Do you or your kids suffer from tooth sensitivity?

Do you or your kids suffer from tooth decay?

Do you or your kids have a fear of drills in a dental office?

Do you or your kids have a fear of aerosol producing treatments?

Do you or your kids fear visiting dentist during the pandemic?


If your answers to any of the above questions is yes, and you need the most safe and effective treatment for your sensitivity or cavities, then Silver Diammine Fluoride is the perfect answer.

Our Pediatric Dentists at The Dental Specialists have thoroughly researched the needs of patients during the Covid pandemic and have come up with an ideal solution, Silver Diammine Fluoride application.

What’s Silver Diammine Fluoride(SDF)?

SDF is a liquid antibiotic that is used to treat or prevent progression of Dental cavities and sensitivity, especially in kids. It contains Silver, Ammonium and Fluoride ions.

What’s special about SDF?

The most important advantage of SDF is that it’s a topical medication. There is no drilling required. Anaesthesia is not needed. No aerosols are produced. It takes less than five minutes of chairside time. There is absolutely no pain. SDF is applied on affected tooth surfaces with the help of a small brush applicator.

All these advantages make SDF the most sought after treatment, especially during the pandemic.

How does SDF work?

Silver and Fluoride in the SDF act as antimicrobial agents. They remineralize enamel and Dentin. They prevent and arrest cavities.

Ammonium ions are added for stability of SDF.

How is SDF useful during the pandemic?

SDF is the safest, effective and efficient answer to your teeth sensitivity and cavities. It reduces the risks of covid 19 to almost zero when you visit dentist. This can be used on almost everyone, who needs an immediate attention but cannot or will not undergo extensive restorative procedures.

At The Dental Specialists, our Pediatric specialists have been using SDF since a long time, and found that SDF worked well in kids and adults as well, and its use has been highly recommended.

Who needs SDF?

SDF has been extensively used on children. However, it can be used in the following conditions:

In kids with severe caries, called rampant caries, which cannot be restored or extracted. SDF will prolong the life of milk teeth. This in turn will prevent orthodontic abnormalities in the future.

In patients who have high caries risk, like those who have reduced salivary flow, called xerostomia.

In infants with early caries, without much damage to tooth structure.

In uncooperative or special children

To retain the milk teeth to  prevent orthodontic complications like space closure

In conditions where aerosol production should be avoided(like in covid)

In asymptomatic milk teeth about to be shed, and non restorable

In hypersensitivity of Dentin and root caries

In clinics with minimal infrastructure.

In conditions were patient cannot afford the dental treatment SDF is economical and effective.

For negligible and incipient cavities which don’t need fillings.


Who cannot get SDF done?

Patients with allergy to any components, or patients with severe pain or abscesses in gums that require more complicated treatments than SDF. 


Is SDF safe during the pandemic?

Absolutely yes. SDF is a very efficient, effective and safest way to treat and prevent sensitivity and cavities during the pandemic. When you cannot visit dentist periodically, and when you need aerosol free procedure without drilling or pain, SDF is the best topical application solution available that works for a few months. It should be applied every 6 months with periodic evaluation of the status of sensitivity or caries progress.

The Dental Specialists has a dedicated pediatric dental unit that caters to children of all ages, specializes in all kids treatments, and most importantly uses the latest techniques and technology, following all covid protocols, while performing safest procedures in the safest environment stressing the need for prevention and maintenance, thus helping kids recognise the importance of teeth. This is the reason why kids and parents love The Dental Specialists





Silver Diammine Fluoride, abbreviated as SDF is an antibacterial liquid composed of Silver, Ammonium and Fluoride. It’s main application is in pediatric dentistry along with satisfactory usage in adults as well. An excellent product being used especially in the Covid 19 pandemic time, when aerosols need to be avoided, this treatment offers the best possible time bound solution for sensitive and carious teeth till further complex treatments can be performed.

At The Dental Specialists, our Pediatric dental care unit treats several kids and adults with an intention of prevention and arrest of caries progress. It is also used successfully in cases of sensitivity.

simple application of sdf gel

In the above picture you can see cavities near the gums in lower back teeth. When conditions impose application of SDF and other treatments are delayed, the following procedure is performed.

Initially patient is well explained everything about SDF,  it’s pros and cons, and an informed consent is taken with the patient’s or guardian’s signature.



Procedure of SDF application:

1.Applying Vaseline to the lips and outer mouth to prevent staining.

2.Exposure and isolation of teeth involved.

3.Cleaning debris, deposits, plaque and drying the entire area

4.Proper isolation of gums and lips or cheeks

sdf application to prevent cavities


5. Application of 38% SDF with a mini brush to the affected areas only

6.Leaving the area undisturbed for 1 to 3 minutes.

7.Potassium iodide can be applied to mask the stain caused

8.SDF stains everything it touches. In case of a stain, leaving it for 1 to 3 weeks will fade away the stains.

9.SDF causes permanent stains in carious teeth. This stain won’t go away. This can be masked by using glass ionomer or other restorations later, after a few weeks of evaluation.


10.SDF should be applied every 6 months. But it’s not a permanent solution. Appropriate treatments should be planned according to the evaluation.

Benefits of SDF:

1.No drilling, no anaesthesia, no aerosols( covid protocol compliant)

2.Super fast treatment, can be completed in just 5 minutes!

3.Very simple, easy, and extremely comfortable and convenient to both patient and dentist

4.Temporary solution to arrest and prevent cavities, and decrease sensitivity.

5.Remineralization of Dentin and enamel.


Disadvantage of SDF:

1.Black staining due to silver particles, which needs a masking agent later on. SDF stains everything it touches, though soft tissue stains are temporary.

2.Very rarely allergies to components of SDF.

3.Not a permanent treatment in extreme cases.

Are there any side effects of SDF?

Darkening or blackening of tooth surfaces after SDF application is very common. It’s not a medical complication. Skin around mouth may get stained but it’s reversible.

A metallic taste that subsided in a few hours was observed.

At The Dental Specialists Pediatric Dental experts diligently scrutinise each case and the need for SDF is explained, performed with prior consent, and evaluated regularly. Further treatment is done if required. However, SDF application is very common and our specialists have been stressing the need for a preventive approach, that’s been very successful among kids of all ages. SDF has been in use during the pandemic as well because of its advantages.



WHAT ARE DENTAL IMPLANTS?? TTPHIL IMPLANTS : An alternative finest way to regenerate your lost smiles.

What is a Dental Implant?

Dental implants replace root portions of missing or extracted teeth. Sometimes we don’t have teeth, or our teeth are so bad that we cannot chew, nor even smile for that matter. These need removal. And dental implants create artificial substitutes for missing teeth using the most natural and effective technique, called TTPHIL, innovated by Dr Venkat Ratna Nag, director of The Dental Specialists and Institute for Dental Implantology. 

TTPHIL implants support artificially manufactured crowns that feel, look, and function just like your own teeth!

Advantages of TTPHIL implants:

Convenient, comfortable and biocompatible

Restoration of your natural smile and function

Protection and preservation of existing bone and teeth 

Anyone, young or old, can get TTPHIL implants, including medically compromised patients, diabetics, smokers!

Immediate loading in just a few hours!

How do TTPHIL implants replace one missing tooth?

The procedure is so simple and painless that you won’t even know or feel that it’s been completed! It’s so fast and precise!

You may ask how is that possible, yes, it’s possible using our latest digital technology like 3D scans, Stereolithographic models and surgical guides! TTPHIL is the latest in Implantology!

Utilizing the most modern technology, the implants are just drilled into the bone, in just a few minutes! Abutments are fixed, and crowns are manufactured in our 24- hour  state of the art Dental laboratory. These crowns are then fixed on the abutments using screws. Ideally, TTPHIL is a two step procedure, where you will

Get the implant and abutment on day one, and 

Get the crown fixed on day two…It’s that simple!!!

How are multiple teeth replaced, using TTPHIL?

Multiple missing teeth do not require as many implants. Based on the principle of crown and bridge, two or more implants are placed in the same way like mentioned above, and bridges are fixed on the supporting implants. Bridges have three or more crowns fixed on two or more implants. Reduction in the number of implants used will be 

Cost effective, easier approach for both you and your dentist

Less trauma, less bleeding

Faster healing, longer life

Convenient, comfortable and perfectly safe.

How is TTPHIL used to replace completely teethless jaws?

TTPHIL system is very favourable for complete jaw rehabilitation. This stands true especially if your bone standards are poor. The very fact that TTPHIL avoids bone grafts, sinus lift operations and other traumatic, cumbersome, expensive, time taking procedures proves the effectiveness of the technique!

Six implants are placed in each jaw, making a total of 12 implants. This is followed by fixing abutments and measurements are made digitally. After a few days you will receive crowns in the form of bridges where the crowns are attached to one another. These bridges are then fixed on the implants. Usually 14 teeth in each jaw, a total of 28 crowns are fixed. 

TTPHIL implants have lifetime warranty!

Crowns have 10 to 20 years warranty!!

More interestingly, The Dental Specialists offers complementary review and maintenance visits!!!

TTPHIL are far superior to conventional implants

TTPHIL implants don’t recommend grafting

TTPHIL system is very simple, unlike single piece system 

TTPHIL implants don’t perform complicated surgeries

TTPHIL implants are very economical

TTPHIL implants are immediately loaded 

Functionally and aesthetically, TTPHIL implants are undoubtedly the best!!!

You don’t have to wait for long periods of time 

You don’t have to spend hours at the Dental office

You receive maximum comfort and minimum pain

Your teeth are replaced in just hours!!!

You don’t need unnecessary procedures!

It’s very budget friendly!!!

There sometimes will be certain limitations based on your bone quality and your implantologist will suggest the best possible treatment plan for you. Infrequently you may have to wait for a few weeks or months before receiving your permanent crowns, but that’s for the best outcome. You will be given provisional teeth during that period of waiting. 

Every individual has different needs and conditions. Based on these, treatments are customized and are not to be considered generalized. 

Why wait for the tooth fairy, when it’s right in front of you? 

TTPHIL is the most advanced, and the most simple, fastest, economical, flapless, graftless, immediate solution for your missing teeth!!! Visit The Dental Specialists today!!! Whatsapp/ Call 📞 +91 90000 21174 / 9959448800


15 REASONS TO CHOOSE THE DENTAL SPECIALISTS:  The Dental Specialists is a standout amongst the most reputed dental care practices in hyderabad Besides its unparalleled infrastructure and profoundly qualified special The Dental Specialists believes in and executes a fin policy of meeting with plot standards of services. They inake sure every treatment is a challenge for them, in every procedure and nechnique with modem and hance tools and technology teaches them something different each time The Dental Specialista consciously supports and adheres to a Patient l int philosophy on a daily routine  1. Prompt assistance : Immediate and prompt consultations and mooth treatment by  expert MDS faculty are assured.  2. Appointments And Consultations: Scheduling appointments based on patient’s convenience and their benefit is the policy followed religiously.  3. Treatment for the aged: Immediate Geriatric treatment facility (Advanced Dental Implant center is always ready with the best of the equipment and special assistance. 4. Pediatric care : The Dental Specialists takes an interest in Special Pediatric care  for Kids and Teens.  5. Physically impaired patients: Wheelchair availability and special assistance for the physically challenged and senior citizens is well maintained  6. Patient friendly environment: The Dental specialist’s team endeavors to create a Patient Friendly environment with extremely concerned experts and hospital staff 7. International patient assistance : The Dental Specialists gives due importance and  priority to International patients who book their appointment in prior  8. Anesthesia : Local anesthesia or sedation is provided as an option for patients to mitigate the pain during the treatment procedures  9. Safe dentistry: Use of disposable gloves, masks, and Syringes are regularly checked and maintained. Sterilization is done regularly with Autoclave, Hot air Oven, Glass bead Sterilizer and Chemical Disinfectants for laboratory and noncritical Apparatus  and Instruments in order to maintain hygiene. 10. Hospital dentistry: Medical emergency with ambulance services and Pharmacy  is  available round the clock All Lab Investigations are taken care of at the clinic based lab itself. The hospital is well furnished and has Centralized air conditioning  11. Cutting edge equipment : Leading quality of infrastructure, Dental Equipment E surgical Instruments are used at The Dental Specialists. The Dental Specialists use the best Dental Implants and Bone grafts, procure crowns and bridges based on the kind of treatment procedures they undertake for each patient  12. Cost: We provide budget friendly and easy and affordable for our patients.  Insurance assured fixed prices to make it  13. Patients feedback: Immediacy of grievance banding with regard to  Inconvenience faced by the patients. Is taken due care of 14, Weekend availability: The Dental Specialists serve a diverse range of customers including celebrities and other VIP’s from different communities. Hence, owing to the hectic schedules the patients have the hospital is open on Sundays with flexible  timings for their convenience. 15. Parking facility for vehicles There is abundant parking space is maintained for two a four wheelers.



The disadvantages of the old conventional technology gave rise to Two piece cortical or TTPHIL technique, by Dr Venkat Ratna Nag.Both the implantologist and the patient requirements are not met in conventional implants . To overcome this disadvantage of conventional implants, Dr Venkat designed the two piece cortical system or TTPHIL in which immediate implantation, immediate loading  and ultimately a durable patient satisfaction is achieved.The reason why TTPHIL is successful  is because the implant apex are placed in the basal cortical bone.  Bone augmentation is not required. Risk groups like smokers and diabetics also can get TTPHIL done safely. There is cortical anchorage of TTPHIL implants that leads to instant stability, load bearing and osseointegration.

Advantage of screw retained TTPHIL is that the implant is placed like a conventional imlpant, but it transmits loads to the cortical bone load bearing area leading to no crestal bone loss

  1. Infections are not possible in TTPHIL, as the implants are placed in highly infection resistant basal bone. Conventional implants attract infection because of poor quality in alveolar bone. TTPHIL IMPLANTS are placed deep subcrestal way below the crestal cortical bone which is more prone to infections and bone loss.
  1. Peri implantitis and bone loss are not seen in TTPHIL, whereas they  are very common in conventional implants because of deep subcrestal placements and platform switch Microgrooved one time abutment placements leading to muco integration and locking mechanism.

Bone augmentation is technique sensitive, less predictable,  questionable prognosis procedure. This can be avoided completely in TTPHIL. In conventional implants bone augmentation is very commonly done. Risks, Rejections and Failures are high.

  1. Pre Implant Procedures like Bine grafting, Bone augmentation surgeries are not done in TTPHIL. Instead of intermediate or temporary dentures, permanent crowns can be fixed in a very short time. So patient is never without teeth. 

Extractions and immediate implant placement can be done, even if the teeth are periodontally compromised.

  1. TTPHIL implants require minimal maintenance. Patients have a comfortable way of cleaning dentures regularly, unlike conventional implants. Infections are rare because of the smooth polished abutment surface structures of the TTPHIL Implants. 

  1. The resorption of cortical bone is almost nil. Alveolar bone resorbs very fast. So placing TTPHIL implants in cortical bone makes them very strong. Due to the high mineralization, the cortical bone is very resistant to infections. In conventional implants bone is very susceptible to infections. 
  1. Aesthetics are not compromised in TTPHIL. Placement of implants in areas of high mineralization and low mineralization would not greatly affect crown placement. High esthetic CAD CERAMIC / ZIRCONIA/ EMAX CROWNS are given.
  1. Bone healing is excellent in TTPHIL. In conventional implants bone takes a very long time to heal. Due to the morphology of the implants, healing is fast. There are both Osseofixation and osseointegration in TTPHIL, whereas conventional implants have only osseointegration. 

  1. TTPHIL implants have gold anodized plating that fights off infections and inflammation like Peri implantitis 
  1. 14 successful years of clinical and research experience in two piece cortical or TTPHIL  implantology -having treated thousands of patients successfully, Dr Venkat Ratna Nag  has published numerous articles, won many awards and accolades, conducted  several conferences , and still going on, as the most advanced revolution in dental Implantology, the TTPHIL ALL TILT PROTOCOL , for FULL ARCH / FULL MOUTH REHABILITATION CASES as well as SINGLE TOOTH / MULTIPLE TEETH REPLACEMENT CASES.

For Appointment

Call us on  +91 90000 21174

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Dental Reception: Neat and Clean

Emergency Dental Services are being provided only by a very few Dental specialities and The Dental Specialists is one among the very few with an expert team ready  to serve 24 hours a day! The efficiency of The Dental Specialists to contain the spread of the virus could be attributed to the care and strict maintenance of standards set by health authorities of the state. 

Our Dentists have taken extraordinary measures to keep the virus spread in check, and make sure patient safety is of paramount importance than anything else.

Hence, it is absolutely safe to visit a dentist, and get treatments too, during the lockdown. The facts are self evident, and research proves beyond doubt that our dentists are considered safest and to be at the top in combating the viral spread, despite the risks, despite the apprehensions, despite doubts, despite vulnerable working environment, despite dealing with aerosols from open mouths.

How do our dentists make our offices safe for our patients?

The following describes steps taken by our dental office, simply by adhering to rules laid down by authorities and also continuing to provide perfect sterilization protocols that have been in use since decades, even before covid started.

The latest survey by American Dental Association stares that less than 1% of all the dentists tested positive for the virus and this is attributable to the safety policies and disinfection practices at all the dental offices.  Even during a pandemic, it’s still safe to go to the dentist. That’s what the         American Dental Association is telling the public.”

So, be assured that we have taken all the measures for your safety and do visit us for your dental needs. In this pandemic while we have planned to open our clinics and provide expert dental treatments, one major thing to consider is to provide safe environment to our patients and staff.

Before you visit us, please have a look on the safety measures taken by us for you which are according to the norms provided by Dental Council of India (DCI).

3.Screening of body temperature and oxygen saturation levels of all patients and staff.

  1. Providing hand sanitizer containing Isopropyl alcohol.
  1. Disposable shoe covers for patients before entering the clinic.
  2. Completely sterile reception area with safe physical distancing AT THE RECEPTION AREA.
  1. A detailed patient consent and declaration regarding COVID 19 and general diseases with recent travel history.
  2. Maintaning physical distancing in waiting area with well planned staggered appointments.

7. Increased sanitization with regular disinfectiong of floors, door knobs and handles with 1% Sodium Hypochlorite.


1. Treatment rooms divided into 3 parts according to the type of treatment done.

Only checkups, Non aerosol producing and aerosol producing procedures to prevent cross contamination.

2. Maintaining of air circulation with natural air through frequent opening of windows.

3. Regular disinfection of treatment rooms including dental chairs after each treatment.

4. Our Dentists use PPE including mouthmasks, headcaps, face shields, gloves, and full-body gowns while doing treatments. PPE is changed or sterilized after treating each patient to minimize the risk of cross contamination.

  1. Use of sanitized and autoclaved instruments packaged in sterile disposable covers.

6. Patients provided with headcaps and protective eyewear during aerosol producing treatments.

6. Use of mouthrinse containing 0.5% povidone iodine solution for 30 sec before start of treatments.

What emergency procedures do we serve?

Treatments of painful and sensitive teeth and gums

Treatments of fractures 

Treatments of abscesses, cysts, malignancies, tumours

Treatment of children’s Dental emergencies like falls, trauma

Treatment of bleeding gums or disorders.

Treatments of oral submucous fibrosis and white and red lesions 

Treatments of fungal infections like the black fungus

Treatments of loose teeth

Treatments for patients on dialysis, or heart or kidney surgery

Emergency root canal treatments 

Emergency surgical procedures like apisectomy or splitting or curettage, pus drainage

Emergency procedures on pregnant patients

Urgent treatments for tooth loss

Your safety is ensured, guaranteed, and responsibly taken care of. Visit The Dental Specialists, without doubt and maintain oral hygiene by following your dentists suggestions. However, we need to strictly adhere to the rules and guidelines laid down by authorities and dental offices 


For Appointment

Call us on  +91 90000 21174 / +919959448800

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Mouthwash, also called oral rinse, is a liquid product used to rinse your teeth, gums, and mouth. It usually contains an antiseptic to kill harmful bacteria that can live between your teeth and on your tongue.

Mouth wash in Dentistry


The primary fact about mouth washes is that they are NOT a replacement for brushing and flossing in terms of oral hygiene and it’s only effective when used correctly. It’s also important to understand that different product formulas contain different ingredients, and not all mouthwashes can strengthen your teeth. Though most of the mouthwash products available readily claim efficacy in reducing bad breath, cavities, gum problems, it’s not advisable to buy and use them, just because they claim. Your dentist is the best judge to diagnose your oral condition and suggest a suitable mouthwash. 


Mouth washes are available in two types, cosmetic and therapeutic. Cosmetic mouthwash may temporarily control bad breath and leave behind a pleasant taste, but have no chemical or biological application beyond their temporary benefit. Therapeutic mouthwash, by contrast, has active ingredients intended to help control or reduce conditions like bad breath, gingivitis, plaque, and tooth decay. 

The most commonly found ingredients in mouthrinse include water, alcohol, cleansing agents, flavoring ingredients, and coloring agents. Depending on the type of mouthrinse, the active ingredients may vary as follows:

  1. Antimicrobial agents: by acting directly on oral bacteria, these agents help reduce plaque, decrease the degree of gingivitis, and control bad breath
  2. Fluoride: this ingredient helps reduce tiny lesions on tooth enamel, making teeth less susceptible to decay
  3. Astringent salts: these temporary deodorizers can be used to cover up bad breath
  4. Odor neutralizers: these agents work by chemically inactivating the compounds that cause breath odor

Patients should discuss with their dentist which mouthwashes are suitable for use as part of their oral hygiene cleaning measures.


Step 1: Pour 10 ml of mouthrinse or mouthwash in the cap. Unless specifically mentioned on the label, do not dilute with water. You can use a mouthwash before or after brushing as per your preference.

Step 2: Empty the cup into your mouth and keep it shut while swishing to prevent the liquid from squirting out.

Step 3: Swish the liquid in your mouth for 30 seconds to 1 minute. Check the directions on your product label to know the exact time the product you’re using requires you to swish.

Step 4: Once you’re done, spit out the liquid in the sink. Make sure that you don’t swallow the liquid as mouthrinses and mouthwashes contain chemicals that aren’t fit to be ingested.

Step 5: While using a fluoride mouthrinse, wait for at least half an hour before you rinse, eat or drink again. This is because fluoride ions take time to diffuse into the teeth’s enamel. By eating or drinking before 30 minutes, the ions may get washed off.


  1. Mouthwash can damage some parts of the mouth: Mouthwashes with high alcohol content can burn the delicate mucus membranes in the mouth.
  2. Mouthwash can stain and darken teeth: When chlorhexidine gluconate, an ingredient present in some mouthwashes, comes in contact with food additives left in the mouth, it can result to staining or darkening of the teeth.
  3. Mouthwash can irritate canker sores:  Mouth washing can help heal canker sores, but when you use a type of mouthwash that has a high alcohol content, it can further aggravate the condition.
  4. Mouthwash can simply mask bad breath and not for a long time. Mouthwashing will never be a substitute for tooth brushing. Using mouthwash is just one of the many areas of proper oral health. While it can conceal problems by giving temporary fresh breath, it will not be able to address oral issues on its own.


Mouthwash can be dangerous for children when ingested. Children are prone to accidentally ingesting mouthwash, and it can have serious health hazards for them. It can result to convulsions and in more serious cases, it can lead to comatose. Children between the ages of six and 12 should be under adult supervision when mouthrinsing. Meanwhile, those who are below five years old should only use mouthwash when prescribed by a pediatric dentist.


From The age of 6 years, kids can start using regular mouth washes. Some mouth washes have been specially manufactured for kids, with exciting flavours, that your kids love! Make sure you teach your kids the importance of brushing and flossing and also rinsing well with water or mouthwash, so that it becomes a habit and keeps their oral hygiene at their best!

Kids can start practising using normal water first, so that they gain motor reflex control and once they master rinsing and gargling, then they can start using regular mouth washes usually with fluorides for preventing decay.  Your paediatric dentist will explain and demonstrate how to use a kids mouthwash. Keep the mouthwash away from the reach of children. Avoid alcohol based mouthwash. Our paediatric dental speciality at The Dental Specialists has a team dedicated to the cause of prevention through care and education followed by meticulous treatment protocols. 


  1. Use prescription mouthwashes as directed by The Dental Specialists team(i.e., dose, frequency, time in mouth). 
  2. With over-the-counter products, look for authentication.  The seal must show that a product is safe and effective for the purpose claimed.
  3. Using a mouthwash does not replace regular brushing and flossing.  Mouthwashes may offer additional benefit in terms of reducing the risk of bad breath, cavities, or gum disease; or for relief of dry mouth or pain from oral sores or any other conditions listed above. 
  4. While using mouthwash or rinse perfects your dental care regime, they are to supplement and not replace other crucial habits such as brushing, flossing and bi-annual dentist appointments. By maintaining a daily routine, you can effectively keep your mouth healthy.


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What is Black fungus, or mucormycosis, and why is it on the news?

Mucormycosis is a fungal infection caused by a mold or fungus called mucormycetes. This is rare but if present, can become quite serious. 

Rhizopus, Mucor, Rhizomucor, Syncephalastrum,  Cunninghamella bertholletiae, Apophysomyces, and Lichtheimia species are the causative agents of mucormycosis.

Following covid 19 infection, many patients are reporting development of black lesions in the nose, paranasal sinuses, mouth and respiratory tract. Investigations and biopsies have revealed growth of mucormycetes fungi. 

This disease can be classified according to the site where the fungus predominates. We have five basic types.

1.Mucormycosis off the sinuses and brain.

2.Mucormycosis of the lung

3.Mucormycosis of the digestive tract and

4.Mucormycosis of the skin and

5.Disseminated Mucormycosis 


The mucormycetes fungus is present almost everywhere, in the environment. Usually the healthy human body can easily fight off the fungus with the help of its immune systems. The fungal spores can be inhaled or cause infection through direct skin contact through wounds. However, the following conditions can precipitate an attack of the fungus.

  1. Uncontrolled diabetes
  2. Organ or Stem cell transplant 
  3. Cancer
  4. Premature or low birth weight children 
  5. Cuts on skin from surgeries, burns, trauma
  6. Weak immune system, especially after taking lots of antibiotics and/or steroids
  7. Most recently, recovered covid patients are reporting mucormycosis 

Hence, it becomes very important to know more about Mucormycosis. 

Usually the fungus is harmless, but when the patient has very weak immune system, especially after heavy dosages of steroids or antibiotics or antiviral drugs, the fungus can reach the sinuses or lungs or other parts, especially through air. This point is particularly important in wake of usage of heavy medication in covid patients with additional complicating factors like diabetes, transplants etc.


A classic clinical sign of mucormycosis is the rapid onset of tissue necrosis with or without fever. Various signs and symptoms include:

Unilateral facial swelling, headache, nasal or sinus congestion with pain, nasal discharge, fever, visual disturbances, black coloured lesions on hard palate, drainage of black pus from eyes, cough, chest pain, difficulty in breathing, abscess formation, necrosis, cutaneous black lesions, abdominal pain, nausea, vomiting, and other symptoms are observed according to the site where it’s infected. Gastrointestinal mucormycosis is common in infants. Diabetic and neutropenic patients usually suffer from rhinocerebral mucormycosis. Pulmonary mucormycosis occurs usually in neutropenic and cancer patients. 


Transmission occurs through inhalation, inoculation, or ingestion of spores from the environment. Although most cases are sporadic, healthcare-associated outbreaks have been linked to adhesive bandages, wooden tongue depressors, hospital linens, negative pressure rooms, water leaks, poor air filtration, non-sterile medical devices, and building construction. 

 This explains why mucormycosis has been on the rise since the covid pandemic broke out. 


A definitive diagnosis of mucormycosis typically requires histopathological evidence or positive culture from a specimen from the site of infection. 


Usually the mortality rate is 50%, on an average, but the exact prognosis depends on the complexity of the infection.

Persons with uncontrolled diabetes; malignancy; hematopoietic stem cell transplant or solid organ transplant; persistent neutropenia; prolonged corticosteroid therapy; skin trauma, burns, or surgical wounds; iron overload; intravenous drug use; malnourishment; and premature infants form the major risk group. However, covid 19 treated patients with the above existing co morbidities can also be added In the above risk zone.

Is mucormycosis contagious?

No. Mucormycosis can’t spread between people or between people and animals.


Antifungal drugs like Amphotericin B, and other antifungal agents have been found effective.

In complicated cases, surgeries and hyperbaric oxygen therapies are required. 

Is mucormycosis fatal?

If not diagnosed, or if left untreated for a long time, mucormycosis can turn fatal. 

Visit your dentist or physician if you find black spots in your palate or in the nasal areas, especially if you have been treated for covid 19. 

At The Dental Specialists, our doctors are committed to diagnose, treat and prevent oral infections. Make sure you have the right information, and the right specialist to advise you about the post covid care.

For Appointment

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An Endodontist is a Root Canal Therapy specialist. After 4 years of dental school the Endodontist takes 3 years of intensive speciality training.


The CROWN and the ROOT are the 2 parts of a tooth.

Crown part is visible in the mouth. The roots are surrounded 3 dimensionally by bone, under the gums.

The gums are a protective type of skin which are pink in colour that surrounds the neck of the tooth/ teeth and covers the bone.

Incisors are teeth in front jaw. Canines are adjacent to lateral incisors and Premolars. Molars are back teeth. They usually have two or three roots. Most other teeth have one root.


There are 3 parts of crown. The tooth crown has an outer layer made of a very hard substance called enamel.The inside of the tooth is made of a less hard substance called dentin. Below dentin layer is the 3rd layer called Pulp. In the root portion the pulp narrows to become a small canal called Root Canal. Every root canal ends at a tiny opening at the end of the root called Root End Opening. Usually there is one canal in each root, for example: central incisors have one root and usually they have one root canal, but sometimes some teeth have more than one. For eg: Lower molar teeth have 2 roots but 3 canals will be there.


The pulp tissue is a living tissue present in the pulp chamber and root canals.The pulp tissue contains small arteries, veins, and nerves. The veins and  arteries nourish the pulp tissue with blood supply. This blood supply helps in defense against any kind of infection of the pulp tissue. The pulp is not just the nerve. But there are nerves which form a part of this complex living Pulp tissue.


Pulp infection occurs because of bacteria. Mouth is full of bacteria because of the food particles and ither products keft out in the mouth. This bacteria invades and destroys the pulp tissue.

This pulp infection Toxins ( poisons) destroy the pulp and leak out of the root end and invade the jawbone. This jaw bone becauss of chronic infection can lead to face, neck, jaw sudden serious painful swelling.



Implantologists often face challenges with implant placement, because of poor bone support caused by extractions, gum disease, poor finances and/or extreme expectations from patients. 

Serving thousands of patients over 15 years, the implantologists at The Dental Specialists understood that conventional implants meant a huge financial burden on patients, physical trauma and pain of sinus lifts, bone grafts and membranes, and technique sensitive procedures requiring great skills and experience. Moreover, the long waiting periods were frustrating to patients and doctors alike. 

After 15 years of laborious research, the implantologists at The Dental Specialists developed TTPHIL and created a revolution in implantology. 


TTPHIL implants (Bicortical or 2 Piece Cortical Implants) are a combination of surgical principles of basal implants for stability and immediate loading and prosthetic principles of conventional screw retained technology, for irretrievability and aesthetic considerations. Orthopaedic specialists introduced basal Bicortical Implantology that spread to dentistry.


  • Less time consuming – 72 hours loading possible
  • Less painful – no bone graft or augmentation required
  • Less surgical procedures – minimally invasive with less drilling
  • Less expensive
  • Less number of visits

The team utilizes the best of implants, manufactured in Germany and Israel, which are approved by FDA, CDESCO. 

Why TTPHIL implants?

Basal bone is a highly dense jaw bone, which is prone to infections. It provides the best support to the implants as it is stronger than the crestal alveolar bone. Unlike conventional implants which are placed in the crestal bone, basal bicortical implants are always placed in the basal bone.




Unlike conventional implants, basal implants can be used for those with poor bone quantity and quality. TTPHIL Implants can be used for both poor and ideal quantity and quality bones.


Basal implants stabilize by Osseofixation, conventional implants stabilize by Osseointegration and TTPHIL implants stabilize by both Osseofixation and Osseointegration, making immediate loading possible.


Unless loaded in 72 hours, Basal implants fail. Extractions and surgical procedures make the gums shrink over time, creating a space between the teeth and the gingiva, causing food lodgement leading to halitosis and infections.

Conventional implants take 3-4 months to load, as it takes 3-12 months to build the new bone. 

TTPHIL implants can be loaded between 2-14 days depending on the case. The doctor is the decision maker, not the implant system. If the doctor feels there is no stability of the implant, waiting may be advised to avoid failures.  


TTPHIL and Basal implants have a very simple kit. In both these techniques flapless procedures are done.

Conventional implants have complex kits consisting of surgical kit, sinus lift kit, ridge split kit, planning kit etc.


Basal implants are cheaper compared to conventional implants. However, 12 implants have to be placed to restore 6 teeth in each quadrant only till 1st molar, thus making it an expensive proposition. Basal Implants have abutments and implants connected, which make them easy to fabricate. They are not approved by FDA. Other doctors may hesitate to work on the case in future. 

Conventional and TTPHIL 2 PIECE CORTICAL implants might be a little more expensive than basal implants, but safer. They use 4-6 implants to restore all the teeth till 2nd molars ensuring maximum chewing efficiency.

While 2 piece implants have screw retained prosthetic solutions, basal implants have only cement retained solutions which need to be cut when problems or complications occur. 

                   BASAL IMPLANTS 


In basal system, prosthesis has to be delivered in 72 hours. This is an advantage and disadvantage. Offering accurate and perfect prosthesis in such a short time is a challenge. There will be gaps between the prosthesis and gums, affecting cleaning, speech and aesthetics.

In TTPHIL and conventional system, prosthetics can be digitalized reducing the number of appointments.


Basal implants are smooth and conventional implants have a rough surface increasing risk of infections. Currently, basal implants come with antibiotic coated rough surfaces that fight infections and get stability by Osseofixation. TTPHIL Implants are rough to improve BIC (Bone Implant Contact) and are placed way below the bone (subcrestally) to prevent chance of infections. TTPHIL implantology uses longer antibacterial gold anodized abutments which prevent risk of infections. 

MAINTENANCE: TTPHIL, Basal and Conventional implants need maintenance visits, and regular evaluation of prostheses. 

PATIENT SELECTION: Smokers and periodontitis patients can get basal and TTPHIL implants done, but not conventional implants as bone grafting has to be done, requiring more healing time. 


TTPHIL and Basal implants don’t need any additional surgery or augmentation. Conventional implants almost always need additional painful traumatic surgeries.

Basal implants have prosthetic disadvantages and conventional implants have surgical disadvantages.  TTPHIL implantology takes the advantages of both Basal and conventional implantology, while overcoming the disadvantages of both. 

Although all comparisons indicate that TTPHIL basal cortical implants are better when compared to conventional and basal implants, why are they not used in all cases?

The answer is not simple. The physiology and biochemistry of jaws differs from person to person. The implantologist considers various factors before deciding which would be best for you. 

While conventional implants can be done by general dentists, TTPHIL implants need specially skilled and experienced experts in the field. 

TTPHIL implants designed by Dr. Venkat Ratna Nag, gather all the basic necessities like osseointegration, osseofixation and osseocondensation for the best stability. Tall Tilted, Pin Hole immediate loading, is the technique that’s bringing wonderful results with excellent prosthetic work and beautiful aesthetics. Utilizing two piece implant system ensures amazing results, as the technique uses the surgical advantage of a single piece system and the prosthetic advantage of two piece system. Screw retained prostheses would enable the dentist to evaluate effectively periodically. Cement retained system is not retrievable. Screw retained system is retrievable and very comfortable to manipulate and follow up. These implants are longer implants which have better surface area over the conventional implants which are very short. That’s the reason why these conventional implants cannot be loaded immediately.


To block appointments


Call / whatsapp:+91 9000021174, +91 9959448800 / 040 23350991 / 040 23372337


Implants which placed from maxillary tuberosity to pterygoid bone.
Other names: Pterygoid implants/ Tubero Pterygoid Implants/ Pterygo-maxillary Implants

1. Posterior maxilla Quality and Quantity:
QUALITY: D4 Poor Trabecular Soft Bone
QUANITY: Available bone is less. Crestal  Alveolar Bone Resorption from bottom + Sinus Pneumatization from the top

What are the different treatment options in these situations?
Sinus Lifts: Direct/ Indirect
Bone grafting/ Bone Augmentation

3. PTERYGO MAXILLARY BUTTRESS: Butress is anatomically designed to take up the forces. 6-7mm thick cortical bone attached to active muscles. 3rd cortical and 2nd cortical bones have minimum remodelling capacity. 2 to 2.5% compared to 25% of cancellous bone/ year. 
Macro mechanical anchorage
BONE QUALITY : Alveolar Bone Density
BONE QUANITY Alveolar Bone Volume
Minumum inventory: Drills Handpiece Equipment

Complicated: Pterygoid anatomy
– Part of Spenoid bone
– 2 perpendicular plates:
Lateral Pterygoid: attachment to masticatory muscles
Medial pterygoids:
– Pterygoid fossa
– Pterygoid hamulus: Medio Inferio extent of Pterygoid. Sharp point. So we need to place the implant lateral and superior to the Pterygoid hamulus.
– pyramidal process of palatine bone
Ptergo Palatine Fossa or Pterygo Maxillary Fossa
Target : pterygo maxillary fissure: Vital structures??


  • Less time consuming – 72 hours loading possible
  • Less painful – no bone graft or augmentation required
  • Less surgical procedures – minimally invasive with less drilling
  • Less expensive
  • Less number of visits

To book an Appointment

1. Email:

2. Call / Whatsapp : +91 9000021174 / +91 9959448800 / 040 23350991 / 040 23372337