Treatments

 

   Root Canal Treatment

When the nerve of your tooth is diseased or injured and unable to repair itself, the nerve usually dies. The common causes of nerve death are fracture or a deep cavity that exposes the nerve to bacteria, which causes the nerve to die. A root canal is a way to save the tooth if your nerve becomes infected by a cavity or exposed due to fracture. When this procedure becomes necessary, it may take 1-3 appointments to be completed depending on the level of infection and/or complexity of the situation.

Step - 1

We are proud to say that we have developed a special technique for giving an injection, that your will not feel any type of pain or discomfort, and your fear of dental treatment will completely go. After the tooth is anesthetized, we make a small hole in your tooth. This exposes the root canal and the damaged nerve.

Step - 2

Without any pain or discomfort, we remove the damaged nerve and enlarge the root canal by carefully cleansing it with precision instruments called files. This process gives us a predictable way to insure that the infected nerve has been completely removed.

Step - 3

Once the root canal has been cleaned and disinfected, of all damaged nerve, it is filled and sealed to prevent recontamination of the root canal system. The root canal treatment is now complete. However, your tooth still needs to be restored to its normal function and appearance.

We, at Meera Dental Clinic, by Root canal treatment, allow your tooth to remain in your mouth even though it is “dead”. Thus, we can safely and comfortably save your tooth that otherwise would have to be removed. A crown must be placed on a tooth with a root canal due to the fact that the tooth no longer is receiving nutrients/blood supply and it has been weakened by a large cavity or hole. The tooth will become brittle over time making it more susceptible to fracture. Remember, a healthy restored tooth is always better than an artificial one.

 
 

   Tooth Replacement

Replacement by Removable Teeth

COMPLETE DENTURES : This is the most economic and most traditional method of tooth replacement. Dentures are removable objects that simulate the look and function of the tooth and its surrounding tissue. Most dentures are constructed with acrylic resins along with some composite materials. However patient can chose from a variety of options:
  • Traditional plastic denture
  • Traditional plastic denture with a metal framework to make the denture strong, light and of course biocompatible.
  • Flexible denture(valplast)
  • Flexible denture(valplast) combined with metal framework

There are two major types of dentures. The full denture replaces an entire jaw’s dentition, while a partial denture only replaces multiple or single teeth where there are still healthy teeth present. A partial denture also serves as a spacer to prevent the living teeth from shifting position.

Most patients of full dentures are in their later years and have lost most of their teeth. Patients of partial dentures are usually people who have lost a tooth to gum disease or injury. All patients receiving dentures find that their chewing improves, their oral hygiene becomes easier, and their speech clears up. On the outside, a denture can drastically improve your smile.

Dentures are specifically made for each patient’s unique anatomy. Initially they will feel awkward, no matter how well they may fit you. The fact remains that it is not a living part of your mouth and it will feel foreign to you. However, after a short period of adjustment most people don’t even notice that they’re wearing the dentures anymore.

Regular checkups with your dentist are encouraged in order to track changing conditions in your mouth. Should your teeth shift or your bones change shape with time, you’ll need a new set. Dentures have been around for a long time and are a proven way to replace lost teeth. If you require dentures please contact a dentist for a consultation

Replacement by Fixed Teeth

If something unfortunate happen that you missed your teeth that can allow the surrounding teeth to become displaced, Cracked, fractured or damaged teeth should be fixed to save as much of the tooth as possible so important to consult Dental surgeon to minimize the impact on your entire mouth.

Considering dental problem immediately will minimize the risk of future problems.

  • Fixed Crowns protect teeth that are so damaged or diseased which required more support than normal filling materials.
  • Bridges replace missing teeth and offer support for the surrounding teeth to help retain the integrity of the jaw, joint and facial structures.
 
 

   Dental Implant Treatment

Dental implants are surgically fixed substitutes for roots of missing teeth. Embedded in the jawbone and typically made of titanium, they act as anchors for a replacement tooth, also known as a crown, or a full set of replacement teeth.

In order to replace the function of the tooth root, the dental implant is inserted in the jaw bone during a procedure that can be performed under local anesthetic. It adheres painlessly to the bone and forms a solid anchor for the long-term attachment of the crown.

Dental implants have been used for over forty years as a permanent solution for missing teeth. But only within the last decade, as a result of advances in both materials and surgical procedures, have the profound benefits of this solution become available to the masses.

For whom?

Dental implants are a viable option for nearly everyone in need of any form of new or enhanced dental prostheses. Since implants are more reliable and durable than all other conventional solutions--including dentures--they should be considered by anyone seeking dental restoration.

The baseline requirements for successful implantation are :

  • Good general state of health
  • Good oral hygiene
  • Adequate bone quality
  • Sufficient bone volume

If there is not enough bone volume for placing an implant, then there are various options for replacing bone--such as bone grafting--to prepare the jaw for successful implantation.

Why dental implants?

Aesthetics

Dental implant is to look and feel like natural teeth. Since dental implants integrate into the structure of the jaw bone, they prevent the bone loss and gum recession that often accompany bridgework and dentures.

Tooth-preservation

Dental implants don't sacrifice or compromise the quality of adjacent teeth because neighbouring teeth are not altered to support the implant. Native teeth remain largely untouched which is a significant long-term benefit for oral health.

Renewed confidence

Dental implants allow the recipient to once again speak and eat with comfort and confidence. They are secure and offer liberation from the annoying clicks and wobbles of dentures.

Reliability

The success rate of dental implants is highly predictable. They are considered an excellent option for tooth replacement.

Risks and side effects?

In spite of taking every conceivable precaution, there is no denying that dental implant surgery, like any invasive medical procedure, occasionally poses some health risks.

The success of dental implant treatment is contingent upon a number of factors:

  • Experience and skill of dentists, dental assistants, and lab technicians.
  • Highly quality, state-of-the-art dental equipment.
  • Absolute cleanliness and sterilization of all operating rooms, facilities, and equipment.

Despite every effort to minimize the potential for complications, possible risks include:

  • Gum infection.
  • Nerve damage.
  • Sinus problems.
  • Injury or damage to existing teeth or blood vessels.
  • Failure of the bone to graft to the implant. In these cases, the implant is removed, the bone cleaned, and another implant attempt is done within 30 to 60 days.

As with any dental surgery, there is also a range of possible post-operative side effects:

  • Swelling of the gums and face.
  • Bruising of skin and gums.
  • Pain radiating from the implant site.
  • Minor bleeding.

And finally, preventative maintenance is a key factor in the long-term viability of dental implants

  • Maintenance of healthy oral hygiene including the avoidance of coffee, tea, cigarettes, and potentially destructive foods such as hard candy.
  • Bi-annual dental check-ups to ensure that implants are functioning properly
When all the dental treatments have failed thenDental Implant Treatment is the perfect solution.
 
 

   Crown and Bridge

What are Dental Crowns and Tooth Bridges?

Both crowns and most bridges are fixed prosthetic devices. Unlike removable devices such as dentures, which you can take out and clean daily, crowns and bridges are cemented onto existing teeth or implants, and can only be removed by a dentist.

How do Crowns Work?

A crown is used to entirely cover or "cap" a damaged tooth. Besides strengthening a damaged tooth, a crown can be used to improve its appearance, shape or alignment. A crown can also be placed on top of an implant to provide a tooth-like shape and structure for function. Porcelain or ceramic crowns can be matched to the color of your natural teeth. Other materials include gold and metal alloys, acrylic and ceramic. These alloys are generally stronger than porcelain and may be recommended for back teeth. Porcelain bonded to a metal shell is often used because it is both strong and attractive.

How do Bridges Work?

A bridge may be recommended if you're missing one or more teeth. Gaps left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in a bad bite. The imbalance caused by missing teeth can also lead to gum disease and temporomandibular joint (TMJ) disorders.

Bridges are commonly used to replace one or more missing teeth. They span the space where the teeth are missing. Bridges are cemented to the natural teeth or implants surrounding the empty space. These teeth, called abutments, serve as anchors for the bridge. A replacement tooth, called a Pontiac, is attached to the crowns that cover the abutments. As with crowns, you have a choice of materials for bridges. Your dentist can help you decide which to use, based on the location of the missing tooth (or teeth), its function, aesthetic considerations and cost. Porcelain or ceramic bridges can be matched to the colour of your natural teeth.

In a general sense, these are called crowns and bridges, which are used to cover a tooth. Dental bridges are used to replace missing teeth with taking support from healthy, neighbour teeth.

There are different types of materials for crowns & bridges available, like Metal, Ceramic, Metal Free Ceramics and Procera. We are having expertise in making Ceramic fused to metal crowns and Procera metal free crowns. Metal crowns are nowadays considered outdated and very few people like those “metals” in their mouth.

Advantages of quality ceramic crowns & bridges:

  • With fixed (ceramic) teeth, you will get your lost power of chewing back.
  • You will get the joy and confidence of chewing, almost at any age.
  • Cosmetically, they are proved to be best worldwide.
  • They are stronger and long lasting than other materials.

Crowns

Crown also called caps restore damaged teeth and match the shape, size and color of the surrounding teeth. Crowns are indicated for fractured teeth and deep cavities; root canal treated tooth, to provide extra support for bridges; and to cover poorly shaped or discoloured teeth. Crowns may be made of white metal, fused metal porcelain, precious Porcelain. They are custom-made and fitted for each patient in conformation with the size and length of the natural teeth. Crowns typically last five to eight years, but can last much longer with proper oral hygiene.

Crown and Bridge Preparation

The teeth to be crowned are prepared which involves reduction of the tooth size usually under local anaesthesia followed by an impression. This grinding of the tooth is required to create space for the crown to be fitted .In between a temporary crown is made and fitted onto the grinding tooth. The model taken is then sent to a Dental laboratory where dental technicians will make the crown.

Dental Bridges

Fixed bridges differ from removable denture that does not require removal. It replaces missing teeth by joining an artificial tooth to two caps which are fixed to adjacent teeth.

Small number of missing teeth can be replaced after evaluating factor such as supporting gums, bone, adjacent teeth. A fix bridge stabilizes the bite of a patient who is missing teeth. Bridges prevent the surrounding teeth from moving or shifting in the mouth.

 
 

   Cosmetic Dentistry Replacement

Cosmetic dentistry is a branch of cosmetic surgery that aims solely to enhance the look of your teeth. It has been rightly said "Smile is a small curve that sets all things straight". All of us know and accept the importance of a good smile.

It could make all the difference the next time you are considered for a raise, go out on a hot date, or get pulled over for a speeding ticket. A good appearance in fact is a reflection of your personality.

We offer a range of esthetical procedures ranging from simple to complex. All these procedures are meant to increase you self-confidence through a brighter and more beautiful smile.

  • Tooth Whitening (Bleaching)
  • Laminate (Veneer)
  • Composite
  • Tooth Jewellery

Tooth Whitening (Bleaching)

The term 'whitening' strictly speaking is a misnomer. This is because natural colour of teeth is never perfectly white. It is a combination of white and yellow in varying proportions. Broadly, the procedure aims at restoring the natural white colour of the teeth.

Bleaching can be done by the dentist in the dental clinic or at home by various commercially available bleaching kits. However, before directly jumping to the home bleaching, it is important that a dentist be consulted. This is important since home bleaching product may not be effective or indicated for every individual. Generally, the first bleaching is done at the dental office, with the follow up being done by the home bleaching products. However from a safety point of view and for best results both home and office bleaching should be monitored by the dentist.

Having dental implants replacing your lost back teeth will give you new, unparalleled strength and stability that allows you to eat what you want. It will also preserve your jawbone and facial appearance.

Teeth presents with two types of stains

Extrinsic Stains : These stains are caused by tea, coffee, cigarettes, pan masala and other tobacco products, spicy food containing lots of red chillies and turmeric. Since these stains are of exogenous origin, they can be removed by bleaching.

Intrinsic stains: These stains are of developmental origin being incorporated within the structure of the tooth. These stains are caused by factors which operate at the time when the tooth is being formed. Common factors responsible for intrinsic staining include drinking of water with high fluoride content, ingestion of tetracycline medication, and injury to the tooth. Bleaching does effect these stains too but the effect varies depending on the severity of the clinical condition.

Laminates (Veneer)

Veneers and laminates are another conservative approach to enhancing the look of your teeth. They are a thin shell made of porcelain or composite resin that is cemented to the front surface of the tooth. Like bonding, veneers are used to cover up discoloration, cracks and chipping, and to change the shape or size of your teeth. However, porcelain veneers outperform bonding with greater resilience and a greater resistance to stains and dulling. Also, they tend to look more natural than a bonded tooth.

Indications treatable by veneers include

  • Stained/ Defective restorations
  • Gap between front teeth
  • Fracture lines
  • Wearing of teeth
  • Discoloured teeth
  • Malformed teeth
  • Slight malposition
  • Gum recession exposing the roots
  • Erosion/ Abrasion of teeth
  • In case of children teeth (with large pulp)

Composite resin veneers

Composite resins (same as used for tooth -coloured fillings) can be used in a direct chair side technique to form a veneer. Advantages of these direct composite veneers are:

  • Only one appointment is required
  • Cost to the patient is less
  • Composite resin veneers are reparable
  • Colour and form can be controlled by the dentist

Porcelain veneers

These veneers promise" the highest aesthetic potential to date for restoration of anterior tooth defects." Porcelain is the optimum material for its colour stability, aesthetics, wear resistance and tissue compatibility. But unlike composite resin veneers these are constructed in labs from dies made from patient's impression. Porcelain veneers

  • Frequently do not require anaesthetic and are less stressful to the patient.
  • Does not usually cause sensitivity
  • Maintains natural contacts between teeth
  • Eliminates display of metal at the gum margin
  • Does not usually require temporization

But these veneers are expensive. These are extremely difficult to repair if fractured and the technique involved in placement of veneers is extremely delicate. Some commonly used veneer system is the PROCERA and IPS Empress.

Ultra-Thin-Veneers

They represent one of the greatest advances in cosmetic dentistry. They are ultra thin veneers (as thin as contact lenses). They utilize ultra-modern state-of –the-art technology to create extremely strong, durable, thin veneer from porcelain. They are placed on the existing tooth structure so that means in most cases there is no drilling of extremely sensitive tooth enamel is required unlike traditional veneers. No injections! No pain! No Drilling! No temporaries!

With THINEERS you can

  • Whiten teeth Permanently
  • Re-shape Teeth
  • Straighten Teeth
  • Repair Chipped and Stained Teeth
  • Place over existing Crown or Bridge work without having to replace them.
  • Close gaps and spaces in between teeth

In cases where orthodontic problems are not very severe, THINEERS ULTRA THIN VENEERS™ will change the alignment and shape of your teeth, making them look whiter, straighter and more uniform. Moreover, this type of restoration has been proven to last for up to 20 years with proper maintenance and care. This would include your regular Dental Check-up and Cleaning.

Composite

A natural tooth does not grow like natural hairs or nails. So, the only way to effectively fix the appearance of a chipped tooth is through bonding of certain tooth-coloured materials to the tooth. These resins are a paste to begin with, so they can be shaped and coloured to look like the rest of the tooth. Once exposed to a certain wavelength of light, the resin hardens into a permanent plastic. These materials are exactly similar to the materials used for tooth-coloured fillings.

Bonding is among the easiest and least expensive of cosmetic dental procedures. The composite resin used in bonding can be shaped and polished to match the colour and shine of the surrounding teeth. Most often, bonding is used for cosmetic purposes to improve the appearance of a discoloured or chipped tooth. It also can be used to close spaces between teeth, to make teeth look longer or to change the shape or colour of teeth. Sometimes, bonding also is used as a cosmetic alternative to amalgam fillings, or to protect a portion of the tooth's root that has been exposed when gums recede.

Besides the procedure has other advantage of getting completed in a single appointment.

However, bonding procedure has its own limitations. After receiving a composite, a patient may experience post-operative sensitivity. Besides composites have a tendency to pick up stain with time. They can chip or break over time if they are abused. It is therefore essential to follow proper home care instructions and get regular professional cleanings to keep the restored teeth healthy and beautiful.

Tooth Jewellery

The beauty of a dazzling white smile can be further enhanced by use of “Tooth Jewellery”. These jewels are made of crystal glass and are available in two different colours- crystal and sapphire blue. They are glued to the front surfaces of the upper anterior teeth. Placing these stones is a very brief procedure but it goes a long way in satisfying the dental cosmetic needs of the patient.

Any of these procedures either singly or in combination can improve your smile remarkably!
 
 

   Dental Fillings Treatment

Tooth Coloured Fillings

Tooth-coloured fillings are a safer and more attractive alternative to older silver amalgam fillings. By precisely matching tooth-coloured composite fillings with the natural colour of your teeth, a skilled cosmetic dentist is able to provide you with white fillings that are virtually invisible. The removal of amalgam fillings can provide patients with white fillings that provide a more pleasing, silver-free smile.

What are Tooth Coloured Fillings?

White fillings are made of composite resin and serve to fill cavities just like silver amalgam fillings. However, white fillings are matched to the colour of your teeth and are virtually invisible. Tooth-coloured fillings have become more popular over the years. As the availability of white fillings has increased and the possible dangers associated with amalgam fillings have been publicized, more and more patients are having their cavities filled with beautifully white, tooth-coloured fillings.

Removing and Replacing Old Metal Fillings

When a new cavity needs filling, the vast majority of patients now choose tooth-coloured composite fillings. Many patients also opt for the removal of their amalgam fillings as well. These patients want to enhance their cosmetic appearance by ridding their mouths of unsightly silver fillings and replacing them with tooth-coloured composite fillings. This simple procedure is an easy way to make a big difference in your smile.

Side Effects Associated with Silver Amalgam Fillings

Silver amalgam fillings contain about 50 percent mercury, a chemical that has been scientifically shown to be more toxic than lead, cadmium, or arsenic. The possibility of mercury leaking from amalgam fillings over time has prompted a movement toward mercury-free dentistry. The mercury in silver amalgam fillings is thought to leave the filling and enter the organs of the body in small amounts throughout life. Some medical practitioners believe this mercury is causing physical and psychological problems in patients. These include neurodegenerative diseases, birth defects, and mental disorders. The debate is ongoing but many patients are opting to remove their amalgam fillings in order to improve their appearance and ease their minds.

 
 

   Gum Care Treatment

What is gum disease?

Gum disease refers to inflammation of the soft tissue (gingiva) and abnormal loss of bone that surrounds the teeth and holds them in place. Gum disease is the second most common cause of toothache.

What causes gum disease?

Gum disease is caused by toxins secreted by bacteria in "plaque" that accumulate over time along the gum line. This plaque is a mixture of food, saliva, and bacteria.

What are symptoms of gum disease?

Early symptoms of gum disease include gum bleeding without pain. Pain is a symptom of more advanced gum disease as the loss of bone around the teeth leads to the formation of gum pockets. Bacteria in these pockets cause gum infection, swelling, pain, and further bone destruction. Advanced gum disease can cause loss of otherwise healthy teeth.

How is gum disease treated?

Treatment of early gum disease involves oral hygiene and removal of bacterial plaque. Moderate to advanced gum disease usually requires a thorough cleaning of the teeth and teeth roots called "root planning" and "sub gingival curettage." Root planning is the removal of plaque and tartar (hardened plaque) from exposed teeth roots while sub gingival curettage refers to the removal of the surface of the inflamed layer of gum tissue. Both of these procedures are usually performed under local anaesthesia and may be accompanied by the use of oral antibiotics to overcome gum infection or abscess. Follow-up treatment may include various types of gum surgeries. In advanced gum disease with significant bone destruction and loosening of teeth, teeth splinting or teeth extractions may be necessary.

Periodontitis

It is a progressive inflammatory disease of the gums and the surrounding tissue around the teeth. It is commonly known as gum disease and was referred to as pyorrhoea in the old days. It is estimated that up to 80% of the population above the age of 40 may suffer from this disease with the severity varying drastically from one person to another. Periodontitis is the number one cause of tooth loss after the age of 40.

Certain medical conditions or medications can make you more susceptible to gum disease. They include pregnancy, diabetes, epilepsy, and such medications as chemotherapy, birth control pills, antidepressants, and those for heart problems.

If you notice any of the following signs of gum disease, schedule an appointment immediately:

  • gums that bleed when you brush your teeth
  • red, swollen or tender gums
  • gums that have pulled away from the teeth
  • bad breath that doesn't go away
  • pus between your teeth and gums
  • loose teeth
  • a change in the way your teeth fit together when you bite
  • a change in the fit of partial dentures

Surgical Therapy

  • Flap Surgery: Our periodontist separates the gum from the teeth creating a "flap" and accesses the infected pocket. It aims to reduce pocket depth and increase the ability to maintain the remnant pockets clean.
  • Gingivectomy: This procedure is performed when excess amounts of gum growth around the teeth have occurred. This result in false pocket formation and the inability to keep them clean.
  • Osseous (bone) surgery: This procedure is done to smooth shallow craters and defects in the bone due to mild or moderate bone loss. Guided Tissue Regeneration: This procedure is done in combination with a surgical flap operation where gum growth into a defect is barrier off to allow slower growing bone, cementum and ligament cells to populate a bony defect.
  • Bone Grafts: Tiny fragments of the patient's bone, synthetic bone or bone obtained from a bone bank are used to fill a bony defect around the teeth. These grafts act as a scaffold on or around which patients own bone is conducted or induced to grow.
  • Soft Tissue Graft: In cases of gum recession a graft is usually taken from the palate and transplanted onto the receding area to reinforce the thin gum and to inhibit further gum recession.

Non-Surgical Therapy

  • Scaling and Root Planning: Manually removing the plaque and tarter from the root surfaces of your teeth below the gum line.
  • Antibiotics: Because bacteria cause periodontitis antibiotics may be prescribed as pills or as an Antibiotic fibre. The fibres are used in conjunction with scaling and root planning. They are placed directly into the pockets and are removed within 7-10 days later. Antibacterial mouth rinses may also be recommended to help plaque control.
  • Bite correction: An imbalanced bite may accelerate bone destruction. Your teeth may be adjusted for proper and better function. A Bite-guard (removable retainer fitting over teeth) may be required to protect teeth surfaces and relax tense muscles.
  • Splinting: This technique attaches weak teeth together, combining them into a stronger single unit, making them more stable and offering more comfortable chewing.
 
 

   Smile Designing and Cosmetic Shaping Surgery

Orthodontics

Orthodontics is a specialty of dentistry that is concerned with the study and treatment of malocclusions (improper bites), which may be a result of tooth irregularity, disproportionate jaw relationships, or both. Orthodontic treatment can focus on dental displacement only, or can deal with the control and modification of facial growth. In the latter case it is better defined as "dentofacial orthopaedics’". Orthodontic treatment can be carried out for purely aesthetic reasons—improving the general appearance of patients' teeth and face for cosmetic reasons—but treatment is often prescribed for practical reasons, providing the patient with a functionally improved bite (occlusion).

How does the vitreous become diseased?

Diseases can affect the vitreous alone or the vitreous could be affected along with the neighboring structures. Abnormalities in the vitreous could be broadly in the form of opacities that block the entry of light; abnormal scar tissue that pulls on the sensitive retina. The commonest opacity of the vitreous that blocks the light entry is blood. Bleeding can occur into the vitreous due to several diseases such as diabetic retinal disease, blunt or penetrating injury to the eye, occlusion of the retinal blood vessels etc. Very often blood in the vitreous cavity (vitreous hemorrhage) is associated with variable amount of abnormal scar on the retina and the vitreous.

Certain types of retinal detachment can be associated with vitreous abnormality.

Ceramic Braces:

Ceramic braces utilize less noticeable brackets for patients concerned about the appearance of their smile. Ceramic brackets are translucent, so they blend in with your natural tooth colour. This means that unlike traditional stainless metal braces, ceramic braces won’t make your smile look "metallic." In addition, ceramic braces are designed so that they won’t stain or discolour over long periods of time.  

All aspects of Preventive Dentistry

Our practice emphasises Preventive Dentistry. Our Hygienists provide long term maintenance programmes to help protect your teeth, and your investments!

Our Hygienists

Dental Hygienists are registered dental professionals who are trained in preventive dentistry. They can help you decrease the chances of decay and help you maintain healthy gums through regular cleaning; saliva testing and caries (decay) activity screening. They are up to date with all the new toothbrushes and dental products which you can buy, and they can advise which products are the most appropriate for your individual situation. Our receptionist can organise dental hygiene visits to coordinate with your regular dentist visits, so that you find it more convenient.

Hygiene Visits

Prevention is key!
At the Avenue Dental Centre, we pride ourselves on the experience we have in ensuring your dental hygiene is in excellent shape.

Regular visits enable us to ensure that your teeth are healthy and address any issues that may arise.

Our hygienist will regularly offer you advice on brushing and flossing technique, helping with the best way to attack problem areas and providing continuing solutions for your dental care at home

Diet Advice

Diet is a major factor in tooth decay. It can have a positive or detrimental effect on the health of your teeth as well. Diet is also one of the main causes of bad breath. At the Avenue Dental Centre our Hygienist has considerable experience in all aspects of preventative dentistry and is able to offer advice and support regarding your diet and can put together a tailored plan to help deal with your individual requirements working with our dentists.

Nutritional Guidance

Complementary to our diet advice we also offer nutritional guidance both for oral health as well as for the body and general health. Talk to our Reception staff or Hygienist for more information.

Fissure Sealants

Fissure sealants provide a very effective method of preventing tooth decay. They can help prevent the tooth from needing more intensive treatment later on in life, as they form a permanent protective layer and can remain in place for many years. They are usually placed in the adult molar teeth in children aged about six years of age; subsequent molar teeth at the age of around 12 years are also fissure sealed. Fissure sealants are 'plastic' colourless protective liquids, which are painted onto the biting surfaces of the back teeth. They are then hardened by the application of a concentrated beam of ultraviolet light.

Saliva Testing

Saliva testing is valuable in helping to spot early signs of oral health problems and can assist in preventive treatment planning. Saliva plays a significant role in maintaining oral health. It is the body's natural caries defence. Understanding your saliva characteristics can give valuable information to determine treatment choices and strategies.

Cleaning

At the Meera Dental Clinic we firmly believe that prevention is better than cure, regular cleaning of your teeth will help maintain your oral health as well as prevent more serious problems occurring later on. We will usually give your teeth a thorough clean. You'll also be shown how to remove plaque successfully yourself, cleaning all surfaces of your teeth thoroughly and effectively.

Extraction including wisdom tooth

About wisdom teeth removal

Wisdom teeth usually emerge from your gums between the ages of 17 and 24. They are the last of the large grinding teeth at the back of your mouth (molars). Some people never develop wisdom teeth but you could have up to four - one in each corner of your mouth.

For most people, wisdom teeth don't cause any problems so don't need to be removed. However, if there isn't enough space for them to grow at the back of your mouth they become what is known as impacted wisdom teeth, and can cause pain, swelling and/or infection.

Having your impacted wisdom teeth surgically removed (extracted) can relieve your symptoms. It may be possible for your dentist to remove your wisdom teeth, or he or she may refer you to an oral surgeon.

What are the alternatives?

Antibiotics can help treat an infection, but your symptoms may flare up again. Having your wisdom teeth removed is often the only way to permanently relieve your symptoms.

Preparing for wisdom teeth removal

Dentist or oral surgeon will explain how to prepare for your procedure. For example, if you smoke, you may be asked to stop as smoking increases your risk of getting a wound infection, which can slow your recovery.

The operation is usually done under local anaesthesia. This completely blocks pain from your gums and you will stay awake during the procedure. You may be offered a sedative to help you relax during the operation. If you go to a hospital and your wisdom teeth are particularly challenging to remove, you may be given general anaesthesia. This means you will be asleep during the procedure. Dentist or oral surgeon will let you know which type of anaesthesia is most suitable for you.

If you're having a general anaesthetic, you will be asked to follow fasting instructions. This means not eating or drinking, typically for about six hours beforehand. However, it's important to follow Dentist or oral surgeon's advice.

Dentist or oral surgeon will discuss with you what will happen before, during and after your procedure, and any pain you might have. This is your opportunity to understand what will happen, and you can help yourself by preparing questions to ask about the risks, benefits and any alternatives to the procedure. This will help you to be informed, so you can give your consent for the procedure to go ahead, which you may be asked to do by signing a consent form.

What happens during wisdom teeth removal

The procedure for removing your wisdom teeth will depend how deeply impacted your teeth are. Many wisdom teeth can be extracted simply like any other molar. Once the anaesthetic has taken effect, your dentist or oral surgeon will widen the socket (the area your tooth sits in) using a tool called an elevator or a pair of special forceps. He or she will then move the tooth from side to side until it is loose enough to be removed completely.

However, if your tooth is more difficult to remove, your dentist or oral surgeon will cut through your gums and may remove some of your jawbone to reach your tooth. He or she will remove your wisdom teeth and then close your wounds with stitches if necessary. Most wisdom teeth only take a few minutes to remove, but the more difficult cases can take around 20 minutes.

What happens afterwards

You will need to rest until the effects of the general anaesthetic or sedation have passed.

After a local anaesthetic, it may be several hours before the feeling comes back into your jaw. Take special care not to chew on the area or have any food or drinks that are too hot, as these could burn the area.

You will be able to go home when you feel ready.

If you had a general anaesthetic or sedation you will need to arrange for someone to drive you home. You should try to have a friend or relative stay with you for the first 24 hours.

Dentist or oral surgeon will give you some advice about looking after your teeth and gums before you go home. You may be given painkillers, antibiotics and mouthwash solutions to take home. You may also be given a date for a follow-up appointment.

Dissolvable stitches will disappear on their own in seven to 10 days. Non-dissolvable stitches are removed a week after surgery.

Recovering from wisdom teeth removal

If you need them, you can take over-the-counter painkillers such as paracetamol or ibuprofen. Follow the instructions in the patient information leaflet that comes with your medicine and ask your pharmacist for advice. Don't take aspirin because this can make bleeding worse.

Don't vigorously rinse out your mouth during the first 24 hours after having a wisdom tooth removed because this can disturb blood clots that help the healing process. After meals, you can rinse gently with warm salt water (half a teaspoon of table salt dissolved in a glass of water).

You should brush your teeth as usual, but keep your toothbrush away from the healing wound for the first couple of days. At first, you may feel small fragments of bone with your tongue. These are the edges of the tooth socket and will soon disappear as your gum heals.

Eating and drinking

To begin with, you should eat soft foods, gradually returning to your usual diet once your jaw feels less stiff.

Bleeding

If your gum bleeds, fold a clean handkerchief or piece of gauze, place it on your bleeding gum and bite on it for at least 10 to 15 minutes. Don't rinse your mouth out or lie down until the bleeding has stopped.

Most people don't experience any problems after having their wisdom teeth removed. However, contact your dentist or your GP immediately if you develop any of the following symptoms:

  • bleeding that doesn't stop after applying pressure, or that lasts for more than half an hour
  • difficulty in breathing or swallowing
  • severe pain that isn't helped by painkillers
  • a high temperature
  • swelling that continues for more than three days after your operation

What are the risks?

Wisdom teeth removal is commonly performed and generally safe. However, in order to make an informed decision and give your consent, you need to be aware of the possible side-effects and the risk of complications of this procedure.

Side-effects

These are the unwanted, but mostly temporary effects of a successful treatment, for example feeling sick as a result of a general anaesthetic.

You may have some facial swelling, bruising, pain or jaw stiffness for up to two weeks. These symptoms are usually at their worst for the first two or three days and then gradually improve.

Complications

This is when problems occur during or after the operation. Most people aren't affected. The possible complications of any operation include an unexpected reaction to the anaesthetic or excessive bleeding.

Specific complications to having your wisdom teeth extracted are uncommon but may include:

  • infection
  • accidental damage to other teeth and your jaw during your operation
  • severe pain caused by dry socket - this is when the blood clot breaks away from the wound exposing the bone and nerves, causing pain and delaying healing
  • numbness in your lower lip or tongue, or changes to taste - this can be caused by nerve damage and there is a small chance that this could be permanent
  • jaw stiffness - it's possible that you may not be able to open your mouth fully

The exact risks are specific to you and will differ for every person, so we have not included statistics here. Ask your dentist or oral surgeon to explain how these risks apply to you.

Universal infection control precautions

Infection control is an important and ongoing concern in Head Start programs. Children's health is promoted by limiting the potential spread of infection among children and staff. The infection control procedures necessary when HIV-infected children may be in a program are the same procedures that should always be in place for the safety of all children, whether or not an HIV-infected child is in the program. Having children with HIV infection enrolled in a Head Start program may make staff more conscious of infection control procedures. However, the principles of infection control remain constant, whether HIV or other infectious agents are the cause for concern.

HIV Transmission

In addition to the risk of infection from sexual contact, HIV can be transmitted through transfusion with HIV-infected blood or blood products, or from a needle stick injury involving a needle used by an HIV-infected person. The most common form of transmission of HIV by needles occurs when persons using illegal injecting drugs share needles. It is also possible to become infected when infected blood, or a bodily fluid containing infected blood, comes in contact with mucous membranes or skin that is broken or open. Universal precautions have been recommended for anyone who might come in contact with blood or body fluids.

These precautions apply also to body fluids that contain blood and to certain body fluids that are not generally found outside the body, for example, vaginal secretions, semen, and cerebrospinal fluid. Bodily fluids to which universal precautions do not apply (unless blood is present in them) include feces, tears, sputum, saliva, nasal secretions, vomitus, and urine. However, these fluids can contribute to the spread of infections other than HIV, so some precautions should be taken in handling them.

Hand Washing

Hand washing is the cornerstone of infection control. Good practice mandates that staff members always wash their hands

  • after using the toilet,
  • after helping a child with toileting or diapering,
  • after wiping runny noses,
  • when preparing to assist with eating or feeding, or
  • After accidental contact with blood or blood-tinged fluids.

Universal Precautions

As protection against the blood-related modes of transmission, health and child care workers should use universal precautions when coming in contact with the blood of all clients, or bodily fluids containing blood.

Staff member should adhere to the following universal precautions :

  • Wear latex gloves when coming into contact with blood, skin and mucous membrane cuts, or any open skin lesion.
  • Use gloves only for the care of one child, and then discard the gloves.
  • Wash hands after discarding the gloves.
  • Properly dispose of contaminated materials exposed to blood, such as needles.

Strict adherence to universal precautions prevents exposure to blood-borne pathogens including HIV and hepatitis B.

Nasal secretions, saliva, sputum, sweat, tears, urine, vomits, and feces are not implicated in the transmission of HIV unless they contain visible blood. Gloves are not necessary for diaper changing unless the health or child care worker has open skin lesions or the child has diarrhea or visible blood in the stool. Casual contact between infected and uninfected individuals does not transmit HIV.

Often staff worries that they will be confronted with a blood spill when they are unprepared, such as a child's fall on the playground or an unexpected nosebleed. If gloves are not readily available, the use of a barrier -- such as a diaper or towel between the staff member and the blood can be used until appropriate materials are available. Older children can be taught to hold the towel or gauze over the bleeding area themselves. A practical approach used by one school system is to give all teachers pocket-size kits, consisting of gloves, and gauze in a zippered plastic sandwich bag, to keep in their desks and carry on the playground or field trips. Hands should be washed thoroughly and immediately if the should come into contact with blood.

When health services are provided, disposable needles and syringes should be placed into puncture-resistant containers near the areas in which they were used. No attempt should be made to recap, bend, or manipulate used needles since these activities increase the risk of needle stick injuries. Such injuries have seldom been implicated in the transmission of HIV, however. Clothing, bed sheets, and other items that may have come in contact with the blood should be isolated and disinfected or disposed of as medical waste. Contact the local health department about the proper disposal of medical waste.

Exposure to Infection

Staff may be concerned that children with HIV infection are exposed to infections from other children. In general, the benefits of a Head Start program to children with HIV infection outweigh the risks of exposure to common illnesses. However, staff should remind parents to tell their health care providers that their children are receiving child care in a group setting. If a child's resistance to infection is seriously compromised, the health care provider may recommend a smaller group setting or a home-based program.

Outbreaks of childhood illnesses can pose a risk to children with HIV infection. Chicken pox, which is a relatively mild illness in healthy children, can be serious for children with HIV and measles can be life threatening. Head Start programs should have a policy to routinely notifying all parents of outbreaks of chicken pox or measles. Families should then notify their health care providers immediately that the child has been exposed. Medical interventions (including immunizations) can be offered that will decrease the child's risk of contracting the disease, but such interventions can be offered only in a very brief time period after exposure.

Exclusion from Participation

Policies that temporarily exclude children from Head Start programs for selected infectious diseases are based on state child care regulations and Head Start standards, and they apply to all children, regardless of any other health problems or disabilities they may have. Children with HIV infection should have the same routine screening tests as other children and should be excluded from participation only if they have one of the communicable diseases described in the exclusion policy. Each program should review its own exclusion policy to be certain that it is current.

Dentures

Complete dentures

Dentures are artificial substitutes used to replace all or some of the lost teeth and adjoining tissues to maintain function, health and esthetics of the tissues. So in simple words dentures help to replace lost teeth.

A complete denture is a dental prosthesis that replaces all the teeth and contiguous oral tissues in order to help restore the function, health and the appearance of the patient. Complete dentures can be made for the lost upper and the lower teeth.

Under certain circumstances only the upper or the lower denture is made and this is called a single denture.

Complete dentures fabricated before the extraction of the teeth and inserted soon after the extraction are called immediate complete dentures.

All dentures are made of a denture base and teeth. The denture base is usually made of acrylic resin, which is usually coloured pink to resemble the oral gum tissues. The teeth are made of acrylic resins, which is the most preferred. Teeth are available in various sizes, forms and colours to suit the needs of the patients

Immediate Denture

An immediate denture is constructed before teeth are removed from the patient's mouth so that the patient doesn’t have to move around with out teeth till the final denture is ready. Constructing immediate dentures involves taking impressions (making copies) of your mouth before the teeth are removed. When your remaining teeth are removed the denture can be inserted immediately.

Because the denture is placed over the new extraction sites it will actually prevent swelling. The denture should not be removed for 24 hours and only by the dentist the day after you receive your new denture.

Post operative visits will be required to check the extraction sites and make required adjustments to the dentures. Because the mouth will change after it heals, your dentures will need to be evaluated at 3 month intervals and will need to reline to fit the changes that have occurred in your mouth.

Patient Education

It is important for us to take good care of our teeth. They help us smile, eat, talk and look good and so they should last us a life time.

We can keep them healthy and in good condition by following these guidelines:

  • Brushing and flossing twice daily, mornings and before bedtime.
  • Professional cleaning of teeth every 6 to 9 months as per the need.
  • Not ignoring any pain or swelling and getting prompt treatment from your oral care provider.
  • Cleaning the mouth, teeth and tongue of infants and children with a soft clean cloth or soft brush.
  • Professional application of topical fluoride and fissure sealants in children.
  • Making a habit of eating healthy and nutritious food.
  • Visiting your dentist every 6 months for a check up.

Funny Dental Facts

  • The average woman smiles about 62 times a day! A man? Only 8! Kids laugh around 400 times a day. Grown-ups just 15 :- (School-going children who smile more are more likely to have successful careers and marriages than poker faced peers.)
  • Top of the Indian teeth stakes in the poll for greatest looking teeth are Bollywood actors Hrithik Roshan and Rani Mukherjee.
  • More people use blue toothbrushes than red ones.
  • Like fingerprints, everyone's tongue print is different.
  • In a recent survey it was found that 50% people consider the smile the first facial feature they notice & 80% are not happy with their smile.
  • Someone should invent "Tooth Paper" which would work just like "Toilet Paper." Then people will understand that it's important to wipe off what goes in just as much as what comes out! (Stated by Mike Maroon :-))
  • Two 'Fs' : Fluoride (use fluoride toothpaste daily) Frequency (avoid frequent snacking between meals). This is the "practical way to help avoid dental decay.

Unique Dental Facts

  • A recent Gallup Poll indicated that dentists generally get high marks from consumers for their interpersonal skills and delivery of quality care.
  • Dentists have recommended that a toothbrush be kept at least six (6) feet away from a toilet to avoid airborne particles resulting from the flush.
  • The average toothbrush contains about 25,000 bristles grouped into about 40 tufts per toothbrush.
  • Tooth decay remains the most common chronic disease among children ages 5-17 with 64% affected.
  • Responding to a recent survey, 36% of teens and 43% of adults chose the toothbrush first when asked to select the invention they could not live without from among five choices. The other four: the personal computer, automobile, microwave and cellular phone.
  • The survey of 800 people in Denmark asked a range of teeth-related questions. Almost half the men polled said they would have teeth- whitening treatment compared with 35% of women. Good teeth and a nice smile came second in the list of what females look for in men, after eyes. For men a good body was the important thing they look for, followed by eyes, hair, and teeth.
  • Year commercial floss was first manufactured: 1882 & Material it was first made of silk.
  • People who drink 3 or more sugary sodas daily have 63% more dental decay, fillings and tooth loss.
  • More than 300 types of bacteria make up dental plaque.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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