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Khlil.com This domain is for sale! #domain #domainname #domainsforsale #domainnames #domene #domainsale #company #uk #usa #italia #travel #love #norway # #search #khlil #arab (ved Sarpsborg, Norway) https://www.instagram.com/p/CnLAfLPNcoA/?igshid=NGJjMDIxMWI=
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Through the Years → Willem-Alexander of the Netherlands (1,421/∞) 31 January 2024 | King Willem-Alexander successively receives the Ambassador of the Russian Federation, V. Tarabrin, the Ambassador of the Republic of Seychelles, K.J.G. Racombo, and the Ambassador of the Islamic Republic of Mauritania, M.M. Ould Brahim Khlil, to present their credentials. (Photo by Frank van Beek/Koninklijkhuis)
#King Willem Alexander#The Netherlands#2024#Frank van Beek#Koninklijkhuis#through the years: Willem Alexander
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☁️ لا تعش نصف حياة لجبران خليل جبران
Hi, anon.
[There you go] This is a very interesting choice, and I found this quite motivating so thank you!
I prepared a translation for this under the cut
“لا تجالس أنصاف العشاق، ولا تصادق أنصاف الأصدقاء، لا تقرأ لأنصاف الموهوبين،لا تعش نصف حياة، ولا تمت نصف موت،لا تختر نصف حل، ولا تقف في منتصف الحقيقة، لا تحلم نصف حلم، ولا تتعلق بنصف أمل، إذا صمتّ. فاصمت حتى النهاية، وإذا تكلمت.. فتكلّم حتى النهاية، لا تصمت كي تتكلم، ولا تتكلم كي تصمت. Don’t sit with half lovers, and don’t befriend half friends. Don’t read for people who are half talented. Don’t live half a life, and don’t die half a death. Don’t choose half a solution, and don’t stand midway from the truth. Don’t cling into half a hope. If you’re silent, remain silent until the end, and if you speak, speak until the end. Don’t be silent so that you can speak and don’t speak so that you can be silent. إذا رضيت فعبّر عن رضاك، لا تصطنع نصف رضا، وإذا رفضت.. فعبّر عن رفضك، لأن نصف الرفض قبول.. النصف هو حياة لم تعشها، وهو كلمة لم تقلها،وهو ابتسامة أجّلتها، وهو حب لم تصل إليه، وهو صداقة لم تعرفها.. النصف هو ما يجعلك غريباً عن أقرب الناس إليك، وهو ما يجعل أقرب الناس إليك غرباء عنك.
If you’re satisfied, express it. Don’t feign satisfaction, and if you refuse, express it. For half a refusal is an acceptance… This “half” is a life that you haven’t lived. It’s a word that you haven’t said. It’s a smile that you have postponed, it’s a love that you didn’t reach, it’s a friendship you never knew. This “half” is what makes you a stranger to the people closest to you, and what makes those who are close to you seem like strangers. النصف هو أن تصل وأن لاتصل، أن تعمل وأن لا تعمل،أن تغيب وأن تحضر.. النصف هو أنت، عندما لا تكون أنت.. لأنك لم تعرف من أنت، النصف هو أن لا تعرف من أنت.. ومن تحب ليس نصفك الآخر.. هو أنت في مكان آخر في الوقت نفسه.
This half is to reach, and to not reach, to work and not to work, to be absent and present, this half is when you’re “you” but not yourself because you didn’t know who you were. The one you love isn’t “your other half”, they’re you in a different place at the same time. نصف شربة لن تروي ظمأك، ونصف وجبة لن تشبع جوعك،نصف طريق لن يوصلَك إلى أي مكان، ونصف فكرة لن تعطي لك نتيجة النصف هو لحظة عجزك وأنت لست بعاجز.. لأنك لست نصف إنسان. Half a sip won’t quench your thirst, and half a meal won’t satisfy your hunger. Half a road will lead you nowhere, and half an idea won’t give you a result. This half is you in a moment of helplessness, and you’re not helpless because you’re not half a human.
أنت إنسان وجدت كي تعيش الحياة، وليس كي تعيش نصف حياة ليست حقيقة الإنسان بما يظهره لك.. بل بما لا يستطيع أن يظهره، لذلك.. إذا أردت أن تعرفه فلا تصغي إلى ما يقوله .. بل إلى ما لا يقوله.”
You’re a human, and you exist to live a full life, not half a life. A person’s true self isn’t what they show you, but what they can’t show you, therefore, if you want to know them, don’t listen to what they say, but listen to what they don’t.
Khlil Jibran جبران خليل جبران
#اللغة العربية#I hope you liked it#I tried my best to enunciate and make the words sound clear#thanks for the ask!#asks#Khalil Jibran#لا تعش نصف حياة#جبران خليل جبران#Anonymous
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Achanak - Tele Theatre Part II
Achanak – Tele Theatre Part II
https://www.dailymotion.com/video/x8czlkr Achanak – Tele TheatreWritten by: Asghar Nadeem SyedDirected by: Iqbal Ansari Starring: Talat Hussain, Fazila Qaiser, Khalid Zafar, Badar Khlil, Dilshad Sabir, Wakil Farooqui, Rashida Yaqoob, Azmat Ansari, Aslam Shaikh, Anil Bhatti, Abu-ul-Kalam
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#الرئيس_الشهيد_محمد_مرسي #قتلوه_قاتلهم_الله يا قاتلي من الفنان Wagdy Elaraby للر��يس الشهيد Mohamed khlil https://www.instagram.com/p/BzS7wIKjky4/?igshid=5jfs11vdmq4p
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عزف على أوتار قلب - جبران خليل جبران by Shaza Khlil on #SoundCloud
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While most people tend to have pink gums, that’s not always the case. It helps to pay attention to your natural gum color. That way, if something changes, you can figure out the cause and decide whether or not you should speak to a doctor.
In most cases, gum discoloration is harmless and treatments exist to restore gums to their original color. However, if you’re a smoker, you should be aware of what causes your gums to darken and your treatment options.
Not all causes of black gums change gum color overall but rather leave black spots around the gums.
How to Spot Discoloration of The Gums
Melanin, specifically melanocytes, gives your gums their color. The amount of melanin varies from person to person, so gum color also tends to vary from person to person — healthy gums come in a large swathe of colors! As a result, darker gums can simply point to genetics and aren’t anything to worry about.
You should be concerned, however, if you notice a change in your natural gum color.
Spotting discoloration can be as simple as noticing any distinct changes in your gum color during your routine oral hygiene. You can also share any concerns with your dentist during your next appointment. They’ll be able to more thoroughly evaluate your gums.
10 Causes of Black Gums
Many influences can cause gums to turn darker or even black. Medication, certain medical conditions, and smoking are the most common causes.
Most instances of darkened gums are simply cosmetic. However, in some cases, they can be a symptom of something more troubling. Knowing what causes black gums is crucial for maintaining not just your oral health, but your overall health.
1. Smoker’s Melanosis
One of the main causes of dark/black gums is smoking. Tobacco can cause the cells responsible for making melanin, melanocytes, to increase melanin production.
As a result, gums may turn dark brown or black. This discoloration can occur in either patches or the entire inside of the mouth as a whole.
2. Acute Necrotizing Ulcerative Gingivitis
Also known as “trench mouth” from its roots in World War I, acute necrotizing ulcerative gingivitis is a severe gum infection that is usually the result of poor oral hygiene, stress, lack of sleep, or an unhealthy diet.
It may also be caused by HIV infection or triggered by smoking.
This is a severe form of gum disease (periodontal disease) that requires treatment from a dentist.
Symptoms may include foul breath, painful/bleeding gums, a surplus of saliva, and fever. Some patients also experience ulcers on the gums near the teeth. Gum discoloration is a result of dead tissue build up.
3. Addison’s Disease
Addison’s disease causes is a disorder that affects the adrenal glands, causing them to produce insufficient hormones. This autoimmune disease occurs when the immune system mistakes healthy cells for foreign invaders and attacks them like it would a virus or pathogenic bacteria.
Symptoms range from tiredness, thirst, lack of appetite, weight loss, muscle weakness, and darkened lips and gums (hyperpigmentation).
4. Amalgam Tattoos
These blue, black, or gray patches inside the mouth occur as a result of recent fillings or crowns. Amalgam is a mixture of various metals used to make both.
It sometimes stains the inside of the mouth when the amalgam comes into contact with the tissue. While for some people, these spots are harmless, there is some evidence that they are related to chronic inflammation.
Because of toxicity concerns surrounding amalgam fillings or crowns, if you’re worried about amalgam, ask your dentist about other options.
5. Medication Side-Effects
Some medications like minocycline (used in acne treatments) have side effects which include discoloration of the gums. Other medications that may be at fault include antimalarials, cancer drugs, antibiotics, antipsychotics, and tricyclic antidepressants.
Simply changing the medication can help restore color — just be sure to talk to your prescribing physician before changing or stopping any medications.
6. Peutz-Jeghers Syndrome
This genetic condition causes noncancerous growths called hamartomatous polyps in the gastrointestinal tract that greatly increase the risk for certain cancers.
Children tend to develop dark spots over their bodies, including in and around their mouths. A genetic test can be used to identify Peutz-Jeghers.
7. Trauma
Gums can also be bruised due to trauma or injury. Impacts, cuts, or even brushing too hard can damage the gums.
One specific (rare) condition known as oral melanoacanthoma may be caused by injuries in the mouth.
Gum bruises from injury tend to clear up on their own over time and aren’t much cause for concern, but if you experience unexpected pain, it’s probably time to talk to your dentist.
8. Eruption Hematoma
Most common in Caucasian children, eruption hematomas (cysts) may happen when adult teeth come in. These dark patches may or may not require surgical treatment.
9. Melanotic Macule or Blue Nevus
Both of these features show up as discoloration of the gums. Melanotic macules appear as freckles, while a blue nevus may be slightly raised (more like a mole).
Generally considered to be harmless, your dentist may want to investigate this kind of spot if it begins to change in size or color.
10. Oral Cancer
Though it’s usually not the culprit, some cases of dark gums are a sign of oral cancer. Your dentist will be the first to pick up on this and other possible symptoms, which is just one more reason to never skip an appointment!
How to Lighten Dark Gums Caused By Smoking
Whether or not gum discoloration can be repaired depends on the condition that causes it. Some treatments can restore natural color to the gums, others may only manage the condition.
However, with dark gums caused by smoking, the easiest way to restore natural color to the gums is to quit smoking. But sometimes that isn’t enough on its own.
Cosmetic dentists can sometimes help restore gum color by brightening the gums through laser de-pigmentation treatment, bleaching, and surgery.
Laser De-Pigmentation
With laser treatment, your cosmetic dentist would treat the area with a local anesthetic to help you remain comfortable during the 20-45-minute process.
The laser vaporizes a thin layer of gum tissue, leaving room for the creation of new tissues. These tissues usually grow back as pink, rather than brown or black. The results of laser treatment can last up to 20 years.
Gum Bleaching
Using a bleaching solution along with laser de-pigmentation, your cosmetic dentist will lighten up your gums. Just like a standard de-pigmentation treatment, you may experience minor discomfort that over-the-counter medicines can relieve.
Keep in mind that gum bleaching requires a professional dentist and should not be tried alone.
Surgery
This process is more invasive. Your dentist will apply an anesthetic before the procedure, then they will surgically remove the damaged gums. By removing the outer layer of gum epithelium, the gum tissue below usually regrows into pinker and healthier looking than the darker gums.
This is called muco-osseous gum surgery.
Whatever treatment you choose, quitting smoking beforehand is the best way to ensure that you achieve the lasting, healthy-looking gums you desire.
What You Should Expect After Laser De-Pigmentation
As an outpatient procedure, you can expect minimum side-effects from laser de-pigmentation. Usually, there is some mild discomfort from the process, but that can be managed with over-the-counter pain medication as well. And you can also expect to eat, drink, and talk normally right after the de-pigmentation procedure.
For the best results, you should not smoke for at least 7 days after your procedure. And quitting altogether will help you maintain a healthy, beautiful smile with healthy-looking gums after your treatment.
Preventing Black Gums
While you can’t control your production of melanin, darkening of the gums can be prevented in many cases with good dental hygiene. This includes brushing with a soft-bristled toothbrush, flossing, and keeping up with teeth cleanings.
Above all, avoid smoking and all forms of tobacco, as these not only may change the color of the gums but leave you at a higher risk for oral cancer, severe gum disease, and more.
When to Talk to Your Dentist About Black Gums
It’s natural to feel some concern or worry if you notice gum discoloration. While some people have naturally darker gums and others have freckles, gum discoloration could hint at a more serious health concern. Scheduling a trip to your local dentist can be an easy way to put your mind at ease.
During your evaluation, your dentist will examine your gums and ask you a series of health questions. If there’s a cause for concern, more tests may be ran or treatment provided to help repair your gums.
However, if you are a smoker, then it’s most likely that your dark gums are a side-effect of that habit. Quitting smoking and treating the darkened gums with cosmetic dentistry are your best bet to rapidly restore your oral health.
Read Next: Are Cigars Better Than Cigarettes For My Teeth?
7 References
Malek, R., Gharibi, A., Khlil, N., & Kissa, J. (2017). Necrotizing ulcerative gingivitis. Contemporary clinical dentistry, 8(3), 496. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644015/
Underner, M., Maes, I., Urban, T., & Meurice, J. C. (2009). Effects of smoking on periodontal disease. Revue des maladies respiratoires, 26(10), 1057-1073. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/20032842
Buchner, A., & Hansen, L. S. (1980). Amalgam pigmentation (amalgam tattoo) of the oral mucosa: a clinicopathologic study of 268 cases. Oral Surgery, Oral Medicine, Oral Pathology, 49(2), 139-147. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/6928285
Lampe, A. K., Hampton, P. J., Woodford-Richens, K., Tomlinson, I., Lawrence, C. M., & Douglas, F. S. (2003). Laugier-Hunziker syndrome: an important differential diagnosis for Peutz-Jeghers syndrome. Journal of medical genetics, 40(6), e77-e77. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1735508/pdf/v040p00e77.pdf
Gupta, A. A., Nainani, P., Upadhyay, B., & Kavle, P. (2012). Oral melanoacanthoma: A rare case of diffuse oral pigmentation. Journal of oral and maxillofacial pathology: JOMFP, 16(3), 441. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519227/
Nagaveni, N. B., Umashankara, K. V., Radhika, N. B., & Satisha, T. M. (2011). Eruption cyst: A literature review and four case reports. Indian Journal of Dental Research, 22(1), 148. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/21525694
Monteiro, L. S., Costa, J. A., da Câmara, M. I., Albuquerque, R., Martins, M., Pacheco, J. J., … & Figueira, F. (2015). Aesthetic depigmentation of gingival smoker’s melanosis using carbon dioxide lasers. Case reports in dentistry, 2015. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4410537/
The post How to Deal with “Black Gums” from Smoking [Plus, 9 Other Causes] appeared first on Ask the Dentist.
from Ask the Dentist https://askthedentist.com/black-gums/
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How to Deal with “Black Gums” from Smoking [Plus, 9 Other Causes]
While most people tend to have pink gums, that’s not always the case. It helps to pay attention to your natural gum color. That way, if something changes, you can figure out the cause and decide whether or not you should speak to a doctor.
In most cases, gum discoloration is harmless and treatments exist to restore gums to their original color. However, if you’re a smoker, you should be aware of what causes your gums to darken and your treatment options.
Not all causes of black gums change gum color overall but rather leave black spots around the gums.
How to Spot Discoloration of The Gums
Melanin, specifically melanocytes, gives your gums their color. The amount of melanin varies from person to person, so gum color also tends to vary from person to person — healthy gums come in a large swathe of colors! As a result, darker gums can simply point to genetics and aren’t anything to worry about.
You should be concerned, however, if you notice a change in your natural gum color.
Spotting discoloration can be as simple as noticing any distinct changes in your gum color during your routine oral hygiene. You can also share any concerns with your dentist during your next appointment. They’ll be able to more thoroughly evaluate your gums.
10 Causes of Black Gums
Many influences can cause gums to turn darker or even black. Medication, certain medical conditions, and smoking are the most common causes.
Most instances of darkened gums are simply cosmetic. However, in some cases, they can be a symptom of something more troubling. Knowing what causes black gums is crucial for maintaining not just your oral health, but your overall health.
1. Smoker’s Melanosis
One of the main causes of dark/black gums is smoking. Tobacco can cause the cells responsible for making melanin, melanocytes, to increase melanin production.
As a result, gums may turn dark brown or black. This discoloration can occur in either patches or the entire inside of the mouth as a whole.
2. Acute Necrotizing Ulcerative Gingivitis
Also known as “trench mouth” from its roots in World War I, acute necrotizing ulcerative gingivitis is a severe gum infection that is usually the result of poor oral hygiene, stress, lack of sleep, or an unhealthy diet.
It may also be caused by HIV infection or triggered by smoking.
This is a severe form of gum disease (periodontal disease) that requires treatment from a dentist.
Symptoms may include foul breath, painful/bleeding gums, a surplus of saliva, and fever. Some patients also experience ulcers on the gums near the teeth. Gum discoloration is a result of dead tissue build up.
3. Addison’s Disease
Addison’s disease causes is a disorder that affects the adrenal glands, causing them to produce insufficient hormones. This autoimmune disease occurs when the immune system mistakes healthy cells for foreign invaders and attacks them like it would a virus or pathogenic bacteria.
Symptoms range from tiredness, thirst, lack of appetite, weight loss, muscle weakness, and darkened lips and gums (hyperpigmentation).
4. Amalgam Tattoos
These blue, black, or gray patches inside the mouth occur as a result of recent fillings or crowns. Amalgam is a mixture of various metals used to make both.
It sometimes stains the inside of the mouth when the amalgam comes into contact with the tissue. While for some people, these spots are harmless, there is some evidence that they are related to chronic inflammation.
Because of toxicity concerns surrounding amalgam fillings or crowns, if you’re worried about amalgam, ask your dentist about other options.
5. Medication Side-Effects
Some medications like minocycline (used in acne treatments) have side effects which include discoloration of the gums. Other medications that may be at fault include antimalarials, cancer drugs, antibiotics, antipsychotics, and tricyclic antidepressants.
Simply changing the medication can help restore color — just be sure to talk to your prescribing physician before changing or stopping any medications.
6. Peutz-Jeghers Syndrome
This genetic condition causes noncancerous growths called hamartomatous polyps in the gastrointestinal tract that greatly increase the risk for certain cancers.
Children tend to develop dark spots over their bodies, including in and around their mouths. A genetic test can be used to identify Peutz-Jeghers.
7. Trauma
Gums can also be bruised due to trauma or injury. Impacts, cuts, or even brushing too hard can damage the gums.
One specific (rare) condition known as oral melanoacanthoma may be caused by injuries in the mouth.
Gum bruises from injury tend to clear up on their own over time and aren’t much cause for concern, but if you experience unexpected pain, it’s probably time to talk to your dentist.
8. Eruption Hematoma
Most common in Caucasian children, eruption hematomas (cysts) may happen when adult teeth come in. These dark patches may or may not require surgical treatment.
9. Melanotic Macule or Blue Nevus
Both of these features show up as discoloration of the gums. Melanotic macules appear as freckles, while a blue nevus may be slightly raised (more like a mole).
Generally considered to be harmless, your dentist may want to investigate this kind of spot if it begins to change in size or color.
10. Oral Cancer
Though it’s usually not the culprit, some cases of dark gums are a sign of oral cancer. Your dentist will be the first to pick up on this and other possible symptoms, which is just one more reason to never skip an appointment!
How to Lighten Dark Gums Caused By Smoking
Whether or not gum discoloration can be repaired depends on the condition that causes it. Some treatments can restore natural color to the gums, others may only manage the condition.
However, with dark gums caused by smoking, the easiest way to restore natural color to the gums is to quit smoking. But sometimes that isn’t enough on its own.
Cosmetic dentists can sometimes help restore gum color by brightening the gums through laser de-pigmentation treatment, bleaching, and surgery.
Laser De-Pigmentation
With laser treatment, your cosmetic dentist would treat the area with a local anesthetic to help you remain comfortable during the 20-45-minute process.
The laser vaporizes a thin layer of gum tissue, leaving room for the creation of new tissues. These tissues usually grow back as pink, rather than brown or black. The results of laser treatment can last up to 20 years.
Gum Bleaching
Using a bleaching solution along with laser de-pigmentation, your cosmetic dentist will lighten up your gums. Just like a standard de-pigmentation treatment, you may experience minor discomfort that over-the-counter medicines can relieve.
Keep in mind that gum bleaching requires a professional dentist and should not be tried alone.
Surgery
This process is more invasive. Your dentist will apply an anesthetic before the procedure, then they will surgically remove the damaged gums. By removing the outer layer of gum epithelium, the gum tissue below usually regrows into pinker and healthier looking than the darker gums.
This is called muco-osseous gum surgery.
Whatever treatment you choose, quitting smoking beforehand is the best way to ensure that you achieve the lasting, healthy-looking gums you desire.
What You Should Expect After Laser De-Pigmentation
As an outpatient procedure, you can expect minimum side-effects from laser de-pigmentation. Usually, there is some mild discomfort from the process, but that can be managed with over-the-counter pain medication as well. And you can also expect to eat, drink, and talk normally right after the de-pigmentation procedure.
For the best results, you should not smoke for at least 7 days after your procedure. And quitting altogether will help you maintain a healthy, beautiful smile with healthy-looking gums after your treatment.
Preventing Black Gums
While you can’t control your production of melanin, darkening of the gums can be prevented in many cases with good dental hygiene. This includes brushing with a soft-bristled toothbrush, flossing, and keeping up with teeth cleanings.
Above all, avoid smoking and all forms of tobacco, as these not only may change the color of the gums but leave you at a higher risk for oral cancer, severe gum disease, and more.
When to Talk to Your Dentist About Black Gums
It’s natural to feel some concern or worry if you notice gum discoloration. While some people have naturally darker gums and others have freckles, gum discoloration could hint at a more serious health concern. Scheduling a trip to your local dentist can be an easy way to put your mind at ease.
During your evaluation, your dentist will examine your gums and ask you a series of health questions. If there’s a cause for concern, more tests may be ran or treatment provided to help repair your gums.
However, if you are a smoker, then it’s most likely that your dark gums are a side-effect of that habit. Quitting smoking and treating the darkened gums with cosmetic dentistry are your best bet to rapidly restore your oral health.
Read Next: Are Cigars Better Than Cigarettes For My Teeth?
7 References
Malek, R., Gharibi, A., Khlil, N., & Kissa, J. (2017). Necrotizing ulcerative gingivitis. Contemporary clinical dentistry, 8(3), 496. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644015/
Underner, M., Maes, I., Urban, T., & Meurice, J. C. (2009). Effects of smoking on periodontal disease. Revue des maladies respiratoires, 26(10), 1057-1073. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/20032842
Buchner, A., & Hansen, L. S. (1980). Amalgam pigmentation (amalgam tattoo) of the oral mucosa: a clinicopathologic study of 268 cases. Oral Surgery, Oral Medicine, Oral Pathology, 49(2), 139-147. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/6928285
Lampe, A. K., Hampton, P. J., Woodford-Richens, K., Tomlinson, I., Lawrence, C. M., & Douglas, F. S. (2003). Laugier-Hunziker syndrome: an important differential diagnosis for Peutz-Jeghers syndrome. Journal of medical genetics, 40(6), e77-e77. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1735508/pdf/v040p00e77.pdf
Gupta, A. A., Nainani, P., Upadhyay, B., & Kavle, P. (2012). Oral melanoacanthoma: A rare case of diffuse oral pigmentation. Journal of oral and maxillofacial pathology: JOMFP, 16(3), 441. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519227/
Nagaveni, N. B., Umashankara, K. V., Radhika, N. B., & Satisha, T. M. (2011). Eruption cyst: A literature review and four case reports. Indian Journal of Dental Research, 22(1), 148. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/21525694
Monteiro, L. S., Costa, J. A., da Câmara, M. I., Albuquerque, R., Martins, M., Pacheco, J. J., … & Figueira, F. (2015). Aesthetic depigmentation of gingival smoker’s melanosis using carbon dioxide lasers. Case reports in dentistry, 2015. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4410537/
The post How to Deal with “Black Gums” from Smoking [Plus, 9 Other Causes] appeared first on Ask the Dentist.
How to Deal with “Black Gums” from Smoking [Plus, 9 Other Causes] published first on https://wittooth.tumblr.com/
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Si l’EST était sur du velours face à la Saydia, le CSS a eu du mal à l’emporter au détriment d’une ESS qui fonctionne à merveille. A sens unique à la salle Zouaoui de Tunis, de l’intensité et du volley-ball dynamique, rapide, réfléchi à la salle commandant Béjaoui de Sfax,
l’Espérance de Tunis et le Club Sfaxien ont gagné l’acte I des demi-finales de la compétition nationale. Il leur reste à confirmer le mercredi 4 avril dans le second acte. EST et CSS, il est vrai, ont franchi un pas vers la finale et devraient savoir le préserver. Rien n’est encore joué. L’excès de confiance n’est pas permis dans ce genre de rendez-vous. Les perdants Saydia de Sidi Bou Saïd et l’Etoile du Sahel vont jeter tous leurs efforts à domicile pour rebondir. Les «Sang et Or» dans leur fief ont pu se défaire aisément des banlieusards qui semblaient sur un registre technique de moindre consistance. Les trois sets disputés constituaient, en somme, des manœuvres bien ponctuées pour les 25-19, 25-22, 25-16. Une première tâche espérantiste accomplie. La rencontre de Sfax entre le CSS et l’ESS fut plus serrée, plus passionnante qu’on pourrait le croire. Un niveau technique très élevé, les deux protagonistes concentrés totalement sur leur sujet ont laissé entrevoir de bonnes dispositions confirmant leur réputation d’équipes pratiquant un jeu remarquable avec beaucoup de savoir-faire, surtout dans les moments cruciaux des débats. L’équilibre persista durant une grande partie de la rencontre. Le jeu était mieux organisé dans les deux camps, les joueurs plus inspirés à l’image de Arbi Ben Abdallah et Dos Santos, efficaces à souhait dans les attaques sfaxiennes. L’apport de Marouène Garci et Paul Anderson l’Australien dans la première zone étoilée était certain. Les Etoilés se sont montrés audacieux et accrocheurs ne cédant pas aux locaux qui menaient deux sets à un : 24-26, 25-19 et 26-24. La réaction de l’ESS au quatrième set ne tarda pas à se manifester. Ce ne fut en quelque sorte qu’une simple formalité pour une formation sahélienne en état de grâce : 25-19. Les Clubistes de Sfax montraient qu’ils avaient eux aussi du cœur au ventre. Grâce à des contres superbes et un banc assez fourni, ils s’imposèrent finalement dans un tie break où chaque point était marqué de haute lutte, un set décisif tenant les milliers de spectateurs en haleine dans une «mort subite» interdite aux cardiaques : 16-14. Plus difficilement certes, mais avec autant de hargne et de pugnacité. Il faut mettre en exergue le bon comportement du jeune joueur du CSS Khlil Ounalli (venu de l’Asptts) qui a bien remplacé le blessé au second set Karim Brini, et a contribué à la performance de son équipe.
Auteur : T. HAJLAOUI
Ajouté le : 31-03-2018
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Achanak - Tele Theatre Part I
Achanak – Tele Theatre Part I
https://www.dailymotion.com/video/x8czl66 Achanak – Tele TheatreWritten by: Asghar Nadeem SyedDirected by: Iqbal Ansari Starring: Talat Hussain, Fazila Qaiser, Khalid Zafar, Badar Khlil, Dilshad Sabir, Wakil Farooqui, Rashida Yaqoob, Azmat Ansari, Aslam Shaikh, Anil Bhatti, Abu-ul-Kalam
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Yun Chaha Tha Magar - Long Play Part II
Yun Chaha Tha Magar – Long Play Part II
<div style=”position:relative;padding-bottom:56.25%;height:0;overflow:hidden;”> https://dailymotion.com/video/x81q9hf?autoplay=1 </div> Yun Chaha Tha Magar – Long Play Written by: Sajida SyedTeley Play: Talat Hussain Starring: Sajid Hasan, Marina Khan, Badar Khlil, Khalid Anum, Adnan Siddiqui, Rana Ghani, Aysha Alam, Akbar Khan
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Yun Chaha Tha Magar - Long Play Part I
Yun Chaha Tha Magar – Long Play Part I
<div style=”position:relative;padding-bottom:56.25%;height:0;overflow:hidden;”> https://dailymotion.com/video/x81q8nr?autoplay=1 </div> Yun Chaha Tha Magar – Long Play Written by: Sajida SyedTeley Play: Talat Hussain Starring: Sajid Hasan, Marina Khan, Badar Khlil, Khalid Anum, Adnan Siddiqui, Rana Ghani, Aysha Alam, Akbar Khan
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How to Deal with “Black Gums” from Smoking [Plus, 9 Other Causes]
While most people tend to have pink gums, that’s not always the case. It helps to pay attention to your natural gum color. That way, if something changes, you can figure out the cause and decide whether or not you should speak to a doctor.
In most cases, gum discoloration is harmless and treatments exist to restore gums to their original color. However, if you’re a smoker, you should be aware of what causes your gums to darken and your treatment options.
Not all causes of black gums change gum color overall but rather leave black spots around the gums.
How to Spot Discoloration of The Gums
Melanin, specifically melanocytes, gives your gums their color. The amount of melanin varies from person to person, so gum color also tends to vary from person to person — healthy gums come in a large swathe of colors! As a result, darker gums can simply point to genetics and aren’t anything to worry about.
You should be concerned, however, if you notice a change in your natural gum color.
Spotting discoloration can be as simple as noticing any distinct changes in your gum color during your routine oral hygiene. You can also share any concerns with your dentist during your next appointment. They’ll be able to more thoroughly evaluate your gums.
10 Causes of Black Gums
Many influences can cause gums to turn darker or even black. Medication, certain medical conditions, and smoking are the most common causes.
Most instances of darkened gums are simply cosmetic. However, in some cases, they can be a symptom of something more troubling. Knowing what causes black gums is crucial for maintaining not just your oral health, but your overall health.
1. Smoker’s Melanosis
One of the main causes of dark/black gums is smoking. Tobacco can cause the cells responsible for making melanin, melanocytes, to increase melanin production.
As a result, gums may turn dark brown or black. This discoloration can occur in either patches or the entire inside of the mouth as a whole.
2. Acute Necrotizing Ulcerative Gingivitis
Also known as “trench mouth” from its roots in World War I, acute necrotizing ulcerative gingivitis is a severe gum infection that is usually the result of poor oral hygiene, stress, lack of sleep, or an unhealthy diet.
It may also be caused by HIV infection or triggered by smoking.
This is a severe form of gum disease (periodontal disease) that requires treatment from a dentist.
Symptoms may include foul breath, painful/bleeding gums, a surplus of saliva, and fever. Some patients also experience ulcers on the gums near the teeth. Gum discoloration is a result of dead tissue build up.
3. Addison’s Disease
Addison’s disease causes is a disorder that affects the adrenal glands, causing them to produce insufficient hormones. This autoimmune disease occurs when the immune system mistakes healthy cells for foreign invaders and attacks them like it would a virus or pathogenic bacteria.
Symptoms range from tiredness, thirst, lack of appetite, weight loss, muscle weakness, and darkened lips and gums (hyperpigmentation).
4. Amalgam Tattoos
These blue, black, or gray patches inside the mouth occur as a result of recent fillings or crowns. Amalgam is a mixture of various metals used to make both.
It sometimes stains the inside of the mouth when the amalgam comes into contact with the tissue. While for some people, these spots are harmless, there is some evidence that they are related to chronic inflammation.
Because of toxicity concerns surrounding amalgam fillings or crowns, if you’re worried about amalgam, ask your dentist about other options.
5. Medication Side-Effects
Some medications like minocycline (used in acne treatments) have side effects which include discoloration of the gums. Other medications that may be at fault include antimalarials, cancer drugs, antibiotics, antipsychotics, and tricyclic antidepressants.
Simply changing the medication can help restore color — just be sure to talk to your prescribing physician before changing or stopping any medications.
6. Peutz-Jeghers Syndrome
This genetic condition causes noncancerous growths called hamartomatous polyps in the gastrointestinal tract that greatly increase the risk for certain cancers.
Children tend to develop dark spots over their bodies, including in and around their mouths. A genetic test can be used to identify Peutz-Jeghers.
7. Trauma
Gums can also be bruised due to trauma or injury. Impacts, cuts, or even brushing too hard can damage the gums.
One specific (rare) condition known as oral melanoacanthoma may be caused by injuries in the mouth.
Gum bruises from injury tend to clear up on their own over time and aren’t much cause for concern, but if you experience unexpected pain, it’s probably time to talk to your dentist.
8. Eruption Hematoma
Most common in Caucasian children, eruption hematomas (cysts) may happen when adult teeth come in. These dark patches may or may not require surgical treatment.
9. Melanotic Macule or Blue Nevus
Both of these features show up as discoloration of the gums. Melanotic macules appear as freckles, while a blue nevus may be slightly raised (more like a mole).
Generally considered to be harmless, your dentist may want to investigate this kind of spot if it begins to change in size or color.
10. Oral Cancer
Though it’s usually not the culprit, some cases of dark gums are a sign of oral cancer. Your dentist will be the first to pick up on this and other possible symptoms, which is just one more reason to never skip an appointment!
How to Lighten Dark Gums Caused By Smoking
Whether or not gum discoloration can be repaired depends on the condition that causes it. Some treatments can restore natural color to the gums, others may only manage the condition.
However, with dark gums caused by smoking, the easiest way to restore natural color to the gums is to quit smoking. But sometimes that isn’t enough on its own.
Cosmetic dentists can sometimes help restore gum color by brightening the gums through laser de-pigmentation treatment, bleaching, and surgery.
Laser De-Pigmentation
With laser treatment, your cosmetic dentist would treat the area with a local anesthetic to help you remain comfortable during the 20-45-minute process.
The laser vaporizes a thin layer of gum tissue, leaving room for the creation of new tissues. These tissues usually grow back as pink, rather than brown or black. The results of laser treatment can last up to 20 years.
Gum Bleaching
Using a bleaching solution along with laser de-pigmentation, your cosmetic dentist will lighten up your gums. Just like a standard de-pigmentation treatment, you may experience minor discomfort that over-the-counter medicines can relieve.
Keep in mind that gum bleaching requires a professional dentist and should not be tried alone.
Surgery
This process is more invasive. Your dentist will apply an anesthetic before the procedure, then they will surgically remove the damaged gums. By removing the outer layer of gum epithelium, the gum tissue below usually regrows into pinker and healthier looking than the darker gums.
This is called muco-osseous gum surgery.
Whatever treatment you choose, quitting smoking beforehand is the best way to ensure that you achieve the lasting, healthy-looking gums you desire.
What You Should Expect After Laser De-Pigmentation
As an outpatient procedure, you can expect minimum side-effects from laser de-pigmentation. Usually, there is some mild discomfort from the process, but that can be managed with over-the-counter pain medication as well. And you can also expect to eat, drink, and talk normally right after the de-pigmentation procedure.
For the best results, you should not smoke for at least 7 days after your procedure. And quitting altogether will help you maintain a healthy, beautiful smile with healthy-looking gums after your treatment.
Preventing Black Gums
While you can’t control your production of melanin, darkening of the gums can be prevented in many cases with good dental hygiene. This includes brushing with a soft-bristled toothbrush, flossing, and keeping up with teeth cleanings.
Above all, avoid smoking and all forms of tobacco, as these not only may change the color of the gums but leave you at a higher risk for oral cancer, severe gum disease, and more.
When to Talk to Your Dentist About Black Gums
It’s natural to feel some concern or worry if you notice gum discoloration. While some people have naturally darker gums and others have freckles, gum discoloration could hint at a more serious health concern. Scheduling a trip to your local dentist can be an easy way to put your mind at ease.
During your evaluation, your dentist will examine your gums and ask you a series of health questions. If there’s a cause for concern, more tests may be ran or treatment provided to help repair your gums.
However, if you are a smoker, then it’s most likely that your dark gums are a side-effect of that habit. Quitting smoking and treating the darkened gums with cosmetic dentistry are your best bet to rapidly restore your oral health.
Read Next: Are Cigars Better Than Cigarettes For My Teeth?
7 References
Malek, R., Gharibi, A., Khlil, N., & Kissa, J. (2017). Necrotizing ulcerative gingivitis. Contemporary clinical dentistry, 8(3), 496. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644015/
Underner, M., Maes, I., Urban, T., & Meurice, J. C. (2009). Effects of smoking on periodontal disease. Revue des maladies respiratoires, 26(10), 1057-1073. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/20032842
Buchner, A., & Hansen, L. S. (1980). Amalgam pigmentation (amalgam tattoo) of the oral mucosa: a clinicopathologic study of 268 cases. Oral Surgery, Oral Medicine, Oral Pathology, 49(2), 139-147. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/6928285
Lampe, A. K., Hampton, P. J., Woodford-Richens, K., Tomlinson, I., Lawrence, C. M., & Douglas, F. S. (2003). Laugier-Hunziker syndrome: an important differential diagnosis for Peutz-Jeghers syndrome. Journal of medical genetics, 40(6), e77-e77. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1735508/pdf/v040p00e77.pdf
Gupta, A. A., Nainani, P., Upadhyay, B., & Kavle, P. (2012). Oral melanoacanthoma: A rare case of diffuse oral pigmentation. Journal of oral and maxillofacial pathology: JOMFP, 16(3), 441. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3519227/
Nagaveni, N. B., Umashankara, K. V., Radhika, N. B., & Satisha, T. M. (2011). Eruption cyst: A literature review and four case reports. Indian Journal of Dental Research, 22(1), 148. Abstract: https://www.ncbi.nlm.nih.gov/pubmed/21525694
Monteiro, L. S., Costa, J. A., da Câmara, M. I., Albuquerque, R., Martins, M., Pacheco, J. J., … & Figueira, F. (2015). Aesthetic depigmentation of gingival smoker’s melanosis using carbon dioxide lasers. Case reports in dentistry, 2015. Full text: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4410537/
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#الرئيس_الشهيد_محمد_مرسي #الى_جنات_الخلد_بإذن_الله الدكتور راتب النابلسي يتعجب من صلاة الغائب في كل يقاع الارض علي الرئيس الشهيد Mohamed khlil https://www.instagram.com/p/BzS6OoajOzF/?igshid=x7kr8qk0c56k
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Les Clubistes s’offrent un bol d’air ! Le CA repart du bon pied
Les Clubistes s’offrent un bol d’air ! Le CA repart du bon pied
Les coéquipiers de Khlil ont patiemment imposé leur jeu avec de la possession et de la maîtrise. Les nettes victoires contre les «petits» ne sont pas de simples feux de paille. Loin de là. C’est plutôt une bonne nouvelle comptable pour un CA assuré de finir l’exercice sur le podium. Le Club Africain a donc ramené un succès probant de Ben Guerdane. Trois points qui lui balisent la route vers une…
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