Root coverage possiblities

Hot and cold senstivity to teeth is a very common and regular problem which patients complain to a dentist.In most of the cases the exposed dentin/cementum of root suface is the causative agent.The exposed root surface not only leads to senstivity but is also prone to caries and pulp involvment.Most of the dentist prescribe a desenstizing paste that somewhat masks the problem but the causative agent still remains.i.e the exposed root. With latest technological advancement as well as availiblity of newer GTR memberanes the success rate of root coverage procedures now is almost 95%.The case selectin though still remains the crucial factor.when GTR or GBR memberanes are coupled with soft tissue grafts like connective tissue grafts the results are even more predictable.. Patients who feel that GUMS are receeding or size of tooth is incresing with age or smoking or dibetes can be immenensly benifitted with these latest breakthrough. so now more care for your GUMS is avilable. dr varun dahiya. consultant Periodontist MDS,BDS. delhi,noida,gurgaon,sonipat. 9810560139 09215701167

Dr. varun dahiya  Posted on 15-11-2007

Dental Implants : Future Of Modern Dentistry

Who wouldn't want to have a bright, perfect smile, teeth firmly integrated in the jaws, ease of eating, talking, and laughing with confidence? Having a healthy normal dentition means person posses normal chewing ability and is confident in his surroundings with a natural smile. It's really unfortunate for a person to loose a tooth or teeth., a person can loose a tooth or teeth by caries , trauma , periodontal reasons ( gum problem ) or congenitally missing one or more teeth. There are many ways to restore missing tooth / teeth by Complete Denture , Removable Partial Denture , Fixed Partial Denture ( Crown & Bridges ), Orthodontic correction or by DENTAL IMPLANTS. Earlier removable partial dentures (R.P.D) were prevalent and to support the artificial teeth plastic like material (acrylic) were used. It creates lots of inconvenience by hindering in tongue movement thus leading to speech problem and being unhygienic because of food deposition. The fixed partial dentures (F.P.D) are very convenient comparable to removable partial dentures but for F.P.D healthy and firm teeth are needed to get the support. It's also unfortunate since normal healthy teeth are trimmed for the crown placement. But a person can't have a fixed prosthesis when there is no firm teeth present on the posterior aspect for supporting the F.P.D. Similarly wearing a complete denture (C.D) needs years of hardship as the patient has to learn to maintain the dentures in the mouth. The dentures got the rocking tendency due to tongue movements and is very difficult when resorbed ridges are there. So a better solution for every case - is DENTAL IMPLANTS... DENTAL IMPLANTS are root like device, made of Titanium, which are integrated in jaw bone. Few months are than needed for the implants to get osseointegerated, i.e., bone formation around the implants. Once integrated the IMPLANTOLOGIST (dentist who places implants) can fasten the crown, bridges or dentures to this artificial root (implants). Placement Of Dental Implant : Implant placement is a painless, minimal invasive, atraumatic procedure which is done under local anesthesia in a normal dental chair unit. The procedure doesn't take much time and there are no restrictions in maintaining normal routine activities. (Off course not heading to play baseball) The implants are placed and left for 3-4 months for the osseointegeration and in meantime patient can wear temporary prosthesis. Then one or two weeks are given as gingival healing caps are placed over the implants to achieve natural contour of gingiva. After that the prosthesis is delivered. Am I eligible for implants bearing prosthesis?? Person having a missing tooth / teeth and leading a healthy life and activities are the candidates for implants. DENTAL IMPLANTS MAY NOT BE PLACED IN : 1.Chain smokers 2.Patients with endocrine disorders like uncontrolled diabetes, pituitary and adrenal insufficiency, hypothyroidism etc. 3.Having active infections like tuberculosis, temporal flu etc. 4.Active lesions like cyst, abscess, etc. 5.Anatomical restrictions like insufficient space for implant placement. 6.Social restrictions like psychological disorders. 7.Patient on certain medicaments like corticosteroids. 8.Patients with bone disorders like fibrous dysplasia etc. 9.Patients with hematological disorders like hemophilia. Merits and Demerits : 1.Implants can take 8 times extra load than natural tooth so more durable and firm. 2.Minimal invasive and is placed at the edentulous site without touching natural tooth structure. 3.Perfect for aesthetic demands. 4.Floating dentures can be firmly secured. 5.But comparable to conventional methods, it's a costly affair and needs a bit surgical intervention. Frequently asked questions : AGE IS NOT A FACTOR - patients above 16-18 years of age are suitable candidates. In the unlikely event an implant fails, it can usually be replaced by another. Infact most patients wouldn't have it any other way. Advanced Procedures : Sometimes, patient's may have less available bone width and height necessary for implant placement due to resorbed ridges , ballooning of maxillary sinus , traumatic bone loss etc. In such cases implant placement is possible by various bone augmentation procedures like sinus lift (direct and indirect), chin graft, ileac crest graft, grafting by alloplastic materials, nerve repositioning etc. In selected cases implants can be immediately placed after tooth extraction like in anterior trauma cases, cases with retained deciduous tooth / teeth etc...... Courtesy : Dr Sandeep Singh Visit us at : http://www.sahajdental.com/implants.htm Call us at : +91-9235661415 / +91-9839051515 _________________ Dr Sandeep Singh Director A Complete Dental Care : Sahaj Dental Clinic http://www.sahajdental.in http://www.sahajdental.com http://www.dentalclinicindia.org

Dr. Sandeep  Posted on 16-05-2007

Soft Drinks : Menace For Your Teeth

They taste great, but drink too many of them and your smile will soon start to suffer. As a Dentist, we can spot a soft-drink guzzler by the thin, matt, yellow-tinged surface of their front teeth. When we see these telltale signs in teenage clients, our first impulse is to ask: "How much soft drink do you consume?" The answer is usually two to three cans a day. Soft-drink consumption has increased many folds, from about 47 liters a head annually to 113 liters. Soft drinks contain a blend of sugar and acid that produces their trademark bite and tang. This sweet-and-sour cocktail might be gripping for the taste buds, but it is highly corrosive for teeth, especially children's. Young tooth enamel is quite porous and more easily dissolved by acids than mature enamel. It's disturbing news, therefore, that a quarter of all two- to three-year-olds consumed soft drink. The amount increased with age to 45 per cent of 12- to 15-year-olds and 57 per cent of 16- to 18-year-olds. "When children's teeth are frequently exposed to acidic drinks, this dissolves the calcium in tooth enamel and over time can lead to a crumbling of the tooth structure" As well as tooth erosion, soft drinks contribute to tooth decay by supplying sugar to the plaque bacteria; about 10 teaspoons in each can. These micro-organisms metabolize sugar and produce acids that cause caries (decay). It isn't just the acid-sugar mix in drinks that poses a dental danger; soft drinks are being drunk instead of tap water and milk, potentially compromising children's intake of protective nutrients such as calcium and fluoride. This change in children's exposure to risk and protective factors may account for some of the recent rise in dental caries observed in children. There has been a steady increase in deciduous "baby" teeth with decay among primary school children & an increase in decay in children's permanent teeth. As well as soft drinks, there are sports drinks, which are formulated to enhance exercise performance but are drunk as a "nice tasting drink". Consumers are lapping up these new alternatives. Sales of energy drinks have increased & most probably it is about 2-3 times more than the increase in soft-drink sales over the same period. With brand names that exude youth appeal, it's not surprising they've found their way into the diets of teenagers. Is there such a thing as a healthier soft drink when it comes to teeth? "Children and parents often perceive energy and sports drinks as healthier than soft drinks," but with similar sugar and acid levels they offer no dental-health or nutritional advantage. Some sports drinks have slightly lower sugar and acid contents - but their pattern of use exacerbates the damage. "The problem is kids tend to sip on them over time, rather than drink them all at once" This keeps the tooth enamel constantly exposed to acid. When Soft drinks or Sports drinks are used to rehydrate a dry mouth, the risk of damage is even greater, since there is little saliva to help neutralize acid on the tooth's surface. Some drinks use sugars such as glucose and fructose, which were once thought to be safer for teeth than sucrose. However, all sugars have virtually the same potential for acid production in dental plaque as sucrose, according to a literature review of soft drinks and dental health published in the Journal of Dentistry. Well aware of the bad health rapport on their products, soft-drink makers have launched alternatives. But diet soft drinks that are free from sugar are still acidic. "They don't cause decay but they do cause tooth erosion”. HOW TO MINIMISE THE HARM : * Reduce frequency of your soft drink consumption or STOP it at all. * Ensure the drink is cold, to slow the conversion of sugar to acid. * Finish the drink within a short time, rather than sip over hours. * Drink with a straw to minimize contact with teeth. * Rinse your mouth with water afterwards. * Drink them with meals rather than between meals to facilitate saliva production. * Wait for about 20 minutes after having a soft drink (or other acidic drinks) before brushing your teeth. This gives saliva time to neutralize acidity. Acid brushed into teeth can lead to dental erosion over time. Courtesy: Dr Sandeep Singh Director A Complete Dental Care : Sahaj Dental Clinic Visit : http://www.sahajdental.com Author is a Former State Representative, Continuing Dental Education [CDE] Convener & Vice- President [for two consecutive years] of IDA, U.P.State Branch; Hon. Branch Secretary of IDA, Allahabad Branch & President of IDA, Allahabad Branch. _________________ Dr Sandeep Singh Director A Complete Dental Care : Sahaj Dental Clinic http://www.sahajdental.in http://www.sahajdental.com http://www.dentalclinicindia.org

Dr. Sandeep  Posted on 16-05-2007

Surgery With A View : Dental Tourism

Tooth tourist … Jeff Hankins saw the Taj Mahal after treatment at Dr Sandeep Singh’s surgery. visit : http://dentaltourism.wordpress.com/2006/08/29/surgery-with-a-view-dental-tourism/ Wendy Champagne June 1, 2006 Medical tourism is booming as governments battle to provide services. A vision of moonlight on the Taj Mahal is probably the last thing on the mind of anyone considering dental work, yet it is an association Jeff Hankins can make. For a little more than the price of one dental implant in Sydney, Hankins travelled to India and took a side trip to the Taj, with all transport and accommodation arranged through his dental surgeon in India, and returned with three “excellent” implants. Medical tourism is growing exponentially. A report by the Confederation of Indian Industry estimates that this year close to half a million foreign patients will travel to India for treatments as complex and varied as bone marrow and kidney transplants, neurosurgery, joint replacement and dental implants. Many will also opt for a recuperative holiday to round out their stay. You can visit South Africa for cosmetic surgery and a safari. Or go to Thailand for a cataract operation and spend a week on the beach at Phuket. Others will travel to the Philippines, Singapore or Malaysia for a cardiac bypass, Hungary for dentistry, or the Middle East for complete medical care at a luxury destination. By 2010, Dubai will operate the largest international medical centre between Europe and South-East Asia. It is set to include a branch of the prestigious Harvard Medical School. Hospital waiting lists, the high cost of private medical insurance and the scarcity of dentists are all driving the industry. The growth of medical tourism allows patients to regain some of the control lost to them in their local public systems, as well as slash the cost of specialist fees. For Americans without insurance, global tourism can simply mean affordable healthcare. It also allows health-care practitioners in developing countries to compete with health providers in developed countries while boosting national tourism earnings. Hankins’s Indian dentist, Dr Sandeep Singh, saw two South American websites offering dental services at 20 to 50 per cent less than the US equivalent, and thought: “Why not India?” He and his dentist wife now run two clinics for international patients. “We take care of everything,” he says. “We create tour packages around the dental work.” Government internet sites such as incredibleindia.org and tourismthailand.org offer links to detailed information about medical services and procedures in their countries. The tourism authority in Thailand ran adverts in Canada this year for “sun, sand and surgery”, while Thai Airways was packaging medical check-ups into holiday programs. Hankins took a month to research dental options before settling on Singh. He says cost was of great importance because of the amount of dental work that was needed. “Going to India saved me about a third to a half in costs, and that included all fares and accommodation.” A single porcelain crown at one of Singh’s clinics costs about $350, while a three-unit bridge costs $950, compared with upwards of $3500 in Australia. The cost of some medical treatments in Asia can be one-tenth of those in Europe or the United States. But what about quality of care? There are horror stories, of course, particularly about cosmetic surgery, and prospective patients should carefully check the qualifications of the selected practitioner before deciding. Bumrungrad Hospital in Bangkok has more than 200 surgeons who are certified in the US. India has an enormous pool of highly trained doctors. The major providers also go out of their way to provide patients with personal care and services such as limousine travel from the airport to the hospital and private chefs. Hankin’s own experience in India backs this up: “Outside the door there is poverty and dirt everywhere, inside it’s just like every other dental surgery.” It is unlikely that medical tourism will ever overtake the level of care people access in their own countries, but for anyone with a passport and a sense of adventure it could be a viable alternative. Hankins certainly thinks so. He is planning another visit to India for further treatment. Visit : www.sahajdental.com _________________ Dr Sandeep Singh Director A Complete Dental Care : Sahaj Dental Clinic http://www.sahajdental.in http://www.sahajdental.com http://www.dentalclinicindia.org

Dr. Sandeep  Posted on 16-05-2007

The ‘Tourism’ Factor In Indian Dentistry : Dental Tourism

Foreigners are eyeing India as a new destination for dentistry, but dental tourism still has to pick up pace, says Jayata Sharma Tourism and medicine have become synonymous in India. And the latest one to join the bandwagon is our line of talented dentists. Holidaying in India has become all the more relaxing as the tourists are set to get a perfect smile, new crowns and fresh implants, all at a much lower cost than other countries. The result is that tourists can spend the rest of their time relaxing in the wide range of mystic places in India. “Dentistry has an edge over other medical treatments as hospitalisation is not required and tourists can just roam about and have fun while getting treated,” says Dr Sandesh Mayekar, Founder President, Indian Academy of Aesthetic & Cosmetic Dentistry, Mumbai. The maximum patients come from countries such as Germany, France, the UK, the US, Canada, Australia, New Zealand, Ethiopia, Middle East, the former Soviet Republics, South Africa, Spain, Singapore and Denmark. Though foreign patients are flocking to various parts of the country for dentistry, the four metros witness the maximum inflow. NRIs have been trooping to India for dentistry for as long as 30-40 years now. But experts hold that real dental tourism is when foreign patients come to India in large numbers solely for treatment purposes. “If a single patient visits a dentist once in a while, then this is not dental tourism. When we have large volumes of patients visiting many dentists all over India, we can say there is business,” opines Dr Ajay Kakar, Periodontist, Mumbai. Experts say that dental tourism in India is still in its infancy and growing at the rate of around 20-25 per cent annually. On an average, every dentist in India has 25-30 foreign patients annually. Why Tourists Flock To India : “Foreign patients have to pay through their nose to get treatment privately there” Dr Bela Jain Orhtodontist New Delhi The Cost Factor: Dental treatment is generally not reimbursed by the health schemes of many countries. “Patients have to pay through their nose if they get treatment done privately,” avers Delhi-based Orthodontist Dr Bela Jain. “Foreign tourists save almost 75 per cent on total treatment cost by coming to India,” informs Dr Sandeep Singh, Cosmetic Dentist, Allahabad. And why is the treatment less expensive? With more than 15,000 dentists in the metros, India is well equipped with dentistry. Tourists receive quality treatment in India primarily due to low labour cost as compared to any other region in world, viz the Middle East, Western Europe, the US, or the UK. “Our overheads are less, because dental assistants are not that expensive here. Plus, in India, finding assistants is also easy,” says Dr Mayekar. Thus, even if the cost of materials and equipment stays the same, the overall cost of the treatment plunges. “We strictly adhere to our quality control measures” Dr Sandeep Singh Cosmetic Dentist Gurgaon [NCR New Delhi] & Allahabad http://www.sahajdental.com Low cost does not mean compromise in treatment. “We strictly adhere to our quality control measures for equipment, materials, procedures and lab technicians,” insists Dr Singh. Easy Appointment: In other countries, patients have to wait for months to get an appointment. “What makes India favourable for dental treatments is that online appointments are possible here,” says Dr Balvinder Thakkar, Orthodontist, Jaipur. An additional factor is that dentists abroad do not spend much time with their patients. “One of the things international patients appreciate is the quality time we spend with them,” says Dr Jain. Clubbing With Tourism: India has a great cultural history and Indian philosophy is internationally acclaimed. “The varied nature of the Indian population with respect to language, religion, practices, celebrations and geography is very interesting and enticing for foreign travellers,” says Dr Prasanth Pillai, Oro-maxillofacial Surgeon, Kochi. Moreover, travel and accommodation in India are certainly cheaper than in Western countries. “We first consult the patient and look at his records online. This way, the treatment is decided before the tourist arrives in India. We keep everything ready; only the fixing has to be done. When the tourists arrive, they have to spend minimal time at the clinic and the rest can be utilised for tourism,” avers Dr Thakkar. An Irish patient at Dr Singh’s Allahabad centre, along with the treatment, immensely enjoyed her stay at Varanasi. An Australian patient who came to his Gurgaon centre had a memorable visit to the Taj Mahal at Agra. Apart from the patient directly getting in touch with doctors, liaison agencies are providing the bridge between the foreign patient and the Indian dentist. “Patients also come after browsing the Web where the dentists give attractive packages so as to club treatment with fun,” says Chandigarh-based Dr Sanjay Kalra, Professor and Head, Department of Prosthetics at BRS Dental College, Panchkula. Categorising Patients : NRIs: These people like to visit India more often as their roots are here. And it is easy for them to seek out dentists here, as they are aware of the setup in India. Such kinds are easy to attract. People Of Indian Origin: They are the second or third generation Indians born abroad and have nothing to do with India directly. These only have a vague idea of what India is all about. This category is difficult to break, but when they come to India they are potential patients as they are not on the look out for saving money. They might not visit Indian dentists until someone prods them. Purely Treatment-specific: These are the ones who come only for treatment purposes. When this category visits, then it can be termed as real dental tourism. They research well in advance and know what they are seeking. This category is visiting India, but only sporadically. Leisure Seeking: They are the ones that come for travel and tourism purposes, stay at places where they can enjoy their holidays along with their treatments. Business Oriented: They come mainly with business as their motive. These choose a dentist in the same city where they are visiting for business, as they do not want to stay for long. Benefits To Indian Dentists : As far as benefits are concerned, various dentists have their own ideas. But two things are a sure extract from foreign patients: international exposure and monetary benefits. “I get lots of work and a good feeling that you are going global. Another important factor is that the turnaround time is fast,” is what Dr Kakar thinks has benefited him. “Monetary benefits from a single foreign patient are far more than the combined benefits of our domestic patients,” says Dr Thakkar. And for Dr Mayekar, “Aesthetic dentistry is a high-cost job, and as a result margins are higher.” Comparison Of The Cost Of Few Treatment Procedures Between USA And India Dental procedure : Cost in US ($)—Top End Dentist Cost in India ($)—Top End Dentist Dental Implants - 4,000.00 Dental Implants - 1,000.00 Marketing Mantras : Most dentists in India market individually and mainly through their websites. However, to tap dental tourism they are now exploring various options. For instance, Dr Kakar, who also runs his clinic called LeVisage, is exploring opening channels in the UK and the US. “All my foreign patients have come through word of mouth, but I have spoken to people in London and US for partnership,” says Dr Mayekar. “In addition to running a website, I have my own travel agency. So, promoting our clinic becomes easier,” says Dr Thakkar. Tie-ups with tourism websites work for others. “We have tie-ups with tourism websites like inosoftsystems.com, run by Incredible India, the official website of the Ministry of Tourism, Government of India. A big achievement is the good ranking that we have in all major search engines like Google, Yahoo and MSN,” says Dr Singh. Hurdles In Dental Tourism : India has given medical tourism quite a boost, but has conveniently neglected dentistry, rue dentists. A case in point is a business tourism development conference held in London in May this year, which was organised by the Department of Tourism, Government of India. All fields of medicine in India were projected extensively, except dentistry. “Dentistry is not yet marketed properly abroad. What we need is an official body of dentists which will promote Indian dentistry and set up criteria for diagnosis, treatment, and post-operative care,” suggests Dr Mayekar. Many dentists are of the view that they should get support from the Indian Government and the tourism and hospitality industry. “We do not have adequate language experts to help tourists” - Dr Sandesh Mayekar Aesthetic Dentist Mumbai Language is another roadblock. “We are losing out on Japanese patients as we do not have enough language experts for communicating with them,” adds Dr Mayekar. “Infrastructre and proper amenities are not available in India” - Dr Ajay Kakar Peridontologist Mumbai Lack of proper infrastructure and amenities also poses hurdles. “When the tourists alight at the airport, they start doubting our quality, and the worst part is when they have to pass through slums,” says Dr Kakar. Several overseas patients are concerned about the sterilisation and disinfection methodology adopted by Indian doctors. “Accreditation norms for institutions should be in place and monitored by a neutral governing body,” opines Dr Pillai. Patient follow-up of foreigners in their country is another stumbling block. “What worries them is, if something goes wrong, who will take care of it, as they cannot frequently visit India,” states Dr Singh. The Road Ahead : Indian dentists are now planning strategies on a large scale to promote India as the best destination for dental tourism. “I will have a strategy with no loopholes. Tourists will be picked up from the airport, taken to the hotel and from there directly to the clinic. I won’t give them time to see the filth around and have second thoughts about our standards of healthcare,” says Dr Mayekar. “I do not believe in marketing individually, we should have a consortium of dentists to market Indian dentistry globally. This whole concept is so huge that we ought to have a controlled network of dentists all over the country,” avers Dr Kakar. While some dentists feel that the Government should authorise various clinics in the country, others counter that the Government should not meddle in this, as it will only delay procedures. “The Indian Dental Association (IDA) can identify dentists doing quality work and maybe put out an official listing,” avers Dr Jain. There should be periodic evaluation of the treatment standards being provided by the institutions. This will ensure that the standard infection control protocol as well as treatment protocol is maintained, which in turn will improve patient satisfaction. Dentists stress the involvement of dentists in the promotion of Indian dentistry, as they think promotion should not be done by someone who does not understand dentistry. Having NHS-accredited dental clinics in India is another solution. Two years back, the British Government published a study stating that their country was short of dentists. And, of late, NHS is referring their patients to some dentists in India. NHS is also considering hiring dentists from India temporarily. For this, they will first screen dentists and then employ them at an appropriate remuneration and give them temporary work permits. What is perhaps more advisable is that NHS recognises various clinics and dentists in India and provides them with NHS accreditation. They already have this scheme running in the UK, and NHS pays dentists a staggering sum for their services. “We can have NHS Service Centres in India, whose technologies will be accredited by the NHS. An average rate of the cost in the UK (or any other country) and rate in India can be fixed and charged to the patients coming from abroad. This way, India and NHS both can benefit,” observes Dr Kakar. Let us hope all the points of concern are sorted out, and the new face of Indian dentistry emerges soon. Courtsey : jayata@expresshealthcaremgmt.com _________________ Dr Sandeep Singh Director A Complete Dental Care : Sahaj Dental Clinic http://www.sahajdental.in http://www.sahajdental.com http://www.dentalclinicindia.org

Dr. Sandeep  Posted on 16-05-2007

role of pnf techniques in chest physiotherapy

pnf is technique is neuromuscular proprioception technique for respiratory muscles for ventilated patients to improve their lung capacity and saturation of pao2 and also decrease respiratory rate in individual with repitition of 20 in each session which followed at least 5 sessions in one chest physiotherapy treatment.

Dr. nirali  Posted on 22-01-2008

FAQs On Hemorrhoids [Piles]

Piles2Smiles ? Hemorrhoids have plagued mankind since time immemorial ; yet many misunderstandings regarding hemorrhoidal complains and disease still exist ? Hemorrhoids, or piles, are one of mankind's most common and nagging disorders. By themselves, hemorrhoids are rarely serious, but they can be extremely troublesome. In some instances, they may mask a more serious disorder, such as colon or rectal cancer. ? Therefore, hemorrhoids require the proper diagnosis and treatment by a physician . ? Some Facts : ? Did you know Hemrrohoids may be the butt of jokes yet 50% of us will suffer from piles at some time in our lives... ? Piles can affect anyone - anytime, anyplace, anywhere ! ? The average person suffers in silence for a long time before seeking medical care ? Today’s treatment methods make most type of Hemorrhoid Treatment less painful ? Although piles can be a big old pain in the bum when they first develop, they are easily treated. ? What are Piles : ? Piles, also known as hemorrhoids, are swollen blood vessels in the back passage . ? There are two types of piles, internal and external : ? 1. Internal piles - these small swellings are the most common form and appear as bright red, shiny swellings tucked away in your bottom. ? 2. External piles - these protrude from your bottom and often look dark red or dusky purple, sometimes resembling a bunch of grapes. ? But what causes piles? ? Causes : ? There are many causes of hemorrhoids, they could be caused by one or more of the items in the following list. ? It can be hereditary with congenital weakness of the vein walls. ? In man, due to erect posture there is high pressure in rectal veins. ? Straining by constipation and over purgation. ? Dysentery may aggravate latent hemorrhoids ? Hemorrhoids are also common among pregnant women. The pressure of the foetus in the abdomen, as well as hormonal changes, cause the haemorrhoidal vessels to enlarge. ? What are the symptoms of piles? ? The symptoms of piles vary from person to person and you might experience one, some or all of them. ? [Pointed with marker are hemorrhoids] ? Symptoms : ? Hemorrhoids cause itching, burning, swelling or pain., which can be really quite severe. ? Itching may be present due to swelling and irritation produced by the hemorrhoids. ? Bleeding from the anus is more common with internal than external hemorrhoids. It can occur before, during, or after defecation. It usually is bright red blood, not usually mixed in with the motion ? Protrusion of the hemorrhoids from the anus occurs frequently. This usually occurs after defecation, prolonged standing, or unusual physical exertion. ? If bleeding is profuse patient may have anemia ? There is often a feeling of something coming down, or a bulge or lump at the anus. ? If a haemorrhoid at the outside of the anus gets a blood clot in it (thrombosed external pile) it leads to a particularly tender, hardish lump. ? Little changes can make a big difference ? Hemorrhoids Prevention: ? “An ounce of prevention is worth a pound of cure". ? Prevention of hemorrhoids is all about lifestyle changes. ? One of the best methods of hemorrhoids prevention is to make sure that you keep your stools soft; this will reduce pressure during bowel movements and keep you from straining. ? Eat lots of high-fibre foods to help avoid constipation. Brown rice, wholemeal bread, ? vegetables and fruit should all be on your menu but cut down on refined and processed foods such as cakes and biscuits. ? Drink plenty of fluids, especially water and fruit juices, but try to avoid coffee and alcohol which can dehydrate you and lead to constipation. ? Take regular light exercise - walking and swimming are ideal. ? Make time to go to the toilet and go whenever you need to. ? Save the reading for the sofa - it’s not good to sit on the toilet for longer than necessary. ? What Is New in Management Of Hemorrhoids? ? What the latest in Biomedical engineering has to offer is easy and effective methods for treatment of Piles without much discomfort, prolonged hospitalisation and anaesthesia. Replacing the conventional, cumbersome operative treatments, There are evidence based methods available like Cryo-Therapy, Infra-Red Coagulation, Doppler Guided Hemorrhoidal Artery Ligation, Radio Frequency, PPH Stapplers and Laser Therapy. Early treatment of Piles is easy both for the patient and doctor. ? Diagnosis: ? Diagnosis made out from a good history and rectal examination & Proctoscopy ? Complications of hemorrhoids: ? Strangulations ? Thrombosis ? Gangrene ? Severe Hemorrhage - Treatment includes a local compress, blood transfusion and immediate surgical intervention

Dr. Ajit Naniksingh Kukreja  Posted on 22-08-2007

MARKETED BRAND OF ALL DRUGS COMMON IN ALL MEDICAL SHOPS

I NEED THE AVAILABLE MARKETING ALL DRUGS BRAND NAMES COMMMONLY AVAILABLE IN ALL MEDICAL SHOPS. I SUFFER WHEN MY PATIENTS TOLD ME THAT MY PRESCRIBED DRUGS NOT AVAILABLE IN MEDICAL SHOP

Dr. M.SURESHKUMAR  Posted on 24-07-2007

MEDICAL DISORDERS AND NAILS

Beau's lines Beau's lines are indentations that run across your nails.They can appear when growth at the area under your cuticle is interrupted by injury or severe illness, such as a heart attack. Beau's lines may also be a sign of malnutrition Terry's nails With the condition known as Terry's nails, your nails look opaque, but the tip has a dark band.Sometimes this can be attributed to aging. In other cases, it can be a sign of serious illness, such as: Cancer Congestive heart failure Diabetes Liver disease Yellow nail syndrome Yellow or green discoloration in your fingernails may result from a respiratory condition, such as chronic bronchitis, or from swelling of your hands (lymphedema). In yellow nail syndrome, nails thicken and new growth slows. Nails affected with this condition may lack a cuticle and may detach from the nail bed in places.The discoloration occurs because of the slow growth of your nails. Although this condition is often a sign of respiratory disease, it's possible to have yellow or green nails and not have a respiratory condition. Yellow or green nails may also result from any condition that causes the growth of your nails to slow down. Pitting Small depressions in the nails are common in people with psoriasis — a skin condition that produces scaly patches — or nail injuries. Pitting may cause your nails to crumble. Pitting is also associated with conditions that can damage your nail's cuticle, such as chronic dermatitis of your fingers or alopecia areata. Clubbing Clubbing occurs when the tips of your fingers enlarge and your nails curve around your fingertips. This condition results from low oxygen levels in your blood and could be a sign of lung disease. Spoon nails Spoon nails (koilonychia) are soft nails that look scooped out. The depression usually is large enough to hold a drop of liquid. Spoon nails may be a sign of iron deficiency anemia Thickened toenails: What causes them? Your toenails can thicken for many reasons. These include an injury, skin conditions such as psoriasis, tight or poorly fitting shoes, and fungal infections — as shown in this picture.Among these, a fungal nail infection — onychomycosis (on-i ko-mi-KO-sis) — is the most common cause of thickened toenails. Nail separates from nail bed With a condition known as onycholysis, your fingernails become loose and can separate from the nail bed. If your nails show signs of detaching, this may be associated with:Injury Thyroid disease Fungal disease Drug reactions Reactions to nail hardeners or acrylic nails Psoriasis

Dr. KRISHNAMURTHY B RAVVA  Posted on 25-10-2005

"Teenager Dynamic": The Psychology of Transformation By Dr George Kaliaden, Ph.D.

Teenager Dynamic Comprehensive Self-Development and Educational Support Program “He / she Can do better.” Your teenage son or daughter might have been told this many times over…by teachers, friends or by you, the parents. But the question is “how?” Most of us recognize that a change is necessary; but how to bring about that change? How to sustain motivation? How to make them achieve better? How to make them better organized and responsible? How to deal with fear, anger, frustration etc? How to help them communicate better and be more sociable? How to instill in them a sense of purpose and the habit of setting clear goals? In other words, how to make them more successful, more efficient and happier? You probably have been searching for an answer for these and similar questions concerning teenage life. There are some students who are smart, but they get easily bored or distracted in studies. Many teenagers have problem in remembering what they studied and therefore perform poorly in exams. Sometimes they are too worried and tense before or during exams. Some teenagers might have been high-performers once, getting top ranks, but lately have become easy-going and laid back. There are others who are doing reasonably well now but cannot get to the top, in spite of their very high intelligence and abilities. Therefore they lack that competitive edge in academic work and career pursuit. THE PROBLEM You might have already tried persuasion, punishment, incentives or even some advice by teachers or school counselors. You might have tried yoga, breathing exercise, NLP courses or personality development classes as possible solutions. When nothing worked, you might have either given up, or have been dreaming of a “magic” that alone could make a difference and transform your teenage son/daughter. THE SOLUTION For many parents the Comprehensive Self-Development and Educational Support Program called “Teenager Dynamic” has turned out to be the solution that they have been looking for. The positive outcome created by us in the 105 Batches of Teenager Dynamic Training has proved the reliability of this magic time and again. The program therefore has proved itself and it is now widely acknowledged by many doctors and other professionals like teachers, principals, pastors etc. and recommended as the right “solution” for the problem that many parents face. Its uniqueness is now widely recognized internationally by psychological professionals and practitioners. WHAT IS TEENAGER DYNAMIC? Teenager Dynamic Comprehensive Self-Development and Educational Support Program ( CSD-ESP ) developed by Dr George Kaliaden as a part of his professional work as a Consultant Psychologist in Dubai. It is an intensive transformational program that empowers any teenager to effectively deal with common aspects of teenage development, attitude and behavior in relation to his home, school and peer group. Each individual admitted to the program goes through detailed assessment and in-depth interview on the basis of which a personalized plan is designed for him/her. We identify the specific needs and potential of each teenager and personally guide him/her in developing the necessary attitudes and skills. We apply highly specialized training methods and therapeutic group processes. We provide them with the tools and techniques of sustaining motivation, studying better and achieving “peak performance” WHAT MAKES IT UNIQUE? Teenager Dynamic has a history. It is rooted in the extensive clinical and educational experience which I am privileged to have. I will share with you some insight into what motivates a teenager to enter the TD program and stay in it until the goals are achieved. 1. A teenager will continue in a program only if the outcome is valued. Most teenagers, even those who first come into the program reluctantly, soon discover what value the program would add to their own lives. This motivates them to stay on. 2. The teenager opts and follows through the program because it is consistent with his/ her personal needs at the time of joining. We help each individual establish realistic levels of goal attainment. The experience of positive growth is reinforcing by itself. 3. The program balances intrinsic and extrinsic reward structures in cooperation with parents. 4. The program gives them the confidence that the effects created during the training can be produced by themselves in the future by following the tips and directions . 5. Within the first couple of hours of encounter, the teenager does carry out a quick “cost-benefit” analysis in his mind and soon comes toi a conviction that this program is going to be something that would help him immensely. 6. What the participants continue to believe about the program is based on their own personal experience and therefore these beliefs are likely to shape their subsequent attitudes and behaviour throughout the program. 7. The positive and negative social influences including family, peer group and school are taken into account in the program 8. Conflicts that might have existed in the teenager’s mind regarding the program are addressed initially in order to facilitate better adaptation. 9. The earlier habits of structuring time and establishing priorities are constantly reviewed in the light of the new goals. 10. The structure and dynamics of the teenagers’ inner motivation undergo changes during the program. They learn to want what they personally need and learn to value what they already have and what they willfully create for themselves. My long research in man-environment systems in India and USA and my decade long therapeutic experience as a Psychologist in Dubai has contributed to the development of the program. My interdisciplinary training and multi-cultural exposure has helped me in making program acceptable and beneficial to the youth from different ethnic backgrounds – Indian, European, Canadian, UAE local, African etc. As much as the program content and format, what appeals to teenage participants is its power to seize their imagination and to help them sustain their attention throughout the program. They invariably come out with such enthusiasm and a “never-before” experience of self-discovery and inner strength. That outcome involves a great deal of professional skill in group processes. If you are one of those parents searching for that magic which alone would change and transform your teenage son/daughter, the opportunity is right here for you to discover. Like many other parents, you too will be amazed at the quick and substantial changes that happen to him/her in course of the program. Be a ‘Teenager Dynamic’ A Personal Invitation to Inspired Students….. “You know you can do better”. Everyone tells it too…. your teachers, parents, good friends… But HOW? How exactly can you get there and be actually doing better. This is what no one has shown you so far. What tools? What reliable techniques? How can you score much higher? How can you create more energy within and more enthusiasm for studies? How to develop the right attitudes and skills to help you achieve more? How to enhance you attention, concentration and memory? How to increase your reading speed and comprehension? How to communicate well and deal with negative emotions like anger and frustration? In short, HOW TO BE MORE EFFICIENT & HAPPIER? If you have not asked these questions to yourself already, it is time to do so. Rather, we will ask that question together. Here is a transformational program designed just for you; to help you reach higher levels of functioning not only in studies, in every aspect of your life – for years to come. Here is a rare opportunity for you to prepare yourself to face the challenges of college life and youth interactions -- with confidence and inner strength. You are invited to be surprised as you discover that Teenager Dynamic is not what you thought it was…. as you begin to treasure that experience for the rest of your life, as many hundreds of successful teenagers did before you. Welcome to Teenager Dynamic … Happy Treasure-hunting !!! Dr George J. Kaliaden, Ph.D. Institute of Professional Psychology IPP Consilium, Palachuvad, Kakanad West Cochin 682030 Tel: +091-9846110021 UAE Representative: Harvard Management Consultants 06-5564461 / 050-6524285 www.e-psychologist.net E-mail: kaliaden@gmail.com READ, INSPIRE, TRANSFORM..... “Teens & Parents” Quaretrly Journal Published by IPP Publications www.e-psychologist.net

Dr. Rani George Kaliaden  Posted on 29-06-2007

Dental Tourism : Save & Enjoy

Welcome to the World of Sahaj Dental Clinic : A Complete Dental Care : Offering a great opportunity to experience Mystic India with World Class Dental Treatment. Where you Save & Enjoy, both. Dental Tourism is a budding concept for a planned vacation along with total Dental solution and care. Health problems and treatment are very costly in most of the European and American countries compared to this part of the world. We provide excellent package to meet your treatment expenditure and at the same time guide you to spend the vacation. You can enjoy your holidays and receive services related to Dentistry such as Dental Implants at a very affordable price. A dentist can charge $300 to $400 for a Dental Filling in USA & Europe. It costs only $20 to $40 in India. A Root Canal is $3,000 in the West but only $100 to $200 in India. Dentures can cost $1000 overseas but only $200 in India. Dentistry is a growing industry with 13,000 practicing dentists in the US. However, at the same time it is not affordable by average citizens due to the expensive Dental Care Services. Dental treatment is generally not reimbursed by the National Health Schemes of some countries and is too expensive. The difference in charge of a Dentist from US to India is worth a thought. That is why India has recently become a major tourist hub of Dental Care Solutions. You can have your tooth fixed and make your holidays memorable at the same time or simply, enjoy the different hues of Mystic India and get the Dental treatment done without getting a hole in your pocket. "Buying Expensive things make you feel bad once only, but the bitterness of poor quality lingers long, even after the sweetness of low cost is forgotten" - Dr. William Dickerson In spite of low cost, you are still getting Quality Treatment in India primarily due to low labor cost as compared to any other region in world viz. Middle East, Western European Countries & United States of America. Probably for this reason, it is possible to receive high quality Dental Treatment at Sahaj Dental Clinic, Allahabad & Gurgaon, India, up to 75% less than what you would pay at home for the same. At Sahaj Dental Clinic, "Quality is First & Foremost". That is why, in spite of being so cost-effective, we strictly adhere to the Quality Control of our Equipments & Facilities, Materials, Procedures practiced in Dentistry & the Professional competency of our Dentists & Lab Technicians. Because, savings are only meaningful if the patient receives Quality Treatment, equal to or better than that available in their home country. Courtesy : Dr Sandeep Singh Visit us at : http://www.sahajdental.com / http://www.dentotourism.net

Dr. Sandeep  Posted on 29-07-2005

Dental Implants & Dental Tourism

Welcome to the World of Sahaj Dental Clinic : A Complete Dental Care : Offering a great opportunity to experience Mystic India with World Class Dental Treatment. Where you Save & Enjoy, both. Dental Tourism is a budding concept for a planned vacation along with total Dental solution and care. Health problems and treatment are very costly in most of the European and American countries compared to this part of the world. We provide excellent package to meet your treatment expenditure and at the same time guide you to spend the vacation. You can enjoy your holidays and receive services related to Dentistry such as Dental Implants at a very affordable price. A dentist can charge $300 to $400 for a Dental Filling in USA & Europe. It costs only $20 to $40 in India. A Root Canal is $1,500 in the West but only $100 to $200 in India. Dentures can cost $1000 overseas but only $200 in India. Dentistry is a growing industry with 13,000 practicing dentists in the US. However, at the same time it is not affordable by average citizens due to the expensive Dental Care Services. Dental treatment is generally not reimbursed by the National Health Schemes of some countries and is too expensive. The difference in charge of a Dentist from US to India is worth a thought. That is why India has recently become a major tourist hub of Dental Care Solutions. You can have your tooth fixed and make your holidays memorable at the same time or simply, enjoy the different hues of Mystic India and get the Dental treatment done without getting a hole in your pocket. "Buying Expensive things make you feel bad once only, but the bitterness of poor quality lingers long, even after the sweetness of low cost is forgotten" - Dr. William Dickerson In spite of low cost, you are still getting Quality Treatment in India primarily due to low labor cost as compared to any other region in world viz. Middle East, Western European Countries & United States of America. Probably for this reason, it is possible to receive high quality Dental Treatment at Sahaj Dental Clinic, Allahabad & Gurgaon, India, up to 75% less than what you would pay at home for the same. At Sahaj Dental Clinic, "Quality is First & Foremost". That is why, in spite of being so cost-effective, we strictly adhere to the Quality Control of our Equipments & Facilities, Materials, Procedures practiced in Dentistry & the Professional competency of our Dentists & Lab Technicians. Because, savings are only meaningful if the patient receives Quality Treatment, equal to or better than that available in their home country. Courtesy : Dr Sandeep Singh Visit us at : http://www.sahajdental.com / http://www.dentotourism.net

Dr. Sandeep Singh  Posted on 29-11-2005

Dental Tourism

Ours is the most Cost-effective destination for Dental Implants with World Class Dental Care at both the Centers. Recently we placed 3 implants in our patient from Ireland at our Allahabad Centre. Along with Dental Treatment she enjoyed the stay at Varanasi a lot. Shez planning to return for second phase of her treatment after 4-5 months along with her boyfriend. It was really cost-effective for her as she was supposed to pay 5000 Euros for One Single Implant in her own country & here at Sahaj Dental Clinic, she paid only US$ 3150 for all three Implants & related complete treatment procedure. Another patient we got from Australia , on 22nd July'2005. He also got 3 Implants fixed in his Upper jaw with Direct Sinus Lift. He came to our Gurgaon Centre & had a memorable visit to Great "Taj Mahal" at Agra. Right now I'm working on one of my patient from London,U.K. Mr. Hood is going to get 6 unit Full Ceramic Bridge for upper ant. teeth. That's a whole lot of saving along with great vacation.

Dr. Sandeep  Posted on 29-11-2005