Apicoectomy- A Surgical Option When Root Canal Treatment Fails

Apicoectomy

During root canal treatment, your dentist cleans the canals using particular instruments named files. Inflamed or infected tissue is aloofed. An apicoectomy may be required when an infection expands or won’t go away after root canal treatment or retreatment.

Apicoectomy

Root canals can be very difficult, with many minute branches off the major canal. at times, even after root canal treatment, infected tissue can stay in these branches. This can probably put off healing or cause re-infection afterward. In an apicoectomy, the root tip, or apex, is detached all along with the infected tissue. A filling is then positioned to seal the end of the root.

An apicoectomy is many times called as endodontic microsurgery for the reason that it is frequently done using an operating microscope.

What it’s used For

If a root canal procedure has been completed in the past and it grow to be infected again, it’s often for the reason that a problem near the apex of the root. In a lot of cases, a second root canal treatment is take into account prior to an apicoectomy. With progress in technology, dentists often can notice other canals that were not passably treated. In this case, they may be proficient to settle the infection by doing a second root canal method. This will evade the necessitate for an apicoectomy.

An apicoectomy is performed only once a tooth has had no less than one root canal procedure and retreatment has not been profitable or is not possible such as, retreatment is often not a good alternative when a tooth has a crown or is fraction of a bridge. Retreatment of the root canal would need cutting all the way through the crown or bridge. That may obliterate or weaken the crown or bridge. An apicoectomy is often considered in a condition like this.

Prior to an apicoectomy procedure, diagnostic images (for example X-rays) of the affected tooth and adjacent bone, a cautious review of your medical history counting medications you take (both prescription and non-prescription), and other issues are analysed.

The Apicoectomy Procedure- Previous root canal treatment can turn out to be reinfected for a lot  of grounds. If conventional root canal therapy is not achievable, an apicoectomy is an alternative to revive the tooth.

Apicoectomy Procedure

In this procedure, the endodontist unwraps the gum tissue close to the tooth to see the underlying bone and to get rid of any swollen or infected tissue. The very last part of the root is also detached.

Apicoectomy Procedure

A minute filling may be positioned in the root to shut the end of the root canal, and a a small number of stitches or sutures are positioned in the gingiva to facilitate the tissue heal suitably. Over a period of months, the bone repairs around the end of the root.

Are there other types of endodontic surgery?

Other surgeries endodontists may perform comprise separating a tooth in half, repairing an offended root, or even removing one or more roots..

These procedures are planned to help you save your tooth.

The Goal: Saving Your Tooth

Even though apicoectomy is usually a secure and effectual procedure, there are small risks with any kind of minor surgery. That’s why apicoectomies are not suggested if further root canal treatment won’t be successful. Another treatment in most cases would be taking out of the tooth. But, our goal as dentists is to assist you preserve your natural teeth for as long as achievable.

Saving Your Tooth

While there are outstanding methods of tooth replacement (for example dental implants), these engross further and more multifarious treatments, and they can be pricey. An apicoectomy is usually a enduring and gainful solution which can help the tooth last for the rest of your life.

What is the recovery like following an apicoectomy?

Following an apicoectomy, an endodontist will give particular instructions on postoperative care. This may comprise which medications to take on and any foods that are supposed to be shun. Puffiness and lack of sensation are common in the first couple of weeks following the procedure, and for this cause, ice should be rubbed on for the first 12 hours after surgery.

Rest is mainly important following an apicoectomy. Patients should also evade forceful rinsing, brushing and dragging or lifting the lips to permit for fast and entire healing.

apicoectomy

Follow-Up
Your endodontist will advise you which medicines to get and what you can eat or drink. You are supposed to apply ice to the region, alternating 20 minutes on and 20 minutes off. Do this for 10 to 12 hours following the surgery, and relax throughout this time.

The region may bruise and bulge. It may be more inflamed the second day following the procedure than the first day. Any pain generally can be illicited with over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), for example ibuprofem .In a number of cases, you may be specified a prescription for pain medicine.

To allocate for healing, evade brushing the region or cleaning vigorously. Don’t smoke or eat crispy or solid foods.

Your stitches may require to be removed 2 to 7 days after the procedure, or they may disband by themselves. All tenderness and swelling are generally gone within 14 days.

Risks     
The endodontist will review the risk of the process at the discussion visit. Make certain to ask questions if somewhat the dentist has told you are not clear. The major risk is that the surgery might not work and the tooth may require to be taken out.

The roots of the backside teeth in the lower jaw are near to a number of major nerves. Surgery on one of these teeth bears a small risk of nerve damage. though, your endodontist will make use of your X-rays to see how close the roots are to the nerves. The probability of nerve injure is enormously small.

An apicoectomy is usually a permanent solution. It should last for the life of the tooth.

Prefer ADVANCED DENTAL CARE for your Endodontic Care:

Dental Care

If you are suffering pain from an infected tooth, endodontic therapy can ease your ache and restore your tooth back to normal function and excellent health. For your ease, ADVANCED Dental care centre has in-house endodontists with special training and skill to carry out root canal treatment and apicoectomy surgery right here in our offices. Your comfort is our peak concern, and we will acquire special care to make sure you are perfectly comfortable and tranquil for your treatment.

To learn more about root canal treatment and apicoectomy procedures, contact ADVANCED DENTAL CARE for an appointment.

Effect of Smoking on Oral Health

Oral Health

 

Have you been thinking on kicking the habit? You’ve most likely listen to that smoking add to the risk of cancer and lung disease, but did you know that a lot of oral health problems can also originate by smoking?

Effect of smoking on oral health

Everybody knows smoking can cause lung cancer. It’s very much linked to cardio-pulmonary problems and can result in coughing fits and deteriorates asthma symptoms. Smoking can show the way to emphysema and new chronic lung problems. The majority people who make use of tobacco are alert of these risks.

There’s another side effect of smoking that doesn’t get as much attention, and that’s the toll it takes on your dental health. It can considerably weaken both, contracting the blood flow to your mouth and turning it into a breeding ground for bacteria. Not only that, but smoking also may:

  • Give you stinking breath
  • Increase in length the time it takes to heal from oral surgery
  • Cause discoloration of the teeth
  • Elevate your risk of getting oral cancer

We understand how difficult it can be to stop smoking. We see it every day with the patients, Yet many of these patients don’t know how much their habit can hurt their dental health.

That encouraged us to put together this guide on why tobacco is so dreadful for your teeth and gums, along with a a small number of tips for addressing the effects of tobacco on your teeth and gums. Your dentist may be capable to bring back damage done by smoking.

We’ll begin by surveying why smoking is so appalling for your teeth and gums.

How Does Tobacco Damage Teeth?

How Does Tobacco Damage Teeth

Tobacco harms your teeth in a lot of ways. Cigarettes restrict your mouth’s capability to drive away infection, which leaves you weak against the bacteria formed by smoking. When your mouth can’t fight back, plaque and bacteria fester. This shows the way to problems range from staining of teeth to losing them and requirement root canals.

When you smoke, you short-circuit your body’s auto-immune defenses. Your body will have a tough time caring itself. Abruptly , tartar upsurge turn out to be a main concern for the reason that your body can’t fight a potential infection. The blood circulation in your mouth reduces piercingly when you smoke.

It’s not only cigarettes, either. Smokeless tobacco can also result damage to your mouth, and not just for the reason that of the nicotine. a number of brands of chewing tobacco use sugar as an element. When you grasp the tobacco in your mouth for extended periods, you’re revealing your teeth to damaging sugar that can result in tooth decay.

Why Is Smoking So dreadful for Your Teeth?

Smoking cigarettes doesn’t just spoil teeth — it can even demolish them. Think about these alarming statistics from the Centers for Disease Control and Prevention:

  • 16 % of smokers have deprived dental health, four times the rate of people who have not at all smoked.
  • Smokers are less possible to have gone to the dentist in the past five years than non-smokers.
  • More than a third of smokers have no less than three dental health issues.

Why Is Smoking So dreadful for Your Teeth?

What Are the Effects of Smoking to Your Teeth?

Your teeth hold the cigarettes you smoke and come in touch with the hazardous toxins you breathe in when you take a drag. It’s small surprise they’re harmed so ruthlessly by tobacco. Symptoms of serious tooth problems may comprise:

  • Yellowing or browning of the teeth
  • Bleeding gums
  • upsurge of calculus
  • Tooth decay
  • dehydrated mouth

These symptoms frequently show the way to even greater side effects from smoking, for example

  • A greater necessitate for root canals
  • Loss of teeth
  • broken tooth enamel

The matter can be over than just cosmetic. Smoking can impact the method you chew and how your bite side with. One study originate female smokers lose 1.5 teeth every 10 years, and male smokers lose 2.9.

How Does Tobacco Damage Gums?

Tobacco Damage Gums

Smoking has many effects on the mouth that can show the way to the deteriorating of gums and progress of periodontal disease. Smokers are 64.2 percent more likely to build up gum disease than non-smokers. More than 40 percent of all periodontal disease in India is attributable to smoking. The problem develops when bacteria in the mouth build up in the gum, or soft tissue surrounding the teeth. The gums turn out to be inflamed, and shortly periodontal disease develops.

Why Is Tobacco So Bad for Your Gums?

Smokers have extra bacterial plaque in their mouths, for the reason that the nicotine in cigarettes results a decrease in the sum of oxygen transported to the soft tissue in the mouth. At the same time, nicotine also squeezes blood vessels, which can impact the length of time it takes to diagnose gum disease. When smokers build up an infection of the gums, it’s less likely to bleed, which generally tips off the dentist to its presence. For this reason, smokers’ judgment of gum disease can be deferred, and the disease may get worse in the intervening time.

Why Is Tobacco So Bad for Your Gums

What Are the Effects of Smoking to Your Gums?

Tobacco results in issues with the gums that range from cosmetic to absolute painful. Using tobacco in any variety, counting cigarettes and chewing tobacco, can augment the tartar buildup in your mouth and reduce the flow of saliva, which sponges  down  harmful bacteria. When you smoke, you may see problems developing with your gums, for example

  • Tenderness and reddishness
  • Blood while brushing your teeth or flossing
  • Loosening of teeth
  • Pus discharge between teeth
  • Pain while chewing
  • stinking breath
  • Looser fit for dentures
  • Receding gum line

These are signs of periodontal disease and are supposed to be addressed with your family dentist right away. They can take care of the situation through many solutions that range from simple to complex, for example

  • Anti-microbial mouthwash
  • Oral antibiotics
  • Doxycycline gel
  • Bone surgery
  • Grafting soft tissue
  • Flap surgery to eradicate tartar from pockets beneath the gums
  • Deep cleaning

Gum Disease Prevention for Smokers

Smokers are keen to know if they can stop gum disease. Giving up smoking is the finest way to fight gum disease, but it’s also essential to perform good oral hygiene. Floss every day and brush after each meal by means of toothpaste with fluoride. possibly the best way to take off future gum issues is to visit your dentist frequently. Your dentist or hygienist can identify the signs of periodontal disease and work to fight against it.

Gum Disease Prevention for Smokers

Other than smoking’s effects on teeth and gums, this practice can have other adverse effects on oral health. You augment your risk of increasing oral cancer, counting cancer of the tongue. Your salivary glands may turn out to be inflamed. You can also

Lift the chance of leukoplakia or white patches in the mouth.

If you smoke, dental implants have a smaller amount chance of being successful. Bone loss may occur in the jaw, and it can take longer for you to recuperate from oral surgery. This is particularly problematic, for the reason that you’re more expected to need oral surgery for the problems smoking causes.

Attending to Your Oral Hygiene with Your Dentist

Evidently the use of tobacco of any type — whether it’s smoking or snuff — can be damaging to your gums and teeth. The best way out to this issue is to discontinue using tobacco completely.

Some people get mortified to come to the dentist when they smoke. They fret the hygienists and dentists will judge them for using nicotine.

There’s a cause why fewer smokers visit the dentist: They don’t like to feel culpable. Dentists don’t want you to feel guilty either, and we don’t want to talk you. We just want to make sure you’re doing everything to keep your mouth healthy, whatsoever that should be.

Special Dental Care for Smokers

Special Dental Care for Smokers

If you haven’t give up smoking yet, here are a few dental guidelines that can aid address your dental hygiene problems:

  • Use Mouthwash Thoroughly: You would like to pick a strong formula that will zap bacteria. You also need  to make sure you swish for at least 60 seconds to destroy as many bacteria as achievable.
  • Floss on a daily basis: Flossing is one of those habits that can speedily go out the window when you’re drained, or if you’ve had a long day, and you’re failing to crawl into bed. But flossing is particularly vital for smokers, as it’s an effectual method to keep away from the upsurge of calculus on teeth. If you observe a lot of bleeding as you floss, it might be a indication of early periodontal disease.
  • Have your tongue and gums checkered closely at your dental appointments: Allow your dentist and hygienist know you are a smoker, so they can intimately look for signs of periodontal disease and oral cancer. The earlier you act after detecting somewhat, the greater the possibility of catching a severe problem early.

Can you undo the Effects of Smoking?

The best fixation you can do for your dental health is, obviously, to quit smoking. Your dentist or hygienist may be competent to present information on smoking termination programs. At ADVANCED DENTAL CARE CENTRE, we make out that suspending smoking can be one of the hardest things you’ll ever attempt to do, and it can take time to work. We work hard to assist our patients return their dental health all the way through a handful of procedures. If you require restoring your smile, we can execute many services at our office, including:

  • Veneers— Veneers are porcelain overlays applied to your teeth to perk up the look of your smile. They are everlasting and fixed with cement. With this form of cosmetic dentistry, you’re proficient to stay the existing teeth in your mouth but whiten and clean up them to brighten up your mouth. Veneers might be a excellent option if smoking has resulted in discolored teeth, but the majority of them are still in place and are structurally sound. It expends a few visits to put in a full set of veneers.
  • Teeth Whitening — Wishes for to get better the coloring of your teeth, but don’t want something as involved as a veneer? Teeth Whitening may be the reply. AT ADVANCED DENTAL CARE CENTRE, we can bleach teeth several shades lighter than their present appearance. Whether you just want to take away a couple of stains on your front teeth, or you want to reduce all of them, your dentist can help you find the right look.
  • Correct Your Bite— When the chemistry and outline of your mouth alter, such as when you experience surgery for gum disease or a tooth falls out, your bite might alter, too. Fortunately, this difficulty can be corrected. Your dentist will require carrying out X-rays. Frequently teeth are redesigned to attain the best bite, which can cut back on mouth pain and headaches.
  • Dental Implants— If you have lost teeth because of smoking, your dentist can plan dental implants, basically replacement teeth that put back the root and crown of the tooth that used to be there. This is more permanent and involved than a pair of dentures. Implants are enduring and take more than a few weeks to complete, from the making of the implant to the follow-up visit after it’s been implanted.

Smokers Welcome: Come look into Our Dental Office

ADVANCED DENTAL CARE CENTRE welcomes every patient to our practice, whether you’re a smoker or non-smoker. We have helped out many patients deal with gum disease and tooth issues caused by smoking. We can facilitate with cosmetic dentistry measures to repair your teeth to their previous shine. Get in touch with us to plan a visit today.

Everything You Need To Know About Frenectomy

Frenectomy

 

A frenulectomy (or Frenectomy) is a frightening and threatening sounding word for a common and simple procedure executed to address a number of medical problems, most frequently in the mouth of children and at times adults. Moreover referred to as a frenectomy or frenotomy, a frenulectomy is an outpatient surgical process where your frenum is clipped or detached.

Frenectomy

WHAT IS A FRENUM?

Your frenum (also called frenulum) is the small piece of tissue that attaches your cheeks, tongue or lips to your gum area. You have several frenums  in your body. Though , the ones that usually require frenulectomy are in your mouth.

Two of the most common frenums comprise you’re:

  • Lingual Frenum: This is the frenum that connects your tongue to the floor of your mouth. It can sometimes run up to the tip of your tongue causing you to be “tongue-tied.”
  • Maxillary Labial Frenum: This frenum attaches your gums and upper lip right above your upper two front teeth. You can sense it when stirring your tongue up between your teeth and upper lip.

 FRENECTOMY IN ADULTS

FRENECTOMY IN ADULTS

Adults who are having  an outsized frenulum can encounter a number of problems that an elective frenectomy can repair. These common problems comprise:

Jaw Pain

If you’re facing  any of these symptoms under, your matter might not be the frequently diagnosed condition, temporomandibular joint (TMJ).  These symptoms include:

  • Tenderness in your jaw
  • Chronic pain
  • Sensation of “clicking” on opening and shutting your mouth

When you have a rigid frenulum, it can cause you to build up different chewing and talking patterns that can cause you pain afterwards. If you’ve received a TMJ diagnosis and are at present receiving treatment that doesn’t appear to work, have your doctor verify and see if your frenulum is the difficulty.

Difficulty in Eating

A tight frenulum can hinder with your eating. While chewing, food gets pressed towards your esophagus repeatedly, but to do this, your tongue needs to shift liberally in your mouth. When you have restricted tongue movement, the food you eat isn’t moving on the standard path it should be, resulting  you to have trouble swallowing.

Dental Health

When a frenulum difficulty keeps your food from moving through your mouth quickly as it’s made-up to, it can result in  poor dental health. You’re not capable to clean your molars with a swipe of the tip of your tongue between meals, and this show the way to food particles sticking in the region of in your mouth and on your teeth longer. Rinsing your mouth after you eat can aid. Though, it’s much easier to have your frenulum fixed.

Dentures

You may call for a frenectomy if you’re getting dentures and your frenum point is interfering with how your dentures fit. In some cases, a frenectomy is required when you’re getting braces.

Trouble Talking

As a child with frenulum issues that didn’t get to deal with, you may have learned how to speak around your tongue limitations. But, these tongue limitations can make it tough for you to stay audible and for people to appreciate you when you’re talking at higher or lower volumes than normal.

Problems with Kissing

If you feel you’re not expert enough or don’t take pleasure in kissing, it could just be that you’re facing physical boundaries. When your frenulum is too stiff, it can make it hard to kiss properly.

Difficulties Playing Certain Instruments

You may make a decision to get a frenectomy if frenulum problems are hindering with playing definite musical instruments, such as the trumpet, where you lips and tongue tip are implicated.

FRENECTOMY IN CHILDREN

Several children have outsized frenums beneath their tongues, avoiding them from moving their tongue liberally. This time and again interferes with their verbal communication and causes them to be tongue-tied (ankyloglossia).

FRENECTOMY IN CHILDREN

Children may experience ankyloglossia symptoms such as:

  • Nursing/breastfeeding intervention as an infant
  • Difficulty in talking
  • Frenulum underneath tongue getting wedged between teeth
  • Difficulty fixing tongue out far
  • Receding gums that results periodontal issues

An attached frenum can also put off baby teeth from erupting at all.

The good information is that frenectomies, when executed with a laser, are fast, moderately painless procedures with next to no bleeding and small healing time required. In our office, we complete them in as little as 20 minutes. If you believe you or your child might gain from this procedure, call us and plan an exam today!

Benefits of Frenectomy

Patients who have undergone frenectomy have encountered better quality of life.

Labial Frenectomy:

  • It reduces oral uneasiness.
  • It perk ups facial appearance through the removal of tooth gap between the two upper front teeth.
  • It promotes self-confidence.
  • It put in to bite function.
  • It stabilizes dentures in denture users.

Lingual Frenectomy:

  • It improves communication and appearance of oneself.
  • It improves hunger for the reason that patient can eat properly.

Lingual Frenectomy

TECHNIQUES

1. The simple excision technique

2. The Z-plasty technique

3. localized vestibuloplasty with secondary epithelialization

4. The laser-assisted frenectomy

The Simple Excision Technique

  • For  the simple excision method, a narrow elliptical incision in the region of the frenal region down to the periosteum is done.
  • This technique lessens hematoma formation and permits for adaptation of the tissue to the maximal height of the vestibule.

The Z-plasty Technique

Small elliptical excision of mucosa and underlying loose connective tissue.

Localized Vestibuloplasty with Secondary Epithelialization

Wide V-type of incision made at most inferior portion of frenal attachments in region.

Techniques of Frenectomy

Laser Frenectomy

What is laser frenectomy?

Usually, tongue-tie or otherwise abnormal frenums were detached by snipping or surgically eradicated the tissue with a scalpel. Removal is always suggested, because tongue-tie can lead to:

  • The incapability to eat or speak correctly
  • Pain or clicking in the jaw
  • Oral health concern, including gum inflammation and dental decay

You’ll likely notice that your child needs a frenectomy when they are unable to properly latch during breastfeeding. This can show the way to weight loss and colic in the infant, and sore nursing and low down milk supply for the mother.

Laser Frenectomy

At ADVANCED DENTAL CARE CENTRE, we spend in the best and most cutting-edge dental technologies to help our patients.

Laser Frenectomy Benefits

Laser frenectomy is finer to traditional frenectomy surgery in so many ways. The laser makes use of concentrated light and water to slash and cauterize the frenulum. Because of this, laser frenectomy:

  • Is virtually pain-free
  • Requires no anesthesia, which is especially important for infant-care
  • Takes only one to two minutes, for the whole procedure
  • Has a much lower risk of infection
  • Produces very little bleeding
  • Requires no sutures
  • Provides for a shorter healing and recovery time

Infants who receive a laser frenectomy can actually start breastfeeding just about immediately following the procedure. occasionally this is even encouraged to help quiet the child.

Laser Frenectomy Post-Op Instructions

It is common for the lesion to ooze or bleed a little bit for the initial two days. For the reason that a laser was used, there is usually little or no bleeding at all. If you were specified gauze to grasp in the area, apply gentle pressure for 10 minutes, then replace the gauze and do another time three times, for 30 minutes total. The region may have minor inflammation. Swelling peaks 48-72 hours following the procedure. The region may also have some discoloration build up.

Some uneasiness is to be predictable, but it is supposed to be negligible.

You can eat and drink normally once the lack of sensation is gone. evade using straws. Spicy or acidic foods may also result uneasiness or setback healing.

Shun mouthwashes and rinses for the first 24 hours. These may “hurt” when used. You can do warm saltwater rinses after 24 hours. Brush your teeth in general.

Ice can be applied for the first 24 hours to the outer of the upper lip if a maxillary frenectomy (upper lip tie) was performed. If a lingual frenectomy (tongue tie) was carried out place ice chips beneath the tongue.

If you had a lingual frenectomy performed, it is essential you use and exercise your tongue almost straight away. expand your tongue 20 times, five times a day (ie- stick out your tongue, lick an ice cream cone motion, etc).

If this process was executed on an infant, it may take 7-10 days for the infant to re-learn to feed to optimal levels, particularly if they are more than a few weeks old when the procedure was executed.

How long does a frenectomy take to heal?

Laser frenectomy revival time is much quicker than with a customary surgery. After the laser frenectomy process, patients reported not as much of postoperative pain and better function. As patients normally don’t require anesthesia, there’s also less downtime following the frenectomy with laser. And, the laser itself promotes healing of the tissues in the mouth.

Speak to your dentist about the detailed aftercare instructions. To help with the laser frenectomy recovery, you may require doing post-procedure stretches or wound-care.

Everything you need to know about Tooth Filling Material

Dental filling

Despite how well you look out of your teeth or how many times you brush or floss, at times you are constrained to build up cavity. Fillings can also be essential if  your teeth are damaged due to fracture or if you bite your nails or mince your teeth. In turn to preserve the tooth your dentist will eradicate the decomposed and fill in the cavity with one of the number of types of fillings.

filling materials

A filling is intended only to ‘fill’ a cavity and to close off further attack by bacteria. Advances in technology plus changing priorities for customers, have determined preferences for diverse materials.

Preferably, dental filling material must have the following qualities, in order of importance:

  • Dimensional stability (doesn’t transform shape eventually)
  • Physically sturdy (is able to defy wear and breakage)
  • Cosmetically pleasing (looks similar to a tooth)

It’s essential to make out the differences between the forms of filling materials. That way, if you require a restoration, you’ll appreciate how each material will work, how long it will last, and how it will look.

Types of Filling Material

Nowadays, numerous dental filling materials are obtainable. Teeth can be restored with gold; porcelain; silver amalgam (or tooth-colored, plastic, and materials called composite resin fillings).

1. Dental amalgam or “silver” fillings

1.	Dental amalgam or “silver” fillings

They are generally used to fill up back teeth. They are minimal cost and long lasting, but the color does not appear natural. little amounts of mercury can be free from amalgam fillings, which have bring about health worries in the past, but the minute amounts of mercury are usually not detrimental.

Advantages of silver fillings:

  • Robustness silver fillings last at least 10 to 15 years and generally live longer than composite (tooth-colored) fillings.
  • Strength – can endure chewing forces
  • Expenditure may be less pricey than composite fillings

Disadvantages of silver fillings:

  • Deprived Aesthetics – silver fillings don’t go with the color of natural teeth.
  • Annihilation of more tooth structure – healthy fraction of the tooth must a lot be aloofed to make a space big enough to grip the amalgam filling.
  • Discoloration — amalgam fillings can produce a grayish tinge to the nearby tooth structure.
  • chink and fractures– though all teeth enlarge and contract in the existence of hot and cold liquids, which in the end can result the tooth to crack or fracture, amalgam material — in evaluation with other filling materials — may encounter a widespread degree of expansion and contraction and show the way to a advanced prevalence of cracks and fractures.
  • Allergic Reactions — a minute percentage of populace, about 1%, are allergic to the mercury there in amalgam restorations.

Protocols comprise some or all of the following:

  • Use of high-speed suction throughout removal to considerably decrease the amount of mercury vapor that break out from the region right away surrounding the tooth.
  • Breathing oxygen or nitrous oxide during the elimination to bound inhalation of trace airborne mercury vapor.
  • Wearing a rubber dam for the period of removal of the amalgam fillings.

2. Gold fillings

These are made by means of a cast of your cleaned tooth, so it takes more than one visit to obtain a gold filling fixed, made, and placed. Gold is tough than amalgam but is also more costly and does not have a natural appearance. Previous to the preface of dental porcelain the top restorative material was gold. It has alike qualities to porcelain, in that it’s very firm and very strong.  on the other hand as the price of gold escalate each year, it is costly to manufacture and for the reason that it looks ‘gold’ it lack the cosmetic plea.

Gold fillings

Cast Gold Fillings

Benefit of cast gold fillings:

  • Durability — lasts at least 10 to 15 years and generally longer; doesn’t rust
  • Strength — can endure chewing forces
  • Aesthetics — some patients find gold more pleasant to the look atthan silver amalgam fillings.

Drawback of cast gold fillings:

  • Cost—gold cast fillings cost too much than other materials; up to 10 times elevated than cost of silver amalgam fillings.
  • Extra office visits – necessitate  at least two office visits to place
  • Galvanic shock — a gold filling positioned right away next to a silver amalgam filling may generate a jagged pain (galvanic shock). The communication between the metals and saliva results an electric current.
  • Aesthetics — the majority patients abhor metal “colored” fillings and wish fillings that go with the rest of the tooth.

3. Composite (white) fillings

These are completed in a single visit using layers of resin. Composite fillings are a fair option for visible areas as they look similar to your natural teeth, but they are not as burly as metal fillings so they might not last as long, specially on the back molars. Composite fillings fracture and crack more simply than metal, so the danger for recurring decay is advanced. Composite fillings are more pricey than amalgam but less costly than gold.

Composite (white) Fillings

Benefits of Composites:

  • Aesthetics — the shade/color of the composite fillings can be very much coordinated to the color of existing teeth. Composites are mostly well suitable for use in front teeth or perceptible parts of teeth.
  • Bonding to tooth structure — composite fillings in fact chemically bond to tooth structure, providing further support.
  • Versatility: besides used as a filling material for decay, composite fillings can also be used to fix flaked, broken down, or worn teeth.
  • Tooth-sparing preparation — at times less tooth structure requires to be aloofed compared with amalgam fillings when removing decomposed and preparing for the filling.

Shortcoming of Composites:

  • Lack of strength composite fillings wear out earlier than amalgam fillings; in addition, they might not last as long as amalgam fillings in the pressure of chewing and mainly if used for big cavities.
  • Extended chair time — for the reason that of the process to apply the composite material, these fillings can takes up to 20 minutes longer than amalgam fillings to lay.
  • Extra visits — if composites are used for inlays or onlays, more than one office visit may be necessary.
  • Chipping — depending on position, composite materials can break off the tooth.
  • Expenditure: composite fillings can charge up to two times the cost of amalgam fillings.

Other than tooth-colored, composite resin fillings, two other tooth-colored fillings subsist ceramics and glass ionomer.

Other Filling Types

1. Porcelain

It is the best filling material  you can use for a filling. If well-looked after following treatment, it will refurbish your oral health for the long-run, decades even, with good care. It’s also the most cosmetically alluring of all the materials.

Porcelain

for the reason that it’s intended exactly to fit your tooth, made outside the mouth, then bonded in, there is no chance for contraction as with plastic fillings.

Porcelain fillings are prepared outside of the mouth, either by a dental technician or CAD-CAM system, and after that cemented in. This new technology means that porcelain restoration can be made and cemented in the same appointment – so less time and less injections.

This material commonly lasts more than 15 years and can cost as much as gold.

2. Glass ionomer

Glass Ionomer

It is made of acrylic and a definite type of glass material. This material is most generally used for fillings beneath the gum line and for fillings in young children (drilling is still required). Glass ionomers discharge fluoride, which can help guard the tooth from further decay. Though, this material is weaker than composite resin and is more vulnerable to wear and prone to fracture. Glass ionomer usually lasts five years or not as much of with costs comparable to composite resin. The most recent ones have an still better lifetime and, when placed in suitable areas are equal to composites.

What Are Indirect Fillings?

Indirect fillings are like composite or tooth-colored fillings apart from they are prepared in a dental laboratory and entail two visits before being positioned. Indirect fillings are considered when not sufficient tooth structure relics to prop up a filling but the tooth is not so ruthlessly damaged that it desires a crown.

In the first appointment, decay or an old filling is detached. An impression is taken to trace the shape of the tooth being revamped and the teeth surrounding it. The impression is send out to a dental lab that will construct the indirect filling. A temporary filling is positioned to guard the tooth whereas the restoration is being made. During the second visit, the temporary filling is aloofed, and the dentist will test out the fit of the indirect restoration. Bestowed the fit is acceptable; it will be enduringly cemented into place.

There are two kinds of indirect fillings – Inlays and Onlays.

  • Inlays are alike fillings but the whole work lies within the cusps (bumps) on the chewing facade of the tooth.
  • Onlays are more widespread than inlays, casing one or more cusps. Onlays are at times called partial crowns.

Inlays and onlays

Inlays and onlays are more strong and last much longer than conventional fillings — up to 30 years. They can be made of tooth-colored composite resin, porcelain, or gold. Inlays and onlays weaken the tooth structure, but do so to a much lower amount than traditional fillings.

one more type of inlay and onlay — direct inlays and onlays — follow same method processes and dealings as the indirect, but the dissimilarity is that direct inlays and onlays are prepared in the dental office and can be positioned in one visit. The kind of inlay or onlay used depends on how much sound tooth structure leftovers and contemplation of any cosmetic interests.

What’s a Temporary Filling and Why Would I require One?

Temporary fillings are used under the following situations:

  • For fillings that entail more than one visit — for example, before placement of gold fillings and for definite filling procedures (called indirect fillings) that use composite materials
  • Following a root canal
  • To permit a tooth’s nerve to “quiet down” if the pulp became aggravated
  • If emergency dental treatment is required

What crops up when you get a Filling?

If your dentist makes a decision to fill a cavity, he or she will first remove the decay and clean the affected region. The cleaned-out cavity will then be filled with any of the variety of materials.

How Do I know if I require a Filling?

Only your dentist can make out whether you have a cavity that wants to be filled. Throughout a checkup, your dentist will make use of a small mirror to scrutinize the surfaces of each tooth.

Whatever thing that looks unusual will then be intimately checkered with special instruments. Your dentist may also X-ray your whole mouth or a part of it. The type of treatment your dentist wants will depend on the degree of damage caused by decay.

What to be expecting During a FILLING

  • Local anesthesia– at  the start of your filling procedure you may be given local anesthesia to anesthetized the region around the tooth.
  • Tooth decay removal– then the dentist will engrave through the enamel by means of a drill to eliminate any decay. After the dentist take out the decay, the dentist will shape the space to prepare it for the filling.
  • Etching– for a bonded filling your dentist will etch the tooth with an acid gel prior to placing the filling.
  • Resin application– for certain forms of fillings the dentist will layer on the resin and solidify it using a bright light. This makes it burly.
  • Polishing– subsequent to the filling has been placed, your dentist will polish the tooth.

How I am supposed to Care for My Teeth with Fillings?

After you get a filling in one or more of your teeth, discomfort and tooth sensitivity may persevere for hours, or even days, after you depart the dentist’s office. This can make up eating and drinking a painful affair.

Fortunately, by following some common tips and evading  foods that can result  problem after fillings, you can significantly decrease discomfort:

  • Chew leisurely and bite off calmly: Biting applies magnificent pressure on the teeth, and this can make them very painful after you get a filling. When chomping your food, take your time and try not to bite all the way through; this will avert your teeth from making strong contact. If doable, chew on the opposite side of the mouth from where your filling is.
  • Keep your mouth closed when chewing: For some populace, even cold air can set off pain in sensitive teeth. as a result , in addition being good manners, keeping your mouth closed when chewing will diminish the probability of cold air ingoing your mouth and causing you pain.
  • Omit sticky foods: Some fillings, mainly silver (amalgam) ones, take time to lay down after you depart the dentist’s office. Consuming sticky or gluey food can, in exceptional cases, extricate a new filling, so it’s best to shun them temporary.
  • Evade very hot or cold drinks: Moderate temperatures are less liable to trigger pain in sensitive teeth.
  • Pass on the sweets: Sugary foods and soft drinks activate sensitivity in some and may encourage bacterial growth in the region of the edges of, or even under, a new filling.
  • Don’t chew up nuts, candy or ice: Other than causing undue pressure on your teeth at the same time as they are still recuperating, biting hard foods can extricate a new filling that hasn’t yet well set. This is particularly significant for silver (amalgam) fillings, as they take longer to set than composite (tooth-colored) fillings.

Always go after your dentist’s advice concerning chewing tips, what foods to evade after your procedure and how long you are supposed to wait to eat solid foods after getting softer filling materials, such as amalgam.

We proffer dental fillings so that patients all through the region can live in outstanding oral health. It is essential to complete dental restorations in a manner that refurbish the functionality of a tooth while also appearing totally natural. This is significant for ensuring that once the dental work is complete, no one can say to you tooth was ever damaged.

Smile Design/Cosmetic Dentistry Services at Advanced Dental Care Center, Chandigarh, India

Cosmetic Dentistry

Cosmetic Dentistry

 

Smile Design/ Cosmetic Dentistry is deals with the facade of teeth and the augmentation of one’s smile. This field emphasizes mainly on the artistic part of dentistry rather than the science part. To be a good cosmetic dentist, one needs a good eye, and a clear understanding and knowledge of dental materials and restorative techniques. It needs years of extensive experience to be able to deal with specialized smile makeover cases. More and more people are now aware of these techniques and a great emphasis is placed by everyone upon themselves to look their sizzling best. Shows like EXTREME MAKEOVER have extensively covered this on TV and media.

What is a Cosmetic Dentist?

A cosmetic dentist is a restorative dentist who has in-depth knowledge and understanding of both the art as well as the science of dentistry and has trained himself/herself extensively to be able to create beautiful smiles.

What is the Difference Between Cosmetic and Restorative Dentistry?

 

Difference Between Cosmetic and Restorative Dentistry

 

Although the two subjects have some common characteristics , the aim is different.  The cosmetic dentist not only focuses on recreating the tooth to its functional form, but strives to achieve the most ideal and beautiful aspects of one’s teeth.

What Should I Expect From A Cosmetic Consultation?

Your dentist should ask you in complete details how you feel about your teeth and the smile, what are your primary concerns and what improvements do you expect after the treatment ? He or she should examine you in complete detail and take thorough clinical and radio-graphic records including study models and pictures of your teeth and face.

What Dental Treatments Are Considered Cosmetic

Cosmetic Dentistry treatments include:

  • Teeth Whitening
  • Composite Bonding
  • Porcelain & Composite Veneers
  • Porcelain Porcelain Bridgework
  • Dental Implants
  • Inlays & Tooth-Colored Fillings 
  • Clear Orthodontic Aligners
  • Cosmetic Gum Surgery
  • Tooth Contouring & Reshaping

Cosmetic Dentist

How Do I Choose a Cosmetic Dentist?

Make sure that the dentist you choose has an experience of considerable number of years and adequate expertise to deal with your case. You should ask your dentist to  show you the pictures of their treated cases as how they looked before the treatment and after the treatment.  Your dentist should also be abreast with the latest advances in the art and science of dentistry.

IMPLANT DENTISTRY– EVERYTHING YOU NEED TO KNOW ABOUT DENTAL IMPLANTS

dental implants

Dental Impalnts

 

Implant dentistry is a boon for restoration of missing teeth. It overcomes many disadvantages of other conventional methods of restoration i.e.

  • With removable prosthesis
  • With fixed prosthesis

 

IMPLANTATION is defined as an insertion of any object or material, which is allopathic in nature either partially or completely into the body for therapeutic, experimental, diagnostic, or prosthetic purposes.

ADVANTAGES OF DENTAL IMPLANTS-

  • To overcome the drawbacks of removable prosthesis
  • Bone maintenance of height and width
  • Ideally aesthetic tooth positioning
  • Improved psychological health
  • Increased stability in chewing
  • Increased retention
  • Eliminates the need to involve adjacent teeth

 

USES:-

  • Individual teeth are replaced with implants where it’s difficult to distinguish the real teeth from prosthetic teeth.
  • Movement in lower denture can be decreased by implants with ball and socket retention.
  • Bridge can be supported by two or more implants.

In orthodontics small diameter dental implants referred as temporary anchorage device can assist in tooth movement.

TYPES OF DENTAL IMPLANTS:-

  • ENDOSTEAL IMPLANTS- dental implants are placed in the jawbone. Typically made of titanium and shaped like a small screw, they are most common used implants.

 

TYPES OF DENTAL IMPLANTS

 

  • SUBPERIOSTEAL IMPLANTS- These implants are placed under gum but on or above the jawbone. This type of implants may be used in-patient who do not have enough healthy natural jaw bone and cannot or do not want to undergo bone augmentation procedures to rebuilt the bone.

Highly precise 3D digital imaging and implant surgical planning softwares have made the implant procedures faster and highly predictable.

DENTAL IMPLANT PLACEMENT TECHNIQUES:-

Depending on the health of your jawbone and your specific needs, your implant dentist can suggest you either of the following implant techniques:

  • TWO STAGE DENTAL IMPLANT PROCEDURE- In this procedure dental implant is placed in jaw at 1st sitting and then advised to wait for 3-4 months. After 3-4 months, second stage implant loading procedure is started. In this stage, the prosthetic part i.e. crown is attached to the dental implant after suitable impression making and lab procedures.
  • IMMEDIATE LOAD DENTAL IMPLANT PROCEDURE– This technique is also called as same day implants or teeth in a day. This procedure allows the placement of temporary tooth/teeth during the same appointment as your dental implant placement.

 

Dental Implant Placement Techniques

 

  • MINI DENTAL IMPLANTS- Also called small narrow diameter implants. These implants are narrower than most commonly used implants. These are used primarily to stabilize lower denture and to give support for temporary fixing of teeth before final prosthesis in full mouth cases.
  • ALL- ON- 4 IMPLANTS- is an alternative to placing a top or bottom set of replacement teeth called full arch. Four dental implants are placed in available bone avoiding need for bone grafting. Special multiunit abutments are used.
  • ZYGOMATIC IMPLANTS- These are extremely long implants used in special situations. These are placed in the back of the maxillary bone.

Nowadays, different types of implants are available in the market based on the material such as:

  • METALLIC
  • CERAMIC AND CERAMIC COATED
  • POLYMER
  • CARBON COMPOND

 

COST OF DENTAL IMPLANTS- Cost varies from case to case depending upon the implant system being used and the individual needs of the patient. If a patient requires additional procedures such as bone grafting, ridge split, sinus lift, bone expansion etc, the cost of implant placement procedures may increase. Cost also depends on the brand of implant system being used.

CARE OF DENTAL IMPLANTS:-

  • Brush after eating and before bedtime around the implant.
  • Floss at least once to twice a day.
  • Use of oral irrigation devises such as WATERPIK to flush out loose debris from around the implants.
  • See your dentist for regular checkups.

BRACES/ORTHODONTIC TREATMENT IN ADULTS

With ever-increasing desire to look picture perfect and beautiful, the demand of braces in adults is increasing with every day. People nowadays are very conscious of how they look and especially very particular about their facial appearance and smile. Gone are the days when it used to be considered that braces can be used only in young children and you cannot have braces when you grow up.

 

orthodontic treatment

 

Treating a patient at early age when dentofacial growth is active has numerous benefits such as scope for growth modification,  scope for prevention and interception of developing occlusssal problems and harnessing natural growth forces in a young child compared to an adult. Also the treatment carried out at an early age avoids psychological disturbances as a result of coping with full fledged malocclusion.

Orthodontic Treatment carried out during adolescence or still later in an adult has certain drawbacks like the treatment carried out in in adult patients cannot make use of growth potential. At the same time, most skeletal malocclusion indicated for orthognathic surgery are to be treated after growth completion so as avoid recurrent growth changes associated with  continuation of abnormal growth pattern.   The treatment options in adults are limited to moving teeth and surgery.

Young patient exhibits increased vascularity and cellularity of the periodontal membrane and bone as compared to older patient. Patients of younger age are hence more responsive to orthodontic force, which makes it possible to move teeth faster. Most of the orthodontic corrections are effectively carried out during the growth period. Due to this fact that younger growing patient react more favorably to treatment.  It is nevertheless possible to move teeth in older patient by altering the force magnitude and duration. As adult exhibits greater density of bone, orthodontic tooth movement is much slower.

 

orthodontics treatment

 

There are various reasons for increase in adult patients demanding braces because of Improved appliance design and placement techniques, Innovations in material research such as ceramic brackets & tooth coloured wires and management of skeletal dysplasias with advanced orthognathic surgical techniques.  

INDICATIONS FOR ADULT ORTHODONTICS ARE to improve tooth periodontal tissue relationship, to improve spaces to provide normal tooth-to-tooth contact and to satisfy the esthetic desire.

CONTRAINDICATIONS FOR ADULT ORTHODONTICS are Local and systemic diseases, Alveolar bone loss, Poor prognosis and lack of patient motivation.

5 Important Benefits of Laser Dentistry

Benefits of Laser Dentistry


Laser Dentistry
uses laser beams for giving minimally invasive treatment for gum surgery, treatment of cavities as well some other issues related to oral healthcare. Laser treatments exist for more than two decades. Here are some of the benefits which can be availed as part of Laser Dentistry treatments as compared to the traditional dental procedures used for treatment.

The Top 5 Benefits of Laser Dentistry

Minimal Pain and Scarring
Dental treatments are presumed to be painful. The high-speed drills used in the dental treatments give a severe pain during the treatment. These treatments also cause damage in the surrounding tissues and occasionally, may even cause hairline cracks in the surface of teeth while conducting the dental procedures. Also it damages the adjoining gums and may result in scarring. Laser dentistry treatments are almost painless and they prevent scarring. Thus the need for sutures is also reduced to a large extent.

Minimal Pain and Scarring

Ease of treatment during removal of cancerous tissues
Laser treatments make it easy for the patients who dealing with cancerous tissues in their mouth. In cases where the tumors are formed inside the soft tissues or gums, the non-malignant or benign tumors can be removed completely without causing pain. This makes the tumor removal safe with respect to recurrence. Moreover it can also be used for performing biopsy on suspicious areas of soft tissues. These biopsy treatments can be done instantly and with high level of precision.

Quick treatment with Shorter Surgery Time
In the traditional dental procedures, even after the treatment is complete, it takes a while to recover. However, with laser dentistry, the recovery time is much reduced and the overall time required for undergoing the treatment is also relatively lesser. The trauma to the teeth is also reduced along with minimized risk of future dental work which otherwise could come up as a result of the damage and fractures which might occur during the course of treatment using traditional methods.

Quick treatment with Shorter Surgery Time

Reduction in the amount of Bleeding and damage caused to soft tissues

The laser treatments are done using high-energy beam of laser. This helps in the coagulation of blood vessels while conducting dental procedures. In the whole process, the total blood loss is largely reduced and thus it aids in minimizing the amount of bleeding that occurs during the treatment. Further, the tools used in laser dentistry allow a very high degree of precision in making cuts during the treatment. These cuts are more conservative and hence they cause very little damage to the surrounding soft tissue as compared to the traditional dental treatments. The swelling after the treatment is very less which makes the patient comfortable in much shorter time span.

Reduction in the amount of Bleeding and damage caused to soft tissues

Fast Recovery with smooth and quick healing of wounds

Laser Dentistry treatments are way too precise with respect to the severity of cuts that are marked during the treatment. The lesser the damage, the faster is the recovery. Moreover, the beam used in laser treatments also has a sterilizing effect on the area where the treatment is being done. This helps in reducing the risk of bacterial infections which may otherwise delay the recovery for a while. Since the cold sores are less, this also aids to faster recovery

Laser Dentistry is an absolutely safe and effective dental procedure yet it may not be suitable for every patient and all the dental ailments. You may get an expert’s consultation to find out the suitability of laser dentistry in your case.

Porcelain Veneers for a Beautiful Smile

Porcelain veneers

Porcelain Veneers

Dental treatments have advanced to the extent that it can transform every bit of imperfection of your facial look and especially your smile. Porcelain veneers are a revolution which helps you wear the most beautiful, natural smile confidently every day.

What are porcelain veneers?

Porcelain veneers are the ultra-thin sheet of dental porcelain which are placed over the tooth with the help of an adhesive bond. These veneers are placed towards the facial side of teeth so as to create the perfect new smile for you.

Whereas the traditional veneers used to require reduction in the existing tooth structure so as to fit the veneer, the all new porcelain veneer is very quick as it requires almost negligible or no tooth preparation for its application.

Where does Porcelain Veneers fit into creating Your Perfect Smile?

Porcelain Veneers are the right solution when you are looking for cosmetic alterations without going for invasive dental procedures. Here are some of the aspects where porcelain veneers are the quick-fix solution to your dental imperfections.

discolored and cracked teeth

Yellow and discolored teeth: If your teeth are yellow and discolored, and the whitening treatments are doing not giving any satisfactory results, then porcelain veneers are definitely going to be your perfect partners.

Cracked and chipped teeth: Porcelain veneers help in concealing and repairing the cracks and chips that exist in your teeth.

Crooked Teeth and Uneven Gums

Crooked teeth: These veneers offer a great solution for the crooked teeth and gaps between teeth. They are the pain-free alternative to braces.

Uneven gums: If your gums are unevenly visible during your smile, it helps in minimizing the appearance of gums and thus alters your smile.

What makes porcelain veneers more popular?

Porcelain veneers are an easy solution to fulfill your dental needs and getting a beautiful smile. These are made by initially taking impressions of your teeth. Further custom veneers made of porcelain are manufactured for you on the basis of the tooth impressions taken. These veneers are then placed on outer side of your tooth without making much change to your existing tooth. An adhesive bond is used to fix these porcelain veneers in place. Most interesting part about this treatment is that it does not require too many sittings at the dental clinic.

Beautiful Smile

What care you should take?

Beautiful looks need maintenance too. With your all new, beautiful smile, it is very important to take proper care of keeping your mouth clean. Also, you should get the routine examination done so that the dentist can ensure that your teeth are in healthy state. Dental hygiene is a very critical part which needs to be maintained to avoid tooth decay and break down.

Choose your dentist carefully to get a durable, long lasting treatment for your beautiful smiles. Schedule your interview with Chandigarh Dentistry today!