LASERS IN ENDODONTICS

  • Endodontic procedure carried out by conventional methods may not be successful in spite of utmost care.
  • Despite the mechanical removal, irrigation and disinfection of canals, the bacteria can still persist which cannot be reached by conventional techniques.
  • As the technology has advanced, now lasers are used in endodontic procedures to improve the prognosis of the treatment of tooth.
  • Laser light penetrates upto >1000 micrometre into the dentin and provides a distinct advantage since the bacteria can immigrate upto 1000 micrometre into tubules.
  • When in contact with laser, cell membrane gets destroyed due to the impact of direct heat and this damage is enough to stop the growth of the bacteria depending on the wavelength and frequency of laser irradiation used by the dentist.
  • It is a very effective tool for disinfecting the root canal after mechanical root canal treatment as it has sufficient penetration depth.
  • It is effective in curved canals also and the energy is transported by thin flexible fibres which have diameter of only 200 micrometer.
  • Laser eradicates the microbial flora of root canal and also has same effect on surrounding dentin without affecting the surrounding tissue and has good disinfection mechanism without causing pain and improving the prognosis of the endodontic treatment.

If you want to consider being mentored by Dr Rajat Sachdeva contact him directly on 01142464041 for an informal chat.

The “All-on-4” Concept for Implant Rehabilitation of an Edentulous Jaw

When a patient loses all of their teeth, they are essentially relegated to living the life of a “dental cripple” and are compelled to see  Dr.Sachdeva’s Dental Institute, India to find resolution. The teeth are very essential to any human being and when a tooth or all teeth are lost, chewing efficiency is lost, their level of comfort declines and often they appear to age prematurely. The teeth provide more than a bright smile on someone’s face. A complete set of dentition maintains the bite and keeps all the structures in harmony. When changes occur after teeth are lost, patients begin to seek the dentist.

Edentulism can be a result of poor oral hygiene and dental disease. Sometimes patients who have received previous restorations meet a failure in their cases and their teeth are deemed restorable and hopeless. A growing number of the population possess a terminal dentition and the ability to retreat is restricted due to the poor remaining tooth structure and support, combined with limitations from the financial burden of full mouth reconstruction. How and why a person is edentulous varies. When patients come into the clinic, their oral condition is assessed and the appropriate solution is planned and presented—all encompassing the health and financial capacity of the patient.

It is well recognized that an edentulous condition has a negative impact on your life:

    • You need your teeth to eat because otherwise you will be limited to a soft, unappealing diet.
    • You need your teeth to smile, to flash a confident set of pearly whites to people.
    • You need your teeth to maintain the integrity of your facial structure, otherwise your bite will collapse and along with it, the face will sag and make you look much older.
    • You need your teeth to maintain the health of the jaw. The temporomandibular joints (TMJ) rely on the teeth. When the bite collapses, the changes that occur can be very damaging to the joints.

All-on-4” implants have become a leading choice in many teeth replacement cases.

A REVIEW ON BOTOX IN DENTISTRY

None can deny with the fact that everyone wants to look younger than one’s age. Hence one option available as BOTOX comes to the rescue to fulfill the needs in cosmetic & esthetic dentistry.

Chemically BOTOX is a toxin produced by bacterium clostridium botulinum also produced commercially for medical & cosmetic approach. There are two main commercial types: botulinum toxin type A (Botox, Dysport & Xeomin) & botulinum toxin type B (Myobloc).

Injecting Botulinum toxin type-A causes localized reduction in overactive muscle activity for some timespan by inhibiting the exocytosis of acetylcholine on cholinergic nerve endings of motor nerves preventing the vesicle where the acetylcholine is stored from binding to the membrane where the neurotransmitter can be released.

The use of Botox in Dentistry can be applied in bruxism, dental implant surgery, temporomandibular joint disorders, gummy smile, and mandibular spasm.

Botox is a safe, conservative, non surgical reversible, minimally invasive treatment modality for cosmetic needs. Training is absolutely required for dentists to administer this technique as a learning curve.

As we all know bruxism ultimately leads to periodontal trauma characterized by clenching by bracing of the mandible. Botox has shown promising results by alleviating the symptomatology of bruxism with botulinum toxin type A injections into temporalis & masseter muscles.

Post implant surgery overloading of muscles of mastication can impede osseointegration of implants. Hence the muscular relaxation is achieved with injecting botulinum toxin type A to the masticatory muscles therapeutically.

The appearance of excessive gingival tissue in the maxilla upon smiling is both an aesthetic issue as well as oral hygiene problem which require complex procedures as a cure. In such cases it is applied in small, carefully titrated doses proportionately weakening the contraction of upper lips particularly levator labii superiosis.

Botox is an emerging, latest, attractive treatment option as compared to other surgical alternatives. However there are still many dental conditions which require FDA approval to be treated by botulinum toxin. The use of BOTOX will surely progress the dentistry profession to one step ahead.