GENERAL DENTISTRY :

GUM DISEASE  

Gum disease occurs when bacteria infect the gum tissue generally due to poor oral hygiene. Smoking, poor diet and drinking can also exacerbate gum disease. Symptoms include Bleeding gums, bad breath, loose teeth. Deep Cleaning is done to treat the disease.

TOOTH DECAY  

Decalcification occurs when bacteria feeds on the sugar present on the teeth and forms a thin film of plaque. This plaque, if left, affects the enamel of teeth, then the dentin and finally the dental pulp inside. Once this has occurred the tooth will become infected (tooth decay), which is often very painful. For small cavities various tooth fillings can be done. But for larger cavities root canal treatment may be needed.

COSMETIC TREATMENT:

BLEACHING ( TEETH WHITENING ) :   

It is a common procedure in cosmetic dentistry to restore the colour of natural tooth. We use laser technique for the procedure which is the best technique available today. This remarkable treatment can give both your smile and confidence a boost through affordable and effective treatment. “Miracle cleaning”

VENEER :  

Veneer is a layer of material placed over a tooth to improve the look (aesthetics) of a tooth. Veneers are the ideal solution to dental problems like crooked teeth, cracked or chipped teeth. It also enhance the colour of your smile in just two visits. A composite veneer may be directly placed (built-up in the mouth), i.e, done in a single appointment. Porcelain veneers on the other hand are thin, shell-like covers, which are attached permanently to the teeth. These are custom made in the dental laboratory to suit the colour, shape and translucency of your smile, for a gorgeous yet natural looking transformation. Porcelain has high strength, hardness, glassiness, high durability, translucent & high resistance to chemical attack.

TEETH JEWELRY :  

Gems are no longer meant only for rings and neckless. It can now be used to aesthetically improve the look of a person.

RESTORATIVE TREATMENT

TOOTH COLOURED FILLING :  

These safe and attractive alternative to silver fillings. Composite (white) filling is used to treat a decayed tooth which is as strong as silver amalgam. Composite strengthen teeth with small or medium-sized cavities and prevent further damage.

ONLAY & INLAY:  

It is an indirect tooth coloured filling done in multiple sitting. It can be made of metal, composite or porcelain. An inlay sits in a hole in the tooth. An onlay sits on the tooth and builds up its shape PORCELAIN INLAYS custom made fillings made in the dental laboratory. These fillings blend with the colour of the natural teeth, so more aesthetic.

POST & CORE:  

It is done when more than 50% of tooth (exposed tooth) is fractured and cannot be restored with simple restoration (filling). For this treatment RCT is first done on the tooth, which is followed by insertion of a post into the canal and a core over it. Further a full coverage crown is given to bring the tooth into function.

ROOT CANAL TREATMENT  

Root canals are done to protect a tooth, mainly the calcified tissues of the tooth. This helps in maintaining the jaw integrity. In this treatment we remove the internal parts of the tooth, mainly pulp chamber of the tooth. Further the prepared empty cavity is filled with a bio-compatible material. 

If the entire tooth is extracted, the space in between the adjacent teeth can lead to shifting around of those teeth. Therefore a bridge or implant placement cannot be done properly.

Root canal treatment is advised for the protection of the tooth. Again, thickness of the calcified structure should be considered as they are more brittle and can break down. So to maintain and restore a tooth structure, crown placement is important.

SURGICAL ENDODONTICS:  

Endodontic surgery is removal of tissue other than the content of the root canal to retain a tooth with pulpal or periradicular involvement “failed Root Canal Treatment” — – is a myth today. With the advent of recent technology and modern methods of performing an endodontic treatment (RCT), success rate has highly increased. Any tooth can be saved if 1mm of minimum tooth structure is present after the treatment.

Today conditions like irretrievable root canal filling material, any obstruction in the canal that prevent direct access into the canal, extensively large periapical lesion, fractured root tip, need for surgical drainage etc can be successfully treated with various treatment modalities like trephination, curettage, root resection, hemisection, bicuspidization, reimplantation etc.

CROWN & BRIDGE:

A crown or a cap is used to protect the tooth structure after root canal treatment whereas a bridge is prepared to replace missing teeth. We have all variety of crowns available in market : metal ; metal ceramic : all ceramic

 

DENTAL IMPLANTS :

A dental implant not only replaces the missing tooth but also replaces the missing root. Thus it is more strong, stable and permanent. Dental implants are fitted into the jaw with the help of a dental drill, which is used to make a hole in the jaw into which the implant is placed. It is then left in place for 3-4months. Once the implant has fused with the jawbone, the abutment and crown or bridge is fitted.

But everyone is not suitable for dental implants. A diabetic patients or if you are still suffering with gum disease or you have a low bone density, you may have to consider other options. Dental implants prevent the deterioration of your jawbone and stop teeth drifting into empty tooth gaps, maintaining the appearance and strength of your smile. They can also be used to replace several or all missing teeth when attached to a bridge or denture.

IMPACTION

A tooth is called impacted when there is not enough space for them to erupt in the mouth. Any tooth can be impacted. The wisdom teeth usually erupts between 17 and 24 years. They are the last to erupt in the mouth and are most commonly seen impacted. In such a case they might erupt towards the cheek or might even impinge on the second molar.

Impacted teeth can cause pain, swelling, infection or damage to the teeth next to them. If the gum around the wisdom tooth is swollen the jaw may become stiff. The surgical removal (extraction) of wisdom teeth can solve these problems.

ORTHODONTIC TREATMENT

It is the process of straightening teeth with the help of wires. Any child or adult might require orthodontic treatment who has teeth that are : Crooked, Protruding, Spaced teeth etc.

An orthodontic treatment involves putting a wire/brackets on your teeth and regular visits (once a month mostly) for tightening/changing the wire. We have all the variety of dental braces.

MAXILLOFACIAL TREATMENT

FRACTURE OF FACE :

A fracture is a broken bone. Many situations can cause facial fractures. Like road traffic accidents, sporting injuries, falls, and assaults. Facial injuries have the potential to cause disfigurement and loss of function; for example, blindness or difficulty moving the jaw. Although it is seldom life-threatening, facial trauma can also be deadly, because it can cause severe bleeding or interference with the airway.

Depending on the type of facial injury, treatment may include bandaging and suturing of open wounds, administration of ice, antibiotics and pain killers, moving bones back into place, and surgery. When fractures are suspected, radiography is used for diagnosis. All kinds of facial fracture can be treated with platting.

 

MANAGEMENT OF OSMF (ORAL SUB MUCOUS FIBROSIS) :

Oral submucous fibrosis (OSMF or OSF) is a chronic, condition which may turn to a precancerous condition of the mouth. Initial symptoms includes burning sensation to hot spicy food, frequent ulceration, decreased saliva formation. Gradually, patients is unable to blow air into his mouth, decreased movement (elasticity) of tongue, the jaws become rigid to the point that the person is unable to open the mouth etc. This condition is linked to oral cancers and is associated with areca nut or betel quid chewing, tobacco chewing etc.

The treatment of patients with OSMF depends on the degree of clinical involvement. If the disease is detected at a very early stage, cessation of the habit is sufficient.  Unfortunately, most patients with OSMF report at a later stage. Both pallitative and surgical management is essential for the management of the disease. Moderate oral submucous fibrosis is reversible with cessation of habit, mouth opening exercise and medication. Severe oral submucous fibrosis requires surgical intervention. Current modern day medical treatments can increase mouth opening to a minimum of 30 mm.

MANAGEMENT OF TMJ PROBLEM: 

Temporomandibular joint dysfunction is characterized by pain and dysfunction of the muscles of mastication (the muscles that move the jaw) and the temporomandibular joints (the joints which connect the mandible to the skull). Although it is not life-threatening, it can be detrimental to quality of life, because the symptoms can become chronic and difficult to manage.

Temporomandibular joint (TMJ) dislocation symptoms include:

• Jaw deviation
• Inability to close the mouth
• Dislocation of the TMJ (can occur with blunt trauma, seizures, or excessive mouth opening)

There are many treatments available. Common treatments include provision of occlusal splints, psychosocial interventions like cognitive behavioral therapy, and pain medication. Laser therapy can also be done to relieve the symptoms.

MANAGEMENT OF TMJ ANKYLOSIS:

It is immobility or fusion of the TM Joint. Most often it results from trauma or infection, but it may also be congenital or a result of Rheumatoid Arthritis (RA).

Chronic, painless limitation of motion occurs. Facial asymmetry, limited or zero mouth opening, poor oral hygiene, nutritional deficiency is commonly seen. Treatment may include a gap arthoplasty, inter positional gap arthoplasty (flap) , reconstruction using iliac crest/ rib/ costochondral graft. condylectomy or an ostectomy of part of the ramus if the coronoid process and zygomatic arch are also affected. Physiotherapy and jaw opening exercises must be done regularly to maintain the surgical correction.

MANAGEMENT OF CYST &  TUMOUR:

 

Common cyst and tumour of mouth include mucocele, odontogentic cyst, traumatic bone cyst, mandibular cyst, salivary gland tumour, warthin’s tumour, ameloblastoma etc.

Various oral cyst and tumour can be successfully treated with minor and major surgical intervention. Laser treatment can also be helpful.