Dental Treatment Blog

Say Good Riddance To A Gummy Smile.

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A gummy smile is A smile which shows more of gums than teeth while smiling. It becomes an aesthetic embarrassment for many people suffering from it due to which they avoid giving an ear to ear grin.

A Gummy Smile can be of 4 types

1. Mild: Amount of gum tissue exposed while smiling is less than 25% of the length of the teeth.

2. Moderate:Amount of gum tissue exposed while smiling is 25-50% of the length of the teeth.

3. Advanced:Amount of gum tissue exposed while smiling is 50-100% of the length of the teeth.

4. Severe: Amount of gum tissue exposed while smiling is more than 100% of the length of the teeth.

Reasons to correct a gummy smile:

– It improves the aesthetics of a smile.

– Increases self confidence.

– Eliminates self-consciousness or embarrassment with smiling.

Causes of gummy smile:

– Could be due to abnormal eruption of teeth.

– Could be due to hyperactive upper lip muscle which causes the lip to be raised higher than normal thereby increasing the gum exposure.

– Could be due to an abnormal upper jaw bone growth pattern as the upper jaw protrudes excessively.

Dental Treatments available for gummy smile:

1)  Crown lengthening.

This can be done on one or more teeth or the entire gum line.

Only requires local anesthetic.

2) Maxillofacial surgery to reposition the bone.

3) Orthodontic braces to move the teeth in a more suitable position.

Oral Health During Pregnancy

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Hormonal changes during pregnancy have an effect on the gums that can lead to pregnancy gingivitis, which makes the gums inflamed and sensitive due to the bacteria along the gum line.

Pregnancy tumor is a painless bump on the gums which may be pink, red or purple. It does not pose a problem in most cases. Consult your dentist regarding it should you feel something similar.

Approximately 40% of women who are expecting have some form of periodontal disease.

Pregnant women with periodontal disease are seven times more likely to have a child that is born too early and too small.

X rays are usually avoided during pregnancy but in the event of an emergency, if the x ray is necessary, ask the dentist to shield your abdomen with a lead apron to protect the child from the harmful radiation.

Consume more diary products and calcium supplements during pregnancy which will ensure ample of calcium for the developing baby.

Avoid taking certain medications (antibiotics) during pregnancy as they can stain the teeth of the developing child.

Baby teeth begin to develop within three months of pregnancy, so your diet needs to be given extra significance as what you eat will affect their development.

Due to morning sickness and continual vomits, the stomach acids can enter your oral cavity and cause tooth decay. So right after the vomit, wash your mouth and rinse it with a fluoride mouthwash.

The First trimester: Inform the dentist of your pregnancy. Use a bland toothpaste to avoid morning sickness and rinse your mouth frequently.

 

The Second trimester: Avoid cosuming carbohydrate rich snacks no matter how much you may be craving for it.

Maintain a healthy diet consisting of plenty of Vitamin C, Vitamin B12 and Calcium.

Most dentists discourage bleaching during pregnancy though it has not been proven to be harmful to the child.

 

The Third trimester:

Avoid dental treatments during the last six weeks of pregnancy.

Give an especial care to your oral health by thorough  flossing and brushing throughout this period.

Schedule a dental appointment after the birth of the child.

Orthodontic Treatment – An Overview

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Many people have less than straight and quite imperfectly aligned teeth. The problems that can arise from this include greater risk of tooth decay, uneven forces on teeth, excessive pressure on the temporomandibular joint and embarrassment for cosmetic reasons. This is diagnosed by your dentist as maloccousion. A malocclusion is an incorrect relationship between the top and bottom teeth resulting in a misaligned bite. Over bites, under bites, open bites and cross bites are examples of it. Orthodontic braces are one way to correct crooked teeth and malocclusions.

Orthodontic braces consist of brackets and molar bands that are cemented to the teeth. An arch wire is then threaded through the brackets and applies forces on the teeth pushing them in the desired direction. Treatment times can vary from six months to a few years years depending on the severity and complexity of the misalignment.

Types of braces the dental specialists

 

Braces are usually made from stainless steel but are also available in other materials. Gold-plated braces are used when a person is allergic to nickel which is a component of stainless steel. Ceramic braces are the least visible braces because they are the closest to the color of the teeth. They are not as strong as steel however, so the treatment time may be longer. Lingual braces that are placed behind the teeth are another option although they can hinder tongue movement.

Hygiene is especially important when braces are worn. Regular brushing and flossing using a floss threader is a must. Cleaning around the brackets with a brush is also recommended. After braces are taken off, it is essential to have to wear a retainer for some time so the teeth don’t drift back toward their original position and will finally allow you to enjoy a beautiful smile for always.

Oil Pulling

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Oil pulling is an ancient ayurvedic technique where you put oil in your mouth, traditionally sesame or coconut or any of the herbal oils in the mouth and you swish or gargle for about 10 to 20 minutes. Studies have shown that it is actually great for plaque buildup. It gets rid of bacteria, it is good for your gums, for gingivitis and for oral mucosa. It supports the health of your mouth and it definitely promotes great oral hygiene. Now you may have heard of innumerable  reports on the web about oil pulling curing different types of diseases. Back in the mid-90s a newspaper in India put out a survey and asked anybody who had any experience with oil pulling to write in and literally thousands of people wrote in telling their story about having healing benefits from oil pulling even with cancers and diabetes and heartburn and so many other conditions that it started an international buzz where people were reading about it and trying to learn more about it. And the good news is that a lot of research was done as a result of it proving that it’s really quite good for your oral mucosa. Whether it’s actually good for all these diseases hasn’t been proven, but there is actually some research that shows that when you take oil in the body it has a chelating and a pulling effect and it literally pulls toxins out of it.  If you have ever tried this technique you can feel your sinuses begin to drain and definitely feel a pulling effect, there’s no question about that. Whether or not that pulling effect will cure the diseases, is yet to be determined. But there is more research that needs to be done but it’s something that is recommendable, and since we live in a world of a fat-soluble toxic exposure, our head and neck become some of the central depositing places for those fat soluble toxins, and now when we know of oil pulling and its positive results, and how it is great for the teeth and gums, why not give it a whirl?

Dental Myths Debunked

Know how to recognize the myths from the facts?

Well, we can help you debunk a few myths that are commonly believed by the people.

AAEAAQAAAAAAAAtnAAAAJDExMjA1ZDc5LWRmMDQtNDg2Yi1iNzY3LWJjZWI3Y2FkNDIxYwMyth: Baby teeth dont need to be brushed or cleaned.

Fact: Decay is possible in baby teeth leading to pain, trouble with eating and speech problems. And in addition to that, they can cause misalignment of adult teeth in the future.

Myth: Put an aspirin on an aching tooth.

Fact: Aspirin only works when consumed, and in addition to that causes acid burns to gums and lips.

Myth: Where there is more sugar intake, more decaying of teeth is seen.

Fact: How long the sugar sits on the teeth is more accountable for decay than the amount consumed, and not brushing after consuming sugary substances poses the real trouble.

Myth: If your teeth are white, they are absolutely healthy.

Fact: Dental decay and gum diseases can hide behind white teeth.

And teeth whitening is not a solution for decay.

Myth: Bad breath (Oral Malodour) is due to poor oral hygiene.

Fact: Oral Malodour can arise due to the food one consumes, certain medications and illnesses, while poor oral hygiene is just one of the many causes of it.

Advancement in Root Canal Treatment

The newly introduced
adaptive system is an advanced anti
downtick rotary system that combines the
strength and flexibility of the
patented TF nickel titanium twisted
files with the adaptive motion
technology of the elements to
help clinicians safely, accurately and
efficiently cleanly shape the root canals.
This adaptive system employs a unique
adaptive motion technology that puts you
in control by delivering rotary when you
want it and reciprocation when you need
it, based on a patented smart algorithm
designed to work with the adaptive
file system. Adaptive motion technology
changes the motion of the file based on
the applied load for better file control
and reduced chance of breakage.
Adaptive motion technology provides a
reflexive torque control that adapts to
your technique throughout the procedure
the system first rotates the file
clockwise then depending on the load on
the file the system reacts and adapts to
a counterclockwise reciprocating motion
the alternating rotary and reciprocal
motions reduce file stress and avoid the
screw in effect that dentists frequently
experience with traditional rotary
systems. This unique
adaptive motion reduces the risk of
Intra canal failure without affecting
performance because the adaptive motor
automatically selects in real-time the
safest and most efficient file movement
Based on its current load
adaptive motion technology also helps to
reduce the chance of post-operative pain
and inflammation associated with pushing
debris through the apex.
Root Canal advancement Root Canal advamcements

Why? Dental implants

 

Missing teeth are bad news for your dental health. When you’ve lost teeth, you leave your gums vulnerable to irritation and your remaining teeth at risk for shifting and falling out. While dentures and bridges used to be the only options for people with tooth loss, a newer solution is becoming the gold standard for tooth replacement: dental implants. With dental implants, you don’t have to worry about many of the problems that accompany dentures, like special care requirements and slippage that causes speech and eating difficulties. Dental implants look and act like your natural teeth, and they don’t require special attention. No one will know you’ve got an implant except you and your dental secialist dentist. Learn more about dental implants in this infographic from DentiStar. If you have friends and family members who are dealing with tooth loss, share this information with them so they can talk to their own family dental care providers about their treatment options.
Dental implants lithographic at the Dental specialists

Concept All on 4 Technique

Concept All on 4 Technique:

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All­ on­ 4 treatment technique for complete rehabilitation of the edentulous (No teeth present in the  jaw), is a surgical and prosthetic medical procedure which is fixed rehabilitation option with  Dental Implants.   All on 4 concept was developed in 1990’s through studies funded by Nobel Biocare in  collaboration with a Portuguese dentist Paulo Maló.   This technique is rehabilitation in the edentulous maxilla and mandible with fixed prosthesis by  placing 4 implants in the anterior maxilla( front upper jaw before sinus and mental foramen),  where bone density is higher, allowing the highest success rate.   The four implants support a fixed prosthesis with 12 to 14 teeth  in each jaw and it is placed  immediately on the day of surgery. All­on­ 4 is a registered trademark of Nobel Biocare.  This technique is time tested and widely accepted in many parts of the world.

Nowadays this concept is copied by various implant companies at a cheaper and affordable  prices. These companies which also give life time warranty on all on technique.    2.Procedure Description of all on 4 technique at The Dental Specialists,  Hyderabad, India:  All­ on ­4  treatment concept provides a permanent, screw­ retained and cement , same day  replacement for the entire upper and lower teeth set. The procedure is best indicated for patients  with major bone loss, tooth loss or decay.   Tooth loss leads to jaw bone which poses the problem of reconstruction of the jaw bone.  Conventional technique requires almost six to twelve months to restore the implants. Moreover  we need to transplant bone from various other parts of the body like iliac crest or skull. Why 12  months is because we have to graft initially and wait for 3 to 6 months till the artificial or natural  bone gets integrated. And achieve good bone density. Later we place implants and again wait for  3 to 6 months till the implants get osseointegrated.     Many of the patients can not undergo transplantation of bone for general health reasons  (diabetes and others).     The All ­on 4  treatment concept, will address these drawbacks because it consists in  establishing a fully customized denture (bridge) based only on four titanium Tall and Tilted  implants. These implants act as “pillars” to the bridge that supports the prosthetic teeth. The  invented process takes advantage of existing bone, even if scarce, avoiding having to use bone  grafts.   The posterior back implants are angled at approximately 45 degrees to avoid compromising the  sinus cavity in the upper jaw and the nerve canal in the jaw.

 

10 reasons why we at THE DENTAL SPECIALISTS stopped using single piece Implants

 

10 reasons why we at THE DENTAL SPECIALISTS stopped using single piece Implants

1.Narrow Diameter Implants: Very thin Implants. Hence more number (Minimum 10-12 in each Jaw) of Implants are required to restore full mouth rehabilitation.

2.Bone Implant Contact(BIC): BIC ratio is very less- No Osseointegration. Polished Surface all over- Thin Implants- Less Surface area- less osseo integration

3. Implant retention: because it engages only the cortical bone. Threads only in tip: leads to spinning or failure of Implant.

4. Need to load the implants for sure if there is no primary stability also (Because it is Single Piece- Implant and Abutment is connected)- leads to failure.

5. Can not be tilted beyond 15 degrees. Abutment breaks and the implant becomes useless.

6. Neck Connection: Implant and Abutment connection is very thin and can break while tightening at high torques or tilting the abutment to make it parallel to the adjacent implant.

7. No US FDA approval

8. Cannot be loaded individually. Needs to be connected to the other implant or tooth which is not suggested. Need to place 2 implants instead of one especially in the load bearing areas.

9. Tilting of the implants is not possible because the implant and abutment is in one piece. Especially in upper anteriors and when there is no bone  tall and tilted implants are necessary to engage the cortical bone- Nasal floor.

10. Palatal placement of the implant is not possible because it cannot be bent. The abutment when  bent can break at the neck of the implant.

To go into depth and detailed description why Single piece Implants are not successful. Read the link below…

Single Piece Implants- Disadvantages

 

To the protocol and technique of TTPHIL Technique follow this link below.

TTPHIL Technique – Permanent Teeth in 2-9 Days

 

Check out the link below to understand the concept of screw retention. Why screw retained bridge is accepted

worldwide and not cemented retained solutions..

SCREW RETAINED BRIDGE VS CEMENT RETAINED BRIDGE

 

 

 

Immediate loading Implants with TTPHIL ™ Technique

Immediate loading Implants with TTPHIL ™ TechniqueTTPHIL IMPLANT

What is  TTPHIL  ™ technique?

  • TTall implants measuring 16 to 57.5 mm depending on the engagement of the Bicortical Basal bone support
  • TTilted implants placed at an angulation of 15 to 70 degrees.
  • PHPinHole – Flapless procedure
  • ILImmediate Loading (Provisional Prosthesis in 2 hrs and Permanent Prosthesis in two days)

WHY TTPHIL- ALL TILT TM Technique? Rationale: Set of reasons and logical basis. A Justification…

Surgical Phase Advantages

1.Immediate Loading- Permanent CAD CAM Ceramic teeth in just 2 days.

2.Avoid Sinus Lifting procedures and other Bone Augmentation procedures unless really needed for aesthetic reasons. – Secondary Morbidity Invasive procedures- Avoidance of additional surgical risks.

3.Local Anesthesia procedure – Minimal Anesthesia

4.Minimal Medication.

5.Can be done in Heart Patients/ Smokers/ Diabetic Patients/ Gum diseases

6.High success rates

7.Low cost to the patient and time saving ( Avoids bone grafting procedures)

8.No healing time required- Immediate function the same day- Permanent prosthesis in 2 days

9.Less post operative pain

10.Most advanced system

11.High success rate in patients with less bone height

12.Employs cortical bone areas which are resistant to infection and resorption.

Prosthetic Phase Advantages

Latest CAD CAM Abutments which are customised have a Q- lock Morse connection when torqued at 25 Newton centimeter becomes cold welded. This cold welding property prevents screw loosening.

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. The main advantage of screw retention is retrievability – In case of any complication ( For eg: Gums shrinkage: Most common in immediate Implantation and loading)  we can remove the ceramic prosthesis simply and add ceramic where required.

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.

 

8 DIFFERENCES BETWEEN TTPHIL IMPLANT TECHNIQUE AND CONVENTIONAL IMPLANT TECHNIQUE. 8 REASONS WHY WE CHOOSE TTPHIL TECHNIQUE at THE DENTAL SPECIALISTS: ADVANCED DENTAL IMPLANT CENTRE

1.Load Transmission is in the basal Cortical Bone – Because these implants are Tall and Tilted beyond 16mm to engage the cortical basal bone which is highly resistant to resorption. This cortical bone is highly mineralized and more resistant to infections as well as its ready from day 1 to take the loads. Conventional implants the load transmission is in crestal cortical plate leading to crestal bone loss. In thus area it leads to bacterial attack.

2.Polished collar in the crestal region: No penetration of bacteria. No source of Infection and Periimplantitis – Hence No bone losS

3. TTPHIL™ Implants require only patients own, residual bone for anchorage and primary stability.

4. No risky augmentation procedures required- No time delay for augmentation Graft to take up- No secondary morbidity chances

5. Immediate loading- No edentulous phase- No waiting period. 2nd day permanent teeth- Direct Metal Laser Sintered CAD CAM teeth- Improves quality of life..

6. Simple and easy Surgical Phase- No bleeding- Flapless technique- No sutures- Minimal anesthesia- Just 0.2ml. Minimal bleeding- Minimal medication- Minimal discomfort during and after – It will not take more than 30 minutes for full mouth implant placement. Simple Single implant cases takes just 5 minutes. Post operative pain minimum.

7.Extractions and Implants are done on the same appointment. Same Anesthesia- Same Post Operative medications. Even if the teeth have periodontal infection, the teeth are removed, bone

curettage is done and TTPHIL™implants are placed at the same time. Patients are never with out the teeth. Immediate provisional are given in 2 hours. Permanent CAD CAM DMLS teeth are given on the second day.

8. The Implant Design will allow better bone healing and osteonal remodeling.

 

10 reasons why we at THE DENTAL SPECIALISTS stopped using single piece Implants

1.Narrow Diameter Implants: Very thin Implants. Hence more number (Minimum 10-12 in each Jaw) of Implants are required to restore full mouth rehabilitation.

2.Bone Implant Contact(BIC): BIC ratio is very less- No Osseointegration. Polished Surface all over- Thin Implants- Less Surface area- less osseo integration

3. Implant retention: because it engages only the cortical bone. Threads only in tip: leads to spinning or failure of Implant.

4. Need to load the implants for sure if there is no primary stability also (Because it is Single Piece- Implant and Abutment is connected)- leads to failure.

5. Can not be tilted beyond 15 degrees. Abutment breaks and the implant becomes useless.

6. Neck Connection: Implant and Abutment connection is very thin and can break while tightening at high torques or tilting the abutment to make it parallel to the adjacent implant.

7. No US FDA approval

8. Cannot be loaded individually. Needs to be connected to the other implant or tooth which is not suggested. Need to place 2 implants instead of one especially in the load bearing areas.

9. Tilting of the implants is not possible because the implant and abutment is in one piece. Especially in upper anteriors and when there is no bone  tall and tilted implants are necessary to engage the cortical bone- Nasal floor.

10. Palatal placement of the implant is not possible because it cannot be bent. The abutment when  bent can break at the neck of the implant.