Preventive Dentistry

Preventive Dentistry

  • The top surfaces of your teeth – where the chewing takes place – aren’t smooth and flat. There are crevices with tiny hills and valleys – called pits and fissures.
  • These are places where plaque can build up safe from your toothbrush and dental floss. Some of the pits and fissures are so narrow that even a single bristle from your toothbrush can’t get deep enough to clean them out.
  • One method of preventing cavities from developing in the pits and fissures is to seal them with a varnish called a pit and fissure sealant.
  • Fissure sealants are coatings that are painted on to the grooves of the back teeth.
  • The sealant forms a protective layer that keeps food and bacteria away from getting stuck in the tiny grooves & fissures in the teeth & in turn prevents decay.
  • Resin-based pit & fissure sealants should be applied to all children as early as possible after eruption of permanent molars.

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  • Procedure:
    • The tooth is thoroughly cleaned, prepared with a special solution to ‘etch’ the surface and make it easier for the pit and fissure sealant to stick.
    • Keeping the area dry is very important, if the tooth gets wet, the sealant might not stick properly.
    • Once everything is ready, we then apply the sealant right over the pits and fissures on the tooth surface.
    • A special light of specific intensity is then used to cure the sealant.
    • The whole procedure is quick and painless.
  • What is the life of fissure sealant ?
    • Sealant usually last for several years, but needs to be checked at regular intervals to make sure that the seal is intact.
    • It can wear with time, and sometimes needs to be added to or replaced to be sure that decay does not develop underneath it (secondary caries).

Dr. Malav's Multispeciality Dental Clinic

  • As we all know, there is a very famous saying “Prevention is better than cure”.  In the same we also are aware that preventing the decay is always better than treating the decay.
  • So, if you are looking for the solution to prevent the decay in your children, topical (local) fluoride application is the answer for you.
  • Fluoride varnish is a gel which is applied to children’s teeth using a soft brush. The varnish sets quickly and has a pleasant taste and a fruity smell.
  • Fluoride is a mineral that helps to prevent tooth decay. Professionally applied topical fluoride  is a preventive agent that contains  fluoride  in high concentration, which can be absorbed in developing tooth if applied between the age of 3 to 13 years. blank
  • What Is Fluoride Varnish?
    • Fluoride varnish provides a highly concentrated, temporary dose of fluoride to the tooth surface. The varnish holds fluoride close to the tooth surface for a longer period of time than other concentrated fluoride products.
    • Unlike low-dose fluorides available over the counter such as fluoride toothpaste, highly concentrated fluoride products such as fluoride varnish must be applied by a healthcare professional.
  • How fluoride varnish works ?
    • It slows down the development of decay by stopping demineralisation.
    • Flouride increases the pH of the oral cavity thereby reduces the acidic environment and in turn helps to reduce the bacterial attack on tooth keeping it healthy till its shedding (exfoliation).
    • It makes the enamel more resistant to acid attack (from plaque bacteria), and speeds up remineralisation (demineralising the tooth with fluoride ions, making the tooth surface stronger and less soluble).
    • It can stop bacterial metabolism (at high concentrations) to produce less acid.
    • Fluoride varnish leads to heavy remineralisation of the enamel surface, and subsequent acid attacks will allow fluoride ions to penetrate more deeply into the tooth structure. Varnishes like Duraphat® are useful because they stay on the tooth surface for some hours, allowing slow release of the fluoride ion.
  • Method of application:
    • It comes in gel form which is placed on a pre-fabricated (ready-made) foam trays and held against the teeth for a few minutes or as a varnish that is painted on the enamel (top layer) of the teeth.
    • Fluoride varnish is a pale yellow gel that sets quickly (within 2-3 min) when applied to children’s teeth using a soft brush.
    • It is biocompatible and has an acceptable taste and a fruity smell.
  • Ideal age of application:
    • 3-13 years
  • Post fluoride application Instructions:
    • Avoid consuming any food or acidic drinks for atleast 2-3 hours after application. check

  • A leader in preventive care, our multispecialty dental clinic has a dedicated treatment that provides on-going support to patients who are attempting to quit smoking.
  • According to research, cigarette smoke contains over 4,000 chemicals? Including carbon monoxide, tar and a multitude of several harmful substances namely arsenic, lead and benzene. Tobacco smoke has also been found to contain approximately 50 carcinogenic substances.

  • Before-smoking & tobacco
    After-smoking & tobacco
    Before smoking & tobacco After

  • Beyond causing the common place annoyances of coughing, shortness of breath, phlegm, and premature aging of the skin, smoking is one of the main risk factors for serious illnesses, and it reduces life expectancy by an average of approximately 10 years. The health problems that smoking causes include peptic ulcers, hypertension, stroke and other cardiovascular diseases, arteriosclerosis, chronic bronchitis and emphysema. Many types of cancer, including lung, neck and throat (larynx, esopharynx, oropharynx), esophagus, bladder, kidney and cervical cancer, are attributable to smoking.
  • Smoking is the number-one preventable cause of death in the world. Yet, the addictive power of tobacco is so strong that barely 3% to 10% of smokers succeed in quitting for one year without assistance. Success rates increase to between 15% and 20% when smokers benefit from some form of support.
  • Here is the good news. You can quit smoking—even after a long history as a smoker!
  • The sceptics will be happy to know that the risks for disease greatly diminish just a short time after smoking is stopped. Research has also shown that the risk for heart attack decreases mere days after smoking cessation and is cut in half in just one year. Five years after cessation, the risk for heart attack is essentially the same as for someone who has never smoked!
  • At our clinic, we consult in tobacco prevention one-on-one support. Firstly, at the start of the cessation process a proper diagnosis is done which allows us to learn and pinpoint the client’s needs in order to provide personalized support. We make a thorough assessment like: Getting an overview of symptoms of anxiety or depression, assessing the patient’s degree of nicotine dependence, determine breath carbon monoxide levels and screen for early symptoms of chronic lung disease.
  • We take comprehensive analysis of patient’s symptoms and discuss several topics with him like his previous attempt to quit, motivations and fears about upcoming attempt to quit, effects of tobacco use on overall health and medications taken by the patient along with the patient’s medical history.
  • A smoking reduction or cessation plan is based on the patient’s personal goals. We provide various options if patient is interested in pharmacological support. We can also suggest the ideal treatment for patients based on their previous experiences and medical history like Nicotine replacement therapy [NRT] (patch, lozenge, gum, inhaler or spray), Champix and Zyban

  • Bruxism” is the medical term to describe teeth grinding.
    • Many people grind or clench their teeth due to anxiety or stress (even in their sleep), but when the grinding occurs on a consistent basis the teeth can suffer damage and possibly lead to other serious oral health problems.
    • Although many grind their teeth during stressful situations, most often grinding happens when asleep so you are not aware you are doing damage until it is too late.
    • An abnormal bite or missing or cracked teeth can also be causes of bruxism.
  • How can you know if you are grinding your teeth while asleep?
    • Dull, constant headaches grinding may be detected by a partner, friend or family member.
    • Sore jaw or tenderness in the TMJ (jaw joint).
    • If you suspect grinding your teeth has become more than just occasional, an examination by dentist is essential to reveal signs of bruxism such as jaw tenderness or teeth abnormalities.
    • Constant grinding may result in broken teeth, and even tooth loss.  It’s even possible to grind teeth down to stumps.  If this happens, you are looking at the potential for bridges, crowns, root canals, dental implants or dentures or more costly dental care. Severe grinding can also lead to hearing loss or serious conditions like TMJ which can even alter your appearance due to the affect bruxism can have on your jaw.
  • Options to get relief from bruxism:
    • There are several options our dental team can offer you to relieve bruxism.  Wearing a professionally fitted mouth guard during sleep will protect your teeth from grinding during the night.
    • If you are grinding due to stress, we can recommend ways to relieve that stress through professional counselling, exercise or possibly muscle relaxants.
  • Which things you must avoid?
    • Things you can do on your own to possibly reduce grinding include cutting back on foods and beverages that contain caffeine, avoid alcohol consumption, do not chew gum or anything that is not food as this allows your jaw muscles to train to clench.
    • If you realize you are clenching your teeth either during the day or if you awaken to realize you are clenching your teeth, the quickest way to stop right then is to place your tongue between your teeth or open your mouth and try to keep it open for as long as you can.
    • These two exercises are only temporary.

  • Snoring is extremely common and, in many cases, relatively harmless. Nearly everyone snores at one time or another.
  • Occasional light snoring, at worst, is a minor annoyance. Loud and habitual snoring can disrupt your sleep and may be a sign of a much more serious sleep disorder – obstructive sleep apnea.
  • Snoring is a sound that occurs in the upper airway as you breathe in air. The unmistakable sound is a sign that your airway is partially blocked, usually by soft tissue in your throat. The flow of air causes the soft tissue to vibrate, generating the noise, which comes out of your nose, mouth or both.
  • The volume of snoring depends on the person. You may snore so loudly you wake yourself up. Snoring may also cause you to have a dry mouth or to wake up with a dry mouth and a sore throat.
  • Techniques to cure obstructive sleep apnea:Techniques:
    • CPAP (continuous positive airway pressure)
    • Oral appliance therapy
    • Upper airway surgery

    These techniques may be used alone or in combination with other treatments for sleep apnea.

    Behavioural therapies:

    • Weight loss
    • Avoidance of alcohol and tobacco
    • Sleeping on side

    These behavioural modifications may reduce the severity of sleep apnea.

Extraction of teeth (because of pain, infection, bone loss or fracture of the tooth)

The bone ( that holds the tooth in place in the socket ) is often damaged by disease and/or infection

The surrounding bone and gums can shrink and recede very quickly ( in first 4 weeks after the extraction)

Unsightly defects and collapse of the lips, and cheeks

Deformity of the jaw

Creates major problems in performing restorative dentistry ( i.e dental implants, bridges or dentures )

Prevented and repaired by a procedure called

  • Sports dentistry is a branch of dentistry that deals specifically with sports related injuries, treatment and prevention.

  • The Sports Dentistry Department is committed to the overall healthcare of athletes by providing them with the best dental care available, thereby supporting them in achieving their full potential through dental education, prevention and treatment.
  • Oral surgery is an important component to sports-related injuries for athletes, with the most common area of dental trauma being the upper front teeth. With our oral surgery consultant, we are able to provide sound clinical advice and comprehensive treatment for every patient.
  • Prevention is critical within the field of Sports Dentistry. Mouthguards protect against sports-related oral injuries and trauma by protecting teeth, gums, and lips, and should always be worn to protect teeth during sporting activities. Dental lab allows us to fabricate the highest quality customised mouthguard and night guards. Prepared using a specific material customised for sports use, the guards are specifically designed for each individual.
  • Promoting good oral health and, essentially, an athlete’s overall health, Sports dentistry advocates the highest level of quality treatments to ensure patients are receiving the specialized care they need.
  • Using state-of-the-art technology, our goal is to enhance patient experience using the most advanced procedures and equipment available, thereby ensuring every patient has a healthy mouth.
  • Sports Dentistry offers a wide variety of dental services, including dental screening. Dental screening is the process in which an athlete’s oral health is evaluated through a thorough soft and hard tissue examination; including dental radiographs. This procedure can assist in identifying any asymptomatic dental problems, to follow-up on any treatment an athlete may be undergoing, or simply to ensure the athlete’s oral status is on a satisfactory level prior to attending his/her next training and/or match.

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