that way you would have been me right ? You were clear with the content that is good enough !! :)
Coming to the problem.. The clip ( braces ) marks are nothing but the cement residues which are used to stick the steel brackets ( those square steel kind of things you could see ) onto the teeth. There must have been a cleaning done after the braces were removed, isnt ? Else a cleanng needs to be done. Also sometime the cement sometimes erodes a little of enamel when placed. This can be treated by bleaching. If the cleaning has been done and still the spots look bad then she could get a mild bleach ( the percentage of material is very less ) done. If otherwise get the cleaning done first and sometimes it just disappears !! :) Good luck to her..
permalink
Posted 5th September 2008 at 01:04 PM by Drpreethis Drpreethis is offline
Old
Drpreethis's Avatar

Dear Lalitha ,

Watch out.. Jhum Jhum aint that easy an expression when experienced on tooth !!
Being a Dentist that is the kind of expression I could give you !!! Thank You so muchh for having said that about my narration..
About the salt as an agent to brush .. minor quantities are good enough. Using salt as a tooth paste once in a week is ideal according to me. The enamel is fragile and can get eroded on using too much of salt everyday.. Infact warm salt water gargling every nite is a very good habit. Keeps gums very strong, handles bad breath, swishes away food between teeth etc. Take care
permalink
Posted 5th September 2008 at 01:16 PM by Drpreethis Drpreethis is offline
Old
Drpreethis's Avatar

hey Saraswathi ,

Thanx dear for reading thru'...
About RCT .. usually when a patient has lott of pain and a swelling ( inside or outside the mouth ) , the Dentist can easily say the tooth will go for an RCT without an Xray. But if there is just a decay and however quite wide and deep an Xray must be taken to arrive to this treatment. It is the depth of the decay that decides RCT and not the width. If the decay touches Pulp to a large extent then it needs to go for an RCT. Dentist usually suggest this because the materials put in for a deep decay could fail and eventually trouble the tooth.. which I disagree to.. the Dentist can always be transparent to the patient and tell them this could be the future of the tooth and does the filling fail he/she needs to go for RCT. But people believe that once a tooth is filled it is IMPOSSIBLE for a secondary decay to happen !! This is not true.. Take care
permalink
Posted 5th September 2008 at 01:30 PM by Drpreethis Drpreethis is offline
Old
Drpreethis's Avatar

Krithi, my Friend !!

so much for having liked my Blog yet again !! You have read this quote in some Dentist's office huh ? Not bad there are people who like taking down quotes like me !! I usually prefer quoting some message !! Like rajanikanth punch dialogues.. Idhu eppadi irukku !!??!!

I know by this time you have noticed that.. ..
Flossing is a technical thing and kids may not be so comfortable doing it. You get interdental brushes which are the same functionally and more easy to handle.

Oh krithi, my mom was still annoyed when I got back home in the night after practice till I gave her a desensitising gel to apply.
I didnt find any catchy quote for the hard brushing.. could only play my humor sense there !! Need to get a little more poetic soon !! Thanx for reading , Krithi !!
permalink
Posted 5th September 2008 at 01:39 PM by Drpreethis Drpreethis is offline
Old
mithila kannan's Avatar

that was wonderful!

Dear Dr.Preethi,
In addition to the mild humour running through your blog,you have managed to give us valuable advice on how to take care of the teeth.It is a very useful essay.Thanks.
love
mithila kannan
permalink
Posted 5th September 2008 at 11:08 PM by mithila kannan mithila kannan is offline
Old
Shanvy's Avatar
hi preethi,

I loved the way you have used one of your patients to talk about sensitive teeth. nice to know about your junior, and your encouragemnt.

great going dear...
permalink
Posted 6th September 2008 at 12:01 AM by Shanvy Shanvy is offline
Old
latamurali's Avatar
Dear Preethi

Very nice and very very informative blog, really we all are thankful to you for being here in between your busy schedule and explaining us in detail and answering our queries THANKS A LOT

and, my query is here, 3 months back i done rot canal treatment for one of my teeth ( from inside, its last but one) and fixed CROWN , Yesterday when i was chewing cabbage curry, i felt something like stone and i spit immly in my plate itself and forogt that and when i saw my mouth i saw something is MISSING in that area and i rushed to see my plate , yes, it is not stone but that CROWN , i immly washd it and preserved it and rushed to my dentist, he have given me appointment today evening , i want to know, why this happened ????????jus 3 months back i fixed it

And, drinking cold drinks will effect our teeth ??????
permalink
Posted 6th September 2008 at 04:12 AM by latamurali latamurali is offline
Old
varalotti's Avatar

A great piece of writing!

Dear Dr.Preethi,

I was attracted by the humorous title and walked it. And was glad to see that the blog was quite interesting and informative.

I especially loved the way you said that whatever we do do not have any connection with whatever happens to us. Right from a small pain to death man is always searching for a linear explanation. Unfortunately such things are not there.

We used to say in our town; there are people who have survived a snake-bite. And there are people who died because their new slippers bit their legs. (that's how the Tamil expression goes)

You will soon be flooded with questions on dental treatment. Wish you all the best.
love,
permalink
Posted 6th September 2008 at 07:10 AM by varalotti varalotti is offline
Old
Sriniketan's Avatar
Dr.Preethi,
As with everybody, the title attracted me..
Nice information on how to handle the brush while brushing...which is important..
permalink
Posted 6th September 2008 at 02:08 PM by Sriniketan Sriniketan is offline
Old
shvap_786's Avatar
Dear Drpreethis...

I saw the title in the home page... immed started reading...really very informative... thnk u so much... i have doubt.. thru mom's and granies i keep hearing... chewing cloves is good for teeth... is it true...
permalink
Posted 7th September 2008 at 12:09 AM by shvap_786 shvap_786 is online now
Old
Drpreethis's Avatar
Thanx Mrs. Mithila , Shanvy and Sriniketan .. I am happy some information got through me !! :)
permalink
Posted 7th September 2008 at 12:29 PM by Drpreethis Drpreethis is offline
Updated 7th September 2008 at 12:58 PM by Drpreethis
Old
Drpreethis's Avatar

Dear Latha ,

Thank you soo much for having found the blog informative.. I started this only to talk about Dental. I know many of us would not understand the seriousness of the problem unless our tooth initiates " pain " . It is sad that by then the treatment will be far more serious and expensive !
Coming to your problem .. Failure of crown seating could be due to -
-liquid/ food seepage to the area in between tooth and crown.
-not enough cement is used for the fixing of the crown.
-When enough pressure is not applied after the crown in first time placed onto the tooth.
-or lastly, when the tooth cutting itself has a deficit.
and when one of the above is a reason and you bite onto food the already ill fitting end could get lifted up and Whoa... you get a metal piecs in your mouth or plate !!! I have once had a patient running into my clinic sayin he had swallowed his crown but then turned out to be a liar who was hit by a vehicle and lost it on the road. He thought by sayin he swallowed it.. he culd get me do another one for him free !! But.. as they say.. YOU SHOULDNT LIE TO YOUR LAWYER AND DOCTOR !! :)
permalink
Posted 7th September 2008 at 12:50 PM by Drpreethis Drpreethis is offline
Old
Drpreethis's Avatar

Dear Sridhar Sir ,

Yes , I have been flooded with questions !! and how much I love answering them.. :)
I know the tamil proverb you wrote about .. :). Thank you for liking my writing , Sir !!!
permalink
Posted 7th September 2008 at 12:55 PM by Drpreethis Drpreethis is offline
Old
Drpreethis's Avatar
Dear Shv.. ,
Thank you for saying that about my blog and title.. :) About eating cloves.. It is not good chewing them anytime.. It has a particular kind of ingredient which induces the acid secretion in the stomach and also acts to improve digetion. For a teeth it acts a pain killer. So chewing to much of " something that could work on your nerves for killing pain " is not advised !! Chewing it when you have pain is the best home remedy ! But it is not a solution. :) Hope I have anwered your query..
permalink
Posted 7th September 2008 at 01:09 PM by Drpreethis Drpreethis is offline
Old
muzna's Avatar
dear preethi
despite the fact that i knew what would be in your blog(thanks to a few dentists in the family-doesn't mean i follow what they say)
i could not stop myself...coz i knew what ever, it will be fun reading the anecdotes preethi will describe. you know you have a passion for your profession...but any day u wish to switch or take up a supplementary one try writing. your style of writing is a beauty and the breezy style is a god's gift which very few have . u r a natural. while reading i could visualise the patient's facial expressions ....keep it up and best of luck.
permalink
Posted 13th September 2008 at 03:11 AM by muzna muzna is offline
 

All times are GMT -5. The time now is 01:27 AM.