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Dr Shyam

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Dentist - Answered on Nov 01, 2026

Asked by Anonymous - Oct 29, 2026
Health
I visited a dentist for general cleaning, and 3 or fillings about a year back. The dentist did the job, but it was very aggressive, his hands were moving so fast that one sharp tool pierced my tongue, but with the same speed he removed it. 3 or 4 days later, the inner part of left cheek on which side he did that aggressive job, started coming under my teeth, and it was quite painful every time it happens. It took me 3 or 4 months to get used to it. In between I stopped feeling it, again in the last couple of weeks, I have started experiencing it again, and this time some times it is happening to the right cheek also, but less intermittently. Before going to him, I was quite ok, did not have any problems, excepting that while eating a guava, some times the seeds get into the small hole which formed. I dreaded going to the same dentist, and in fact hesitate going to any dentist. What is the remedy? Did he over-ground the teeth? He did not even take an x-ray, but only once he saw it in a monitor, and told me that the teeth are well maintained, and only some general cleaning, and few fillings are required. But the outcome was terrible. I purchased a new problem. I dreaded going to the same dentist, and in fact hesitate going to any dentist. Please advise me what has gone wrong, and what is the remedy. I am a male and 70years of age.
Ans: Hello

It sounds like you had a very stressful experience, and it is completely understandable that you feel hesitant and fearful about seeing a dentist again after going through so much discomfort.
If your dentist was “very aggressive”, as you say, or too fast for your comfort, you’d be well within your rights to request him to slow down. And perhaps he should’ve been slower and gentler.
No dentist likes to risk losing a patient or jeopardizing his reputation for whatever reasons.

What you are describing—the inner part of your cheek repeatedly getting caught between your teeth—is known as chronic cheek biting.
When you receive fillings, the shapes and surfaces of your teeth get altered. There are a few primary reasons why this can cause you to bite your cheek:
* Altered Bite Alignment: Even a tiny alteration to the thickness, height, or contours of a new filling can shift how your upper and lower teeth meet. If the filling was made too bulky on the outer side, the cheek tissue can easily slip onto the chewing surface.
* Sharp Edges: Rushed dental work can leave rough or sharp surfaces or poor contours that drag the delicate inner lining of your mouth.
* Muscular and Age-Related Changes: Soft tissues naturally lose elasticity as we age. Our skin and the soft tissues inside our mouths become a bit more relaxed or "lax." Once a cheek is bitten, it swells, making it much more likely to be bitten repeatedly, creating a painful, frustrating cycle.
Cheek-biting on the right side now may be due to your jaw unconsciously shifting to avoid the painful left side.
It is unlikely that the teeth were completely "over-ground," but it is highly probable that the fillings were not perfectly contoured or balanced to your natural bite.

Standard X-rays are primarily used to find deep decay or bone loss, whereas shaping a filling relies entirely on a visual check, the dentist's technique, and having the patient bite on a piece of colored articulating paper to test the alignment. If the procedure was rushed, this crucial fine-tuning step may have been compromised.
The good news is you do not have to live with this problem, and it can be fixed safely and gently.

1. Bite Adjustment: A dentist can gently smooth down the sharp edges or reduce the bulk of the fillings. This takes only a few minutes, does not require anaesthesia, and immediately helps keep the cheek out of harm's way.
2. Allowing the Tissue to Heal: Warm salt-water rinses and soothing gels can help soothe the current swelling in your cheeks.

You do not have to return to the same clinic. You have complete control over how you choose your next provider.
Look for a dentist who specializes in dental anxiety or geriatric care. Many modern dental clinics explicitly market themselves as catering to fearful, anxious, or elderly patients. They focus on a slow, patient-centric pace.
You can book a "consultation only" visit first to explain your fears and ensure they agree to move at a slow, gentle pace. Tell the new dentist exactly what happened to you. A good dentist will listen to your fears, promise to move slowly, and explain every step before doing anything.
Taking this step with a provider who respects your pace will help you resolve the cheek biting and safely restore your comfort.
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Dr Shyam

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Dentist - Answered on Nov 01, 2026

Health
I am 56 and I face constant problem in my teeth . My lower portion has zigzag teeth in front . They look bad when I open my mouth . Can it be straight ones ? Secondly my all teeth are yellowish in colour, its natural colour . Whole denture looks yellow , can it become white or pale white at least ?
Ans: Hello Dinesh

Yes, your irregular or misaligned lower teeth can absolutely be straightened, and your yellow teeth can be significantly lightened to a natural pale white at age 56.
Dental technology offers highly predictable solutions for both crowding and discoloration at any age, provided your teeth and gums are healthy.
Crowding in the lower front teeth is incredibly common.
You have three options to get it corrected.
* Clear Aligners: These are removable, transparent plastic trays custom-made to gradually shift your teeth. They are highly discreet and allow you to brush and floss normally, making them a popular choice for adults.
* Traditional Braces: Modern braces are much more streamlined than in the past. Ceramic (tooth-coloured) brackets or lingual braces (placed on the back of the teeth) offer very discreet straightening. Both aligners and traditional braces take a few months to show the desired result at the very least.
* Veneers or Crowns: If the crowding is mild and you want an immediate cosmetic fix, a dentist can subtly reshape the front surfaces of the teeth and place thin porcelain shells (veneers) over them to create the illusion of a straight smile.
As we get older, the outer white enamel of our teeth naturally thins out from decades of chewing and brushing. This exposes the underlying layer of the tooth called dentin, which is naturally yellow. Because this yellowing comes from the inside of the tooth, surface-level whitening toothpastes will not change it. However, you can achieve a lighter, pale white shade using:
* Professional In-Office Whitening: A dentist applies a high-concentration bleaching gel and activates it with a specialized light. This is the fastest, safest way to penetrate the enamel and lift the deep intrinsic yellow colour of the dentin.
* Custom Home Whitening Kits: Your dentist creates custom-fitted trays for your teeth and provides a professional-grade whitening gel to wear at home for a few hours a day over a couple of weeks.
* Porcelain Veneers: If bleaching does not achieve the exact shade of pale white you desire, porcelain veneers can permanently cover the yellow dentin with a beautiful, stain-resistant, natural-looking shade of your choice.

Before embarking on any cosmetic or orthodontic treatment, it is vital to address the "constant problems" you mentioned facing with your teeth. Your dentist must first ensure your gums are firm and your jawbone is strong enough to safely move your teeth. He/she may then refer you to the requisite specialist for further treatment.
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Dr Shyam

Dr Shyam Jamalabad  |126 Answers  |Ask -

Dentist - Answered on Oct 31, 2026

Asked by Anonymous - Sep 28, 2026
Health
I’ve recently started drinking black coffee at work because I’m trying to cut down on sugary tea and coffee. I usually have two or sometimes three cups during the day, and since I don’t add sugar, milk or any other flavouring, I assumed it would be better for my teeth as well. But after doing this regularly for a few months, I’ve started noticing that my teeth look slightly darker and have developed a yellowish or brownish shade, especially compared with how they looked earlier. I’m a little confused because I always thought the main problem with coffee was the sugar added to it, rather than the coffee itself. Can black coffee cause staining even when there is absolutely no sugar or milk in it? If the staining is already there, are there simple things I can do after drinking coffee to reduce it, or should I avoid having multiple cups altogether? Also, are whitening toothpastes or professional dental cleaning safe options if someone drinks coffee regularly?
Ans: Hello

Black coffee stains teeth because it contains dark pigments (tannins and chromogens) and acid, which temporarily softens your enamel and allows the dark colors to sink in. While cutting out sugar protects your teeth from decay, the coffee itself is what causes the yellowish discoloration.
You do not need to quit your daily coffee habit, but you can protect your smile by adopting a few simple strategies:

• Rinse with water: Swish water in your mouth immediately after finishing your coffee to wash away acids and dark pigments.
• Drink faster: Avoid lingering over a single cup for hours; finish it within 20–30 minutes to reduce the time your teeth are exposed to stains.
• Delay brushing: Wait at least 30 minutes after your last sip before brushing so your enamel can re-harden.

Whitening Solutions

• Professional Cleanings: Highly safe and effective. Regular dental cleanings easily remove stubborn coffee stains without damaging your teeth. Going every 4 to 6 months is completely safe.
• Whitening Toothpastes: Use, but with caution. They remove surface stains using abrasive or mild bleaching chemicals, but daily long-term use can wear down your enamel and make teeth sensitive.
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Dr Shyam

Dr Shyam Jamalabad  |126 Answers  |Ask -

Dentist - Answered on Oct 30, 2026

Asked by Anonymous - Jun 15, 2026
Health
My husband snores loudly at night and sleeps with his mouth open. We recently discovered a gap between his teeth. I often try to close his mouth or turn him to sleep on the side but after some time, he sleeps with his mouth open. I want to know if snoring affects oral health? Also, how can I help him break this habit?
Ans: Hello

Yes, mouth breathing can damage oral health by drying out the saliva which keeps the oral tissues lubricated and protected.
Saliva is the mouth’s natural defense mechanism; it washes away food debris and neutralizes bacteria-produced acids. Mouth breathing dries up saliva, drastically increasing the risk of cavities.
A dry mouth allows harmful bacteria to rapidly multiply, leading to chronic bad breath (halitosis), plaque buildup, and inflamed, bleeding gums.
When the mouth is chronically held open, the natural balance of pressure exerted by the tongue and lips alters, which can cause teeth to shift over time—explaining the new gap you discovered.
Breaking this habit requires addressing the underlying biological blockages.
Please consult your physician.
Loud snoring and persistent mouth breathing are classic signs of Obstructive Sleep Apnea (OSA), a condition where the airway repeatedly collapses during sleep.
If there is an obvious condition which prevents normal breathing through the nose, simple remedies like using a nasal decongestant or steam inhalation before bedtime may help. Many people mouth-breathe simply because they cannot breathe through their nose. A saline nasal spray or internal nasal dilators before bed can help clear obstructions.
In severe cases, your physician may recommend that you see a Sleep Specialist or ENT, who may conduct tests to ensure his breathing isn't pausing at night.
Also consult your Dentist. A dentist can evaluate the new gap in his teeth and also customize a mandibular advancement device for him - a specialized mouth guard which stabilizes his jaw forward, keeping the airway open and holding the mouth naturally closed.
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Dr Shyam

Dr Shyam Jamalabad  |126 Answers  |Ask -

Dentist - Answered on Oct 26, 2026

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