Careful examination of the scientific and clinical literature suggests ....

Careful examination of the scientific and clinical literature suggests that implant materials commonly used for fixation and joint reconstruction are not entirely inert. Accumulation of particulate debris is to some extent going to occur in all patients who have large prosthetic devices. This necessarily includes the distinct possibility of systemic and remote site exposure to these foreign objects that the body attempts to neutralize and excrete. Due to the heightened immunologic surveillance and/or or possible storage of particulate metal matter in sites remote from the implantation site, patients with total hip arthroplasty may be added risk for remote malignancies, particularly of the lymphoreticular system. The incidence of primary mesenchymal tumors in close proximity to implants appears to be consistent with the incidence in the general public. The frequency of occurrence and the associated individual and group risks of systemic and remote site malignancy remains unresolved.

Gum Disease

The second most common cause of toothache is gum disease or periodontal disease. Gum disease refers to inflammation of the soft tissue, i.e. the gingival, and abnormal loss of bone that surrounds and holds the teeth in place. Gum disease is caused by toxins secreted by certain bacteria in “plaque” that accumulate over time along and under the gum line. This plaque is a mixture of food, saliva, and bacteria. An early symptom of gum disease is gum bleeding without pain. Pain is a symptom of more advanced gum disease as the loss of bone around the teeth leads to the formation of deep gum pockets. Bacteria in these pockets cause gum infection, swelling, pain, and further bone destruction. Advanced gum disease can cuse loss of otherwise healthy teeth. Gum disease is complicated by such factors as poor oral hygiene, family history of gum disease, smoking, and family history of diabetes.

Treatment of gum disease always involves oral hygiene and removal of bacterial plaque and tartar which is hardened plaque. Moderate to advanced gum disease usually requires a thorough cleaning of the teeth and teeth roots called “scaling and root planning” and “sub-gingival curettage”. Scaling and root planning is the removal of plaque and tartar from exposed teeth roots while sub-gingival curettage refers to the removal of the surface of the inflamed layer of gum tissue. Both of these procedures are usually performed under local anaesthesia and may be accompanied by the use of oral antibiotics to overcome gum infection or abscess. Follow-up treatment, if necessary, may include various types of gum operations. In advanced gum disease with significant bone destruction and loosening of teeth, teeth splinting or teeth extractions may be necessary.

3 mantras of success

Sincerity - Sincerity in all you do. Give your cent percent. Update yourself with knowledge and skill regularly which will enable to perform best

Persistence - Persistence in spite of set backs that may come ones way. Set goals for excellence and try achieve them

Temperament - A calm and cheerful disposition under all circumstances. This will provide comfort and reassurance and will ensure good team work with colleagues

Quotes

Heavy rains remind us of challenges of life. Never ask for a lighter rain. Just pray for a better umbrella - That is attitude.

When flood comes, fish eat ants and when flood recedes, ants eat fish - Only time matters. Just hold on, God gives opportunity to every one