#thread on dentists and X-rays....

Patients often are resistant to dentists taking xrays.

More than anything, they benefit directly from appropriate and adequate X-rays.

For starters, here’s how safe digital dental X-rays are: Image
Next they help reveal a lot of information.

Eg.anytime I take a tooth out, I take an X-ray AFTER to ensure it’s all out.

This patient came in yesterday for an infected tooth. It was so damaged it came out in 6 pieces literally! Image
There was no way to know if it was all out! Except taking an X-ray!

And look what it showed!

A small sliver had lodged itself in the socket!

This would have gotten reinfected and would not have healed for a long time.

It also would have caused a loss of trust. Image
It took me literally 30 seconds to get this piece out and we took another X-ray to confirm it was all out!

A tiny sliver was still stuck to the top of the gums but it came out with a tweezer and did not need another X-ray. Image
The main take away is that as a patient please don’t refuse X-rays right away.

Please discuss with your dentist the reason and benefit of taking the same. Without good reason no one wants to take one.

Dentists, please take adequate X-rays but educate your patients first!

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More from @Gautaamm

23 Oct
#Thread on Calcium defficiency, osteoporosis and dental treatment:

In the last one month, I have treated at least 4 females in their 60's, who have had serious Calcium defficiency. One of them is being treated for osteoporosis while two of them are borderline cases.
"Osteoporosis causes bones to become weak and brittle — so brittle that a fall or even mild stresses such as bending over or coughing can cause a fracture. Osteoporosis-related fractures most commonly occur in the hip, wrist or spine.
Bone is living tissue that is constantly being broken down and replaced. Osteoporosis occurs when the creation of new bone doesn't keep up with the loss of old bone."

Source: mayoclinic.org/diseases-condi….
Read 10 tweets
14 Aug
Getting a lot of questions about kids and brushing so a quick thread:

Children have 20 primary teeth which start erupting at age 6 months and continue till around the 5 year mark. (see image)

The need for "brushing' starts at birth but is done on the gums initially.
After the baby is fed, either via breast feeding or the bottle, use a clean cotton handkerchief and room temp boiled water to gently clean the gums.

The teeth are forming under the gums and if the milk is left behind it can see through and cause cavities.

The same is done
for teeth when they erupt.

Around the 1 years mark, it is a good idea to start the process of brushing the teeth. There are many wonderful types of infant brushes available which can be used for the same. This is a popular one but can sometimes be too big and hence a challenge.
Read 9 tweets
2 Aug
The first Indian commentator I loved and respected was the one and only SMG. Not so much for his skills as one but for his courage to "stand up" to the big boys aka England and Australia on air.

He made his debut in 1990 and while it was expected for ex players to be neutral
on air, it was essential that someone stand up to the double standards going on in world cricket at that time.

His most famous story, which I think occurred while he was captain, was when he refused to allow batsmen to get drinks in between overs on their own. The argument was
that the English and Australian players were not used to the extreme heat and needed additional water to sustain themselves on the field.

His response was that the Indian players were not used to the extreme English cold and so they should also be allowed a heater in the slips
Read 23 tweets
23 Jul
One of the biggest cons the western financial system has created is this concept of "good debt".

Basically "Good debt is considered to be debt if it helps you get a job, like a student loan, or helps you earn money, like a business loan.

"Bad debt" is all other debt, but
basically personal loans, credit card debt etc. Home loans can be considered essential, but with care.

The reality is that there is NOTHING like "good debt". I say that because it plays on people's minds to throw caution to the wind and borrow recklessly because apparently you
are going to make money of that and become rich right?

WRONG!

I used to use the terms "Essential debt" and "Criminal debt", again with Home loans being in no man's land.

"Criminal debt" is that debt which you take on for pleasure/addiction etc.
Read 18 tweets
13 Jul
If you are a IT professional looking to start his own business, there is a HUGE business opportunity that is being missed by everyone.

It is that of Practice Management Software for Dentists. There was a major player in the market a few years ago. The issue was that they sold
all the data to corporate dental chains.

Suddenly patients who had appointments with their regular dentists started getting calls from chains offering the EXACT same treatment for a reduced cost.

That killed the business. Some folks still use it but overall the trust was
lost.

Dentistry as far as I am concerned is at the doorstep of the golden age in terms of technology, patient awareness and motivation and overall parity with Western dentists.

A well made easy to use PMS is worth it's weight in gold!
Read 8 tweets
11 Jul
#thread

From a very young age, whenever I would lie down, I would get a dry cough. Occasionally on eating butter chicken at Avishkar (Green Park and Raviraj pale in comparison btw) I would get a burning sensation in my throat.

When I joined dental college in Mumbai, I lived
in the hostel. The food was greasy at best! Occasionally I would get a sore throat and head over to the medical college OPD where I would be prescribed an antibiotic usually Azithromycin. Instead of curing the “Sore Throat” it would make it worse!

Btw we never revealed we lived
in the hostel because they would diagnose it as malaria without even a test and start us on HCQ or something similar! 😂

Then I moved to the US, which I describe as the land of soda (Soft drink) and cheese! When I started practice, the schedule was 9-5 with no fixed lunch break
Read 24 tweets

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