Know what you should do for a Fractured Jaw


What is a fractured or a broken jaw?

A fractured jaw, also known as a mandibular fracture is a fairly common face injury. Fractured jaw is believed to be the tenth most common fracture injury in the human body and the third most common face related fracture. In most of the injuries, nose and cheekbones are broken more frequently.

How can you fracture your jaw?

Jaw fractures generally occur because of trauma or injury to the lower face. Some of the common reasons that may cause a severe fracture to the jaw are:

  • A sudden and dreadful fall
  • Vehicle injury/fall from bike, cycle
  • Physical collision
  • A punch
  • Sudden hit with the dashboard of a car

Some of the common symptoms of a fractured jaw are:

  • Stiffness in the jaw
  • Swelling of the face
  • Bruising of the face
  • Mouth Bleeding
  • Discomfort in opening mouth wide
  • Difficulty in eating, pain and tenderness
  • The Face becomes numb
  • There appears to be a lump in the cheek or the jaw
  • Sometimes the teeth become loose
  • Misalignment of the teeth

If the jaw is broken, an X-Ray can help is determining the situation. To determine the fracture of the maxilla, a CT would be required. If there is any doubt of a damage to the spine, a neck x-ray would be required. Similarly, to determine any injury to the brain, a CT of the brain is done. An eye examination is done to rule out any damage to the eyes and the vision.

First aid and treatment
As soon as the jaw is hit traumatically, the focus should be on reducing the pain and prevent movement of the jaw. Treatment of a jaw fracture is based on keeping the jaws at rest so that the bones can heal. For this purpose, the bandaging of the jaw around the top of the head is recommended. For a normal fracture, swallowing hard things should be avoided for some days and only a soft diet should be followed along with the pain medicines.
Surgery is required in serious fractures. Due to fractures, the swelling or severe bleeding blocks the breathing passages. In that case, a doctor will open the passages by inserting an endotracheal tube so that the patient can breathe properly. Following necessary precautions during the treatment helps in faster recovery.
As far as the treatments are concerned wiring of the jaw to the opposite teeth is done, which are left in the place for 6 to 8 weeks. Elastics or rubber bands are used for the purpose of holding the teeth together, which are removed later to allow movement and reduce joint stiffness. During all this treatment one should consume only liquids or eat soft food. However, one should not forget to keep the scissors to cut the elastics or wires in the event of a choke or vomit. After several weeks of wiring, exercises are must to strengthen the jaws.
Fractured jaw is a hard medical condition to deal. One should always consult a reputed dentist with a background in repairing fractured jaws, else the jaw repairing process could take longer than usual.


Dental/ Oral Health Care Trends


Best Dentists in India have commonly found that most dental problems centre around tooth decay, dental cavities and gum problems. While reasons do vary a lot across the country, it is found that improper care of teeth and abuse due to chewing of tobacco are common factors.  Most dental surgeries happen when cases are extremely acute. Infact, dentists in Delhi complain that people only approach them when the problem goes out of hand, while dentists in Gurgaon esp. those in rural areas feel that oral hygiene is the most neglected health area.

A survey conducted by the Indian Market Research Bureau in 2012 revealed that Only 51 percent of people brushed their teeth with toothpaste and a toothbrush. Dentists in India esp. those from villages are also concerned because many people in rural areas still use their fingers, neem sticks or brick powder for cleaning teeth. Problems like bleeding gums or broken tooth is often ignored as people fail to understand the direct connection between their oral health and overall health. For instance, gum disease could also be a sign of diabetes. Diabetics are prone to have periodontal disease (a gum disease), if their condition is bad case of diabetes.

However the dental practitioners from urban areas and metros see a shift in the dental treatments being availed. For instance, dental clinics in Delhi and NCR often receive patients looking for complete dental makeover. It is not just dental braces, but also cosmetic dental surgeries. There are a lot of cosmetic dentists in Delhi who are dealing with cases concerning dental realignment, teeth-filling, teeth whitening, crowing, gum reshaping as well as complete dental makeover. However, most dental clinics in Delhi receive patients for dental implants and root canal treatment or RCT as it is commonly known. This indicates an increased awareness as opposed to that witnessed in tier 2 or tier 3 cities.

An increasing trend amongst the mobile users is also to ask doctors online or book appointments via mobile or internet. Many dentists in Delhi give online consultation which is now known for the convenience it offers. It is hoped that the increased dental awareness in and around Delhi percolates other small towns and cities for a better oral hygiene of the country.

To know more dentists in Delhi or to ask a dentist, please check our website:

Are Gum Problems More Damaging Than We Know?

Gum diseases are a common problem in India and have as many causes as the effects. Gum problems primarily happen due to prolonged ignorance of dental hygiene. It can also come under lifestyle diseases, feel most dentists in Delhi. Particularly damaging are the junk food and chilled beverage addiction, which lead to cavities and sensitivity of the gums.

Top Dentists in Delhi-NCR region are of the opinion that most of the people ignore their dental hygiene and aggravate their dental problems which otherwise can be saved if addressed in time. While most dental problems like tooth ache, tooth decay, bad breath are starting points, gum problems usually indicate worse oral conditions. So if you see swollen gums, bleeding gums, or loose teeth, you must ask a dentist to know if it is Gum Disease.
How can you know if you have a Gum Disease?

Although it usually affects people above 35 years of age, Gum Disease can occur anytime. Painful and hampering, it can be cured if worked upon from early stage and with due care, shares an orthodontist Delhi.

  • Gums that have gone red, swollen, or feel tender
  • Gums that bleed while brushing
  • Gums with a receding gum line
  • Shakiness when you bite
  • Gums with a pocket – which seem to pull away from teeth.
  • Pus formation between your gums and teeth
  • Constant bad breath

How serious is your Gum Problem?

Here are the 3 stages of Gum Diseases that define the seriousness of the problem-

Gingivitis: This is first stage of the gum disease. It is characterized by bleeding of gums esp. during brushing. It is caused due to inflammation of the gums owing to plaque buildup. When daily brushing or flossing do not remove plaque, it produces toxins that can rupture the gum tissue, causing gingivitis. Since it is the initial stage, damage can be reversed.
Periodontitis: Once you reach this stage, the supporting bone and connecting tissues that hold your teeth in place are irreversibly damaged. Your gums may form a pocket around the gum line. Food is trapped in these pockets and plaque is formed. Appropriate dental treatment and improved oral hygiene can usually help prevent further damage.
Advanced Periodontitis: This is the most advanced stage of gum disease where the fibers and bone that support the teeth deteriorate, this can cause your teeth to move or loosen. It is difficult to bite or chew and teeth might require removal with the need for dental implants or oral surgery.

gum diseases

What is the treatment for Gum Disease?

  • The early stages of gum problems can be reversed by proper brushing and flossing. Good oral health will ensure no plaque buildup.
  • A visit to a dentist and getting professional cleaning is the only way to remove plaque that already exists or is hardened into tartar. This is achieved by dental scaling. For cases that are more severe, root planing procedure is done to even out the irregularities.

Most Dentists in Delhi or Dental Clinics in Delhi organize frequent oral hygiene camps. If you stay in or around Delhi, you must avail of such free dental care. Another such easily accessible medium is dentists online. You can ask dentists via online consultation.

To find out the best dentists in Delhi or to ask a dentist, please check our website:

An Undesirable Side-effect Of The Information Age: Self Medication


By Dr. Gaurav Kant Pandey
General Physician, Deep Chand Bandhu Government Hospital.
New Delhi.

The most bothersome thing that a doctor faces in general practice is a subset of patients, mostly 20-35 years of age,who think that just reading a certain page on wikipedia transforms them into a doctor, like some sort of medieval alchemy. Its an increasingly common trend in this generation of netizens to key-in their symptoms on google, read a few pages that turn up on search and take any of the drugs mentioned there, randomly. When they do not get the desired results or encounter certain not-so-pleasant adverse effects of the drug, that is the time they run to a proper doctor and expect him to work miracles.

There was this friend of mine who is a doctor in USA. A really interesting thing he noticed at a road-side book stall while visiting India was a book titled “HOW TO BECOME A DOCTOR IN 6 HOURS”. Its a joke between us even today. Frankly I fail to understand what is the fascination among any Tom, Dick and Harry to become a doctor. Why do people fail to understand that it is a highly specialized job. A doctor spends anywhere between 6 to 12 years accumulating knowledge and honing his skills. This period involves so much studying and of such vast scope that a doctor may not be afraid of ghosts, but shout “BOOKS” in his ears and he will run a mile without looking back. And mind you, no amount of wikipedia pages read by a layman can ever substitute a doctor’s mapped brain.

Moreover, lots of drug choices and diagnoses depend on the clinical sense of a doctor. This clinical sense develops not by some miracle, but by seeing thousands of patients day in and day out right through student days and training period. A trainee doctor practically lives in a hospital, eats and breathes diseases, drugs & drug-interactions and dreams pathology. Thus developing that elusive clinical sense. I can’t see any search engine providing that to the public in the foreseeable future; at least not until we make quantum advances in the field of artificial intelligence.

What do you do when you need to light-up your room? Do you go to the market, get yourself a bagful of capacitances, resistances, ICs, toroids and start making a CFL at home? No. You get yourself a ready-to-use CFL instead. You trust the company that made the CFL to light your room, even though the hands that actually made it are as alien to you as the poorest cab-driver in New York. You can trust a faceless person over a minor issue of a bulb, but you can’t trust a living, breathing doctor in front of you with a far more important matter which is your own health!!! Ain’t that the most ironic thing in the world?

And who is the sufferer at the end of the day? Is it the doctor whom you did not visit? NO. He just lost his consultation fee, but that is not a significant loss. The real sufferer is you because you are losing your health and creating discomfort for yourself. There are numerous things to keep in mind while prescribing a drug. I can’t detail it all here and you can’t understand it in one puny article. But one thing that you can understand is that a wrong drug taken can make you very ill at the least or kill you at the most. Drugs are not something to be trifled with. As the old adage says “Health Lost Can Never Be Regained”.

So lets decide today to say a strict NO to self-prescription. Let the specialist do the job for you with regard to your health, just the same way as you would let a specialist engineer build roads for you, or a specialist chef cook for you when you want to dine fine, or a specialised pilot fly your airplane. Its very simple really. Your doctor is there to serve you. All you need to do is trust him. Afterall its the society that says “A Doctor Is The God On Earth”. You will never hear a doctor shout those words at you. When you have anointed us as the God’s Hand on earth, why not show some faith in us as you do in Him ?

9 Reasons Why You Should Say ‘No’ To Self Medication

“I was running a temperature since evening, I reached home and popped a paracetamol before I headed out for the formal dinner I was to attend.”

How often do we do this? Very often! We pop in pills when we run a temperature or have a stomach ache, to de-cold ourselves when we catch cold, have a sore throat or even when we have flu. The reason? We know the symptoms as well as the treatment, then why waste time and energy to visit a doctor, right? WRONG!

There are too many risks involved in self medication, esp when it turns out to be irresponsible self-medication. These risks arise out of the fact that most of us are not specialised in medicine. While we may go by what we feel is right for us, there are many subtleties involved in arriving at the right diagnosis of any problem. Most health issues come with similar symptoms but turn out into something we might not even imagine. Potential risks arising out of self-medication practices are –

  1. Incorrect self-diagnosis.
  2. Delay in seeking medical advice when needed.
  3. Potential adverse reactions due to incorrect medication.
  4. Harmful drug interactions due to mismatch between the medicines.
  5. Incorrect manner of administration.
  6. Incorrect dosage.
  7. Incorrect choice of treatment.
  8. Masking of a severe disease.
  9. Risk of dependence, addiction or abuse.

We ought to face the fact that ours is a limited knowledge on medicine unless we are qualified to do so. Do we take up works of a carpenter or that of a tailor? No! Not even when we know exactly what we want. We share our requirements and have them do the job. Ever wonder why do we have this tendency to play around with our health while we have specialists to handle health? Doctors, themselves don’t do that. If you visit a GP for an ear infection, your doctor will certainly refer you to a ENT specialist.

Is it only for the information available via google searches that we can go about treating ourselves? We have to wake up to the fact that much of it is unreliable or unsuited for our individual case. A lot of drug choices as well as diagnoses depend on the clinical sense of a doctor. And the doctor’s clinical sense develops over years  by seeing thousands of patients day in and day out.

There might be an argument to justify our practice of self-medication – that it saves time and money for minor manageable issues. The good news is that it does not hold true anymore! For now you can reach out to doctors instantly, via mobile phones. Lybrate helps you directly ask a question to a doctor and get multiple opinions, without any charge and from the comfort of your home. Now, we can easily #SayNoToSelfMedication and be secure!

Women’s Day with Dr Kiran Arora: Discussion on PCOS


Women make ways where none exist. Dr Kiran Arora, a reputed IVF Consultant and OBS/GYN from Gurgaon shares with Lybrate about PCOS disorder as well as the the challenges of being a woman doctor.

Q: What is Polycystic ovarian syndrome (PCOS)?

Dr Kiran: Polycystic ovarian syndrome, or PCOS, is a medical condition which there is an imbalance of hormones. The sex hormones estrogen and progesterone gets out of balance. The imbalance leads to growth of ovarian cysts. The condition usually cause problems with a woman’s menstrual cycle, fertility, cardiac function, and physical appearance.

Q: Tell us about its symptoms?

Dr Kiran: The most common symptoms are Irregular menstrual cycles, anovulation, irregular ovulation and high levels of androgens in the body because of which women have difficulty conceiving are among the most common symptoms, hirsutism – the excessive growth of facial or body hair on women. The women affected with PCOS, often have enlarged ovaries and when menses occur they usually prolonged bleeding. With the time more cysts may form.

Q: What about causes of PCOS?

Dr Kiran: PCOS is a genetic problem but bad lifestyle plays a big role in its manifestation. Junk food, inactivity may result in the problem getting worse.

Q: Does it cause Infertility, as commonly believed?

Dr Kiran: Yes it may result in infertility because women affected with PCOS stop producing eggs for the purpose of reproduction. PCOS can also cause diabetes and heart diseases in a woman.

Q: Is it curable?

Dr Kiran: It is not completely curable so far but it is usually controlled by treating the symptoms. For example – An overweight woman should try to keep her weight in check. Regular exercise, healthy diet are important to keep PCOS in control. Controlling PCOS reduces the risks of infertility, miscarriages, diabetes, heart disease and uterine cancer.

Q: Dr. Kiran, how do you manage between the two roles of a doctor and a mother?

Dr Kiran: I think sticking to what you like is the key. Enjoy your profession and do what you like. If you do what you enjoy, you are naturally going to feel things are easy. Another thing is stick to what you are good at.

Q: Is it difficult to be a female doctor? Do you think things would have been different if you were a male?

Dr Kiran: I believe that males and females have their separate, yet very important roles to play. Somebody has to take care of the family and household, so we have entrusted this task upon ourselves because we know we can do them better than males. Similarly, men impart a lot of responsibilities which females cannot. It is a natural phenomenon. Initially things were easy when I was a student, energetic and enthusiastic for the profession with no responsibilities. As we grow, the reality hits us. We learn to accept that we have to raise a family as well. So yes, being a woman is a challenge. We learn to accept and keep ourselves happy!

Q: What has been your greatest challenge?

Dr Kiran: The greatest challenge was to find a suitable job when I came back from my studies and training in UK. When I was training and working hard in UK, I used to believe that I can get work in any hospital in India. Unfortunately, there were no takers! I came back to India, i tried to get work, but to no avail. Soon I was a mother, entrusted with lots of responsibilities with no job. Later, I set up my private clinic at my residence so that I can take care of my children as well. So life is not all that easy. I won’t say that I had to sacrifice anything, because i enjoy what I do.

Q: Please share a message for your patients and fellow doctors?

Dr Kiran: I would like to just tell everybody esp. all women one thing that helps the most – “Believe in yourself!”

Dr. Nutan Agarwal, OBS/GYN at AIIMS shares about IVF with Lybrate

Dr. Nutan Agarwal, Professor at Department of Obstetrics & Gynaecology at Delhi’s AIIMS shares about IVF and rise of infertility in India and talks about being a woman doctor, in an interview with Lybrate

Dr. Nutan Photo

Q: When do some couples need In Vitro Fertilization (IVF)?

Dr. Nutan: The most important reason couples need In Vitro Fertilization (IVF) is the blockage in fallopian tubes, lost or damaged fallopian tubes. Other reasons could be unexplained infertility, problems with ovulation, low sperm count, low quality semen etc. As the age of a woman increases, the outcomes of IVF becomes poor.

Q: Infertility in women is rising at an alarming pace in India. Please share reasons?

Dr. Nutan: A sedentary and hectic lifestyle, stress, inactivity, obesity etc. are the main reasons that are contributing to conception problems in women. When a woman is overweight, she may develop problems like Polycystic ovary syndrome (PCOS) and insulin resistance which affects the fertility of a woman. Other factors like genital tuberculosis infection creates defects in fallopian tube of a woman, endometriosis which results in abnormal growth in the woman’s reproductive system are also contributing factors. Not to mention that delayed marriages and deferred first child conception have a major role to play in the increasing incidences of infertility among women in India. The most common age group in which infertility occurs is between 28-35 years. The incidences of infertility have increased tremendously in the last 15-20 years. Women should eat healthy, do regular physical activities and try to stay happy to keep infertility at bay.

Q: Do you think IVF is a stigma in Indian society?

Dr. Nutan: I don’t think IVF is a stigma in society. Rather, IVF is helping women to fight stigma in society. Since the time AIIMS has established the IVF center, lots of women from all over India visit the facility for treatment and have been benefitted by it. They are happy and hearty!

Q: Self-medication is catching up fast among women in India. What can be the complications?

Dr. Nutan: Normal self-medication for headache is fine. Now-a-days women have also started to take MTP (Medical Termination of Pregnancy) kit without consulting a doctor. But there are many Ovulation Induction drugs, misuse of which can lead to the risk of ovarian cancer. Serious self-medication should be avoided by women.

Q: Dr. Nutan, how do you manage between the two roles of a doctor and a mother?

Dr. Nutan: Give all your mind and little heart to the profession, and all your heart and little mind to your children.

Please share a message for your patients and fellow doctors.

Dr. Nutan: Women should try to be independent. And to stay healthy, they should exercise regularly, eat a healthy diet and keep their weight under check to avoid problems like PCOS and infertility. Female doctors should try to follow highest principles and standards while practicing the profession.