𝑫𝒓 𝑲𝒂𝒍𝒆𝒆𝒎𝒖𝒍𝒍𝒂𝒉

29/01/2026

The minimum annual fee for BDS/MBBS has touched around 1.8 million PKR (18 lacs) excluding other expenses.
Before choosing Medicine or Dentistry, pause and think realistically. It’s not just about passion anymore; it’s a long, expensive journey with delayed financial stability, intense workload, and growing saturation.

If you’re stepping in without a clear plan, support system, or genuine commitment, do yourself a favor and reconsider this path. Dreams are important but so is practicality. Choose wisely...

27/01/2026

17/01/2026

17/01/2026

Patient Diagnosis: Oroantral Fistula
Treatment Performed: Closure achieved using Spongostan and a figure-of-eight suture technique.

05/01/2026

Wisdom tooth ke baad nerve damage (Paresthesia) – kaise theek hota .

🔹 Paresthesia kya hota hai?
Wisdom tooth (especially lower 3rd molar) nikalne ke baad agar numbness, jhanjhanahat, suiyan chubhne jaisa feel, ya sensation kam ho jaye – lips, chin, gums ya tongue me – ise paresthesia kehte hain.
Mostly Inferior Alveolar Nerve (IAN) ya Lingual Nerve involve hoti hai.

🔹 Kyon hota hai?
Root nerve ke bahut paas tha (radiograph/CBCT me overlap)
Surgical trauma / stretching
Compression by edema or hematoma
Local anesthesia needle trauma (rare)
Complete transection (bahut rare, worst case)

🔹 Sabse important baat (Reality check)
👉 90% cases temporary hote hain
👉 Spontaneous recovery hoti hai
👉 Time lagta hai – weeks to months

🔹 Recovery timeline (approx.)
Mild nerve bruise → 2–6 weeks
Moderate compression/stretch → 2–3 months
Severe injury → 6–9 months
No improvement after 6 months → specialist evaluation zaroori

🔹 Treatment / Management (Step-wise)
✅ 1. Observation (sabse common)
Initial 2–4 weeks sirf wait & watch
Patient ko reassure karna bahut important
💊 2. Medicines (nerve support)
Neurotropic vitamins
Methylcobalamin
Pyridoxine (B6)
Folic acid
➡️ 4–8 weeks minimum
NSAIDs (initial phase)
Agar swelling/pressure cause hai

⚡ 3. Physical stimulation
Light touch, cotton test
Lukewarm–cold contrast rinse
Gentle massage (external)
👉 Nerve ko “stimulus” milta rahe

🧠 4. If symptoms persist (>6–8 weeks)
CBCT to see nerve proximity
Neurosensory testing
Refer to Oral & Maxillofacial Surgeon / Neurologist

🛠️ 5. Surgical options (rare)
Only if:
Complete nerve transection
No recovery even after 6–9 months
Procedures:
Nerve decompression
Microsurgical repair
⚠️ Very rare cases
🔹 Patient ko kya bolna chahiye? (Counselling line)
“Ye nerve ka temporary shock hai, zyadatar cases me nerve apne aap heal ho jati hai. Time aur vitamins se recovery hoti hai.”

🔹 Red flags 🚨 (Ignore na karein)
Complete numbness > 3 months
Painful dysesthesia
Tongue bite injuries (lingual nerve)

🧠 Bottom line (Yaad rakhne wali baat)
Paresthesia ≠ permanent damage
Patience + reassurance + vitamins
Time is the best healer for nerves

04/01/2026

Hypothyroidism (Low Thyroid) – Dentistry mein effect & healing par asar
Hypothyroidism kya hota hai?
Jab thyroid gland body ke liye kam hormones (T3, T4) banata hai, usse hypothyroidism kehte hain.
Ye hormones body ki speed (metabolism) control karte hain.
Socho body ek factory hai –
Thyroid = speed regulator
Agar thyroid slow → poori factory slow
Dentistry mein Hypothyroidism ka importance kyun?
Dentistry sirf daant nahi, poori body response se judi hoti hai. Hypothyroid patient mein:
1️⃣ Healing slow ho jaati hai
Extraction, flap surgery, implant ke baad
Wound healing delayed
Socket late bharna
Granulation tissue slow
Reason:
Cell turnover slow
Collagen formation kam
Angiogenesis (new blood vessels) slow
2️⃣ Infection ka risk zyada
Immunity thodi suppressed hoti hai
Post-op infection ka chance ↑
Dry socket ka risk ↑
3️⃣ Bleeding kam hoti hai, par healing bhi slow
Hypothyroid mein bleeding usually excessive nahi hoti
Par clot maturation aur organization slow
4️⃣ Bone healing & Implant success
Bone metabolism slow
Osseointegration delay ho sakti hai
Implant planning mein thyroid control confirm karna zaroori
5️⃣ Local anaesthesia & drugs ka effect
Sedatives, opioids → zyada depressant effect
Patient zyada sleepy / slow respond karega
LA generally safe, but over-sedation avoid
6️⃣ Oral signs jo dentist dekh sakta hai
Macroglossia (moti jeebh)
Dry mouth
Thick speech
Puffy face
Delayed eruption (children)
Periodontal disease progression slow but persistent
Hypothyroid patient mein dental procedure ka protocol

✅ Agar thyroid controlled hai (on thyroxine):
Routine dental treatment safe
Extraction, RCT, surgery possible
Healing thodi slow ho sakti hai → patient ko batao
⚠️ Agar uncontrolled / severe hypothyroid:
Elective surgery postpone
Stress avoid

Emergency mein minimal intervention
Medical consultation recommended
Why Thyroid is called “Policeman of the Body”? 🚨

🔹 Policeman ka kaam kya hota hai?
Speed control
Discipline maintain
Sab system ko line mein rakhna

🔹 Thyroid ka kaam bhi wahi hai:
Body system
Thyroid ka role
Heart
Heart rate control
Brain
Alertness, thinking
Muscles
Strength & tone
Bone
Growth & remodeling
Skin
Turnover & healing
Metabolism
Energy speed

👉 Thyroid decide karta hai body kitni fast ya slow chalegi
Isliye ise “Policeman of the body” kaha jaata hai.

Ek simple dental example 🦷
Socho aapne do patients ka extraction kiya:
🧑 Patient A – Normal thyroid
7–10 din mein socket heal
No complication
🧑‍⚕️ Patient B – Hypothyroid
10–14 din bhi kam lag sakte
Mild pain, delayed healing
Infection ka thoda risk

👉 Dentist ko pehle se aware rehna chahiye
One-line yaad rakhne wali baat
Hypothyroidism = Slow body, slow healing, slow response

29/12/2025

OPD CASE

A smooth, rounded cervical tooth surface points toward abrasion, not abfraction.

Understanding the shape, margins, and surface texture is key to accurate diagnosis and effective management.

✔ Eliminate the cause
→ Correct brushing technique (modified Bass)
→ Soft-bristle toothbrush
→ Non-abrasive toothpaste

✔ Desensitization (if symptomatic)
→ Desensitizing toothpaste
→ Topical fluoride application

✔ Restorative management (if indicated)
→ Cervical restoration (GIC / RMGIC / Composite)
→ Indicated when there is sensitivity, esthetic concern, or risk of progression

📌 Eliminate the cause before restoring prevention is always the first step.

13/11/2025

7 سیٹوں پر 6000 ڈاکٹرز نے اپلائی کر دیا۔۔۔۔
بچوں رکنا نہیں۔۔۔۔
7 ڈاکٹر بنیں گے اور باقی کیا کریں گے۔
باقی ڈاکٹرز ایم ڈی کیٹ کی تیاری کر لیں شاید دوبارہ جب ڈاکٹر بن کر آئیں تو سیٹیں بڑھ جائیں۔۔۔۔

12/11/2025

Hypertensive Urgency = BP ≥180/120 with NO organ damage → Go Slow
Use oral meds: Amlodipine 5–10 mg, Losartan 50–80 mg, Labetalol 100–200 mg.
❌ Avoid S/L Captopril & IV Lasix → they drop BP too fast → stroke / AKI risk.

Hypertensive Emergency = High BP + organ damage (stroke, MI, pulm edema) → Go Fast
Use IV Labetalol / Nicardipine.

Remember: “Urgency = No Damage → Slow. Emergency = Damage → Fast.”