Dr. Meena's Blog

Posts for: January, 2011

By Dr.Meena
January 24, 2011
Category: Patient
Tags: bridge   accident  

The following is a personal note from Raj, a patient of mine that illustrates the potential issues when you receive treatment at a location which is not your place of residence. As described in the note, Raj had to get a new bridge when he was traveling in India. For various reasons, he was not satisfied with the treatment - the bridge was coming out when he came in to see me. This is not an attempt to insinuate medical professionals abroad - the fact of the matter is that such treatments require multiple visits and constant monitoring which is better done by a medical professional close to home.

I am glad to know Dr. Meena and would like to share my case. I know Dr. Meena since early 2009 when I first went to her clinic in Worcester for a check-up. The reason for my visit was to take her opinion after being a victim of an improperly fitted bridge for my upper right premolar and canines.I had no problem with my teeth until I ...met with a car accident in 1997 when my right mandible was fractured. Also, I lost my upper two incisors. My mandible was immobilized for 4 weeks (during which I survived on liquid diet) and the fracture was healed. Later, my broken incisors were root canal treated and replaced with a new bridge. During all these years, I got a couple of replacement bridges after the previous ones were worn out.

Meanwhile, my sinusitis problem was complicated, probably by these treatments and ended up in a tooth abscess of one of the neighboring canine tooth. This was diagnosed when I went to India (Hyderabad, my home town) for a visit. Although, they diagnosed the tooth abscess, the dentist I saw in Hyderabad did a sloppy job while taking the measurements for my new bridge, which I needed after extracting the abscessed tooth. As a result the bridge loosened day after day and came out completely by the time I returned back to Worcester. I was so fortunate that I could see Dr. Meena who identified and fixed the problem. Till today, I had no hint of any issues with the bridge. I am very thankful to Dr. Meena and her skillful approach to address my case. My sincere recommendation and reference to all is to go visit Dr. Meena, my favorite dentist, if have any dental problem.

By Dr. Meena
January 20, 2011
Category: Whitening
Tags: whitening   smile  

Your smile is the first thing that other people notice about you. Whitening your teeth adds confidence to your smile - as your grand mother used to say, it all starts with the smile. A dazzling smile leaves a great first impression - a confident, bright smile is extremely important for a job interview.

Unfortunately, no one whitening system works equally well for all people. Some folks need the outside and inside (buccal and lingual) parts of their teeth to be whitened. For other people, going to bed with the whitening product inserted in their mouth may be more effective. Some may need only 30 minutes per day for 10 days for their teeth to be pearly white. Disposable take-home trays may be a good choice for such people. These trays are typically preloaded with the whitening product and inserted into the mouth. The thin membrane adheres to your teeth and remains securely in place for the 30-60 minute wear time. The bottom line is that one needs their teeth to be properly evaluated by a good dentist to determine which system would be the best option.

Before and After

Research has shown that the most effective and long-lasting whitening system is the take-home whitening kit. Over the counter whitening gels may harm the gums, if used incorrectly. In comparison with whitening strips, the take-home trays require far less dexterity. The trays are easy to put in, cover much more of the tooth than whitening strips, and are easy to wear. However, if you have extremely yellow teeth, you're better off going with a professional solution.

By Dr. Meena
January 05, 2011
Category: Periodontal
Tags: plaque   tartar   scaling   root planing  

Plaque is a sticky colorless deposit of bacteria that is constantly forming on the tooth surface. Saliva, food and fluids combine to produce these deposits. Plaque forms 4-12 hours after brushing which is why it is so important to brush at least twice a day and floss daily. Tartar or calculus is a crusty deposit that can trap stains on teeth and cause discoloration. Calcium and phosphate bind to form crystals on the teeth. These calcium phosphate crystals eventually harden with plaque to form calculus. For many folks, these deposits build up faster as we age. Factors that contribute to periodontal diseases are diabetes, genetic disorders, blood diseases, emotional stress, tobacco use and HIV injection.Plaque pictures

OK, what is the treatment? This involves periodontal or deep cleaning. Scaling coupled with root planing is used to remove plaque and tartar beneath the gum lines. A local anesthetic is given to reduce any discomfort. A scaler or an ultrasonic cleaner is used to carefully remove plaque and tartar down to the bottom of each periodontal pocket. Root surfaces are then smoothed or planed. This helps pockets to shrink. This procedure also makes it difficult for plaque to accumulate along the root surfaces. Once treatment is completed, regular dental cleanings are required every three months so that the pockets can be maintained.