Category Archives: DENTAL TREATMENTS

Dental Implants

implants
A dental implant is a screw type device (similar to root
of a tooth) that a dentist places in your jaw to hold a artificial cap or a bridge.
Dental implants are an ideal option for people in good general health who have
lost their teeth. The best advantage of implants is that is that they do not rely
on neighbouring teeth for support.ADVANTAGES OF DENTAL IMPLANTS OVER DENTURES OR A BRIDGE

ADVANTAGES OF DENTAL IMPLANTS OVER DENTURES OR A BRIDGEEvery way you look at it,
dental implants are a better solution to the problem of missing teeth.

Esthetics-

Dental implants look and feel
like your own teeth. Since dental implants integrate into the structure of your
bone, they prevent the bone loss and gum recession that often accompany bridgework
and dentures. No one will ever know that you have a replacement tooth.

Tooth-saving- Dental implants don’t sacrifice the quality of your
adjacent teeth like a bridge does because neighboring teeth are not altered to support
the implant. More of your own teeth are left untouched, a significant long-term
benefit to your oral health!

Confidence- Dental implants will allow you to once again speak
and eat with comfort and confidence! They are secure and offer freedom from the
irksome clicks and wobbles of dentures. They’ll allow you to say goodbye to worries
about misplaced dentures and messy pastes and glues.

Reliable- The success rate of dental implants is highly predictable.
They are considered an excellent option for tooth replacement.


Are You a Candidate for Dental Implants?

The ideal candidate for a dental implant is in good general and oral health. Adequate
bone in your jaw is needed to support the implant, and the best candidates have
healthy gum tissues that are free of gum disease.


What Is Treatment Like?

This procedure is a team effort between you and your dentist. Your dentist will
consult with you to determine where and how your implant should be placed. Depending
on your specific condition and the type of implant chosen, your dentist will create
a treatment plan tailored to meet your needs.More information about the treatment
options is described below.

Replacing a Single Tooth: If you are missing a single tooth, one
implant and a crown can replace it.

Replacing Several Teeth: If you are missing several teeth, implant-supported
bridges can replace them.

Replacing All of Your Teeth: If you are missing all of your teeth,
an implant-supported full bridge or full denture can replace them.

Sinus Augmentation: A key to implant success is the quantity and
quality of the bone where the implant is to be placed. The upper back jaw has traditionally
been one of the most difficult areas to successfully place dental implants due to
insufficient bone quantity and quality and the close proximity to the sinus. Sinus
augmentation can help correct this problem by raising the sinus floor and developing
bone for the placement of dental implants.

Ridge Modification Deformities in the upper or lower jaw can leave
you with inadequate bone in which to place dental implants. To correct the problem,
the gum is lifted away from the ridge to expose the bony defect. The defect is then
filled with bone or bone substitute to build up the ridge. Ridge modification has
been shown to greatly improve appearance and increase your chances for successful
implants that can last for years to come.


 IMPLANT PLACEMENT PROCEDURE

1. Multiple Visits The dental implant procedure comprises several
appointments, most of which will be more considerable compared to the rest.

2. Pain Tolerance One of the most widespread worries around dental
implants is usually that the procedure may be painful and uncomfortable. Dentists
will certainly make sure your mouth is sufficiently numb to make procedure pain
free.

3. Smokers Beware In case you are a passionate cigarette smoker
and wishing to obtain titanium dental implants, be ready for your dentist advising
you to stop. Considerable studies have demonstrated that people who smoke and have
got dental implant surgery, possess a lower effectiveness compared to the ones from
patients that don’t smoke.

4. Diabetic Warning For those who have diabetes, we request details
and could tell you just how dental implants may not be good for you. Whenever getting
dental implants put in, your gums need to recover as fast and completely as possible
to ensure the process to be effective, and several diabetics might not recover fast
sufficient to accomplish this. Nonetheless, if you are 100% sure regarding your
situation as well as your dentist approves to look ahead considering the surgery,
you should be okay.

5. Bone Grafting, Pros and Cons Your dentist could suggest you
do have a bone graft done prior to getting dental implant to make sure the jaw is
actually strong sufficient to support them. This process is more largely recommended
in case you were getting “immediate implants”, which means you were having crowns
set in right away rather than spanning out the procedure over several months.

6. Recuperation Period According to the number of implants you
obtained and the way the process was done, it might take several months for your
mouth to complete recover. You might be suggested to go on a soft diet plan, composed
of just soft and liquid foods, until finally the dentist is convinced the implants
have fused to your bone. Ignoring this method, also known as osseointegration, and
deciding on not to comply with your dentists recommendations will certainly decrease
your dental implants chances of success.

8. Costs One of the greatest factors that prevent people from having
dental implants is the very high cost for dental care. Regrettably also several
of those with excellent dental insurance have no coverage for the total amount of
the process, and have to pay out the remaining out of pocket. Nevertheless, the
benefits of obtaining implants might be much greater than the price for these.


What To Expect After Treatment?

As you know, your own teeth require conscientious at-home oral care and regular
dental visits. Dental implants are like your own teeth and will require the same
care. In order to keep your implant clean and plaque-free, brushing and flossing
still apply!

After treatment, your dentist will work closely with you to develop the best care
plan for you. Periodic follow-up visits will be scheduled to monitor your implant,
teeth and gums to make sure they are healthy

Dental Implant Failure

Studies have demonstrated that health risk
associated with dental implant failure is around five percent for lower jaw implants
and ten percent for top jaw implants. However one of the popular unclear issues
with dental implant failure is the fact that in one person owning various implants,
possibly most although one of many implants are going to be effective. There was
no way, up to now, to find out exactly what leads to selective dental implant failure.
Dental surgeons have indicated that this sort of dental implant failure can be the
consequence of bacteria contained in the actual jawbone previous to an implant being
introduced.When the implant is actually screwed in the bone, it reveals the bacteria
and also transforms them loose inside the tissue encompassing the implant.

So long as the additional implants usually
are put into bacteria free bone, they are going to cure cleanly and quickly, however
the germ-infested implant could eventually turn out to be infected, by no means
curing the right way ,and the implant may ultimately fail.

Dental Implant Rejection

Dental implant failure is totally different from dental implant rejection.
Dental implants are constructed with titanium, a metal that, as a result of its
“inert” character, continues to be used for almost forty years within hip substitutes.
Titanium makes absolutely no side effects or allergy symptoms in human tissue, except
for extremely rare ocassions.

A dental implant, even so, may become infected at the factory exactly where these
are produced, despite the fact that most dental implant producers ought to conform
to rigorous FDA high quality requirements. Or perhaps it could possibly get polluted
inside the dentist’s workplace throughout the implantation process, even though
almost all dental surgeons may also be likely to continue with the greatest sterilizing
methods.

Whatsoever the fundamental reason behind a dental implant failure, the disappointment
is usually to surface after that the actual implant procedure. Anybody going through
too much soreness or even hemorrhaging following an implant process have to get
in touch with their own dental surgeon right away.

Pediatric/kids dentistry

kids dentistry
Pediatric dentistry is the branch of dentistry dealing
with children from birth through adolescence.This field focuses on a kid’s growth
and development, disease casuality and prevention, child psychology and management
and all aspects of the highly specialised pediatric restorative techniques and modalities.
Pediatric dentistry emphasizes the establishment of trust and confidence in children
with their dentists.Consequently,one of the main components of pediatric training
is child psychology.This manifests itself in different communication styles and
an emphasis on teaching preventive dental habits to children in an effort to make
dental visits enjoyable.

Pediatric dentists work towards the maintainence of primary
teeth(baby teeth) until they are naturally lost.This is due to the importance they
serve in permitting children to chew properly and therefore maintain good nutrition,their
role in speech development and the maintainence of space for the eventual eruption
of the permanent teeth.

Ideally,the first dental visit of a child should begin at 8-12 months of age when
the first baby teeth erupt.Pediatric dentists are trained to perform infant examination
and also to provide the necessary information regarding infant oral care.

Procedures done under kids dentistry are:-

  • » GIC and composite fillings
  • » Pediatric root canal treatment
  • » Orthodontic correction
  • » Management of traumatic injuries
  • » Correction of dental habits like thunb sucking,tongue
    thrusting,mouth breathing etc.
  • » Pit & fissure sealants

How To Take Care Of Your Child’s Dental Health

Primary or baby teeth are very important for children.Not
only do they help children speak clearly and chew naturally,they also aid in forming
a path which the permanent teeth can follow when they are ready to erupt.

Start cleaning your baby’s gums right from birth by using
a gauze piece,moist cotton or soft cloth.Start your child’s toothbrushing as soon
as the first tooth erupts in the oral cavity,at about 6-7 months of age. A soft,small
sized toothbrush may be used without any toothpaste for a child,less than 2 years
of age.For the 2-6 years old,dispense a pea-size amount of toothpaste and assist
your child’s toothbrushing.Remember that children do not have the ability to brush
their teeth effectively and guidance is a must.Children should spit out and not
swallow excess toothpaste after brushing. In order to prevent dental problems,your
child should see a dentist,when the first tooth appears in the oral cavity and no
later than his/her first birthday.

Laser dental treatment

lasersDentistry ,nowadays ,uses the best technology provided
by different fields and lasers have not remain untouched. Special lasers have been
designed for use in the dental field.

A LASER is an instrument that produced a very narrow,intense beam of light energy.When
laser light comes in contact with the tissue,it causes a reaction.This light produced
by the laser can remove or shape teeth, bone or gums. Several variants of lasers
are now available. Different lasers use different wavelengths and this means that
they are better suited for different applications. Some lasers work best on soft
tissues like gums and are best used for periodontal/gum surgeries.These lasers cause
cauterization of the tissue,thereby resulting in less bleeding. Other types of dental
lasers work on teeth or bones of the jaws.

USES OF DENTAL LASERS

  • » Reduce the discomfort of oral ulcers.
  • » Expose a partially erupted wisdom tooth
  • » Remove muscle attachments that limit proper movement.
  • » Remove overgrown gum tissues
  • » Perform biopsy procedures
  • » Remove inflamed gum tissues and aid in the treatment
    of gum disease.
  • » Remove or reshape gum and bone tissues during crown
    lengthening procedures
  • » Speed up tooth whitening procedures

Although the laser is a very useful dental instrument,it
is not appropriate for every dental procedure.

Complete smile makeovers/ full mouth rehabilitations

COMPLETE SMILE MAKEOVERSWith a wide range of cosmetic options available at affordable
prices, there’s no reason why your smile should be less than perfect. Latest cosmetic
periodontal procedures are available at Expert-Dental clinic for restorative and
cosmetic dentistry and/or to improve the esthetics of gum line.

These procedures include:-

  • » Esthetic crown lengthening
  • » Soft tissue grafts
  • » Gum reshaping
  • » Correction of tooth discolorations

Procedures are undertaken to improve a “gummy smile”, wherein
the teeth appear short and too much gum tissue can be seen. Your teeth may actually
be the proper length,but they are covered with too much gum tissue. To correct this,esthetic
crown lengthing is performed. The excess gum and bone tissue are reshaped to expose
more of the natural tooth.this can be done to one tooth or to several teeth to expose
a natural, broad smile.

On the other hand,some patients may feel that they have exceptionally long teeth.this
can be caused due to excessive gum recession which causes the tooth root to become
exposed,thus making the teeth look long.

Soft tissue grafts and other root coverage procedures can be used to cover the exposed
tooth roots,to reduce further gum recession and to protect the vulnerable roots
from futher decay.

THE SMILE MAKEOVER PROCESS

The first step in making over your smile is ensuring that your teeth and gums are
healthy through a thorough dental examination.

Next,impressions and models of your teeth are preaprec along with your profile pictures
and dental x-rays.We’ll also take into account your face shape,skin tone and other
characteristics so that we can give you the perfect look.once you decide on your
smile shape and the shade you want,your dental work is crafted,your teeth are prepared
for the procedures and then the ceramic veneers/crowns are placed.Gum corrections
if required are done before placement of the crowns.

Braces/orthodontic treatment

orthodontic bracesinvisible braces

Dental braces (also known as orthodontic braces, or simply
braces) are devices used in dentistry that align and straighten teeth.

Conventionally metal braces were being used since long time but recently newer techniques
have been developed. Tooth color or ceramic braces are equally efficient but more
esthetic due to color match.

Braces can also be placed on inside surface (lingual) of tooth, thus known as lingual
or hidden braces. Different type of braces are used for the purpose. Though slightly
uncomfortable for the tongue initially, these are completely invisible for others.

Braces have two parts :-

 

  • Brackets– they are attached to each
    tooth.
  • Arch wire– a thin metal wire that
    runs from bracket to bracket.

HOW BRACES WORK :-

The application of braces moves the teeth as a result of
force and pressure on the teeth.This application of slow,continous and guided force
onto the teeth helps loosen the tooth from its original place and then shifts to
a new position. A tooth will usually move by about a millimeter per month during
orthodontic movement but there is high individual variability.Orthodontic mechanics
can vary in efficiency which partly exlpains the wide range of response to orthodontic/braces
treatment.

TYPES OF BRACES:-

1) Traditional metal wired braces are stainless steel,sometimes
in combination with titanium and are the most widely used.

2) CERAMIC /CLEAR BRACES:-They serve as a cosmetic alternative to
traditional metal braces by blending im more with the natural colour of the teeth
and having a less conspicuous or hidden appearance.Typically,these brackets are
made of ceramic or plastic materials and function in a similar manner to traditional
metal brackets.

3) HIDDEN/LINGUAL BRACES:-These are custom made fixed braces,bonded
to the back of the teeth,making them invisible to other people. Hence,lingual braces
are a cosmetic alternative to those who do not wish the braces to be visible.

PROCEDURE FOR GETTING BRACES

The first step is to determine whether braces are suitable for the patient.If braces
are appropriate,an appointment is set up where X-rays,models and impressions are
made.The records are then analysed to determine the problems and the course of action.

Typical treatment time varies from 6 months to two and a half years depending on
the complexity and type of problems.Orthognathic surgery may be required in extreme
cases.

Teeth to be braced will have an adhesive applied to help the cement bond to the
surface of the tooth. A metal wire will be threaded in between the brackets and
affixed with elastic or metal ligatures. Wires are bent,shaped and lightened frequently
to achieve the desired results.

POST TREATMENT PROCEDURES

In order to avoid the teeth moving back to theit original position,retainers may
be worn once the treatemnt with braces is complete.

COMPLICATIONS AND RISKS:-

1) Plaque forms easily when food is retained in and around the braces. It is important
to maintain oral hygiene by brushing and flossing thoroughly when wearing braces
to prevent tooth decay. Patients with gum/periodontal disease must obtain periodontal
treatment before getting braces.

2) Mouth sores may be triggered by irritation from components of the braces.

3) Braces can also be damaged if proper care is not taken. It is important to wear
a mouthguard to prevent breakage and/or mouth injury while playing sports. Certain
sticky or hard foods such as toffees,raw vegetables,hard nuts etc. should be avoided
because they can damage braces.Frequent damage to the braces can prolong treatment.

4) In the course of the treatment, orthodontic brackets may pop off due to the forces
involved or due to cement weakening over time. The orthodontist should be contacted
immediately for advise if this occurs. In most cases,the bracket will be replaced.

EXTRACTIONS IN ORTHODONTICS

In patients where crowding of teeth is severe,the dentist might consider taking
a few teeth out to make space for other teeth.Where extractions are indicated,usually
first premolars are extracted but ther are reasons for extracting teeth elsewhere
in the arch.The dentist will discuss the probable options with you.

Painless extractions/tooth removal

impacted third molars
tooth removalA dental extraction is the removal of a tooth from the
mouth. Extractions are performed for a wide variety of reasons, including extensive
tooth decay & impactions (problematic wisdom teeth).

Tooth extraction can be a painless procedure. Your dentist will give you a local
anesthetic with the help of an injection.

TYPES OF EXTRACTIONS:-

Extractions are often categorized as simple or surgical.

SIMPLE EXTRACTION:-These are performed
on teeth that are visible in the mouth, usually under local anesthesia and require
only the use of instruments to elevate and/or grasp the visible portion of the tooth.
Typically the tooth is lifted using an elevator and a dental forceps which help
in making the tooth loose in its socket and then subsequent removal.

SURGICAL EXTRACTION (REMOVAL OF IMPACTED TOOTH):-This involves
the removal of the tooth that cannot be easily accessed, usually because they are
badly broken, incompletely erupted or impacted. The surrounding bone is then removed
with a drill so as to facilitate tooth removal. Removal of wisdom tooth usually
comes under this category.

COMPLICATIONS:-

1) INFECTION – The dentist may prescribe antibiotics pre- and/or
post-operatively, if they determine the patient to be at risk.

2) PROLONGED BLEEDING– The dentist has a variety of means at their
disposal to address bleeding, however it is important to note that small amounts
of blood mixed in the saliva after extractions are normal even up to 72 hours after
extraction.

3) SWELLING– Often dictated by the amount of surgery performed to
extract a tooth, minor to moderate swelling will occur. The swelling usually subsides
in 7 days time.

4) SINUS EXPOSURE AND ORO-ANTRAL COMMUNICATION– This can rarely
occur during upper molar extractions and a minor surgical procedure might be required
to correct it.

5) NERVE INJURY:-This is primarily an issue with the third molars,
but can occur with the extraction of any tooth should the nerve be close to the
surgical site. Such injuries are rare and usually temporary but depending on the
type of injury can be prolonged or even permanent.

6) DRY SOCKET:-It is a painful phenomenon that occurs, a few days
following removal of a tooth(usually molars).This occurs because the blood clot
within the healing tooth extraction site is disrupted. A dry socket typically causes
a sharp and sudden increase in pain commencing 2-5 days after the extraction. A
dry socket is not an infection and the only symptom is pain. The dentist has special
medicaments for the treatment of dry socket.

7) TRISMUS/LIMITED MOUTH OPENING:-Jaw joints, chewing muscles can
become sore after tooth extraction and it may be difficult for the patient to open
his/her mouth. This condition subsides within a week of tooth removal.

Single visit root canal treatments

scaling
Until a few years ago, a root canal treatment would require
3-4 visits to the dentist. But with the development of nickel-titanium root canal
instruments and the introduction of modern methods of filling and sealing the root
canal systems, the dentist is able to complete most root canal treatments in a single
visit.The motor driven instruments used nowadays help in cleaning and shaping the root
canals faster than the conventional hand instruments.

However, patients with severe infection or curved or calcified canals might require
2-3 visits to the dentist.

Root canal treatments

root canal treatmentrotary root canal treatment
A few years ago,
if you had a tooth with a large cavity,
you’d probably loose that tooth. Today, with a special dental procedure called the
root canal treatment you may save that tooth. Inside each tooth is the pulp, which
provides nutrients to the tooth. If the pulp tissue gets diseased/injured, the pulp
tissue dies. The tooth ultimately gets infected and you may start feeling pain and/or sensitivity to hot and cold foods. In such cases, root canal treatment becomes the
treatment of choice.During the root canal procedure, your dentist removes this diseased pulp tissue
by making a hole in your tooth and pulling out the infected nerves and pulp. Some medications may also be put inside the root canals to help
get rid of germs and
prevent infection.

You may also have to take some oral medications to help
control infection that may have spread beyond the tooth.

When the tooth and its root canals have completely healed, the dentist places a
filling inside the canals and finally seals the tooth to prevent any further bacteria
to leak inside the tooth.

In the final step, the dentist usually places a porcelain crown over the tooth so
as to provide strength to the tooth for chewing purposes.

Gum/periodontal surgeries

scaling
If you have been told that you have periodontal (gum) disease, then you are not alone. Many patients suffer from some form of this disease. Periodontal diseases range from simple gum infection to serious disease that results in major damage to the gums and bone that support the teeth. In worst cases, teeth become mobile & are lost.

WHAT CAUSES GUM DISEASE?

Our mouth is full of bacteria. These bacteria along with mucous and other particles
constantly form a sticky, colourless plaque on teeth. Brushing and flossing help
get rid of plaque. Plaque that is not removed can harden and form tartar, that brushing
cannot clean. Only, a professional dentist can remove tartar.

The longer plaque and tartar stay on the teeth, the more harmful they become. The
bacteria cause inflammation of the gums called “gingivitis”. The gums become red
and bleed easily. Gingivitis is a mild form of gum disease and can be reversed by
regular cleaning by a dentist.The longer plaque and tartar stay on the teeth, the
more harmful they become. The bacteria cause inflammation of the gums called “gingivitis”.
The gums become red and bleed easily. Gingivitis is a mild form of gum disease and
can be reversed by regular cleaning by a dentist.

PERIODONTITIS

If gingivitis is not treated, it can advance to periodontitis. In this condition,
the gums pull away from the teeth and form spaces (called pockets)that become infected.
If not treated, the bone that support the teeth are destroyed. The teeth may eventually
become loose and may have to be removed.

HOW TO IDENTIFY GUM DISEASES

  • »Bad breath that wont go away
  • »Red/swollen gums
  • »Tender/bleeding gums
  • »Painful chewing
  • »Loose teeth
  • »Sensitive teeth
  • »Receding gums/longer appearing teeth

HOW ARE GUM DISEASES TREATED?

The main goal of the treatment is to control the infection. The type of treatemnt will vary depending upon the extent of the gum disease. All types of treatment require the patient to maintain good daily care at home. Various procedures used to treat gum disease are:-

DEEP CLEANING (SCALING AND ROOT PLANING)

In this procedure, the dentist scrapes off the tartar from above and below the gum line. Root planing gets rid of rough spots on the tooth root where the germs gather and helps remove bacteria that contribute to the disease.
SURGICAL TREATMENTS

1)
FLAP SURGERY
– Surgery might be necessary if inflammation and deep pockets remain following treatemnt with with deep cleaning methods and/or medications. This common surgery involves lifting back the gums and removing the tartar. The gums are then sutured back in place,so that the tissue fits snugly around the tooth again.

2)
BONE AND TISSUE GRAFTS
– In addition to flap surgery,the dentist may suggest procedures to help regenerate any bone or gum tissue lost to periodontitis. Bone grafting in which natural or synthetic bone is placed in the area of bone loss,can help promote bone growth.In cases where soft tissue has been lost,a soft tissue graft may be used,in which synthetic material or tissue,taken from another area of your mouth is used to cover exposed tooth roots. Since each case is different,it is not possible to predict with certainity,which graft will be successful over the long term.Treatment depends upon many things,including how far the disease process has progressed,how well the patient keeps up with oral care at home and ceratin risk factors such as smoking which may lower the chances of success.Ask your dentist what the level of success might be in your case. The above mentioned procedures are minor surgical procedures done in the dental clinic with a local anesthetic.
POST SURGICAL CARE

Some soreness is normal is normal on the first day or so after the surgery.Many persons ,however, have little discomfort.Some patients complain of sensitivity to hot and cold foods after the surgery.This is caused by exposure of more of the tooth root surface and may last for a shirt period of time.

Excellent home care is strict requirement and a small number of post-operative visits are insisted upon to ensure frequent and complete removal of bacteria.

Inlays & onlays

INLAYS-AND-ONLAYS
Dental inlays and onlays are a medium between dental crowns
and fillings. They are implicated on teeth that have suffered a moderate level of
decay, where the damage is not severe enough to wear a crown.Inlays and onlays are usually made from porcelain/composite resin. Since they are
created from tooth coloured materials, inlays and onlays are often used to replace
a metal dental filling for patients who desire a more natural looking smile.

Inlay/onlay placement is usually carried out over two visits.
During your first visit to the dentist,an impression of your tooth & a temporary
inlay/onlay will be placed over your tooth. The dentist will then send the impression
off to a dental lab,which will create the inlay/onlay to match your tooth’s specifications.
When you return to your dentist’s office,the temporary inlay will be removed and
the permanent one will be placed carefully on your own tooth.

INLAYS/ONLAYS-BENEFITS AND RISKS

Since inlays/onlays can be made from durable tooth coloured porcelain, they offer
much more enduring and natural looking results than metal fillings. Although,no
risks are seen to be associated with inlays/onlays, a small percentage of patients
sometimes experience a mild degree of sensitivity after the placement of inlays/onlays.
Such patients should avoid hot, cold, crunchy foods in the days following their
appointment with the dentist.