Mahfujul Haq Khan BDS, DDS(Dhaka), PhD(Japan) Oral & Dental Surgeon
I am 37 years old. My wife noticed that during sleeping I use to grind
my teeth and its frequency is increasing day by day. Is it harmful?
Should I consult any physician? What is the reason behind this grinding
and how can I get read off this?
A. Tooth grinding (bruxism) is an oral habit, which involves clenching
and grinding of the teeth. It is not uncommon in our society. Approximately
50% to 96% of adults experience mild to moderate bruxism. Most often,
this habit goes by unnoticed by the person. Bruxism can occur during
the day or night.
This condition has no specific cause, but is believed to be a combination
of many factors, such as:
personalities characterized as aggressive, controlling, precise, or
who have time urgency and achievement compulsion tend to develop bruxism
malocclusion (teeth that are not aligned properly)
children whose parents brux are more likely to develop this habit than
children whose parents do not brux
Signs of bruxism:
tooth wear, fractures of the teeth and fillings, especially on the front
grinding noise noticed by a sleeping partner facial muscle pain and
fatigue locking, cracking, and clicking of the jaws headaches tooth
mobility sensitive teeth.
Treatment of bruxism:
your oral health professional can make you aware of the habit and suggest
behavioral therapies to stop the bruxism stress reduction and coping
techniques can be initiated to reduce the emotional stress you may be
experiencing a removable intra-oral appliance can be made for you. The
mouth-guard protects the teeth from the forces of clenching or grinding
the teeth together. A mouth-guard or night-guard is more practical for
treating the night bruxer than for those who have daytime clenching
and grinding habits
If you think you
may be experiencing this oral problem, see your oral health professional.
Q. I had
one root filled (Root canal) tooth, which I did three years back, but
recently I found that part of my tooth has broken. When I did the root
canal treatment, my dentist suggested me to have a porcelain cap. What
is cap? Do you think I really need that cap ? Please explain me about
A. Cap is dental
restorations otherwise known as "Crown" which are coverings
that fit over teeth. Crowns may be necessary because of broken down
old fillings, fractured, chipped, root filled or sensitive teeth. Crowns
are also used to improve the appearance of natural teeth that are malformed,
malpositioned or discolored.
made of natural looking porcelain and are made to improve your overall
smile or to blend in with your own teeth. Sometimes an underlying metal
shell is used under the porcelain if additional strength is needed.
ÊSome of the indications for a crown are:
1. A previously
filled tooth where there now exists more filling than tooth. The existing
tooth structure becomes weakened and can no longer support the filling.
2. Extensive damage
and compromised aesthetics.
5. Root canal -
After root canal, teeth tend to become brittle and are more apt to fracture.
These teeth need to be protected by a crown.
6. Bridges - When
missing teeth are replaced with a bridge, the adjacent teeth require
crowns in order to support the replacement teeth.
and protect the remaining tooth structure and can improve the appearance
of your teeth. Crowns can be made from different materials which include
the full porcelain crown, the porcelain fused-to-metal crown and the
all-metal crown. You and your dentist will decide which type is appropriate,
depending upon the strength requirements and esthetic concerns of the
Fitting a crown
requires at least two appointments. During your first visit, the tooth
is prepared for the crown, an impression or mold is made of the tooth,
and a temporary crown is placed over the prepared tooth. At the subsequent
visit, the temporary crown is removed and the final crown is fitted
and adjusted and cemented into place.
Moyeen Beautician, La Belle
Hi Sadia, I am 13 and my biggest problem is I have a sweaty face. After
putting on any sort of cream or moisturizer, my face starts to sweat,
especially around the lips and on my nose. Is it because of the moisturizer?
Powder doesn't help.
keep in mind, I have dry skin and I am currently using Johnson's moisturizer.
I am very much into sports and outdoor activities. Would you kindly
suggest a sunscreen that will last at least 8 hrs? I am also 13 and
I am having some problems with my hair. My hair is frizzy and curly
and I want to know if there is anyway if I can keep my hair straight
I have a lot of body hair but my mum is opposed to hair removal. I have
chicken pox scars and I want them to be removed.
A. If you
are sweating excessively on your face using just Johnson's lotion you
probably don't have dry skin, its probably a normal to combination type.
Wash your face with cold water 2-3 times a day and apply oil free moisturizer.
Avoid rich cream based solutions.
good brand of sunscreens as long as they are not too oily and have a
SPF of 30 to 40. Yes, it's possible to permanently straighten hair using
a chemical process. Make sure to go to a reputed salon using good quality
is a good option for hair removal. Regular waxing lessens the hair growth
gradually Chicken pox marks unfortunately cannot be removed cosmetically.
I am 16 and have had an acne problem for a long time. I have quite a
few spots on both my face and my back.
Moreover, I have scars left over from spots on my face, mainly on my
cheeks right besides my nose. I also have a lot of scars on my back.
How can I get rid of them? My hair is frizzy, thick and fluffy and is
hard to manage because it has a lot of volume.
you suggest how I can tame it? I have to tie back my hair most of the
time and am confused about what hairstyle will suit my long and oval
face. I am 13 & I want to know what hairstyle will suit my round
shaped face. I am also suffering from hair loss. Also, the area under
my lower lip is darker than my natural complexion. This is a problem
that has arisen recently and I have not had it before & as my skin
is oily what should I use?
during teen years is quite a common problem; the skin reacts to all
the hormonal changes taking place in the body. First, switch to using
anti-acne products for your skin case regime. Neutrogena, Clinique are
now freely available in Dhaka. Let your pimples heal without breaking
them or case they will leave scars. Avoid fatty food and drink lots
of water. To lighten the acne marks make a pack with holud (1/4 tsp)
ream paste ½
tsp, yoghurt 2 tsp and rose water and use every night before going to
your hair permanently and cut it in a style where a does not fall forward
onto you face or else your face will look longer.
usually look good with wisps of hair coming on to the cheeks, giving
a slimmer look to the face. Regularly oil your hair while gently massing
it. Make a pack with l egg, 1 tsp yoghurt and 1 tsp coconut oil, apply
twice a week to arrest hair fall. Bleach only the lower hip once a month
until it lightens substantially. Use Johnson's pH 5.5 face wash to wash
your face and Johnson's baby lotion or Oil of Ulay as a moisturizer
A Different Sky
The Lost Lullabies
a Girl! Yet another friend is blessed with a little Angel making me
feel older and not so much wiser. I know the routine by now. Hence
I rush to the grocery store pick up some pink balloons, and bright
girly roses, with basket of cookies (Just for show) for the new Mom,
who is on a liquid diet. And off to the hospital.
pace through the smell of raw cuts, wounds and drugs and the blank
looks with wrinkled smiles, I avoid collisions with couple of empty
wheel chairs, and direct myself to the Maternity section.
there I am, between soft blankets wrapped around even softer babies
wearing designated tags in their hands with newly given identities.
I pass through feeling jealous thinking how their one day old identity
is now so much stronger than the one I am carrying around which I
have lost little by little here and there. I drop that thought, put
on a huge smile and knock on my friend's door, and walk in.
sat there, full of pain, with an achy body and an almost whiny broken
voice. The baby sleeping on the Mother's side peacefully. I didn't
know who to give attention to at first. Should I admire the baby or
console the mother and congratulate her. So I do it all together,
bringing my Bengali loud side out and making a small ruckus. After
sharing few details of birth, labor and the baby we take a breath.
father who was busy eating a half eaten sandwich now expresses his
pain of not been able to sleep for two days and missing work where
a big project is due. And how he also wishes someone would feed him,
bath him and take him around in their lap, showing mock jealousy towards
his newborn. My friend expressed some more agony of giving birth and
looking so overweight. They called their families who are spread around
the USA and Bangladesh but all absent at their joyous day at this
half-dark room. Their busy work schedule and other priorities prevented
them from coming to see the newborn. They have sent their love through
electronic greetings, as if their raw/loud love is not sophisticated
enough for today's baby.
parents let me fill them in on television serials that they have missed
due to having a baby, as they look distressed being away from the
comfort of surround sound and cable TV. I laugh, smile, sympathize,
show affection and leave, sorting out my feelings.
my way back from the hospital I sink puzzled into my thoughts. I think
of the time when my little brother was born, how crowded the hospital
room was with well wishers and relatives. How my grandmothers from
mother's side and father's fought over taking him in their laps. How
many new hand made blankets where waiting to be wrapped around him
with eager hands.
know we reside now in a different land with different rules but we
are still the same people. What happened between this generation and
last that we have lost the pampering hands and the prayers of supari
chewing grand mothers? And what happened to the world winning smiles
I saw on my parents faces? My mother's face with few added wrinkles
to accentuate her beautiful smile and my father's sleepless eyes full
of pride? Today our technicalities have eaten up all that were overwhelmed
emotions, we are down to lonely, self-centered parents with an extra
face the fact that living in this super organized country, we have
learnt to prioritize everything, and the first priority is always
me, myself. We have achieved our degrees, gotten married to the most
compatible (financially and educationally, not always mentally), and
climbed up the corporate ladder, always keeping in mind I am my first
priority. And when the biological clock started ticking we decided
it's time for a baby. But where does he/she fit in we didn't think
that far, thinking it might be similar to getting adjusted to a new
car or new breakfast cereal
I am scared. Scared of the self-seeking, competing, prioritizing,
me-loving being that I have become. Scared that my motherly instincts
were choked by my individualistic, liberating strong hands.
nowadays I pray hard to all the unborn children from the land of Bengal
to teach us again the sweet Bengali lullabies and the beauty of surrendering
to the new.