Articles on restorative dentistry

Dentistry 101

Dr. Vishal Jain, Dentist
Almost everyone has a dental problem now a days, it may be related to cavity in tooth ,mobile tooth, gum problem, malaligned teeth, bad smell, etc. Dentistry is a branch of medicine that is involved in the study, diagnosis, prevention, and treatment of diseases, disorders and conditions of the oral cavity, commonly in the dentition but also the oral mucosa, and of adjacent and related structures and tissues, particularly in the maxillofacial (jaw and facial) area. 1. Oral Medicine and Radiology - This branch deals with diagnosis of various oral diseases and its radiographs like IOPA, OPG and CBCT.2. Oral and Maxillofacial surgery - This branch deals with tooth extraction, surgeries of oral cavity, oral fracture reduction, oral cancer excision, oral abscess and cyst enucleation.3. Conservative Dentistry and Endodontics - This branch deals with filling of the carious tooth with various restorative agents & Root Canal Treatment.4. Orthodontics - This branch deals with mal-alignment of tooth. Braces and tooth movement from one place to other is possible in this branch.5. Pedodontics - This is a separate branch for the dentistry in kids. Child till the age of 14 years are treated by this branch.6. Periodontics - This branch deals with the diseases of the gums like bleeding from the gums, bad smell from the mouth, gum surgeries etc7. Prosthodontics - This branch deals in prosthesis means replacement of missing tooth either by removable method or by fixed method. Removable like dentures, partial dentures which need to be removed daily. Fixed means patient will not be able to remove it like dental bridges, dental crowns etc.8. Public health dentistry - This branch works at a community level like dental camps organization, dental awareness program, health talks, tie-ups among different NGO so that community at large can get the benefit.9. Oral Pathology - This branch deals in diagnosis of the various pathologies of the oral cavity. biopsy of the tissue is sent to this branch and after studying under microscope, they give the diagnosis, and then the treatment has to start.At undergraduate level, students are trained in all the departments and at the post-graduation level, student has to spend 3 years in one branch only

Chipped Front Tooth? Here's What Your Dentist Can Do

Dr. Swasti Jain, Dentist
Common causes of chipped or broken teeth areChewing ice, hard candy, nuts, popcorn kernels, and other hard foodsClenching or grinding teeth (bruxism)Practicing such contact sports as martial arts, wrestling, football, etcUsing teeth as a tool to open bottles, packages; to break tape and tagsLess common and preventable are the following causesnatural wearlarge fillingsextensive tooth decayprevious root canalThese all compromise a tooth's strength, making it more prone to chips and breaks.SOLUTION TO FRACTURED TOOTHMinor fractures that involve only the enamel (hard outer covering of a tooth) can be fixed on the same day by bonding the existing fragment or composite restoration.For larger fractures involving enamel and dentin (hard tissue beneath the enamel), they can be fixed the same way as enamel fractures but crowns are sometimes required needed as a definitive restoration.For adults where the pulp (nerve) become exposed, root canal treatment is usually required, followed by a crown for definitive restoration, this requires an endodontist (root canal specialist) and a general dentist and may take several visits to the dental clinic. For young patients, it is very important to preserve the vitality of the pulp to secure further root development.When the root is fractured with and without pulp (nerve) exposure, temporary stabilization can be made on the same day, definitive treatments can vary from removal of the fragment to extraction of the affected tooth.All fractures normally require clinical and radiographic (x-rays) control at 6-8 weeks and 1 year.DURABILITY OF SUCH TREATMENTAlthough composites are permanent restorative materials, a composite may get discolored over time and porcelain is considered more durable compared to the composite resin material. Your dentist can advise you about the best possible treatment to your case according to the extent of the fracture.

Cosmetic Dentistry - For The WOW Smile!

Dr. Shail Jaggi, Dentist
Smile!A simple 5 letter word but just the  sound of this word can light up our eyes ,make us feel light and happy and suddenly this world is a much better place ! I'm writing this today for some of us who are reading this and don't like something about their Smile or Teeth. It could be simple dark tooth ,broken teeth,decayed teeth or just badly shaped teeth ,too much gum while smiling ! The list could go on and on! But read on the good news is there are simple solutions to the most complex looking problems!10 Quick Simple Steps To A Great Smile!1. Evaluate your smile: Cosmetic Dentistry has come a long way from the simple drilling to filling days ! Look at your smile in the mirror and identify what you don't like .2. Review and Pick A Cosmetic Dentist: Most dentists today offer Cosmetic Dentistry in their office which is great, so make an appointment with a dentist you trust or go online and pick a dentist with some great reviews as a starting point.3. Cosmetic Dentistry Needs Advanced Training :Most cosmetic procedures can be completely non invasive and painless...your consulting Cosmetic Dentist should be able to give you multiple options with a range of techniques and costing for your procedures .4. Insist on Non-Invasive Dentistry:Remember the most complex treatment plan for the most complicated dental work can also be simple ,non invasive and painless .5. Teeth need to be Beautiful and Functional : Just great looking teeth is not enough!You should be able to eat with your teeth too! Make sure the dental office is adequately equipped for advanced and precise Cosmetic dental work.Remember its your teeth that are meant to last you a life time work should strengthen your teeth,not damage them further .6. Dental Damage is Irreversible: If your proposed treatment plan involves plenty of crowns and root canals take a second opinion .Today any well trained Cosmetic Dentist dentist can make you look amazing with Veneers and Bonded Dentistry!7. Ask for Documented cosmetic Work: Ask your dentist for documented cosmetic work done by the team and look at the results to see if you like them! Your dental work will be similar! If you like what you see go ahead !8. The Trial Smile :Always ask for a' Trial Smile' before you start any dental work .This can easily be done in your mouth or on dental models! It gives you an idea as to what the final look is going to be! Making it easier to decide .9. Good Tools Guarantee Great Dental Work: A dental office doing Cosmetic Dentistry should be well equipped with good cameras, cosmetic Imaging software, great tools for non invasive work and the communication with a very good lab for super cosmetic results!10. Patience and Communication: And last ...remember for that Fantastic Smile ...your dentist needs precision and perfection. Be patient and work with your dentist .Communication is the key--If you do not like something during the trial smile communicate with your dentist .So go ahead and make your choice to smile confidently ! Happy Smiling !

Why You Need Dental Crown

Dr. Swasti Jain, Dentist
A dental crown is a cap made from metal, porcelain, ceramic, or another type of material to strengthen a tooth that has been damaged. It is also used for restoring a tooth that has been lost. To have your crown made, your dentist will first take an impression. When the crown has been created, the dentist will cement it onto the tooth to keep it in place and restore your smile. The other restorative dentistry options available to repair a damaged tooth include tooth-colored fillings and dental bonding. However, a dental crown is used when the damage is too severe for either of these options.TYPES OF DENTAL CROWNSPorcelain and Ceramic Crowns Because porcelain and ceramic crowns provide the ability to match the natural color of the tooth, they are most commonly used for repairing teeth that are visible when you smile. This is a great option for patients with metal sensitivities or patients looking for a cost-effective, natural looking solution. However, compared to metal crowns they can fracture easily and cause damage to adjacent teeth. Porcelain-fused to Metal Crowns A porcelain-fused to metal crown involves layers of porcelain over a metal base. This is a great option for patients that want the strength of a metal crown but the look of a natural tooth. It is a strong, durable, cost-effective, and long-lasting solution for patients with weak or worn teeth.Zirconia Crowns Zirconia crowns are made from the metal zirconium, a white crystalline oxide. Zirconia is stronger than porcelain and bonds similarly to the tooth as metal crowns. It is a strong solution that can be colored to match the natural look of your teeth. However, it does have drawbacks for patients with metal sensitivities.Maintaining Your CrownAlthough crowns can weaken or fall out, depending on the option you choose and if they are properly maintained, crowns can last you for many years. The best way to maintain your dental restoration is following good oral hygiene by:Brushing twice a dayFlossing dailyRinsing with an antibacterial mouth washVisiting DENTIST for regular checkups every six months

Perk Up With Cosmetic Dentistry

Dr. Amit Berani, Dentist
Dentistry is no longer just filling or tooth extraction; rather it has become more than just that. Broken, crooked or missing tooth;  discoloured or decayed tooth and more troubles us nowadays. Where a simple sweet smile is something that everyone desires; cosmetic dentistry often comes to rescue. Here is a brief information about how cosmetic dentistry can improve your appearance.1. Teeth WhiteningMedications, consuming foods and beverages like tea, coffee, etc. or smoking can cause tooth discolouration. Many dentists in Mumbai employ in-office procedure, or provide you with whitening system to use at home.In-office whitening takes just 1-2 visits and teeth whitening under professional guidance is always good. However, it can take two to four weeks or more to get results from whitening products used at home.2. BondingIf your teeth have excess space between them, or if they are chipped, broken, stained, or cracked; dental bonding can improve the appearance of your teeth. Dentists also use bonding materials to fill small cavities or to protect the exposed root of a tooth. Bonding can last for several years, but it is more likely to chip or become stained.3. VeneersVeneers are made of porcelain or plastic to cover the front sides of the teeth. Veneers last longer than bonding. They are mostly done to change the colour or shape and provide a superior appearance. Veneers are used if:Have spaces or are chipped or wornAre permanently stainedAre poorly shaped or slightly crooked4. CrownsCaps or crowns completely cover a tooth to restore the normal shape and appearance. Dentists suggest crowns if you have to:Cover a misshapen/ discoloured tooth/ dental implant /large fillingProtect a weak tooth or restore a broken toothHold a dental bridge in placeCover a tooth that’s had a root canal treatmentPermanent crowns can last long if proper care is taken.5. Enamel Shaping and ContouringConsult a dentist for advise on enamel shaping and contouring to  enhance the appearance of your teeth. It involves removing or contouring dental enamel. It is used to correct:Misaligned/overlapping teethChipped teethBite problems6. BracesBraces improve the look of teeth and can improve an irregular bite and correct jaw positioning and jaw joint disorders. It is usually worn to reposition the teeth.7. BridgesBridges are used to replace missing teeth with artificial teeth. But the success of your bridge depends upon its foundation. Hence a healthy tooth is very important if you wear a bridge.8. Dental ImplantsDentists recommend implants as they are a long-term solution for missing teeth. They are an alternative to bridges. Having implants requires several steps, including:-A complete test X-rays, and consultation-Surgical implantation of the titanium screws-Taking impressions of both jaws-Making a model-Placement of the crownOther Periodontal Plastic ProceduresThere are even other cosmetic procedures to improve-An uneven gum line-Too short or too long teeth appearance-Exposed roots-IndentationsIf you are facing any of the above problems ask your dentist about your best options for correcting. Get the smile of your dreams. 

What Cosmetic Dentistry Offers

Dr. Amit Anand, Dentist
Today’s common cosmetic dental treatment options include:Whitening, or “tooth bleaching“, is the most common cosmetic dental procedure. While many whitening options are now available, dentist-supervised treatments remain the recommended procedures for lightening discolored teeth.Enamel shaping removes parts of the contouring enamel to improve the appearance of the tooth. It may be used to correct a very small chip. The removed enamel is irreplaceable, and may sometimes expose dentin. It is also known asenameloplasty, odontoplasty, recontouring, reshaping, slenderizing and stripping.Contouring, also known as tooth reshaping, is one of few instant treatments now available in cosmetic dentistry. Dental reshaping and contouring is a procedure to correct crooked teeth, chipped teeth, cracked teeth or even overlapping teeth in just one session. The dental contouring procedure can even be a substitute for braces under certain circumstances. It is also a procedure of subtle changes. A few millimeters of reduction and a few millimeters of tooth-colored laminate is involved. Tooth reshaping, or dental contouring, is commonly used to alter the length, shape or position of teeth.Bonding is a process in which an enamel-like dental composite material is applied to a tooth’s surface, sculpted into shape, hardened and then polished.Dental bridges are false teeth, known as a pontic, which are fused between two porcelain crowns to fill in the area left by a missing tooth. The two crowns holding it in place that are attached onto your teeth on each side of the false tooth. This is known as a fixed bridge. This procedure is used to replace one or more missing teeth. Fixed bridges cannot be taken out of your mouth as you might do with removable partial dentures. In areas of your mouth that are under less stress, such as your front teeth, a cantilever bridge may be used. Cantilever bridges are used when there are teeth on only one side of the open space. Bridges can reduce your risk of gum disease, help correct some bite issues and even improve your speech. Bridges require your commitment to serious oral hygiene, but will last as many as ten years or more.Veneers are ultra-thin, custom-made porcelain laminates that are bonded directly to the teeth. They are an option for closing gaps or disguising discolored teeth that do not respond well to whitening procedures.Lumineers, similar to veneers are thin porcelain shields that are bonded to the front of the teeth to improve the appearance of a smile. Lumineers do not require the reduction of teeth structure, unlike veneers.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.

Speed Dentistry – Wait No More

Dr. Arjun Balakrishnan, Dentist
Every time you want to go the dentist, the first thing that you have in mind is how long is it going to take, I can’t keep going to the dentist for weeks or months. For prevention, usually the appointments are fewer and cost effective. While when you have avoided the dentists regular visit, youdo end up reaching your dentist in pain and discomfort, requiring more elaborate treatments, that maybe time consuming and Yes, more expensive aswell. All said and done, more often than not you would not pay attention to prevention and end up needing dental treatments.Gone are the days when you needed to wait weeks for treatment to happen. With the latest technologies and advancement in materials, you can have that perfect smile in just a few days.Swift treatment protocols like Single-day Root canal treatments, Teeth in a day(Dental Implants), 24 Hour Dentures, Immediate dentures, Metal free crowns in 2 days have now made your dental visits shorter and quicker. Single Day Root Canal Treatments: Root canal treatments have for long been dreaded by patients,for the number of appointments and the pain as well. But with newer treatment protocols and advanced materials, they can be completed in a single appointment. They are both cost effective and more comfortable.Teeth in a dayMissing tooth and want immediate replacement? Now with the latest advances in Implantology, Immediate Provisional Teeth can be given after implant placement. Also if you need a bridge, your dentist will replace it provisionally the same day and recall you for the permanent within a few days.24 Hour denturesWe understand that patients requiring dentures, cannot come repeatedly to the dental clinic and want the dentures made as quickly as possible. Your dentist offers dentures that are delivered within a day’s time.However, the quality and fit is ensured, as all steps will be completed but swiftly, over 2 days.Immediate DenturesNeed to get teeth extracted but can’t go without teeth even for a day? Now you can get immediate dentures made that can be replaced immediately after extraction. They are painless replacements that also aid healing of the extraction sites. These dentures can later be replaced to more permanent restorations when healing is complete. This is available for single tooth or multiple teeth.Change your Smile in 2daysWith the availability of advanced laboratory support, Your Dentist is able to change your smile using metal free restorations and veneers in 2 days time.So next time you go to ‘Your Dentist’, you know there is no more waiting for long.

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.

3 Reasons Why You Shouldn’t Be Nervous About Implant Surgery

Dr. Ishwari Bhirud, Dentist
Dental implants have gained a popular reputation for their life-like appearance and longevity. Much of the latter is attributable to the titanium post embedded in the jawbone. Because titanium has a natural affinity with bone, new cells will grow and adhere to the dental implant over time, making their connection strong and durable.Of course, to achieve that requires implant surgery — a prospect that gives many people pause before choosing this replacement option. But implant surgery is a routine undertaking, causes very little discomfort and in trained hands has a very high success rate.Here are 3 reasons why implant surgery is nothing to be nervous about.The procedure is precisely planned. Implant surgery is a relatively minor procedure, mainly because all the placement details are often mapped out ahead of time. For complex situations your dentist can use x-ray or CT imaging to determine the exact location for each implant and create a surgical guide to use during the procedure to make incisions and create the small channel that will hold the implant.Implant surgery can be performed with local anaesthesia. Implantation is usually easier than tooth extraction — if you’re healthy enough for that procedure you should have no problem undergoing implant surgery. With a local anaesthetic, your dentist will numb only the implant site and surrounding tissues while you remain conscious. If, however, you have any anxiety your dentist can also include a sedative or anti-anxiety medication before proceeding.There’s minimal discomfort afterwards. Thanks to the pre-planned surgical guide and advanced implantation techniques, there’s very little tissue disruption and incised tissues are normally stitched with self-absorbing sutures. While some cases may require stronger pain relievers, most of the time a mild non-steroidal anti-inflammatory drug (NSAID) such as aspirin or ibuprofen is sufficient for discomfort afterwards.The implant site heals fairly quickly and predictably with a 95-97% success rate. A few weeks after bone integration your dentist will attach the permanent like-like crown, and you’ll be ready for many years of full function and a confident smile.