Stem cell Therapy

STEM CELL

Stem cells  are UNDIFFERENTIATED biological cells that can differentiate into specialized cells and can divide (through mitosis) to produce more stem cells. 

TYPES OF STEM CELLS

                                          1. Embryonic Stem Cell

                                          2. Adult Stem Cell


These stem cells can reproduce whole organ (totipotent)or a part of it (pluripotent)depending on the type used.

SOURCES of adult stem cells in humans:

1. Bone marrow, which requires extraction by harvesting, that is, drilling into bone.
2. Adipose tissue (lipid cells), which requires extraction by liposuction.
3. Blood, which requires extraction through apheresis, wherein blood is drawn from the donor (similar to a blood donation), and passed through a machine that extracts the stem cells and returns other portions of the blood to the donor.

            Stem cells can also be taken from umbilical cord blood just after birth

        4. Umbilical cord Tissue

         5. DENTAL PULP

Only blood related diseases can be treated with umbilical cord blood collected stem cells.Ideally samples should be collected below 30 years to preserve a good and healthy stem cell.

Stem cell Therapy-

 Diseases and conditions where stem cell treatment is being investigated include:

Diabetics -type 2

stroke and traumatic brain injury

cleft lip and cleft palate

myocardial infarction

replace missing teeth

Alzheimer disease

Rheumatic arthritis

Osteoarthritis

Spinal cord injuries

Anti-Cancer treatments

Baldness reversal

Repair hearing

Restore vision

Wound healing - eg;diabetic foot

APPLICATION OF STEM CELL IN DENTISTRY

Stem Cell can also be taken from a healthy tooth

- Deciduous tooth - from canine to canine with sufficient pulp

- Tooth that is being extracted for orthodontic purpose.

-Wisdom teeth

COLLECTION
 After the tooth extraction ,the tooth is placed in chlorhexidine mouthwash for 10 seconds and transferred to a specially manufactured container for transport.

It is being taken to organization for further procedures and for the multiplication and storage  of the stem cell.
According to law, the ownership of stem cell is given to parent and the child till 21 years of age after that  the stem cell ownership is transferred to child alone.

GOOD LUCK for a better future.

by,
DR.RENJU T GEORGE,

SIGNAL DENTAL SPECIALTY CLINIC,

OPP. BSNL TELEPHONE EXCHANGE,

KALAVATHU ROAD, PALARIVATTOM,

COCHIN-682025.KERALA, INDIA

oral health month

I have such a wonderful experience to be a part of camp conducted in association with colgate in nearby school.
The op crossed more than 600 students
.I have noticed majority of students have more prevalence of decay in the molar region with 90 % of mal aligned teeth.the prevalence of enamel hypoplasia secondary to flurosis is also quiet seen in them.
dr.renju

INTERNATIONAL DAY FOR OLDER PERSON-1st OCTOBER

KEEP your mouth healthy and strong as you get older:-

-BRUSH at least twice a day
As you age,decay is more likely to develop around old fillings or in the softer exposed root surface of tooth.
- Visit your dentist regularly - As you age, you become more vulnerable to developing chronic diseases like diabetes,heart problems,bone disorders etc.

- In India the prevalence of gum disease is more than tooth decay,which is the most common cause of tooth loss in adults 

Why is my tooth sensitive ?

TOOTH SENSITIVITY / DENTINAL HYPERSENSITIVITY

DENTINAL SENSITIVITY is dental pain which is sharp in character and of short duration, arising from exposed dentin surfaces in response to stimuli, typically thermal, evaporation, tactile, osmotic, chemical or electrical; and which cannot be ascribed to any other dental disease.

SYMPTOMS

Thermal – hot and cold drinks and foods, cold air, coolant water jet from a dental instrument.

Electrical – electric pulp testers

Mechanical–tactile – dental probe during dental examination, periodontal scaling and root planing,tooth brushing

Osmotic – hypertonic solutions such as sugars

Evaporation – air blast from a dental instrument

Chemical – acids, e.g. dietary, gastric, acid etch during dental treatment

CAUSES

The most common cause - Gingival Recession  ( receding gums )

- Tooth Wear

- Wrong Brushing Habits

- Abrasive tooth paste

LESS COMMON CAUSES - 

- Acid erosion (e.g. related to gastroesophageal reflux disease

- Bulimia or excessive consumption of acidic foods and drinks

- Periodontal root planing

- Dental bleaching 

- Tooth whitening tooth paste

- Decay around the edges of a filling

- Tooth sensitivity after dental visit

- Plaque deposition

- Alcohol containing mouthwash

TREATMENT

= Desensitizing tooth paste

= Correct the brushing technique - avoid horizontal method of brushing

= Use a soft bristle brush and brush for 2 minutes with gentle pressure

= Limit acidic foods or try to drink water having acidic food items to neutralize the acid in your mouth.

= Cover exposed root surface using dentin adhesive sealers with the help of a dentist

= Root canal treatment

= Laser treatment - low output lasers , Nd YAG ,Er YAG CAN BE USED TO TREAT 

SENSITIVITY but It is the most expensive method .

ORAL HYGIENE/ ORAL CARE

HOW TO MAINTAIN GOOD ORAL HYGIENE

1. Oral cleaning should be done in the early childhood days, even before tooth eruption  after the birth of a baby. This can be done by wiping the gums with a clean damp cloth.

As soon as the tooth erupts one has to supervise the child to brush and encourage with toothpaste particularly for kids which has favorable taste and colour that attracts them

2. Always use fluoride containing toothpaste preferably white colour .As the fluoride can control the prevalence of decay in specified quantity. It can also strengthen enamel.

3. Brush twice a day and floss daily. Proper brushing technique should be adopted.

4. Rinse after each meal.  In addition to brushing and flossing, rinsing your mouth with an antibacterial rinse can help prevent decay and gum problems.

5. Chewing sugar-free gum after a meal can also protect by increasing saliva flow, which naturally washes bacteria away and neutralizes acid.

6. In school children, who are engaged in sports and other extracurricular activities usage of mouth guards is advisable. It prevents blows to teeth. Your dentist can make a custom-fitted

Mouth guard. Another option is to buy a mouth guard at a sporting goods store that can be softened using hot water to form fit your mouth.

7. Don’t smoke or use smokeless tobacco. Tobacco stains teeth and significantly increases the risk of gum disease and oral cancer. If you smoke or use chewing tobacco, consider quitting by slowly decrease the intake.

8. A healthy diet is essential to healthy teeth and gums. A well-balanced diet of whole foods -- including grains, nuts, fruits and vegetables, and dairy products -- will provide all the nutrients you need.

Avoid sugary foods. When bacteria in the mouth break down simple sugars, they produce acids that can erode tooth enamel, opening the door to decay.

9. Regular dental check up with an interval of 6 months is recommended in all individuals.

by,

DR. RENJU 

INDIA

FLOSSING

NEED FOR FLOSSING;-

The fact that flossing daily can extend life expectancy falls in the weird-but-true category. In fact, floss does two things: it prevents gum disease (that's rather obvious), and it prevents heart disease (not so obvious). Preventing both of these together is what adds years to your life. Here's how flossing improves life expectancy:

When you floss, you help prevent your gums from becoming inflamed. That's a good thing. What is happening when your gums are inflamed is that you have a chronic bacterial infection in your mouth. This harms your arteries through two mechanisms: the bacteria find their way in to your arteries and hang out (causing plaques), and your body mounts an immune response to the bacteria in your mouth, causing inflammation (which in turn can cause your arteries to narrow). This makes it hard for your heart to do its job and can lead to heart disease.

There is some debate about how many years you can gain with heart disease. Dr. Perls says 1.5 years, while Dr. Roizen says 6 years

ORAL HEALTH CARE

Oral Health care

How to prevent dental diseases and to keep your mouth healthy?

-The most important thing you can do to maintain good oral health, to reduce the risk of developing tooth decay periodontal disease and many of the other diseases.

Developing good dental health habits is the best way to prevent tooth decay and gum disease.

1.         Brush after eating

Get into a routine of brushing and flossing. Remove plaque by brushing your teeth at least twice a day for about 2 minutes with fluoride-containing toothpaste, in the morning and at night especially before going to bed and floss once a day.

1. 2.       Use a toothbrush with soft, rounded-end bristles and a head that is small enough to reach all parts of your teeth and mouth. Replace your toothbrush every 3 to 4 months.
2. 
   
3.      Use  fluoride toothpaste. Some fluoride toothpastes also offer tartar control, to promote healthy tooth development in children and to strengthen your teeth.

                4.  Brush your tongue from back to front. Some people put some toothpaste or mouthwash on their toothbrush when they do this. Brushing your tongue helps remove plaque, which can cause bad breath and help bacteria grow. Some toothbrushes now have a specific brush to use for your tongue.

5.  5.      Floss daily

Floss at least once a day. The type of floss you use is not important. Choose the type and flavor that you like best.

6.      6.  Eat healthy diet 

Good nutrition is vital to maintaining healthy gums and avoiding tooth decay.

Eat a balanced diet that includes whole grains, vegetables, and fruits and is low in saturated fat and sodium, cheese, peanuts, yogurt, milk, and these make great after-meal snacks.

Avoid foods that contain a lot of sugar, especially sticky, sweet foods like. The longer sugar stays in contact with your teeth, the more damage the sugar will do.

Do not snack before bedtime, because food left on the teeth is more likely to cause cavities at night. 

Saliva production decreases while you sleep, so saliva does not clean the mouth well during sleeping hours.

Sugar-free chewing gum (especially gum that contains Xylitol) is good for your teeth. They help clear your mouth of harmful sugars and protect against plaque.

7.       Mouth rinse containing fluoride can help prevent tooth decay, according to the Indian Dental Association.

8.       It is also important to stop using tobacco products.

 Using any tobacco product makes it more likely you will have mouth cancer or gum disease (periodontal disease). Using tobacco can also delay healing after you have a tooth pulled or other surgery on your teeth or mouth. Tobacco use also causes bad breath and stains your teeth and tongue.

9.       Visit your dentist regularly for professional cleanings and oral exam.

-Check your teeth, gums and mouth regularly. If you notice any problem with your mouth or teeth plan to see a dentist as soon as you can.

-Your dentist may suggest about use of supplemental fluoride, which strengthens your teeth.

-Your dentist may check whether your teeth require dental sealants (a plastic protective coating) applied to the chewing surfaces of your back teeth (molars) to protect them from decay.

By regular dental check-ups:

-Prevents tooth decay and gum (periodontal) disease, which can damage gum tissue and the bones that support teeth, and in the long term can lead to the loss of teeth.

-Shortens the treatment time with the dentist, and makes the trip more pleasant.

-Saves money by preventing tooth decay and gum disease, you can reduce the need for fillings and other costly procedures

-Helps prevent bad breath.

 Brushing and flossing to get rid your mouth of the bacteria that cause bad breath.

-Helps to keep teeth whiter by preventing staining from food, drinks, and tobacco.

-Improves overall health and makes it possible for your teeth to last a lifetime.

DR.RENJU T GEORGE,

 INDIA.