Category: Oral submucous fibrosis

Best Oral Hygiene Routine Recommended by Dentists for Healthy Teeth

Abstract

A good oral hygiene routine is important for maintaining strong teeth and healthy gums. Oral hygiene includes brushing, flossing, cleaning the tongue, and getting regular dental checkups. The dentist will conduct oral examinations and perform scaling procedures if required. This can prevent plaque build-up, tartar formation, and tooth decay. Diet and lifestyle must also be managed and followed consistently. Various dietary items can damage the enamel structure of the teeth and lead to decay. Several associated health conditions can also impact oral health. Managing systemic health conditions is useful for maintaining good oral hygiene. Proper oral care recommended by dentists and preventive measures should be followed to lead a healthier and happier life.

Best Oral Hygiene Routine

Statistics for Oral Hygiene

  • About 78% of the adult population in India has gum disease.
  • Only about 51% of people use a toothbrush and toothpaste to clean their teeth.
  • Globally, about 10% of the population has periodontal disease.
  • Oral cancer due to tobacco use ranks among the top three most common cancers.
  • Nearly 30% of all cancer cases in India are oral cancers.
  • 1 out of 4 adults has untreated dental caries.
  • On average, most people brush for only 45 seconds.
  • About 90% of adults have at least one dental cavity.

Introduction

Oral hygiene, or oral care, is the practice of maintaining strong teeth, healthy gums, and a disease-free oral cavity. It includes daily brushing and flossing, along with routine dental follow-ups. It is a preventive approach that helps reduce the risk of oral diseases such as dental caries, gingivitis, periodontitis, and halitosis. It can also help prevent certain systemic diseases, as oral health is closely linked to overall health and well-being. An increase in the bacterial count in the mouth allows toxins released by these bacteria to enter the bloodstream, potentially contributing to other health conditions. Infections in the oral cavity can also be a contributing factor to systemic diseases.

Signs and Symptoms of Poor Oral Hygiene

  • Red, swollen, and bleeding gums
  • Bad breath
  • Plaque build-up and tooth decay
  • Tooth mobility
  • Tooth sensitivity and pain
  • Tooth stains

Various conditions, including respiratory, cardiovascular, metabolic, renal diseases, and pregnancy-related complications, may also occur. The immune response becomes weakened or compromised, increasing the risk of infections. Proper oral hygiene also involves using appropriate toothbrushes, toothpastes, and mouthwashes. The right products help maintain healthy gums, strong teeth, and fresh breath while ensuring an effective and convenient oral care routine. The use of inappropriate dental products may cause gum problems, tooth sensitivity, xerostomia, enamel erosion, and even allergic reactions to certain ingredients. Therefore, a dentist’s advice is important to avoid damage and to receive recommendations for suitable dental products. Along with proper oral care, dietary modifications should also be made. Limiting sugary, sticky foods, carbonated drinks, and sodas helps protect the enamel layer of the teeth. Lifestyle modifications, including avoiding smoking, alcohol, and tobacco consumption, are also important.

Causes of Poor Oral Hygiene

  • Improper Brushing– Harsh brushing with a hard-bristled toothbrush can cause tooth sensitivity and gum disease. Improper brushing techniques can also damage the teeth and gums.
  • Diet– A diet high in acidic and sugary foods increases the risk of tooth decay.
  • Lifestyle– Tobacco use, smoking, and alcohol consumption can negatively affect oral health. These habits may cause tooth discoloration and periodontal disease.
  • Medications– Certain medications, such as antihypertensives, antidepressants, antihistamines, and decongestants, can contribute to poor oral health. They may cause dry mouth (xerostomia), bad breath, or inflammation.
  • Other Health Problems– Systemic conditions such as diabetes, heart disease, and pregnancy can affect oral health. These conditions may cause inflammatory changes that lead to gingivitis, xerostomia, or halitosis.

Dentist Recommended Best Oral Hygiene Routine for Healthy Teeth

Good oral hygiene helps protect the teeth and other oral structures, promoting a healthier and brighter smile. Following a dentist’s recommendations helps maintain optimal oral health.

The Rule of 7 in Dentistry

The Rule of 7 emphasizes the importance of comprehensive oral care in maintaining strong teeth and healthy gums. It reminds us that oral health is multifaceted and requires consistent care and attention.

  • Flossing
  • Brushing
  • Diet
  • Avoiding tobacco
  • Use of fluoride
  • Regular dental checkups
  • Management of other health conditions

By understanding these seven principles, individuals can adopt a balanced approach to maintaining good dental health.

  • Flossing once a day– Flossing removes trapped food particles and plaque from the spaces between the teeth. It cleans areas that toothbrush bristles cannot reach, helping prevent gum irritation, inflammation, bleeding, and swelling. It also removes sugars and acids that contribute to enamel demineralization. Use approximately 18–24 inches of dental floss. Wrap it around the middle fingers and gently slide it between the teeth. Water flossers are also available and offer an effective and convenient alternative.
  • Brushing twice a day– Brushing twice daily helps prevent plaque, tooth decay, stains, and bad breath. It removes food debris, protects the gums, preserves enamel, and freshens the breath. Always use a soft-bristled toothbrush. Brush twice daily—once in the morning and once before bedtime—for at least 2 minutes each time. Hold the toothbrush at a 45-degree angle toward the gumline and use gentle circular motions instead of aggressive back-and-forth strokes. Electric toothbrushes provide more effective cleaning through vibrating and rotating movements with less manual effort. People wearing dental appliances can benefit from interdental brushes, which help clean around orthodontic appliances.
  • Diet– Diet has a direct impact on oral health. Frequent consumption of sugary, starchy, and acidic foods and beverages damages tooth enamel and increases the risk of tooth decay and bacterial growth in the mouth. Consume dairy products and crunchy fruits and vegetables such as apples, pears, carrots, and celery. These foods stimulate saliva production and naturally help freshen the breath. Drink plenty of water to prevent dry mouth.
  • Lifestyle factors– Lifestyle habits such as tobacco use, smoking, and excessive alcohol consumption can cause tooth staining, gum disease, and even oral cancer. These habits may also lead to xerostomia and halitosis. They weaken the body’s immune response, increasing the risk of infections and inflammatory conditions. Tar and nicotine found in tobacco products cause brownish-black stains on the teeth and slow wound healing. Smoking reduces blood supply to the gums, contributing to tooth loosening. Alcohol irritates the soft tissues lining the mouth and promotes inflammation.
  • Use of Fluoride– Fluoride is a mineral that strengthens and protects tooth enamel. It helps prevent dental caries, promotes enamel remineralization, and reduces tooth sensitivity. Fluoride works by replacing minerals lost from the enamel and increasing resistance to acid attacks, thereby slowing the progression of tooth decay. Fluoridated toothpaste is recommended for individuals at increased risk of dental caries or those with weakened enamel. Dentists may also apply topical fluoride treatments to strengthen enamel. Community water fluoridation helps prevent fluoride deficiency. Fluoride concentrations up to 4.0 mg/L are considered safe under many regulatory standards, although the optimal level for preventing tooth decay is generally much lower (around 0.7 mg/L).
  • Regular dental checkups– Regular dental visits allow early detection of dental caries, professional plaque removal, and screening for oral cancer. Early diagnosis helps prevent complications. Scaling and polishing are generally recommended every 6 months to maintain good oral health. Individuals with periodontal disease may require more frequent professional cleaning depending on the severity of their condition.
  • Management of other health conditions– Managing systemic health conditions is important for maintaining good oral hygiene. This includes controlling diabetes, preventing xerostomia, and addressing cardiovascular diseases. Systemic diseases can affect oral tissues and contribute to poor oral health. People with diabetes should maintain good blood glucose control to reduce the risk of gum disease and delayed wound healing. Xerostomia may result from medications such as antihypertensives and antidepressants. Some heart conditions may increase the risk of oral complications, and bacteria from oral infections can enter the bloodstream under certain circumstances. Therefore, systemic diseases should be appropriately managed. During pregnancy, hormonal changes can increase inflammatory responses, leading to pregnancy gingivitis or pregnancy granulomas.

Conclusion

Maintaining good oral hygiene is essential for healthy teeth and gums. Daily preventive measures should be consistently followed to reduce the risk of serious oral health problems. Early signs and symptoms should never be ignored. Regular dental visits help keep the oral cavity healthy and disease-free. Oral health is closely linked to overall health and well-being. It is more important than many people realize. Maintaining proper oral hygiene contributes significantly to general health, overall well-being, and quality of life.

Natural Cure For Oral Submucous Fibrosis

Abstract

Oral submucous fibrosis is a precancerous disease of the oral cavity mostly found in South Asian countries. Oral submucous fibrosis is now worldwide accepted as an Indian disease which has a high morbidity rate of malignant transformation. The rapid increase in the Oral submucous fibrosis is due to the intake of tobacco or areca nut (Supari). These are easily available in India and thus most of the cases are found in Southeast India. Mostly young people are more affected with this disease as the tobacco intake is quite popular among them. In Modern medicine the results of this disease are not quite satisfactory. In Ayurveda, fibrosis can be related to arbuda or granthi and this condition is well manageable with herbal remedies. In this article, we are going to discuss Oral Submucous Fibrosis and its Ayurvedic management by Planet Ayurveda.

oral submucous fibrosis

Introduction

Oral submucous fibrosis is a precancerous stage of oral cancer. In most of the conditions it turns into benign cancer but in some cases it is malignant too. Usually this condition is seen in South east Indians as the chew of areca nut and tobacoo is more common there. In oral submucous fibrosis there are fibroelastic changes and epithelial atrophy that can cause the stiffness of the oral mucosa. The symptoms may include reduced movement of the tongue, leathery texture or blanching of the oral mucosa, and reduction in the opening of the mouth. This condition can be fatal and need proper care at the earliest.

Ayurvedic View of Oral Submucous Fibrosis

Ayurveda is the pioneer and the oldest health wisdom and initially the concept of specialization has been highlighted in it as there is the mention of eight Ayurvedic clinical branches Kaaya Chikitsa (Internal Medicine), Baala Chikitsa (Treatment of Children / Pediatrics), Graha Chikitsa (Demonology / Psychology), Shalakya or Urdhvaanga Chikitsa (Treatment of disease above the clavicle), Shalya Chikitsa (Surgery), Damstra Chikitsa (Toxicology), Jara Chikitsa (Geriatrics, Rejuvenation), Vrsha or Vajikarna Chikitsa (Aphrodisiac therapy).

Shalakya Tantra is one of the clinical branches of Ayurveda that deals with the Urdhvajatrugata roga (diseases of the supraclavicular region). Acharya Sushruta has mentioned 65 Mukhagata rogas and categorized them into 7 subsites – Oshtha, Danta, Dantamulagata, Jihva, Talu, Kantha and Sarvasara. Oral submucous fibrosis can be classified in Sarvasara Rogas in which there is a tridosha vitiation with Kapha and Vata doshas as predominant. Generally the fibrosis is related to arbuda or granthi in which the Mamsa dhatu (muscular tissue) is vitiated by the dushya (vitiated Tridosha). Same condition happens in the oral mucosa in case of Oral submucous fibrosis. The symptoms include mukhpaka (mouth ulcers), dryness of mouth, fibrotic bands, stiffness of the mouth, etc. However, the Ayurvedic formulations and therapies have effective results in this condition.

Causes of Oral Submucous Fibrosis

Oral submucous fibrosis is mainly found in the young Indian males due to the intake of Areca nuts and other certain items like chewing tobacco, paan masala, etc. Areca nuts contain alkaloids like arecoline, and some other chemicals, such as tannin and catechin, that plays a major role in stimulating the production of collagen fibers. Areca nuts have a high copper content, and if you chew areca nuts for 5 to 30 minutes then it can significantly increase the soluble copper levels in the oral fluids that will support the hypothesis and stimulate fibrogenesis. So the main causes of the Oral submucous fibrosis are listed below :

  • Chewing Areca nuts (Supari) or taking regular Paan masala or gutka
  • Intake of Tobacco
  • Deficiency of micronutrients like zinc, iron and other essential vitamins.
  • Smoking
  • Practicing unhealthy or toxic diet patterns

Sign and Symptoms of Oral Submucous Fibrosis

Some signs and symptoms of Oral submucous fibrosis are-

  • Palpable fibrotic bands in the oral mucosa
  • Frequent mouth ulcers
  • Stiffness of the mouth
  • Stiffness of lips
  • Reduced mouth opening
  • Burning sensation in the mouth
  • Pigmentation of the oral cavity
  • Sometimes pain in the ear

Risk Factors for Oral Submucous Fibrosis

The risk factors of Oral submucous fibrosis are –

  • Areca nut chewing
  • Ingestion of chillies
  • Immunologic and genetic processes
  • Nutritional deficiencies

Complications of Oral Submucous Fibrosis

Oral submucous fibrosis can be cured if it is noticed earlier. If it left untreated then there can be some complications like –

  • Oral dysplasia
  • Squamous cell carcinoma or oral cancer (malignant)

Diagnosis

Your doctor can diagnose Oral submucous fibrosis on the basis of physical examination and the history of tobacco or areca nuts intake. However, he may perform some tests to rule out other diseases –

  • Histopathology or oral biopsy
  • MRI head
  • Some other blood tests

Treatment

In Modern Medicine, oral submucous fibrosis is managed at initial stage by discontinuation of the tobacco or other addictive habits, local steroidal infiltration, immunomodulatory drugs, local injectible of hyaluronidase and human placental extract and in advance stage scalpel intervention is done. However, there is no satisfactory and permanent cure of this condition and later it can turn into malignant oral cancer.

In Ayurveda, this condition is well manageable with herbal formulations along with the Nidana parivarjana (avoiding causative factors), diet and some therapies like Gandusha (oil pulling) with irimedadi oil, Kawal (mouth wash) with triphala or haldi. Gandusha shows very effective results in this condition as it strengthens the oral mucosa and also enhances the penetration of the herbal drugs.

Herbal Remedies For Oral Submucous Fibrosis By Planet Ayurveda

Planet Ayurveda is a GMP certified herbal manufacturing company based in India founded in 2002 by Dr. Vikram Chauhan and this company came into existence as a brand name known as Krishna herbal company. The products of the company are 100% herbal, pure, and vegetarian. The products of the Planet Ayurveda are made from the pure extracts of potent ayurvedic herbs. Planet Ayurveda offers the following herbal remedies for the treatment of oral submucous fibrosis –

  1. Curcumin Capsules
  2. Ashwagandha Capsules
  3. Chandraprabha Vati
  4. Kanchnaar Guggul
  5. Gum Care Powder
  6. Irimedadi Oil
  7. Coral Calcium Complex
  8. Arjun Saar  

ORAL-SUBMUCOUS-FIBROSIS-Care-Pack

Description of the Products

1. Curcumin Capsules

This is a single herbal formulation by Planet Ayurveda prepared from the pure extract of Haridra (Curcuma longa). Curcumin is a most potent herb to treat various tumors and cancers. It has anti-inflammatory, antiseptic, antioxidant, digestive, and anti-cancer properties. It acts as an excellent adjuvant to radiotherapy and chemotherapy. Curcumin capsules purify the blood, remove toxins, reduce swelling, inflammation, and pain, and also stop the spread of cancers of tumors and control them. It shows good results in controlling the fibrogenesis and also protects from the free radical damage. Thus it has very effective results in oral submucous fibrosis.

Dosage: 2 capsules to be taken two times a day with warm water after meals.

2. Ashwagandha Capsules

This is a single herbal formulation by Planet Ayurveda prepared from the pure extract of the amazing herb Ashwagandha (Withania somnifera). Ashwagandha acts as a good nervine tonic, acts as a natural rejuvenator that provides proper nourishment to the tissues, muscles, and bones. It helps to balance the Vata dosha and has rejuvenating properties. It helps in the proper function of the tissues. It has anticancer properties and also reduces the pain and swelling. Thus due to these properties it shows good results in oral submucous fibrosis.

Dosage: 2 capsules to be taken two times a day with warm water after meals.

3. Chandraprabha Vati

This is a classical herbal formulation by Planet Ayurveda in a tablet form prepared from the blend of pure extracts of herbs like Shilajit (Asphaltum punjabianum), Guggal (Commiphora mukul), karpoor (Cinnamomum camphora), Vacha (Acorus calamus), Mustak (Cyperus rotundus), Vidanga (Embelia ribes), etc. It has aphrodisiac, rejuvenating, antioxidant, anti-inflammatory, and promotes fat metabolism by increasing the growth hormone. It helps to reduce the inflammation and removes toxins from the body and also strengthens the gums. Thus useful in Oral submucous fibrosis.

Dosage: 2 tablets to be taken two times a day with warm water after meals.

4. Kanchnaar Guggul

It is a classical herbal formulation by Planet Ayurveda  prepared from the pure extract of  potent herbs like Kanchnaar (Bauhinia variegata), Guggul (Commiphora mukul) along with some other herbs. It is a wonderful supplement for cancer and also shows good results in treating conditions like fibrosis. This herbal formulation helps to balance the tridoshas and also prevents the proliferation of the benign or metastatic cancerous cells. It helps to reduce the inflammation and size of the tumor. Kanchnaar guggal also promotes the growth of the healthy cells of the body and is useful in Oral submucous fibrosis.

Dosage: 2 tablets to be taken three times a day with warm water after meals.

5. Gum Care Powder

It is a polyherbal formulation by Planet Ayurveda in a powder form prepared from the blend of potent herbs like Sonth (Zingiber officinale), Haritaki (Terminalia chebula), Mustak (Cyperus rotundus), Khadir (Acacia catechu), Twak (Cinnamomum zeylanicum), etc. As the name indicates this powder is beneficial in gum care and protects your gums from any damage. This is useful in maintaining oral hygiene and thus used in the  Oral submucous fibrosis.

Dosage: Mix with Irimedadi oil and gargle for a while.

6. Irimedadi Oil

It is a polyherbal formulation in oil form prepared from the blend of potent herbs like Irimeda (Acacia farnesiana), Laung (Syzygium aromaticum), Agar (Aquilaria malaccensis), Manjishtha (Rubia cordifolia), Yashtimadhu (Glycyrrhiza glabra), Lodhra (Symplocos racemosa), Kapur (Cinnamomum camphora), Ela (Elettaria cardamomum), Khadirkasht (Acacia catechu), Jaiphal (Myristica fragrans), Dalchini (Cinnamomum verum)  ,etc. It has anti-inflammatory, anti-bacterial, rejuvenating, hypotensive, and anti-hemorrhagic properties and pacifies the Kapha and Pitta doshas. This helps to strengthen the oral mucosa and heals the oral ulcers. So, this is useful in the Oral submucous fibrosis.

Dosage – Mix with Gum Care Powder and gargle for a while.

7. Coral Calcium Complex

It is a polyherbal formulation by Planet Ayurveda prepared from the amazing ingredients like Praval pishti, Jahar Mohra Pishti, Akik pishti, Kamdudha Ras, Pearl Mukta , and Giloy Satva. It has anti-inflammatory, immunomodulatory and antipyretic properties and also reduces the level of free radicals and enhances the detoxification process in the body. Thus it shows good results in Oral submucous fibrosis.

Dosage- 1 capsule twice daily with warm water after meals.

8. Arjun Saar

It is a wonderful combination of Arjuna (Terminalia arjuna) and Amla or Indian gooseberry (Embelica officinalis) prepared by Planet Ayurveda. This herbal formulation boosts the immune system and removes the toxins from the body and also prevents the growth of harmful or cancerous cells. Arjun saar helps to stop the spread of carcinogenic cells and is useful in Oral submucous fibrosis.

Dosage – Rinse the mouth after 2-3 minutes of the massage with Gum Care Powder.

Conclusion

At last we can conclude that Oral submucous fibrosis can be a life threatening condition if left untreated and there is no specific treatment available in modern science for this. But in Ayurveda we manage this disease from its root cause through specific Ayurvedic herbs. Gandusha (oil pulling) or gargling with irimedadi oil shows very effective results in this condition. Planet Ayurveda offers wonderful herbal formulations which have very good results in this condition. Planet Ayurveda products are 100% herbal, pure, vegetarian, and safe. We hope the above-mentioned information regarding Oral submucous fibrosis and its ayurvedic treatment will be beneficial for the one who suffers. For more details of our products, you can check our website www.planetayurveda.com For more queries, you can send your queries to our email id herbalremedies123@yahoo.com