Topical Anesthetic Gel

A topical anesthetic gel is commonly used in dentistry to reduce the slight discomfort and pain that is associated with injection needles. Topical anesthetic gel are effective in numbing up to a depth of 2 to 3 mm. Benzocaine and Lidocaine are the most common topical anesthetics used.

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Can skin thinning result from Anovate cream?

Query: Hi doctor, Around 1 year ago, I was diagnosed with anal fissure. My doctor has prescribed me a topical steroid cream, Anovate and I used it for about eight months. My fissure was healed, but I was left with constant pain, itching and pricking sensation around the anus while walking. I was not able ...  Read Full »

Dr. Kagathara Happy Kumar Devkaranbhai

Answer: Hello, Welcome to Anal fissure develops due to erosion of anal mucosa during hard straining particularly in constipated person. This is the main cause for it. So, prevention or treatment of constipation is very important. Once the anal mucosa get eroded due to straining, then the normal...  Read Full »

I have a white spot on the side of my tongue that pains while eating. Please suggest me a treatment for it.

Query: Hello doctor, I have been observing a small white spot on the side of my tongue for the past two weeks. It is slightly painful while eating. Please suggest some treatment.  Read Full »

Dr. Mahmoud Ahmed Abdelrahman Abouibrahim

Answer: Hello, Welcome to I have read your query and checked the attached photos. According to the history provided by you, you may have an aphthous ulcer on your tongue (attachment removed to protect the patient's identity). It is a non-cancerous lesion that commonly affects the oral cavity...  Read Full »

Are there any options to undergo ear wax removal post-cholesteatoma surgery without pain?

Query: Hello doctor, I underwent a cholesteatoma removal surgery in my right inner and middle ear, extending to my brain dura 10 years ago. A part of the mastoid was removed to help the skin debris shed naturally, and I have been free of cholesteatoma since then. I have a six-month follow-up with my ENT s...  Read Full »

Dr. Shyam Kalyan. N

Answer: Hello, Welcome to I have read your query and understand it. You seem to have had a canal wall down surgery (surgery to remove cholesteatoma, which is an abnormal ear growth or ear cyst behind the eardrum). The mastoid bowl (a cavity formed after the surgery due to removal of the mast...  Read Full »

Is it possible to scrap the white debris present on the inner surface of the cheeks?

Query: Hi doctor, I have white debris on the inner surface of my cheeks, where teeth rub the cheeks and lower lip. Is it possible to scrape off this debris?¬†Today after brushing and cleaning the debris, I had bleeding from my mouth. On examining, I found two fissures inside my left cheek, the whole left c...  Read Full »

Dr. Prerna Jain

Answer: Hi, Welcome to The symptoms you have described along with pictures (attachment removed to protect patient identity), point towards a fungal infection. It is mostly¬†candidiasis. It is very simple to treat. However, it must be determined why it occurred. It can be due to stress, other vi...  Read Full »

Will the tooth come back if a 1.5-year-old baby loses her tooth?

Query: Hi doctor,My baby is one and a half years old. While playing, she fell down and she lost her upper front tooth from the root. Is it possible for her to have that tooth again?   Read Full »

Dr. Mousam Chattopadhyay

Answer: Hi, Welcome to I have gone through your query and it is painful to see a baby with pain. Do not be worried. As it is a primary tooth, you can have a permanent tooth by the age of seven years. Kindly be patient. If possible, you can upload an image of the area to see whether any ot...  Read Full »

I have a tender, decayed tooth present on the edge of the gums. Is it good to extract it?

Query: Hi doctor, I have a decayed second molar on the bottom right side (photo attached). It is decayed over the years to about one third. Just now, it has completely broken off and freed itself from its roots, but is held by only the inside edge of my gums. There is no swelling, but the gums have been te...  Read Full »

Dr. Prerna Jain

Answer: Hi, Welcome to The ideal solution is to visit the dentist or oral surgeon for removing the tooth. The broken piece is not clearly visible on the photograph (attachment removed to protect patient identity). However, trying to pull it out on your own will be quite painful and also may lea...  Read Full »

How is mouth ulcer treated?

Query: Hi doctor, I have a sore in the mouth. I have attached the photos. Please help.  Read Full »

Dr. Naveen Thomas

Answer: Hi, Welcome to In the photos (attachment removed to protect patient identity), the sore looks just like a simple mouth ulcer. This will take at least 8 to 10 days to heal. Do you get frequent sores? Since how long are you having this? Is it very painful when eating hot or spicy food? Wh...  Read Full »

Please suggest ways to manage swollen and bleeding gums.

Query: Hi doctor, I had a cut in the gum after having some food. Later, I gargled with Listerine and it worsens the condition with swelling. I am having bleeding gums while brushing. I am 35 years old and I am diabetic. Please do the needful.  Read Full »

Dr. Naveen Thomas

Answer: Hello, Welcome to It is called localized peridontitis, which occur sometimes if there was food impaction between the two teeth or some prolonged infection due to plaque and calculus deposition. You should use warm saline gargle thrice a day for a week. Visit a dentist and ask him to cle...  Read Full »

Why do I have a bump in place of a wisdom tooth?

Query: Hi doctor, I have a kind of bump on the side where my bottom wisdom tooth was. Also, there appears to be a little hole in the area with white stuff on it. It is behind my last bottom tooth where the wisdom tooth was removed years ago. It is sore to touch. I have attached the photo. It is not the whe...  Read Full »

Dr. Naveen Thomas

Answer: Hi, Welcome to It seems that your upper wisdom tooth (if it is present or the last molar) has grown more downwards making direct contact with the gums leading to ulceration and soreness (attachment removed to protect patient identity). As you removed lower wisdom tooth years ago, the up...  Read Full »

Why do I have pain in the last lower left tooth region?

Query: Hi doctor, I am suffering from pain in the left lower jaw. I do not have any tooth pain, but the skin surrounding the last tooth is troubling me. Please help.  Read Full »

Dr. Nivedita Dalmia

Answer: Hello, Welcome to I think it can be due to pericoronitis. This is a condition where the tissue over the erupting wisdom tooth will get inflamed. Apply anesthetic gel in that area. Do lukewarm saline mouth rinse three to four times a day. If possible attach a picture for better diagnos...  Read Full »

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