|Home | Issues | The Daily Star Home | Volume 5, Issue 54, Tuesday February 10, 2009|
I am 29 years old. For the last three months I am suffering from occasional gum bleeding. This occurs specially during brushing and taking any hard food. After that I am reluctant to brush as it causes gum bleeding. Nowadays the gum on my front teeth is swollen and a little painful. What do I do?
My son, 17 years old, is a diabetic patient (Insulin dependant). He has several loose teeth that cause occasional pain. The doctor told him to go for dental extraction five months ago but we really don't want dental extraction at this young age. Nowadays, he feels that the surrounding teeth are becoming loose. Please give us some advise on how we can preserve these valuable teeth.
Although diabetics have no control over their response to infection, they can practice good oral hygiene (brushing, flossing and interdental brushing). Removing plaque will reduce or eliminate infections.
Ensuring the diabetes is controlled (taking insulin, altering diet) is also a way of decreasing the risk of tooth loss. For this particular case, it seems very difficult to preserve your son's loose teeth but still if you have some bony support then it may be possible to preserve it by some special treatment (root planning, bone graft, etc). But still, diabetes is a factor and I strongly recommend you to take your valuable treatment from BIRDEM hospital.
Why should wisdom teeth be removed if they have not caused any trouble? I went to my dentist for regular scaling and he found a partially erupted wisdom tooth on the right side of the lower jaw and did an X-ray. After careful examination of that X-ray, my dentist advised me to go for dental extraction as it may cause trouble in future. I am in a real dilemma. Please advise me on what to do?
Hello Worried nas,
Your son's problem is a common one for his age group. First of all, you have to make sure he takes good care of his skin. He needs to avoid direct sunlight, as that increases the chances of black spots to develop.
He has to use a non oil base sun screen SPF30 or above at least two times daily. As most people who have pimples tend to have oily skin, he has to cleanse his face with face wash at least thrice daily, and use a toner on every alternate day.
Despite all these, if he still develops fresh pimples, medication can be prescribed by a good cosmetic surgeon. He may also need phototherapy, which is a treatment with light on the skin. It really helps a lot. Once his acne stops, the pits and scars can be treated. The last thing I have to say is that acne problems can be very frustrating and both of you need to be patient.
In case of skin grafting, the old scar will be taken off and replaced by skin from your thigh or arm, the colour match will not be 100 percent. It will re-appear even after surgery was done on the spot.
As for scar revision, if the previous marks are small we can replace them by skin from adjacent areas, again there will be a mark but not so prominent. If you consult with a cosmetic surgeon they will let you know which the better choice is for you. I would not suggest any kind of laser for this.
By the Way
Get a pet
Owning a pet reduces the number of visits to the doctor, prolongs survival after a heart attack, and wards off depression.
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