Advanced Dental Treatments

Advanced Dental Treatments

How to identify ?it looks and how you come to know about it?

  • Black/brownish black spots on tooth or cavity
  • Pain/sensitivity on having hot/cold/sweet food
  • Food lodgement in between teeth
  • Pain & discomfort on chewing

How does it occur ??

Bacteria in plaque/tartar + Sweet & sticky food + Time

Acid production and bacterial attack

Destruction of tooth

Decay/Cavity

A) IF DECAY IS SUPERFICIAL (IN ENAMEL & DENTIN)

Decay removed & cavity prepared

Tooth restored with artificial filling material

B) IF DECAY IS DEEP (EXTENDING TO PULP)

   Root canal treatment (RCT) is required

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C) IF INFECTION SPREAD BEYOND TOOTH IN THE BONE (PERIAPICAL INFECTION)

Spread of  infection to adjacent tooth & bone

Less chances for survival of tooth in longer run

Extraction (Removal of tooth) is a treatment of choice.

  • Amalgam (Mercury) Free Fillings. If you’re one of the many patients who prefer mercury-free, tooth-coloured fillings, you’ll be happy to know that we can accommodate your request.

  • Many people still have silver/metal mercury containing fillings from years past in their mouths. These fillings are made up of a combination of metals such as mercury mixed with silver, tin, zinc and copper) and are sometimes referred to as mercury alloys. They are not particularly pleasing to the eye, and can also present a health issue for some. By unavoidable ‘undercut’ design required to retain the filling material, the old mercury/metal fillings result in a weaker tooth. As they age the restoration expands putting pressure on the remaining tooth and causing micro fractures. As the old metal fillings lift, bacteria can leech under the filling resulting in further problems.
  • At the time, metal fillings were the best we had. Technology has allowed for the development of a number of new materials. If we talk about the materials, there are innumerable options such as tooth colored, plastic and materials called composite resin that are tooth colored and aesthetically pleasing but they also are more conservative and add strength to the tooth.
  • Dentist considers a many factors while choosing which material best suits for you. These factors include the extent of decay & repair, site at which filling is needed, esthetic demand and the cost.
  • We can improve your oral health and your smile by repairing or replacing your natural teeth with amalgam-free materials. Today amalgam-free options are available for all dental procedures. However, we at Malav Multispeciality Dental Clinic strictly follow the policy of “Mercury Free” fillings as it has number of scientific evidence backed drawbacks. To know more about it, you can click on the link below:
  • htpps://www.facebook.com/848720065247172/posts/1597323927053445/
  • Every situation is different, schedule an examination with us and find out what option best suits your needs.

Procedure:

  • Local anesthesia (LA) – LA may be given to numb the tooth and area around the tooth depending on the extent of decay (caries) involvement to ensure comfortable and painless experience during the procedure.
  • Decay removal – After LA is given, dentist will cut through the enamel using a dental handpiece to removal tooth decay. After decay removal, necessary cavity (space) modifications are carried out according to the filling dentist is planning to fill in the space.
  • Etching – Before placing the material, dentist carry out the etching procedure required for the bonded filling using an acid gel (37{b2cc15da68d1be3a717019df6a83e5c3851d7ed29fa00220bd626521a17724bb} phosphoric acid).
  • Bonding – It is carried out with help of specific bonding agent (5th or 7th generation) depending on the preference of a dentist according to the manufacturer’s instructions. Bonding agent is then cured with the help of bright light of specific wavelength and intensity.
  • Resin application – After bonding, resin material is layered in the space or cavity and finally light cured to make the resin strong.
  • Polishing – This is the final step in the restoration which is carried out using specific drills and materials to ensure smooth and polished surface giving it a life-like appearence to the restoration.

Other name : Endodontic treatment.

What is a Root Canal ?

  • Inside each tooth lies a slender strand of ‘pulp’, which contains nerves and blood vessels that provide nutrients to the tooth —that extends down to the tooth’s root. If the pulp becomes infected or injured, the tooth’s nerve die, and often without endodontic treatment, this causes the tooth to die as well. When a tooth’s pulp becomes irreversibly (cannot recover) inflamed and infected, endodontic treatment (a root canal), is required to prevent the infection from spreading into the tissue. If this happens, there will sometimes be facial or gum swelling (abscess) which can also become very painful, if left untreated.

  • Before-RCT
    After-RCT
    Before RCT After

  • Having a root canal preserves the tooth by removing the infection within the roots and filling the space with a special biocompatible (causes no harm)  material. The only other option unfortunately would be to have the tooth extracted.

Procedure for painless root canal treatment

  • Step : 1
    We are proud to say that we at Malav Multispeciality Dental Clinic have developed a special technique for giving an almost painless injection experience for our patients and clients, in which we first anesthetize the top layer of skin with latest anaesthetic spray or gel and use a larger gauge injection needle (eg. the one which is recommended to inject insulin in uncontrolled diabetic patients) so that you will NOT FEEL ANY TYPE OF PAIN OR DISCOMFORT, and you will be able to overcome the anxiety of dental treatment. After the tooth is anesthetized, we remove the decay from the tooth. This allows us to gain entry into the root canal system of the desired tooth.
  • Step : 2
    In the next step, once we assure that you don’t have any pain or discomfort, we clean the damaged nerve with effective medicaments and prepare the root canal with LATEST ROTARY FILES. This process gives us a predictable way to ensure that the infected nerve has been completely cleaned and prepared biomechanically.

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  • Step : 3
    • This is the final step of Root canal treatment (RCT). Once the root canal has been cleaned and disinfected, it is filled with inert biocompatible materials (materials which do not cause any harm) and sealed properly.

    • Once RCT is completed, your tooth still needs to be restored to its normal function and appearance.
    • A crown must be placedon a tooth treated with RCT due to the fact that the tooth no longer is receiving any nutrients or blood supply which it used to receive before and it has been further weakened by a deep cavity.blank
    • The tooth will become brittle over time making it more susceptible to fracture, as shown in image below.

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    • When is root canal treatment required?
      • Deep decay
      • Cracked/chipped tooth
      • Discoloured tooth
      • Prolonged sensitivity to heat or cold
      • Trauma
      • Fractured tooth
      • Swelling
      • Faulty crowns
    • Will the patient experience pain during or after procedure?
      • Endodontic procedures are usually performed to relieve the dental pain caused by pulp infection or inflammation. With the recent advancements in techniques and anesthetics, most patients are at ease and feels comfortable during the procedure.
      • For initial few days after treatment, your tooth may feel sensitive especially if there was infection or pain before the procedure, which can be relieved with prescription or over-the-counter medications. It is quite normal that your treated tooth might feel different from rest of your teeth for some days. However, if you have severe pain or pressure that lasts more than a few days, then you must call your dentist.
    • How much time is taken to carry out the procedure?
      •  The length of procedure varies depending on the number of roots and canals the particular tooth has. It usually varies from 1 to 2 hours.
    • What is the success rate for Root Canal Procedures?
      • Root canal treatment is highly successful and has more than 95{b2cc15da68d1be3a717019df6a83e5c3851d7ed29fa00220bd626521a17724bb} success rate. Many teeth treated with root canal can last a lifetime.
    • Complications associated with Root Canal Treatment:
      • Many a times, inspite of best efforts of dentist to clean and seal the tooth, some infections or problems might emerge after a root canal treatment is done. Amoungst these, some includes:
        • Broken instruments or files within a root canal.
        • Broken sealing material around the root canal walls allowing the bacteria to decontaminate the inner aspects of tooth.
        • An undetected crack in the root of a tooth.
        • More than expected or anticipated number of canals leaving some of them uncleaned.
    • Is there any alternative to root canal treatment ?
      • The best option is always to save the “natural teeth” , if possible. Root canal procedure is the treatment of choice for your natural teeth to allow you to maintain undisturbed function.
      • The only alternative to a root canal procedure is to get you tooth extracted and replace it with implant, bridge, or a removable partial denture to prevent other adjacent teeth from shifting and occupying the space previously occupied by the natural tooth and most importantly to restore function. These alternatives are more expensive, requires more time and additional procedures.
      • We at Malav Multispeciality Dental Clinic, explore all means to safely and comfortably save your decayed natural tooth by means of root canal treatment, that otherwise would have to be removed.
      • Remember, a healthy restored natural tooth is always better than an artificial one.

  • An extraction means to have a tooth removed, usually because of disease, fracture, trauma or crowding.Types of extractions
    • Simple extraction
    • Surgical extraction
    • Orthodontic extraction

  • Simple extraction
    • If you need an extraction, we will first numb the area to lessen any discomfort. After the extraction, we will advise you of what post extraction regimen to follow. In most cases a small amount of bleeding is normal. Your mouth will slowly fill in the bone where the tooth root was through the formation of a blood clot.
  • Surgical extraction (Wisdom tooth removal / Disimpaction)
    • Most adults have 32 permanent teeth – 16 each on both the upper and lower jaw. Our third permanent molars, also known as the wisdom teeth, typically erupt between the ages of 18 and 23. However, our jaws may not have enough room for them.
    • You may have heard of people undergoing a wisdom tooth extraction, or find your own dentist recommending you to have yours removed at some point.
  • Have you ever wondered why?
    • For most people, their wisdom teeth will be blocked from erupting completely in the mouth by the permanent second molars or the surrounding bone and/or gums due to the smaller jaw space. These wisdom teeth are considered to be impacted. Treating impacted wisdom teeth is the most common reason why your dentist will recommend them to be extracted.
    • The impacted wisdom tooth may partially emerge (partially impacted), showing only the crown of the tooth, or never emerge through the gums at all (fully impacted). The wisdom tooth may also grow at an angle towards or away from the second molar, or grow at a right angle, almost as if it is “lying” down.
  • Does your wisdom tooth always require removal?
    • Wisdom teeth don’t always need to be removed.
    • For many people, they come through normally and don’t cause any problems.
    • However, as your wisdom teeth are your last teeth to come through, there’s often not enough space in your mouth for them to grow properly. They can get partially stuck in your gums, or grow at an angle. This is called an impacted wisdom tooth.
    • Even impacted wisdom teeth don’t always need to be taken out if they aren’t causing any symptoms.

Examination:

  • A thorough evaluation consisting of clinical  (intraoral) and radiological (X-rays) examination of teeth will help to assess the overall condition of your teeth and help in identifying any existing problem.

Most Commonly encountered problems with wisdom tooth:

If wisdom tooth is not fully erupted + Covered with bone and overlying gum

Food particles + bacteria may get trapped beneath the gums May cause decay & infection

Gums at the site become swollen & tender

Mouth opening may become reduced/ restricted

When does it require removal?

  • Deep dentinal caries (grossly decayed)
  • Persistent infection
  • Recurrent pericoronitis (swollen & tender gums due to food lodgement beneath the gums)
  • Opposing missing wisdom tooth
  • Supraeruption (Below [in case of upper wisdom tooth] & above [in case of lower wisdom tooth] the normal occlusal level)
  • Severe angulation causing irritaion or ulcertion on cheeks or lateral (side) surface of tongue

Procedure:

The procedure for removing your wisdom teeth will vary, depending on how difficult your teeth are to takeolle out. After thorough examination, we can tell you exactly what to expect.

  • Step 1: If you’re having your wisdom teeth removed at dental practice, you’ll usually have it done under local anaesthesia. The local anaesthetic will completely block pain from your gums, wisdom tooth & surrounding areas , but you will stay awake while your wisdom teeth are being removed. You may be offered sedation as well as local anaesthesia. This helps you to stay relaxed.
  • Step 2: Once the anaesthetic has taken effect, we may use special tools to gradually ease your tooth out, cutting into the gum if necessary. If there was a necessity to cut into your gum, you may need dissolving or non dissolving stitches according to the need to close the wound. The space left by the removal of a wisdom tooth heals by formation of a blood clot.

Does it cause any discomfort after removal?

  • It may take a few days to feel completely better after wisdom teeth removal.
  • You’re likely to have some pain and discomfort after the procedure. This is quite normal for the first couple of days. You can take over-the-counter painkillers as prescribed. You may be suggested to take combination of medicines because they can work well together to reduce pain.
  • As with some pain, you may also have some swelling and stiffness in your jaw for a couple of days. This can make it difficult to open your mouth. Using an ice pack wrapped in a towel can help to reduce this. Also, warm salt water gargling two to three times a day, one day after removal helps to recover faster.

Does wisdom tooth removal always require replacement?

  • Replacement is usually not required in case of wisdom tooth removal. Loss of wisdom tooth does not compromise function such as chewing habits.

  • Most patient’s mouth opening readily permits access for routine prosthodontic and surgical treatment interventions. Limited mouth opening or microstomia is encountered in patients exposed to sclerodermia, diffuse systemic sclerosis, oro-facial trauma or surgical resections for neoplastic disease, temporo-mandibular disorder (TMD). The latter’s resultant scarring and tissue contracture, together with an accompanying lack of underlying bony support and tissue edema, restricts the mouth opening and renders surgical and dental treatment difficult.
  • One cannot provide a lower limit for a mouth opening which would prevent from choosing an implant-based rehabilitation. The labial orientation of the implant axis, subsequently compensated by angulated abutments or superstructures, can provide a solution to the access difficulties.
  • Soft tissue healing and/or scarring can take years to reach a stable status. Meanwhile efforts to achieve a provisional and also definitive tissue support and improve esthetics with a prosthesis must be considered prior to further treatment planning.
  • Surgical resections or trauma to the oral cavity structures can also lead to loss in vertical dimension, reduced opening of the mandible plus altered mandibular motion. Associated trismus leading to fibrosis and scarring is often the main cause. Radiotherapy can also cause perioral tissue fibrosis. As the treated areas heal, manual mouth opening exercises and stretching may improve the range of mandibular motion and vertical opening. A decreased vertical opening presents with significant challenges for the oral hygiene maintenance, food bolus manipulation and surgical and prosthetic management.
  • Patients with limited mouth openings are usually readily managed via gentle and scrupulous handling of circum-oral soft tissues and use of smaller sized-instruments as designed for pediatric patients. Dentures with a flexible denture base material can be discussed if this treatment is the best option.
  • Implant therapy offers possibilities for matching a limited mouth opening with a more convenient and controlled prosthesis access design. Via customized treatment designs retention and stability can be guaranteed. This is also the time to check whether intubation can be safely performed if general anesthesia is planned for the implant-based therapy.

  • Bite correction can be a time consuming and sometimes painful process. Because of this, many adults have learned to live with their alignment problems not having the time or patience for a two year correction program. Many adult patients are still unaware that there is no time limit on correcting misalignment of the bite, mistakenly thinking that correction can only be successful during the youthful growth period.
  • The advantages of having bite correction are not only aesthetic but more importantly can contribute to long term dental health. Overbite and under bite correction essentially aligns the jaw to create an even bite that does not overly stress any one point of the jaw.
  • Patients, who have undergone overbite correction and under bite correction at Malav Multispeciality Dental Clinic reports that problems such as TMJ (Tempormandibular Joint) pain and the resulting headaches, have resolved.
  • Additionally, patients having difficulty performing dental hygiene tasks due to misalignment in the teeth have a higher incidence of tooth decay, gum disease and tooth loss. Orthodontic correction has the dual benefit of enhancing the smile and providing a way to preserve the teeth preventing the need for future dental correction.

All teeth missing since long + Wearing dentures

Lacking of tooth roots to stimulate the bone and keep it healthy and whole

The body reabsorbs the bone and it immediately begins to shrink both horizontally and vertically

The membranes and tissues covering the bone also become diminished.

The gums and underlying bone typically decease

Dentures become loose and need refitting for new dentures.  Dentures can be relined, but unfortunately that is only a temporary fix to postpone the surgical procedure.

  • Corrective jaw, or orthognathic surgery is performed by an oral and maxillofacial surgeon (OMS) to correct a wide range of minor and major skeletal and dental irregularities, including the misalignment of jaws and teeth.
  • Surgery can improve chewing, speaking and breathing. While the patient’s appearance may be dramatically enhanced as a result of their surgery, orthognathic surgery is performed to correct functional problems.
  • Jaw surgery can have a dramatic effect on many aspects of life.
  • Conditions that may indicate the need for corrective jaw surgery:
    • Difficulty chewing or biting food
    • Difficulty swallowing
    • Chronic jaw or jaw joint (TMJ) pain and headache
    • Excessive wear of the teeth
    • Open bite (space between the upper and lower teeth when the mouth is closed)
    • Unbalanced facial appearance from the front, or side
    • Facial injury
    • Birth defects
    • Receding lower jaw and chin
    • Protruding jaw
    • Inability to make the lips meet without straining
    • Chronic mouth breathing
    • Sleep apnea (breathing problems when sleeping, including snoring)

     

  • We as a team of orthodontist and OMS will work together to determine whether you are a candidate for corrective jaw, or orthognathic, surgery.
  • The OMS determines which corrective jaw surgical procedure is appropriate and performs the actual surgery. It is important to understand that your treatment, which will probably include orthodontics before and after surgery, may take several years to complete.
  • The OMS and orthodontist understand that this is a long-term commitment for you and your family, and will try to realistically estimate the time required for your treatment.

  • LASER dentistry uses a light beam with precision.. Our clinic is one of its own kind of dental clinic in Ahmedabad.
  • Laser are used to correct vision, treat skin conditions, and perform surgery. The use of Laser is already a trend in dentistry since last couple of decades; it was not until recent that a dental “Soft tissue” laser was perfected to be able to cure gum disease. NO NEEDLE, NO DRILL, NO DISCOMFORT! Mostly, noise less and safest treatment .

Advantages:

  • Bloodless / Painless / Sutureless
  • Rapid healing
  • Less chances of post operative infection

Dr. Malav's Multispeciality Dental Clinic
  • Before-LASER Dentistry
    After-LASER Dentistry
    Before LASER Dentistry After

  • Some of the Oral & dental treatments which can be performed by Laser:
    • Gum (Gingival) recontouring
    • Frenectomy
    • Crown lengthening
    • Gingivectomy
    • Canker sores
    • Gum surgeries
    • Gum depigmentation (gum bleaching)
    • Decay (cavity) removal
    • Disinfection
    • Implant second stage surgery
    • Tongue tie/Lip tie

     

  • Treatment with the laser does not cost you more!
  • Laser soft tissue surgery using a precise light beam to correct “tongue tie” or “lip tie. These procedures can assist in improving infant nursing, proper speech, eating and swallowing issues and other concerns.
  • We, at Malav Multispeciality Dental Clinic is proud to offer this wonderful dental technology as an option to our patients seeking gum recontouring, gum disease & many more treatments. Laser dentistry has been a fantastic tool in modern dentistry and continues to improve the lives of countless people.
  • Laser dentistry can also be used for more than just “aesthetic” artistic dentistry. It can be used to help diagnose cavities and even treat gum disease!
  • The dental laser is a very versatile tool that can often take the place of a dental drill to provide patients with more comfort, faster recovery, and added precision and efficiency.
  • We are excited to be able to offer laser dentistry to help you and your loved ones achieve your Oral & dental goals.

  • Maxillofacial prosthodontics is a specialty of dentistry which deals with the rehabilitation of patients with acquired and congenital defects of the head and neck region. These range from minor to major functional disabilities combined with cosmetic disfigurement.
  • Maxillofacial prosthodontics is concerned with the prosthodontic management of patients who present with congenital or acquired problems in the maxillofacial region.
  • Their role involves the fabrication of specialised prostheses such as maxillary obturators which are specialised removable dentures which plug defects in the upper jaw which are caused by the removal of tumours or are present from birth due to cleft palate. They are also involved in the replacement of missing teeth and facial structures such as eyes, ears and noses.
  • Maxillofacial prosthodontists will often use osseointegrated implants in order to retain parts of the appliance. Treatment is multidisciplinary, involving oral and maxillofacial surgeons, plastic surgeons, ear, nose and throat surgeons, oncologists, speech therapists, occupational therapists and physiotherapists.
  • The maxillofacial prosthodontics practice is devoted to habilitate esthetics and function of patients with acquired, congenital and developmental defects of the head and neck. The practice uses dental disciplines to treat, manage, and prosthetically rehabilitate patients whose cancer or cancer therapy has affected their oral-facial structures.

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