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अगर डॉक्टरों की राय अलग-अलग है, तो मुझे कैसे पता चलेगा कि मुझे मसूड़ों की सिकुड़न या पीरियोडोंटल बीमारी है?
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Dental & Oral Disorders
Question #29997
35 days ago
104

अगर डॉक्टरों की राय अलग-अलग है, तो मुझे कैसे पता चलेगा कि मुझे मसूड़ों की सिकुड़न या पीरियोडोंटल बीमारी है?

Client_758755

Mujhe बस ये जानना है कि मुझे गम रीसशन या पीरियोडोंटल डिजीज तो नहीं है। एक डॉक्टर ने कहा कि गम रीसशन है और एक जेल रिकमेंड किया, पर मैं उनसे ट्रीटमेंट नहीं ले पाई। फिर मैं दूसरे डॉक्टर के पास गई, वो kinda फैमिली डॉक्टर थे और दोनों डॉक्टर के पास 10+ साल का अनुभव था। उस फैमिली डॉक्टर ने कहा कि कुछ वैसा नहीं है, मुझे समझ नहीं आ रहा और क्लीनिंग करने को मना कर दिया। उन्होंने कहा कि क्लीनिंग के बाद दांत और खराब हो जाएंगे। जो टार्टर था, रेडिश ब्राउन टाइप का था अपर मोलर में, उन्होंने वो स्केलिंग से निकाल दिया, लेकिन सामने वाले दांत में मैं संतुष्ट नहीं हूं। मुझे लगता है कुछ तो गड़बड़ है। अगर मैं आपको पिक्चर भेजूं?

How long have you been experiencing gum issues?:

- 3-6 months

Have you noticed any specific symptoms like bleeding or swelling?:

- Occasionally

How would you describe the pain or discomfort in your gums?:

- Mild and occasional

Did you have any previous dental treatments or surgeries?:

- No previous treatments

How would you describe your oral hygiene routine?:

- Brushing but no flossing

Have you experienced any changes in your bite or tooth position?:

- Not sure

Have you been advised to change your diet for dental health?:

- No changes suggested
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
34 days ago
5

Hello ji Aapki problem se lagta hai hum recession hai Recession ka matlab hai gums neechay jaa rahein hai aur root dikh rahi hai Ismein combination procedure hogaa Kuch test aur treatment details likh raha hun. Nearby dentist preferably periodontist ko dikhana X ray or Rvg for prognosis Treatment options Scaling and root planing Graft surgery free gingival or connective tissue Membrane application Follow up must Modified still man technique for brushing Hopefully you recover soon Regards

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Gum recession and periodontal disease can sometimes present similar symptoms, which might contribute to conflicting opinions from different doctors. Gum recession occurs when the gum tissue that surrounds the teeth starts to pull back, exposing more of the tooth or the tooth’s root, while periodontal disease involves inflammation and infection of the structures around the teeth, including the gums. Look for signs like increased sensitivity, especially to hot or cold, visible denser parts of the teeth where the gums have receded, or persistent bad breath. Periodontal disease might present with red, swollen, or bleeding gums, which can be a red flag. The cleaning or scaling you mentioned helps remove tartar, which can reduce inflammation and assist in preventing further gum disease. If you’re uncertain about your diagnosis, consider getting a third opinion from a dental specialist, ideally a periodontist. In the meantime, maintain a meticulous oral hygiene routine—brushing twice daily, flossing, and possibly using an antimicrobial mouthwash can help manage symptoms while you seek further advice. Remember, early detection of either condition is key to preventing more significant issues, so monitoring symptoms is essential. Given your ongoing concerns, a professional assessment with up-to-date imaging and a clinical examination would offer clarity and guide appropriate treatment.

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