It is indeed unfortunate that in India we talk at length about primary prevention of dental health disorders. However, when it comes to reality — masses dental health tells a totally different story. There is hardly any concept of regular periodic dental check-ups.
A few days back a young man of 20years came to me with his grandma for extraction of her teeth. Grandmas,as they are -she told him to show his teeth to me. However, he was reluctant saying that all is well.
However, on her grandma’s insistence he opened his mouth and i found all is not well. Then i did his thorough oral examination and noticed that there is gingivitis, dental staining and horizontally impacted lower wisdom teeth (what we call third molars).
Now, when i asked specifically whether he experiences gum bleeding, he replied –“No.”. Then i asked whether he was sure. He paused for a while and then replied — “yes, when he brushes his teeth, sometimes he experiences gum bleeding, but it is quite minor.”. Further he told me that he is having this problem of gum bleeding during tooth brushing since a number of years– he said –“probably 10years!”
You see he is suffering form Chronic inflammation of gums (Chronic gingivitis). It is very easy to treat in this age group and he has been advised about meticulous oral hygiene. Treatment plan was explained to him.
Then i made him aware about his impacted lower wisdom teeth. When i asked him if had any problem because of that, he replied that food keeps on getting lodged in between those teeth and it is a very annoying experience.
He was made aware that those wisdom teeth would never come up in the mouth —only these have a nuisance value in the sense that perpetual food impaction that such teeth invite leads to damage of the healthy second molar which lies in front of the impacted wisdom tooth. At times pressure from such impacted teeth also damage the sound tooth lying infront. He has been explained that it is prudent to plan removal of those horizontally placed impacted which had absolutely no chance of coming up.
This post is just to underline that regular periodic dental checkup is extremely important for maintaining those 32 pearls —after all they are there to serve us lifelong.