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.

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.

 

 

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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Dental Care for Children Aged 9 – 15

Here comes the age where a lot of changes happen in the teeth as well as the jaws. This blog will address the changes that happen in the jaws and also give knowledge about the second window for the exchange of milk teeth.

Exchange of Milk Teeth

By the age of 9 years, generally, all the front milk teeth are replaced by the permanent teeth. At the age of 9-12years, kids start to complain about the wiggling back teeth. During this time, the child can also experience some discomfort and mild pain while eating.

Generally, these teeth wiggle and fall off at different times ranging from 9-12yrs. Mirroring effect is noticed where both the right and left side teeth fall roughly at the same time. But if this discrepancy is more than 6 months, expert opinion has to be taken.

After the milk teeth fall, it is expected that the permanent teeth erupt within 6 to 9 months. It is a slow process and parents need not to panic in the meanwhile. If it is delayed more, expert opinion is again mandatory.

The following chart shows at what age the milk teeth exchange for their successors.

Milk teeth shedding age chart

Common concerns of parents when milk teeth are exchanged are already addressed in our previous blog about tooth care for children aged 3 to 6 years.

Secondly, these milk teeth sometimes do not fall at the right time and these are called retained teeth. These teeth might block the permanent teeth from erupting and lead to malalignment.

Does Your Child Need Braces

The other most frequent concern of any parent is whether the child requires future braces treatment.

To understand this, utmost monitoring by the specialist is mandatory during this age. Along with the exchange of teeth, sagittal, horizontal and vertical growth of the jaws is seen in order to accommodate the larger sized permanent teeth and the muscle mass. Excess or delayed growth can lead to changes in the shape of the face and during this time it is important to consult an orthodontist to understand if any intervention is required.

Habits to Develop for Life Long Dental Care

This is high time for your kids to develop positive habits to take care of their tooth and developing these habits will help them throughout their life in maintaining a healthy lifestyle and dental care.

  • Motivate them to develop a habit of brushing twice.
  • Rinsing mouth after every meal.
  • Keeping a constant check on their eating habits.
  • Avoiding frequent snacking

By the end of 13 or 14 years, the child is ought to have a full set of permanent teeth (i.e.28) excluding the wisdom teeth which erupt at the age of 18-22 years. Utmost care and prevention have to be taken of the permanent teeth as they are the last set of teeth.

Did your Dentist Recommend Dental Implants with Sinus Lift?

Over the last decade, improvements in dental implants have revolutionized dentistry. The fascinating improvement in the field has resulted in the dental implants process offering highly predictable results. However, even with all these improvements, there could be some cases where there are some limitations and two most common ones being the lack of considerable bone to support and need for additional surgical procedures like sinus lift. Also the cost, the number of visits and time taken for these surgical procedures is also to be considered.

Recently we had an International patient who had already consulted many dentists regarding dental implants. When we asked her about her problem, she started explaining in detail. Initially, ten years back she used to have a very good dentition. Later she developed little gum infection and decayed teeth which progressively increased over time leading to complete loss of upper and lower back teeth five years back. She was advised to go with dental implants by many dentists but for the upper back teeth, an additional surgical procedure of sinus lift was also advised in her home country as well as in India. Finally, we understood that she wishes to get an immediate, fixed permanent solution for her missing teeth in a simple way and she doesn’t want to go with additional surgical procedures i.e. Sinus Lifting and Bone Grafting. For patients like her and others, we thought it would be good to write this blog on Sinus lift/bone augmentation and the alternatives to sinus lift method.

sinus lift
Lowering of sinus membrane showing lack of enough bone support for the implant.

What is Sinus?

Sinus lifting procedures are being advised to many patients nowadays. A sinus lift is an invasive surgical procedure where an artificial bone graft is placed and it requires a minimum one-hour procedure with the necessity of more post-operative care. What is this sinus? Why is it required? let’s discuss in detail…

Sinus is actually an air-filled empty space in the skull bone. There are various sinus spaces in the skull bone.

How is Sinus Related to Dental Implant

  • The cheekbone which is present immediately above upper back teeth holds an empty space(sinus) in it which is known as the maxillary sinus.
  • Usually, there are two pyramidal maxillary sinuses located above the upper back teeth and besides nose.
  • This is an air-filled empty space with a pink soft tissue lining known as sinus membrane.
  • Due to this position above the upper back teeth, it has a significant role in dental implant placement, especially in the upper back teeth region.
  • The dental implant shouldn’t hinder these sinuses as these have very important functions like reducing skull weight, moisturizing the air and also affects tone quality in speech.

Sinus Lift Implant Xray

What is sinus lift and why is it done?

A sinus lifting procedure is done when the floor of the sinus is too close to the site where the implants are to be placed.

Why does the floor of the sinus get lowered?

This could result from –

  1. Prolonged period of tooth loss
  2. Periodontal disease i.e. severe gum disease.
  3. Trauma

What exactly are the sinus lift and bone grafting procedure?

  • In this procedure, the sinus membrane is elevated and space is created between membrane and bone.
  • Into this space, an artificial bone graft is placed to the required thickness for the future dental implant and closed back.
  • The patient will be asked to wait for 6 to 8 months for the bone graft to get integrated into the adjacent bone.
  • Later a dental implant will be placed. Some dentists might place a dental implant and bone graft in the same visit in order to avoid a second surgical procedure.

Dental Implants with Sinus Lift

Drawbacks of Dental Implants with Sinus Lift

  • Time-consuming, involves a waiting period around 6-8 months
  • Relatively more expensive than regular dental implants
  • A more invasive surgical procedure
  • Sometimes if the membrane ruptures, an additional surgical procedure is required after six months
  • Postoperative pain, swelling, sometimes hematoma also can occur

Types of Sinus Lift

  1. Lateral window /Direct technique
  2. Osteotome /Indirect technique

Are there any alternatives to Sinus Lift

TTPHIL ALL TILT procedure invented by Dr.Venkat Ratna Nag is a great alternative to dental implants with sinus lift.

Considering patients who cannot afford invasive procedures like Sinus lift, who are medically compromised and can’t support such surgical procedures, Dr. Venkat Ratna Nag has come out with an innovative process of dental implantation to avoid sinus lifting type of surgical interventions. Our main motto is to streamline the time, cost and number of appointments taken for a successful implantation procedure. Here at The Dental Specialists, India, we place implants with TTPHIL ALL TILT technique to bypass sinus and we are proud to say that we can give permanent fixed teeth just in two days ( in ideal condition) whereas in the traditional method it will take minimum 6-12 months to give permanent teeth. We take utmost care of the patient to restore his/he lost smile with minimal bleeding, pain, discomfort and postoperative care using this latest technology. Wondering how it is possible?

  • Yes! There are definitive alternative treatments to sinus lifts with the help of bi-cortical anchorage.
  • Here we take anchorage from the basal bone with a two-piece cortical implant, which is strong, resistant to regular wear and tear and can bear chewing forces very effectively without any failures.
  • A combination of zygomatic and pterygoid implants are preferable for bypassing the sinus chamber.
  • Immediate loading can be done without any hesitation as it attains its support from basal bone whereas in regular implant procedures permanent teeth fixation is done only after three to six months.

TTPHIL ALL TILT Technique at The Dental Specialists, India

TTPHIL ALL TILT is a gold standard technique which gives glow to your smile with minimal intervention. How it is different from traditional technique?

TT-Tall and tilted: Tall around 16mm- 25mm implants are placed in a tilted (with angulation upto30⁰-70⁰) way to give more surface area for the bone to integrate

PH- Pinhole: Pinhole surgery which is completely flapless thereby protecting the gum architecture as the gum grows around the new crown

IL-Immediate Loading: Immediate loading i.e. teeth can be given within 48 hours, with CAD /CAM as it is getting its support from the basal bone which is strong and resistant.

Before TTPHIL Implants
Before TTPHIL Implants

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

Sinus Lift alternative XRAY
X-Ray of TTPHIL Implants – an alternative to Sinus Lift

The Quick Six Fix

Replacing 14 -16 PERMANENT FIXED TEETH per jaw using only six implants in 48 hours(in ideal conditions) with the aid of advanced CAD/CAM technology is our speciality at The Dental Specialists, India. The dedicated team of dentists at TDS take intimate, special care of apprehensive, medically compromised patients. The entire process of teeth replacement will be done in seven to nine days giving enough time for them to adjust to these procedures.

  • The set 14 -16 teeth are replaced using only six implants per jaw in ideal full mouth edentulous conditions.
  • The first step would be for Dr.Venkat Ratna Nag to assess both clinically and radiographically and surgical guides are prepared using CBCT data on the same day.
  • Later the tall and tilted implants are placed using pinhole, flapless surgery using TTPHIL ALL TILT technique, which is exclusively done by Dr. Venkat Ratna Nag @ The Dental Specialists, India.
  • As we are taking bicortical anchorage immediate loading is possible.
  • In case of apprehensive patients, temporary teeth are given on the same day. By using these temporary teeth patient will get accustomed to the new set of dentition and check for any further corrections. Also, it prevents opening up of spaces in between permanent teeth and gum line as we are giving ample time for gums to heal.
  • Later within 7 to 9 days the permanent set of teeth are fabricated and fixed.
  • Meanwhile, within these 9 days, any other procedures like root canals, fillings or gum surgeries will be performed by the specialist doctors who are experts in their respective branches
  • The excellent team of doctors headed by Dr.Venkat have been successfully practising this TTPHIL ALL TILT technique for years and delivered hundreds of beautiful smile to clients all over the world.

About Team TDS India

The team at The Dental Specialists are a team of 70 highly experienced medical staff including specialist doctors across all branches of dentistry and super specialization around dental implants. All our departments are in-house, including highly equipped labs with best in class equipment. We also have a strong team of non-clinical staff to provide comprehensive support to all our patients across the entire process. 

The Dental Specialists has once again been selected as one of the top three dental clinics in Hyderabad by Three Best Rated ® (U.S.) @threebestrated.Three Best Rated rates doctors and Dental Hospitals based on a rigorous 50 point inspection list.

For any questions/queries contact us through the Contact form. For International patients can also reach out to our International patient coordinator at +91 9908182916/ +91 9963511139/+91 9177671117

Smile Designing – Digital Smile Design for Best Results

Smile designing has been gaining increased popularity among the general public today and is no longer restricted to celebrities. As people get more and more self-conscious, they realize the need for a beautiful smile and are increasingly investing in smile correction and smile design. The advent of advanced digital smile designing technologies also make the treatment outcome a lot more predictable and instils confidence in patients considering to undergo smile designing.

The other prohibitive factor was the availability of qualified cosmetic dentists with experience in smile design and the cost, however, smile designing cost in India is very reasonable compared to any other country and there are world class cosmetic dentists available to give you that million dollar smile you have always coveted.

For those of you considering smile designing, we have put together this article to provide all the information you might need to start your journey towards a beautiful smile. We encourage you to read it and if you still have questions, you can always contact us.

What is Smile Designing

Smile designing is a cosmetic treatment that involves artistic, skilful improvement of your natural smile in order to achieve an attractive, healthy and pleasing smile. Smile designing often involves multiple dental procedures. There are also many factors that are to be considered while designing a smile, and particular care should be taken not to damage dental function and at the same time maintain the health of dental tissues. Smile designing is the process to get the perfect smile of your choice with minimal possible limitations.

Smile Design is not just about the Teeth

Smile design is not just about your teeth. Before going in-depth into smile designing, it is necessary to understand that smile designing includes multiple elements including –

  • Face
  • Lips
  • Gums
  • Teeth

Factors to Consider for Smile Designing

Age of the Patient: Special considerations have to be taken into account while designing a smile for the elderly.

  • It is a well-known fact that with increasing age there will be some wear and tear of any organ or tissues. This theory is applicable to the dental tissues also.
  • In old age, there will be noticeable wear in the incisal surfaces i.e. cutting surfaces of upper front teeth, resulting in a decrease in the teeth exposure and at the same time increase in the lower front teeth exposure.
  • If removable dentures are fabricated this feature should be incorporated to simulate natural realistic smile of old age.
  • Of course, this had to be done with prior patient concern as many people now a day’s don’t like to have this feature, though it is naturalistic.

Sex of the Patient: Male and female smiles are distinctly different and this has to be considered while designing a smile.

  • In females, the teeth will be little rounder compared to males which are squarish.
  • Also females display more upper front teeth surfaces i.e. around 3.4mm compared to males which is only 1.9mm.
  • As mentioned earlier, there is no hard and fast rule and smile designs are modified according to patient expectations

Smile Correction for men Smile design for Women

Dental Health: Prior to jumping into the core smile designing process, the dentist will analyze for any missing teeth or mal-aligned teeth and also for health of oral tissues and based on all these advise required procedures to replace the missing teeth and correction of mal-aligned teeth etc. Before starting your smile designing, your dentist will look for any –

  • Deposits on teeth surfaces
  • Mal-aligned teeth
  • Missing teeth
  • Decayed teeth
  • Teeth discoloration
  • Worn out teeth
  • Spaces in between teeth
  • Gummy smile
  • Exposed tooth root surfaces
  • Gum tissue overgrowths
  • Dark gums
  • Flat lips
  • Shorter or longer lips

Digital Smile Design

digital smile designThere have been great technological advances in the field of dentistry and digital smile design is definitely one of the key improvements. The best part of digital smile design is that it makes the whole process is very predictable and takes out any doubts and insecurity. To understand how digital smile design works, consider the following steps –

  • Using your photographs and radiographs the necessary smile corrections will be done on the computer screen (digital smile designing).
  • An output of your newly designed smile can be appreciated prior to undergoing any type of real treatments.
  • The advantage is you can have an opportunity to check and even modify your future smile and decide accordingly.

Who Performs a Smile Design

A smile makeover is going to stay with you for the rest of your life and be an integral part of your personality. Smile designing is a specialised treatment and requires expert hands. As a patient, it is your responsibility to choose the right dentist with deep experience and expertise in cosmetic treatments, specifically in smile design and corrections. Also, understand that smile designing is often not a treatment to be a done by a single dentist, more often than not it involves multiple procedures and it is always better to rely on a TEAM of expert dentists with experience across various dental procedures. At The Dental Specialists, we have a highly experienced team of dentist including cosmetic dentists, orthodontics, endodontists, periodontists and others who work collaboratively to design the perfect smile for our patients.

Smile Designing – A Collaborative Approach

Smile designing isn’t a single procedure, it involves multiple corrections which includes teeth, gums, lips etc. Initially, the dentist would analyze your existing smile and discuss with you on your expectations regarding future smile. Later the necessary corrections will be advised accordingly. Some of the common processes often involved includes –

  • Tooth color fillings for spaced dentition or minor tooth decay
  • Root canal treatment in case of severe tooth decay and severely worn out teeth
  • Crowns and bridges in case of missing teeth and also for root canal treated teeth
  • Teeth whitening for discolored teeth
  • Dental implants in case of  missing teeth
  • Teeth straightening for mal-aligned teeth
  • Laser gum de-pigmentation for dark gums
  • Gum surgeries for triangular spaces in between teeth
  • Gum grafts for tooth root exposed surfaces
  • Gum reshaping for bulbous swollen gums
  • Artificial fillers for lip shaping
  • Lip Surgeries for shorter or longer lips

Sometimes the dentist will show you a wax mock-up and trial on your plaster teeth models, prior to performing any treatment procedures. This allows you to preview the final expected outcome and decide accordingly on your comfort zone. Once finalized, the dentist will initiate the actual process of smile designing.

How Much Time is Required for Smile Designing

  • The time taken for the entire process will vary between one to three weeks depending on the severity of the correction.
  • If any teeth straightening procedures are involved it takes around 12 to 16 months to appreciate the final outcome.

Key Success Factors in Smile Design

  • Clear picture of Patient expectations
  • Doctor expertise
  • Lab technician support
  • Quality of materials chosen
  • Postoperative care
  • Follow up and review in every six months

How to Maintain Smile Design – Post Treatment Care

  • Requires regular brushing, flossing and rinsing.
  • Avoid more abrasive toothpaste and brushing habits thereby avoiding scratches on newly restored surfaces in order to protect their polish and lustre.
  • Use alcohol-free mouthwashes as alcohol interferes with the bond between new restoration and your original teeth.
  • Try to avoid food with high sugar content.
  • Limit consumption of coffee, tea, soda to prevent staining.
  • Biting or chewing on hard objects like pens, pencils and bottle caps should be avoided.
  • Follow the dentist’s instructions and regular follow up visits will give long term results.

Smile Designing Cost in India

Smile designing is a highly expensive treatment in the US, UK or other western countries. While it is not cheap, comparative smile designing cost in India is much less. The cost of smile designing procedure will vary around INR 50,000 to INR 1,20,000, depending on the severity of the condition and the number of treatment procedures required for the total correction.

Smile Design at The Dental Specialists

  • We @ TDS are having an in-house team for smile designing comprising of highly experienced dentists across various branches of dentistry.
  • We are equipped with the latest technology and advanced equipment including lasers, digital x rays, orthopantamography OPG, Dental implants, Rotary root canal dentistry, Digital smile designing, Nitrous oxide sedation, advanced CAD CAM technology etc at par with the best clinics globally.
  • We follow international standards when it comes to sterilization and disinfection and use sterilizing through fumigation.

If you are considering smile design or smile correction, we will be happy to answer your questions. Contact us and take the first step towards a perfect smile.

Gum Reshaping for Smile Makeover

Gum Reshaping and Contouring
A Smile makeover cannot be justified only by correcting mal-positioned teeth. What if uneven gums are seen over perfectly aligned teeth? So here we emphasize that, along with properly aligned teeth, the balanced even look of gums is also essential for the truly beautiful smile.

Gum Contouring / Gum Reshaping

The actual gum line should not be too high or too low on the teeth surface. Gums should be at an optimal level to achieve a good healthy smile. The process of reshaping / sculpting the gums to the desired level is known as gum contouring / reshaping. This is done either by adding new gum tissue or by removing excessive gum tissue. This extra gum tissue which is added to the defective area is known as “Gum Graft.”

Is gum contouring required only to improve the smile?

No, it’s not only performed for improving a smile. This is also done as a part of periodontal (severe gum infections) treatment.

  • For example in the elimination of pocket(the space between the teeth and gum), gum contouring is done. By doing so the bacterial home i.e. the pocket is removed.
  • Also it is done as a part of treatment in gum recession. Gum recession is a condition where the gum retards downwards resulting in more tooth root exposure. Due to recession further tooth decay and sensitivity problem arise. Gum recession is treated by using Gum Grafts.
  • By using some drugs and excessive brushing, the gums tend to swell and grow onto the teeth surfaces decreasing the visibility of the teeth. Here gum contouring is done by removing the excessive gum tissue which is technically known as Gingivectomy.

Note: Apart from the above reasons, this procedure is done if the person is not satisfied with the appearance of the gums during his/her smile.

How the process of gum contouring / Reshaping is done?

Initially, you should clearly discuss and explain the dentist about what you are expecting finally. Accordingly, the dentist will numb your tissues where the procedure has to be performed. Then with the help of scalpels, laser or radio-surgery the gums are reshaped to the desired level. Scalpel method is the traditional method which induces more bleeding and more irritation. Also, the time required for the treatment procedure will be more. In this advanced era, laser therapy had revolutionalised each and every field. With the aid of laser light, the gum contouring is done with minimal pain, bleeding and postoperative discomfort. The healing of tissues will also be faster as there is less irritation to the tissues. The laser light seals the gum further preventing bacterial entrapment and therefore infections.

Gum Grafts

A simple and quick surgical procedure in which healthy gum tissue is harvested from other sites of the oral cavity and is stitched back to the area where the gum is deficient. Most commonly from the roof of the oral cavity, the healthy gum tissue is retrieved. Generally done in cases of gum recession. There are many types of grafts which include connective tissue grafts, free gingival grafts and lateral grafts. The type of grafting procedure will be decided by the dentist after analyzing the existing gum condition. Here the process of removing healthy gum tissue from another site can be done using scalpel or laser. After finishing the grafting procedure, a dressing will be placed over to protect the graft from external stimuli for a week or so.

Post Procedural Care for Gum Contouring – at Home

The postoperative pain and discomfort will be minimal with laser therapy. The general care includes gentle manipulation of gums, restricting to soft and cold foods thereby avoiding hard, hot and sticky foods as the gum tissues are fragile for a period of time. In the follow-up visit, the dentist will examine for the healing and let you know when to start a normal diet. Anyways regular brushing, flossing and rinsing are mandatory.

Who will perform a Gum reshaping procedure

Any experienced Periodontist i.e. gum specialist will perform with ease and perfection. If you need a consultation, pick your phone and schedule an appointment @ TDS for your smile makeover.

You can read more about our smile design and smile correction here.