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Dental Filling

Dental Filling is a treatment modality to restore missing tooth structure which could have been a result of decay or trauma. Decay makes tooth hollow. Dental Filling helps to fill this gap and protect it from further decay. A filling is also used to repair broken or cracked tooth and the teeth which wear off due to habits like teeth grinding, nail biting etc.

Symptoms

If you come across any of the symptoms as mentioned above, then there is a chance that you need a filling. The final decision will be of your dentist after a thorough oral examination.

Procedure of Dental Filling

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  • The very first step in this process is to see how severe the infected tooth is. This is because Dental Filling is only suitable for minor fractures and decay.
  • The dentist then examines the tooth and if required an X-ray would be done for precise information
  • Depending upon the extent of decay, local anesthesia is administered to make the area around the infected tooth numb
  • Then the decayed or damaged tooth or the areas around it is prepared for restoration
  • If the tooth is damaged, then a dental handpiece or a laser can be used to remove the damaged part
  • A filling is then applied to the area to fill the cavity. The type of filling will depend upon case to case and person to person
  • Finally, the finished tooth can be polished to conclude the dental filling procedure.

Consequences of not getting a Dental Filling Done

If you have decay, then it is extremely important to get Fillings done because if the treatment is not done on time then slowly the enamel (outer part of teeth) start decaying exposing the dentin (the hard part below the enamel). The bacteria in your mouth will come in contact with dentin, causing infection. Once the infection starts, you will feel sensitivity and will then want to get Fillings done. But if you skip this part and do not get the treatment done on time, then the infection will reach to the nerve which will eventually damage the tooth and then one needs to undergo a Root Canal Treatment.

Types of Dental Filling

Dental Fillings are of various types. The type of filling to be used will depend upon the condition of decay and other factors such as a person being allergic to a material. The different type of fillings available are:

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Root Canal Treatment

Root Canal Treatment also is known as Endodontic Treatment is a procedure done when the tooth decay reaches the pulp (innermost layer of the tooth) causing inflammation. It is necessary to save the damaged tooth from extraction. This procedure is done by an Endodontist who is known as a Root Canal Specialist. The procedure involves:

Symptoms

Why does one need to undergo Root Canal Treatment

Root Canal Treatment is done on a damaged or infected tooth. Infection could be due to a cracked or broken tooth, deep decay, gum diseases or maybe due to repeated dental treatment on a particular tooth. It becomes extremely important to get the Root Canal Treatment as:

  • It stops the infection from spreading and will then save the tooth from extraction
  • RCT relieves the pain caused due to inflammation

Symptoms

  • The most common symptom that one might need Root Canal Treatment is a toothache. The pain can range from mild to severe. With time it may worsen, and you will feel the pain even when you bite your food.
  • The other reason is prolonged sensitivity. If you feel sensations in your tooth while consuming something hot or cold, then there is the slightest chance that one needs to undergo Root Canal Treatment.
  • Swelling in the gums can also be a sign that you need Root Canal Treatment.

Consequences of not getting a Root Canal Treatment

If the pain you feel goes away, then it does not mean that your tooth had healed with time but this indicates that the nerves inside the tooth are all dead and the infection has grown manifolds. The bacteria from infection can enter into the tissues of gum and jaw which can cause a pus-filled abscess. This can even lead to a serious condition like heart disease and stroke.

Procedure for Root Canal Treatment

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Braces

Dental braces are appliances which are used to align or straighten the teeth and guide the teeth to the corrected position. They are made up of wires, brackets, and bands. Braces aid to correct irregular teeth positioning, jaw correction, improvement in chewing and smile aesthetics. Your dentist is the best person to guide on treatment options and modalities depending upon dentition.
The major reason for getting Braces on is to improve the facial appearance, what people do not know is that there are any other implications which require orthodontic treatment like open bite, jaw structure, crossbite etc.

What is Adult Dentition?

This is a stage where adult teeth or permanent teeth replace primary teeth which aid in appearance, speech, and digestion. During this phase, people can face many issues which can be corrected by Braces. These issues include:

What is Mixed Dentition?

This is a stage when one has a combination of both primary and permanent teeth in the mouth is called Mixed Dentition. Wearing Braces in this stage cure the following problems:

  • Jaw Growth disorders at this stage can be corrected in a non-invasive manner which may later require surgical correction
  • Treatment of crooked teeth. This needs to be treated during an early stage else it will affect Child’s psychology

What is the right time to get Braces?

Every individual is different. Orthodontic treatment can be started as young as 7 years old. There is no upper limit in terms of age for Braces.
If you have good oral health and firm teeth, you can get braces at any age.
There is various kind of Orthodontic treatment available for all ages.

What types of Braces are available?

Do's and Don'ts with Braces On

Do's

  • Try and avoid sticky food like gum or caramel
  • Ask for a mouth guard, if you play a sport
  • Consume drinks which are low on sugar content and not carbonated
  • Brush after every meal and never let food stuck on your braces
  • Visit your dentist on every follow-up

Don'ts

  • Don’t chew hard food and ice
  • Do not bite your fingernails
  • Do not consume more than one soda a week
  • Do not forget to floss like a boss
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Dental Implants

Dental Implants Procedure

Placing a dental implant has various stages. They are listed as below:

1. Placing The Implant

  • Thanks to the modern dentistry techniques, it’s possible to make the implant placement procedure comfortable and pain-free. Concerned patients can also ask the dentist for sedation to feel relaxed while a dental implant is placed.
  • The procedure starts with the jawbone preparation, and the surgeon then makes a cut to expose the bone for drilling holes. The holes are kept deep enough for the implant to be placed properly and placed deep into the bone, like the root.
  • The doctor may require bone grafting in cases where the bone is weak or lacks the strength to support implant surgery. The surgeon then waits for the jawbone to heal and after that, places the metal post in it.
  • The entire process, from start to finish, may take many months where most of the time is spent on healing and waiting for the growth of new bone in the jaw.
  • After this, a temporary crown is given to the patient which is placed to fill the gap, and also for achieving the aesthetic goal. This crown can be taken off for implant procedure, one has to wait until the bone is healed properly

2. Healing

  • During this process, the jawbone will grow and unite with the surface of the dental implant. This process is also referred to as osseointegration as it helps to offer a durable base for the new artificial tooth, much like roots do for the natural teeth.
  • In general, this process takes between 3 to 6 months depending on the bone health & structure. However, the whole procedure can get completed in one day itself when patients have good bone structure.
  • After that, you can schedule the second surgery but only once the implants are fused with the bone. Your dentists will take an x-ray to confirm whether the implant is fit for the second surgery.
  • The second surgery will be simpler than the first where a new incision is made to expose the heads of the implants.

3. Abutment Placement

  • You may need another surgery to place the abutment (the piece where the crown will attach) but only after healing is complete. This procedure is relatively simple typically done with anesthesia in an outpatient setting.
  • During the procedure, the dentist will re-open the wound to attach the abutment to dental implant. A temporary crown will be given for 4 to 6 weeks to let the gums around the abutment heal. Such a crown is softer which can cushion the implant and may stress the soft tissues that can help in healing.
  • For precaution purpose, you may need to eat only soft foods after each stage of surgery so to let the surgical site heal properly.

4. Placement Of Permanent Crown

  • In the next stage, the dentist will focus on making the permanent crown look exactly like your natural teeth. All the elements like the surface texture, color and anatomy will be tuned up to blend with the surrounding dentition.
  • If you are not happy with the crown for any reason, consult your dentist so that it can be sent back to the dental technician for necessary changes.
  • Impressions of your mouth and remaining teeth are taken to make the crown so that a realistic-looking artificial tooth can be made. The crown, however, will not be placed until the jawbone is strong enough to support the new tooth.
  • It takes less than 2 to 3 weeks to make a permanent crown which will then be cemented or screwed to the Implant.

After permanent crown placement, your doctor will explain post-implant care instruction.

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Dentures

Dentures are removable appliances which are used as a replacement of missing teeth and tissues. They are the artificial teeth which enable normal functioning of human mouth. Dentures are of two types – Complete & Partial.
Complete dentures are advised when all the teeth are missing, and partial dentures are applied when some natural teeth are missing. They are custom made especially for a set of teeth and gum line.
Complete Dentures fit over the upper teeth and roof and on the lower teeth placed like a horseshoe. They are conventional dentures and are removed during the night for cleaning.
Partial Dentures consists of replaced missing teeth attached to artificial gum connected by a metal framework which helps to hold the denture in place. Missing teeth can change the position of other teeth hence partial denture help to overcome this problem and keep the teeth intact.

Dentures are made of porcelain and acrylic resin.
Porcelain dentures look more natural and match easily with the remaining teeth. But porcelain, if dropped, will break easily and can wear down the remaining teeth hence, are better used as complete dentures rather than partial.
Acrylic resin dentures, on the other hand, are light in weight and easy to adjust. They fit properly and make the jaw movement smoother.

Procedure involved in placing Dentures

  • Step 1-The doctor will first take the impressions of your jaw to analyze how well they relate to one another and whether they have spaces in between them.
  • Step 2- A wax model is then prepared to check the fitting.
  • Step 3- Final Denture is made with the wax model
  • Step 4- The patient is made to try the final set of dentures and if necessary adjustments will be made

How to take care of the Dentures?

Since these are artificial and removable, therefore, it becomes extremely important to handle them with care. If you want your dentures to have a longer life, the following tips should be taken into consideration:

DO’S and DON’TS While Dentures On

DO’S

  • Soak your dentures overnight in water or solution given by your dentist
  • Rinse your dentures before putting them on in the morning
  • Brush daily with soft bristles with tooth paste as prescribed by your dentist
  • Do take care of your mouth, gums, and tongue

DON’TS

  • Do not try and bite hard food with front Dentures
  • Do not be abrasive while brushing
  • Do not use a toothpick or pointed objects on Dentures
  • Do not drop them as they are delicate and may break if you do so
  • If they loosen, do not try to fix it on your own instead visit a dentist
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Dental Crowns

Dental Crowns are a tooth-shaped cap which is placed on the tooth to restore the shape, size, and appearance of the tooth. It also enhances the strength of the tooth. If the major part of the tooth is missing, then the crown is the best solution for it. By placing the crown, a tooth can function normally again.

When is Dental Crown needed?

Dental crowns are used as caps on missing or fractured tooth to protect the life of your teeth. Dental Crowns are needed to:

  • Protect or restore a tooth from fracturing due to accident or trauma
  • Replace a tooth which is too large for a filling
  • Get a cap over Implant placed
  • Restore the tooth on which RCT was performed
  • Cover discolored, misshaped or badly formed tooth
  • Require a bridge in that case crowns are a must

In addition, Dental Crown gives your tooth the strength, shape, size and help to improve the appearance of your tooth. If your dentist has advised, you to get a crown and you are delaying the process then there are chances that you can damage your tooth to the extent that extraction is the last resort.
Moreover, not getting a dental crown can wear down other adjacent teeth causing damage.

Various types of Dental Crowns

DO’S and DON’TS with Dental Crowns

DO’S

  • Since the natural teeth are still beneath the crown and are vulnerable to decay, therefore, it is important to maintain good oral hygiene therefore brushing, rinsing and flossing should be followed regularly.
  • If you clench your teeth, then it is advised to use mouthguard to protect your crown and this also does not allow your teeth to wear down.
  • Get crowns only by a dental expert who is trained in placing dental implants. Poor placement of crowns can reduce the longevity of crowns.
  • Do visit your dentist every 6 months to ensure that your oral health is in the best care.

DON’TS

  • Do not use your teeth as tools as this will put pressure and will damage the crown
  • Do not bite your nails and chew pencils
  • Do not chew ice or candy which is hard
  • Do not eat sticky food
  • Do not consume too hot or too cold food as this might cause sensitivity
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Teeth Whitening

Teeth whitening is a process of removing stains from the tooth surface and restoring the natural color of the teeth. Whitening is a one-time procedure performed by a dentist. It is amongst the most common and widely adopted cosmetic procedure. With the advent of the latest Dental technology, we have advanced whitening treatment procedures which give reliable and long-lasting results.
For better results do get it done from a trained dental professional.

What is the need for Teeth Whitening

The enamel which reflects the natural color of your tooth can stain or dentin which is the inner surface of teeth stains and yellows the teeth. The causes of tooth discoloration are varied. Though many causes can be prevented yet there are some which are not in control. The causes of discoloration are:

  • Consuming tea, coffee, wine, cola frequently
  • Smoking cigarettes and chewing tobacco
  • High intake of fluoride during childhood
  • Damage of developing permanent teeth due to accident or trauma
  • Aging can also contribute to staining of teeth as with age the enamel gets thinner exposing the dentin below. With age, the dentin come in contact with certain food and beverage and can stain your teeth
  • Certain medical treatments can also contribute to staining of teeth

The process of Teeth Whitening clears the stain and make your teeth look whiter. However, one should keep in mind that the results may vary from person to person.

How does Teeth Whitening works?

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Smile Makeover

Smile Makeover is a process of improving the appearance of a smile through various procedures which are cosmetic or surgical.
Smile makeover takes into consideration the tooth color, tooth size, tooth shape, tooth position, lip position, lip length, gum position, and gum color.

Tooth Colour

Bright and white teeth are a sign of youthful appearance. The dentist will match the color of the teeth with skin tone, skin color, and hair color. He can change the color of the teeth by Bleaching or Veneers.
The line from incisal edges of upper teeth from side to side should follow the contour of the lower lip for an aesthetic appearance.

Tooth Size/Shape

As the age increases the teeth become shorter due to attrition. Long teeth give a young look. Some teeth are slightly abnormal in shape as compared to adjacent teeth eg. Peg laterals which give an unaesthetic appearance. The size and shape of the teeth can be changed by veneers or crowns. The white show (tooth show) can also be increased by procedures like crown lengthening or changing the gum line (in cases of a gummy smile) by the help of laser dentistry. The width to length ratio of the upper central incisors should be 4-5 for a balanced smile line.

Tooth Position

Crooked, crowded or spacing between teeth can be corrected by using Braces, Aligners or Veneers.

Missing Teeth

Missing teeth can be replaced by using Bridges, Implants or other Removable Prosthesis.

Procedures involved in Smile Makeover

The procedures involved in smile makeover can be mix of

Veneers/Crowns

Veneers are thin tooth colored custom made shells that are fixed on the labial surface of teeth to change their color, shape, and size. These improve the appearance of front teeth.
Crowns are also tooth-colored custom made shells but they cover the full surface of the tooth. They also make the tooth stronger.

Teeth Whitening

Teeth whitening is a process of removing stains from the tooth surface and restoring the natural color of the teeth. Whitening is a one-time procedure performed by a dentist. It is amongst the most common and widely adopted cosmetic procedure.

Composite Bonding

Permanently attaching a tooth-colored material (composite) onto the tooth is called composite bonding. This can be Direct or Indirect. Direct composite bonding can be used by dentists on the chair to do fillings, repair fractured edges and close gaps. Indirect bonding is usually done in the lab.

Dental Implants

Dental Implants are root-like titanium screws which are surgically placed in the jaw bone for replacement of missing teeth. It greatly increases the self-esteem of the patient as it closely simulates the natural tooth. It does not cause any speech difficulty and has high acceptability.

Orthodontic Treatment

Orthodontic treatment is a way of straightening teeth to make them look more esthetic and improve function. The treatment can be done by Braces and Aligners (Invisible Braces). There are tooth-colored braces, metal braces, and lingual braces. The treatment usually takes 12-18 months to complete but is more stable and long lasting as it preserves the natural integrity of teeth.

Why should one opt for getting Smile Makeover

Smile Makeover is a boon in dentistry as it makes the patient look more esthetically acceptable in society. It remarkably increases the self-confidence and self-esteem in patients. It also contributes to better function helping patients to lead a more comfortable lifestyle.

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Gum Diseases

Gum disease is an inflammation of the gum line that can progress to affect the bone that surrounds and supports your teeth.
Gum Disease also known as Periodontal Disease begins with bacterial growth in the mouth, the localized inflammation of the gingiva is initiated by bacteria in the dental plaque, which is a microbial biofilm that forms on the teeth and gingiva. Nearly 70% of the people are affected by this disease at some point in their life. Though such a prevalent disease most people are unaware of the issue and the problems it can cause.

Causes of Gum Diseases

The primary cause of Gum Disease is poor oral hygiene. If you are not brushing or flossing properly, then the chances of bacteria build-up are high. However, there are other reasons as well such as:

  • Smoking or chewing tobacco which makes difficult for gum tissues to repair
  • Consuming certain medications (oral contraceptives, steroids, anticonvulsants, calcium channel blockers, and chemotherapy) lessen saliva flow that protects teeth and gums. Some medicines even cause the abnormal growth of gum tissue.
  • Crooked or misaligned teeth
  • Hormonal changes such as puberty, menstruation, menopause, pregnancy etc. can make your gums sensitive and as a result prone to gum diseases.
  • Certain illness such as cancer and HIV make your immune system weak are at higher risk of developing gum disease. Also, people who are diabetic are more prone to get Gum Disease.
  • Genetic susceptibility such as family history can contribute to gingivitis

Symptoms of Gum Diseases

Types of Gum Diseases

  • GINGIVITIS- This is the first stage of gum disease, caused due to the plaque build-up on gums. If the plaque is not gone after brushing and flossing, then it can cause irritation. In this stage, you will notice your gums bleeding while brushing and flossing. Because bone is not affected in this stage, the chances of recovery are quite high.
  • PERIODONTITIS- Gingivitis if not treated on time, can lead to Periodontitis. This stage starts affecting your bone. Spaces are formed between bone and gum line as a result, bacteria will get a space food lodgement. If you visit your dentist on time then Periodontitis can be prevented. Periodontitis is an advanced gum disease.
  • ADVANCED PERIODONTITIS- This is the final stage of your gum disease where your bone is destroyed making your teeth loosen further. This can only be saved with surgery. And if the case is very advanced then even surgery cannot save your tooth, as a result, your dentist has to extract your tooth.

Treatment Option of Gum Diseases

The treatment option depends on the stage of Gum Disease. It also depends on your medical history and your overall health.
The treatment options range from non-surgical therapies to surgical treatments
The Non-Surgical Options Include

  • Deep Cleaning- This is done in the very initial stage of developing a Gum Disease. Your dentist will remove the plaque or tartar (which hardens the tooth surface) from below and above the gum line. It is a preventive measure which helps you to save from getting gum disease.
  • Scaling & Root Planning- This is also a deep cleaning process. The only difference is that your dentist will give local anesthesia to start the process. Plaque and tartar are removed from above and below the gum line and after that, the rough spots are made smooth. The process of smoothing helps to remove the bacteria. This is done only if your dentist finds that you have calculus deposits under the gum.

Surgical Treatment Includes

  • Flap Surgery- In this, incision is made on the gums to remove the tartar. Sometimes the irregular surface of the bone is smoothened so that there are no areas for bacteria which cause this disease can hide. This method is used to remove the gap between gums and tooth.
  • Bone Graft- This method is used to regenerate the bone. The dentist use fragments of synthetic bone donated bone or your own bone which is used to replace the bone destroyed due to gum disease
  • Soft Tissue Graft- This method is used if the gums are receded. Gums are taken from the roof of the mouth and is stitched to the area of gum recession.
  • Guided Tissue Regeneration- Done along flap surgery when bone which supports your teeth are destroyed. Your dentist will insert a small piece of mesh-like fabric between your bone and gum tissue.

Prevention of Gum Diseases

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Wisdom Teeth Removal

What are Wisdom Teeth?

Wisdom teeth often known as third molars are the last teeth to erupt. One usually gets them in late teens or early twenties. However, even instances of eruption in late adulthood are common. If they erupt smoothly and without any interruption, then they can be proved as an asset. But the problem with third molars is that in case they do not erupt properly or are misaligned, they would need to be extracted. If they are poorly aligned, then they can damage the adjacent teeth.

Is there a need to remove Wisdom Teeth?

It is not necessary to remove wisdom teeth as long as they are not causing any problem. They would have to be removed if they are impacted or causing crowding. If you do not remove the wisdom tooth, it will be impacted. Your mouth might not provide space for it to erupt as a result it will erupt at the wrong angle which can damage the adjacent tooth.
Your dentist may advise you to remove your third molar at an early stage, this is because as you age the bones in your mouth becomes harder which will then make it difficult to remove.
Delaying can also lead to severe surgeries and heavy bleeding or can even cause a minor loss of movement in your jaw.

Symptoms to get Wisdom Teeth removed

  • Pain behind molars which can increase with time.
  • Redness, swelling, tenderness which can lead to infection
  • Foul breath, bad taste can also be detected due to wisdom teeth
  • Jaw pain and stiffness

Should Wisdom Teeth be removed?

Wisdom teeth may/should be removed in case of any understated problems. Your dentist will be able to help and guide you with diagnosis:

Procedure for Wisdom Teeth removal

The removal process depends upon the stage in which the wisdom teeth is. It is easy to extract wisdom tooth if it has fully erupted. But if the tooth is impacted then it will require an incision in the gums. Usually, the tooth is extracted in parts to minimize the amount of bone required to be extracted for tooth removal.

Post Wisdom Teeth removal

  • Avoid vigorous rinsing and touching the area
  • If you start feeling discomfort take the prescribed medicines
  • A certain amount of bleeding is expected, however, if the bleeding exceeds then visit your dentist immediately
  • Swelling around mouth and cheeks is common for a couple of days
  • Be on a liquid diet for the first few days. Avoid the use of straw
  • Do brush twice a day but make sure you are gentle on rinsing
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3-Day Implants

Dental implant treatment is a great reliever for people without teeth. But conventional dental implant therapy’s biggest drawback has been the length of time required by traditional placement protocols. A 3 to 12-month treatment with multiple surgeries is common. Patients undergoing such treatment have to wait for a long time before they can enjoy the benefits of better appearance, chewing, speech and self confidence.
At our center, we are able to deliver beautiful aesthetic permanent teeth on implants within 3 days. Because we deliver permanent prosthesis within 3 days of implant placement, the patients need not come back after 2-3 months of osseointegration. As such, international patients have to take out just a week of their precious time for a single 7 day visit. In these 7 days, we place implants and also complete any routine dental treatment. Our team of specialist can handle all other minor dental works if any (cosmetic dentistry, single sitting root canal, etc) and our dedicated well equipped lab delivers fast. The recovery from implant procedure is quick as we use flapless implants which cause little pain and no swelling.
The entire process, including any necessary extractions, can be completed in one day with minimal recovery time. The result is a full set of teeth that looks and feels natural and enhances self-confidence.

Permanent Teeth in 3 Days is carried out in following phases:

With this technique, teeth are extracted and the implant placed during the same surgical visit. A fixed acrylic bridge is fabricated on the same day of surgery. Impressions are taken for permanent ceramic teeth which are prepared and fixed within 3 days. The timeline for Permanent teeth in 3 days is thus completed within one trip. The technique differs from permanent teeth in a day or teeth in an hour.

Benefits of Permanent Teeth In 3 days

  • It reduces overall cost when compared to All Four / Six technique as the work is done in single visit. The permanent crowns are fixed in 3 days.
  • It eliminates the need for bone grafting, in most cases unlike the traditional approaches.
  • Requires minimal recovery time and minimally invasive, as we use flapless technique.
  • Relieves many frustrations of removable appliance.
  • It allows easy maintenance through proper oral hygiene.
  • It ensures long-term results with the potential to last a lifetime.
  • Can be done in people with weak bone, diabetic and blood pressure patients also.