Dental Treatment Blog

Baby Bottle Tooth Decay

Early Childhood Caries or Baby Bottle Tooth Decay

Even though they are temporary, your child’s baby teeth are important, and are still susceptible to cavities. Tooth decay in infants and toddlers is often referred to as ‘Baby Bottle Tooth Decay’, or ‘Early Childhood Caries’. Children need strong, healthy teeth to chew their food, speak and have a good-looking smile. Their first teeth also help make sure their adult teeth come in correctly. These primary teeth hold space for permanent teeth to erupt and contribute greatly to a child’s self esteem.

It’s important to start infants off with good oral care to help protect their teeth for decades to come. Being parents, one need to realize that a baby’s teeth are at risk for decay as soon as they appear in the mouth. By the time the cavities are large enough for you to see, it may be too late to save the child’s teeth.
What is early childhood caries?
Early childhood caries (ECC), also referred to as baby bottle tooth decay, is a condition that can destroy the teeth of an infant or young child. It is a severe form of decay in the primary (baby) teeth due to prolonged and frequent exposure to sugary liquids such as formula, milk, breast milk, juice, and sodas.





What causes early childhood caries?
Plaque is a thin, sticky film of bacteria that continually forms on everyone’s teeth and gums – even babies. The bacteria found in plaque use sugars to produce acid. After frequent, repeated acid attacks, tooth decay can occur. It’s not just what children drink, but how often and how long their teeth are exposed to decay-causing acids.
If a child goes to bed with a bottle of juice, milk, or formula, there is a chance that their teeth can decay. That’s called Early Childhood Caries (ECC). It can be very painful and sometimes surgery is needed to fix the harm caused by ECC. Your child can get the germs that cause tooth decay or gum disease from anyone who has these problems. Baby Bottle Tooth Decay most often occurs in the upper front teeth, but other teeth may also be affected.
There are many factors which can cause tooth decay. One common cause is the frequent, prolonged exposure of the baby’s teeth to drinks that contain sugar. Tooth decay can occur when the baby is put to bed with a bottle, or when a bottle is used as a pacifier for a fussy baby.
Tooth decay is a disease that can begin with cavity-causing bacteria being passed from the mother (or primary caregiver) to the infant. These bacteria are passed through the saliva. When the mother puts the baby’s feeding spoon in her mouth, or cleans a pacifier in her mouth, the bacteria can be passed to the baby.I f your infant or toddler does not receive an adequate amount of fluoride, they may also have an increased risk for tooth decay. The good news is that decay is preventable.


Symptoms of more severe decay include:
• Brown or black spots on the teeth
• Bleeding or swollen gums
• Fever, swelling or irritability, which could indicate infection
• Bad breath
If your child shows any of these symptoms, it’s imperative to see a dentist as soon as possible. If decay spreads, your child could face extensive restoration treatments and even tooth loss.



How to keep baby safe from ECC?

Wipe your baby’s gums and teeth with a soft damp cloth after feeding, before bedtime, and at naptime. Don’t let your child take formula, milk, juice, sugar-water, or food to bed. If your child must take a bottle to bed, fill it only with water. Water can’t harm teeth the way other drinks and food can. You and your dentist: partners to protect your child. Gently lift your child’s upper lip and look for white or dark spots on their teeth. If you see these spots on their teeth, make an appointment with your child’s dentist right away. If your child does not have a dentist, ask your doctor for the name of a dentist who will see young children.
Preventing Baby Bottle Tooth Decay
• Try not to share saliva with the baby through common use of feeding spoons or licking pacifiers. After each feeding, wipe your child’s gums with a clean, damp gauze pad or washcloth.
• When your child’s teeth come in, brush them gently with a child-size toothbrush and a smear (or grain of rice sized amount) of fluoride toothpaste until the age of 3.
• Brush the teeth with a pea-sized amount of fluoride toothpaste from the ages of 3 to 6.
• Supervise brushing until your child can be counted on to spit and not swallow toothpaste—usually not before he or she is 6 or 7.
• Place only formula, milk or breast milk in bottles. Avoid filling the bottle with liquids such as sugar water, juice or soft drinks.
• Infants should finish their bedtime and nap time bottles before going to bed.
• If your child uses a pacifier, provide one that is clean—don’t dip it in sugar or honey.
• Encourage your child to drink from a cup by his/her first birthday.
• Encourage healthy eating habits.
• When your child’s first tooth appears, talk to your dentist about scheduling the first dental visit. Treat the first dental visit as you would a well-baby checkup with the child’s physician.
• Remember: starting early is the key to a lifetime of good dental health.
• Foods containing proteins and fats cannot be utilized by bacteria to produce acids. They tend to increase the ph levels and neutralize the acids that may have been produced eg seeds and nuts, raw vegetables and fruits.
• Parental tooth cleaning, especially with a very small amount of fluoridated dentifrice, is helpful when accomplished at least once a day. Twice a day is even better.
• A counseling approach, providing the parent with choices has been found effective. The sugar substitute xylitol has been found to be effective at reducing levels of harmful micro-organisms in the mouth, and has recently been promoted as a cavity reducing agent in the form of disposable wipes.





The Importance of Treatment for Baby Bottle Tooth Decay

It’s a common misconception that the premature loss of baby teeth isn’t a problem. After all, these teeth are going to fall out anyway, so why worry if they fall out earlier than scheduled?
In fact, there are many reasons to be concerned about the premature loss of baby teeth.
The permanent teeth — which will serve your child into adulthood — are present in the jawbone from your baby’s early years. The baby teeth act as a placeholder for the permanent teeth. If they are lost prematurely, the spacing of the permanent teeth can be affected. Premature loss of baby teeth can lead to misaligned permanent teeth along with other issues that could require extensive orthodontic treatment. Tooth loss can also make it difficult for your child to eat a healthy, nutritious diet. It can also affect his or her ability to speak properly. Proper diction requires the presence of front teeth, so premature tooth loss could lead to a need for future speech therapy.
Bad hygiene habits could follow your child into adolescence and adulthood. The best way to ensure ongoing dental health as your child matures is to be sure that he or she learns good oral hygiene from the beginning. The best approach to baby bottle tooth decay is prevention. If your child does experience early childhood dental caries, you and your child’s dentist can work together to determine the best treatment options.





This post is not to support one particular technique. Each technique has its own pros and cons. We need to decide which is the best for your particular case. Every case is different. Every patient is different. Each one has their own priorities.. You need to take a call based on the presentation below. But before taking the decision you need to read this article.  

In this post we would like to tell the advantages of our technique and not to criticize the other techniques. We do both Single piece implants and Two piece Implants in our practice. We decide which implant technique to be used based on the patient location, Budget, treatment planning, number of teeth missing, location of the teeth missing- Front / Back, Upper Jaw/ Lower Jaw.

The first and foremost thing one should note is that Single piece implants have abutments and Implant fixture in one piece, hence needs to be cemented. There is no option for screw retention at all. In TTPHIL ™ Technique the restorations ( Implant Supported Crowns and Bridges ) can be either cement retained or screw retained depending on the case. Watch the video below to understand what are Single piece implants and two piece implants.

The other thing one should understand is that whether we are doing immediate loading or delayed loading. In Immediate loading we need to splint  or connect the bridges if multiple teeth needs to be replaced for equal force distribution in either of the techniques.  Because of this reason we prefer screw retention when we are replacing many teeth.  If one of the implant for suppose has a problem in future cement retained implant crown and bridges retrievability is impossible. We cannot repair the bridge. We need to cut the whole bridge which is traumatic. If you are planning to get a single implant replaced you can choose cement or screw retained option in case of front tooth missing. In case of back tooth missing it is advised to go for screw retained restorations because it is not located in the esthetic region. Now the recent developments in case of front tooth/ teeth replacements we are using pre angulated abutments.

screw retained restoration(Why we at THE DENTAL SPECIALISTS prefer cemented restorations is because  in these situations having a screw access in a visible area is unacceptable. When screw access to the implants are in aesthetic areas, the screw access can be re directed at times with use of pre angled abutments or the restoration should be retained with custom-made  CADCAM abutments and cement retained Implant supported restorations can be attached to implants with screws or can be cemented to abutments which are secured to implants with screws.)

This article will be written from this perspective and the advantages and disadvantages of each method of retention. It will be discussed under the following 10 headings:



3. Retention

4. Immediate Implant placement

5. Passivity

6. Provisionals

7. Occlusion

8.Immediate loading

9. Impression procedures

10.Long term treatment planning

This post is mainly regarding Single Visit Dental Implant treatment. In most of the cases we at THE DENTAL SPECIALISTS  place Flap less or Pinhole or Key hole Implants ( without opening the gums) based on the clinical and radiographic guide assessment. But sometimes when the bone availability is less we prefer to open the gums and place the implants and bone grafts for better visibility and safety and long term results. Both the flapless ( Less when compared to Flap Opening) and flap opening procedures lead to gum shrinkages when we load immediately. Usually we replace the crowns and bridges immediately with in 2 days to week depending on the case. We used to do single piece implants for multiple and full mouth rehabilitations for Single Visit Dental Implants before, but because of three reasons we are now preferring screw retained restorations- gum shrinkage in cement retained implant restorationsFirst reason: We can expect some gum shrinage which cannot be  repaired in cemented bridges. In screw retained bridges with multi unit abutments  and CAD CAM MLS and ZIRCONIA technology we can repair it by sending it to the ceramic  laboratory Though screw retained restorations are more expensive they can be maintained and repaired. Second reason: In Cemented retained restorations the cement gets entrapped in the gums which leads to gum shrinkage leading to inflammatory changes because of the left out cement particles in the gum sulcus which  later leads to bone loss.

cutting the bridge cement retained restoration

Third reason: We need to cut the whole restoration or the bridge if any issue comes. If it is one single tooth replacement it is easy to cut but if multiple teeth replacements or full mouth replacements have to be done cutting the bridge is not easy. The only advantage of cement retained restoration is that the bridge will not come out but what if there are any issues in the implants. We should expect those and get the implants done.  We are getting them done once for all. Now its you to choose whether to go for cement or screw retained restorations based on the above article.

Aesthetics is better in cement retained restorations  but now with the Pre Angulated abutments with Micky Mouse screw this also has a solution. But very expensive..

Retrievability – Screw retained better than Cement retained. In case of any complication the bridge can be removed and can diagnose the situation easily.

Retention: In case of less mouth opening less than 7 mm abutments are used screw retained is always better when compared to cement retained restortions

Immediate implant placement: Screw retained restoration better because of repairability and maintenance.

Passivity and provisionals( Temporary teeth): Both are good

Occlusion: In screw retained restoration you can get it removed and add ons can be done later after osseous integration of the implants. Progressive loading is possible in screw retained restorations.

Immediate loading: Both cement and screw retained can be done.

Impression procedure: Its easy to do cement retained restorations. The doctor should be a Prosthodontist or skilled dental surgeon to take accurate impressions.

Long term Planning: Screw retained restoration is always better than cement retained restoration.

These are the prosthetic advantages why we choose ACTIVE THREADED TTPHIL™ BICORTICAL BASAL ANCHORED IMPLANTS?

We wish you to read the below articles which are more interesting about the TTPHIL™ technique.

Single Piece Implants- Disadvantages

TTPHIL Technique – Permanent Teeth in 2-9 Days

Still have doubts please feel free to call us on 00919963511139/ 00919959448800/ +919177671117. Its important for our team to clarify your doubts before you take a decission. The best way is to email us your  X-rays, OPG, CBCT and Intra Oral photos to Our team will call you or email you which ever you are comfortable.



Sedation in Dentistry

At The Dental Specialists, we offer a number of options to help you find relief from dental anxiety, including oral sedation and intravenous (IV) sedation. We prioritize your comfort by using reliable methods of sedation dentistry in our hospital.

Our high standards of service and clinical expertise, and the environment in which we work, all reflect the best of modern dentistry.

We offer a prompt service for emergency cases, such as severe pain, swelling or trauma. To take advantage of this service, please call us on +91 99594 48800. Where possible we will see your patient on the same day or the following day for emergency care.

In a single session under sedation, different procedures including restorations, pulp therapies, extractions, preventive procedures and a lot of other dental treatments can be done. The quality of dental care is much better with general anesthesia for the reason that the dentist can perform treatment for the patient  without having to constantly adjust for the patient’s movement and without having to prepare and encourage the patient.


Oral Sedation Dentistry at the Dental Specialists

Some patients experience fear regarding dental procedures. Oral conscious sedation is an effective option in sedation in dentistry because it works well for most patients.

Sedation is one modality that makes sure that the patient received effective pain control. It is more convenient and time saving than treatment in office setting.
Benefits of Oral Conscious Sedation

Easy administration – tablet form

Effectiveness and the ability to have successful, longer appointments

A good option for those with fear of injections/needles.

Well-tolerated by the majority of our patients

Little to no memory of your treatment


Benefits of Nitrous Oxide Sedation

Rapid onset which means that the sedative effects are felt quickly

Reduces gag reflex

Has few-to-no after effects

Intravenous sedation

Intravenous sedation is very effective for creating a calm state in anxious dental patients who might also have some kind of phobia regarding dental treatment. One of its benefits is that it creates little to no memory of the dental procedure after the treatment and is a popular choice for patients with anxiety. Patients who have IV sedation require a companion to bring them to and from their dental appointment and to stay with them afterward.

The IV is inserted and an anti-anxiety sedative is administered by a doctor qualified to administer it.

The onset is rapid and the patient experiences a state of conscious relaxation with little or no memory of the experience.

Patient is able to communicate, allowing the dental team to confirm the state of the sedation.

Pulse and oxygen levels are monitored throughout the procedure for patient safety.

Most patients are “awake” with little or no memory of the event.

The procedure is always supervised by dental professionals trained in IV sedation.

Please feel free to talk to one of our professionals at The Dental Specialists regarding sedation in dentistry or any other procedure you may have a question about.


Pre-Operative Care
The following instructions are general guidelines. Follow the instructions you received during your pre-op consultation as they will be more specific to your needs.

No food or water 8 hours prior to your appointment.

Do not drink any alcohol.

Inform us of any prescription drugs you are taking.
Post-Operative Care

Patient cannot drive for 24 hours after sedation

Do not operate any hazardous devices for 24 hours

A responsible adult should be with the sedated patient for several hours after the appointment until the effects for the medication has worn off. This amount of time varies from person to person.

Patient can eat and drink as soon as they would like and doing this will likely ‘wake them up’ faster than if they did not.

Patient should drink fluids as soon as they are able to.

Patient may be drowsy after they leave our office. They may also seem alert. Attend to both alert and drowsy people the same.

Always assist the patient when they are walking.

Call us if you have any questions or difficulties. If you feel that your symptoms need a physician, you can go to the closest emergency room immediately.


Dental Medicine

Today the world is more focused and diverted towards the specialization.  Dentistry is one such field with many specializations. If you are aware about different dental specialists, it helps to know which type of dentist can help you most efficiently. A simple example will help you to have a better understanding: we go to orthopedist for bone problems or defects and not to a cardiologist because both are doctors. An orthopedist have specialization in bones related problems and a cardiologist is a heart surgeon . Similarly, Dentistry is a field of Medicine which has 9 specializations.

What are the different specialties in Dentistry?

  1. Prosthodontics


Prosthodontists are the specialists who deals with the treatment of missing teeth .They replaces the missing teeth by fabricating the artificial prosthesis which replicates the natural teeth .The replaced teeth are made such that they fulfills the  aesthetical and fuctional requirement. They make sure that the mastivatory forces are evenly distributed to prevent traumatic occlusion. The missing tooth or teeth are replaced by different measures ; it can be removable or fixed depending upon the health of supporting structures i.e gums , alveolar bone and the adjacent teeth.. If the supporting structures are not strong enough we go for removable prosthesis. This removable prosthesis can be inserted by oneself. It has to cleaned daily for proper hygiene. These prosthesis gets their strength via metallic framework attached to it. The fixed prosthesis includes bridges or implants. The bridges or crowns can be metal ceramic or zirconia crowns depending on the requirement. Sometimes for preparing a crown we need to do intentional root cal treatment to avoid any hypersensitivity of teeth. Another prosthetic approach to tooth replacement is the dental implants , which is a surgical intervention. Dental implants are the titanium screws which are drilled into the alveolar bone to serve as anchors for the tooth to be replaced.the implants are now accepted world wide as it does not involves root canal treatments of adjacent teeth for support.the implants can even be loaded immediately and thus it also fulfills the aesthetical requirement by not revealing the missing tooth .. Implantology is now developing to a field by itself.



Periodontics is the branch  of dentistry that deals with Gum disease : its causes  and treatments. If you have bleeding gums then you need to visit to pereiodontist without delay as this could be the early sign of any gum disease. Gums constitutes the major part of oral health. Unhealthy gums lead to several dental problems and also its associated with some other health issues like diabetes  or heart diseases. Any defect in the gums and its adjoining structures results in early loss of teeth. Plaque and calculus are the deposits which gets  accumulated along the gum line and irritates and inflames the gingiva. This results in gum  diseases  like gingivitis and periodontitis.  Further more any gum recession or bone recessions are uplifted by doing flap surgeries which are undertaken by the periodontist. Periodontal treatment includes the cleaning of the plaque deposits and calculus with the hand instruments or ultrasonic scalers. Bony and gum defects are treated by raising the gingival flaps and deep cleaning or (curettage) ; to remove the granulomatous or necrosed  tissue. Mobile teeth may be splinted together for support and stabilization during the healing process.


3.Pediatric Dentistry

Pediatric dentistry is a field that deals with treatments for kids and teens. It is recommended by the American dental academy that an infant’s first visit to the dental clinic should be made till his/her first birthday .Children have their primary or milk teeth till the age of 13 years. The problems related to the primary set of dentition is taken by pedodontist. Teens have the mixed dentition that includes both primary and permanent dentition.Kids and teens have special type of problems which are treated by specialist .pediatric practice not only deals with treatment but also prevention from dacay by educating both parents and the children. If the milk tooth sheds before time the space has to be maintained for the future permanent tooth. This space is maintained by using space maintainers. Its very important to guide the correct eruption of teeth to avoid the malocclusion and the subsequent trauma due to occlusion. If your kids have problems related to cavities or tooth fracture then they need to visit the pedodontist to treat it by fillings or rct or pit and fissure sealants.


4. Endodontics

When the tooth becomes infected or the decay involves the pulp it has to be treated by a root canal treatment which is done by an endodontist. The pulp is the innermost layer of the teeth comprising of blood vessels and nerves. When this pulp gets infected it causes extruciating pain. It can also be effecting the periapical region. Endodontist also helps you to design your smile and thus enhancing the cosmetic appearance. They can give strength to your tooth by builing the lost structure of your tooth .


5.Oral and MaxillofacialSurgery
This branch of dentistry involves dealing with surgical interventions. The problems that require surgical treatments are done by an oral surgeon. The problems associated with your temporo mandibular joint or any jaw deformities are taken by this specialist. Cleft lip or palate cases are resolved by the surgeon providing you a better life. The most common problems associated with erupting wisdom tooth or impacted wisdom tooth due to lack of space in the jaws are treated by removing that tooth surgically by oral surgeon .The tooth can be impacted horizontally or vertically and has to be carefully removed preserving the vital structures .Emergency treatments like accidental trauma , fracture of maxilla or mandible or removal of any cyst or tumour is also undertaken by an oral sugeon.


6. Orthodontics

Orthodontics is the branchy that deals with the study and diagnosis, detection ad prevention of the malocclusion. Malocclusion conditions are best treated by orthodontist .Malocclusion occurs due to discrepancy in tooth to jaw relationship. It can be either dental or skeletal problem or both. Faulty occlusions like deep bite ,proclined teeth or crowded teeth has to be treated at the earliest to prevent traumatic stress to the teeth and the tissues. Faulty habits like bruxism (grinding of teeth) ,thumb sucking or tongue thrust also deviate the occlusion from the normal condition. .the orthodontist corrects all the above defects or problems by special clips and appliances and also does the surgical intervention if required.


7. Oral Pathology

This field is concerned with the study and diagnosis of any pathology or lesion of oral tissues.this is a non cliniucal field od dentistry. It explains the cause of the pathology and its treatment.these pathologies have the ability to cause the alterations of the structure and their function. Oral disease is diagnosed by microscopic studies , sputum test or the biopsies taken by excising or incising the affected tissue. The oral pathologist, who usually works in the laboratory of a hospital, serves the patient only indirectly via consultation with the general phycisian or dentist.


8. Oral and Maxillofacial Radiology

This is the field of dentistry that deals with the study of the x rays of the oral tissues and all the oral structures .x rays are important way of diagnosis ; it helps diagnosing pulpal infection or periodontal infection .further more they are also helpful in the detection of the bony defects or any cyst or tumour.


9.Public Health Dentistry

This field relates to the study material comprising of the data linked with the public health. It explains the rate or growth of any dental disease in the particular explains the prevention and control of dental diseases and educating people about the dental health and its importance, through organized community efforts and standardized data.. It offers career areas in dental public health and clinical research.











Though many parents are knowledgeable that children must get rid of the baby feeding bottle at the age of one year and that the baby by no means should go to sleep while clutching the bottle, many just can’t discontinue the habit, or else, many merely surrender with the intention that the family can get a little much-needed sleep. The fault hits hard, however, while these parents get their toddlers to the Pedodontist and realize that they require up to 10 to 20 fillings, crowns and/or tooth extractions to undo the harm caused by ECC.

ECC….Does it really matter!

Yes it does! A glance at the occurrence and seriousness of this condition, demonstrates why it is so significant for the dentists to lay emphasis on prevention and as necessary, recommend different treatment options to these kids.

Evidence———————38% of children aged I to 2 years and

56% of children aged 2 to 3 years develop ECC.

In certain economically underprivileged families, almost 80% of infants and preschoolers were found to have ECC.

What is ECC by the way!!

Early childhood caries (ECC)
Also commonly known as – Baby bottle caries,

Baby bottle tooth decay,

Bottle rot

ECC is a severe decay in the teeth of infants or young children and is characterized by extensive, rapidly progressive, deep decay of the upper front milk teeth and often the back teeth.

Wake up before it is too late!





If neglected……









lf delayed your child’s decayed teeth may very soon become necrotic and can cause alveolar abscesses, which often leads to diffuse swelling of the surrounding soft tissues.
These abscesses are quite painful and can also harm the underlying, developing permanent tooth buds.Worse yet this condition can cause disfigurement and hamper the child’s ability to eat.

Consequences of ECC












What can be done?

Pedodontists find themselves walking a fine line while helping the children facing this problem. Most young children can be treated adequately using behavioral techniques. On the other hand,
some kids cannot receive treatment via these conventional methods. Infants and children who have not yet attained the emotional maturity, neither have the ability to understand the need for the treatment nor the effective and appropriate skills to get through invasive and potentially uncomfortable and expressively frightening dental procedures. For many of these children, treatment under General anesthesia in a hospital setting represents the best possible or the single venue to deliver the required oral health care.

Literature support:
• Dental management using general anesthesia is a one-step rehabilitation treatment for young children with severe dental problems.
• What is GA?……… GA is a controlled state of unconsciousness.
• It is almost three decades that dental rehabilitation under GA had been delivered to young children.
• In many cases, GA is the only practically possible and time-saving mode of treatment.
In a single session under GA, different procedures including GIC or composite restorations. Pulp therapies, stainless steel crowns (SSCs), extractions, preventive procedures like pit and fissure sealants and fluoride varnish applications are offered.
• The quality of dental care is much better with general anesthesia for the reason that the dentist can perform treatment for the child without having to constantly adjust for the child’s movement and without having to prepare and encourage the child.









What are the advantages of Comprehensive Dental Rehabilitation Under GA?

 As already stated, under GA all the necessary treatments are delivered in a single session in a hospital setting, thus providing efficient services in a safe and secure mode. Furthermore. GA is one modality that makes sure that the child received effective pain control.
 The added advantage is GA does not need the child’s cooperation as one prerequisite for treatment.
 Dental GA is more convenient and time saving than treatment in office setting.
 It has also been reported that dental treatments performed under GA have superior quality and durability than conventional treatments (BMC Oral Health 2014).

How much time does it take for the treatment?

The time requisite for dental rehabilitation under GA is considerably fluctuating with an average of 1 to 4 hours being the usual treatment time elapsed on a day-care basis. The total time required for the treatment is influenced by number of teeth to be restored and the type of dental procedure.

Improved scheduling….We are glad to add to your information that you need not dependent on the availability of operating suites at hospitals as we are now able to schedule and plan our procedures to deliver treatment to patients in a timely approach. On top, the scheduling flexibility makes it possible for the working parents and dentists in our practice to plan events to meet their requests as well.

Changing Parental Attitudes towards GA….

Most of the parents convey “panic,” “fear,” and “concern, with some level of nervousness towards GA. However, attitude of parents concerning GA has altered over time in the favor of it. Currently.there is a swing towards growing acceptability of GA in parental opinion. After treatment under GA is complete, parents reported a reduction in the amount of dental pain or no pain, improvement in the sleeping pattern, eating habits and increased acceptance of parental tooth brushing. Dental rehabilitation under GA resulted in the instant improvement of the oral health, physical, emotional and social quality of life of the treated children. It as well has a positive and encouraging impact on the family providing an enhanced opportunity for parent and child education on positive oral health behaviors which can lead to positive behavioral changes and improved oral health for life time.

We are happy that most parents today, recognize dental GA as a treatment modality that optimistically affects the quality of life of their young children (Pediatr Dent 2012).


Causes of Toothache and Pain Relief

While tooth decay is often the primary cause of a toothache, it’s important for you to have a complete oral examination to determine the cause. Other causes of a toothache can include the following:

  • Infection
  • Gum disease
  • Grinding teeth (bruxism)
  • Tooth trauma
  • An abnormal bite
  • Wisdom tooth pain
  • Tooth eruption (in babies and school-age children)

TMJ/TMD (Temporo mandibular Joint Disorder), sinus or ear infections, and tension in the facial muscles can cause discomfort that resembles a toothache, but often these health problems are accompanied by a headache.

Pain around the teeth and the jaws can be symptoms of heart disease such as angina. If your dentist suspects a medical illness could be the cause of your toothache, he or she may refer you to a physician.

If you have a toothache, you may have a cavity or advanced gum disease.

The first sign of decay may be the pain you feel when you eat something sweet, very cold or very hot. ( If the pulp – the inside of the tooth that has tissue and nerves – has become irritated, this can cause pain in your tooth.)

What Symptoms Accompany a Toothache

Because the symptoms of a toothache may resemble other medical conditions or dental problems, it can be difficult to diagnose the cause without a complete evaluation by your dentist. If you notice pus near the source of the pain, your tooth may have become abscessed, causing the surrounding bone to become infected. Or the pus could indicate gum disease, which is usually characterized by inflammation of the soft tissue, bleeding gums and abnormal loss of bone surrounding the teeth.

How do I get pain relief from tooth pain if I cannot see my dentist right away?

Anyone with a toothache should see a dentist at once for diagnosis and treatment. If left untreated, a toothache and the condition that is causing it can worsen. However, if you are unable to schedule an emergency appointment, the following self-care treatment can temporarily alleviate pain and inflammation from a toothache:

  • Rinse with warm salt water
  • Gently floss teeth to dislodge any food particles trapped between teeth.
  • Take an over-the-counter pain reliever such as ibuprofen (Advil) or acetaminophen (Tylenol) to relieve pain.
  • Never put aspirin or any other painkiller against the gums near the aching tooth, as it may burn the gum tissue.
  • Apply an over-the-counter antiseptic containing benzocaine directly to the irritated tooth and gum to temporarily relieve pain. Direct application of oil of cloves (eugenol) may also help to numb the gums. The oil may be rubbed directly on the sore area, or soak a small piece of cotton and apply it to the sore tooth.
  • If there has been some trauma to the tooth, a cold compress may be applied on the outside cheek to relieve pain or swelling.

How Can My Dentist Help with Toothache

  • Your dentist will conduct a complete oral examination to determine the location and cause of the toothache, looking for signs of swelling, redness and obvious tooth damage. He or she may also take x-rays to look for evidence of tooth decay between teeth, a cracked or impacted tooth or a disorder of the underlying bone.
  • Your dentist also may prescribe pain medication or antibiotics to speed the healing of your toothache. If by the time you see your dentist your tooth has become infected, then treatment could require removal of the tooth or a root canal procedure, which involves removing the damaged nerve tissue from the middle of a tooth.
  • Is there a way to Prevent a Toothache

    The key to preventing toothaches is establishing a regular oral hygiene routine and sticking to it. For example, failure to brush and floss regularly after meals can significantly increase your risk of developing cavities, which can cause toothaches.
    Here are a few tips to help reduce your risk for developing a toothache:

    • Brush at least twice a day, preferably after meals and snacks.
    • Floss at least once a day to prevent gum disease.
    • Visit your dentist regularly for oral examinations and a professional cleaning.

Single Piece Implants- Disadvantages

Single Piece Implants- Disadvantages

What are the types of Dental Implants? Single Piece or One Piece Implants and Two Piece Implants. There are 3 parts in Dental Implants- Implant Fixture, Implant Abutment and Implant crown. Single Piece Implants- Disadvantages are many, but we place them in some limited cases where the load or stress is less especially in the front lower teeth.

In a Single piece or One Piece Implant, the difference is that the Abutment and Implant fixture is one piece during the fabrication. In a Two Piece Implant the abutment and Implant fixture are separate and are connected with a screw. The major disadvantage of  conventional two piece system is the screw loosening. The latest Q-lock Morse connection CAD CAM technology makes the two piece implant to one piece implant by tightening the screw at 30 Newton Centimetre torque. We at The Dental Specialists follow the advanced morse connection technology to convert the two piece implants to One piece implants.

Check the video below to understand the difference between Single Piece or One Piece Implants like KOS, BCS, IHDE, Switzerland, Conventional or Traditional Two Piece System and Unique Advanced  TTPHIL ™ technique followed at THE DENTAL SPECIALISTS: ADVANCED DENTAL IMPLANT CENTRE – Tall and Tilted Pin Hole Immediate Loading Technique. (The absence of a microgap between the implant and the prosthetic abutment (Q-lock Morse connection CAD CAM technology) at the bone crest level offers TTPHIL implants many clinical and technical advantages like strong unibody design, no split parts,single stage surgery with either flap or flapless approach and simple prosthetic technique)

The only advantage of single or one piece implant is that it reducing the cost of the abutment because it is manufactured in one piece. Hence it is cheaper when compared to a two piece implants. there are so many disadvantages of single piece implants when compared to TTPHIL-ALL TILT™ Technique. The prosthetic options in Single piece implants  or One piece implants ( Swiss made like KOS IHDE )are very less. Hence the crown and bridges aesthetic quality is very poor. Single piece implants  or One piece implants ( Swiss made like KOS BCS BOI IHDE ) cannot be placed in tilted fashion because they come with straight abutments.


Must read for those who want to undergo Single piece implants. 

15 reasons why we don’t use Single piece or One piece implants in all situations.


1. Abutments cannot be customised. The company  manufactures the abutment with implant. Hence no customisation possible.

2. After the implant placement the abutment milling have to be done directly in the mouth itself. This leads to lot off stresses on the implant affecting the healing of the bone around the implant.

3. In certain cases the bone availability may be less and bone thickness may be less, the implant stability in those cases is compromised or it may not be beyond 40 Newton Centimeter torque. But we are forced to load the implant. Because it is a one piece system we cannot burry it also and keep it for bone integration or Osseointegration which is the most essential thing for long term success of the implant.

4. These implants are very thin when compared to two piece implants. In the above picture you can see the different implant types manufactured by IHDE, Switzerland. Why the company have to manufacture two piece implants when single piece implants can be done in all the cases.

5. Since these implants are thin we need to place more number of implants. For example In a full mouth rehabilitation in the upper jaw, 6 implants are sufficient to hold the bridge of 14-16 teeth depending on case. The same thing when we use single piece implants we need to place minimum 10 to 12 implants.

6. Abutments will not have a finish margin. There can never be precise finish margin since the abutment is already thin we cannot refine it more in the patients mouth. Moreover it will not be done in the laboratory for precise finish margins. Any abutment done outside the mouth we can clearly define the finish margins according to gum levels in individuals.

7. Since the abutment is thin the crown fabricated will have overhanging margins. Especially this will be a big problem when we restore single piece implants in the back region of the jaw. This leads to lot of food lodgement over a period of years. It is impossible to clean and maintain oral hygiene in these cases.

8. No CAD CAM software can be detected for a single piece implants. The crowns have to be done manually. Precission fit can never be given in these implant cases

9. We need to take direct impressions with Alginate. In all cases we cannot take the impressions with Poly vinyl Siloxane (PVS) impression material which is more precise because they are rigid impression materials. In case the impression is taken with PVS impression material after the impression is poured with Die stone the cast breaks because the implant abutments are very thin. Precision is a factor when a direct impression are taken for fabrication of the crowns. Food lodgement is the most important factor to be considered going for single piece implants

10. The abutment for a single piece is the same for both front or back teeth cases. Back teeth we need a wide abutment to prevent over hangings and optimum porcelain thickness to prevent ceramic chipping.

11. Sub gingival finish margins is not possible in Single Piece or One Piece Implants. When we open the flap and a flapless technique is not possible in certain cases where bone availability is less, and ridge splitting is indicated these implants are not suggested.

12. Single piece implants are not suggested when the bone density is less which can be diagnosed with the xray and Hounsfield units. In these cases we will not be able to achieve good torque ( 4oNC) beyond. Still the implant is exposed to the oral environment leading to stresses on the Implant from Day 1, which can lead to an implant failure.

13. Single piece implants are not possible when we use TTPHIL ALL TIL™ Technique,also ALL ON 4 implants technique. New concepts show that the tilted implants taking Bi cortical encourage , the implants can be loaded immediately.

14. Screw retained option is not possible. If any complication or food lodgement occurs in  Single Piece  implants, then the only option is to cut the crowns because they are cemented. Check the video below.

15. The crowns or bridges in Single Piece implants have to be cemented. This cement gets entrapped between the gums leading to bone loss and gum irritation.


Our next video shows various advantages of  TTPHIL IMPLANTS with CAD CAM HEXED TITANIUM MORSE CONNECTION abutments, which  can be placed in all the situations when bone is not there also. We can place the implants in a tilted fashion according to the bone availability which is not possible with either Single piece or even conventional Implant System. This is a unique protocol followed at THE DENTAL SPECIALISTS, HYDERABAD, INDIA. click here to know more..




Cost of Dentures in India

Dentures which act as false teeth are removable replacements for missing teeth typically made out of an acrylic resin which at times incorporate porcelain or metal for additional structural support. Consequences of missing teeth include significant nutritional changes, obesity, diabetes, coronary artery disease and some forms of cancer.

According to American Dental Association and the dental council of India the Prosthodontists are the Dental Specialists who replace missing tooth or teeth with either removable dentures or fixed dentures.

Some Statistics About Dentures in India and USA

About 15 percent of the edentulous population has dentures made each year. About 23 million are completely edentulous and about 12 million are edentulous in one arch. 90 per cent of those who are edentulous have dentures. About 35 million Americans and more are having all teeth missing, and 178 million people in the U.S. are missing at least one tooth. These numbers are expected to increase in the new 20 years according to American Dental Association. Loss of teeth results from decay and gums diseases, oras a result of injury, cancer and simply wear..

There are two main types of dentures. Both Complete Dentures and Partial Dentures are finely crafted, custom-fitted. If you properly maintain your dentures they will appear natural and provide a perfect smile. Additionally, dentures help strengthen muscles controlling your expressions that require the support of your teeth, rid you of pronunciation problems caused by missing teeth and aid with chewing.

We provide dentures that are of high quality and at the same time we are sure that we will be able to provide you with dentures that are a perfect fit. The Dental Specialists team provide patients with both Partial and Complete Dentures. Dentures definitely provide a great smile with a very natural appearance. They’re made of very durable materials and last very long when properly taken care of. Typically dentures last from five to ten years.

What is the process for placing a denture

It is somewhat common to require for some teeth to be extracted, and surgery in some cases is necessary to improve the bony ridges that stabilize your dentures. The procedure begins with a wax bite impression of your mouth that will give your dentist exacting measurements. A try-on appointment will fine tunes colour, shape, and custom-fit. After your final dentures are fabricated, they will be placed and will give you the post treatment instructions.This procedure should be thoroughly discussed with your dentist as there are several personal and medical factors to take into consideration. You may instead be a candidate for dental bridges and dental implants as optional procedures.

Cost of Dentures in India

Denture prices vary widely depending on the materials used. One can expect to pay at least a couple thousand dollars for a set of dentures. Complete dentures can cost you from $300 to $8,000 in India.This difference in cost is due to the fabrication time, cost of dental materials, and the experience of the dentist. Complete dentures may take 15 hours and five to six appointments by an experienced dentist to complete the whole process. The cost range does not include fees associated with possible oral surgery or tooth extraction. Insurance companies may offer a 15 per cent reimbursement or up to a 50 percent absorption of the total procedure costs.

Conventional Complete Denture (Upper or Lower) $1275 – $2750,
At Dental Specialists INR 10,000 – INR 25,000
Immediate Denture (Complete Upper or Lower) $1475 – $3150
Removable partial denture cast metal frame work Upper or Lower $950 – $1900
Implant Fixture : 25,000 INR (USD 300-400)
Abutment : 5000 INR (USD 100)
Metal Crowns : INR 2000-INR 3000
Metal Ceramic : INR 3500-INR 4500
Metal Laser Sintered : INR 5000-INR 7000
Zirconia : INR 6000-INR 18,000

The cost of denture depends on several factors including :

  • Additional procedure such as extractions of remaining teeth or any kind of oral surgery such as to refine bony ridges.
  • The location of the dentist.
  • Country in which you are living in.
  • The Dental insurance you have.
  • Dental materials selected by the patient and the dentist. For instance, highly cross-linked polymer denture teeth are more expensive than conventional plastic teeth but they are more aesthetic and do not wear out easily.
  • The type of warranty offered. Some warranties may last for one to two years, while others may last up to 10 years.

Common Concerns About Dentures

There’s no doubt that dentures take a little getting used to. There is maintenance involved, and initial speech issues to overcome (these are temporary and last only a couple of days). Mouth irritation or sores may occur, but are usually caused by poor dental hygiene, and by not removing your dentures when needed. It is common that your mouth will change over the life of your dentures, so even though they last long, they may need to be replaced to achieve a better fit before they are worn out. With a denture a person typically chews at only 15-23% efficiency compared to a person chewing with their natural teeth. In the case of a full upper denture, the upper palate is covered which can reduce taste of foods you’re chewing.

Types of Dental Braces in India

Dental Braces are the devices which are used in orthodontic treatment. A perfect set of teeth is every ones dream. Every one desires a beautiful smile. Perfectly arranged teeth functions best and last longer in mouth. They are used to straighten or align the teeth and help to position them. They are also used for treating cross bites, deep bites, open bites, rotation, etc.

Dental technology has brought us to an advance and exciting stage when it comes to dental braces. There are many types of dental braces from traditional metal braces to ceramic braces, from tooth colored braces to clear braces. It is no longer regarded as fear for teenagers. The treatment with the braces is the major step that provides permanent and perfectly aligned teeth.

The end results can simply be stunning and the patient can experience the joy of positive progress by checking in the mirror at home. The results are beautiful because anything well organized looks good and beautiful.

Metal Braces ( Traditional Dental Braces)

metal dental bracesThese are the traditional braces which consist of metal brackets and wires that most of the people picture when they hear the word braces. These are dental braces which are made up of high grade stainless steel which straighten your teeth using metal brackets and arch wires. These are the least expensive braces that are used in orthodontic treatment.

Once installed the patient has to be more careful with what they eat. One should avoid eating gums or caramel that sticks to the brackets. The patient should avoid eating hard food as it may result in dislodgment of bracket.

Ceramic Braces

dental ceramic bracesCeramic Braces are common alternative to the metal braces. Ceramic Braces are made up of tooth colored material which is usually less noticeable than the usual metal braces.

They have tooth colored brackets that blend with the teeth and are of same size and shape as metal brackets. They are more expensive when compared to the traditional metal braces. Ceramic Braces stain easily if one does not maintain proper oral hygiene.

Lingual Braces

lingual bracesLingual braces are same as metal braces, these are custom made and are bonded behind the teeth (lingual side) to remain out of site. A skillful orthodontist is required to install them. They are difficult to clean and are even more expensive than the ceramic braces. They can be uncomfortable initially but eventually patient gets used to it. The adjustments take longer time than traditional braces.


InvisalignApart from all the above, the other type of braces used are INVISALIGN which are nothing but a series of 15-30 custom made mouth guard like removable clear plastic aligners. The aligners are replaced every 2-3 weeks.

They are most comfortable to the patient. These don’t work for serious dental problems. These are very costly when compared to all others. This treatment may take usually longer time when compared to others.

Cost of Dental Braces in India

Two kinds of costs should be considered in treatment with braces.
Cost of treatment varies from city to city. There is no standardization of charges for treatment. Ceramic braces are more expensive but not useful for serious dental problems and are of no treatment advantage.The most expensive these days are INVISALIGN.

Metal Braces INR 18,000 – INR 35,000
Ceramic Braces INR 30,000 – INR 55,000
Lingual / Incognito Braces INR 72,000 – INR 190,000
Invisalign INR 60,000 onwards