Amazon pay

 Amazon pay at my office 

How to Write a short slogan on oral hygiene?

Short slogans on oral hygiene     

 1. Brushing teeth keeps germs away.

 2. Clean teeth and shiny teeth shows dignity.

 3. If you don't brush your teeth, decay will follow you.

4.  Your  Health score is  high, if oral hygiene is good.

by, 

DR.Renju T George,

India

Which is the best tooth brush?

Which Toothbrush is best?

1. Plastic manual: plastic handle with fixed head.
           or
2. Bamboo manual: bamboo handle with fixed head.
            or
3. Plastic manual replaceable head: reusable plastic handle (made from a bio-plastic) with replaceable heads.
            or
4. Electric: handle and charging unit, with replaceable heads.

There are billions of toothbrushes used and discarded every year. Research shows that electric toothbrushes are actually harmful for the planet and to the people involved in the manufacturing process and distribution.

The electric toothbrush, the standard plastic brush, the plastic brush with replaceable head, and the bamboo brush were used. The team found that the electric toothbrush was comparatively harmful for planetary health.

Even though bamboo is biodegradable the most environmentally sustainable toothbrush was not bamboo, as could perhaps be popularly believed, but a hypothetical continually recycled plastic toothbrush.

A plastic manual replaceable head toothbrush and bamboo manual toothbrush perform better than traditional plastic manual and electric toothbrushes in every environmental impact.

The ideal toothbrush is one which uses plastic which is recycled in a continuous process. Plastic brushes which can be recycled don't take up a lot of land, and they don't need lots of water to grow. The important thing here is to keep the plastic in the recycling chain.

by,

Dr.Renju T George,

India.

Registration renewal of Kerala Dental Council 2020

 Kerala Dental Council registration renewal for those ,due after Dec 31st  2020

The following is required for renewal

1)1000/- DD drawn in favour of 'Registrar, Kerala Dental council' payable at Trivandrum.

2)Request letter for renewal.

3) Self addressed envelope with 42 RS stamp.

4) photo copy of Old Renewal certificate
Kerala Dental Council .

Payment can be done in two modes

1.Can swipe debit/credit cards at KDC(1000+7.50)

2.DD in favour of registrar, Kerala dental council payable at TVM

This amount is for renewal of registration for next 5 years and for registrations ending on 2020 december.

Can be sent collectively also but the application and swipe/DD should be individual for each person.

A4 size cover

: Kindly write the name, registration no and mobile no at the back of the DD( left hand side top corner).”

For more on council location,

https://dentalclinic-palarivattom.blogspot.com/2017/11/kerala-dental-council.html?m=1

KDC website

By,
Dr.Renju T George,
India. 

How to do Black Triangle Treatment ?

 Black Triangle Matrices

• 8 matrices
• colour coded
• for black triangle treatment

Black Triangle Treatment- How to Do?

• Gap sizing- black triangle gauge to measure 
• 
  
  
  
• Disclose and clean
• Contact optimisation
• Matrix Insertion
• Etch and Rinse
• Adhesion
• Injection mold - light cure it.
• remove matrix 
• finishing and polishing

black triangle treatment

by,

 Dr.Renju T George,

  India.

Whitening Your Teeth Naturally With Lemon peel or orange peel? Myth Behind It

Lemon peel contains a list of vitamin, mineral and fibre like calcium, potassium and Vitamin C, which gives your body a nutritional boost.

• Lemon juice in its natural state has a pH of 2 which is acidic.
•  Outside the body, lemon juice is very acidic.  
• Lemon juice cause enamel erosion. 
• As your enamel erodes it becomes thinner and this allows the yellower dentine that lies below the enamel to be more visible through the enamel.
•  Your teeth may appear indented and yellower and they may also feel coarse to the tongue.

Orange peel contains soluble sugars and pectin as the main components. ... Oxalic acid (mainly in the peel) Vitamin C (ascorbic acid) Tartaric acid.

• Peels also have anti-cancerous properties, due to the presence of limonene, a naturally occurring chemical.
• The acidity of orange juice is due primarily to the organic acid, citric acid and, to a much lesser extent, malic and succinic acids. Orange juice with about 0.5–1.0% acid (pH of about 3.5) is less acidic than that of grapefruit, and much less acidic than lemon and lime.

So long term use of both peels of lemon and orange can cause tooth erosion.

The changes in pH value of mouth can accelerate tooth decay also.

For more on pH of Oral cavity, click here

by,

Dr.Renju T George,

Dr.Renju's Dental Clinic,

Palarivattom. Phone-04842336162

Black triangle treatment

 

Black triangles are naturally occurring spaces between teeth due to two triangular shaped teeth touching each other. 

This is completely normal and some type of spacing is always natural and even beneficial, as it helps improve cleans ability and gum health, and overall dental hygiene.

Etiology of black triangle

• Decreased interproximal bone height from periodontal disease, attachment loss, periodontal surgery, or trauma
• Excessive embrasure space and deficient papilla form affected by root angulation, inter radicular distance, crown form, and distance between alveolar bone and interproximal contact
• Patients’ biologic width and inherent or thinning gingival biotype
• Other: Age, patient habits, iatrogenic issues.

BLACK TRAIAGLE CAN CAUSE

• Retention of food debris or biofilm accumulation and potential tissue inflammation
• Lateral compaction of food debris, creating uncomfortable wedging pressure between tightly spaced roots
• Phonetic issues: escape of air or saliva during speech
• Iatrogenic narrowing of roots with repeated scaling to remove calculus.

The Bioclear method is unique in making a direct restorative solution to black triangles both simple and predictable. It is very different from traditional composite bonding in technique and results.

 Black triangle treatment with Bioclear 

Non invasive 

Simple and predictable 

Addition of materials 

Smooth subgingival contour for tissue adaptation. 

Protects root by covering and reducing sensitivity. 

Orthodontic stability by broad incisal -gingival and buccolingual contacts 

Mylar finish for minimal calculus accumulation and easy removal 

Minimize iatrogenic root contouring with repeated scaling

 

For more on

aesthetic dentistry

how to do black triangle treatment?

By,

Dr.Renju T George,

India.

Procedure for Bioclear method in aesthetic dentistry

Procedure for bioclear method in aesthetic dentistry or Steps for Bioclear method

1.Biofilim removal

• remove biofilim before bonding on uncut enamel surface.
• allows infinite edge margin

2.Preparation design

• designed for composite
• maximum enamel involvement
• minimum stress concentration

3. Bioclear Matrices

• Anterior and Posterior matrices are designed to mimic natural appearance.

• Bioclear Anterior Matrices

  Original Bioclear Matrices

  • 9 different matrices

  360 Veneer matrices

  • 1 size
  • pre-trimmed
  • designed for injection over moulding and anterior teeth ( bio clear veneer )
  
  
  Black Triangle Matrices
  • 8 matrices
  • colour coded
  • for black triangle treatment

4. Injection Moulding Composite

• like 3M Filtek Restorative material
• supreme ultra flowable.

5. Polishing

Rock Star polish with Bioclear magic mix with rock star polisher

• 3M Sof-Lex disc can be used.

Asthetic Dentistry With Bioclear Method

 ASTHETIC DENTISTRY WITH BIOCLEAR METHOD

The Bioclear Method is a technique in which  direct  composite is wrapped around a tooth using special plastic matrices to properly form a fully functional, beautiful tooth.

It is an alternative to indirect restoration.

Traditional Composite Vs.  Bioclear method

Traditional treatment options are

1.Direct Composite bonding

2. Indirect Ceramic

In Bioclear method we get advantages of  both composite and ceramic .

Traditional bonding often leaves ledges that bacteria and plaque get caught on that can lead to staining, chipping, cavities, and bleeding gums.

The Bioclear Method leaves no damage at all . 

it is more conservative

repairable

less expensive.  

INDICATIONS

• Chipped, worn and broken front teeth
• Black triangles 
• You need to fix teeth but don't want your teeth cut down for crowns
• Gap closure
• To  change a small teeth that you don't like

For steps in bioclear method

https://dentalclinic-palarivattom.blogspot.com/2020/11/steps-for-bioclear-method-in-aesthetic.html

by,

Dr.RENJU T GEORGE,

INDIA.

What questions we can ask to kids on toothbrush?

 What questions we can ask to kids on toothbrush?

hi,

which colour do you like?

Do you like the colour of your toothbrush?

Is the brush so spongy? or

Is it hurts you while brushing?

These are only  a few questions, like  that so many things regarding toothbrush you can ask .

by,

Dr..Renju T George,

India.

PH of gastric juice and tooth decay start

  PH of gastric juice and tooth decay start

 A healthy mouth is having a neutral pH.

To keep your teeth healthy, you must keep oral acidity to a minimum pH level.

Teeth can actually become stronger and remineralize when the mouth has a pH of 7.5 or above.

The pH scale goes from 1 to 14, with a pH of 1 being the most acidic, and 14 being the most alkaline. A pH of 7 is neutral .

 At a pH of 5.5 the teeth begins to demineralize, causing caries or tooth decay. It indicates an oxygen-deprived environment, which puts our teeth at risk for demineralization and cavities.

The amount of time that acids are in contact with teeth that determines how much damage occurs.

Xerostomia or gastroesophageal reflux disease can also cause acidity in the oral cavity.

by,

Dr.Renju T George,

India.

Tubarial Gland

 Scientists have discovered a new salivary glands , deep in the upper part of the throat called Tubarial glands.

Because of their location over a piece of cartilage called the torus tubarius, the discoverers of these new glands named it tubarial glands.

This nasopharynx region, just behind the nose has microscopic, diffuse, salivary glands; the newly discovered are about 1.5 inches (3.9 centimeters) in length on an average.

The human salivary gland system can be divided into two separate groups: major and minor glands.

The major salivary glands are parotid, submandibular, and sublingual glands.

 The minor glands are distributed in groups of hundreds in the upper aero digestive tract mucosa.

These glands produce the saliva required for mastication, swallowing, digestion, tasting and dental hygiene.

 The glands probably lubricate and moisten the upper throat behind the nose and mouth, the researchers wrote  in the journal Radiotherapy and Oncology.

The discovery could be important for cancer treatment. Doctors using radiation on the head and neck to treat cancer try to avoid irradiating the salivary glands.

by,

Dr.Renju T George,

India.

Amoxicillin

  Amoxicillin

Generic Name: Amoxicillin

Amoxicillin is a penicillin antibiotic that fights against bacteria. 

It works by stopping the growth of bacteria.

 It is an amino-penicillin, created by adding an extra amino group to penicillin, to battle antimicrobial resistance.

 Amoxicillin covers a wide variety of gram-positive bacteria, with some added gram-negative coverage compared to penicillin. 

Similar to penicillin, it covers most Streptococcus species and has improved coverage of Listeria monocytogenes and Enterococcus sp. It also has coverage over Haemophilus influenzae, some Escherichia coli,  Actinomyces sp., Clostridium species, Salmonella sp., Shigella sp., and Corynebacteria sp. 

Amoxicillin is also used with other medications to treat stomach/intestinal ulcers caused by the bacteria H. pylori and to prevent the ulcers from returning.

Amoxicillin will not treat a viral infection such as the common cold or flu.

Using any antibiotic when it is not needed can cause it to not work for future infections.

Before taking this medicine

You should not use amoxicillin if you are allergic to any penicillin antibiotic, such as ampicillin, dicloxacillin, oxacillin, penicillin, or ticarcillin.

Amoxicillin can make birth control pills less effective.

Your symptoms may improve before the infection is completely cleared. 

 Do not share this medication with another person, even if they have the same symptoms you have.

Antibiotic medicines can cause diarrhoea.

To make sure this medicine is safe for you, tell your doctor if you have:

• kidney disease;
• mononucleosis (also called "mono");
• diarrhoea caused by taking antibiotics; or
• food or drug allergies

How should I take amoxicillin?

Take amoxicillin exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets.

Take this medication by mouth with or without food as directed by your doctor, usually every 8 or 12 hours. The dosage is based on your medical condition and response to treatment.

Drink plenty of fluids while using this medication unless your doctor tells you otherwise.

For the best effect, take this antibiotic at evenly spaced times. To help you remember, take this medication at the same time(s) every day.

Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping the medication too early may allow bacteria to continue to grow, which may result in a return of the infection.

Tell your doctor if your condition persists or worsens.

Shake the oral suspension (liquid) before you measure a dose.

Measure liquid medicine with the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). You may mix the liquid with water, milk, baby formula, fruit juice. 

You may store liquid amoxicillin in a refrigerator but do not allow it to freeze. Throw away any liquid medicine that is not used within 14 days after it was mixed at the pharmacy.

It is important to note that it is excreted by in the majority of people by the kidney, and some renal adjustment and extra caution may be necessary for renal insufficiency. It is reported to be partially dialysable, and therefore, immediate-release tablets can be an option for dosing after hemodialysis. There are no guidelines for hepatic dosing or geriatric dosing. It was a pregnancy category B drug under the old FDA classification system, which means there have been no studies demonstrating clear risk. It has also been reported to get excreted in breast milk.

by,

Dr.Renju T George,

India.

Clay pots benefits

 Cooking in a clay pot is much better than cooking in a normal utensil, not just for its various health benefits, but also makes it much simpler to cook and improves the quality of the food .

Clay is a porous material which, when saturated with water and heated on the gas stove, provides slow evaporation of steam from the pores. This creates a moist enclosed environment that results in increased flavor and healthier foods.

It seals all the nutrients inside the pot by locking steam in. Because of the lid, the steam cannot escape the pot and is directed back into the food which eliminates the loss of water-soluble nutrients.

Thus, cooking in clay pots requires lesser amounts of liquids. 

Clay pots are alkaline in pH. It acts with the acidity in the food ,and neutralizes ,making it healthier.

The slow cooking in the clay pots allow the moisture and heat to properly circulate in the food. This retains the nutritional value. Cooking in a metal utensils tends to get lost its nutritional value.

The oil consumption in a earthen pots tends to be low. It retains the oil in the food.

Clay pots add many nutrients like calcium, phosphorous, iron ,magnesium, sulfur to food.

The aroma that your food will have after being cooked in an earthen pot is unbeatable.

Clay pots are affordable.

by,

Dr.Renju T George,

India.

Facial exercises for a perfect smile

 

Facial exercises for a perfect smile

Smile exercises

Simple and straightforward, this exercise in smiling practice improves the facial muscles that control your smile, which will give you greater control over your happy expressions. Start by sitting or standing in front of a mirror, whichever is more comfortable, with your face and lips in a relaxed state.

1. Stretch both the corners of your mouth laterally (to the sides) while keeping your lips together; hold for 10 seconds.
2. Expand the lateral stretch and part your lips to expose the edge of your teeth; hold  it for 10 seconds.
3. Stretch more towards laterally and expose about half of your teeth; hold it for 10 seconds.
4. Smile wide and hard as you can, with all teeth to be shown; hold it  for 10 seconds.
5. Repeat steps 3, 2, and 1 to reverse the smile gradually.

For additional exercise, you can go through all of the above steps, using your index fingers to stretch the corners of your mouth and create the different smiles.

The silly rabbit

In this exercise, you’ll tone your cheek muscles while increasing the flexibility and control of your smile. You may or may not look in a mirror while performing this exercise. Here are the steps for this face exercise:

1. Smile as wide as you can, without opening your lips. Try for an ear-to-ear grin.
2. Wiggle your nose like a rabbit until you feel your cheek muscles engage with the smile.
3. Hold the pose for 5 seconds.
4. Repeat steps 1,2, 3 for 10 times 

The facelift exercise

One particular facial muscle, the quadratus labiisuperioris, is essential for maintaining a youthful appearance. Developing this muscle helps to prevent facial sagging and ensure resiliency. Below are two exercises to help utilize this muscle to your advantage.

1. With your mouth slightly open and the upper lip relaxed, flare out your nostrils and wrinkle the nose with an exaggerated motion.
2. Pull up the upper lip and hold for a count of 10. Slowly release.
3. Repeat steps 1 and 2, for 10 times.

The smile line eraser

With this exercise, you can work at reducing the appearance of fine lines around your mouth, makes you look younger and gives you more natural smile. In yoga, this exercise is referred to as the fish pose. Here’s how to do it:

1. Pucker up: purse your lips as dramatically as possible by sucking in your cheeks and rolling your lips out.
2. Attempt to smile while you’re puckering.
3. Hold this pose until there’s a mild aching sensation in the muscles around your mouth, then release. This exercise should be done only once a day, in order to avoid straining the muscles of your face.

The Smile Wide technique

This exercise is relatively a huge part of our daily lives. But the trick here is, that you smile wide, for about 15 seconds, hold that smile and repeat this over 10 times. Not only will this cause a stretch and strain in your cheek muscles, but will also increasingly make you feel happier than before. And slowly, it would become a habit, smiling off at things that make you feel in a certain way.

It needs more  time and devotion. Without it, these smiling exercises will make no difference to your facial structure. Incorporate these facelift exercises to your daily health routine, devoting at least 30 minutes just to it. In a few months, you will start showcasing the results.

 The biggest enemy of your skin loosening up or stress showing on your face is just unhappiness. The facelift exercises and happiness, work hand in hand, simultaneously.

TMJ Disorders

 TMJ Disorders

According to the American Academy Of Orofacial Pain, TMJ Disorder is defined as a collective term that encompasses a number of clinical problems that involves the masticatory muscles, or the joint itself or both.

CLASSIFICATION

Articular disorders (intra-articular)

Congenital or developmental disorders

·            Condylar hyperplasia

·            First and second brachial arch disorders

·            Idiopathic condylar resorption

Degenerative joint disorders

·          Inflammatory: capsulitis, synovitis, polyarthritides (rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, Reiter syndrome, gout)

·          Non-inflammatory: osteoarthritis

Disk derangement disorders

·         Displacement with reduction

·         Displacement without reduction (closed lock)

·          Perforation

Infection

Neoplasia

Temporomandibular hypermobility

·         Dislocation

·         Joint laxity

·         Subluxation

Temporomandibular hypomobility

·         Ankylosis: true ankylosis (bony or fibrous) or pseudoankylosis

·         Postradiation fibrosis

·         Trismus

Trauma

·         Contusion

·         Fracture

·         Intracapsular hemorrhage

Masticatory muscle disorders (extra-articular)

·         Local myalgia

·         Myofascial pain disorder

·         Myofibrotic contracture

·         Myositis

·         Myospasm

·         Neoplasia

DIAGNOSIS

·         Always take a good history from the patient

·         location

·         onset

·         frequency and duration

·         intensity ( 0-10)

·         quality

·         modifying factors

·         other associated symptoms

Criteria for Intracapsular Disorders

Disc displacement with reduction

·         patient reports clicking/popping/snapping while opening or closing /excursions

·         - verify in physical examination

·         may or may not be painful.

·         pain if present occurs with jaw function-verify in physical examination

Disc displacement without reduction with limited mouth opening

·         No current report of joint sounds

·         mouth opening <= 40mm

·         typically painful

·         pain occurs with jaw function -verify in physical examination

Criteria for Extra Capsular Disorders

·         Pain from muscle origin-complains of pain in front of the ear, jaw , temple

·         Pain changes during jaw function.

·         examination shows

·         verification of pain site in palpation

·         radiating pain

CENTRAL MEDIATED MYALGIA

·         REPORTS widespread pain

·         Examination will shows

·         verification of familiar pain sites

·         involves most of the masticatory and cervical muscles

·         patient may or may not withdraw from your hands

·         when you palpate pain may not come

Treatment

·         Education

·         conservative treatment

·         sleep hygiene instruction

·         appliances

·         trigger point injections

·         medicines

·         INTERDISCIPLINARY CARE 

                                       WITH BEHAVIOURAL THERAPY, 

PHYSICAL THERAPY, SURGERY.

by,

Dr.Renju T George,

India.