Health Information

Health Information

Articles by PhysiciansGeneral Health ArticlesNewsletterVDOPodcast

Search

มารู้จักการจัดฟันกันเถอะ

การจัดฟัน คืออะไร การจัดฟัน (Orthodontic Treatment) เป็นการเคลื่อนฟันไปยังตำแหน่งที่เหมาะสม การจัดฟัน คืออะไร การจัดฟัน (Orthodontic Treatment) เป็นการเคลื่อนฟันไปยังตำแหน่งที่เหมาะสม โดยอาศัยเครื่องมือบางชนิดซึ่งมีทั้งแบบถอดได้และแบบที่ยึดติดอยู่กับตัวฟัน แบบที่อยู่ในช่องปากและแบบที่อยู่นอกช่องปาก นอกจากนี้ การจัดฟัน ยังรวมไปถึง การแก้ไขลักษณะนิสัยที่ผิดปกติในการบดเคี้ยว การเปลี่ยนแปลงหรือแก้ไขการเจริญเติบโตที่ผิดปกติของขากรรไกรอีกด้วย เพื่อให้ได้ประโยชน์สูงสุด ทั้งในด้านความสวยงาม และการทำหน้าที่ ข้อดีและข้อเสียของการจัดฟัน ข้อดีของการจัดฟัน 1. การบดเคี้ยวอาหาร การจัดฟันจะทำให้บดเคี้ยวอาหารได้ดียิ่งขึ้น และย่อยอาหารได้ดียิ่งขึ้น กระเพาะอาหารไม่ต้องทำงานหนักจนเกินไป เนื่องจากการบดเคี้ยวเป็นขั้นแรกในการย่อยอาหาร 2. ทำให้ปัญหาต่างๆ ทางทันตกรรมลดลง - ฟันซ้อนเกจะทำให้เราทำความสะอาดหรือแปรงฟันได้ยาก และไม่ทั่วถึง ส่งผลให้มีคราบอาหารและคราบจุลินทรีย์รวมทั้งหินปูนมาเกาะจับที่ตัวฟันอยู่เยอะ ซึ่งถ้าปล่อยทิ้งไว้นานๆ ก็จะเป็นสาเหตุทำให้เกิดฟันผุและโรคเหงือกได้ - ฟันซ้อนเกจะทำให้เมื่อเราใช้ฟันในการบดเคี้ยวอาหารประจำวัน จะเกิดการสึกของฟันในตำแหน่งที่ไม่ควรจะเกิด ทำให้การสบฟันผิดจากตำแหน่งปกติที่ควรจะเป็น จึงส่งผลให้ยิ่งนานไป ยิ่งจะทำให้เกิดปัญหาต่อตัวฟัน เหงือกและข้อต่อขากรรไกร 3. ความสวยงาม การจัดฟันจะทำให้ฟันเรียงตัวสวยงาม เป็นการเสริมสร้างบุคลิกภาพและเพิ่มความมั่นใจแก่ตัวเองอีกด้วย ข้อเสียของการจัดฟัน                                      1. ฟันผุ เหงือกอักเสบ เนื่องจากการที่เรามีเครื่องมือจัดฟันอยู่ในช่องปาก จะทำให้การทำความสะอาดเป็นไปได้ยาก ส่งผลให้เกิดฟันผุและเหงือกอักเสบได้ง่าย ผู้ที่จัดฟันจึงควรแปรงฟันอย่างสะอาดทั่วถึงหลังจากมื้ออาหารทุกมื้อ 2. อาการแพ้สาร ที่เป็นส่วนประกอบในเครื่องมือจัดฟัน บางคนแพ้สารนิเกิลที่เป็นส่วนประกอบในเครื่องมือจัดฟัน แต่พบได้น้อยมาก 3. อาการเจ็บ พบได้เกือบทุกคนที่จัดฟัน อาการเจ็บนี้มักเกิดจากการเคลื่อนตัวของฟัน หรือเกิดจากเครื่องมือจัดฟันไปทิ่มกับเนื้อเยื่อภายในช่องปาก อาการเจ็บจะเป็นในบางช่วงของการจัดฟันเท่านั้น 4. อาการปวดข้อต่อขากรรไกร อาจเกิดขึ้นได้ระหว่างการจัดฟัน เนื่องจากฟันเคลื่อนตัวไปในตำแหน่งที่ไม่เหมาะสมต่อการบดเคี้ยว 5. ฟันตายหรือรากฟันมีการละลายตัว พบได้ไม่บ่อยนักในผู้ที่มีการจัดฟัน อย่างไรก็ตามเราพบว่าในระหว่างการจัดฟันนั้น ฟันที่ตายไปแล้ว อาจจะย้อนกลับมามีชีวิตดังเดิมได้ และในคนปกติที่ไม่ได้จัดฟันรากฟันก็จะมีการละลายตัวได้เองอยู่แล้ว ระยะเวลาที่ใช้ในการจัดฟัน                  ระยะเวลาที่ใช้ในการจัดฟันนั้น จะแตกต่างกันไปในผู้ป่วยแต่ละราย โดยเฉลี่ยการจัดฟันแบบติดแน่นนั้นใช้เวลาประมาณ 1.5 - 2.5 ปี แต่ก็ยังมีปัจจัยหลายๆ อย่างที่ทำให้ระยะเวลาที่ใช้ในการจัดฟันแตกต่างกันไป ดังนี้ 1. ผู้ใหญ่หรือผู้ที่มีอายุมากกว่า มักจะใช้ระยะเวลาในการจัดฟันมากกว่าผู้ที่มีอายุน้อยกว่า 2. การจัดฟันที่มีการถอนฟันร่วมด้วย มักจะใช้เวลาในการจัดฟันมากกว่าการจัดฟันที่ไม่มีการถอนฟันร่วมด้วย 3. การจัดฟันที่มีการผ่าตัดขากรรไกรร่วมด้วย มักจะใช้เวลามากกว่าการจัดฟันที่ไม่มีการผ่าตัดขากรรไกร 4. การผิดนัดบ่อยๆ ย่อมทำให้เวลาในการจัดฟันนานขึ้น         5. การไม่ปฏิบัติตามที่แพทย์สั่ง เช่น การใส่ยางหรือการใส่เครื่องมือจัดฟันชนิดถอดได้ ย่อมทำให้เวลาในการจัดฟันมากขึ้น 6. การรับประทานอาหารโดยการไม่ระมัดระวัง จะทำให้เหล็ก ยางหรือลวดจัดฟันหลุด หรือเสียหาย ย่อมทำให้ระยะเวลาในการจัดฟันมากขึ้น

See More

WORLD KIDNEY DAY 2018

WORLD KIDNEY DAY 2018 falls on March 8th, 2018 in the Thai calendar year 2561.   The theme of the event is "Kidneys & Women's Health". Chronic kidney disease (CKD) is a global public health issue that can lead to kidney failure and premature death. Approximately 195 million women worldwide suffer from CKD, which is the 8th leading cause of death for women, with nearly 600,000 women dying each year from the disease.   The risk of CKD is equal for both men and women, although in some areas, women have a higher incidence of the disease, with 14% of women affected compared to only 12% of men. However, women tend to receive less treatment for CKD, including dialysis and kidney transplantation. Women are also more likely to be donors than recipients of kidneys, which highlights the importance of equal access to treatment.   Systemic lupus erythematosus (SLE) is a disease that is common in women and is an autoimmune disease that can cause inflammation of the kidneys and eventually lead to kidney failure. Urinary tract infections are also common in women of all ages, from childhood to old age, especially during pregnancy. If not treated properly, UTIs can lead to sepsis and sudden kidney failure, which can be fatal. In young girls, recurrent UTIs can cause kidney scarring and eventually lead to CKD. Diagnosis of kidney disease can be made through urine tests, which can detect red blood cells, white blood cells, and protein in the urine.   Kidney Disease and Pregnancy   Women with chronic kidney disease have difficulty getting pregnant and may have poor pregnancy outcomes for both the mother and the baby. These women often have high blood pressure and may develop toxemia of pregnancy. Babies may be born prematurely and have lower birth weights than normal.   In women with end-stage renal disease, those who require dialysis often cannot conceive or may have a miscarriage or stillbirth. However, women who have received a kidney transplant and whose kidneys function normally can conceive and have a successful pregnancy, although their babies may still be born prematurely and have low birth weights.   Pregnancy can also increase the risk of kidney disease. In pre-eclampsia, a complication of pregnancy, there is high blood pressure and protein in the urine, which can lead to maternal death or sudden kidney failure. In developing countries, poor antenatal and obstetric care can contribute to high rates of maternal mortality due to complications like these. Therefore, good antenatal care is important in reducing the risk of kidney disease and death in pregnant women.   Diabetes and high blood pressure are the main causes of chronic kidney disease. The Thai Nephrology Society found that among patients with end-stage renal disease treated with kidney replacement therapy in 2014, 38.47% had diabetes and 30.00% had high blood pressure.   52.5% of the patients who underwent hemodialysis were male and 47.5% were female. Among those treated with peritoneal dialysis, 49.2% were male and 50.8% were female.   Type 2 diabetes is increasingly prevalent, especially in Asia. Therefore, searching for and treating diabetes and high blood pressure to prevent complications such as end-stage renal disease, heart disease, stroke, blindness, and amputation is important.   Testing for diabetes by checking blood sugar levels before meals may not be sensitive enough. A better test involves checking blood sugar levels 2 hours after a meal or giving a glucose load of 75 grams and checking blood sugar levels 2 hours later. If the blood sugar level is over 200 mg/dl, this indicates diabetes. If it falls between 140-200 mg/dl, this suggests a tendency toward diabetes and requires frequent monitoring, especially for those with a family history of diabetes, obesity, or abdominal obesity.   High blood pressure is mostly a hereditary disease and is prevalent in people over 35 years old. If blood pressure is measured to be higher than 140/90 mmHg, it is considered high blood pressure and requires medical attention and treatment. Not treating high blood pressure can lead to the aforementioned complications. In addition, high blood pressure may be a complication of kidney disease and can occur concomitantly with diabetes, gout, etc.   To treat both chronic diseases and other illnesses, patients must accept treatment and behave accordingly by consuming appropriate food, medication, and exercising to prevent various complications, especially kidney diseases. Women have a higher risk of becoming seriously ill during or after pregnancy, so they must take good care of themselves to live a long life with their children and family.

See More

High blood sugar level

High blood sugar level A fasting plasma glucose (FPG) test is conducted by measuring the level of blood sugar after at least 8 hours of fasting, the normal blood sugar level in a person is less than 100 mg/dL. If the blood sugar level is between 100-125 mg/dL, the person is considered to be at risk of developing diabetes. However, if the blood sugar level is 126 mg/dL or higher, and when retested, the value remains abnormal, the person is considered to have diabetes.   People at risk of developing diabetes are: Overweight Over 40 years old Having high blood pressure Having a 2-hour postprandial blood glucose level between 140-199 mg/dL after drinking 75g of glucose Having high triglycerides and low levels of high-density lipoprotein cholesterol (HDL-C) Having a fasting blood sugar level between 100-125 mg/dL Having a family history of diabetes   The risk of developing diabetes in the future depends on the number of risk factors present, such as being overweight, being over 40 years old, having high blood pressure, having high levels of triglycerides, having a family history of diabetes, or having a blood sugar level greater than 100 mg/dL. These factors increase the risk of developing diabetes.   Why is it necessary to treat high blood sugar levels?   Very high blood sugar levels (more than 180 mg/dL) can cause symptoms such as frequent urination, excessive thirst, weight loss, and fatigue. Blood sugar levels of 126 mg/dL or higher before meals are also associated with long-term complications such as eye disease, kidney disease, nerve damage, heart disease, and stroke.   Some patients may misunderstand that controlling blood sugar levels within 180 mg/dL is enough because there are no symptoms of diabetes. However, this may be true for some patients, such as elderly patients, patients with severe complications, or patients with frequent low blood sugar levels. For diabetic patients with a low risk of complications and who are expected to live long, blood sugar levels should be controlled to normal or near-normal levels (FPG less than 80-130 mg/dL) to reduce the long-term risk of complications from diabetes.   The overall goal is to control blood sugar levels and reduce various risk factors to prevent complications from diabetes.   Risk factors Targets Fasting plasma glucose (FPG) level after at least 8 hours of fasting: 80-130 mg/dL (If the level is less than 110 mg/dL, it is considered close to normal) Postprandial plasma glucose level after 1-2 hours: Less than 180 mg/dL (If the level is less than 140 mg/dL, it is considered close to normal) Average accumulated blood glucose level over 3 months (HbA1c): Less than 7% (If the level is less than 6.5%, it is considered very good) Blood pressure: Less than 140/90 mmHg (Consider lower levels if there is proteinuria similar to egg white in urine) Bad cholesterol level (LDL-C) Less than 100 mg/dL, less than 70 mg/dL for people with heart and blood vessel diseases Smoking Quit smoking Obesity Start by reducing body weight by 5-7% from the initial weight Patients and families who lack knowledge and cannot take care of themselves:   Patients and families have knowledge and can take care of themselves.   With Regards Center for Diabetes, endocrinology and kidneys Vibhavadi Hospital

See More

Periodontal disease (gingivitis)

Periodontal disease (gingivitis)   Periodontal disease, also known as gingivitis, is characterized by bleeding while brushing teeth, swollen and red gums, bad breath, gum recession, pus discharge from the gums, loose teeth, and teeth that move apart. The disease is caused by plaque or tartar, which is a solid biofilm made up of calcium from saliva that hardens and traps bacteria on the teeth. The formation of tartar begins about 2-3 minutes after brushing, when a clear mucous of saliva adheres to the teeth, allowing bacteria in the mouth to attach and form a biofilm. This biofilm causes periodontal disease and tooth decay by producing acid and toxins from sugar in the food we eat, which dissolve the tooth enamel and irritate the gums.   The tartar on the surface of the gum can be seen, but the tartar that is located under the gum cannot be seen. Tartar and bacteria that attach to the tartar under the gum cannot be removed by regular brushing, but require professional cleaning by a dentist to remove the tartar both above and below the gum line. This will remove toxins from the root of the tooth, allowing the gums to reattach and form a tight seal around the tooth, preventing further damage.   Recommendations for scaling dental plaque   1. Patients should receive dental plaque scaling services at least twice a year and undergo thorough dental check-ups. 2. After scaling, there may be some bleeding around the gums, but it will gradually stop on its own. Rinsing with water frequently can help slow down the bleeding. 3. During the first 1-2 weeks after scaling, there may be some swelling of the gums and sensitivity in the teeth. It is recommended to avoid consuming hot or cold foods and to brush teeth carefully to keep them clean. These symptoms will gradually disappear.  

See More

6 groups of foods that help prevent allergies

6 groups of foods that help prevent allergies   "Allergies" are a popular disease that many people suffer from nowadays, caused by an increasing amount of pollution. There are various ways to treat and prevent allergies, including taking medication, avoiding triggers, and exercising.   Today we have 6 groups of foods that help prevent allergies as another option suitable for those who are tired of traditional treatment methods. It is a way to make your body healthy from the inside out. Want to know what food groups there are? Read on and find out.   Understanding Allergies Allergies are a group of diseases that have symptoms in various systems. They occur due to abnormalities in the body's reaction to allergens from the environment, causing the production of antibodies that stimulate the release of substances in various tissues, leading to inflammation of organs and resulting in various symptoms. These symptoms vary according to the degree of sensitivity, such as skin rashes, runny nose, itchy eyes, sore throat, and some people may experience severe symptoms that can lead to death.   There are many causes of allergies, but the allergens that are most commonly encountered and difficult to avoid are dust, pollen, cigarette smoke, air pollution from traffic, living in poorly ventilated air-conditioned rooms, and pet dander.   6 Anti-allergic Foods 1.Vitamin C group: Vitamin C plays a role in preventing the release of histamine, an important substance in the body that causes various allergies. Foods high in vitamin C: Green leafy vegetables such as kale, spinach, broccoli, and cabbage. Fruits with sour tastes such as pineapple, orange, strawberry, and lemon. These ingredients can be modified into various dishes as desired. 2.Vitamin A group: Helps in tissue and organ building, as well as strengthening various tissues of the body. It also helps alleviate symptoms when exposed to allergens. Foods high in vitamin A: This type of vitamin can be found in brightly colored fruits and vegetables, such as pumpkin, carrot, ripe papaya, ripe mango, cantaloupe, and tomato. 3.Protein group: These proteins can help build the body's immune system because the smallest unit of protein is amino acid, which is an important substance used to build various immune systems. Foods high in protein: As is well known, protein is one of the five main food groups and is abundant in lean meats, such as chicken and pork, and eggs. They can also be found in various beans. 4.Omega-3 Group: Omega-3 helps reduce inflammation, boost immunity, and fight against disease-causing agents or toxins that enter the body. You can increase your Omega-3 intake by consuming deep-sea fish such as tuna, mackerel, salmon, and cod, which may trigger allergic reactions in some people. Therefore, it is important to check if you are allergic to seafood before consuming them. Omega-3 fatty acids are also beneficial and can be found in sunflower seeds, pumpkin seeds, yellow beans, and dark green leafy vegetables. 4.Selenium Group: This nutrient group helps stimulate the immune system to fight against foreign substances or allergens that enter the body. You can increase your intake of selenium by consuming plants from the onion family, such as onions and shallots. 5.Flavonoid Quercetin Group: This nutrient group has anti-allergic and anti-inflammatory properties and helps inhibit the release of histamine, which is a trigger for allergic reactions. You can increase your intake of flavonoid quercetin by consuming garlic, onions, and vegetables from the onion family, such as onions and shallots, as well as in carrots, parsley, apples, and in some varieties of beets.   In addition to consuming these allergy-fighting foods, don't forget to exercise regularly, get enough rest, and avoid allergen triggers, to maintain a truly strong and healthy body.                                          Reference: Naew Na Newspaper

See More

Irritable Bowel Syndrome (IBS)

Irritable Bowel Syndrome (IBS) is a condition characterized by abnormal contractions of the large intestine, with no abnormalities found during colonoscopy or blood tests. The condition often has a long history and symptoms may come and go, causing discomfort and disruption to daily life for the patient. Patients may become anxious about the condition not going away even with treatment, or may mistakenly believe it to be colon cancer, affecting their quality of life. IBS is more common in women than men, with a ratio of approximately 2:1.   Common symptoms include: Abdominal pain, which may be centralized or focused on the lower left side, and often feels like cramping.   Other symptoms include: Bloating Flatulence Changes in bowel movements such as constipation, diarrhea, or alternating between the two Some patients may feel incomplete bowel movements or experience relief after having a bowel movement, and mucous may be present in the stool. These symptoms may come and go, often lasting for more than three months over the course of a year.   Cause of Irritable Bowel Syndrome (IBS) Currently, the exact cause of IBS is unknown. However, studies have found that there are three important factors that contribute to this condition:   1.  Abnormal contractions of the large intestine caused by the release of abnormal substances or hormones in the intestinal wall, resulting in symptoms such as abdominal pain, bloating, constipation, or diarrhea. 2.  Abnormal sensitivity of the nervous system in the intestinal wall, which can be triggered by certain foods such as spicy foods, coffee, all types of alcohol, chocolate, as well as emotional stress such as anxiety or depression. When stimulated, the intestinal wall contracts abnormally, leading to symptoms such as abdominal pain, bloating,           constipation, or diarrhea. 3. Infection in the intestine, which is more common in IBS patients in hot and humid areas such as Thailand. After recovering from inflammation of the intestine, one out of three patients will have recurring symptoms of IBS.   Treatment: There is currently no cure for IBS. Medications are used to improve symptoms, and the appropriate medication will be prescribed by a physician based on the patient's condition. Additionally, lifestyle changes may also be recommended to improve the patient's symptoms.   The following are recommended practices for patients with irritable bowel syndrome (IBS) to manage their condition: Eat slowly and avoid overeating (consume a moderate amount of food). Avoid fatty foods, especially during dinner and before bed, as they can stimulate bowel contractions. If the patient experiences constipation, increase fiber intake in their diet, drink enough water, and establish regular bowel habits. Avoid drinking yogurt in patients with IBS-related diarrhea. Avoid foods that can exacerbate symptoms, such as coffee, spicy foods, alcohol, carbonated beverages, and some sour fruits. If the patient has comorbid anxiety, they should find ways to relax and rest adequately, exercise regularly, and seek psychiatric care if necessary. IBS does not increase the risk of developing cancer, although caution is recommended in elderly patients with changes in bowel habits, increased constipation, or diarrhea, who require thorough examination to identify the underlying causes.  

See More

4 popular diseases among office workers

4 popular diseases among office workers   Doctors warn that office workers are at risk of 4 popular diseases: back pain, carpal tunnel syndrome, trigger finger, and allergies. They recommend stretching exercises, taking breaks for eye strain, exercising, and avoiding staying up late.   Dr. Teerapon Topanthanon, the Director-General of the Department of Medical Services, Ministry of Public Health, said that occupational diseases are becoming increasingly important because work is a daily routine for working-age people. Working 8 hours a day, if not aware, can affect one's health. The most common popular diseases found among office workers today are those who work in the service industry, including office workers, as they have to sit at a desk, use a computer or work with numbers more than standing on a production line in a factory. Sitting at a computer for a long time makes workers have to sit for a long time. Typing work requires repetitive movement, using the eyes, and staying in air-conditioned rooms for a long time. Therefore, what office workers have to face are back pain, carpal tunnel syndrome, trigger finger, headaches, eye strain, and allergies.   The Director General of the Department of Medical Services stated that the way to prevent diseases caused by working in an office is to sit properly. When sitting on a chair, it should be straight-backed with armrests, and the arms should be close to the body with elbows at right angles and wrists straight, not bent or twisted. Both feet should be flat on the floor, and if not, a footrest should be used to avoid foot strain. When typing, the neck should be straight, looking forward, and the top of the computer screen should be at eye level. After typing for a while, it is advisable to stretch the muscles. The best way to do this is to stand up and stretch, or hold both arms out for a few seconds, or walk around and then sit back down to continue typing.   Regarding eye strain from staring at the computer for a long time, sometimes people may forget to blink, which can cause dry, sore, or irritated eyes. Therefore, it is recommended to blink every 10 minutes. Also, it is not advisable to type in a dark room, and the area around the computer screen should have adequate lighting. In addition, in a workspace with a photocopier, certain chemicals can cause irritation to the skin, eyes, and respiratory tract, resulting in a sore throat, runny nose, cough, and sometimes mistaken for a cold. Therefore, it is essential to clean the floor regularly, open windows, and perform regular exercises to maintain good health and work efficiently.                                Reference: BangkokBizNews

See More

Assessment of Control Test for Asthma (ACTTM)

The following test helps people with asthma (aged 15 and above) assess their ability to control their asthma. There are a total of 5 questions.     Controlling your asthma Step 1: Please answer each question by circling the number that corresponds to the most accurate answer and then write that number in the rectangle on the right-hand side. Please answer as truthfully as possible to help both you and your doctor better understand how your asthma is currently being controlled.   In the past 4 weeks, how often has asthma prevented you from working, going to school, or doing activities at home? All the time Very often Sometimes Rarely Never   In the past 4 weeks, how often have you felt short of breath? More than once a day Once a day 3-6 times a week 1-2 times a week Never   In the past 4 weeks, how often have you had asthma symptoms (wheezing, shortness of breath, chest tightness, or chest pain) that woke you up at night or earlier than usual in the morning? 4 or more nights per week 2-3 nights per week 1 night per week 1-2 nights Never   In the past 4 weeks, how often have you used your quick-relief inhaler or nebulizer medication (such as albuterol) more often than prescribed to relieve asthma symptoms? 3 or more times a day 1-2 times a day 2-3 times a week 1 time a week Never   In the past 4 weeks, how well have you been able to control your asthma? Not able to control at all Poorly controlled Somewhat controlled Well controlled Completely controlled   Step 2: Add up each score to get a total score. Let's see your asthma control score.   Score: 25 - Congratulations! You have complete control of your asthma. In the past 4 weeks, you have not had any asthma symptoms that limit your daily activities. If anything changes from your current condition, please see your doctor or nurse.   Score: 20 to 24 - You're getting there. You may have good control of your asthma in the past 4 weeks, but it's not complete. Your doctor or nurse can provide advice on how to achieve complete asthma control.   Score: Less than 20 - You're not doing well. You may not have good control of your asthma in the past 4 weeks. Your doctor or nurse can help by giving advice on how to improve your asthma control methods.  

See More

Say goodbye to periodontal disease

Say goodbye to periodontal disease   Periodontal disease is a condition that destroys the tissues surrounding and supporting the teeth, including the gums, the bone that supports the teeth, the cementum that covers the root, and the periodontal ligament that attaches the tooth to the bone. If these tissues are lost, they cannot be regenerated, and the teeth may become loose or have to be removed even without any pain.   Symptoms of gum inflammation and periodontal disease include redness, swelling, bleeding, longer-looking teeth due to receding gums, loose teeth, bad breath, discomfort, irritation, and pus. Severe periodontal disease can destroy the bone and tissues that support the teeth, causing the teeth to become loose and ultimately require extraction.   Therefore, it is important to prevent and treat periodontal disease to maintain healthy teeth and gums.   Treatment steps for gum disease The treatment for gum disease involves scaling and root planning. This process includes removing plaque and calculus above the gum line and from the root surfaces of teeth within the periodontal pocket. Root planning involves smoothing the root surfaces so that the gum tissue can reattach to the tooth, which requires several sessions and should be performed by a periodontist.   After the treatment is completed, the dentist will call the patient back for a checkup after 4-6 weeks to assess whether the condition has improved or not. If there are still deep pockets or significant bone loss, periodontal surgery may be necessary.   Patient's oral care and maintenance Patients need to maintain good oral hygiene by brushing and flossing their teeth regularly. It is recommended to use a toothbrush and dental floss at least once a day to remove bacteria and plaque. Patients should visit their dentist every 3-6 months for a checkup to ensure that no bacteria or plaque remains and to receive early treatment if necessary.   Postoperative instructions for gum surgery: 1. After the surgery, there may be some bleeding and a small wound. Avoid spitting or rinsing your mouth too vigorously as it may cause the bleeding to continue. 2. In case of persistent bleeding, apply an ice pack on the cheek next to the surgical site. 3. Avoid brushing the surgical area, but other areas can be brushed as usual. Rinse your mouth with mouthwash to keep the wound clean. 4. Do not poke or touch the surgical site. 5. Do not engage in heavy exercise or physical activity. 6. Avoid drinking alcohol, consuming intoxicating substances, or eating very spicy or hot foods. 7. If you experience swelling or abnormal sensations, seek immediate dental care.  

See More

10 provisions for foot care

10 provisions for foot care   1. Clean your feet: Wash your feet thoroughly with mild soap every day. Dry your feet with a clean and soft towel, especially in between toes to prevent moisture, which can lead to foot fungus. 2. Check your feet daily for abnormalities: It is important to check your feet daily for any abnormalities such as blisters, calluses, corns, cracked skin, sores, pain, swelling, redness, warmth, or discolored nails. For hard-to-see areas, you may use a mirror. 3. Apply lotion to your feet daily: Applying lotion to your feet daily can help keep your skin moisturized, especially if you have dry skin that may crack and become susceptible to infection. When applying lotion, drop a small amount on your hands, rub them together, and then apply it to your feet, avoiding the area between toes to prevent moisture, which can lead to foot fungus. If you tend to sweat excessively, make sure to dry your feet thoroughly and apply talcum powder to reduce moisture. 4. Choose appropriate socks to wear: Socks or stockings should be worn every time you wear shoes. The chosen socks should be made of thick, soft yarn as it helps to improve air circulation and reduce moisture in the feet. Socks or stockings should be changed daily and not worn repeatedly to prevent them from becoming a breeding ground for germs. 5. Choose appropriate shoes to wear. Shoes should be worn at all times, both indoors and outdoors. Walking barefoot is prohibited. Wearing shoes that are too tight or too loose can help reduce pressure on the soles of the feet, especially shoes with shock-absorbing insoles, such as sports shoes. 6. Do not expose your feet to heat or soak them in water: Avoid soaking your feet to prevent skin from becoming too soft and vulnerable. Be cautious if you have hands and feet that are prone to burns. Excessive hot or warm water immersion and hot compresses on the feet can cause blisters and infection easily. 7. Take care of wounds immediately: If you have a wound that is painful, swollen, red, warm, or has pus, you should seek medical attention immediately from the first stage of the wound. Do not attempt to treat it yourself. If the wound does not heal properly, avoid walking or putting weight on the affected foot as walking can open the wound and slow down the healing process. Rest or sit on a wheelchair or use a cane for support when exercising with the arms. 8. Proper nail cutting technique: Proper nail cutting, along with wearing appropriate footwear, can help reduce the occurrence of ingrown toenails and foot wounds. Nails should be cut after bathing, as water helps to soften them and make them easier to cut. In case of ingrown nails, fish-eye, or thick calluses, avoid cutting or buying medicine to apply by yourself. Consult a doctor first. If you cannot cut your own nails, for example, if you have eye problems and cannot see clearly, ask a relative to help you prevent injury or seek advice from a doctor or nurse. 9. Foot exercise every day Regular daily foot exercise will help improve blood circulation in your feet. Exercise by walking briskly or jogging for 20-30 minutes a day. 10. Avoid smoking   Prevention measures: Take care of your feet according to the 10 provisions. Control your blood sugar levels to maintain a healthy range. Choose suitable shoes and accessories.   Regularly manage your feet as follows: Flex your toes up and down 10 times. Massage the sole of your foot 10 times. Rotate your foot 10 times. Rotate your heel 10 times. Stretch the tips of your toes outward 10 times. Stretch the tips of your toes inward 10 times. Stretch each toe towards your body 10 times. Stretch both feet, alternating between each side. Rotate each foot. Rest your feet by rolling a ball of paper using your arches.

See More

Find a doctor

Make an appointmen

Jab & Go Clinic