For people who have undergone severe hearing loss or any form of inner-ear damage, cochlear implant is the most ultimate solution. It is an electronic device that partially restores hearing. If you have not been benefitted from any hearing aid yet, cochlear implant is there to sort your all worries.

It is different from all other conventional hearing aids which amplify sounds. It does not involve any process of sound-amplification but sets the damaged portions of the ear on job to deliver sound signals to the auditory or hearing nerve.

Cochlear Implant

It is technologically advanced equipment and also uses a sound processor that fits behind the ear. There exists a receiver that has a role to transfer signals to electrodes implanted in the inner ear, also called cochlea. These signals stimulate the auditory nerve which further transfers them to the brain. Now, the brain interprets these signals as sounds.

The sound that we are referring to is different from the one that we know as normal hearing. Our brain also needs a course of time to get familiar with these signals received from cochlear implant. Initially, there arrive certain issues but within a span of six to eight months, a patient gets immensely comfortable with cochlear implant and regains his hearing

The audiology vertical at AHRI Gwalior is the best institute in the region to undergo cochlear implant. With a team of highly qualified and well-experienced doctors, the institute offers diagnostic evaluations to people having speech, hearing, language, and communication difficulties. It is committed to ensuring excellent outcomes for the patients by the effective use of technology, taking care of their satisfaction and safety as well.

Being pioneered in Madhya Pradesh, the audiology vertical at AHRI Gwalior provides the best cochlear implant accompanied by the best possible care, and that too at nominal expenses.

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Dental implants are simple, secure and permanent solutions to replace missing teeth. They substitute for the lost teeth by replacing the natural roots. Indistinguishable from natural teeth, they provide reliable alternatives to uncomfortable dentures or bridgework, or a single implant can simply replace a single missing tooth. Best part is all types of Dental Implants comes with Life Time Warranty.

Dental implants are designed to provide a foundation for replacement teeth that look, feel and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything and can smile with confidence, knowing that teeth appear natural and that facial contours will be preserved.

The implant treatments must be done correctly and with extreme care. At Agrawal Hospital & Research Institute, Dental Implants procedures are undertaken by our highly qualified specialists, using the latest materials and equipment and supported by our committed and experienced staff

12 BENEFITS OF DENTAL IMPLANTS

There’s no denying that they offer the best solution for teeth which are beyond repair, or for tooth loss. So what are the benefits of dental implants, what makes them such a good choice?

Closest thing to natural, healthy teeth– Implants are strong and stable and not only look like natural teeth but also feel and function in the same way too. Implants gives you the freedom to eat anything & smile beautifully forever.
Long term solution – Tooth replacement solutions such as conventional dentures and bridges have a shelf life of between 5-10 years at best before needing replacement, whereas dental implants may need adjusting periodically, but provided they are cared for properly, have the potential to last for more than 40 years. There is LIFE TIME WARRANTY on all the Dental Implants. Denture if used properly has maximum life span of 5 years after which one has to get new denture made otherwise the denture becomes loose causing difficulty in chewing food. Like this in long run dentures becomes costly affair while Dental Implants are one time investment.
Get on with your life– Dental implants blend seamlessly with your natural teeth and let you get on with your life without worrying about what your teeth are doing. Alternatives such as ill fitting dentures can cause you to stay at home for fear of embarrassing moments when speaking or eating and of your dentures slipping or falling out.
Prevents bone loss– Once a tooth is lost then the bone which surrounded the root resorbs into the body and over time this can result in significant bone loss. Implants take on the role of a tooth root and stimulate the jaw bone keeping it firm and healthy.
Retains facial structure– Missing teeth can cause a person’s face to sag and give that sunken look which is so ageing. Dental implants help retain facial structures leading to a fuller face and more youthful appearance.
Permanent fixture– Unlike dentures which need to be removed at night for cleaning a dental implant is left in your mouth and not in a cup at night. In addition there’s no more worry about sliding and slippage associated with dentures and caring for them is the same as natural teeth with regular brushing and flossing.
Clearer speech– Dentures can make a person slur their words as they clench their mouths to prevent dentures from slipping. A dental implant feels and acts the same as a real tooth, so speech remains the same.
No more cavities– Implant restored crowns are impervious to cavities but you will still need to clean carefully around the implant site itself to remove any bacteria which could lead to infection and weakening of the gums which in severe cases could cause the failure of an implant.
Teeth which stay in place quietly– Dentures often slip when you carry out everyday practices such as eating, talking, coughing, kissing, yawning and smiling and they may have to be put back into position in the mouth. Dental implants fit securely into the jawbone because they fuse with the bone in a biological process, and this means they won’t shift or click.
No impact on healthy teeth– Since implants are a stand alone treatment they don’t reply on the support of neighboring teeth whereas a conventional dental bridge, for example, has to be attached to teeth on either side of the ‘gap’ and to do this these teeth have to be reduced in size leading to around 60% healthy tooth loss, which weakens them & makes them susceptible to infection in future
Eat what you like– Denture wearers often resort to soft foods since it is so difficult and painful to eat anything harder. Implants can withstand more pressure from the force of eating which means a person can eat the foods they like, including crunchy fruit and vegetables, Chicken, meat, nuts, Pizza, burgers etc.
More predictable – Dental implants have a good track record of success, reliability and longevity and are often considered a more predictable treatment than other dental repair or replacement treatments including root canal therapy, bridgework and dentures.

Dr Rohit Agrawal (MDS) is senior Implantologist and Head of the Dental dept. at Agrawal Hospital & Research Institute, Madhav Nagar colony, Gwalior, M.P. India. He is also working as Associate Professor at Maharana Pratap dental college. He has successfully placed more than 2000 DENTAL IMPLANTS and is an excellent clinician. He has also trained several doctors from all over the country and even abroad in the field of dental IMPLANTS. He is first dentist in Gwalior to start Dental IMPLANT workshop and till now has conducted several Dental IMPLANT workshops all over India.

Sore throats and mouth wounds are normal conditions that a great many people understand. Saltwater Gargle can be a modest, safe, and successful approach to ease torment and soothe indications from conditions that influence the mouth and throat.

While drug stores and different stores sell cured mouthwashes and comparable items, a few people lean toward saltwater swishes and other home cures.

In this article, we examine what saltwater swishes are and what conditions they can help treat and forestall. We likewise spread how to make and utilize a saltwater rinse, just as dangers and contemplations.

Saltwater Rinse is a Blend of Salt, Water, and Preparing POP

A saltwater rinse is a home solution for sore throats and different reasons for mouth torment. Saltwater arrangements are a straightforward blend of water and table salt and can be a modest, safe, and viable option to sedated mouthwashes.

Saltwater arrangements are not very much considered. A little report from 2010 of 45 youngsters explored the viability of a saline salt water swish and a mouthwash containing alum.

The scientists revealed that youngsters who utilized one of the saltwater swish twice day by day for 21 days had fundamentally decreased degrees of mouth microscopic organisms, contrasted and kids who utilized a fake treatment.

Be that as it may, the saltwater rinse was not as successful at lessening microorganisms as the alum mouthwash. Alum, which is potassium aluminium sulphate, is a functioning fixing in some cured mouthwashes.

Specialists and dental specialists frequently prescribe saltwater rinses to help ease mouth and throat torment.

Employments

Saltwater rinses can be successful for treating gentle torment, inconvenience, and tickles in the mouth and throat. We examine a portion of the conditions that saltwater swishes can help treat and forestall beneath.

Sore Throats

Saltwater Gargle can be a viable method to ease inconvenience from sore throats.

Both the Institute for Clinical Systems Improvement and the American Cancer Society (ACS) prescribe rinsing with salt water to mitigate sore throats. As per the ACS, ordinary utilization of saltwater rinses can help keep the mouth clean and forestall diseases, especially in individuals going through chemotherapy or radiation treatment.

Ulcer

Blister are agonizing ulcers that can create in the mouth. Swishing with salt water may assist ease with tormenting and advance mending of the injuries.

Sensitivities

A few sensitivities, for example, roughage fever, can make an individual’s nasal sections and throat swell, which can be awkward. Despite the fact that rinsing with salt water won’t forestall the sensitivity, it might help lighten a portion of the throat inconveniences.

Respiratory Diseases

Gargling with salt water may help diminish the indications of the basic virus. Upper respiratory diseases are commonplace and incorporate regular colds, this season’s virus, mononucleosis, and sinus contaminations. Some exploration recommends that swishing with salt water can ease indications and even assistance forestall upper respiratory contaminations.

For instance, an investigation from 2013 including 338 members found that the individuals who rinsed with saltwater were less inclined to have upper respiratory contaminations.

Dental Wellbeing

Routinely swishing with salt water can help with eliminating microorganisms from the gums, which helps in cleaning and forestalling the development of plaque and tartar. A development of microorganisms in the mouth can prompt gum illness and tooth rot.

The American Dental Association (ADA) suggest that individuals tenderly wash the mouth with a warm saltwater arrangement in the wake of having a dental method. Doing this can help keep the extraction site clean and forestall disease.

Does Saltwater Gargle Eliminate Microscopic Organisms?

Saltwater may slaughter a few yet doesn’t murder all, mouth and throat microscopic organisms. Notwithstanding, arrangements of salt can help carry microscopic organisms to the outside of the gums, teeth, and throat. When the microscopic organisms is brought to the surface, some of it washes away when an individual lets the saltwater out.

Formula

Saltwater washes are simple and modest to make. The ADA suggests including half of a teaspoon (tsp) of salt to 8 ounces of warm water, at that point blending until they are consolidated.

An elective formula includes adding heating soft drink to the saltwater arrangement. For instance, the ACS prescribes consolidating the accompanying to make a Saltwater Gargle:

1 qtr. water

1 tsp salt

1 tsp preparing pop

Instructions to Rinse Viably

Gargling for as far as might be feasible can help guarantee that the mouthwash is successful.

To utilize the saltwater wash:

Take as a significant part of the arrangement into the mouth as is agreeable.

Gargle the saltwater around the rear of the throat.

Rinse around the mouth, teeth, and gums.

Spit out the arrangement.

An individual should attempt to wash the saltwater answer for to the extent that this would be possible. Despite the fact that the saltwater arrangement is commonly sheltered to swallow, it is ideal to let it out.

For most extreme adequacy, an individual should rinse with salt water a few times per day.

Individuals recouping from dental methodology can utilize a saltwater answer for flush their mouth. Nonetheless, for the initial hardly any days, they should wash delicately to keep scabs from opening up, and follow the headings from their dental expert.

Dangers and Contemplations

Swishing with salt water is viewed as safe for the two youngsters and grown-ups. Notwithstanding, individuals who experience difficulty washing ought not to utilize a saltwater swish.

Some little youngsters may likewise not have the option to swish adequately. A paediatrician might have the option to give exhortation on when a youngster is prepared to wash.

Saltwater washes are protected to utilize a few times each day whenever wanted, and for most, there are no symptoms. Individuals with hypertension or those with other ailments who need to restrict their sodium admission ought to talk with a specialist or dental specialist before washing with saltwater.

Individuals who don’t care for the flavor of saltwater arrangements can take a stab at adding nectar or garlic to help improve the flavor.

Rundown

Washing with salt water can help keep an individual’s mouth clean and may lighten agony and inconvenience from sore throats, mouth wounds, and dental methods. Saltwater rinses are snappy and simple to make and are a modest and common option to sedated mouthwashes.

An individual can securely swish with salt water a few times each day. There are normally no reactions. Be that as it may, individuals with hypertension or the individuals who need to restrict their sodium admission ought to talk with a specialist before washing with saltwater.

Sore throats and mouth bruises are normal conditions that a great many people understanding. Saltwater swishes can be a modest, safe, and powerful approach to ease torment and assuage manifestations from conditions that influence the mouth and throat.

While drug stores and different stores sell sedated mouthwashes and comparable items, a few people incline toward saltwater rinses and other home cures.

How to Clean Ears?

Inconvenience hearing? Or then again did you push that q-tip excessively profound this time? An obstructed ear from ear wax develop is, best case scenario, irritating and at the very least an introduction to hearing misfortune. So how might you best deal with ear wax troubles? Yet, in case you’re among those whose ear wax manufacturing plants are staying at work past 40 hours, Dr Rahul Agrawal shares tips for How to Clean Ears.

In the event that your ears appear to be waxier than most, cheer up: Ear wax, otherwise called cerumen, isn’t just typical, it’s important. “It additionally shields ears from things that could hurt the eardrum, for example, residue, hair or little bugs.” (How’s that for a visual?)

However, as most things throughout everyday life, it’s about parity — an excessive amount of wax can hinder your ears and cause impermanent hearing misfortune or contaminations. “Few individuals will require cleaning in the event that they produce a lot of wax that jams up the ear, particularly on the off chance that they have a littler than-normal ear channel”

Two Ear Wax Removal Methods to Try

If ear wax is becoming a nuisance, Dr. Rahul Agrawal of the Agrawal Hospital and Research Institute, Gwalior recommends two easy ear cleaning methods for How to Clean Ears :

Ear Cleaning Drops

If you have a small amount of wax, over-the-counter ear cleaners work well. Look for drops that contain hydrogen or other kinds of peroxide. The peroxide does a good job of breaking up ear wax.

Here’s how to use them for :

Lay sideways
Let it sit
Grab a tissue

In the event that that technique doesn’t work, the ears may require flushing with a bulb needle. Yet, there are a couple of admonitions:

Be delicate: Flush your ear tenderly to abstain from hurting your eardrum.

Watch the temperature: The water ought not to be excessively cold or excessively warm. On the off chance that it is, the temperature distinction could make you lightheaded.

Avoid if essential: Don’t utilize the flushing technique in the event that you have a gap in your eardrum or on the off chance that you’ve ever had eardrum medical procedure. Flushing may harm your eardrum fix.
In the event that you are not open to flushing your own ears, you should check with your essential consideration supplier’s office to check whether there is an attendant who might do it for you.
Ear cleaning drops may not work on the off chance that you have an excessive amount of ear wax or a condition called affected cerumen (when there’s a firm wax plug impeding your ear trench.

If you are not comfortable flushing your own ears, you might want to check with your primary care provider’s office to see if there is a nurse who would do it for you.

Ear cleaning drops may not work if you have too much ear wax or a condition called impacted cerumen (when there’s a firm wax plug blocking your ear canal.

Mineral or olive oil

Episodically, individuals who put olive oil in their ear before getting a cleaning appear to get wax out more without any problem.

Two ear wax expulsion solutions to avoid:

Q-tips (Cotton Swabs): A producer’s admonition on the bundle says everything: Do not embed swab into ear trench. “A q-tip acts like a ramrod in an old-style gun. The tip pushes the ear wax in more profound, so the more you use it, the more ear wax you push in. Additionally, you may break your eardrum on the off chance that you drive excessively far. Or on the other hand in the event that you scratch your ear waterway, it can get contaminated on the grounds that now soil and microscopic organisms can infiltrate under your skin.”

When to See a Doctor About a Clogged Ear ?

While ear wax is generally more annoying than dangerous, sometimes you need a doctor to clear it. If home remedies don’t work, your ear hurts or you have trouble hearing, it’s smart to seek medical evaluation.

If the situation is minor, you may be able to get your ears unblocked right then and there. If not, ENT doctors can use operating microscopes to magnify inside the ear canal, loosen the wax and vacuum it out.

HOME REMEDIES FOR EAR PAIN : An ear pain is one of the most common pain which everyone at some point in their lives must have encountered. It is also believed that ear infections are more frequent in children than in adults. 5 out of 6 children will have at least one ear infection by age 3. Therefore, it becomes the immediate responsibility of a parent to be able to treat the pain of their child firstly at home. Though, the best ENT Hospital in Gwalior is accessible online and you can also consult the best doctor in Gwalior by visiting this link: http://oci.ahrihospital.com/ as soon as your child begins to complain :

Common Home Remedies For Ear Pain :

Warm Compress: A warm compress over the ear may help to relieve the pain.
Cold Compress: A cold compress with a moist cloth of cotton can be used to relieve some pain.

Pain Reliever: Pain relievers such as ibuprofen may help to relieve the pain up to a certain degree. Doctor’s consultation however is required before proceeding with any medication.

Upright sleeping posture: This could ease pressure and pain in your middle ear. Prop yourself up in bed with a stack of pillows, or sleep in an armchair that’s a bit reclined.

Garlic: Cook 2 cloves of garlic in a teaspoon of mustard oil or sesame oil. Pour one or two drops of mixture into the affected ear and relieve some more pain.

Onions: Heat an onion in microwave for a minute or two and then strain the liquid and apply several drops to the ear

Olive oil drops: Pour some warm olive oil into the affected ear. This can also help in relieving an ear pain up to a great degree.

Chew gum: Chewing Gum can reduce ear pain, especially when you are in an air plane or travelling at high altitudes. It can help relieve some symptoms of ear infection as well. Additionally providing exercise to ear muscles.

Consult your doctor when :

Headache, High fever, or unconsciousness
Feeling something stuck in ear
Fluid (pus or blood) is coming out of ears
Swelling behind one of the ears
Ear pain for more than 24 to 48 hours

At the Agarwal Hospital and Research Institute (AHRI), the challenges in ENT related cases are tackled with both of these resources (Expertise and Patience) in excess. Dr. Rahul Agarwal is a recognized ENT surgeon and practitioner who has helped hundreds of patients lead a better life.

Cochlear implantation in children:-

How we hear?

The eardrum vibrations caused by sound waves move the chain of tiny bones (the ossicles – malleus, incus and stapes) in the middle ear transferring the sound vibrations into the cochlea of the inner ear. This is where the streams of nerve impulses are converted into meaningful sound.

Parts of ear:

Outer Ear :
Middle Ear: Converts sound waves in to vibrations.
Inner Ear (Cochlea): converts vibrations into electrical impulse. Theses electrical impulse travel to brain via nerve of hearing (Cochlear nerve)

What is cause of Hearing Loss in children?

In children hearing loss can be congenital (from birth) or acquired (after birth). Acquired can be due to various infections or trauma, etc.

Hearing loss can also be classified as per language development as follows

Pre-lingual –hearing loss developed before child could start speaking, it can be either congenital (from birth) or acquired (after birth).
Post-lingual – hearing loss developed after child started speaking. It means it is acquired.

Cause of hearing loss is any defect in the transmission of sound through the ear. It can be

Conductive – Caused by defect in middle or external part of ear. It can usually be treated by some medications. Less frequently a surgery is required to correct this type of hearing loss
Sensori-neural – Caused by defect in nerve of hearing or cochlea. Mild to moderate hearing loss can be treated by hearing aid whereas severe to profound hearing loss requires Cochlear Implant surgery

Burden of Hearing loss?

In US Significant bilateral hearing loss is present in ~1 to 3 per 1000 newborn infants in the well-baby nursery population, and in ~2 to 4 per 100 infants in the intensive care unit population.

In India, 63 million people (6.3%) suffer from significant auditory loss. Four in every 1000 children suffer from severe to profound hearing loss. The estimated prevalence of childhood onset deafness to be 2%

How to assess Hearing loss in new born and small children?

Detection of infant hearing loss requires universal screening of all infants. Screening by high-risk registry alone (eg, family history of deafness) can only identify ~50% of newborns with significant congenital hearing loss. Reliance on physician observation and/or parental recognition has not been successful in the past in detecting significant hearing loss especially in the first year of life.

Tests for screening include otoacoustic emissions (OAE) and auditory brainstem response (ABR / BERA). Both test are noninvasive, quick, and easy to perform, although each assesses hearing differently. Aim is to initiate necessary intervention by 6 months of age.

What is a Cochlear implantation?

A cochlear implant is an electronic medical device that replaces the function of the defective inner ear. Unlike hearing aids, which make sounds louder, cochlear implants do the work of damaged parts of the inner ear (cochlea) to send sound signals to the brain.

Most important thing is early diagnosis. Management of deaf and mute child should be started as early as possible. Success of cochlear implant is more if it is done by the age of 3years. Success rate decreases with advancement of age of child.

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