Articles on dentist

5 Factors to Consider When Choosing Your Local Dentist

Dr. Neel Bhatavadekar, Dentist
Getting dental treatment done is often accompanied by great anxiety for the vast majority of people. The largest component of this anxiety is usually not being sure if we have chosen the right dental office for the patients needs. Following are 5 quick points which should be considered when choosing your local dentist(points not necessarily in order of priority) :1) Inquire about sterilization protocols followed. Most good offices have something called a "Class B autoclave" for effective instrument sterilization. The sterilization chain right from how the assistant handles the instruments to how the doctor addresses patient safety (for instance with safety eye glasses) need to be considered.2) Does the doctor and the staff have a friendly demeanor and are they the sort who would be approachable in case of a toothache in the middle of the night.3) Credentials of the doctor. Is the doctor U.S. Board certified, for instance? Postgraduate or general dentist? 4) Does the dentist claim to do all treatment by himself/herself, or is there an internal referral process to involve other specialists when necessary. Does the dentist spend enough time in educating the patient in preventive measures? 5) Does the dental office appear to be upgraded with the latest dental technology to provide optimum and ethical patient care? (Having a fancy LED screen in the waiting room does not count ! )Hope these points help ! 

Why Did My Dentist Recommend a Root Canal?

Dr. Rajat Sachdeva, Dentist
Why Did My Dentist Recommend a Root Canal?Inside the tooth, under the white enamel and a hard layer called the dentin, is a soft tissue called the pulp. The pulp contains blood vessels, nerves and connective tissue, and helps to grow the root of your tooth during development. In a fully developed tooth, the tooth can survive without the pulp because the tooth continues to be nourished by the tissues surrounding it.A root canal is a procedure that is recommended by your dentist in order to repair & save a badly damaged or infected tooth. This procedure involves removal of inflamed or infected pulp, careful cleaning & disinfecting it & then filling & sealing it with a material called gutta percha. The causes that affect pulp are a deep cavity approaching pulp, repetitive trauma to the tooth, a cracked tooth, faulty restoration.A root canal is essentially a term that refers to the natural cavity that occurs within the core of a tooth. The nerve i.e. the pulp which is removed in the root canal treatment has no role in health & function of a tooth. It's only core function is to provide sensitivity towards hot & cold.Why is root canal treatment recommended?Pain: A toothache is the most common symptom of needing a root canal. The tooth may start to hurt spontaneously, in the middle of the night, or sometimes when the patient isn't even using the affected tooth to eat or drink. The pain can progress to a very severe generalised headache that may cause the person to even forget what initially caused the pain. If the tooth is dead and has become abscessed, the patient will feel pain when he or she chews food or puts pressure on the tooth.An Abscess:  may or may not produce swelling or bleeding around the tooth, and sometimes it causes significant swelling of the cheek, jaw, or throat. If this swelling is noticed, treatment needs are urgent.It is very important when feeling some pain around a tooth, to get a thorough examination with pulp vitality testing by a licensed dentist for a proper diagnosis.What to expect during a root canal procedure?X-ray: If a dentist suspects you may need a root canal, he will first take x-rays to be certain of decay location.Anaesthesia: Procedure is initiated with the administration of local anaesthesia to the affected tooth.Pulpectomy: an opening is made & the diseased tooth pulp is removed.Filling: The roots that have been opened to get rid of the diseased pulp are filled with gutta-percha material & sealed off with cement.Why Root Canal?Saving the natural tooth with root canal treatment has many advantages:Efficient chewingNormal biting force and sensationNatural appearanceProtects other teeth from excessive wear or strainModern endodontic treatment is very similar to having a routine filling and usually can be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances.

Why You Shouldn't Fear Your Dentist!

Dr. Abhyudaya Shrivastava, Dentist
Most people I know are extremely scared of showing their teeth to the dentist. As a dentist, I motivate them to come for regular consultations and not be afraid of minor surgical procedures to correct their oral function and form. But, I do understand where this fear comes from.This first basis of this fear is the fear of the noise or vibrations of the dental drill. Well, your dentist works with this drill on a daily basis and has spent years and years of practising his craft. He holds it with the precision ofan artist and is miffed by even a small unnecessary dent. It is highly unlikely that such a person could, even unintentionally, harm you with the machine. Have faith in your doctor and stay calm. It isn't a complicated procedure and the control for the machine is right under his foot in most cases. In case the fear deters you from going to the dentist, you may opt for a clinic that practises laser dentistry. There, they use lasers to cut the tooth and the whole procedure has no vibrations or noise.Another basis is the fear of pain. The patient may have heard a horror story of a difficult or painful extraction. He may himself have undergone a painful procedure. Well, the good news is, most clinics now practise pain-free dentistry. First, a numbing spray is used to numb the injection site and then the needle is used to inject anesthesia to your nerve endings. This renders the area numb for the duration of the procedure. In case you need more anesthesia you may always raise your hand and let the dentist know that you are in pain. He must stop and take necessary precautions. It is not required for you to power through any sort of pain.There are some people who just fear the embarrassment of showing their oral cavities to a stranger. Well, please understand that this stranger is a thorough professional and in his college years, he has seen much worse that your stains or cavity-ridden teeth. His job is to alleviate those conditions and he would happily do it. A doctor is also supposed to maintain the confidentiality of your situation so, don't worry about your pictures being used as an example to deter people. In case he does need to write a scientific report or presentation, he would do so only after your permission and would also hide your face and other identifiers before presenting the case to his community.As you can see, all your fears can be dealt with and they should not stop you from getting that perfect smile. So, go ahead and book an appointment with your family dentist and let your teeth shine brighter and last longer.Author is Owner and General Dentist at Vyom Dental Clinic and Implant Center, F-14, Kailash Colony, NewDelhi. Call 8802774703 for appointments or find him on Practo

Open Your Mouth to the Right Dentist

Dr. Bhupesh Gupta, Dentist
The biggest fear, is the fear of the unknown. And your mouth is too precious to be treated in that fear and that too by some unknown hands. An alarming rise in dental problems has seen an exponential growth of dentists and dental practices. Traditionally  we have been choosing our doctors on the basis of reference, qualifications and experience.  Lately internet reviews, advertisements and convenience have also started influencing our choice.  I believe the following considerations should be paramount in a patient's mind while choosing a dentist or a dental practice   MAIN DENTIST  of the practice should be accessible at all times. Today's  age of advanced medical science and technology frequently requires performance of dental treatments by specialists or experts. It is always a good feeling if your main dentist is part of the procedure or is close to you if some other specialist is treating. He knows your history, has worked on your mouth before, understands your fears and reactions and above all must have established a good rapport with you by now. Never feels nice to walk into a practice only to find new faces. GO FOR AT-LEAST 3 CONSULTATIONS especially if your dentist is advising an extraction of a tooth. Multiple consultations will prove inexpensive in the long run as it may  give you contrasting views of different doctors and enough time to make your decision.APPOINTMENT based dentistry should be the norm of every practice. You should not be made to wait anxiously in the waiting room for prolonged periods. Nowadays dental treatments are predictable , both in results and time taken to perform . Your dentist should be able to plan properly .STERILIZATION is an important but often overlooked aspect of dental care. Do not shy away from asking about the sterilization protocol of the clinic .YOUR DENTIST should be able to explain the reason for a particular dental problem , various treatment options available, cost and sittings for the procedures . GOOD DENTAL PRACTICES  besides treating the problem, also focus on educating about the reasons for the problem and preventing the same in the future.YOUR DENTAL RECORDS are your property and should be made available to you by your dentist, during or after the treatment.TRUST YOUR DENTIST who , as any good doctor will try to give you the best treatment.

Dentist for Children: Pedodontist

Dr. Amogh Tanwar, Dentist
Pedodontics or paediatric dentistry as it is known in a lot of places is one of the most challenging aspects of dentistry as it sometimes involves taking care of patients who are below the age of reason and don’t necessarily always know what is best for them.Pediatric dentists require an extra three years of dental training that prepare them in meeting the unique dental needs of infants, children and adolescent dental care. This also includes those with special health care needs.One of the main components of pediatric training is child psychology. This manifests itself in special office designs, different communication style, and an emphasis on teaching preventative dental habits to children in an effort to make dental visits enjoyable.For children, pedodontics place special importance in preventing tooth decay. Studies show that poor oral health care in children lead to decrease in school performance and poor social relationships. Therefore, pediatric dentists give advice on how to make teeth strong, the importance of developing healthy eating habits and other ways to prevent cavities from occurring.Dental Care for Young Children: Summary of Best Practice RecommendationsWhen should parents begin to clean their baby’s teeth? “The sooner, the better!” The American Academy of Pediatric Dentistry states that parents should begin dental cleaning at birth, by cleaning their child’s gums with a soft infant tooth brush and water. Unless it is advised by your child’s pediatric dentist, fluoridated toothpaste is not recommended until 2-3 years of age.When should children first visit a dentist? "First visit by first birthday" According to the American Academy of Pediatric Dentistry, children should first visit the dentist when they receive their first tooth or by the child’s first birthday. Early dental care is important for dental prevention in the future. However, dental problems can begin early. A major dental concern for young children is Early Childhood Caries, also known as baby bottle tooth decay or nursing caries.How can I prevent tooth decay from a bottle or nursing? To prevent tooth decay in young children, the American Academy of Pediatric Dentistry recommends that children be encouraged to begin drinking from a cup as they approach their first birthday. At nap times or at night, children should not fall asleep with a bottle. It is recommended that night time breast-feeding be avoided after the first primary (baby) teeth begins to erupt. Drinking juice or other sugary drinks from a bottle should always be avoided. When such drinks are offered, they should be served in a cup.Remember that just because you can't see the teeth doesn't mean they aren't there. Teeth actually begin to form in the second trimester of pregnancy. At birth your baby has 20 primary teeth, some of which are fully developed in the jaw.Running a damp washcloth over your baby's gums following feedings can prevent buildup of damaging bacteria. Once your child has a few teeth showing, you can brush them with a soft child's toothbrush or rub them with gauze at the end of the day.When all the primary (milk) teeth have come in (usually around age 2 1/2) your dentist may start applying topical fluoride during your child's visits.If you are prone to tooth decay or gum disease, your child may be at higher risk as well. Therefore, sometimes even the most diligent brushing and flossing will not prevent a cavity. Be sure to call your dentist if your child complains of pain in his or her teeth. The pain could be a sign of a cavity that needs to be treated.Your child needs the BEST, give him a specialist.

Fear of Dentist and Dental Pain

Dr. Swasti Jain, Dentist
The reasons why patients are afraid to visit the dentist are manifold.The dreaded needle is also a big barrier to a patient seeking treatment but can be easily overcome. Many dentists (like me) routinely use surface (topical) anaesthetic in the form of a gel before we begin the numbing procedure with the hypodermic. Together with delivering the anaesthetic very slowly, we can often introduce the needle with the patient not feeling entry at all. Some dentists now even use a method of delivering local anaesthetic electronically, maximising comfort.The fear of being hurt during treatment is also a barrier to a patient seeking help. Modern local anaesthetics are so good these days that providing a tooth is not very inflamed or infected, comfortable dentistry is guaranteed. Many new patients I see as emergencies in pain have usually not attended for treatment for years. They have almost always had a “bad experience” with a dentist many years previously.Some people hate the antiseptic smell of medical and dental offices.Some patients fear the loss of control in the chair, not surprising since the mouth feels a very vulnerable and sensitive part of the body. Most dentists will establish the use of hand signals with the patient at the start of treatment. If not, a lightning quick jab up the dentist’s nose usually halts procedures.Anxiety puts you on edge, compounds the ordeal and you’re left completely drained by it.Even if there isn’t any pain involved, it’s the threat of pain and other triggers of fear that builds up the anxiety and makes for a miserable experience.Some people can’t sleep properly the night before their appointment. They hate feeling so anxious but they can’t shake it. Sedation Dentistry is a great option to reduce anxiety.For the very anxious, simple oral sedation can be provided in practice via Temazepam tablets prescribed by your dentist. If you are really lucky, some dentists can provide inhalation sedation (gas and air) or can refer you to specialist centres for intravenous sedation or in exceptional cases, for general anaesthetic. There really is nothing to be scared of.

Choosing the Right Cosmetic Dentist

Dr. Rainy Surana, Dentist
In the clinic the other day, I happened to read this incredible book by Dr. Ronald Goldstein – ” Change Your Smile ” Such a beauty, this book! Concise, detailed knowlege on all cosmetic procedures imparted through simple use of language. This book is a must-read for not only patients but all those in the dental field.Most of us have thought about improving our smile, but dont know where to start! Here are  some tips on choosing the right Cosmetic Dentist.THE FAMILY DENTIST:Your own dentist may be the best person to see for your cosmetic dental treatment. If your happy with the preventive treatment your general dentist has provided, ask about his or her experience and qualifications in the area of cosmetic dentistry.LOCATION:For the sake of convenience, most people choose to visit a neighborhood dentist for their routine dental treatment. When seeking a cosmetic dentist, however, don’t let location alone be a deciding factor. Do some research to find the very best- you’ll be glad you did!HOW TO SELECT A GOOD COSMETIC DENTIST:Contact professionals in appearance related fields. These include plastic surgeons, cosmetologists, hair stylists, and modeling or theatrical agencies.Contact local dental specialists. These include orthodontists, oral surgeons, endodontists, prosthodontists, periodontists, and dental technitians. These specislists, who are familiar with the dentists in their communities, often can provide recommendations.Contact the Indian Academy of Cosmetic Dentistry (IACD)or other similar national academies for cosmetic dentists in your area.Ask friends and business associates.Use the internet to research specific areas your interested in, but use caution (most internet sites are not governed or overseen by state board)Do your Homework! Don’t rely on advertisements and magazines.HOW TO EVALUATE A COSMETIC DENTIST:Once you have several referrals, evaluate each dentists website. Compare credentials, treatment photos, educational background, and any professional teaching positions. Beware of Hype!Ask for a consultation. Expect to pay a fee for the dentist’s time, as well as for any x-rays, computer imaging, intra-oral exams, models, photographs and other records.Outline your expectations in a wish-list before your first meeting with the dentist.Bring photographs of yourself showing what u used to look like (if you want to have your teeth restored to a previous condition) or pictures of others who have the look you want to achieve.Ask to see photographs of patients the dentist has treated with similar conditions.Don’t shop for bargains. Instead, look for a dentist who will spend the time it takes to give you what you want. Otherwise, you may end up spending twice the money and time fixing mistakes.Get a wax-up. In this procedure, your dentist applies a special wax either to a cast made from your teeth or directly to your mouth to give you an idea how the final result may look.Consider a trial smile, Removable “snap in” teeth made of acrylic or composite resin allow you to actually ‘wear your new smile before any treatment is done.Ask if the dentist is able to obtain digital images of various treatment alternatives using computer imaging.Be aware of your problems and their potential treatment alternatives before seeing the dentist by performing the smile analysis.Arrive at your appointment early. You will need time to complete your forms and communicate your desires unhurriedly and in a relaxed atmosphere.Bring any x rays or study models you have made.Be upfront about budget restrictions. Also, bring your dental insurance information to the appointment. Although typically insurance does not pay for cosmetic treatment, the restorative portions of the treatment, such as crowns and bridges, may be at least partially covered.Be willing to invest in second or third opinion.WHAT ABOUT THE FEES?Time and expense are two factors that you must consider when seeking cosmetic dental treatment. Although it may be tempting to opt for shortcuts and bargains, remember the old saying-‘ you get what you pay for’The best esthetic dentistry requires a highly personalized artistic approach and thus typically is neither offered at discount prices nor covered by insurance.WHEN ASSESSING FEES FOR COSMETIC DENTISTRY:Take into account Dentist’s artistic skill and experience.Ask to see photos of patients who have undergone treatment similar to what your considering.Find how much time the dentist is willing to spend on your treatment. Make sure the fee reflects an adequate amount of time to satisfy your needs.Keep in mind that cosmetic dentistry is a team effort. The skill of the dentists support staff- available dental specialists, the dental hygienist, the dental assistant, and especially the laboratory technician who fabricates your restorations- is critical.Don’t base your decision solely on price. Instead, match your need for a believably natural result with what your willing to pay.Make sure you aren’t rushed during your consultation- see the fees as a long term investment. The most important goal of any consultation is to have the entire dental team thoroughly understand your vision of the esthetic result you seek.QUESTIONS TO ASK YOUR COSMETIC DENTIST:What are my cosmetic options?What compromises may I have to accept?What will the final result look like?Can I see before and after photographs of patients you’ve treated with similar problems?How long will my restorations last?How well will the restorations stand up to wear?What type of maintenance is required?How closely will the restorations match my natural teeth?Will I have to change my eating habits?What guarantees or warrantees do I have?What are my payment options?TRUST YOUR INSTINCTS:Trust is a major factor in choosing a cosmetic dentist. Your esthetic restorations may initially appear beautiful, and your expectations may be met esthetically, but will their beauty stand the test of time? Were they designed to fit precisely and thereby not irritate the soft tissue? Because its almost impossible for you, as the patient, to make these determinations, it is essential to find a dentist who has the training, experience, and willingness to dedicate the time needed to get exceptional , long lasting results. In short, the dentist must earn your trust.