G
um Disease is an infection in the gums surrounding the teeth that cause tooth loss in adults. Regular dental check prevents this early.
Two stages of disease :
1. Gingivitis -early stage - reversible -Signs and symptoms are red, swollen and puffy gums that bleed easily-not treated leads to periodontitis
2. Periodontitis - serious and advance stage-irreversible - gum tissue and bone surrounding the tooth severely damaged - teeth becomes loose and falls.
Treatment offered :Non surgical
1. scaling - removal of debris from the crown portion of the teeth
2. Root planning - removal of debris from the root surfaces of the teeth.
3. Periodontal maintenance - ongoing maintenance therapy to sustain periodontal health
Surgical
Surgical
1. Pocket reduction procedures - In periodontal disease, the gums are loose around the tooth creating a space between the tooth and the gums. This space is called pocket.
Regenerative Procedures Procedure done when pockets are deep and need professional care routine
Regenerative Procedures Regenerative Procedures
Here flap is elevated and pathogenic bacteria and damaged tissue removed - surfaces smoothed out. Thus better reattachment occurs
Regenerative Procedures 2. Regenerative Procedures Cause bone regeneration - done by elevating the flap and condensing the bone material in lost area and suturing.
Regenerative Procedures 3. Crown Lengthening
Before Crown Lengthening,
necessary tooth structure is below gum tissue and not accessible
This procedure remodels the contour of the gum tissue and surrounding bone around one or more teeth providing the exposure of previously covered healthy tooth structure.
After crown Lengthening, necessary tooth structure is above gum disease
This causes more tooth structure to expose and helps in restorative procedure.
4. Soft Tissue Grafts
This is used to cover exposed tooth roots as a result of gum recession.
Causes of gum recession include periodontal disease, aggressive brushing, anatomic susceptibility, and tooth position.
Symptoms - esthetic compromises, tooth sensitivity, tooth decay on roots, tooth loss
The graft is taken either from the adjacent site or from the palate and placed over the exposed area and sutured.
Gum Disease Prevention: The best preventions against gum disease are
· Brushing twice a day
· Flossing daily
· Regular dental cleanings
· Dental check ups
root canal treatment
R
oot canal treatment or endodontic treatment is
the only means of saving a damaged tooth - caused by deep decay, a crack or trauma. If the tooth is not treated it leads to abscess or infection, which can be painful
and debilitating.
Deep Infection 1. A Deep Infection
2. A Route to the Root : The tooth is anesthetized. An opening is made through the crown of the tooth to the pulp chamber.
Route to the Root 3. Removing the Infected/Inflamed Tissue: Special files are used to clean the infection and unhealthy pulp out of the canals. Irrigation is used to help clean the main canals.
Infected/Inflamed Tissue 4. Filling the Canals: The canals are filled with a permanent material, often gutta-percha. This helps to keep the canals free of infection or contamination.
Rebuilding the Tooth 5. Rebuilding the Tooth: A temporary filling material is placed on top of the gutta-percha to seal the opening until the tooth is ready to be prepared for a crown. A crown, sometimes called a cap, is made to look like a natural tooth, and is placed on top.
Extra Support 6. Extra Support: In some cases, a post is placed to give the crown extra support.the tooth is prepared for crown and crown is cemented
cosmetic dentistry
C
osmetic dentistry, is comprehensive oral care that combines art and science to optimally improve dental health, aesthetics and function. It include.
· Whitening, or "tooth bleaching", is the most common cosmetic dental procedure. Dentist-supervised treatments remain the recommended procedures for lightening discolored teeth.
· Contouring also know as Tooth reshaping, is one of few instant treatments commonly used to alter the length, shape, position of teeth. To correct crooked teeth, chipped teeth, cracked teeth or overlapping teeth in one session by adding tooth color laminate. This can be substitute for ortho treatment
· Bonding is a process in which an enamel-like dental composite material is applied to a tooth's surface, sculpted into shape, hardened and then polished.
· Veneers are ultra-thin, custom-made laminates that are bonded directly to the teeth. They are an option for closing gaps or disguising discolored teeth that do not respond well to whitening procedures.
· Gum Lift is a cosmetic dental procedure that raises and sculpts the gum line. The procedure involves reshaping the tissue and underlying bones to create the appearance of longer or more symmetrical teeth.
trauma
T
rauma is injury to the mouth, including teeth, lips, gums, tongue, and jawbones. The most common dental trauma is a broken or lost tooth.
Broken Tooth
If your tooth breaks, the first thing you should do is contact your dentist immediately. Also clean your mouth by rinsing thoroughly with warm water. Apply a cold compress to the area to minimize any swelling.
Possible broken jaw: Apply cold compress to the area to minimize any swelling. see your dentist immediately.
Knocked Out Tooth
If your tooth has been knocked out, rinse the tooth off very gently to make sure it is clean. Do not scrub the tooth or remove any tissue that is attached. Place the tooth in a small container or cup of milk and get to your dentist immediately.
Bitten Tongue or Lip
If you have bitten your tongue or lip, gently wipe the area clean with a cloth. Apply a cold compress to the area to minimize any swelling. If the bleeding does not stop see dentist.
Prevention
Most dental trauma is preventable. By wearing car seat belts, home monitored for potential tripping and slipping hazards, child proofing measures, placing gates across stairs and wearing mouth guard by person in contact sports
wisdom teeth removal
W
isdom teeth are the third molars and
usually appear between the ages of 17 and 25. They are commonly extracted when they affect other teeth-this impaction is colloquially known as "coming in sideways." Most people have four wisdom teeth, but it is possible to have more or fewer.
S e r v i c e s
creamic crowns and bridges
C
rowns cover the entire visible surface of a tooth (ie., above gum line ) thus basically becomes too this new outer surface
Crown
Types of Crown : Permanent crowns can be made from all metal, porcelain-fused-to-metal or all ceramic.
· Metal based crown less tooth structure needs to be removed and tooth wear to opposing teeth is minimal. This withstand biting and chewing forces and also lasts long. Drawback is metallic colour but good choice for molars.
· Porcelain-fused-to-metal This is the second choice. It causes more wearing to the opposing teeth occurs and also chipping of teeth and breakage. Sometimes metal underlying can be seen in gum line area as a dark line
· All-ceramic or all-porcelain provide the best natural color match than any other and suitable for people with metal allergies. They are not as strong as the above types but good choice for front teeth
· Temporary versus permanent Temporary made of acrylic and stainless steel used in your dentist office until the permanent crown form the laboratory is got.
B
ridges are used to replace missing teeth.
Bridge
There are various types of bridges according to the adjacent teeth stability, number of missing teeth. The bridges can be done by various materials like resin, porcelain or metal.
fixed orthodontic appliances
F
ixed orthodontic appliances are braces
that are stuck onto the surface of the teeth and wire attached to them.
Fixed Orthodontic
These appliances are used to correct crooked teeth and/or a misaligned bite (an underbite or overbite ) this is done by an specialist called orthodontist.
Fixed Orthodontic
. Braces of metal and ceramic are in use.ceramic braces are tooth coloured and not visible.They are used when patient is more concerned about the visibility of braces
full dentures
F
ull denture is a removable replacement for missing teeth and surrounding tissues. Two types of dentures are available -
Partial denture
complete and partial dentures. Complete dentures are used when all the teeth are missing, while partial dentures
Full denture
are used when some natural teeth remain.
implants
I
mplant is an ideal option for people in good general oral health. An artificial tooth root is
Implant
placed into your jaw to hold a replacement tooth or bridge. This is actually more tooth saving
Implant
and do not rely on adjacent teeth support.
treating children
A
ll around the world children are the
essence of happiness. Carefree. Playful.
They are unencumbered by the regimen
of our hectic adult society. A child's
smiling face is their gift to our world,
and its our job to make sure they stay smiling.
we take this mission to heart
Common Procedures Include
. 2-MIN FLUORIDE APPLICATIONS : For prevention from effects of chocolates; Colas; sticky foods on teeth
. PIT & FISSURE SEALS : Most recommended way of caries prevention by blocking deep pits & fissures of teeth of newly erupted teeth
. ORTHODONTIC ASSESMENT : Opinion from specialist Orthodontist whether your child needs Braces
. HABIT BREAKING APPLIANCES : For correction of bad habits like Thumb-sucking; Mouth breathing; Tongue -thrusting
. SPACE MAINTAINERS : To allow permanent tooth to erupt in place if milk tooth has shed off or extracted early.
. SCALING & POLISHING OF TEETH : To prevent any gum problem
. COLOURED GLITTERING FILLINGS : Latest Fashion Statement ! in fillings for kids
S e r v i c e s
tooth color fillings
Tooth color filling
These are composite fillings available in
Tooth color filling
different shades and its is selected by using adjacent teeth as guide. This is of high esthetic value
Tooth color filling
and cannot be differentiated
B
leaching There are two main methods of bleaching--one performed by dentist and one performed by the teeth-bearer him- or herself. A dentist applies a high concentration of oxidizing agent for a short period of time, which produces quick results. In order to reduce the risk of chemical burns to the soft tissues, most in-office bleaching procedures use a light-cured protective layer that is carefully painted on the gums and papilla (the tips of the gums between the teeth). The bleaching agent is either carbamide peroxide, which breaks down in the mouth to form hydrogen peroxide, or hydrogen peroxide itself. The bleaching gel typically contains up to 35% carbamide peroxide which is roughly equivalent to a 12% hydrogen peroxide concentration.
At-home whitening involves purchasing a thin mouthguard or strip that holds a relatively low concentration of oxidizing agent next to the teeth for as long as several hours a day for a period of 5 to 14 days. This is known as take-home or over-the-counter bleaching. Results can vary, depending on which application is chosen, with some people achieving whiter teeth in a few days, and others seeing very little results or no results at all. Whitening is potentially better at a dentist because the strip or mouth-guard does not completely conform to the shape of the teeth, sometimes leaving the tips of the teeth (near the gumline) unbleached. The bleaching agent is typically less than 10% hydrogen peroxide equivalent so irritation to the soft tissue around your teeth is minimized.
oral cancer screening
O
ral cancer is a serious and deadly disease that affects millions of people. Over 300,000 new cases of oral cancer are diagnosed every year, worldwide. This serious dental disease, which pertains to the mouth, lips or throat, is often highly curable if diagnosed and treated in the early stages.
Oral Cancer Risk Factors: Tobacco use is the number one risk factor in oral cancer. Studies have shown that at least 75% of those diagnosed were either current or former tobacco users. Heavy use of alcohol among tobacco users has been proven to have a 15% greater risk of developing oral cancer than tobacco users that aren't heavy alcohol users. Age and prolonged exposure to radiation or sunlight are contributing factors as well.
Oral Cancer Signs & Symtoms: Unfortunately, in its early stages, oral cancer can go unnoticed. Oral Cancer could look like a common ulcer, cold sore or a discoloration of tissue. Fortunately, your dentist can see or feel if a lesion looks cancerous. If you have any type of lesion in your mouth, or on your lips, that doesn't heal within two weeks, or a difficulty in swallowing for a prolonged period of time, it is very important to see your dentist right away.
Oral Cancer Prevention: The best preventions of oral cancer are not to use tobacco of any kind and only drink alcohol in moderation. Avoid prolonged exposure to sun or use a sunscreen on your lips. Visit your dentist every 6 months for regular check ups. When your dentist examines your mouth at your routine check up appointments, he/ she is also screening you for oral cancer. This process only takes about 90 seconds and consists of a visual examination for any presence of cancer.
caries preventive measures
D 1. BRUSH
Brush your teeth properly at least twice a day with a toothpaste containing fluoride.
2. Floss Daily
Food debris gets caught in between our teeth when we eat. If the debris is not removed, it can lead to cavities. Flossing everyday is the best way to remove food debris from in between the teeth.
3. Eat Healthy
Proper nutrition plays an important role in good dental health. Eating nutritional snacks and limiting the amount of sugary drinks will help to prevent plaque from forming on the teeth.
4. Visit Your Dentist
Many cavities can only be detected by a dentist or a dental X-ray. Visiting your dentist for regular check ups and cleanings are a key factor in preventing cavities and staying on top of good oral hygiene.
5. Have Sealants Placed
Dental sealants are a protective coating that is applied to the biting surfaces of the back teeth. The sealant protects the tooth from getting a cavity by shielding against bacteria and plaque. Sealants are more commonly done in children because of the new growth of permanent teeth, however, sealants can benefit adults too.
6. Use a Mouthrinse
There are several antimicrobial mouth rinses on the market that have been clinically proven to reduce plaque,. Rinsing with one of these mouth rinses after brushing or eating can aid in cavity prevention.
diet counseling
D
iet plays an important role in prevention of decay. Diet chart is taken for those who are at high risk of caries and counseling given to them to protect their teeth from further decay.
The points to be kept in mind is as follows:
A low sugar consumption is desirable from a cariological point of view
The frequency of intake of sugar should also be reduced.
Avoid inbetween meal snacks.
Foods that are easily cleansable from mouth are better when compared to sticky food