Cosmetic Dentistry

Cosmetic dentistry is generally used to refer to any dental work that improves the appearance of teeth, gums and/or bite. It primarily focuses on improvement in dental aesthetics in colour, position, shape, size, alignment and overall smile appearance.
Common cosmetic dentistry option is

  • Whitening
  • Smile Correction – Veneers, laminates, Bridging
  • Reshaping
  • Implants
  • Gum lifting
  • Straightening of teeth-orthodontics/braces treatment.
  • Scaling – Teeth Cleaning
  • Gum depigmentation
  • Wedding makeovers
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Paediatric Dentistry

A dental visit should occur within six months after the presence of the first tooth. Early oral examination aids in the detection of the early stages of tooth decay. Early detection is essential to maintain oral health, modify aberrant habits, and treat as needed and as simply as possible Additionally parents are given a detail of preventive home care(brushing, flossing and fluorides) any injuries to the mouth and teeth of children, diet counselling and information on growth and development.

Your child’s growing smile should get all the help it needs…

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Dental Emergency

A dental emergency is an issue involving the teeth and supporting tissues that is of high importance to be treated by the relevant professional. Dental emergencies do not always involve pain, although this is a common signal that something needs to be looked at. Pain can originate from the tooth, surrounding tissues or can have the sensation of originating in the teeth but be caused by an independent source.

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General Dentistry

General dentist is the main pillar in diagnosing the problem of the patient. They look whole of the mouth in solving the issues and make sure the concern specialist is in place to take care of the patient.

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Neuromuscular Dentistry

Neuromuscular Dentistry objectively evaluates the complex relationship between teeth, airway, temporomandibular joints(TMJ) and the masticatory muscles in order to achieve an occlusion that is based on the optimal relationship between the mandible and the skull – Neuromuscular Occlusion or Myocentric Occlusion(MCO). It is precision dentistry because it measures occlusion and quantifies all the faculties of the stomatognathic system. This is achieved by relaxing the muscles controlling the jaw position to establish a true physiological rest position upon which treatment considerations are based.

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Every patient undergoes a diagnostic setup which includes the following:
1. Radiology – a. Lateral Cephalograph
b. OPG
c. TMJ View (Left & Right; Open & Close)
d. Airway CBCT Volumetry
2. The Right Bite Questionnaire
3. Intra-Oral & Extra-Oral examination
4. Postural examination
5. Sleep study (HST –Home Sleep test or PSG – Polysomnograph)
After this, the diagnosis is provided to the patient with a detailed explanation of the causes of the problem and the treatment methodologies.

What causes TMD??

Temporo-Mandibular Joint Disorders (TMD) are most commonly the result and cause of mal- occlusion of teeth. The masticatory muscles, which position and connect the mandible to the skull, should be the focal point of correct occlusion. Occlusion is maintained by the activities of these masticatory muscles which are controlled by neural integration of the feedback from peripheral proprioceptors and the reflex mechanism from the CNS. This is science.

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Symptoms of Tempero-Mandibular Joint Disorders

  • Headaches

  • Clenching and grinding

  • Pain or tenderness in your face

  • Snoring and disturbed sleep

  • Pain around neck and shoulders pic below for shoulder pain

  • Popping sound in ears

  • Pain on chewing

In addition to the above symptoms, you may also face sleep apnea, hearing problems, restless legs, toothaches, dizziness, overall lethargy etc. If you have any of the above symptoms, it may be a sign of TMD.

For more details  :- www.tmjindia.com 

Dentures

Dentures are prosthetic devices constructed to replace missing teeth, and are supported by the surrounding soft and hard tissues of the oral cavity. Conventional dentures are removable (removable partial denture or complete denture). However, there are many denture designs, some which rely on bonding or clasping onto teeth or dental implants (fixed prosthodontics). There are two main categories of dentures, the distinction being whether they are used to replace missing teeth on the mandibular arch or on the maxillary arch.

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Dentures can help people through:

  • Mastication or chewing ability is improved by replacing edentulous areas with dentureteeth.

  • Aesthetics, because the presence of teeth gives a natural appearance to the face, and wearing a denture to replace missing teeth provides support for the lips and cheeks and corrects the collapsed appearance that results from the loss of teeth.

  • Pronunciation, because replacing missing teeth, especially the  anteriors , enablespatients to speak better. There is especially improvement in pronouncing words containing sibilants or fricatives.

  • Self-esteem, because improved looks and speech boost confidence in the ability to interact socially.

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removable partial denture

Removable partial dentures

  • Removable partial dentures are for patients who are missing one or some of their teeth on a particular arch.

  • Another option in this category is the flexible partial, which takes advantage of innovations in digital technology. Flexible partial fabrication involves only non-invasive procedures.

Complete dentures

Complete dentures are worn by patients who are missing all of the teeth in a single arch—i.e., the maxillary (upper) or mandibular (lower) arch—or, more commonly, in both arches. 

Materials

Dentures are mainly made from acrylic due to the ease of material manipulation and likeness to intra-oral tissues. Most dentures made are fabricated from heat-cured acrylic polymethyl methacrylate and rubber-reinforced polymethyl methacrylate. Coloring agents and synthetic fibers are added to obtain the tissue-like shade, and to mimic the small capillaries of the oral mucosa, respectively.

Root Canal Treatment

Its quite a common terminology everyone hear today “Root canal”, but what actually is a root canal and whether we should be worried to get one. A tooth is made up of three main components: a hard protective shell referred to as
enamel, a softer and sensitive middle layer referred to as dentin and a soft tissue inner layer referred to as dental pulp. Dental pulp is composed of nerve tissue, lymph tissue and blood vessels, and is considered to be the vital part of a tooth, also called as Heart of the Tooth. If dental pulp is sufficiently traumatized – whether by exposure to oral bacteria via deep dental caries, a fracture in the tooth that enters the pulp or a forceful blow to the face. We have to treat until where the infection is, if a cavity has penetrated from enamel to dentin to pulp that is when you feel the severe shooting pain, which can even disturb your sleep as it severs.

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Why the pain aggravates in an infected tooth??

Infection is nothing but pus accumulation happening at the root tip of the tooth, as the pus increases it needs a way to come out and pressure inside increases, that is
one of the reason why tooth pain increases in night especially when you lie down..

Is root canal treatment painful??

Root canal treatment is never painful, as it is done by an Endodontist, who specialize only in root canal treatment. The best way to save a tooth which is badly decayed and infected is by doing a root canal treatment.A root canal procedure involves tooth disinfection and the removal of all debris from the coronal pulp chamber and its associated canals. Once an affected tooth’s canals are sufficiently cleansed and shaped, they are filled with materials designed to prevent pain and infection from recurring. It’s essential that a seal is established at the tip of the root, otherwise the risk of failure is increased substantially and that is were a good hand of endodontist play a role. Once the filling is done in roots, a permanent filling is given and cap/crown is placed on the treated tooth so that tooth can be used as any natural tooth.

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Wisdom tooth Removal

Impacted wisdom teeth is where the third molars (wisdom teeth) are prevented from erupting into the mouth. This can be caused by a physical barrier, such as other teeth, or when the tooth is angled away from a vertical position. Completely unerupted wisdom teeth usually result in no symptoms, although they can sometimes develop cysts or neoplasms. Partially erupted wisdom teeth can develop cavities or pericoronitis. Removal of impacted wisdom teeth is advised in the case of certain pathologies, such as nonrestorable caries or cysts.

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Causes

Wisdom teeth become impacted when there is not enough room in the jaws to allow for all of the teeth to erupt into the mouth. Because the wisdom teeth are the last to erupt, due to insufficient room in the jaws to accommodate more teeth, the wisdom teeth become stuck in the jaws, i.e., impacted. There is a genetic predisposition to tooth impaction. Wisdom teeth likely become impacted because of a mismatch between the size of the teeth and the size of the jaw. Impacted wisdom teeth are classified by their direction of impaction, their depth compared to the biting surface of adjacent teeth and the amount of the tooth’s crown that extends through gum tissue or bone. Infection resulting from impacted wisdom teeth can be initially treated with antibiotics, local debridement or surgical removal of the gum overlying the tooth. Over time, most of these treatments tend to fail and patients develop recurrent symptoms. The most common treatment to recurrent pericoronitis is wisdom tooth removal. The risks of wisdom tooth removal are roughly proportional to the difficulty of the extraction

Signs and symptoms

Impacted wisdom teeth without a communication to the mouth, that have no pathology associated with the tooth, and have not caused tooth resorption on the blocking tooth, rarely have symptoms. However, when impacted wisdom teeth communicate with the mouth, food and bacteria penetrate to the space around the tooth and cause symptoms such as localized pain, swelling and bleeding of the tissue overlying the tooth. The tissue overlying the tooth is called the operculum, and the disorder is called pericoronitis which means inflammation around the crown of the tooth. Low grade chronic periodontitis commonly occurs on either the wisdom tooth or the second molar, causing less obvious symptoms such as bad breath and bleeding from the gums. The teeth can also remain asymptomatic (pain free), even with disease.

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Treatment

Wisdom teeth removal (extraction) is the most common treatment for impacted wisdom teeth. This can be completed under local anaesthetic, sedation or general anaesthetic. Post the removal of the wisdom tooth doctor will prescribe antibiotic and pain killer for the duration of 5-7 days. Mild swelling and tenderness are common but the discomfort will be taken care off by the medicine. Procedure of wisdom tooth removal will be carried out by maxillofacial surgeon who expertise in facial trauma and tooth removal so that the best of hands will be available for each and every patient.

Dental Implants

It can be challenging to find tooth replacements that feel and function naturally. The dental implants system works much like the natural system the body designed. There is an anchor, which is the dental implant itself, and then there is the tooth. We will replace the tooth with a dental crown, which is a standard replacement for teeth. Dental implants are the most modern and effective way to replace lost teeth. Brushing, flossing, and rinsing with mouthwash are all ways to keep the implant healthy. While the porcelain itself cannot get cavities, infections, or discolouring, the gum still needs preventative dental care through proper oral hygiene. A dental implant can restore proper speech, enhance confidence, complete a beautiful smile. Made from titanium, implants are durable and can last for many decades with proper care.

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“Say goodbye to loose dentures”

Loose dentures are always problematic when it comes to its maintenance and speech problems.

Benefits Of Denture Implants

  • Preserve Jaw Bone And Improve Appearance. One big reason denture implants are a great option is because they help you preserve your jaw bone and prevent further deterioration.

  • Boost Self-Esteem And Confidence. Because you’ll look better and have a healthier jawbone and mouth, you’ll most likely feel better physically but also mentally.

  • Provide A Better Quality Of Life. Once you get replacement teeth, you’ll be more comfortable, confident, and have an overall better quality of life.

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Braces treatment

Dental braces are appliances which are used to align or straighten the teeth and guide the teeth to the correctedposition. Braces aid to correct irregular teeth positioning, jaw correction, improvement in chewing and smile aesthetics. Every individual is different. Orthodontic treatment can be started as young as 7 years old. There is no upper limit in terms of age for Braces If you have good oral health and firm teeth, you can get braces at any age..

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Causes

There is various kind of Orthodontic treatment available for all ages.

  • Metal Conventional Braces

  • Metal Self ligating

  • Ceramic Conventional braces

  • Ceramic self ligating

  • Aligners/Invisalign

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Invisalign/Aligners
Clear Aligners are transparent

Clear Aligners are transparent trays made of special material which are used to straighten teeth just like braces. They use gentle and constant force to move the teeth in the required position without going through the hassles of metal wires and brackets. They are custom made for each patient through a digital scan. 

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They are custom made for every person and designed to move teeth in the desired direction very very slowly. This is achieved by digitally capturing impression and processing the information using specialized software, where the future projections for better results and straighter teeth are computed and then the milling machine automatically custom fabricates the set of trays for you.The aligners come with an advantage i.e. they are very snugly fitting which over a period becomes virtually a part of the body and hence causes no speech problems. There are no restrictions on eating and drinking any foods as you will be removing them before every meal. 

LASER DENTISTRY

Lasers are an important assistant to dental treatment regarding contamination control, wound recuperating control, draining control and vibration control in hard tissue expulsion. Accomplishment in clinical uses of dental lasers depend on a firm premise of laser material science.

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Nd:YAG lasers are used for soft tissue surgeries in the oral cavity, such as gingivectomy, periodontal sulcular debridement, LANAP, frenectomy, biop sy, nd coagulation of graft donor sites. The Nd:YAG laser wavelength are partially absorbed by pigment in the tissue such as  hemoglobin and melanin. These lasers are often used for debridement and disinfection of periodontal pockets. Their coagulative ability to form fibrin allows them to seal treated pockets. The CO 2  laser remains the best surgical laser for the soft tissue where both cutting and hemostasis is achieved photo-thermally

Benefits of lasers

Dental lasers are not without their benefits, though, as the use of a laser can decrease morbidity after surgery, and reduces the need for anesthetics. Because of the cauterization of tissue there will be little bleeding following soft tissue procedures, and some of the risks of alternative electrosurgery procedures are avoided “Lasers are a “new and different scalpel” (optical knife, light scalpel)”

“Lasers are a “new and different scalpel” (optical knife, light scalpel)”

SEDATION DENTISTRY

A lot of people are so phobic about going to the dentist that they prefer not to have any treatment. For people who avoid dentists like the plague, sedation dentistry may take away some of
their anxiety. Sedation can be used for everything from invasive procedures to a simple tooth cleaning.

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What Is Sedation Dentistry?

Sedation dentistry uses medication to help patients relax during dental procedures. It’s sometimes referred to as “sleep dentistry,” although that’s not entirely accurate. Patients are usually awake with the exception of those who are under general anesthesia. The levels of sedation used include:

  • Minimal sedation — you are awake but relaxed.

  • Moderate sedation (formerly called “conscious sedation”) — you may slur your words when speaking and not remember much of the procedure.

  • Deep sedation — you are on the edge of consciousness but can still be awakened.

  • General anesthesia — you are completely unconscious

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What Types of Sedation Are Used in Dentistry?

Inhaled minimal sedation. You breathe nitrous oxide — otherwise known as “laughing gas” — combined with oxygen through a mask that’s placed over your nose. The gas helps you relax. Your dentist can control the amount of sedation you receive, and the gas tends to wear off quickly. This is the only form of sedation where you may be able to drive yourself home after the procedure.
Oral sedation. Depending on the total dose given, oral sedation can range from minimal to moderate. For minimal sedation, you take a pill. The pill will make you drowsy, although you’ll still be awake. A larger dose may be given to produce moderate sedation. This is the type of anesthesia most commonly associated with sedation dentistry. Some people become groggy enough from moderate oral sedation to actually fall asleep during the procedure. They usually can, though, be awakened with a gentle shake.
IV moderate sedation. You receive the sedative drug through a vein, so it goes to work more quickly. This method allows the dentist to continually adjust the level of sedation.
Deep sedation and general anesthesia. You will get medications that will make you either almost unconscious or totally unconscious — deeply asleep — during the procedure. While you are under general anesthesia, you cannot easily be awakened until the effects of the anesthesia wear off or are reversed with medication.