Dental Diagnostic Centre

World Class dental care at your neighbourhood

Services

  • Pola Office Tooth Whitening
  • Composite Resin Fillings
  • Inlays and Onlays
  • Orthodontic Dentistry
  • BPS Dentures
  • Tooth Extraction
  • Orthognathic Surgery
  • Periodontics
  • Preventive Dentistry
  • Crown And Bridges
  • Veneers
  • Dental Implants
  • Prosthodontic Dentistry
  • Endodontic
  • Bone Grafts
  • Sinus Lift Procedure
  • Pedodontics
  • Natural Colour Fillings
  • Tooth Jewellery
  • Wisdom Tooth Removal
  • Cosmetic Dentistry

Pola Office Tooth Whitening


Teeth whitening is the process of removing stains and discolouration from teeth and improving their colour through a bleaching process to make them look "whiter".

In DDC we offer a combination of immediate, in-surgery teeth whitening(Pola Instant Tooth Whitening)and professional take-home tooth-whitening kits with custom-made trays. Both procedures are based on a bleaching process that uses a peroxide-based compound of varying strength (3%-30% peroxide). The higher the concentration of peroxide in the compound, the more powerful the bleaching compound is. While this makes it more effective at whitening the teeth, it also has greater potential to cause damage to the surrounding gum tissue and your lips.

Protection during whitening


It is very important that your dentist isolates your gums and lips with a protective material in order to avoid any potential damage or burning of your soft tissue. Home whitening kits usually have a low concentration of peroxide so that there is less chance of any damage occurring. Recently, high-strength home whitening kits purchased online and from certain stores have attracted media attention with horror stories of people with badly burnt lips and gums. It's for this reason that teeth whitening is a procedure that should always be carried out under the supervision of a dentist.

Home teeth-whitening kits


Take-home whitening kits provide more permanent results over a longer time scale, whereas laser whitening offers immediate results. A combination of the two provides the perfect solution to both immediate and long-term whitening needs.

How much whiter will my teeth look?


This varies from individual to individual, and also depends on the type of whitening system used. Some people respond very well to teeth whitening and have dramatically whiter teeth as a result, whereas others may notice very little difference at all. Your dentist will be able to advise you on the likely results given your teeth.

Does it hurt? What are the side effects of teeth whitening?


Some people experience no pain or sensitivity with their teeth. However, the majority of people will experience some kind of sensitivity either during and/or after the initial treatment. This is usually described by patients as sporadic, sharp shooting pain coming from their teeth. This should settle down after approximately 48 hours though. Your dentist may give you a special gel or mousse to apply to your teeth to help with the sensitivity. It is advisable to avoid hot or cold food and drinks within the first 48 hours of your whitening treatment.

Composite Resin Fillings


If part of a tooth has been lost through decay or damaged due to an accident, your dentist may put in a dental filling. Dental fillings are used to fill a portion of tooth or plug the hole and stop anyfuture pain or discomfort.

Types of Dental Fillings


There are two basic types of dental fillings:

  • Traditional Amalgam Fillings
  • Composite Resin Tooth-Colored Fillings

Benefits

  • Nanosized filler particles create a brilliant polish and retention
  • Gives excellent strength, durability and wear resistance for even the toughest posterior restorations
  • Can be used for simple to complex restorations involving layering and combining two and opacities
  • Low polymerization shrinkage for less stress on the tooth and less sensitivity potential for patients
  • Fluorescence contributes to a more natural looking restoration
  • Unique nanocomposite-based restorative combines strength and high-quality esthetics

Procedure for Composite Resin Dental Fillings Treatment

The course of treatment described here is one of several options available at our dental clinic. Consult your dentist to find out what the best solution is for you, given your specific condition

  • First evaluation and fillings tooth preparation
  • Decay in tooth is removed and clean cavity of bacteria and debris
  • Prepare space for the filling
  • Application of dental fillings
  • Tooth-colored material is placed in layers
  • A special light that "cures" or hardens each layer is applied
  • shape composite material to the desired result, trim off any excess material
  • polish final restoration

Recovery Expectations

Having dental fillings and fillings replacement done is a quick and relatively simple process. There should be little or no sensitivity in teeth.

Dental fillings treatment can usually be completed within one visit if warranted. If however, there are a large number of fillings, the visits may be separated for better patient comfort.

Care for Dental Fillings

To maintain your fillings, you should follow good oral hygiene practices:

  • Floss at least once to twice a day.
  • Rinse with fluoride rinse before bed. Swish the fluoride rinse vigorously in your mouth for at least one minute. Do not swallow any of the rinse and do not eat or drink anything for 30 minutes
  • See your dentist for regular professional check-ups and cleanings. If your dentist suspects that a filling might be cracked or is "leaking", further assessment of the situation should be done
  • If your tooth is extremely sensitive, if you feel a sharp edge, if you notice a crack in the filling, or if a piece of the filling is missing, call your dentist

Amalgam Fillings versus Composite Resin Fillings

Traditional Amalgam Fillings

Most of us have had amalgam fillings (silver) or gold filling restorations. Amalgam fillings are sometimes called mercury fillings as some amalgam fillings contained minute amounts of mercury.

Advantages

  • Durability - lasts at least 10 to 15 years or more
  • Strength - can withstand chewing forces

Expense - is less expensive than composite fillings

Disadvantages

  • Poor aesthetics - does not match the color of your natural teeth
  • Destruction of more tooth structure - healthy parts of the tooth may need to be removed to make a space large enough to hold the amalgam filling
  • Discoloration - amalgam fillings can create a grayish hue to the surrounding tooth structure and tend to blacken over time
  • Rare Allergic reactions - a small percentage of people, approximately 1%, are allergic to the mercury present in amalgam restorations

Composite Resin Tooth-Colored Fillings

Composite resin dental fillings or white fillings are tooth fillings colored to look like a natural tooth.

Advantages

  • Aesthetics - shade/color can be matched to existing teeth well suited for front teeth use
  • Versatility in uses - in addition to use as a filling material for decay, composite fillings can also be used to repair chipped, broken or worn teeth
  • Tooth-sparing preparation - less tooth structure may need to be removed compared with amalgams

Disadvantage

  • Durability - may not last as long as amalgams on average
  • Increased treatment time - because of the process to apply the composite material
  • Chipping - depending on location, composite materials can chip off the tooth
  • Expense - composite fillings can cost up to twice the cost of amalgams

Inlays and Onlays


In dentistry, an inlay is an indirect restoration (filling) consisting of a solid substance (as gold or porcelain) fitted to a cavity in a tooth and cemented into place.

An onlay is the same as an inlay, except that it extends to replace a cusp. Crowns are onlays which completely cover all surfaces of a tooth.

Inlays


Sometimes, a tooth is treatment planned to be restored with an intracoronal restoration, but the decay or fracture is so extensive that a direct restoration, such as amalgam or composite, would compromise the structural integrity of the restored tooth by possibly undermining the remaining tooth structure or providing substandard opposition to occlusal (i.e. biting) forces.

In such situations, an indirect gold restoration may be indicated. When gold is used, the tooth-to- restoration margin may be finished and polished to such a super-fine line of contact that recurrent decay will be all but impossible. It is for this reason that some dentists recommend gold as the restorative material of choice for pretty much any and all restorations.

While these restorations might be ten times the price of direct restorations, the superiority of gold as a restoration in terms of resistance to occlusal forces, protection against recurrent decay, precision of fabrication, marginal integrity, proper contouring for gingival (tissue) health, ease of cleansing and many other aspects of restorative quality offers an excellent alternative to the direct restoration.

For this reason, some patients request gold restorations so they can benefit from its wide range of advantages even when an amalgam or composite will suffice.

Onlays


Additionally, when decay or fracture incorporate areas of a tooth that make amalgam or composite restorations essentially inadequate, such as cuspal fracture or remaining tooth structure that undermines perimeter walls of a tooth, a gold onlay might be indicated.

Similar to an inlay, a gold onlay is an indirect restoration which incorporates a cusp or cusps by covering or onlaying the missing cusps.

All of the benefits of a gold inlay are present in the onlay restoration.

The onlay allows for conservation of tooth structure when the alternative is to totally eliminate cusps and perimeter walls for restoration with a crown.

Because onlays have a very long margin (i.e. the line of tooth-to-restoration contact is much longer than that of a crown because of the many turns and curves that an onlay makes in contacting the tooth), some dentists feel that an onlay is a fundamentally inferior restoration. This is because it is primarily the marginal adaptation of any dental restoration that will decide whether or not it will successfully remain in the mouth without exhibiting recurrent decay. The increase in marginal length consequently provides a further likelihood of failure.

Orthodontic Dentistry


Orthodontists are the dentists who focus on the practice of orthodontics. An orthodontist is typically required to complete an additional two to three years of post-dental school education before becoming a certified practitioner of orthodontics.


Why Straighten Crooked teeth and fix bad bites?


There are many Causes of crooked teeth and bad bites(malocclusions). Problems can arise from early loss of teeth, abnormal growth patterns, injuries, and hereditary factors, Habits such as finger and thumb-sucking, mouth-breathing and tongue-thrusting are also recognized as contributing to many orthodontic problems

what is the best age for treatment?


Treatment of adults for orthodontic problems is markedly increasing. Although adults can definitely benefit from treatment, there are important differences when compared to adolescents. Adults are not growing, they have often had teeth extracted, and previous gum disease can complicate the treatment. Sometimes, jaw relationships may be severe enough to warrant combining orthodontics with surgical procedure.

There are no hard and fast rules for the commencement of treatment because everyone is an individual. However, most orthodontists would prefer to see a patient for the first time at eight or nine years of age to consider the possibilities of intercepting any problems, Commonly, children are treated once the permanent(adult) teeth have erupted or are due to erupt, if the problem is essentially overcrowding of the teeth. There are however advantages to treating problems related to habits of facial bone imbalances at an earlier time.

Orthodontics Treatment types


Orthodontic Technologies and Techniques


During the last decade, the specialty of orthodontics has undergone a technological revolution. New materials and techniques are constantly being developed that can make braces less noticeable, improve patient comfort and, in some cases, reduce treatment time and help control costs. There are:

About Orthodontist in DDC


In DDC( Dental Diagnostic Centre) we have full time orthodontist Dr. Mrs vijaya n reddy who completed her M.D.S from Rajiv Gandhi University of Health Sciences, Bangalore, with flying colours, updated with latest techniques and methods by attending international conferences, symposiums and hands on courses in USA and Europe, in other clinics consulting orthodontists visit once or twice in a month but any orthodontic case would require full time attention and problem should not be made to wait for 15days or a month.

does not arise in DDC since we have OPG machine proper diagnosis will be done pre- operatively taking lateral cephalogram and orthopantograph and its of comfort to patients has they need not go out of our centre for radiographs in DDC we give lot of choice to patient regarding material such has metal brackets, ceramic, clear brackets(clarity, inspire ice) gold plated brackets attractive and fluorescent bands for further details regarding techniques and methods.

What is ClearPath

The smile you deserve is within your reach now.


ClearPath introduces a breakthrough USFDA APPROVED technology which revolutionises the way we treat malocclusion (straighten the teeth). ClearPath provides new improved quality aligners through its unique proprietary process which provides a hygienic, convenient and a clear solution for the correction of malocclusion without having to wear brackets and wires.

ClearPath Advantages


FOR THE PATIENT

CUSTOMIZED: Your doctor will take precise impressions and customize your aligners for your teeth.

CLEAR: ClearPath is virtually invisible. Hardly anyone gets to know you’re straightening your teeth. So now you can align your teeth and get the smile you always desired without having any social inhibitions.

REMOVABLE: You can remove ClearPath Aligner to eat, drink, brush, floss or for special occasions.

COMFORTABLE: With ClearPath, the edges are smooth so they won’t irritate your gums or cheeks. ClearPath is safe, it is ISO Certified and USFDA Approved

PREDICTABLE & EFFECTIVE: With ClearPath, You can see the treatment outcome even before starting it and start enjoying a better smile even before completing the treatment

BPS Dentures


Biofunctional Prosthetic System (BPS) - "Dentures that manage to make your smile seem like the most NATURAL thing in the world."

Teeth Radiate Character, Attractiveness, and Liveliness. – Attractive teeth provide you with self-confidence,Charisma, and self-assurance. It goes without saying, therefore, that you would want to gather all the necessary information that can help you reach a decision regarding optimum dentures for you.

If you have one or more of the following problems with your dentures

  • Loose fitting lower dentures.
  • Unable to chew hard foods.
  • Unable to speak clearly.
  • Unable to smile confidently.

then it’s the right time to switch from your existing conventional denture to scientifically designed B.P.S. denture.

BPS Dentures- A system of dentures much beyond the conventional. The integration of clinical research, high end equipment and the best possible in materials ensure a satisfaction level that conventional dentures can rarely provide.

High quality standards ensure that BPS dentures meet your individual requirements. The masticatory (jaw movements while chewing) movements and the sensitivity of the oral mucous membranes are taken into consideration, as well as the wearing comfort during daily use, such as eating or speaking. The scientific impression recording procedures (different from conventional) and simulation of jaw movements by state of the art articulators in BPS (Biofunctional Prosthetic System) ensure that the exact mechanics and nature of your jaw movements are perfectly understood by the dentist and the certified dental technician of the B.P.S.. This translates in to a BPS denture that meets even your most exacting requirements.

Advantages


Reduced irritation to the gums from free monomer as there is complete polymerization.

Strong : Extremely dense material reduces the chances of breakage. Dentures are guaranteed against breakage for two years.

Clean : Because of the injection moulding process used in processing the denture, the denture base becomes non porous limiting the traditional odour expected from dentures.

Accuracy : Again, due to the injection moulding process, conventional dimensional changes do not occur. Dentures are accurate and they fit as expected.

Health : Because BPS dentures are accurate, none irritating, comfortable, aesthetically pleasing, patients can eat better than conventional dentures.

Esthetics : Due to the natural appearance of Ivoclar teeth, resistance to wear and the attention to detail and precision incorporated during the construction of the dentures, dentures appear as natural as possible, so patients can smile, speak and laugh with confidence.

Fit : Due to extreme care incorporated in the construction of the dentures, it results into a better fitting, more comfortable prostheses (dentures that will require fewer adjustment appointments).

Normally BPS® Dentures require 5 – 7 Appointments, however the number of appointments could be reduced to four appointments only, but the time per appointment will increase accordingly.

FAQ's About BPS

1. What is a BPS Denture?

BPS (Biofunctional Prosthetic System) dentures are made with systematically coordinated materials and techniques from one manufacturer to suit the individuals’ intra oral condition appropriately. BPS denture reproduces the functions of the natural teeth during mastication and speaking to a very high extent.

2. What is the advantage of BPS?

The patient will get a well fitting denture which is stable during functions like chewing, eating and speaking. The denture is extremely light and comfortable to wear, the teeth used are the best available – which are most aesthetic and wear very less – therefore enhance the life of the denture.

3. Can I eat harder foods with BPS dentures?

Yes. Even harder foods can be consumed immediately after denture insertion. The usage of high quality teeth sets and the work in the articulator according to the BPS principles makes a BPS denture a masterpiece.

4. What is the technology used to process the dentures?

The dentures are processes using continuous injection molding technique with high fracture resistant and 25years clinical approved material. The material not only ensures strength but is the lightest material available for denture base.

5. What is an Articulator?

It is a device which emulates the human jaw movements.

Tooth Extraction


There are a number of reasons why a tooth extraction is needed:

  • The tooth is severely decayed
  • Advanced periodontal disease ("gum disease")
  • The tooth may be broken such that it cannot be repaired
  • Other teeth may need removal because they are poorly positioned in the mouth (such as impacted wisdom teeth) preparation for orthodontic treatment ("braces")

Procedure for Tooth Extraction

1. First Evaluation and diagnosis

An oral examination to determine if a tooth extraction is really warranted X-ray(s) may be taken of the tooth to evaluate both the internal aspects of the tooth, the tooth root and bone Relevant medical history are recorded. Do ensure that you report to your dentist any problems with any previous tooth extractions, bleeding problems, medical conditions or allergies to medications and supplements.

2. Site tooth preparation

Local anesthetize is given to "numb up" the tooth, jawbone and surrounding gums

3.Tooth removal

Local anesthetize is given to "numb up" the tooth, jawbone and surrounding gums

Postcare Instructions after Tooth Extractions


  • Bite the gauze firmly for a full half hour to stop bleeding. If bleeding persists, change to new gauze and continue biting firmly until the bleeding stops
  • Do not use mouthwash for six hours after oral surgery
  • If mild bleeding occurs, hold cold salt water in the mouth until it warms to body temperature Do not rinse for 12 hours
  • After 12 hours you may rinse with a solution of teaspoonful of salt in a glass of warm water
  • Brush your teeth as usual, but do not brush the wound
  • Take only soft, non-spicy and cold foods, if possible, for 2- 3 days
  • Avoid smoking and alcohol
  • Mild pain can be controlled with pain relieve medications as directed by your dentist

Effects of Missing Teeth


When a tooth is missing its neighboring teeth will tend to shift, sometimes significantly, which in turn can have a major impact on your dental health. Even the removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and the problem of a possibility that the surrounding teeth of predispose the teeth may shifted.

To avoid these complications, in most cases, your dentist will probably recommend to you to replace the tooth that has been extracted. Restorations for missing teeth includes:

  • Dental Bridges
  • Dental Implants
  • Dentures

Orthognathic Surgery


Orthognathic surgery is surgery performed on the bones of the jaws to change their positions. Orthognathic surgery is corrective facial surgery where deformities of the jaw exist. It may be indicated for functional, cosmetic, or health reasons. It is surgery commonly done on the jaws in conjunction with orthodontic treatment, which straightens the teeth.

Pre-operative planning is crucial to the success of the procedure and evaluates the surgical and orthodontic options. The surgeon chooses the type of mandibular surgery based on his experience, evaluation of the photographic and cephalometric analysis, and model surgery.

Orthognathic surgery is often delayed until after all of the permanent teeth have erupted unless medical conditions necessitate that the surgery be performed earlier. In adult patients, orthognathic surgery can be combined with soft tissue contouring to improve the aesthetic results.

Benefits of Orthognathic Treatment


  • Corrects and balances facial and dentation
  • Improves function, health, and appearance
  • Enables better biting and chewing on food
  • Close your lips together in certain caes
  • May improve speech
  • Prevents jaw joint disorder (TMJ) issues
  • improves quality of life

Procedure for Orthognathic Treatment


1.Preoperative diagnosis and planning

The pedodontist, orthodontist plans and diagnosis in coordination with the oral surgeon All findings are analyzed and pre-surgical model surgery performed to ascertain the feasibility of various treatment options

2.Pre-surgical orthodontics

Pre-surgical orthodontics may be necessary to straighten the teeth and align the arches so that a stable occlusion can be obtained post-operatively

3.The maxillary surgery is done

4.Post-surgical orthodontics

Orthodontics following surgery are frequently required to revise minor occlusal discrepancies

Recovery Expectations

The length of recovery in the hospital may vary from one to three days following surgery. During the week following surgery, activities should be limited. All strenuous activities and heavy exercise should be avoided the first month after surgery. Swelling is common, and a brief period of facial discoloration is possible.

What Is Periodontics?



Periodontal diseases are infectious diseases caused by bacteria, present in mouth. The most important causative factor is Dental Plaque, which is soft deposit present on teeth, due to lack of proper cleaning of teeth. Many other factors contribute such as food lodgment, improper brushing habits, improper shape and size of teeth, faulty dental restorations and treatment procedures.Abnormal habits such as thumb sucking, lounge thrusting and mouth breathing, faulty nutrition and food habits and few debilitating diseases e.g. diabetics, hypertension, mental retardation, blood disorders, conditions such as pregnancy, menopause, puberty etc.

The problem which appears is that, the disease which could have been reverted with just a bit of enhanced care effort, is so much spread in the month, that patient is left with only fewer, more complicated, more extensive and expensive treatment options to save his teeth. Treatments for periodontal diseases do exist, and have miraculous results, but intervention vary according to the stage of disease at which the patient presents to the doctor.

1. Initial Stage :


Therapy is simple, non-surgical and less extensive. The disease too is totally reversible mostly at this stage. Professional oral prophylaxis i.e. scaling and polishing will be the treatment of choice; along with enhanced oral hygiene maintenance on the part of patient.

2. Moderate Stage :


A little more extensive procedure generally known as Gingival Curettage or deep scaling can be helpful and these are good chances of healing of tissues to their stage of health.

3. Advanced Stage :


At this stage, Treatment has to be surgical, along with basic phase of scaling, polishing maintenance. Many periodontal surgical procedures depending on the type of disease are available.

a. Gingivectomy :


A minor surgery done under local anesthesia for enlarged and malformed gums to enhance the health and beauty of smile.

b. Flap Surgery:


A minor surgical procedure where tooth root is cleaned of all the infectious material and diseased tissues after raising a small part of overlying gums under LA.

c. Periodontal Bone Grafting Procedures:


Flap surgery combined with the placement of various natural and artificial bone, where the tooth has been severely weakened by bone loss by periodontal disease.

d. Guided Tissue Regenerations:


Where in some artificial barrier materials are used with purpose of stimulating bone growth in a guided manner.

e. Muco gingival surgeries (perso plastic procedure) :


These surgical procedures are aimed at either enhancing the esthetics of mouth by enlarging tooth root coverage etc. or to enhance the successful outcome of rest of periodontal surgical procedure.

4. Terminal Stage :


It is the stage, where tooth is diseased beyond the limits and support has weakened to such an extent that it can no longer survive in the existing bone. Here comes the last resort of extraction of the tooth, which will be replaced by Dental Implant which is a synthetic substitute which is anchored to the jaw bone to replace the tooth and preserve the surrounding bone. In the end of this article, I hope that my effort of writing the same will definitely create some awareness about the periodontal disease, its prevention and treatment; and the importance of routine dental examination and professional prophylaxis. No doubt, the disease is wide spread, destructive and affecting almost the whole mankind, but if the solution is such an easy one that a little more awareness care effort of twice daily brushing and a routine dental examination can save our teeth from such a deadly disease, then why not come a step further to incorporate for these two healthy practices in to our lives. Happy Brushing and check up visit to a dentist. Wish a very healthy long life to 32 pearls of your smile and long live the smile.

Preventive Dentistry


Preventive dentistry starts when your baby gets his or her first tooth. This treatment is specially meant for children and hence it is very cheap. You will need to visit your dentist when the first tooth comes in and the dentist will guide you about how you can take good care of your baby's teeth. This way it is possible to have a generation, which will be free from any kind of cavities in their teeth.

There is one more benefit of taking your child to dentist at an early age. The child becomes familiar with the dentist, teeth cleaning procedures, and other many dental procedures and leads a life free of cavities and gum diseases and keeps on doing regular checkups with the dentist. This way your child will have good oral hygiene all through his or her life.

What all is included in preventive dentistry?


Brushing, flossing, fluorides, oral habits, proper diet, sealants, dental development, orthodontics and parent involvement, these are the things that are included in the preventive dentistry. All the pediatric dentists are trained in preventive dentistry.

Is preventive dentistry is important thing to do?


As a parent you always wish well for your children. You always pray that your child remains healthy. Dental care is also an important part of being healthy. Hence by giving preventive dentistry treatment to your child, you are giving him a priceless gift, which he or she will cherish all through their life.

When Should I start preventive dentistry for my child?


As mentioned earlier, it should start when you see first tooth coming in. Take appointment with your pediatric dentist and they will help you know each and everything about teeth and gums care.

How parents can play an important role in preventive dentistry?


When you will take your child to dentist, he or she will guide you about how you can take dental care of your child at home. The dentist will also guide you about brushing, flossing and diet related issues. Thus the role of parent is very important, as only parents can teach good habits to their kids.

Will it help in preventing dental problems?


Preventive dentistry includes many things apart from brushing, flossing and diet guidelines. The dentist will apply fissure sealants, which are very effective in preventing tooth decay by coating the fissures with sealants. The dentist will also select mouth guard, so as to protect your child from sport injuries. All the orthodontic problems that will arise in your child will also be taken well care of. Hence in short preventive dentistry is highly beneficial in preventing various dental problems.

Once your kids gets into habit f taking proper care of their teeth, the habits will become an inseparable part of their life. From them the good habits will pass on to their kids and thus we will get to see cavity free generations. The dentist will guide about various preventive measures that your kid can get so as to reduce the chances of getting tooth decay and various gum diseases.

What is a pit fissure sealant? and How is it applied?


The top surfaces of your teeth - where the chewing takes place - aren't smooth and flat. They are cris-crossed with tiny hills and valleys - called pits and fissures. These are places where plaque can build up safe from your toothbrush and dental floss. Some of the pits and fissures are so narrow that even a single bristle from your toothbrush can't get deep enough to clean them out.

One method of preventing cavities from developing in the pits and fissures is to seal them off with a special varnish called a pit and fissure sealant. If your dentist determines that you need a pit and fissure sealant to help protect your teeth from decay, some special steps are taken to prepare the teeth first. Your dentist will clean the tooth first, then apply a mild acid solution to 'etch' the surface and make it easier for the pit and fissure sealant to stick. (The etching solution is the blue gel in the sealant video below). The whole procedure is quick and painless. Keeping the area dry and away from your saliva during the application is very important. If the tooth gets wet, the sealant might not stick properly. Once everything is ready, your dentist 'paints' the sealant right over the pits and fissures on the tooth surface. (Do you see it being painted on with a cotton swab in the video?). A special kind of light cures the sealant and makes it ready for use.

Crown And Bridges


Dental Crown

A dental crown or dental cap is a custom made restoration that covers a tooth with sustained significant loss of structure. They are analogical to being a thimble capped over your finger. Dental crowns are used to restore teeth to a certain shape and size. They provide strength and improves the appearance of the tooth.

Benefits of Dental Crowns


  • Holds together cracked or weaken teeth and seal the tooth from decay
  • Covers discolored and irregularities in teeth in improving cosmetic appearance
  • Helps preserve the natural function and position of the teeth
  • Restores tooth with large decay, cavities or filings
  • Supports the replacement teeth in a bridge
  • Restores and maintains natural bite
  • Covers a dental implant

Types of Dental Crowns


There are three basic types of materials for dental crowns:

  • Porcelain fused to metal (PFM) dental crowns
  • All porcelain dental crowns
  • All metal dental crowns (Gold)

Porcelain fused to metal (PFM) dental crowns and all porcelain crowns are tooth colored crowns. PFM dental crowns offer the best combination of aesthetics and durability. PFM dental crowns are usually used to restore back teeth where the forces of chewing and grinding are strongest. All porcelain crowns are the most aesthetic and are used primarily used for front teeth where the need for strength is not as critical. Gold dental crowns are the most durable and offer the most precise fit. Gold dental crowns does not chip.

Procedure for Dental Crowns Treatment


The course of treatment described here is one of several options available at our dental clinic. Consult your dentist to find out what the best solution is for you, given your specific condition.

First evaluation and crowns tooth preparation

  • Local anesthesia is first administered at the region for crown tooth preparation
  • The natural tooth is reshaped to receive the new dental crown
  • Records are taken and approved with the patient to determine the color, bite, length and shape of the crown
  • An impression is taken for a replica model of the teeth
  • This model is sent to a lab where the individual personal crown is fabricated
  • A temporary crown is placed on whilst the permanent crown is made
  • Fitting of crowns on delivery
  • The temporary crown is removed
  • The permanent crown is fitted and cemented into place on the teeth
  • A quality assurance check is done for any re-adjustments or re-works of the dental crowns Care of crowns
  • Brush and floss the crowns as recommended by your dentist or dental hygienist.

Recovery Expectations

Both the preparation and placement of the temporary bridge as well as the bonding of the permanent bridge may cause some minor tenderness in the area. Some individuals may experience sensitivity in teeth. This sensitivity will disappear gradually over a few days to weeks.

Postcare Instructions for Dental Crowns


Avoid chewing on or eating hard foods on the restorations for 24 hours from the time they were cemented

  • To help with discomfort or swelling rinse your mouth with warm salt water. (1tsp. of salt in 8oz of water)
  • Keep crown area clean to maintain tissue compatibility (the contour of the prosthesis must allow the surrounding tissue to conform to a natural, healthy position)
  • Some sensitivity in teeth may be experienced by certain patients. This sensitivity will disappear gradually over a few days to weeks. If teeth are sensitive
  • Avoid hot, cold or acidic food and beverages
  • Pain medication be taken as directed as long as there is no medical contradiction based upon your medical history
  • Use flouride rinse and toothpaste for sensitive teeth
  • Clean teeth properly

Care for Dental Crowns


Dental crowns require the same regular and consistent home and professional dental care, as your natural teeth to prevent decay at the tooth-dental crown junction. To provide optimum longevity for your restorations, please follow the home care tips below:

Brush after eating and before bedtime around the crown with a soft toothbrush, especially where the crown meets the gum line. At the gum line harmful bacteria can be harbored to cause decay and gum disease.

  • Floss at least once to twice a day. Use the proxy brush or floss threader to remove plaque under and around these areas to maintain good oral hygiene. Buildup of food debris and plaque on your teeth and gums can become infected.
  • Rinse with fluoride rinse before bed. Swish the fluoride rinse vigorously in your mouth for at least one minute. Do not swallow any of the rinse and do not eat or drink anything for 30 minutes
  • Be careful about chewing toffees, gum, grainy rolls and tough food in this area
  • See your dentist for regular professional check-ups and cleanings

A dental bridge is one method to fill a gap created by a missing tooth (or teeth). Dental bridge or pontic is a custom-made false tooth or teeth, that is permanently placed between two healthy teeth, filling in the area left by a missing tooth or teeth. The bridge is held in place by crowns placed on the healthy teeth on each side of space to be filled.

Benefits of Dental Bridges


  • Restores your smile
  • Restores your ability to properly chew and speak
  • Maintains the shape of your face
  • Distributes the forces in your bite properly by replacing missing teeth
  • Prevents remaining teeth from drifting out of position
  • Helps preserve the natural function and position of the teeth
  • Restores and maintains natural bite

Types of Dental Bridges


Traditional bridges

Traditional bridges involve creating a crown for the tooth or implant on either side of the missing tooth, with a pontic in between. Traditional bridges are the most common type of bridge.

Cantilever bridges

Cantilever bridges are usually used when there are adjacent teeth on only one side of the missing tooth or teeth.

Maryland bridges

Marlyland bridges also called a resin-bonded bridges or a Maryland bonded bridges. Maryland bridges are supported by a metal framework. Metal wings on each side of the bridge are bonded to the back of existing teeth.

Types of Dental Bridge Materials

There are three basic types of materials for dental bridges:

  • Porcelain fused to metal dental bridges
  • All porcelain dental bridges
  • All metal dental bridges (Gold)

LavaT Crowns and Bridges


LavaT Crowns and Bridges from 3M ESPE utilize an innovative CAD/CAM technology for producing all-ceramic crowns and bridges on a zirconium-oxide glass-free polycrystalline base, resulting in high-strength, reliable restorations with excellent esthetics and outstanding marginal fit. Preparations require minimal removal of tooth structure, and cementation can be accomplished using proven, conventional techniques.

Lava is much more than zirconia! It is a "Digital Platform"

  • Digital Impression
  • Digital Scan
  • Digital Design
  • CADCAM mill
  • Digital sintering

Other facilities set out for our patients convenience and treatment includes:

  • Dedicated reception to receive patient on each level.
  • Patient lobby
  • Dedicated consultation room on each level
  • Panoramic X- Ray room along with X-Ray processing room
  • Office and conference room.

Clinical Studies results:

  • Zero fracture of the zirconia coping and no debonding of the porcelain to the zirconia.
  • No fracture of the framework ==> 100% survival rate
  • No allergic reaction or negative influence
  • No secondary caries
  • No changes in fit
  • Slight chippings in single cases still in situ (no need for re-treatment)
  • No marginal discoloration
  • No post-op sensitivity

Why zirconia?

Zirconia strengths are comparable to metal.Zirconia is crack resistant, and undergoes a phenomenon called "transformation toughening". Zirconia's strength allows traditional PFM preparation design.

Lava's higher strength allows traditional cementation, as well as bonding Coping thicknesses can be as little as 3/10ths in the anterior resulting in:

  • A) A need for less tooth reduction, or
  • B) Increased room for esthetic porcelain

Lava's Zirconia translucency is similar to natural dentin.

Zirconia is insoluble, which is important in regards to long-term strength.

Due to the strength of Zirconia', Lava's bridge connector sizes are esthetic and are comparable to the size of metal connectors Fits are similar or better than metal Being metal free, esthetics are naturally much better than PFM's


Processing Scheme


Previous All -Ceramic Crowns Disadvantages:

  • Mechanical strength
  • Shorter term survivability
  • Required more tooth reduction
  • Required more chair-time (i.e. bonding)
  • Didn't fit well
  • Cost
  • Brittle, cannot be reduced without chipping
  • No room for porcelain. White copings result in cervical color washout.

traditional problem with ceramics: Crack Propagation

Dental Veneers


Dental veneers are very thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to Improve your appearance. These shells are bonded to the front of the teeth changing their color, shape, size, or length.

Dental veneers are made from porcelain or resin composite materials. Porcelain veneers resist stains better than resin veneers and better mimic the light reflecting properties of natural teeth. A precise shade of porcelain can be chosen to give the right color to improve a single discolored tooth or to lighten the front teeth. Veneers make teeth look natural and healthy.

Porcelain laminate veneers consist of a compilation of several thin ceramic layers which replace original tooth enamel. To apply a veneer, a very small amount of the original tooth enamel must be removed, usually less than a millimeter. This is essential as it creates room for the porcelain veneer to fit within the mouth and most accurately restore natural tooth function while creating an even better appearance than the original tooth.

Since veneers are individually sculpted for each patient, it is nearly impossible to tell the difference between a veneer and a natural tooth. Unlike natural teeth, custom-made veneers resist coffee and tea stains, and cigarette smoke because they are made of high-tech materials.

With veneers—as opposed to crowns—your natural teeth remain largely intact with only a minimal amount being altered to fit the veneer. For teeth that resist whitening, veneers can make even the darkest teeth appear bright white.,

Veneers are routinely used to fix:

  • Teeth that are discolored -- either because of root canal treatment, stains from tetracycline or other drugs, excessive fluoride or other causes; or the presence of large resin fillings that have discolored the tooth.
  • Teeth that are worn down.
  • Teeth that are chipped or broken.
  • Teeth that are misaligned, uneven, or irregularly shaped (for example, have craters or bulges in them)
  • Teeth with gaps between them (to close the space between these teeth).

Advantages of Veneers:

  • Natural look.
  • Resistant to staining.
  • Customized individual smile.
  • Restore the confidence.
  • Improve the structure and appearance of the tooth.
  • Enhancing the overall appearance by masking imperfections.
  • Even teeth that are slightly uneven or misaligned can be improved with porcelain veneers.
  • Veneers are virtually undetectable.

Dental Implants


What is a dental implant?

A dental implant can be thought of as an artificial tooth root that is submerged into the jawbzone. When dental work such as a crown, fixed bridge, or a full set of dentures is added, one or more missing teeth can be replaced. A dental implant is fabricated from a very strong material (titanium) that is compatible with your body and is placed in a simple office procedure which generally is no more inconvenient than a tooth extraction. After an initial healing period during which the implant is buried in bone and left undisturbed under gum tissue, it is uncovered and connected to a small metal post that secures and supports the artificial teeth.

Our implant system is one of the easiest to place. It is also one of the most secure as bone grows into a 3-dimensional honeycomb network on its surface to integrate it with the bone.

What makes dental implants the treatment of choice?


Dental implants are like a third set of teeth. They feel much more natural and secure than traditional removable denture plates, especially if these are loose-fitting because of extensive bone loss. If several adjacent teeth are missing, a fixed bridge may be attached to dental implants as an alternative to a removable partial denture plate. Dental implants allow for the replacement of a missing tooth without having to modify adjacent teeth. Your surgeon will be happy to discuss alternatives for restoring your dental function with you.

Is a dental implant complicated to place?


The simple answer is "no", provided that sufficient bone is available to accept the implant. The procedures can all be done in the dental office, and are generally performed using only local anesthesia.

The implant is usually placed in two steps:In the first stage surgery the implant root component is inserted into the bone site.

In the first stage surgery the implant root component is inserted into the bone site.

An incision is made and the over-lying gum tissue is gently displaced. This exposes the bone at the site where the implant is to be placed.

Once a channel is prepared, the area is ready for the implant to be placed. This part of the procedure takes about 5 minutes.

This surgery generally takes about 60 minutes to complete. After 10 days the stitches are removed and the buried implant is allowed to heal for about five months. During this time, bone grows into the implant surface to secure it.

The second stage surgery is very simple and lasts only about 30 minutes. During this stage the buried, secure implant is uncovered using a small incision in the gum tissue. A post is attached to the implant until the final prosthesis is complete which can take as little as 2 weeks.

There is minimal discomfort associated with either of the surgical steps, certainly no more than having a tooth extracted, and usually less. Your dentist can prescribe medication to easily relieve this. Within a few weeks your new prosthesis will be in place and you can begin to enjoy the improved appearance, dental function, and quality of life provided by the Endopore dental implant treatment.

What choices are possible with the implant system?


Implant Systems are extremely versatile and can provide patients with restorations such as the following:

  • One implant with a crown can replace a single missing tooth
  • Implants and prosthetic components can be used to support a fixed bridge, to replace any number of missing teeth, by either connecting to other implants or adjacent teeth.
  • A removable full denture in either the upper or lower jaw can be supported by both implants and gum tissue.
  • Jaws missing all of the teeth can be restored with complete fixed bridges removable only by your dentist.

Who can have a dental implant?


There are very few medical reasons why you may not be a candidate for having implant treatment and your surgeon will discuss these with you if necessary. The major limiting factor in determining whether you can have an implant to replace your missing tooth is whether there is sufficient bone remaining to accept the implant. An estimate of the bone quality can be determined with special x-ray examinations. Because our implant system is one of the most versatile available, it can be used in sites where some other implant designs cannot.

How long will my implants last?


Studies suggest your implants will have a long life once they have been integrated with bone, however, each patient is different and it is impossible to predict dental implant life with any certainty. Factors thought to affect how long implants will last are your overall health, nutrition, oral hygiene and whether you use tobacco. Other factors are your anatomy and the design and construction of the restoration placed on the implants to restore the dental function.

What do dental implants cost?

Because each patient's treatment need is unique, your surgeon will discuss the cost of your individual surgical treatment plan. Generally speaking, the cost of treatment with dental implants is comparable to other restorations involving fixed bridgework.

Dental Implants : Bridge

Benefits of Implants with Fixed Bridge


The course of treatment described here is one of several options available. Consult your dentist to find out what the best solution is for you, given your specific condition.

1: Before the procedure


Three teeth at back end of the mouth are missing. The bridge contains all teeth in one piece and is anchored on dental implants.

2: Installing the implants


First, the implants are installed. This is normally done in a single session. If conventional implants are done, a healing abutment or cover screw is placed on and left about 2 months to integrate with the jawbone before the next step is taken. If immediate loaded implants can be done, a temporary bridge may be placed at the same time, making it possible for you to function like normal almost immediately after leaving the dentist.

Prosthodontic Dentistry


Benefits of Dentures

  • Prevents exisiting teeth from drifting into surrounding space of the missing teeth
  • Teeth out of position can damage tissues in the mouth
  • Helps to chew food

Types of Dentures


Complete Dentures

Complete dentures or Full dentures are used when all the teeth are missing . Complete dentures can be either "conventional" or "immediate". The framework of complete dentures may be made of resin, metal or a combination.

Implant supported overdentures are an alternate to conventional dentures whereby a full dentures is placed over the dental implants with metal bar/balls that gives better retention.

Partial Dentures Partial dentures are used when some natural teeth remain.

A removable partial denture usually consists of replacement teeth attached to a pink or gum-colored plastic base, which is connected by metal clasps or precision attachments that holds the denture in place in the mouth. Precision attachments are generally more esthetic than metal clasps and they are nearly invisible.

Conventional Dentures and Immediate Dentures


Conventional Dentures are made after the teeth have been removed and the gum tissue has begun to heal. Conventional dentures is ready for placement in the mouth about 8 to 12 weeks after the teeth have been removed.

Immediate dentures are made in advance and can be positioned as soon as the teeth are removed. As a result, the wearer does not have to be without teeth during the healing period. However, bones and gums shrink over time, especially during the healing period following tooth removal therefore immediate dentures would usually require more adjustments to fit properly during the healing process and generally should only be considered a temporary solution until conventional dentures can be made. The healing process as it can take months for your bone and tissue to stabilize after tooth extractions.

Procedure for Conventional Dentures Treatment


  • First Evaulation and dentures site preparation if tooth extraction is required, the teeth are extracted and left to heal
  • Making the dentures Once the gums are healed and healthy, an impression of the mouth is taken for a wax-up The wax-up is used to determine the most optimal position of the jaw and teeth dimensions (size, shape, length, width) The wax up is sent to a dental laboratory to construct a "try-in" set of denture
  • Trial of "try-in" set of dentures and re-adjustments The "try-in' denture are placed in the mouth to assure comfort, fit, bite position and appearance The "try-in" dentures are re-worked in the labs and trail fitted during next visits until the color, shape and proper fit is obtained for the final set of dentures to be cast
  • Fitting of final dentures For immediate dentures, impression-taking and the wax-up is first done before tooth extraction.

Recovery Expectations

Recovery from getting dentures may be a two-step process. If extractions are necessary, patients can expect the recovery of their gums to take up to 4 weeks or longer.

Once healed and the dentures are placed, the patient will need time to adjust to the new teeth. While patients can speak normally within a few hours, they may experience minor discomfort when eating or chewing. This discomfort may last from several days to a few weeks until the muscles of your cheek and tongue learn to keep them in place and you get comfortable inserting and removing them. It is recommended that patients with new dentures eat soft foods until they become comfortable with chewing.

it is not unusual for minor irritation or soreness to occur and for saliva flow to increase when you first start wearing dentures, but these problems will diminish as your mouth adjusts to the new denture.

Care for Dentures


  • Dentures should be removed at night to give the gums a rest and to reduce the pressure on the underlying bone or as directed by your dentist
  • Regular denture care includes brushing your denture with a denture brush and a denture paste after eating. Dentures can collect plaque and food stains
  • Keep your dentures in water to avoid drying out and distorting.
  • Dentures can and may break if dropped onto a hard surface, thus becareful when handling them.
  • Clean and massage your gums and tongue with a regular soft-bristled toothbrush to help keep them healthy

Soft Dentures and Flexible Dentures


When it comes to dentures the most common source of agony is a bad fit. It's something that's hard to avoid since your gums are between a rock and a hard place. The rock is your jawbone, and that hard place is the hard acrylic liner that holds the prosthetic teeth.

While some people can wear dentures without a single complaint, most denture wearers feel some discomfort while chewing foods. Even slight shifts back and forth can translate into serious gum problems over time. Reasons for discomfort and denture misfit are

related to the ever-changing conditions in the mouth. As you age, gum tissue shrinks along with the jawbone. Hard dentures don't adjust to new shapes and hence most long-time denture wearers end up using some form of adhesive to increase stability while wearing their dentures.

There's now a new wave of soft dentures, or flexible dentures, that promise to eliminate the problems associated with hard acrylic liners. They require no adhesives, will adjust to irregularities in your mouth, and stay in place even under harsh chewing conditions.

The secret to these soft dentures is the undercut of the gum ridge. Flexible dentures hook into these undercuts to provide the stability needed to eat tough foods like apples and even hard nuts. A flexible denture is really just a traditional denture with a flexible resin coating as the last inner coating. It's the flexible resin that locks into your undercuts and acts as a buffer between your gums and the hard base. More flexibility can be added by constructing the entire denture out of this flexible material.

These flexible resins are more expensive but also longer-lasting than your traditional soft liner. However, the material used happens to be non-porous so that no bacteria can build up within it. Even though it's non-porous it can retain a small percentage of water to help interface with adjacent tissues.

Another advantage to a soft denture is that the trial fitting can be used as part of the final denture, meaning that the overall production time of a soft denture is shorter than that of a hard acrylic denture.

If you're tired of the pains of wearing a hard denture, consider talking to your dentist about the possibility of a completely soft and flexible denture. Though it is not for every patient, it's worth looking into because the results can often make a world of a difference.

Endodontics


Endodontics concerns itself with treating diseases of the dental pulp. The dental pulp is the name given to the soft tissue that runs through the canal or canals in the middle of the root or roots of a tooth. The pulp consists mainly of nerves and blood vessels and its function is to provide nutrition for a developing tooth and to provide sensory feedback for an erupted tooth.

How does the pulp become diseased? The most common cause of pulp damage is deep decay that reaches the pulp. Other causes of pulp damage include trauma to the teeth, loose fillings resulting in decay, excessive tooth wear and gum disease. These processes can lead to infection and death of the pulp.

The infection may then spread through the opening at the tip of the root to the surrounding bone, resulting in an abscess which may be very painful and cause swelling. Such an abscess may show up on an X-ray of the tooth.

Symptoms of an infected tooth that the patient may be aware of may include pain, especially at night, pain when biting on the tooth and with heat, discolouration of the tooth and swelling and soreness in the gums surrounding the tooth. Sometimes, curiously, there may be no symptoms from an infected tooth at all that the patient is aware of, and this is where regular dental checkups are important in order to identify and treat such teeth before they give rise to symptoms.

Treatment of an infected tooth is by root canal therapy which involves cleaning away of the infected pulp and filling of the root canals permanently. Root canal therapy should be commenced and completed as soon as possible in order to prevent the possibility of the infection around the tooth spreading and causing more widespread and potentially serious infection around the body, manifesting in such things as facial swelling and fever which may occasionally require hospitalization. The localized spread of an abscess is also important and in time, if left untreated, may result in the loss of supporting bone around the root of the tooth and eventually loss of the tooth.

For those patients where swelling and fever are already present, a course of antibiotics may be prescribed. Antibiotics are not a substitute for root canal therapy, for the reason that there is no longer a blood supply to the inside of an infected tooth so that there is no way for the antibiotics to be carried into the inside of such a tooth to eliminate the infection. The purpose of antibiotics is to stop the infection that is outside the tooth from spreading and to help the body fight what is already there.

All root canals in the affected tooth must be treated. The front teeth (incisors and canines) and premolars typically have one or two root canals. Molars usually have three or four. Root canal therapy may be done over a number of visits, typically two or three, in the case of teeth with active or long-standing and extensive infection but sometimes it may be possible to complete the treatment in a single visit if the infection is of recent origin and relatively mild in symptoms.

Whatever the choice, Contemporary Smiles is your fully trained and equipped centre for root canal therapy. We have invested heavily in the latest techniques and equipment, such as active variable taper nickel-titanium rotary instrumentation and electronic apex location - fancy words, but cutting-edge designs - ensuring that our success rate in endodontics is equivalent to world's best standard at above 95%.

Rubber dam isolation of your tooth during treatment, in order to keep the tooth clean and dry so that effective sterilization of the root canals may be accomplished, is a routine at our practice, rather than a chore as at many other dental practices.

Following root canal therapy, careful restoration of the tooth is of paramount importance. Teeth which have had root canal therapy tend to dry out and become brittle, hence prone to fracture, during chewing. Heavily restored teeth which have had root canal therapy are even more at risk. You have already paid a fair sum for your root canal therapy and the last thing you would want to happen is for such a tooth to break apart during chewing, requiring its removal. The general recommendation is that a tooth which has had root canal therapy and where such a tooth is missing from its structure more than the small access cavity cut for the root canal instrumentation, be restored with a full coverage crown as soon as possible, in order to protect it from fracture. The patient should not bite on the tooth following the root canal therapy until such a tooth has been restored by a crown. In some cases the root filled tooth may lack sufficient remaining visible tooth structure to support a crown. In such a situation, a post may be inserted into the root canal and a foundation or core built up to support the final crown.

At Contemporary Smiles, when we provide you with a quote for root canal therapy, we also routinely quote for a crown at the same time, so you can have peace of mind knowing that your tooth will have a long life in your mouth.

Replacing your tooth, which may have been saved through root canal therapy, with an artificial one, may be a more expensive option than saving the tooth in the first place. Alternatively, the replacement may be less efficient in chewing and biting or it may involve treatment of your adjacent teeth which may harm them. Weighing up the alternatives, you are much better off having the tooth saved through root canal therapy and crowning.

Bone Grafts


Bone grafting procedures are usually necessary if there is not enough bone available to place dental implants or if any vital anatomy is in the way.

Today, bone grafting procedures have become almost an integral part of implant reconstruction. In many instances, a potential implant site in the upper or lower jaw does not offer enough bone volume or quantity to accommodate a Rootform Implant of proper size or in the proper place. This is usually a result of bone resorption that has taken place since one or more teeth (if not all) were lost. Bone Grafting procedures usually try to re-establish bone dimension, which was lost due to resorption.

Many years ago the lack of bone posed a considerable problem and sometimes implant placement was impossible because of that. Today, however, we have the ability to grow bone where needed. This not only gives us the opportunity to place implants of proper length and width (and for Rootform Implants we always try to go for as long and wide as possible), it also gives us a chance to restore the esthetic appearance and functionality better.

Type of Bone Grafting Materials

With respect to the Bone Graft material used, we have to differentiate between several choices. All materials can be categorized into five different categories:

  • Autograft or autogenous bone graft
  • Allograft or allogenic bone graft
  • Xenograft or xenogenic bone graft
  • Alloplast or alloplastic bone graft
  • Growth Factors

Each of the bone graft materials is usually developed with a specific purpose or advantage in mind. Your surgeon will make a decision with respect to the bonegraft material, based on your individual needs and the latest research in that field.

Sinus Lift Procedure


A sinus lift (a sinus augmentation) is surgery that adds bone to your upper jaw in the area of your molars and premolars to make it taller. The bone is added between your jaw and the maxillary sinuses, which are on either side of your nose. To make room for the bone, the sinus membrane has to be moved upward, or "lifted." A sinus lift usually is done by an oral and maxillofacial surgeon or a periodontist.

It can happen that there is no longer enough bone in the molar area of the maxilla in the direction of the floor of the sinus because of the bone atrophy after tooth loss. As bone augmentation in this region is possible only with difficulty, a method was developed in which the floor of the sinus is raised and bone is inserted into the cavity produced, without injuring the mucosa of the sinus, which leads to an effective increase in the bone in the molar maxillary region. This operation is called a sinus lift. This operation can be carried out under local anaesthesia and is done through the mouth so that there are no scars on the face. The sinus lift operation can often be done at the same time as the insertion of dental implants. The bone material which is inserted corresponds to that described already for bone augmentation.

A sinus lift is done when there is not enough bone in the upper jaw, or the sinuses are too close to the jaw, for dental implants to be placed. There are several reasons for this:

  • Many people who have lost teeth in their upper jaw - particularly the molars teeth - do not have enough bone for implants to be placed. Because of the anatomy of the skull, the back of the upper jaw has less bone than the lower jaw.
  • Once teeth are gone, bone begins to be resorbed (absorbed back into the body). If teeth have been missing for a long time, there often is not enough bone left to place implants.
  • The maxillary sinus may be too close to the upper jaw for implants to be placed. The shape and the size of this sinus varies among individuals. In addition, the sinus can get larger as you age.
  • Bone may have been lost because of periodontal (gum) disease.

Dental implants have gained popularity for treating edentulism, but some patients develop jaw atrophy, which leaves insufficient bone for implants. To treat these patients, the sinus lift procedure, which augments bone, was developed. Altered anatomy from this procedure has an unusual radiographic appearance, confusing those unfamiliar with it. We describe the sinus lift procedure and its radiographic appearance.

Procedure

The oral surgeon will cut the gum tissue near your premolars and molars. The tissue is raised, exposing the bone. A small, oval window is opened in the bone. The membrane lining the sinus on the other side of the window separates your sinus from your jaw. This membrane is gently pushed up and away from your jaw. Granules of bone-graft material are then packed into the space where the sinus was. The amount of bone used will vary, but usually several millimeters of bone is added above the jaw.

Once the bone is in place, the tissue is stitched closed. Your implants will be placed four to nine months later, depending on the graft material that was used. This allows time for the grafted material to mesh with your bone.

Pedodontics


Pedodontic Dentistry or Pedodontics applies to the field of dentistry related with the care of children's teeth. Preventive dentistry is usually applied in the field of pedodontics in teaching and promoting good oral care and preventing tooth decay in children.

Pedodontic Dentistry include:


  • Behavior management and dental education
  • OMonitoring of the dental eruption
  • TRoutine dental check-up
  • Child dietary consultation
  • Fluoride application treatmen
  • Cleaning and polishing
  • Restorations and tooth-colour filling of deciduous teeth
  • Sealant of the permanent teeth
  • Space maintainer, space regainer
  • Root canal treatment and stainless steel crown of the deciduous teeth

In case of Emergency


What To Do in Case of an Emergency ?

  • If your child' tooth is knocked out
  • If your child's tooth is chipped
  • Dental Care starts in Womb

What To Do in Case of an Emergency ?

One of the most important things you can do as a parent to protect these precious baby teeth is to make sure that you are prepared before an accident even occurs. In our dental practice, the most common dental emergencies we encounter are

  • Teeth which have been knocked out due to trauma and
  • Teeth which have been chipped as a result of an accident. In either case, it is important to know what to do.

Time is the enemy when a tooth is knocked out. If a dentist is seen within one hour after an accident, chances are good that the tooth can be re-implanted and saved. Remember to rinse the tooth off and place the tooth into a cup of saliva or milk. See a dentist immediately.

With chipped teeth the situation is slightly more complicated. If the your child is experiencing pain or sensitivity in the affected tooth, consult dentist immediately as this indicates the tooth nerve may be injured. The dentist can perform a root canal or other necessary procedures to save the tooth. Afterwards, a porcelain crown or bonding material can be sculpted onto the tooth to replace the lost portion.

With chipped teeth the situation is slightly more complicated. If the your child is experiencing pain or sensitivity in the affected tooth, consult dentist immediately as this indicates the tooth nerve may be injured. The dentist can perform a root canal or other necessary procedures to save the tooth. Afterwards, a porcelain crown or bonding material can be sculpted onto the tooth to replace the lost portion.

Periodontic Dentistry


For a parent, seeing a child lose a tooth in an accident can be gut wrenching. Such injuries are often bloody and can be anxiety provoking for the child as well. Knowing how to prevent dental injury and what to do in case your child's teeth are damaged in an accident can save your children's teeth. All teeth, even baby teeth, are important. Many parents, are under the mis-impression that baby teeth are less important because they will eventually be replaced.

This is absolutely not true. Baby teeth serve several important functions including, acting as spacers creating enough room in the jaw so that permanent teeth can come in, aiding in proper speech development, and serving to help build self-esteem in the newly independent child.

If your child's tooth is knocked out:


Careful rinse the tooth in water. Make sure that you do not touch the root of the tooth with your hands. The root is the portion of the tooth which is usually embedded in the gum and not normally seen.

Attempt to place the tooth back in its socket and secure with a wet wrap. If this is not possible or if you are afraid that your child might swallow the tooth, place it in a glass containing either saliva or milk. See your dentist immediately.

If your child's tooth is chipped:


Check to see if your child is experiencing pain or sensitivity in the tooth. If so call your dentist and seek dental treatment immediately.

If your child is not experiencing pain or sensitivity, contact your dentist to see whether or not your child should be seen. In most cases, this will not require immediate attention and your dentist will schedule your child for an appointment to be seen.

Preventing Dental Injuries


Watch out for situations that commonly can lead to dental injury. In our practice these are some of the more common: Trips and Falls - Falling into furniture and down stairs often causes dental injury. This is most likely to occur when children are first learning to stand and often use furniture to maintain balance.Children who are just learning to walk also have a tendency to fall down - often onto household furniture or other items. If you have an infant make sure to child proof your home before they become mobile - usually around 12 - 16 months.

Forks and Spoons - Believe it or not, some injuries are self-inflicted when people, not paying attention, crack or chip their teeth with spoons or forks as they eat

Bottle Caps - Tell you child never attempt to open a bottle cap by using their teeth.

Dental Care starts in Womb


Did you know that proper dental care begins in the womb ? A baby's teeth begin to form six weeks after conception. Inadequate eating habits by mothers, however, can cause failure of the tooth enamel to form. This, in turn, can cause your child to be extremely susceptible to cavity formation. Expectant mothers should remember to eat a well-balanced diet and consume products which contain the calcium necessary for proper fetal bone and tooth formation.

What Is A Pulpectomy?



When the nerve of a baby tooth becomes infected, a pulpectomy can save the tooth. Like a root canal in an adult tooth, a pulpectomy involves removal of the infected nerve and the placement of a filling material.Four steps to a pulpectomy

Though treatment is individualized in each case, there are four common steps in a pulpectomy. First, an opening is made into the tooth to get at the infection. Then the infected nerve tissue is removed. A filling material is placed in the root canals, and then a crown is placed to seal and protect the tooth.

The procedure


We want the entire procedure to be comfortable for your child, so the first thing we do is make sure her mouth is thoroughly numb. We place a rubber dam around the tooth to isolate it from the rest of the mouth. It protects her like a safety net: Nothing can fall to the back of her throat.

To get at the infection, we make an opening through the top of the tooth down into the pulp chamber. We carefully clean out the infected tissue and then place a filling material. The last step in the procedure is the placement of a crown to seal and protect the tooth.

Fluoride varnish


Fluoride varnish provides the most effective way of topical fluoride application on a child's teeth. Fluoride varnishes prevent and even reverse early childhood caries. They have proven efficacy in reducing cavities in both primary and permanent teeth.

Fluoride varnish provides the most effective way of topical fluoride application on a child's teeth. Fluoride varnishes prevent and even reverse early childhood caries. They have proven efficacy in reducing cavities in both primary and permanent teeth.

What is a pit fissure sealant?


The top surfaces of your teeth - where the chewing takes place - aren't smooth and flat. They are cris-crossed with tiny hills and valleys - called pits and fissures. These are places where plaque can build up safe from your toothbrush and dental floss. Some of the pits and fissures are so narrow that even a single bristle from your toothbrush can't get deep enough to clean them out.

One method of preventing cavities from developing in the pits and fissures is to seal them off with a special varnish called a pit and fissure sealant. If your dentist determines that you need a pit and fissure sealant to help protect your teeth from decay, some special steps are taken to prepare the teeth first. Your dentist will clean the tooth first, then apply a mild acid solution to 'etch' the surface and make it easier for the pit and fissure sealant to stick. (The etching solution is the blue gel in the sealant video below). The whole procedure is quick and painless. Keeping the area dry and away from your saliva during the application is very important. If the tooth gets wet, the sealant might not stick properly. Once everything is ready, your dentist 'paints' the sealant right over the pits and fissures on the tooth surface. (Do you see it being painted on with a cotton swab in the video). A special kind of light cures the sealant and makes it ready for use.

Natural Colour Fillings


A dental restoration or dental filling is a dental restorative material used to restore the function, integrity and morphology of missing tooth structure. The structural loss typically results from caries or external trauma. It is also lost intentionally during tooth preparation to improve the aesthetics or the physical integrity of the intended restorative material. Dental restoration also refers to the replacement of missing tooth structure which is supported by dental implants.

Dental restorations can be divided into two broad types: direct restorations and indirect restorations. All dental restorations can be further classified by their location and size.

Tooth colored


Dental composites are also called white fillings, used in direct fillings. Crowns and in-lays can also be made in the laboratory from dental composites. These materials are similar to those used in direct fillings and are tooth coloured. Their strength and durability is not as high as porcelain or metal restorations and they are more prone to wear and discolouration.

Tooth Jewellery


At DDC, we are committed to maintain the health of your teeth. The tooth jewellery we use and the procedures for applying it have been tried and tested, so you can wear our tooth jewellery with confidence. The procedure is very simple. Just like an orthodontic bracket, the design is bonded onto your teeth. It's easy to change or remove and usually takes about 10 to 15 minutes.

Everybody needs a little extra sparkle in their life from time to time - and Skyce'TM is the perfect way to get exactly that.

Introducing Skyce in India !!

Dental-Diagnostic-Centre-Bangalore-skyce-smile Dental-Diagnostic-Centre-Bangalore-skyce-samples

Skyce (Tooth jewellery) is the latest thing in cosmetic dentistry. Surprise your friends with a sparkling crystal glass design, or something in gold with a twinkle of ruby or diamond. These tiny little designs are great fun, and because there's no drilling involved, they won't harm your teeth.

At DDC, committed to maintaining the health of your teeth. The tooth jewellery we use and the procedures for applying it have been tried and tested, so you can wear our tooth jewellery with confidence. The procedure is very simple. Just like an orthodontic bracket, the design is bonded onto your teeth. It's easy to change or remove and usually takes about 10 to 15 minutes.

Facts about tooth jewellery


Lots of fun designs to choose from

  • 'Skyce'TM designs available in two colors - 'crystal' and 'sapphire blue'
  • 'Twinkles' designs in 24k gold - with or without ruby and diamond
  • No drilling - so doesn't harm teeth
  • Easy to remove or change
  • Doesn't cost a fortune

Wisdom Teeth - To Keep or Not to Keep?


Wisdom teeth also known as third molars are the last teeth to erupt. Wisdom teeth may become a problem for you as they grow and develop in each corner of your mouth. Problems often develop gradually since development normally spans several years. Nevertheless, these gradual changes can cause sudden and severe pain. Understanding why such things can happen may help you to deal with these problems, or better still, to encourage you to take preventive measures before they occur.

The jawbone grows to approximately its adult size by your late teens. Unfortunately, that size is often too small to hold developing wisdom teeth. This happens because our jaws are smaller than those of early humans who needed large jaws and more teeth for their tougher diet.

When there is not enough room for your wisdom teeth, they may become impacted, or partially trapped in the jawbone and gums. The crown, or top of the tooth, may erupt, or just break through the gum, or it may remain completely within the bone. The roots can grow in unusual directions and may cause a variety of problems in your mouth and with your sinus cavity or the nerve in your lower jaw. The primary preventive measure for wisdom teeth is removal, preferably at an early stage.

Impacted Wisdom Tooth


A tooth becomes impacted due to lack of space in the dental arch and its eruption is therefore prevented by gum, bone, another tooth or all three. Lack of space occurs because our jaws have become smaller through evolution. We do not lose teeth through decay as frequently as in the past and our diet does not wear down our teeth as much.

Impacted wisdom teeth can grow in a variety of directions. This is illustrated below.

A wisdom tooth may grow toward your other teeth, away from them, or even in horizontal or vertical positions. When such conditions occur, it's far simpler and less painful to have them removed early before they have a chance to firmly anchor in your jaw as the teeth grow and the roots lengthen.

Why Remove Wisdom Teeth?


Wisdom teeth generally cause problems when they erupt partially through the gum.

Below are the most common reasons for removing wisdom teeth.

1. Tooth decay


Saliva, bacteria and food particles can collect around an impacted wisdom tooth, causing it, or the next tooth to decay. It is very difficult to remove such decay. Pain and infection will usually follow.

2. Gum infection


When a wisdom tooth is partially erupted, food and bacteria collect under the gum causing a local infection. This may result in bad breath, pain, swelling and the inability to open your mouth fully. The infection can spread to involve the cheek and neck. Once the initial episode occurs, each subsequent attack becomes more frequent and more severe.

3. Pressure pain


Pain may also come from the pressure of the erupting wisdom tooth against other teeth. In some cases this pressure may cause the erosion of these teeth.

4. Orthodontic reasons


Many younger patients have had prolonged orthodontic treatment to straighten teeth. Wisdom teeth may cause movement of teeth particularly the front teeth when they try to erupt. This will compromise the orthodontic result.

5. Prosthetic reasons


Patients who are to have dentures, constructed should have any wisdom tooth removed. If a wisdom tooth erupts beneath a denture it will cause severe irritation and if removed, the patient will need to have a new denture constructed as the shape of the gum will have changed.

6. Cyst formation


A cyst (fluid filled sac) can develop from the soft tissue around an impacted wisdom tooth. Cysts cause bone destruction, jaw expansion and displacement or damage to nearby teeth. The removal of the tooth and cyst is necessary to prevent further bone loss. Tumors may develop within these cysts or the jaw may fracture spontaneously if the cyst grows very large.

Why remove an impacted wisdom tooth if it hasn’t caused any trouble?


Impacted wisdom teeth are almost certain to cause problems if left in place. This is particularly true of the lower wisdom teeth. Such problems may occur suddenly and often at the most inconvenient times.

When is the best time to have my wisdom teeth removed?


It is now recommended by dentists that impacted wisdom teeth be removed between the ages of 14 and 22 years whether they are causing problems or not. Surgery is technically easier and patients recover much more quickly when they are younger. What is a relatively minor operation at 20 can become quite difficult in patients over 40. Also the risk of complications increases with age and the healing process is slower.

Traveling to foreign places


It may be advisable to have them removed before traveling if you are going to an area where specialist dental services are not readily available and your wisdom teeth are impacted.Should a wisdom tooth be removed when an acute infection is present?

Generally, no. Surgery in the presence of infection can cause infection to spread and become more serious. Firstly, the infection must be controlled by local oral hygiene, antibiotics and sometimes the extraction of the opposing wisdom tooth.

The ‘Pros & Cons’ of wisdom tooth removal

1. Some ‘Pros’ of removing a wisdom tooth.


Wisdom teeth may be hard to access with your toothbrush, or floss. Over time, the accumulation of bacteria, sugars and acids may cause a cavity to form in the tooth. If it is not restored with a filling, the cavity may spread and destroy more tooth structure causing severe consequences to the tooth and surrounding supportive structures.Due to the difficulty of keeping these teeth clean with your daily brushing and flossing, bacteria and food debris remaining on the wisdom teeth may present a foul smell causing bad breath.

A wisdom tooth that is still under the gums in a horizontal position rather than a vertical position may exert pressure on surrounding teeth causing crowding and crooked teeth. This also may occur if there is not enough space in the mouth for the wisdom tooth. This may warrant braces to repair the damage.A wisdom tooth that is still under the gums may become irritated. The gum tissue that lay over the tooth may harbour food debris and bacteria that gets trapped under the gum resulting in an infection in the gums.

There is the potential for more problems to occur the longer you wait and the older you get. This is because as you get older, the bone surrounding the tooth becomes increasingly dense making the tooth more difficult to remove. The healing process may also be slower.

Post operative healing


The healing process begins immediately after surgery as your body sends blood to nourish the tooth socket. Simple pressure from a piece of gause is usually all that is needed to control the bleeding and to help a blood clot to form in the socket, which promotes healing. Within a day or two, soft tissue begins to fill in the socket, aided by the blood clot. Eventually, the bone surrounding the socket begins to grow, filling in the socket completely. This is illustrated below.

As your mouth heals, you can promote faster healing and avoid complications by simply following the care instructions that our particiapting dentists will give you. While you may experience some discomfort as your mouth heals, following simple instructions will normally be all that is needed. However, you should call our participating dentists if you experience excessive bleeding or swelling, persistent and severe pain, fever, or any reaction to medications. A follow-up examination may also be scheduled to make sure that the socket is healing properly and that your mouth is returning to a normal, healthy state.

Post operative care


Following the removal of your wisdom teeth it is important that you call our participating dentists if any unusual bleeding, swelling or pain occurs. The first 6-8 hours after the extraction are typically the worst but are manageable.

At first, it may be possible to feel small fragments of bone with your tongue. These are the edges of the tooth socket and will soon disappear as the gum heals. Depending on the type of stitches used, they may need to be removed. Arrangements will be made for this to be done. If dissolvable stitches have been used, they will disappear 7 to 10 days after the operation.

Below are some tips to assist you after the operation.

1. Do not disturb the wound.


Disturbing the wound may invite irritation, infection and bleeding. Chew on the opposite side for the first 24 hours.

2. Do not smoke for 12 hours.


Smoking will promote bleeding and interfere with healing.

3. Do not spit or suck through a straw.


This will promote bleeding and may dislodge the blood clot which could result in a dry socket.

4. Control of bleeding.


If the area is not closed with stitches, a pressure pack made of folded sterile gauze pads will be placed over the socket. It is important that this pack stay in place to control bleeding and to encourage clot formation. The gauze is usually kept in place for 30 minutes. If the bleeding has not stopped once the original pack is removed, place a new gauze pad over the extraction site.

5. Control of swelling


After surgery, some swelling is to be expected. This can be controlled through the use of cold packs which slow the circulation. A cold pack is usually placed at the site of swelling during the first 24 hours in a cycle of 20 minutes on and 20 minutes off. After the first 24 hours, it is advisable to rinse with warm saltwater every two hours to promote healing (one teaspoon of salt to a glass of warm water). Do not rinse your mouth out during the first 24 hours because this disturbs the blood clots that are part of the healing process.

6. Medication for pain control


Anti-inflammatory medication such as Panadol is used to control minor discomfort following oral surgery. Stronger analgesics may be prescribed by the dentist if the patient is in extreme discomfort.

7. Diet and nutrition


A soft diet may be prescribed for the patient for a few days following surgery. You can gradually return to a normal diet once any jaw stiffness has settled. Very hot drinks and spicy food can increase pain and bleeding and should be avoided until the gum has healed. Also avoid alcohol as alcohol can increase bleeding and delay healing.

Most people do not experience any complications after having their wisdom teeth removed. Nonetheless, you should plan to see our participating dentists approximately one week later to ensure everything is healing well.

Cosmetic Dentistry


Cosmetic dentistry is generally used to refer to any dental work that improves the appearance of a person's teeth, gums and/or bite. It primarily focuses on improvement dental aesthetics in color, position, shape, size, alignment and overall smile appearance. 

  • The addition of a dental material to teeth or gums – examples: bonding, porcelain veneers (laminates), crowns (caps), gums grafts.
  • The removal of tooth structure or gums – examples: enameloplasty, gingivectomy.
  • Adding or removing dental materials, tooth structure or gums – examples: whitening (bleaching), laser whitening, gum depigmentation
  • Straightening of teeth accompanied by improvement in appearance of face orthodontics

Bonding is a process in which a enamel like dental composite material is applied to a tooth's surface, sculpted into shape, hardened and then polished.

Bonding is a process in which a enamel like dental composite material is applied to a tooth's surface, sculpted into shape, hardened and then polished.

Porcelain Veneers are ultra-thin, custom-made porcelain laminates that are bonded directly to the teeth. They are options for closing gaps, enhance the shape, or change the color of teeth that do not respond well to whitening procedures. In the majority of the cases, some level of tooth reduction is necessary for optimal results.

Gum Lift is a cosmetic dental procedure that raises and sculpts the gum line. The procedure involves reshaping the tissue and/or underlying bones to create the appearance of longer or more symmetrical teeth.

Gingivectomy means excision of the gingiva. By removing the pocket wall, gingivectomy provides visibility and accessibility for complete calculus removal and thorough smoothing of the roots, creating a favorable environment for gingival healing and restoration of a physiologic gingival contour.

Whitening, or "tooth bleaching", is the most common cosmetic dental procedure. While many whitening options are now available, including over the counter products, dentist-supervised treatments remain the recommended procedures for lightening discolored teeth.

Laser whitening is a teeth whitening technique in which gums are covered with rubber and a bleaching chemical is applied on the teeth. A beam of argon laser, which is intended to accelerate the process of bleaching, is then projected upon the teeth. This laser activates the bleaching chemical and lightens the teeth color. Laser whitening is said to be six times more effective in teeth whitening compared to other procedures.

Gum de-pigmentation (gum bleaching) is a procedure used in cosmetic dentistry to remove black spots or patches on the gums caused by excessive melanin. The normal color of the gum tissue is pink, but excess deposits of melanin can create what seem to be black spots or patches on the gums, creating an aesthetic or cosmetic problem. Discoloration may also be caused by long term use of certain medications.

Orthodontia also known as orthodontics and dentofacial orthopedics, was the first specialty created in the field of dentistry. The specialty deals primarily with the diagnosis, prevention and correction of malpositioned teeth and the jaws.