Treatment

We offer the following treatment

For more details click the treatments.

Crowns Bridges

Replacement of Missing Teeth

In case of failure to replace a missing tooth, you could end up loosing all your teeth. Each tooth has two parts - Crown and Root. Crown is visible in the mouth whereas the root is embedded in the bone. Molars have two or three roots whereas the front teeth are usually single rooted.

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Loosing A Tooth :

As shown in the picture extraction of a lower molar has created a space ‘X’ . Upper tooth 6 is now useless because it no longer has a tooth to chew against. Therefore loosing one tooth can result in the loss of two or more teeth.

Supra-Eruption :

Back teeth have a lifetime tendency to ERUPT. Only the presence of a tooth to chew against keeps a back tooth from supra-erupting. In the above case the upper 6 has supra-erupted. The resulting unevenness among the upper back teeth has created areas between the teeth that trap debris. Despite the best efforts to brush and floss it is difficult to keep uneven areas clean. Thus gum infection and tooth decay start in these areas. The lower tooth wedges food in the space created in between the upper teeth. This causes the upper 7 to move backwards. As the space further increases infection increases.

Tilt and Drift :

Back teeth have a lifetime tendency to TILT and DRIFT towards the front of the mouth. Thus in the above case the lower 7 is drifting and tilting forward.

Gum Pocket formation and bone loss :

A tilted tooth develops a Gum pocket along its front tooth. Gum pockets are narrow abnormal spaces or clefts that develop between the gums and the tooth root. These pockets trap food debris and bacteria. A gum pocket is a problem as it is very difficult to keep it clean, even with the best brushing and flossing. The debris and bacteria that collect in the pocket lead to worsening of the gum infection. This gum infection finally infects the adjacent bone which softens and slowly begins to disappear. Thus the lower is lost due to gum infection and the upper 6 and 7 eventually lost because of tooth decay and infection.

Crown & Bridges

Sometimes teeth have been so badly damaged by decay or wear that cosmetic fillings are no longer a viable option. Under these circumstances the tooth can be saved and protected by a crown or a cap. Crowns can also be used on either side of a gap so that a bridge can be constructed to replace one or more missing teeth without the use of implants. Occasionally, patients who have crowded or misaligned teeth and who are unable to commit themselves to orthodontic treatment can have their problems solved by the use of crowns or veneers which can be used to disguise the appearance of the teeth and provide a beautiful smile for life. Many of our patients come to see us very unhappy at the appearance of crowns or bridges, fitted by another dentist. Their crown are often of good quality but have failed to please the patient because of simple error - lack of communication between the various people involve in their construction. we pride ourselves in our team approach. We believe that constructing a crown is a combination of technical expertise and artistic flair. From the outset we involve our highly skilled technician in the planning and designing. We encourage as much communication as possible among the patient, technician and dentist to ensure that the final result is exactly as expected. Often we begin by constructing models of the finished restorations so that the patient is able to see what his or her mouth would look like before any work is started.

How Tooth is Crowned or Capped


Front view of the tooth to be crowned.
                                         

One half of the tooth has been prepared so you can see approximately how much tooth structure has been reduced.

 
The tooth has now been fully prepared to make room for the porcelain (and most times an underlying layer of metal for support). Then two sides of the tooth are prepared with only a slight taper to help hold the crown in place.


The new crown is being put into place. Notice the way it will fit up under the gum tissue to hide the margin ( junction ) between tooth and crown.


The final crown is shaped as much as possible like the natural tooth to look and feel good. It is attached with special dental cements.

Types of Crown :

Type Advantages Disadvantages
Metal
  • Strongest type of esthetic crown.
  • Doesn't fracture or chip as easily as alternative esthetic type crown.
  • Usually most economical esthetic crowns.
  • Metal may be visible if tissue shrinks.
  • Metal may be visible if tissue is thin.
  • Metal may affect color of porcelain.
  • Possible bluish tint of gum if gum tissue is thin and metal shows through.
Metal Crown with Porcelain Butt Joint
  • Esthetic
  • No metal shows from front
  • Strong
  • Metal usually visible from inside view only.
  • Underlying metal may affect color of porcelain.
  • Porcelain margin more susceptible to chipping than metal.
  • More costly to make.
Porcelain or Cast Glass
  • Most esthetic throughout crown life.
  • No metal shows.
  • Not as strong as ceramco metal crown.
  • Margin may be more susceptible to chipping.
  • More costly to make.
Full Metal
  • Strong crown.
  • Very Economical.
  • Esthetically dissatisfactory

How Bridge Replaces a Missing Tooth


A conventional three-unit bridge will be used to replace the missing central incisor.


One tooth on either side of the missing tooth is prepared to retain the fixed bridge.


Porcelain is normally fused to a metal framework. Here the metal framework is being tried in the mouth.


The final porcelain-fused-to-metal bridge is fitted over the teeth and just under the gum tissue to hide the seam between the porcelain and metal.


Infection Control

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Today, safety is on everyone’s mind, so we want you to know about our infection control and sterilization procedures. While these procedures are not new to our office, we have upgraded them as new guidelines have become available from the Occupational Safety & Health Administration (OSHA), the Environmental Protection Agency (EPA) and the Centers for Disease Control (CDC). Our goal is to provide the highest level of safety, and for you to feel comfortable knowing that these procedures are being routinely performed. Sterilization and disinfection are the basic steps in instrument processing and surface asepsis. Sterilization refers to the use of a physical or chemical procedure to destroy all forms of microorganisms, including the highly resistant spores. It is mandatory to sterilize all instruments that penetrate soft tissues and bone. Instruments that are not intended to penetrate the tissues, but that may come into contact with oral tissues should also be sterilized after each use. If, however, such and instrument would be damaged by heat, it can be disinfected. Disinfection is less lethal process and is intended to kill disease producing microorganisms, but not bacterial spores. These procedures include the following:

  1. Barrier Controls- Recommended by the Centers for Disease Control, it includes the use of masks, protective eyewear, and gloves for each patient.
  2. Autoclave and Dry Heat Sterilization - All instruments including handpieces are totally sterilized with autoclave or dry heat sterilization after each patient.
  3. Individual Tray Set-ups - Individual tray set-ups with sterile instruments are utilized for all procedures.
  4. Disposable Items - Disposable items are used whenever possible and are always discarded once used.
  5. Disinfectants - Disinfectant hand soaps are used and disinfectants are applied to counter tops and other surface areas in all treatment rooms.

The best defense against disease is information. The more you know, the better equipped you are to make wise decisions about your health care. The more you know about our daily procedures and policies, the more comfortable you will feel.


Mercury Free Clinic

EPA (Environmental Protection Agency, USA) labels Mercury as WASTE DISPOSAL HAZARD. We SHOULD NOT throw it in trash or bury it. Then how could it make any sense to have Mercury "Silver" filling in your mouth. All "Silver Fillings" in your mouth contains approximately 50% of mercury the known cause of major systemic dysfunctions and fatal malformations. WHY SHOULD YOU BE CONCERNED? Recent studies indicate that mercury from dental fillings is released in vapor form in mouth temperature especially after hot beverages and food.80% of this is absorbed into the body! Dental amalgam has been banned from Sweden in Feb 1994 as well as Germany, Norway etc.....Following this strategic approach , in harmony with the future, we at Swastik Dental Clinic have successfully eliminated mercury from our practice.

Cosmetic Dentistry

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A bright smile can undoubtedly be the most eye-catching feature of your face The most disarming feature of an individual’s personality is the quality of his/her beautiful, free flowing smile. If one has discolored, chipped or missing teeth, one may be reluctant to show a gummy smile with parted lips lest it is unattractive; or they may resort to covering their mouth with their hand whenever laughter cannot be avoided. A cosmetic dentist can give you the attractive face and the beautiful smile you have ever dreamed. Appreciative expressions on the faces of people you often meet or otherwise, works as mirror that how even a subtle change can make a big difference in the way you look and feel. You use your teeth every time you smile, laugh, kiss, speak, chew and in every professional and social situation. The modern techniques of smile enhancement are in the easy domain of Cosmetic Dentistry, gaining the confidence and self-esteem in the current times has become affordable. There are techniques to deal with discolored, chipped, gapped, crooked or missing teeth. New techniques of today like easy going bleaching or super-fast whitening, dental bonding for chipped or discolored teeth, enamel shaping, veneers, life-like dental caps (crowns)/ bridges, white fillings, smile designing, dental implants and braces to create a beautiful smile with minimal changes to existing teeth. In severe cases, orthodontics treatment may be needed. This is a specialized branch of dentistry that corrects jaw and teeth misalignments. Contact us for further information and advice on substantially improving the look of your smile from our panel of experienced professionals in the Esthetic/Aesthetic/Cosmetic Dentistry.

Bleaching (Whitening)

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Bleaching is Is one of the very popular procedures in cosmetic dentistry? Treatment begins when your dentist creates a custom made bleaching tray to ensure the correct amount of whitening a solution of 10-20 percent carbamide peroxide is used, and that your teeth are properly exposed. It is quite simple, cost-effective, permanent technique for obtaining a desired dazzling, whiter smile in office or at home in just a matter of days, without altering the shape and size of the teeth.

Bonding

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Bonding is best described as simply adding little tooth-colored composite materials matching the shade, translucency and texture of your teeth to "fill in the blanks." Front teeth are the most frequently used places where the most bonding technique is applied to fill in a gap in between. The spots, chips, and discolorations so eliminated, enhances the aesthetics of smile and your self-confidence. This is a virtually painless procedure and is mostly completed in one visit.

Enamel Shaping (Contouring)

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Enamel Shaping (Contouring) is one of the processes of shaping natural teeth to improve their appearance? Shaping can be used to correct minor cases of crowded or overlapping teeth, smooth rough edges, or make small adjustments to the shape of tooth/teeth. Contouring teeth may also help correct small problems with bite as also the smile. It is common for bonding to be combined with tooth reshaping. An X-rays might be necessary to evaluate the size and location of the pulp of each tooth to ensure that there's enough bone between the teeth to support them.

Veneers

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Veneers are custom, porcelain facings that are bonded to the front surfaces of teeth to close spaces, repair chipped or worn out teeth, straighten teeth or even whiten teeth? The veneers are generally only about 1 mm thick (the thickness of a fingernail). That same thickness is "shaved" off the natural tooth surface so when the veneer is bonded to the tooth, the tooth doesn't feel or look "thicker". Once the cement is between the veneer and your tooth, a light beam is used to harden it. Porcelain veneers require more than one visit because they are fabricated in a laboratory. Veneers have a longer life expectancy and color stability than bonding. Veneers are used to treat some of the same problems as bonding. This treatment is an alternative to crowns, which are more expensive.

Caps (Crowns)/Bridges

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Caps are no longer used for cosmetic purposes, since the advent of veneers that are more aesthetic. But there are cases in which a crown may still be necessary for a particular tooth. For example, a tooth with a bad fracture or a large filling that is breaking down, or has decay around it, may be a candidate for a crown instead of a veneer. The veneers have been used in this picture of a patient. But in one of the front teeth with a large filling a crown was the better option. Crowns can be made out of porcelain (or some other ceramic material), gold (or metal alloys), or a combination of both. Dental crowns are often referred to as "dental caps" or "tooth caps". In other cases, a non-removable bridge may be an answer by replacing missing teeth. The bridges can restore your teeth to normal function and improve the entire health of your mouth, including structure of your face and jaw.

White fillings

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White fillings are in vogue today, as replacement for silver or gold fillings. The tooth coloured fillings material look successfully natural with the adjacent tooth and more aesthetic. Since teeth are translucent, dark fillings cause the whole tooth to appear darker when viewed from the side. Replacing older dark fillings with white fillings definitely enhance the glow in your smile! Another advantage is that less healthy part of a tooth must be removed to hold this filling in place. These fillings require only a single visit. Besides looking better, these teeth are now more resistant to fracture.

Micro-Abrasion

Discoloured enamel can be gently ground away using an abrasive, acid-based paste. In severe cases, the enamel may be removed entirely and the tooth sealed with appropriately coloured filling. Micro-abrasion is the method of removing white spots on teeth and superficial enamel stains. This method removes micro layers of enamel to eliminate minor defects and spots.

Smile Designing

A good smile involves in it more than just healthy teeth and gums. High Quality Cosmetic Dentistry

Tooth Fillings

Fillings or restorations are necessary in cases of tooth decay.
How teeth decay?
The initial attack of bacterial acid is on enamel and the dissolution starts. During this time, it may appear as brownish or black discoloration of tooth. On progression, this converts into a cavity or a hole in the tooth. At this time the usual complaint is that the food gets impacted between the teeth. Further progression of this lesion leads to involvement of dentin. During this time, the patients complain of sensitivity to hot and cold or sweet and sour things.
Filling :
At this stage when tooth decay in the enamel or dentin the tooth can be restored to its original form and function by the dentist. The dentist removes all the decayed part of the tooth. Next he fills the tooth. Filling materials are of four types.

  1. Silver Amalgam
  2. Glass Ionomer
  3. Light Cure Glass Ionomer
  4. Light Cure Composite Resin

          
Silver Amalgam                       Light Cure Composite Resin

Silver Amalgam : Silver dental fillings have been described as a toxic time bomb.
"The World Health Organization states that the largest estimated daily intake and retention of mercury and mercury compounds in the general public is from dental amalgam fillings. WHO has stated that there is no safe dose of mercury. Mercury is a poison at any level, whether or not the level of toxicity is sufficient to produce recognizable symptoms."
Did you know that the use of mercury fillings has been abolished in Sweden and that the UK government has banned its use during pregnancy? Despite mounting evidence against the use of mercury many dentists are still using mercury fillings, blissfully ignoring the growing volume of scientific evidence which points to many chronic and debilitating conditions which occur through such use. Careful precautions have to be taken when removing old amalgam fillings. Proper isolation of the tooth from the rest of the body is must which should act as an effective barrier against swallowing or inhalation of mercury fumes. We also recommend taking dietary supplements, such as Vitamins C and E and Selenium to negate traces of toxicity even after the amalgam has been removed and to guard against any traces of mercury in the system.
Glass Ionomer : Normally used as a filling for deciduous (milk) teeth in child patients.
Light Cured Glass Ionomer : Generally used to restore the cervical abrasions sensitive to cold.
Light Cure Composite Resin : Magical change in appearance by replacing silver amalgam with light cure filling Light cure composite resins have certain advantages over silver fillings. These are

  1. It is tooth coloured
  2. It bonds to the tooth surface
  3. Its strength is much more than silver amalgam
  4. Life of a resin filling is much more than silver amalgum.

Filling of teeth requires one sitting. It is a painless procedure. If tooth decay is not treated and allowed to spread the pulp of the tooth is destroyed which then needs root canal treatment that is longer and more expensive than a filling.

Denture Work

Few people want to have their teeth extracted just to look better. But when restoring the teeth is impossible because there is simply not enough tooth structure left, dentures are an alternative. It is important from a cosmetic standpoint, however, that you need not allow too much time to lag between tooth loss and tooth replacement. Tooth loss causes the face to collapse and the mouth to sink in. At the same time, the nose appears to drop down towards the chin. Deep lines begin to from in the creases of this collapses skin, adding years to the face. Full dentures can make you look younger because there is almost no limit to what the dentist can create with them.

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Immediate Dentures :
Immediate dentures are measured for size with the natural teeth intact, and they are placed the same day as your remaining teeth are extracted. With this type of denture, you skip the try in stages that accompany the fitting of other models. Because gums and bone tend to shrink after extraction, these dentures may become loose.
Conventional Dentures :
Fitting conventional dentures typically requires three to six office visits after all of the teeth have been removed and the tissue has healed. It is up to you during these visit to pass judgment on the fit and look of the dentures. Your dentist will advise you on color, tooth type and lip position. If the color is too white, the dentures will look artificial.
Immediate Removable Complete Denture :
After extraction of teeth, shrinkage of bone takes place for the first 4-5 months and hence a temporary denture is given to the patient. This is called as immediate denture. This denture should be used for 4 to 6 months and should be replaced.

Advantages

  • Patient can enjoy his social life i.e. if he waits for 6 months after total extraction of teeth, he has to move around without teeth.
  • Patient can chew better i.e. as the wound healing has not taken place, he cannot chew hard food but this denture helps him to eat better.
  • From medical point of view, this denture helps to stabilize his lower jaw i.e. if the patient stays without teeth for six months, his lower jaw drifts forward.

Removable Complete Denture

When gums and bones heal properly, removable complete denture is prepared. There are 5 sittings.

1. First Sitting - Primary Impression :

This sitting takes only 10 minutes. Impression of gums and jaws is made with the help of trays. The trays used to make the impression are of standard prefabricated sizes.

2. Second Sitting - Final Impressions :

This is a very important step. It decides the fit of a denture. The tray used to make this impression is specially fabricated for every individual. This consists of two stages :

  1. Border Molding
  2. Zinc-eugenol paste impression.

3. Third Sitting - Jaw Relation :

It decides position, size, shape of teeth and hence, is a significant step in denture making. With the help of wax a relation between upper and lower jaw is noted. This relation is sent to the laboratory.

4. Fourth Sitting - Trial :

With the help of the relation of jaws taken previously, a denture in wax is made where all the teeth are placed in wax. This trial denture is placed in the patients mouth. This enables the patient to note the size, shape, color, occlusion and overall appearance of his teeth. Any changes regarding his teeth can be fixed at this stage, hence is a decisive stage.

5. Fifth Sitting - Denture Delivery :

A polished, finished denture is delivered to the patient. Instructions of how to use a denture are given to the patient.

6. Follow - Ups :

A new denture may hurt, like a shoe-bite and hence may require little adjustments. The different qualities of dentures are:

  1. Acrylic denture
  2. Implants Supported Denture
  3. Lucitone denture
  4. Cast (metal base) denture

All these dentures are available with different qualities of teeth set.

Orthodontic Treatment

Orthodontics, often called as Dentofacial orthopedics, is a special branch of dentistry that deals with correction of crowded and crooked teeth and altering bone growth to produce a natural, regular arrangement and a beautiful smile. Dentists who are specially qualified in this area of expertise are referred to as Orthodontist. Now age is no barrier to Orthodontic treatment. People of all ages can enjoy healthier teeth and gums, which boosts their confidence and self image.

Who requires orthodontic treatment?

Anyone with malaligned or irregular teeth, buck teeth, crowded teeth, overlapping teeth, rabbit teeth or ones with gaps in between may require orthodontic treatment.

Why do teeth become irregular?

There are numerous reasons for malaligned or irregular teeth. These are briefly:

  1. Small jaw.
  2. Thumb-sucking.
  3. Bad lip and tongue habits.
  4. Other habits like breathing through the mouth, nail biting.
  5. Incompetent lips.
  6. Injury/accidents.

Orthodontic Evaluation

Before planning treatment, the Orthodontist examines the teeth, jaws, jaw joints, face and profile and studies how the patient bite and swallows. The dental and medical histories are taken. If the patient is looking for cosmetic changes in his/her smile or face, he/she will be asked about the specific goals for Orthodontic. Evaluation is done with the help of:

  1. X-Rays
  2. Models
  3. Photographs etc.

Orthodontics for young children or Early Orthodontics

Palatal Expander Habit Corrector Braces

An early phase of treatment may precede braces to take advantage of a child’s growing jaws. Early treatment moves jaw bones and chewing muscles into position, setting the stage for the most stable bite correction possible. This phase may last for a year year or more.

Benefits of Early Orthodontics

  1. Enhancing self esteem by improving the child’s appearance with proper jaw alignment.
  2. Creating a more stable long term result especially with severe bite problems.
  3. Shortening or improving results of second phase of treatment.
  4. Allowing for treatment at an age when children are more cooperative.
  5. Helping prevent fracture to buck teeth.
  6. Minimizing future jaw surgery.
  7. Minimizing removal of permanent teeth.

When is early treatment needed?

  1. An unbalanced profile.
  2. An overbite, underbite, crossbite, gummy smile, deep smile or open bite.
  3. Overlapping or crowded teeth.
  4. Difficulty in chewing.
  5. Open - mouth breathing.
  6. Speech Problems
  7. .
  8. Tongue thrusting.
  9. Thumb or finger sucking after age of 4.

Why do some patients have to extract teeth and some not?
In some cases a patient may need to get some teeth extracted in order to fix the braces. Teeth are only removed after serious consideration. However, if the patient is referred to a qualified orthodontist at a young age and the problem is not severe, then the entire treatment may be carried out without tooth removal. It is critical therefore to visit a dentist at the earliest sign of irregular teeth so that he may refer you to an orthodontist.
Is the treatment very painful?
The treatment is certainly not painless, but the pain is mild and lasts from 3 to 7 days after a visit to the Orthodontist. After this, there is no pain. During subsequent adjustments or wire changes, there may be mild pain. Recent advances in Orthodontics have made treatment far more comfortable. The braces become a part of you, just like a pair of spectacles.
Can I continue to eat my favorite foods? Do I have to modify my diet?
You can continue to eat your favorite foods but they will have to be prepared specially. Your food will have to be softened, or cut into small pieces, or be well-cooked before eating. Ice creams and colas may be had as usual but corn will have to be sliced off the cob, hard fruits will need to be sliced, nuts and chikki ground and chocolate must not be eaten after refrigeration. Foods that are best avoided are popcorn, sticky chocolates, hard nuts and fruits, hard crusts and chewing gum. These foods can break or loosen your braces making you uncomfortable and can delay treatment.
How should I clean my teeth now?
Brushing with braces on your teeth requires a little more effort than, if you didn’t have any.

  1. Use of a soft bristled toothbrush or an orthodontic toothbrush.
  2. Brush twice a day in gentle circular motions with special emphasis to dislodge food that is lodged between teeth and the braces. Use a mouthwash to rinse additionally.
  3. Never allow plaque or food to accumulate on the teeth and braces.
What else do I have to do during treatment?

You may have to wear small elastic bands which you change regularly. Some treatment requires a retractor or head gear, a lip bumper and other functional appliances which your orthodontist will show you how to use. Report any untoward change or damage of the braces immediately. Does this treatment affect my performance at school/work/sports? Not at all. You will only need to take reasonable care of your braces during contact sports like boxing, football, hockey, cricket, etc. to prevent damage to the braces and injury to the teeth and lips.

Dental jewellery

Fashion is a parameter people look for in each field now days. Dentistry is also not an excuse from it. People demand aesthetics & Cosmetic fashion jewellery for their teeth and now, WE ARE ABLE TO PROVIDE IT.
They are very easy to affix and to remove them is not at all a difficult task. Getting dental fashion jewellery fitted in your mouth doesn’t really take so much time; in fact, it takes around 7 to 10 minutes only for a single tooth application.

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Veneers & Laminates

Porcelain veneers can be described as looking like ‘false finger nails for teeth’ - but permanently placed. They can be used to correct crowding or malalignment of teeth or to disguise a badly discolored tooth cannot be corrected by whitening methods alone. They can also be used to close gap between teeth. Veneers require the removal of a very tiny amount of tooth structure and can provide a quick and permanent cosmetic restoration of stained, unsightly front teeth that are otherwise in good condition.
Veneers - A “Mask” For Your Tooth :


           
Enamel is removed from the front and side surfaces of the tooth and an impression is made.

The veneers are fabricated in a laboratory and bonded to the tooth.

The veneer is fixed in place permanently and looks very natural

Veneers Bonding
Bonding falls under the second category of the three Rs - restoration. In recent years, it has proved to be highly effective treatment for closing shapes between the teeth.
Treatment time : One to two hours per tooth
Patients Maintenance : Professional cleaning three or four times yearly. Avoid hard foods on front teeth. Bonding to fill in a space is more susceptible to chipping. Proper use of floss daily is required. One problem with most direct bonded restorations is that they can stain or chip. Expect to have some repolishing or repair as necessary.
Results of treatment : Most spaces can be filled in to look very natural
Advantages :

  1. Little or no reduction of tooth structure
  2. No anesthesia required
  3. Reversible Procedure
  4. Economical, more so than crowning
  5. Teeth can also be lightened
Some of the disadvantages :
  1. Can chip or stain more easily than crowns.
  2. Has limited esthetic life.
  3. Treatment may involve extra teeth to obtain proportionate space closing. n Teeth may appear somewhat thicker.

Tooth Whitening

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A lot of people feel inhibited to smile in full. That's a shame because the smile is one of the most determining elements of the first impression we make on others. Teeth can be lightened by up to two shades in less than one hour during one comfortable in-house using latest power whitening techniques. This is a perfectly safe procedure and patient does not have the inconvenience of wearing messy bleaching tray at home. The method is without discomfort or irritation. The whitening effect can last for years without the necessity of having to repeat the treatment provided a few simple initial precautions are followed and good mouth hygiene is maintained.


Whiter teeth with a shining smile are now possible for everyone. Indications

  1. Discoloration caused by extrinsic factors like consumption of tea, coffee, colas, tobacco, smoking.
  2. Discoloration due to aging.
  3. Teeth that have darkened in shades of yellow, orange, light brown respond better to bleaching.
  4. Discoloration due to fluorosis and tetracycline can be lightened to some extent.

Advantages :

  1. Simple procedure
  2. Improves overall aesthetics
  3. Non-invasive and safe
  4. Relatively inexpensive.

Instructions to Patients :

  1. Minor sensitivity to cold is to be expected.
  2. No smoking or chewing tobacco during and preferably after treatment
  3. Slight reversal of color is to be expected within the first few weeks.
  4. Periodic touch-up is required.

Procedure :
A dental check-up is a must to determine whether you are a candidate for bleaching. The next step is to decide whether to go for office bleach or the home bleach technique. Procedure In the home bleach technique the dentist takes impressions of your teeth to fabricate a mouth guard appliance which is to be worn after being loaded with the bleaching material for the time period that is specified by the dentist depending upon the case. Usually the bleaching trays are to worn in the night for about four to five nights to notice visible changes.
Home Bleach : This is done at home by the patient
Office Bleach : This procedure is done in the dental office and carried out by the dental surgeon. Office bleach usually requires 1 - 2 sittings.
Procedure: The bleaching agent is applied on the tooth surface. The tooth is then exposed to rays of a special light. These rays penetrate the bleaching agent and the process is activated. Time taken to bleach each tooth is 5 - 10 min. Usually 1 - 2 sittings complete the entire procedure.

Root CanalTreatment

The mere mention of root canal therapy sends a shudder through most patients. However, with advances in modern dental technology and effective use of analgesia even this most feared of dental treatments has been transformed into a pain free and acceptable procedure and we are now to save many of the most heavily destroyed teeth and avoid extractions. Any discomfort associated with root canal treatment is in fact usually felt prior to an intervention by the dentist. Usually the tooth has died or is dying as a result of extensive decay or trauma. During the dying period the roots become irritated and this produces the pain that makes most patient seek advice from the dentist. Once the tooth has died the nerve endings and blood vessels in the tooth can become infected and subsequently form a abscess, causing a build-up of pressure and associated pain.

The aim of root canal therapy is to relieve any discomfort, not create it and in fact we achieve this in a painless and relaxed manner. After gaining access to the tooth, which is simply like having a normal filling, all the canals are cleaned out thoroughly with special antiseptics. The void created is then completely filled up with a plasticized material which renders the whole canal system inert, stable and therefore pain free. the root canal treatment is even simpler due to the use of Rotary Instruments (ProTaper).This superb instrument from Dentsply deals with soundless negotiation of the canals with so less time consumption and so effectively as the chances of failures of root canal treatment touched nil. The treatment is usually carried out either in a single visit or over two visits. Between appointments the tooth is dressed temporarily so as to remain pain free functional in case of two sitting root canal treatment. After the root canal treatment, the tooth can be restored to a natural looking and normal state, usually by crowing, to increase its overall strength and longevity.

When to Root Canal?

  1. Severe tooth pain, typically relieved by cold water and increases with the intake of hot liquids.
  2. Pain worsens when you lie down and reduces when you sit up.
  3. Pain stays for a long time after consuming cold things.
  4. Swelling around the tooth.
  5. Constant tooth pain.
  6. Pain when chewing.
  7. Tooth pain referred to head and ears as well.
  8. Tooth sensitivity on consuming sweets.

Endodontics :

Endodontics or root canal therapy can restore your tooth to the healthiest state by removing damaged tissue from inside of your tooth’s root.

Dental Evaluation :

Your dentist evaluates the health of your teeth by asking you for the above symptoms or history of any injury to the tooth. Tapping of teeth may also be done to check for pain. The dentist may now take intra oral X-rays to see the inside of your tooth and the surrounding bone. Any unhealthy changes in the tooth or the surrounding tissues may be visible on the X-rays.

Stages of Root Canal :

  1. Preparing the Root Canal
  2. Filling the Root Canal

Preparing the Root Canal



First, your dentist makes an opening in your
teeth and removes any filling or decay.Unhealthy
pulp tissue is then removed with tiny, flexible
files the dentist then shapes each canal to receive a filling.

X rays help assure that the instruments go
exactly to the end of the root and not beyond.

Filling the Root Canal


The most commonly used filling material is a film, waxy, rubbery compound called Gutta Percha. Gutta Percha points corresponding to the size of the clean canal are selected. Sealer cement is used to seal the Gutta Percha points.

Restoring Your Tooth :

After the inside of the tooth has been treated, the outside will be restored, to protect the underlying structures and give your tooth a healthy appearance. If your tooth needs extra support, your dentist may remove some Gutta Percha and insert a post before filling and crown are applied.
A Post: Stainless steel or a tooth coloured material is sometimes cemented into the Root Canal to build the tooth after Root Canal Therapy.
A Filling: This is used to fill up the opening that the dentist has made in your tooth.
A Crown: This may be used to cover the tooth that has a large opening after Root Canal Therapy.

Digital X-Ray

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Digital X-Ray:Digital radiography is a form of x-ray imaging, where digital X-ray sensors are used instead of traditional photographic film. Advantages include time efficiency through bypassing chemical processing and the ability to digitally transfer and enhance images. Also less radiation is used to produce an image of similar contrast to conventional radiography.


Teeth and bone are very dense, so they absorb X-rays, but gums and cheeks are much less dense, so X-rays pass through more easily. That's why cheeks and gums appear dark and without detail on the X-ray film, but teeth show up much lighter. And fillings, which are even denser than bone, will show up as a solid, bright white area. Dental caries (cavities) will show up on an X-ray as a darker patch in a light tooth.

Fully automatic, computerized &
 comfortable Chair & unit
    
Ultrasonic Scaling machine
Light cure unit for bleaching & fillings
Rotary Endodontics
 (for 1 sitting R.C.)
Intra Oral Camera
Digital Camera
Autoclave
Glass bead sterilizer
Needle destroyer
  1. Patient education software’s with Live videos of every procedures

Ultrasonic Scaling & Polishing

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Ultrasonic Cleaning is the first step in prevention, treatment and control of periodontal disease.The ultrasonic vibrations are strong enough to remove hard calculus but are gentle enough not to harm your gums or teeth. The main cause of gum disease is plaque, a sticky colorless film of bacteria that constantly forms on your teeth and attacks the gums surrounding the teeth. If not cleaned, the plaque hardens to form calculus/ tartar. This eventually spreads below the gum line and attack the tissue and bore supporting the teeth. Hence a regular cleaning appointment an integral part of basic oral health care. Scaling or prophylaxis is the procedure of removing calculus (tartar), plaque and stains from the teeth. Tooth scaling is part of professional tooth cleaning. Polishing of tooth surfaces is used to make these surfaces smooth which makes it more difficult for plaque and debris to accumulate on your teeth that causes decay or gum disease. Polishing is a preventive procedure used as a first-line defense against dental problems.

Procedure for ultrasonic Scaling and Polishing Treatment :

  1. When scaling and polishing is done, essentially this is a deep clean of your mouth. A special tool is used to get rid of the hard build up of calculus (tartar) then follow up by giving the teeth a thorough polish.
  2. The areas concentrated on are just below the gum line, behind your teeth and in the gaps in between them, as these are the regions commonly missed when we brush our teeth. Scaling and polishing helps prevent gum disease
  3. At our dental clinic, our center uses the ultrasonic technology. The ultrasonic unit's small tip and high frequency scaling tool along with its water spray technology delivers higher patient comfort and makes the procedure for the removal of calculus (tartar) more time-effective.
  4. The ultrasonic scaler enables a more gentle and effective scale within a shorter treatment timeframe than conventional scaling tools. The unit is also designed for complete sterilization, a concept our clinic emphasizes on.

Smile Designing

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A smile is something that bridges the large gap between any two individuals. Take this simple quiz to know if you are a candidate for cosmetic dentistry.
ANALYZE YOUR SMILE
In a slight smile with your teeth parted, do the tips of your teeth show?
Your teeth should show slightly when you smile slightly or talk.
When you smile slightly does your smile line appear in a shallow U-Shape i.e. areyour front two teeth slightly longer than your other teeth?
Your smile line is a youthful smile line if it is as mentioned above. Your front two teeth i.e. the central incisors should be slightly longer than the adjacent incisors. Next the canine or corner teeth should be V-Shaped and of the same length as the central incisor.
Are your front two teeth too long?
The front teeth should be about 2mm longer than the adjacent lateral incisors. They are too long if they are longer than this.
Do you have spaces between your front teeth?
If you have spacing or diastema between your front teeth, have it checked, particularly if it hasn’t always been there. Such spaces can grow larger, indicating a physical problem such as gum disease or bad habits such as tongue thrusting. If no such problem exists and you don’t like the space, it can be closed with bonding or laminating / veneering procedure or orthodontic appliances depending upon the size of the space.
Do your front teeth protrude or stick out?
Protrusion of teeth causes an unappealing smile. This problem can be corrected with cosmetic contouring combined with laminating procedures.
Are your front teeth crowded or overlapping?
If yes it can be corrected either by orthodontics repositioning or cosmetic contouring and veneering.
Are you happy with the color of your teeth? Do you have stains on your teeth?
If yes, your smile could be made attractive. Stains may be gotten rid of by bleaching, when they are on the external surface. Intrinsic stains can be corrected by veneering or capping.
your front teeth have fillings whose shade does not match the natural tooth color?
Tooth colored fillings in the front teeth that matched perfectly when they were placed may not look as good after a few years. Certain food can stain these fillings as can habits like smoking and drinking coffee and tea. You may need more frequent professional cleaning or replacement.
Are your lower six front teeth even in appearance? Uneven lower teeth with one or more teeth longer than others can be a distraction when you speak. Through cosmetic contouring, the teeth can often be reshaped to appear even.
The necks of your teeth indicate erosion or ditched in ‘V’ that can be seen or felt with your finger nails?
These deformities can progress rapidly, resulting in tooth discoloration and sensitivity. However they usually can be corrected easily and esthetically with composite resin bonding. The primary advantage, however is that such tooth repair prevents further erosion and possible damage to the nerve.
Are your gums pink and ‘knife edged’ or are they red and swollen?
Gums should be pink and knife edged and not red and puffy. If red and puffy then you are suffering from gum disease and a cleaning appointment may help.
Is your mouth free from decay or gum disease that can cause bad breath?
If not, you need to see your dentist and also brush and floss regularly. I have a masculine or feminine smile?
Feminine type smile there is no anthropological basis for masculinity or femininity in teeth. However, we tend to think of teeth that are nicely curved as softening the smile and we perceive this as a more feminine look. Note, also, the slight openings at the biting edges between the teeth. These are called incisal embrasures and help make the teeth look distinct instead of joined together.
Masculine type smile:This is a fine example of a masculine smile with a medium lip line. The teeth are more angular, and the central incisors provide a bolder or stronger look in relation to the lateral incisors. They are squarer, less rounded, and slightly more textured than in the above photograph. A more youthful smile line is created when the central incisors are slightly darker than the other teeth due to the thickness of the teeth.

FIVE TREATMENTS FOR STAINED TEETH

Luckily, patients with stained teeth - even those that are severely discolored - can be treated successfully. Cosmetic dentistry affords these patients the opportunity to have the beautiful, natural smiles they desire with minimum of time, discomfort and cost. Treatment of stained teeth depends on both the cause and the degree of discoloration. Each treatment alternative has advantages. There are five ways to treat stained teeth.
Polishing:
The simplest method of stain removal, eliminates many food stains, the majority of which can be attributed to coffee or tea. However, excessive staining from beverages or tobacco products may require more aggressive treatment.
Bleaching
It utilizes a strong oxidizing agent to lighten the teeth, is a relatively conservative and often highly effective way to brighten the smile. Bleaching is frequently used on mild-to-moderate tetracycline and fluoride stains, as well as on those stains that result from damage to the tooth. Your dentist may recommend either in-office or home bleaching or a combination of both, depending on the nature and the severity of the discoloration.
Bonding
Involves the application of a plastic material to the existing tooth. The composite resin bonding technique is used frequently to cover stains in a conservative and esthetically pleasing manner. This process can be particularly effective in masking tetracycline stains, white or brown spots, stains due to excessive wear and in lightening teeth that have become discolored by amalgam, the blend of metals found in silver fillings.
Laminating
It is an extension for bonding technique. It consists of applying a thin veneer of pre-formed porcelain, composite resin or plastic to the teeth in much the same way as an artificial fingernail is affixed to a natural nail. In the case of porcelain, both the enamel and the inside of the porcelain veneer are etched to increase adhesion. Composite resin and plastic laminates are chemically sealed to the teeth.
Crowning
It is a longer lasting, although less conservative treatment alternative that requires reducing the tooth and covering the remainder with a custom - made restoration. Although it is always preferable to preserve the structure of the natural tooth, it isn’t always feasible. For example, in cases where tetracycline stains are extremely dark or where amalgam stains have caused severe discoloration, crowning may be the only acceptable treatment alternative. Despite the drawbacks, crowns can be finely sculptured works of art that serve both to improve tooth shape and function while enhancing your smile.

Gum Treatment

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The Gums : The teeth remain embedded in jawbone which is covered from outside by gums. Healthy gums are coral pink in colour. They remain firmly attached to the underlying bone. Healthy gum can be identified by thin margins firmly adapting over the respective tooth and it does not bleed easily.

Gum Diseases :

Gum problems can be divided into two stages:

  1. Gingivitis
  2. Periodontitis

Gingivitis :

As mentioned earlier, normal gums are coral pink in colour with the edges firmly attached around the tooth, and does not bleed on normal brushing. The earliest sign of gum inflammation is bleeding from the margins of gums during brushing, without any pain. The margins of gums appear red. If proper brushing is not done, the disease may progress deep inside the gums. They may swell, become soft and bleed even on slightest touch, The bleeding may even occur spontaneously. Even at this late stage, the condition maybe painless. This condition is known is Gingivitis.

Causes of Gums and Periodontal Diseases :

The gum diseases are also caused by plaque accumulation. The bacteria present in plaque form toxic substances that may cause inflammation of gums. If plaque is not removed regularly, it may harden to form calculus (tartar). This tartar with its rough surface, attracts further deposition of plaque and bacteria, sustaining the inflammation and destruction of supporting bone.
What does your dentist do when you have Tartar ?
The dentist cleans the hard deposits on your tooth with the help of special instruments. This procedure is called as scaling of tooth.
What will happen if Gum Diseases are not treated in time ?
If the gum diseases are not treated in time, the infection from the gums can spread to involve the underlying bone and may cause loosening or migration of the tooth. The involved tooth/teeth may eventually be lost. Sometimes the infection may cause pus formation that can involve adjoining tissues and may cause swelling, pus discharge, bone infection etc. Chronic gum diseases where pus oozes out of the gum margins (pyorrhea) can affect the general health of a person. Recent scientific studies have shown that the gum infections are associated with heart and lung diseases. In pregnant women, it can lead to low birth weight babies and pre-term labour. Therefore, it is very important that gum diseases are prevented and treated early.

Prevention of Gum Diseases :

Mechanical Method : This method is most important in plaque control. The mechanical method means use of toothpaste and brush or any other indigenous method such as datun etc. Proper cleaning of teeth is very important by any form i.e. it may be toothpaste and brush or datun etc. Teeth should be cleaned in such a way that upper teeth are cleaned in downward motion and lower teeth in upward motion, both from outside and inside. On chewing surfaces, circular motion of brushing helps to clean the pits and fissures. The key is to take care to clean all the surfaces of all the teeth in both the jaws. The other aids of mechanical cleaning of teeth include dental floss, inter-dental brushes, rubber tips and tooth piks, water pik etc. They help to clean those areas in between the teeth that are normally not accessible during normal tooth brushing. They are specially indicated for crowding and abnormal spacing between the teeth.
Chemical Method : There are certain chemicals such as chlorhexidine and fluoride that help in reducing bacterial population of plaque. They are available as mouth rinses. They should be only used on advice of the doctor for limited periods.

Hygienist - Get Rid Of Bad Breath :

A beautiful smile is based upon healthy teeth and gums and indeed it would be unwise to spend money on expensive treatments if underlying gum diseases is not first dealt with by our hygiene team. The spread of gum disease can be rapidly halted by a gentle visit to one of our highly skilled hygienists who carefully cleans both teeth and gums. Our hygienists also take time to ensure that you are fully instructed in the care of your own mouth by teaching you an effective daily cleaning routine. There are many patients who are blessed with a naturally beautiful mouth. These fortunate people require nothing more than a regular visit to the hygienist to ensure a beautiful and healthy smile for life.

Bad Breath :

Bad breath or halitosis can be a curse. But we now know that ninety percent of bad breath is caused by problems in the teeth and by gum disease. It is the bacteria that live on teeth, the gums and the tongue producing sulphur compounds that cause bad breath. This means that by restoring the mouth to perfect health and cleanliness and with proper instruction about regular mouth hygiene, most cases of halitosis can be completely cured. Any residual traces of contamination can be removed by the use of our specialised range of toothpastes and mouthwashes. Bad breath can be caused by wearing removable dentures, by faulty fillings and by crowded teeth. In fact any area in the mouth that is difficult to reach and therefore does not get properly cleaned will be harbouring halitosis causing organisms. By treating these conditions appropriately we almost always succeed in solving the problem.

Tooth Ache and Facial Pain

What is toothache?
The most common cause of toothache, or pain in the region of the jaws and face, is pulpitis - inflammation of the pulp of the tooth. The short, sharp pains usually occur in response to hot, cold or sweet stimuli. If left untreated, the pulp dies and becomes infected, leading to the formation of a dental abscess. The pain from a dental abscess tends to be in response to pressure on the tooth, and is throbbing and continuous.
What causes toothache?

  1. Dental decay.
  2. A fracture of the tooth.
  3. A cracked tooth. This may be invisible and so can be difficult to diagnose.
  4. Irritation of the pulp following dental treatment. Regardless of how well it is done, dental treatment and the materials used to fill the tooth can sometimes cause pain later.
  5. An exposed tooth root, which can occur if the gums recede or are damaged by over-vigorous brushing.
It is worth remembering that the nerves supplying the teeth sometimes give the wrong message to the brain. This means that, although you feel pain in a particular tooth, the problem may actually be in a different tooth - even one located in the opposite jaw.

How can toothache be avoided?

The best way to prevent toothache is to keep your teeth and gums healthy. Try to avoid cavities by reducing your intake of sugary foods and drinks - have them as an occasional treat, and at mealtimes only. Brush your teeth twice daily using a toothpaste containing fluoride. To get the most benefit from the fluoride, do not rinse the toothpaste away after brushing. Clean between your teeth using dental floss, woodsticks or an inter-dental brush according to your dentist's advice. Visit your dentist regularly. This way, problems can be diagnosed early and your treatment will be more straightforward.

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Facial Pain

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Face pain may be dull and throbbing or an intense, stabbing discomfort in one or both sides of the face or forehead.Pain that starts in the face may be caused by a nerve disorder, an injury, or an infection in a structure of the face. Face pain may also begin elsewhere in the body. Sometimes face pain occurs for no known reason.
What causes facial pain?
Facial pain may include injuries to the nerves or bones that coordinate many facial actions. These injuries may include trauma to the face and upper maxillary bone (jaw bone) caused by a car accident, physical violence, or sports injury. Sometimes facial pain is not trauma induced but caused by a malfunctioning of the nerves that govern the face’s movement.
Facial Pain Treatment

  1. For treating facial pain caused by dental abscess some effective home remedies are - Ice-pack on the face and Mouth-rinses.
  2. Facial pain caused by cluster headache could be controlled by avoiding alcohol, tobacco products, or nicotine. Avoiding intake of foods having high nitrate content like processed meat is an effective treatment for cluster headache related facial pain.
  3. Facial Pain caused by Tic Douloureux could be treated effectively by medications such as carbamazepine, oxcarbamezepine, phenytoin, or gabepentin.

Oral Surgical Procedures

An Oral Surgeon is a dentist who specializes in different aspects of surgery both in and around the mouth. They diagnose and treat defects, injuries, and diseases involving the head, mouth, teeth, gums, jaws, and neck.

Jaw Fractures

Fractures of jaws are a direct result of a severe blow on the jaws either by an accident or by a conflict. Injury inflicted of any kind on the jaw may result in its fracture. Another common cause of jaw fractures is the underlying pathology in the jaw. However the fracture caused, it requires immediate care. Jaw fractures cause extensive swelling over the face. An x ray usually confirms the findings. The broken segment may show displacement. Any head injury should be ruled out prior to the treatment of jaw fractures on priority basis. Only forty eight hours later should any treatment of the fracture be carried out. Bleeding if occurring from the mouth should be stopped. Open wounds should be freed of foreign body and sutured to stop bleeding.

Treatment of jaw fractures can be performed under general or local anesthesia either by open or closed method depending on the requirements. The treatment plan is chosen according to the prevailing conditions and executed according to the predetermined treatment plan. Expert and well experienced Oral and Maxillofacial surgeon performs the jaw fixation procedures at Behal Clinic and follow up procedures are carried out with utmost care. Patients are advised to restrict diet and movement for a short while to aid healing process. Fractures of the jaws are generally associated with fractures of the teeth. After the fixation procedures, teeth fractures are treated on the required guidelines to restore the jaw to its fullest function and esthetics.

Jaw Tumors and Cysts

Oral and maxillofacial surgeons at Bahl Dental Clinic evaluate, diagnose and treat the full spectrum of cysts and tumors in and around the jaw and structures of the teeth. These include benign tumors and cysts, which are non-cancerous; those that are aggressive and growing, with the potential to become cancerous; and tumors that are malignant, meaning that they are cancerous. Because the mouth and jaws are composed of many different types of tissues, such as bone, muscle, glands and mucosa (the tissue that covers the cheeks, lips and gums), they are more susceptible to developing abnormal growths than other parts of the body. tumors and cysts of the jaw can affect anyone, a number of risk factors have been identified that increase a person's chance of developing them. The main risk factors are tobacco and alcohol use. Others include poor oral hygiene, irritation caused by ill-fitting dentures, rough surfaces on teeth and poor nutrition.
Treatment
Treatment will depend on whether your tumor or cyst is benign or malignant. Our oral and maxillofacial surgeons offer the full range of surgical techniques for pathologies of the jaw that aim to remove the tumor or cyst. In addition to surgery, chemotherapy and radiation therapy also may be recommended for treatment if your tumor is cancerous.

Full-mouth Rehabilitation

Full-mouth rehabilitation (or sometimes called reconstruction or rejuvenation) is the individual recreation of each tooth in a mouth. Full-mouth reconstruction is needed when the teeth are worn down, broken or missing, causing problems in both the bite and appearance of the mouth. The Medical Center Dental Group can totally rejuvenate your mouth, creating a healthy, beautiful smile in as few as two visits. This process is so successful that others cannot distinguish the real teeth from the restored teeth. Full mouth rehabilitation is the best option so that you do not have to settle for the natural course of aging your mouth has taken. You can eat without getting pangs of discomfort from hot or cold food, you can start your day without soreness in your jaw, and you can complete tasks without having to fight recurring headaches.

Full Mouth Rehabilitation Treatment

Full mouth rehabilitation requires an advanced treatment procedure that uses state-of-the-art technology. A significant portion of the procedure involves the dentist deciding an appropriate course of action individualized for the patient's particular needs. During this phase sophisticated tools are used to measure mouth formation. The goal of treatment is to properly align the jaw and rebuild damaged teeth. Jaw position is typically corrected using a plastic orthotic that fits over the top of the teeth. Teeth are restored with veneers, crowns, or onlays. Depending on the patient, a prosthesis may be used.

The result is an attractively enhanced smile using durable materials that will stand the tests of time. Your dentist will help you decide an appropriate treatment plan. This is where the full mouth rehabilitation specialist really shines. Though the specific techniques may vary depending on your needs, your dentist will ensure that the end result is the same-a lovely smile and a more confident you.

Post and Core

Post and core is a procedure in which a metal component of an extensive tooth repair is required to rebuild a tooth in order to provide proper support for a crown. Post and core is a thin metal rod that is cemented into the root of a tooth. It consists of a post that fits into the root canal and a core portion that project above the gum. A new replacement crown will be cemented into position over the core. At times there is a situation when teeth are badly broken down after root canal treatment, a post-and-core becomes necessary. These teeth need to be built up before they can have a replacement crown fitted over them. Post-and-core fabrication is the method of choice for the build-up process. It can only be placed in a tooth that has had a root canal because the space previously occupied by the nerve is now filled. The post will act like an anchor for the placement of crown. Posts are usually recommended in case of inadequate support for a crown. A post is placed within the body of the root of a tooth that has already treated with root canal treatment.

There are two major types of posts, like preformed ones that come in different shapes and sizes. The other one are cast posts, which are custom made in the lab from special metals and are stronger. The preformed posts take one visit and cast posts need two visits to the dental office to complete. It is condition dependent as to which system of posts would be more suitable. More the loss of tooth structure, more chances are that the dentist from India dental clinics will prefer to use cast post instead of preformed for the weaker tooth.

PREFABRICATED - DIRECT
The first step is to remove some of the gutta percha that was used to seal one or more of the root canals in the tooth. Then, using a series of graduated rasps, the inside of the canals are enlarged and shaped to receive a specially made metal or metal-free "post" that exactly fits the hole made by the last rasp. These posts are usually pre-manufactured and come in many different shapes. The post is then cemented in the hole so that it is firmly embedded in the root of the tooth, and projects up above the level of the gums in order to help retain a filling that will be placed over it.

Apicoectomy

Most of our patients come to us with a specific dental need. They may have crooked, crowded or missing teeth, yellow stained teeth or they may be suffering pain from teeth or gums. We allow an hour for an unhurried, in depth discussion of all your dental needs. Often a cosmetic problem has a functional basis and we are dedicated not only providing you with a beautiful smile but at the same time healthy and pain free gums and teeth and freedom from painful jaw joints and chronic headaches. There is a small charge for this first consultation and we usually are able to give the patient a broad picture of what is necessary to restore the mouth to maximum health, function and beauty. We must emphasis that our first priority will be to address your main problem, but sometimes there may be underlying causes and associated problems which will need to be briefly discussed. Sometimes at this first visit it is necessary to take one or two small X-rays for which there would be a minimal charge in order to gain some insight into the nature of a specific problem. A full X-ray examination is usually only done at the second visit when the patient feels ready to commit themselves to a course of treatment which has been mutually agreed after a full discussion.

If the first problem is pain, we would of course deal with this immediately. During the initial consultation the latest Intra-Oral Camera is used to detect problems of the teeth and gums which are shown instantly and with great clarity on the computer screen. This enables the dentist to make and early diagnosis of any problem and for the patient to understand his own personal dental needs as never before. Different types of teeth dieses and each procedure in root canal treatment is analyzed by DIGITAL X-RAY (Digital Radio visual graphy Machine). This unique machine helps us in taking the digital records of patients’ dental conditions and the records can be saved on a computer / published / print / transferred on to a CD ROM as soft copy.

It is very easy to communicate through INTERNET with fellow dentists in specialist panel or even different specialized dentists without the hassle of mutual physical distance with the help of these digital records. This extraordinary boon to dentistry has made the Endodontic work so easy that life could be never so simplified.

Impacted Teeth

Wisdom teeth are the third and final set of molars that most people get in their late teens or early twenties. Sometimes these teeth can be a valuable asset to the mouth when healthy and properly aligned, but more often, they are misaligned and require removal. Wisdom teeth present potential problems when they are misaligned - they can position themselves horizontally, be angled toward or away from the second molars or be angled inward or outward. Poor alignment of wisdom teeth can crowd or damage adjacent teeth, the jawbone, or nerves. Wisdom teeth that lean toward the second molars make those teeth more vulnerable to decay by entrapping plaque and debris. In addition, wisdom teeth can be entrapped completely within the soft tissue and/or the jawbone or only partially break through or erupt through the gum. Teeth that remain partially or completely entrapped within the soft tissue and /or the jawbone are termed "impacted." Wisdom teeth that only partially erupt allows for an opening for bacteria to enter around the tooth and cause an infection, which results in pain, swelling, jaw stiffness, and general illness. Partially erupted teeth are also more prone to tooth decay and gum disease because their hard-to-reach location and awkward positioning makes brushing and flossing difficult. A tooth which fails to erupt in normal anatomical position either due to lack of space or due to obstruction from tooth, bone or soft tissue.

How Do I Know if I Have Wisdom Teeth?

Wisdom teeth present potential problems when they are misaligned - they can position themselves horizontally, be angled toward or away from the second molars or be angled inward or outward. Ask your dentist about the positioning of your wisdom teeth. He or she may take an X-ray periodically to evaluate for the presence and alignment of your wisdom teeth. Your dentist may also decide to send you to an oral surgeon for further evaluation. Your dentist or oral surgeon may recommend that your wisdom teeth be extracted even before problems develop. This is done to avoid a more painful or more complicated extraction that might have to be done a few years later. Removal is easier in young people, when the wisdom teeth roots are not yet fully developed and the bone is less dense. In older people, recovery and healing time tend to be longer.

1. Causes :

Logical

  1. Irregularity in the position and pressure of an adjacent tooth.
  2. Density of the overlying or surrounding bone.
  3. Chronic inflammation with resultant fibrosis of the overlying mucosa.
  4. Lock of space due to under developed jaws. Unduly over retention of the deciduous teeth.
  5. Premature loss of deciduous teeth.
  6. Acquired disease such as necrosis due to infection.
  7. Inflammatory changes in the bone due to exanthematous diseases in children, like, Chicken pox, Parotitis.

2. SYSTEMIC

a. Prenatal
  1. Heredity
  2. Miscegenation
  3. Syphilis
  4. Tuberculosis
  5. Malnutrition
b. Post Natal
  1. Rickets
  2. Anemia
  3. Endocrine dysfunctions.
  4. Diseases of jaw and surrounding tissue

3. Rare Conditions

  1. Cleidocranial dysostosis
  2. Oxycephaly
  3. Progeria
  4. Achondroplasia
  5. Cleft palate
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Dental Care During Pregnancy

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It’s vitally important for you to take good care of your oral health while you are pregnant. This is because pregnancy causes hormonal changes that increase your risk of developing gum disease, and because your oral health can affect the health of your developing baby. Below are some suggestions for maintaining good oral health – as well as your baby’s health and safety -- before, during, and after your pregnancy.


Before you get pregnant

Make a dental appointment before getting pregnant (if possible). In this way, your teeth can be professionally cleaned, your gum tissue can be carefully examined, and any oral health problems identified can be treated in advance of your pregnancy.


While you are pregnant

Tell your dentist (and doctor) if you know you are pregnant or are planning to become pregnant. This will help your health care providers plan for any treatments or procedures. It's always best to complete any major dental treatment prior to pregnancy. Routine dental care, on the other hand, can be received during the second trimester. As a precautionary measure, dental treatments during the first trimester and second half of the third trimester should be avoided as much as possible. These are critical times in the baby’s growth and development, and it’s simply wise to avoid exposing the mother to procedures that could in any way "influence" the baby’s growth and development. All elective dental procedures should be postponed until after the delivery.
Tell your dentist the names and dosages of all medicines you are taking – including medicines and prenatal vitamins prescribed by your doctor – as well as any specific medical advice your doctor has given you to follow. Your dentist might need to alter your dental treatment plan based on this information. Certain drugs -- such as tetracycline can affect the development of your child's teeth and should not be given during pregnancy.
Avoid dental X-rays during pregnancy. If X-rays are essential (such as in a dental emergency), your dentist will use extreme caution to safeguard you and your baby. Advances in dentistry have made X-rays much safer today than in past decades.
Don’t skip your dental checkup appointment simply because you are pregnant and believe this appointment is not important. Now more than any other time, regular periodontal examinations are very important. Pregnancy causes hormonal changes that put you at increased risk for periodontal disease and for tender gums that bleed easily – a condition called pregnancy gingivitis. To remove irritants, control plaque, and maintain optimum oral health, you might actually benefit from more frequent professional cleanings during your second trimester or early third trimester rather than fewer dental visits. Pay particular attention to any changes in your gums during pregnancy. If tenderness, bleeding, or gum swelling occurs at any time during your pregnancy, talk with your dentist or periodontist as soon as possible.
Follow good oral hygiene practices to prevent and/or reduce gingival problems, including brushing your teeth at least twice a day and flossing at least once a day. Use a good-quality, soft-bristled toothbrush. Use a toothpaste that contains fluoride, and brush for at least two minutes to remove the plaque that forms on your teeth.
Ask your dentist about the need for fluoride supplements. Since fluoride is found in water and almost all brands of toothpaste, fluoride supplementation might not be necessary.
Avoid sugary snacks. Sweet cravings are common during pregnancy. However, keep in mind that the more frequently you snack, the greater the chance of developing tooth decay. Additionally, some studies have shown that the bacteria responsible for tooth decay are passed from the mother to the child. So be careful of what you eat.
Eat a healthy, balanced diet. Your baby’s first teeth begin to develop about three months into your pregnancy. Healthy diets containing dairy products, cheese, and yogurt are good sources of these essential minerals and are good for your baby’s developing teeth, gums, and bones.
Consult with your dentist or doctor about the need for anesthesia or other medicines should a dental emergency arise. Make sure you tell all health care providers that you come into contact with that you are pregnant. This information could change their treatment plans. Dental treatments that could be considered "emergency" are those that are necessary to ease your pain, prevent an infection, or decrease stress on you or your fetus.

Children's Dentistry

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Proper dental care begins even before a baby's first tooth appears. Remember that just because you can't see the teeth doesn't mean they aren't there. Teeth actually begin to form in the second trimester of pregnancy. At birth your baby has 20 primary teeth, some of which are fully developed in the jaw.We recommend a first checkup by 12 months old to make certain that teeth and jaw development are normal, and even more importantly so that parents and guardians know how to help their children be healthy from the start.

Parents desire the finest dental assistence for their kids to guarantee that as grownups they will have healthy gums and strong teeth. . At times children don’t constantly floss and brush their teeth, so a visits to a pediatric dentist helps to recompense for any lack of dental cleanliness. Our pediatric dentist are capable of handling any dental problems for our young patients so that parents can be assured that their child is getting the dental treatment he needs.


Our pediatric dentists know how to handle young patients making sure they feel relaxed visiting the clinic. They are also educated on how to take proper care of their teeth. Our dentists explain every treatment so that our young patients understand what‘s being done while they are propped up in the dentist's chair.There is no need for your children to be scared of visiting our dentists, as they will see our Pediatric Dentists as friends

Common Procedures Include

  1. 2-MIN FLUORIDE APPLICATIONS (For prevention from effects of chocolates; Colas; sticky foods on teeth)
  2. PIT & FISSURE SEALS (Most recommended way of caries prevention by blocking deep pits & fissures of teeth )
  3. FLUORIDE FILLINGS (for correction of cavities in milk& permanent teeth)
  4. ORTHODONTIC ASSESMENT (opinion from specialist Orthodontist whether your child needs Braces ?)
  5. HABIT BREAKING APPLIANCES (For correction of bad habits like Thumb-sucking; Mouth breathing; Tongue –thrusting)
  6. SPACE MAINTAINERS (To allow permanent tooth to erupt in place if milk tooth has shed off or extracted early.)
  7. SCALING & POLISHING OF TEETH (to prevent any gum problem)
  8. COLOURED GLITTERING FILLINGS (Latest Fashion Statement ! in fillings for kids)

Dental Implant

Dental Implants are man-made replacements for natural teeth. The implants themselves are designed to be similar to tooth roots. They are anchored in the jaw bone and replacement teeth are permanently secured upon them.

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A relatively new concept in the replacement of missing teeth, is Dental Implantsthe introduction of dental implants. These structures are basically designed on the model of screws used by orthopedic surgeons for joining broken bones. Stated very simply, a dental implant is a small titanium screw that serves as the replacement for the root portion of a missing natural tooth. It is available in various sizes (both width and height) for different clinical situations. Dental Implants may be used to replace one or more missing teeth. In case of completely edentulous patients, implants may be used to fix the dentures to the underlying bone. Alternately, implants may be used to provide fixed tooth to edentulous patients without the use of dentures. Needless to say, an implant offers several advantages over conventional treatment options. Dental implants are so natural in look and feel, you may forget you ever lost a tooth. If you hide your smile because of spaces from missing teeth or your dentures don't feel secure. If you have difficulty chewing. If you are missing one or more teeth and would like to smile, speak and eat again with comfort and confidence, there is good news! Dental implants are teeth that can look and feel just like your own!

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Procedure :

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The Implant Placement Procedure

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The Two-Stage Procedure

  1. First Stage - Surgical placement (can be done with a local anesthetic)
  2. Second Stage - Uncovering of the implant
Step 1

The implant is screwed or tapped into a surgically prepared site. The gum tissue is closed over the implant.


Step 2

The implant remains under the gum for 3 to 6 months. The patient continues to wear their denture during this period


Step 3

(3 to 6 months later)

The implant is exposed by removing a small amount of gum tissue. An insert can be screwed or cemented down into the implant.


Step 4

The secured insert can accommodate various attachments upon which overdentures, bars, crowns, or bridges may attach.


What mouth conditions require dental Implant?

If you are missing a tooth or teeth, or even parts of your jaw, these could be replaced with dental Implants. Implants work best when there is enough dense, healthy jaw bone in a mouth that will support an implant. Healthy, disease-free gum tissues are also necessary. The long term success of a dental Implant depends upon keeping the gums and bone around the Implant healthy. People who have Implants must keep them clean and should return regularly to their dentist for checkups, because any problems that might threaten the health of the implant must be corrected.


Before Treatment

After Treatment