Who are the Right Candidates for Teeth Whitening

Tooth whitening is a procedure to lighten teeth and remove stains and discolorations. The peroxide in the bleaching agent penetrates the enamel and breaks down the complex stains(which are darker in nature) into smaller products thereby making the tooth appear lighter in shade.

How do teeth become stained?

There are many reasons why teeth become discolored

  • Discoloration can result from a traumatic injury(such as when the tooth gets hit in an accident) resulting in darkening of the tooth because it gets devitalized, trauma or infection of the related primary tooth can also cause irregularities in enamel color of its subsequent permanent tooth.
  • Intrinsic discoloration/ staining i.e. discoloration that occurs within the dentinal layer of the tooth is due to excessive fluoride content present in drinking water leading to fluorosis and use of certain medications like tetracyclines during the developmental stage of fetus or during childhood can result in staining.
  • Teeth get stained from metals like iron supplements or consumption of stain-causing beverages like tea, coffee, soft drinks, alcohol, and certain foods like dark-colored berries, tobacco use can result in tooth discoloration.

Some causes of yellowing teeth are beyond our control like discoloration that occurs during ageing. As we age, the tooth enamel thins, thus making our teeth to appear more yellow in colour.

Bleaching for Teeth Whitening Works Best

Extrinsic stains i.e., superficial stains that occur on the outer surface of the tooth are easier to treat compared to intrinsic stains whether they are congenital or acquired. In most cases, professional teeth whitening treatments can restore your smile’s former glory and give you back the ability to smile without feeling embarrassed. Severe discolorations may be best treated with microabrasion and subsequent bleaching to achieve desirable results. Dental whitening may be accomplished by using either professional or at-home bleaching modalities.

Patient Examination for Tooth Bleaching

Before a decision is made that tooth bleaching is the best possible treatment available for the patient, the dentist takes a thorough patient history that would include the patient’s opinions regarding the cause of tooth discoloration, any history of allergies, especially to the ingredients used in bleaching materials, information regarding any past problems with tooth sensitivity which has to be investigated carefully to determine the cause(s) and whether treatment before tooth bleaching will benefit the patient.

Additional examination considerations include tooth/enamel cracks, exposed root surfaces and other smile considerations such as translucency or defects in tooth form or anatomy.

Some tooth discolorations may be the result of a disease or condition that requires root canal therapy, restorations or dental surgery.

Examination of tooth function and para-function may reveal conditions such as bruxism (involuntary grinding of teeth) or temporomandibular joint dysfunction. If not examined properly, these conditions may be aggravated by the use of bleaching trays that are prescribed by dentists.

Patient habits (tobacco, alcohol, food habits) and lifestyle, as well as the presence of removable or fixed appliances,  should also be considered during an examination.

When not to do dental bleaching

Pregnant & Lactating Women
In pregnant or lactating women, teeth whitening is not recommended as in these cases, due to hormonal changes gums become inflamed and sensitive and the bleaching agents used can aggravate the condition.

People who have restorations such as fillings implants, crowns and dental bridges
Tooth-colored fillings and resin composite materials used in dental restorations like the crowns, veneers and bridges do not whiten. Therefore, using a whitening agent on teeth that do and do not contain restorations will result in uneven whitening. The teeth without restorations appear lighter than those with restorations. Therefore, any whitening procedure should be done prior to the placement of composite fillings, veneers, crowns, dentures, or porcelain restorations in order to best match the degree of whitening to your new tooth color.
For the enamel to remineralize and optimize the bonding strength, a minimum of 2 weeks following a whitening procedure should be allowed before any prosthesis is given. Tooth colored fillings will have to be replaced after the bleaching process is completed so as to avoid shade mismatch.

Children under 16 years of age
Bleaching is not recommended in children under the age of 16 because the pulp chamber, or nerve of the tooth, is bigger and wider until this age. Teeth whitening under this condition could irritate the pulp or cause it to become sensitive. Also, the enamel of a primary tooth is thinner when compared to the permanent tooth, because of this tooth coloration within a dental arch may vary significantly during the mixed dentition stage of the patient. If a full arch cosmetic bleaching is done during this developmental stage, it would result in mismatched dental appearance once the child is in the permanent dentition stage. Adolescents have unique dental needs to maintain their self-image. Tooth whitening has been a
successful procedure for adolescent patients.

Patients with gum disease, worn enamel, tooth decay, exposed roots due to receding gums, defective restorations
Patients with these conditions should always consult with their dentist prior to using a tooth whitening system. Individuals with gum disease or teeth with worn enamel are generally discouraged from undergoing a tooth whitening procedure because bleaching aggravates sensitivity in such patients.
Tooth decay has to be treated before undergoing any whitening procedure because the whitening solutions can penetrate into the decay and the inner areas of the tooth, which can cause sensitivity. Also, whitening procedures will not work on exposed tooth roots because roots do not have an enamel layer to absorb the bleaching agent. Roots resist the bleaching agents.

Alergic to peroxide
People who are allergic to teeth whitening agents like peroxide are contraindicated for bleaching procedure.

Individuals with Sensitive teeth
Such patients are also contraindicated in whom sensitivity occurs due to cracked or chipped teeth.

Sometimes tooth becomes sensitive when vital bleaching is done. This is due to permeation of enamel and dentin by hydrogen peroxide resulting in a mild, transient inflammatory response. It should not be used at high concentrations and for extended period of time. This kind of tooth sensitivity can be managed with the use of non-steroidal anti-inflammatory drugs (NSAIDs), fluoride, casein phosphopeptide-amorphous calcium phosphate or potassium nitrate containing products.

Unrealistic Results
Individuals who expect their teeth to become brilliant white may be disappointed with the results of bleaching. Bleaching definitely makes the teeth 2 shades lighter but not completely white. In the case of smokers, limited results will be seen unless the habit of smoking is ceased, particularly during the bleaching process.

The Right Candidate for Tooth Bleaching

Taking all the above mentioned details into consideration, it can be concluded that, the best candidates for professional teeth whitening are those who have healthy teeth without fillings or restorations and healthy gum tissues. Better results with bleaching can be seen in patients whose teeth have an yellowish shade.

Zirconia Crowns for Kids

Over the past few years, the demand for cosmetic services escalated among adults and it is understandable that the same need is demanding for cosmetic procedures in their children’s teeth as well. With this there is an advent of zirconia crowns into pediatric dentistry as well. So, what are zirconia crowns and when to choose them will be discussed for better understanding.

What is Zirconia Crown?

A crown (also known as tooth cap) is the one which covers the visible part of the child’s tooth. Zirconia is basically made of ceramic which is extremely durable with a highly polished surface.

When can Zirconia Crowns be used in children?

  • In cases of badly broken down molar teeth (back teeth) after pulp therapy or a filling to protect it.
  • In the front teeth which are badly broken down due to early childhood caries.
  • Also for teeth that are broken after a fall.
  • In upper front teeth after the pulp therapy is completed.

zirconia-cap zirconia-crowns

Availability of Zirconia Crowns

You can always ask your pediatric dentist for these crowns. They are available in six to seven different sizes. Some crowns are also available in 2 different shades for milk teeth.

How is it done?

Placing a cap on the tooth involves making space and that is achieved by trimming the tooth all around. In the same way the milk tooth is also prepared to accommodate the zirconia crown. Once the tooth is prepared the appropriate size that will fit the tooth will be selected and checked. Unlike the metal crowns, zirconia crowns are passively seated. Once the final adjustments are made, it is then fixed with a glue like cement permanently.

Advantages of Zirconia Crowns over Steel Crowns

  • Zirconia crowns are found to adapt beautifully within a few days to the gums around it and so special care is not required.
  • They also have an excellent finish that helps in clearing the debris while brushing.
  • It is a very durable material and hence is strong even in reduced thickness thereby requiring less trimming of the tooth.

Possible Disadvantages of Zirconia Crowns

As manipulation is not possible with these crowns, it cannot be given in cases where the child has crowding or overlapping teeth.

Common Questions about Zirconia Crowns

Is it really necessary to cap the milk teeth?

Yes, it is.In cases of decayed teeth and where pulp therapy is completed, tooth becomes brittle and weak. Biting on something hard can lead to fracture of the tooth making it difficult to repair leading to early removal. Hence, it is advised to always get a tooth cap done after these procedures.

Should we remove the caps at the time of teeth shedding

No, it is not necessary that we remove the cap because as mentioned a cap will be placed only on the visible portion of the tooth. When it is time, the tooth along with the cap will fall or shed.

Few case photos where Zirconia caps are placed

before-after-zirconia-cap1 zirconia cap

Myths About Dental Implants That Are Not Actually True

dental implant myths

Tooth loss has become a very common problem and therefore replacement of the lost tooth with dental implants has become a most widely accepted and successful option. Even though it is the most appropriate solution, many people have myths and misconceptions about dental implants. However, not all misconceptions are true and therefore making an informed decision when going for dental implants is very crucial.

Dental Implants is a Painful Procedure

dental implant for tooth replacement

At “The Dental Specialists” we perform the implant procedure with a simplified technique using minimally invasive flapless keyhole technique, which hardly takes 10 minutes. The procedure is performed with modern technology with no incisions, no cuts and with minimal anaesthesia. Hence, there will be minimal bleeding with minimal postoperative pain and discomfort.

Dental Implants are Costly

There are multiple options available for replacement of teeth like Dental Implants, Fixed Partial Denture (FPD) and Removable Partial Denture (RPD). However, Dental Implant procedure is a lifetime solution for the replacement of your missing tooth and it does not involve taking the support of your adjacent teeth. As a result, there is no need to prepare your adjacent teeth. Now with the widely accepted modality all over the world, the cost of dental implant is reduced. We at The Dental Specialists practice Immediate Implantology with Immediate Loading protocol which gives back your natural-looking teeth in less TIME. And as it is rightly attributed by Benjamin Franklin (1748) “TIME IS MONEY”, so we should be as expeditious as possible and last but not the least it is the best investment for your overall health.

Dental Implants Are Not for Everyone

A newer technique Tall and Tilted Pin Hole Immediately Loaded Implants (TTPHIL)TM can be performed even in elderly persons, diabetics and smokers as it is done by following advanced surgical protocol which involves engaging basal cortical bone. Therefore, it can be done even in patients who have reduced bone height, reduced bone volume.

Dental Implants Are Not Natural Looking

TTPHIL Sinus Lift Alternative
After TTPHIL Implants – an alternative to Sinus Lift

At “The Dental Specialists” we give a personalized smile designing solution to our patients using CAD-CAM technology. We use this technology to design the anatomical features of prosthesis on a computer. CAD-CAM computer screen displays a 3D custom image of the teeth and gums which helps in drawing the precise design of the crowns which helps in delivering a highly esthetic crown with high translucency which is similar to your natural teeth.

Dental Implants Require Extensive Care

Dental implants are sealed into your bone under the retrievable screw-retained crown. Thus, you have to take care of the implant the same way as you take care of your teeth which include regular cleaning. A visit to your dentist every 6-12 months will help in avoiding any infections in the mouth and in and around Dental Implant which will help in avoiding peri mucositis and peri-implantitis.

Number of Missing Teeth Equal to Number of Implants

For full mouth rehabilitation, ALL TILTTM protocol involves placing 6 implants per jaw which has been proved to be the most optimal and with evidence-based successful results. They have better biomechanics with no cantilever effect and better anteroposterior spread with Tall and Tilted 2 piece cortical implants. Therefore, you can get a complete set of 14 teeth within a few days.

Dental Implant Metal is Unsafe to be in the Body

Dental implants are made of Titanium metal which is totally biocompatible with the body and it is the same metal used in Orthopedic and cardiac stents. Therefore, Dental Implants are absolutely safe to be in the body.

Change your Smile Instantly with Veneers

Dental veneers

Dental veneers are one of the most popular cosmetic dental procedures to keep your smile flawless.

Porcelain veneers are thin shells of ceramic that are attached to the front surfaces of teeth for an immediate smile transformation. They are custom made for each patient and closely resemble natural enamel.

Dentists use veneers for cosmetic enhancements like teeth whitening, close gaps between teeth, fix chipped teeth.

Types of Veneers

There are 2 types of veneers

Composite veneers

These are applied directly to teeth and can be done in a single appointment

Porcelain veneers

These are fabricated in the lab and needs two appointments with the dentist.

When does a dentist recommend a veneer?

Dentists would typically recommend veneer for patients who have chips, cracks, gap between their teeth or minor misalignments.

When should you not use Veneers

Veneers are not for patients who have tooth decay, gum disease, root canal infection, grinding and clenching habits.

In order to have porcelain veneers placed, the patient should:

  • Have good oral hygiene
  • Have a sufficient amount of healthy enamel.

The procedure is typically permanent and irreversible as the dentist removes a layer of enamel before fixing your veneers. It is important, you consult with your dentist and make up your mind properly before going through with the procedure since the lost enamel cannot be replaced.

Benefits of Composite Veneer

  • Less expensive
  • Easy to repair if needed

Disadvantages of Composite Veneer

  • Discoloration over time

Benefits of porcelain veneers

  • Very natural, life-like translucency
  • Do not change colour over time
  • Long-lasting

Do veneers mess up your teeth?

No veneers do not ruin your real teeth! They are not made of enamel like the front of your natural teeth. In fact, they actually have an advantage over natural teeth in terms of resistance to damage or staining.

Cost of Dental Veneers in India compared to the USA, UK and other parts of Europe

Cost per Tooth India (INR) USA (USD) UK (GBP) Europe (Euro)
Porcelain Veneer 8000 – 15000 925 – 2500 800 – 1000 280 -350, 495 for CEREC
Composite Veneers 1000 – 2000 250 – 1200 195 – 295  

 

The final cost of veneer depends on

  • Brand e.g. CEREC, Procera, Emax cad, Emax
  • Where you choose to get your treatment done.

What to expect during a Veneer Procedure?

  • Your dentist will remove a small amount of tooth surface to permit placement of the veneer
  • An impression is made and sent to the laboratory
  • The dental veneer is then made to fit the tooth and mouth
  • The veneer is then bonded to the tooth using resin cement.

How long do veneers last?

Veneers generally last between 7 and 15 years, depending on quality. After this period they need to be replaced.

Dental veneers are an excellent way to hide discolored, crooked or damaged teeth, but it’s important to weigh the pros and cons that come with the territory before getting them. Make an appointment with your dentist to find out if dental veneers are a fitting solution for you.

Where can I get reliable reviews on dental clinics?

dental clinic reviews

Looking for reviews on dental clinics is probably the first thing anyone does today before contacting a dentist or a clinic. When you are looking for a dental clinic or a dentist, it is a critical service that can have an immense impact on you, hence it becomes a default choice to look for reviews for your dental clinic before you connect with them and we strongly recommend you do.

However, while you are doing your research for the most recommended dental clinic, you need to be aware of some of the pitfalls.

While there are multiple platforms that offer dental clinic reviews, the question though remains, which of these reviews are actually reliable? You can find dental clinic reviews on Google, Facebook, Mouthshut, Practo, WhatClinic and several other websites. Unfortunately, the hard reality is that in some cases businesses try to game the rating and reviews system and all the reviews you see for a dental clinic might not be authentic and reliable.

So, how do you know which of these dental clinic reviews are authentic?

Here are a few pointers that will help you understand the reliability of a highly recommended dental clinic.

  1. Look for reviews for a dental clinic across platforms: If a dental clinic is really good and well recommended, you will notice they have good ratings across platforms.
  2. Facebook Reviews: This is probably one of the best places to find reliable reviews for dental clinics because when a review is posted on Facebook it is linked to the person’s profile. While looking at the reviews, check a few profiles of the reviewers at random, which should tell you if those profiles are genuine or just fake profiles set up to add reviews for the dental clinic
  3. Practo and WhatClinic: These are great places for dental clinic reviews. Both these platforms verify the reviews, hence it becomes a great place to find recommended dental clinics.
  4. The Number of Reviews: Don’t just look at the ratings but also look at the overall number of reviews. A dental clinic with a rating of 4.5 from 250 reviews, is definitely more reliable compared to a dental clinic with a rating of 5 from 20 reviews.
  5. Read the reviews: If you read 10 reviews of a dental clinic and all 10 of them are vague and/or one-liners, be suspicious. Typically authentic patients will talk about their treatment experience, sometimes mention the names of individual dentists or staff they interacted with, talk about treatment process etc. rather than just saying “great dentists”.
  6. Review from your peers: While going through review websites look for reviews from patients who had similar treatment needs as yours or if you belong to a specific segment, for example, if you are an international patient travelling to India for dental treatment, try to find reviews of your dental clinic from other international patients. If you are not able to find reviews from other patients with similar needs/ groups, you can also reach out to the dental clinic and specifically ask for such references. Most good clinics will have references for different types of treatment/patients.

    The Dental Specialists Reviews

    Review Platform Ratings No. of Reviews Link
    Facebook 4.9/5 343 Facebook Reviews
    Google 4.9/5 1068 Google Reviews
    Whatclinic 4.5/5 (Whatclinic Service Score)
    99% – Average Satisfaction 
    Service Score from 840 users
    Satisfaction score from 70 Verified users
    Whatclinic Reviews
    Practo      
    – Banjara Hills 5.0/5 2779 The Dental Specialists Banjara Hills Reviews
    – Kondapur 5.0/5 904 The Dental Specialists Kondapur Reviews
    Just Dial 4.8/5 922 JustDial Reviews
    Mouth Shut 4.4/5
    90% Recommended
    1134 MOuthshut Reviews

     

    While going through reviews on dental clinics is a great way to identify the truly recommended dental clinics, consider that this is online research and nothing can beat an in-person interaction. When in doubt connect with the dental clinic, ask them some basic questions and see how they respond. A good dental clinic will treat every patient query with equal importance, even if it is a pre-treatment enquiry.

    Here at The Dental Specialists, we strive to give our patients the best treatment and an absolutely stress-free, comfortable experience from their very first contact with our team till they walk out of the door with a happy smile and that has kept all our reviews soaring. We strongly encourage you to look for reviews on dental clinics before you start your treatment and for us, we are always happy to answer any of your questions.

Kids Teeth Cleaning – Getting Rid of Plaques & Dental Cavities

Sadly, kids do not brush correctly. Brushing twice is not strictly practised in many families. It results in chronic deposition of plaque on teeth resulting in dental problems like bleeding from gums and tooth decay and cavities. Professional cleaning your kid’s teeth periodically can help clean dental plaques and get rid of any possibilities of dental cavities and other problems. Dental plaques are often the most common problem that happens if the children don’t clean teeth properly.

What is Plaque

Dental plaque is a yellowish or tan color film that is formed over the teeth, braces and appliances placed in the oral cavity. Plaque is a sticky layer, formed of microorganisms (germs), food particles and the waste products of bacteria. Some bacteria in plaque are harmless, but some are harmful as they cause gum problems, tooth decay (cavities), and bad odour.

How Dental Plaque Forms

The plaque builds up on the teeth daily, especially around the junction of gums and teeth. It forms on teeth which can be felt by our tongue.

Types of Dental Plaque

There are 2 types, old and new plaque.

New plaque is formed in less than 12 hours. This plaque will normally build up over the course of the day or night. This can be cleaned with brushing.

Old plaque is formed of bacteria that are older than 12 hours. This plaque is stubborn, will not be removed by brushing. 

How to clean dental plaque from teeth

Dental Prophylaxis (teeth cleaning) is a procedure performed to carefully clean the child’s teeth. Prophylaxis is an essential dental treatment for stopping the formation or progression of periodontal disease and gingivitis.

It is advisable to work with experienced pediatric dentists with the right type of dental equipment in order to identify and clean the plaque.

Here, at The Dental Specialists, we not only clean the teeth for children and get rid of plaques and cavities but more importantly our pediatric dentists educate the child and parent about oral hygiene. We also demonstrate the brushing technique directly on the child, which helps maintain better dental health.

Teeth cleaning and plaque removal for kids – our process

  1. A disclosing agent is applied on teeth to distinguish the plaque and educate the kid about cleaning teeth. These disclosing agents highlight the two different type of plaque by showing as different colors.
  2. The dentist will thoroughly clean the area above the gum line with scaling tools to clean the plaque.
  3. Once all the plaque is removed then the teeth are gently polished. This will help to smooth any rough surfaces, so the food particles and bacteria don’t stick to teeth and it’s a great way to help freshen up a smile and reduces the risk of bad breath in kids.
  4. The dentist will educate about the correct brushing and flossing method for the kid depending upon the age of the kid.

Prophylaxis is recommended twice annually as a preventive measure.

brushing-kids

Picture 1 of 4

Teaching brushing technique to children

Consequences of Dental Plaque

The germs present in the plaque can cause inflammation and infection, eventually leading to

Oral malodor – you may sense the bad smell from kid’s mouth

Gingivitis – gums will become swollen, dull in color, and may bleed while brushing

Dental cavities – plaque have germs that form acids in the mouth resulting in the formation of cavities or hole in teeth.

Clean Teeth for Kids – Tips you can use

  1. Rinse mouth thoroughly with water after eating food.
  2. Brush your teeth daily twice a day – morning and night. Do not eat or drink after you have cleaned your teeth before going to bed.
  3. For kids up to 7-8 year age, brushing should be done by a parent.  
  4. One parent should always be present to supervise the brushing in kids upto 9-10 years of age.
  5. Use fluoridated toothpaste. It helps to prevent dental cavities.
  6. From 6 years of age, you can introduce your kid to adult toothpaste but under supervision. Make sure they spit it out when they have finished cleaning teeth.
  7. Children under 6 year need a special kid’s toothpaste with less concentration of fluoride.
  8. Use soft bristles toothbrush for cleaning teeth and gums.
  9. Change brush at least every 3 months.
  10. Gently clean all surfaces of teeth and gums. It should take about 2-3 minutes to clean them all. 
  11. Do flossing to clean plaque between two teeth.

Painless Dental Treatment for Children with Conscious Sedation

Painless dental treatment is a reality today. 

Fear and anxiety towards dentistry is a major barrier to oral health. The pediatric dental wing at The Dental Specialists not only has a children friendly environment but our team of expert pediatric dentists to ensure that the children’s visit to the dentist is comfortable and fun.

In spite of our best efforts, there could be other factors like previous unpleasant dental treatment, fear of unknown environment and people, lack of trust, white coat phobia, needle phobia, even the sounds and noise produced by dental equipment, etc resulting in fear and anxiety in kid during treatment.

For such cases, AAPD (AMERICAN ASSOCIATION OF PEDIATRIC DENTISTRY) recognizes nitrous oxide and oxygen inhalation as a safe and effective technique to reduce anxiety, produce analgesia and enhance effective communication between the child and the dentist.

painless dental treatment for children

What is Nitrous Oxide (Laughing Gas)

Nitrous Oxide is a colorless, odorless gas that gives effective analgesic, and stress relieving agent causing euphoria and relaxation. It alters the child’s mood thus making him more receptive to dental treatment.

Is Nitrous Oxide safe?

Yes, it has an excellent safety record. The child remains awake, responsive and breathes well.

The machine that we use to administer the treatment comes with an inbuilt safety system. The delivery system is manufactured with the “oxygen fail-safe” device that stops Nitrogen flow when Oxygen is stopped thus preventing any catastrophe.

How does sedation feel

Nitrous Oxide gas effects may vary from person to person. The child may feel a tingling sensation throughout the body, some kid feels like in dreamy state, their negative feelings, stress and anxiety may disappear and they will be in a complete state of relaxation.

conscious sedation

 

painless dental treatment for children

Advantages of conscious sedation with Nitrous Oxide

  • Fast acting- rapidly absorbed, allowing rapid onset and recovery that is 2-3 min.
  • It increases pain threshold
  • Depth of nitrous oxide sedation can be adjusted quickly and an optimal level of relaxation can be achieved.
  • Recovery time is pretty short: Nitrous Oxide gets clear from the lungs in a few mins (3-5 mins) completely after Nitrogen is stopped and only Oxygen is flushed. You feel refreshed.
  • It doesn’t affect daily activity.

Who needs conscious sedation for dental treatment

  • Fearful, anxious or frightened child, who refuses to cooperate.
  • Special health care needs children
  • Needle-phobic children
  • Extractions
  • Minor surgeries

Cost of Dental Veneers in India

Did you always want a smile like your most favourite movie star? Well, many of us do and it could very well be possible with a dental veneer. Dental veneers are used for smile makeover and in various other cases to give you the perfect set of teeth. Bothered about the cost of dental veneers? Well, there are a lot of options and the cost of dental veneers in India is comparatively cheaper than most other countries.

In this blog, we have not only covered the cost of Dental veneers in India but also provided every detail on what is dental veneers, the details of the procedure, pros and cons of dental veneers, types of veneers and more. If you are an international patient considering to travel to India for your dental treatment, we have also provided a comparison of cost of dental veneers in India vs. UK, USA, Australia, EU and UAE.

What are Dental Veneers / Laminates

Dental laminates are also known as dental veneers. Laminates/ Veneers are customized, thin artificial nail-like structures designed to bond to the outer surfaces of prepared natural teeth to give a rejuvenating smile.
dental-veneers

What are Dental Veeners Made Of

Dental veneers are made of either porcelain or resin material. The porcelain is considered to be the best as it can mimic the exact shining/reflecting properties of natural teeth as well as resist staining. Also, it can mask the underlying tooth color completely. Whereas resin material has the tendency to stain on long term use.

dental veneers

Indications of Dental Veneers

  • Severely discolored teeth
  • Chipped off/ fractured teeth
  • Mal-positioned/crooked teeth
  • Spaces in between teeth
  • Worn out teeth
  • Defective enamel with craters / bulges on teeth
  • Teeth with abnormal shape

Contraindications for Dental Veneers

  • Insufficient teeth structure
  • Excessive spaces in between teeth
  • Severely mal-positioned teeth
  • In patients with habits of night grinding and clenching
  • Teeth with severe gum disease
  • Teeth already having large fillings

Treatment Procedure

Generally, total treatment procedure requires three visits to the dental office.

Veneers for Discolored Teeth
Beautiful Veneers Done @TDS for Discolored Teeth

 

First Visit to the Dentist’s Office

In the first visit, the dentist will examine your teeth condition and advise you about the required treatment. You should be precise on what type of treatment you wish to go with and what type of result you are expecting? Sometimes the dentist may record your teeth impressions.

Second visit to Dentist’s Office

In the second visit 0.5 -0.7 mm of your teeth enamel will be trimmed off in order to provide room for the future dental veneer/laminate. The dentist will select the appropriate shade for the new dental veneers. Then the impressions will be recorded and the model will be generated. Then the actual veneer will be fabricated in the lab.

preparing for Dental Veneer
Prepare for Dental Veneers

Third Vist to Dentist’s Office – Bonding

In the third visit, the dentist first places the veneer against the teeth surface and examines for the proper fit, shape and shade and do the necessary corrections if any. After finalizing with the proper fit, shade and shape, then the actual process of veneer bonding will be initiated.

Bonding

Initially, both the teeth surface and the veneer will be dried. Teeth structure will be etched to create roughness on its surface. The cement is placed on the inner surface of the veneer and pressed against the prepared teeth surface. Then a light will be passed to activate the chemical in the cement. Within no time the cement hardens and bonds the veneer to the teeth surface. Then the excess cement will be trimmed off. This completes the procedure of bonding. Then you will be asked to come back for a checkup within a couple of weeks to check for any gum irritation or any discomfort.

Pros and Cons of Dental Veneer

Pros

  • Aids to enhance your smile (both healthy and beautiful)
  • Minimal teeth trimming
  • Stain resistant porcelain veneers
  • Gum friendly
  • Quick and simple procedure
  • Strength and durability

 
Cons

  • Not suitable for teeth with poor gum health
  • Not suitable for patients with a habit of night grinding and clenching
  • Irreversible as 0.5-0.8mm of enamel has to be trimmed
  • A tendency to dislodge on biting hard foods

smile design with dental veneer cost
Front Teeth Smile Designing with Dental Veneers Done at TDS

Types of Dental Veneer

Porcelain / All Ceramic Veneers

  • IPS Empress: PRESSABLE CERAMIC. Relatively thicker with high strength. Requires more removal of tooth enamel compared to other types.
  • IPS e. max cad: Made of lithium disilicate. High strength. Requires removal of minimum 0.5mm of tooth enamel.
  • Procera All Ceram Nobel bio care: Contains aluminium oxide. Extremely strong
  • Cerec: this is a unit with digital imaging software along with a milling unit. using this the digital file will be converted into a custom made porcelain veneer. the veneer can be delivered on the same day avoiding multiple visits to a dentist.
  • Zirconia based porcelain: Ultra-thin zirconia veneered to porcelain veneers mainly preferred when there is underlying damage to teeth structure. the opacity of this material hides the underlying defect more when compared to all ceramic; very strong and resistant to fracture, also requires removal of the teeth enamel
  • No prep veneers: Much thinner compared to traditional veneers. made of Cerinate porcelain which is an ultra-strong form of porcelain. Requires minimal 0.2mm of enamel removal or sometimes no removal at all. Reversible but can’t be done on damaged tooth surfaces Example: Lumineers and DURAthin.

Resin Veneers – Composite Resin

Well known as Tooth color filling material used for dental bonding. More economical. More prone to staining. Requires regular replacements and maintenance and is also reversible.

Cost of Dental Veneers in India

Hereby we are providing a table comparing the price of dental veneer in INDIA with other major countries.

Treatment Procedure India (INR) USA (USD) Australia (AUD) Europe (Euro) UK (GBP) UAE (Dirham)
Porcelain Veneer, Per Tooth 8000 – 15000 500 – 1900 1100 – 1500 480 – 600 600 – 1100 1400 – 1700
Cost in USD Equivalent 112 – 210 500 – 1900 759 – 1680 538 – 672 774 – 1419 102 -459
Zirconium Based Porcelain Veneer, per tooth 9000 – 16000 700 – 2000 1300 – 1600 550 – 700 700 – 1200 1500 – 1800
Cost in USD Equivalent 126 – 224 700 – 2000 897 – 1792 616 – 784 903 – 1548 109 – 486
Lumineer per tooth 14000 – 19000 900 – 2500 2500 – 4000 800 – 1200 800 – 1300 2000 – 2500
Cost in USD Equivalent 196 – 266 900 – 2500 1725 – 4480 896 – 1344 1032 – 1677 146 – 675
Composite veneer per tooth 1500 – 2000 250 – 1500 300 – 600 150 – 240 200 – 500 600 – 800
Cost in USD Equivalent $21 – $28 $250 – $1500 $207 – $672 $168 – $269 $258 – $645 $44 – $216

Note: The above-given details in the table represents the ballpark cost of treatment which may vary according to patients teeth condition. Sometimes additional price might be charged as per patients existing teeth condition, temporary teeth fabrication and some radiographs and scans accordingly. The cost of dental veneers shown here is the average indicative cost based on Internet research. The cost shown in USD is based on the conversion rate provided by Google on 14th April 2019.

 

 

Tooth Friendly Food & Foods That Can Cause Tooth Decay

Healthy teeth – Healthy you.Yes! it is true that keeping teeth healthy will help you stay healthy… 

We as doctors and you as parents always insist on the child to brush twice, floss, rinse the mouth. However, the secret to healthy teeth lies in your child’s diet as well..! Food has always shown a great deal of impact on teeth-for better or for worse. This blog will help you discover the tooth-friendly food that you should include in your child’s diet and as well the food that should be avoided..!

Tooth Friendly Food

Fruits & Vegetables Containing Fiber

vegetablesChewing apples and other high-fiber containing fruits can clear the soft deposits from your teeth. Also as a benefit, fruits are full of essential vitamins and minerals.

Carrots, cucumber and other vegetables containing fiber when chewed also stimulate saliva secretion which in turn washes away the acids and food deposits naturally from the tooth surface.

Drinking Water with Fluoride

Drinking plenty of water is always recommended as it not only clears the food remnants but also the harmful bacteria. Also, fluoride present in water is an essential mineral for the health of teeth since the time of birth and it is essential in forming a stronger enamel surface which is more resistant to the acids secreted by plaque bacteria. However, optimum values of fluoride in water should be constantly kept under check. All drinking water almost contains fluoride but some bottled varieties do not.

Eggs

An egg is an excellent source of vitamin D, protein and calcium, which are all important for oral health. Vitamin D is the most essential vitamin for absorbing calcium from the food consumed. This calcium will, in turn, build a stronger jaw for holding the teeth in place and maintains healthy and strong teeth.

Dairy Products

dairy-productsDairy products such as milk, cheese, and yogurt are all very rich in minerals like calcium and phosphorous. They also contain casein which has an important function of building a strong enamel thereby preventing cavities. Minerals like calcium and phosphorous work by neutralizing the strong acids that are produced by the plaque bacteria.

Calcium is just not needed for the teeth in their formative stages but also throughout life. When the diet contains low calcium, the body leeches calcium from teeth and bone making them weak thereby increasing the chance of cavities. Weaker bones also may leave your teeth with less support.

Green Leafy Vegetables

green-leafy-vegetablesLeafy veggies have a very high level of vitamins and minerals such as vitamin A, vitamin C, beta carotene, phosphorus, calcium and magnesium. For example, spinach is rich in calcium. Phosphorous from these veggies get deposited into your teeth and bones thereby strengthening them.

 

 

Nuts

Carbohydrates, when consumed, gets deposited on the teeth irregularities due to their sticky nature. On the other hand, chewing nuts secrete saliva thereby washing the food deposits. Almonds, peanuts and cashews, can also protect teeth by replenishing the lost minerals.

A note on Balanced Diet

A balanced diet is the one that gives your body the essential nutrients which are necessary to function properly. The following food pyramid categorizes different kinds of food which are important to maintain a healthy diet.

It is also important to understand that the number of servings when increased will increase the risk of cavities as the teeth are exposed to risk for multiple times.

What foods can cause tooth decay

Sugary Drinks

sugary-drinksAnything that is consumed in excess is always harmful and the same applies to the sugars as well. The oral germs present inherently in the mouth start to feed on these sugars and eventually convert them into acids, which further dissolves tooth enamel and causes decay. Also, carbonated soft drinks, sugar-free diet sodas, non-carbonated sports drinks are all acidic in nature which causes the same damage when consumed.

Citrus Foods and Juices

Citrus fruits are definitely a good source of Vitamin C and other nutrients. It helps in the repair of the body and plays a major role in maintaining healthy gums. However, these citrus fruits are again highly acidic and they erode tooth enamel. It is recommended that juices made of citrus fruits be diluted when consumed on a daily basis and drinking water immediately after will also help to reduce the harmful effects.

Chewy Candy

chewy-candyWe have seen that sugars cause cavities and candies are full of it. Of all, the most damaging are the ones which are sticky in nature. They have a tendency of getting embedded in the deep crevices of the tooth and harbour bacteria at a later stage. So, it is always advised to rinse with water to clean the tooth surfaces and gums. Extra chewy candies like toffees, gummy bears, jellies and caramels also stick to teeth for a long time even after rinsing and brushing. This is where sealants play a preventive role in cavity formation.

Chips, Bread and Pasta

breadsSnacks which are made from white flour are carbohydrates and we have already discussed the ill effects of these earlier in the blog. Chips not only are unhealthy but also have a tendency of adhering to the teeth and promote cavities.

Right food for healthy teeth

What you consume not only makes your body stronger and healthier, it is also playing a major role in the health of your gums and teeth. So, it is not always just consuming the right kind of food but also knowing how and when to eat them. Few tips….

  • Eating a raw vegetable at the end of your meal will secrete more saliva and also scrubs the teeth surfaces.
  • Make sure you drink water after every meal which help wash away the sugars and acids present on the teeth surfaces
  • Few foods that are good for your teeth (milk) also contain sugars. So it is important that you rinse or brush and floss afterwards.
  • Brush twice a day and also remember to visit a dentist every 6months for checkups.

Full Mouth Implants – Life Time Solution For Loose Dentures

full mouth dental implant

There is a continuous increase in demand for Dental implants in the latter part of this era with an increasingly elderly population, as the implants provide a fixed comfortable solution for missing teeth and also for soon to be missing teeth. Failing teeth is becoming a common problem in the elder people by affecting their chewing efficiency, appearance, speaking ability etc. Dental Implants holds the unique ability to restore normal function i.e. chewing, speaking, smile/looks, thereby altogether boosting up not only one’s self-confidence but also general health.

Full Mouth Implants: A Unique Method to Replace Missing Teeth

No more worries with your old dentures!! Drop them at your home and visit us to get a fixed permanent set of teeth within 48 hours.  In the traditional method of getting a Full Mouth Implant, it takes around three to six months to get your permanent teeth. But the waiting is over! With TTPHIL ALL TILT 6 method, a life-changing innovation in dental implantology, we are able to provide you with permanent teeth in less than 48 hours.

Full Mouth Implants – Better Option Than Your Dentures

Yes!! All those worries with your loose dentures can be overtaken by Full Mouth Fixed Implant Bridge. Using removable dentures is really a big task with many hurdles where one should strive very hard to overcome those. Though they can serve the purpose of restoring the lost smile and chewing ability, this is only a temporary one which needs many more modifications further in future to maintain the achieved result. The major drawback of these dentures is, it is a removable one, which needs special care on a daily routine. Dentures need to be removed and stored in water before sleep and should be cleaned thoroughly next morning before wearing again. Sometimes there will be a need for usage of denture adhesives to gain more fit. If it is made of cheap material there is a good chance of wrappage when it comes in contact with hot foods resulting in a loose fit. Also, there is a chance of denture breakage if it falls. Moreover, the support to the lips and cheeks will also get reduced on long-term use. Also, patients typically have a constant fear of denture dropping down / coming out when speaking and eating etc.

 

 

TTPHIL for Full Mouth Implants

Now with full mouth dental implants, we can provide a fixed permanent solution for those who are facing hurdles with their old dentures. In traditional implant technique, the permanent teeth are fixed over the implant only after three to six months, post-implant placement. Also, additional surgical procedures will be advised if sufficient bone is lacking. Such longer waiting periods and expensive add on surgical procedures are the drawbacks in traditional implantation technique. With TTPHIL ALL TILT 6, we are able to address all these problems associated with traditional implant methodology and give you a smart and bright smile, much faster and in a convenient manner.

Dental Implants Vs. Dentures

Let’s have a quick look at how dental implants are proven to be more beneficial than dentures.  

 

Full Mouth Implant Bridge

  • Fixed, permanent solution
  • Comfortable and enhance confidence
  • Speech and chewing ability not affected
  • One time investment with life time warranty @TDS
  • Lifetime permanent solution @TDS
  • Stable and more durable
  • No risk of bone absorption in future
  • No diet restrictions
  • preserves jaw bone
  • Jaw bone quality is preserved
  • Addition usage of adhesives not required
  • Post operative maintenance minimal with routine brushing and rinsing

Traditional Dentures

  • Removable, temporary solution
  • Unreliable with fear of falling down
  • Speech and chewing ability affected
  • Less expensive initially with add on investments later for repairs
  • A necessity for repair and relining in future
  • Unstable and unreliable
  • Evident risk of bone absorption resulting in loose dentures in future
  • Restricted to avoid hard and sticky foods
  • Thinning of jaw bone seen on long term use
  • Denture adhesives are sometimes required to maintain stability
  • To be stored in water every night before sleep

 

TTPHIL All Tilt 6 at The Dental Specialists, India

Waiting for three to six months can be avoided with TTPHIL All Tilt 6 technique @ The Dental Specialists, India. Many of the challenging edentulous cases with minimal bone support and medically compromised conditions are taken up and treated successfully by Dr Venkat Ratna Nag ever since 2009 when he introduced his own sophisticated, ingenious TTPHIL All Tilt 6 technique of dental implants. He always works to the utmost satisfaction of his patient in regard to function, speech, sense, speech and self-esteem. TTPHIL All Tilt 6 treatment concept has been proven to be the best in its class of solutions for full arch treatment.

TTPHIL All Tilt is the technique, where the permanent teeth are immediately fixed over the implants within 48 hours by placing six tall and tilted two-piece hybrid cortical implants using a pinhole, flapless method with minimal bleeding and postoperative pain.

dental implant techniques
Before Implant Placement and After TTPHIL All Tilt 6

 

How is Immediate Loading of Implants Possible

The immediate loading i.e. placing permanent teeth over implants within 48 hours with TTPHIL All Tilt 6 has been proven successful by using six tall and tilted two piece cortical hybrid implants @ The Dental Specialists, India. Two tilted front implants and four implants tilted up to 45⁰ degrees in the back jaw region are used to avoid the need of adding on expensive and time taking surgical procedures like sinus lift and nerve bypass. These implants are long (around 16-25mm) take anchorage from basal bone and cortical bone, which is highly resistant to absorption and micro-movements of implants within the bone due to which the primary stability attained by the implant is high. The good primary stability is the pre-requisite for immediate loading which is attained by using two-piece hybrid cortical implants.

Edentulous Jaws
Pre Operative Photograph Showing Completely Edentulous Jaws
After full mouth implants
Post operative Photograph with Beautifully Restored Teeth Through Implants

 

Advantages of TTPHIL All Tilt 6 for Full Mouth Implants

  • Need of only six implants to replace 14-16 teeth per jaw
  • Immediate loading, the permanent teeth can be loaded on the day of surgery with the help of advanced CAD CAM technology.
  • Overall treatment time taken for entire treatment is also less i.e. within 48 hours.
  • Long term solution with lifetime warranty @The Dental Specialists, India
  • Economical due to the usage of a minimal number of implants
  • Graft less solution; doesn’t require sinus lift kind of additional expensive surgical procedures
  • Increased anchorage with minimal bone volume due to tall and tilted implants
  • Implant and bone interface is more due to tall and tilted implants
  • Bicortical anchorage with two-piece hybrid cortical implants
  • Even load distribution with better distribution of implants along jaw bone
  • Improved quality of life with an enhanced smile and chewing abilities
  • Full compliment of teeth 14 to 16 teeth: Up to 2nd molar area, which will improve the chewing surfaces and occlusal table. In comparison, a short arch will provide only 10 to 12 teeth depending on case to case.

 

Possible Exceptions in TTPHIL for Full Mouth Implants

Ideally, Pin Hole surgeries or keyhole surgeries are Painless. All the cases are planned according to the DICOM DATA. This data is converted to STL data used for 3D Printing. Virtual planning is done based on this data. Sometimes, in 5 to 10% cases the bone levels are too less that we may have to do open flap. Some times the treatment can be prolonged because the patients have a very low pain threshold, also some procedures like root canal, impacted teeth removal, highly apprehensive patients, the treatment may go up to 9 days to 14 days. Sometimes, 5 to 10% cases, the bone is too weak that immediate loading is not possible. In those cases, we may have to wait for 8 to 12 weeks for the new bone to form.

 

Highly professional dental treatment

The team at The Dental Specialists are professional, confident and knowledgeable! I had some implants done and the treatment was completed in a single sitting. Amazing! Dr.Venkat has a calm and confident persona and updated with the latest skill sets in his profession. Little wonder that he is invited to address industry colleagues at international forums. My experience here has been good not only in terms of the treatment I received but the way my appointments were managed. My search for a reliable dental team ends here! I would recommend The Dental Specialists to others who are looking for a reliable and professional dental clinic.
– Ms.Sumedha

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