MICROSCOPIC DENTISTRY

It is one of the newest advancement to the field of dentistry. The key to successful treatment in dentistry depends on proper accessability and visibility.

With the advancement in technology we are able to provide a better quality of dental treatment to the patient.

Dental procedures are difficult to do in the posterior area of the mouth, but with microscope we are able to carry the treatment with ease and high success rate.

WHAT TYPES OF TREATMENT WE DO WITH MICROSCOPE?

Initially reason of failure for the treatment was  lack of vision however now with advent of loupes and microscope this difficulty is overcomed.

 

In present scenario microscopic based treatment has gained popularity in almost all field of dentistry.

  • Useful in diagnosis and clinical procedures.
  • Assessing craze or fracture line
  • ENDODONTICS:

During root canal therapy, magnification provides better visibility of canals, thereby eliminating chances of any missed canals.

Surgical endodontics can also be carried out with ease.

Repairing of perforated canals can be done.

Obturation of immature open canal can be done.

  • RETREATMENT:

Performing retreatment is simplier with microscope like removal of gutta percha from poorly obturated canal.

WHY MICROSCOPE IS WIDELY USED NOWADAYS?

  • Better visualization
  • Increased quality of treatment
  • Increased precision and accuracy
  • Improved ergonomics

  • Gingival health and crevicular status can be determined
  • Any lesions in mouth can be easily assessed
  • Crown preparations can be very accurate

IMPROVED OUTCOMES

The microscope is beneficial for both dentist and the patient. The dentist can involve the patient in treatment decisions and most important is the success rate which has increased to manifold with the advent of microscope.

 

Dry Socket

After Teeth Extractions

ALVEOLAR OSTEITIS or Dry socket is a complication where wound healing is altered that may occur following extraction of teeth if the initial blood clot is not formed or lost.

dry-socket

An improper wound healing results in exposed bone in the socket which is devoid of normal healing tissues (Clot), hence the name “dry socket.”It occurs three to five days after an extraction and is characterized by an increase in severe and throbbing pain.

Dry socket is treated by temporarily packing the site with eugenol, antibiotics and oral rinses. As the socket forms a new layer of the healing tissue the pain will gradually subside and the socket slowly fills in over the next 2-3 months.

  • In patients the risk for dry socket increases who smoke after extractions, too early vigorous rinses, forceful spitting, or use a straw to drink within the first 24 hour, which can disturb the initial blood clot formation.
  • Another major risk factor for dry socket is traumatic surgical procedures such as tearing the gum tissue, excessive manipulation of the extraction socket and aggressive drilling of the bone which ultimately will result in devitalized tissue with poor blood supply.

While the possible incidence of dry socket is between 1-3% data shows that no dry sockets were recorded after performing more than 150,000 extractions over the past 20 years.

THE SECRETS TO AVOID DRY SOCKET AFTER TEETH EXTRACTIONS:

  • Non-traumatic surgical techniques and procedures: This means no or minimal gum tissue flap, no or minimal removal of bone, use of irrigation, gentle handling of the tissues and atraumatic removal of teeth with ease.
  • Avoid rinsing or brushing: Any forceful rinsing or brushing immediately following a tooth extraction can cause dislodging of the blood clot leading to a dry socket. Do not rinse or brush within 24 hours of extraction then rinse gently for the next 1-2 days and more vigorously in the following days.
  • Do not use a straw: The use of a straw in the first 24 hours can also cause suction and dislodge the blood clot. Use a glass following liquid consumption.
  • Avoid smoking: Smoking creates suction in the mouth that can dislodge the blood clot. It also directly inhibits the normal healing physiology.
  • Do not spit: With blood and saliva accumulating in the mouth following an extraction you may be urging to spit that out. This action can disrupt the formation of blood clot and dislodge it. Instead of spitting let the accumulated blood and saliva drool down and wipe it gently with a gauze or tissue.
  • Keep firm pressure on the extraction site: The gauze should remain in place for at least 30-45 minutes after extraction. Constant and firm pressure helps to slow down the bleeding and stabilizes the formed blood clot.

HOW TO PREVENT DRY SOCKET

Dry socket (alveolar osteitis) is a wound healing complication that can occur following teeth extractions if the initial blood clot is lost. This results in exposed bone in the socket devoid of normal healing tissues, hence the name “dry socket.” It usually occurs three to five days after an extraction and is characterized by a sudden increase in severe and throbbing pain. Dry socket is treated by temporarily packing the site with eugenol, antibiotics, and oral rinses. As the socket forms a new layer of healing tissue the pain gradually subsides and finally the socket slowly fills in over the next 2-3 months.

The risk for dry socket increases in patients who smoke after teeth extractions, vigorously rinsing too early, spitting, or using a straw to drink within the first 24 hours—all of which can disturb the initial blood clot.

While the possible incidence of dry socket is between 1.5-2%, here at   Dr. Sachdeva’s Dental Implant Institute, Delhi, we have experienced no dry sockets after performing more than 6500 extractions over the past 13 years.

Platelet Rich Fibrin (PRF) as healing aid in extraction socket:

Platelet rich fibrin (PRF) is a fibrin matrix in which platelet cytokines, growth factors, and cells are trapped and may be released after a certain time and that can serve as a resorbable membrane, regulate inflammation and increase the speed of healing process.

It is a simple, natural and inexpensive technique for the production of leukocyte- and PRF (L-PRF) concentrates. It includes collection of whole venous blood (around 5 ml) in each of the two sterile vacutainer tubes (6 ml) without anticoagulant and the vacutainer tubes are then placed in a centrifugal machine at 3,000 rpm for 10 min, after which it settles into the following three layers: Upper straw-colored acellular plasma, red-colored lower fraction containing red blood cells (RBCs), and the middle fraction containing the fibrin clot. The upper straw-colored layer is then removed and middle fraction is collected, 2 mm below to the lower dividing line, which is the PRF. The mechanism involved in this is; the fibrinogen concentrated in upper part of the tube, combines with circulating thrombin due to centrifugation to form fibrin. A fibrin clot is then formed in the middle between the red corpuscles at bottom and acellular plasma at the top. The middle part is platelets trapped massively in fibrin meshes. The success of this technique entirely depends on time gap between the blood collection and its transfer to the centrifuge and it should be done in less time.

Tips: How To Get Your Child To Brush Teeth

Here we present you with few tricks to encourage your children to enjoy brushing:

  1. Let your child pick his toothbrush. They may be attracted by Color, cartoon theme or with those toothbrushes that light up when squeezed, so there are plenty of choices available in the market.
  2. Practice makes them perfect. Let your child enjoy the brushing of teeth of his favorite animated toothbrush. When he’s done with brushing, give him a chance to brush his teeth by himself. Make sure his teeth and gums are thoroughly cleaned.
  3. Show your child the brushing technique. You should show them how you brush your teeth if they refuse to brush. Children enjoy copying what their parents do and they can get engaged in taking care of his oral health.
  4. Add spice to the brushing routine. While they try to brush their teeth, sing and dance along!
  5. Give your kids chewable tablets that turn plaque into pink color, and playfully convince them to brush away the color with their toothbrush.
  6. Make him understand that each tooth of his pearls is important. Let your child give a nickname to each tooth and remind not to leave any tooth alone without brushing.
  7. Don’t forget to praise your child after he learns slowly to brush properly and reward him for a well done job.
  8. Let them choose the flavor of the toothpaste that appeal to their taste and be sure to use toothpaste that is specially made for kids.

 For more information, you can book an appointment at Dr Sachdeva’s Dental Aesthetic & Implant  Center I 101 Ashok Vihar Phase 1, Delhi- 110052

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CHECKED BRUXISM

ARE YOU GRINDING TEETH?

Bruxism is involuntary habitual grinding of the teeth, typically during sleep.

Several commonly associated symptoms with bruxism are hypersensitivity of teeth, jaw muscles soreness, headaches, wearing off teeth, damage to dental fillings and crown and overall damage to teeth.

Teeth grinding or bruxism is very common in children as well as adults and people may not realize it initially until their dentist spots out the symptoms in their mouth.

There are two main types of bruxism: during sleep (sleep bruxism) and during wakefulness (awake bruxism). Bruxism may be mild or aggressive.

 

SIGNS

  • Attrition means flattening of the occlusal surface, and Abfraction is where notches/grooves are formed at the neck of the teeth near the gum-line.
  • Fracture of teeth and repetitive failure of dental restorations including crowns.
  • Teeth Hypersensitivity due to wearing away of the protective layer of dentin and enamel.
  • Loosening of the teeth due to inflammation of periodontium due to excessive pressure.
  • Cheek biting/linea alba, or lip biting.
  • Indentations on the tongue.
  • Tenderness, fatigue or pain of the muscles of mastication, mainly masseter.
  • Trismus(restricted mouth opening).
  • Pain and clicking of TMJ

SYMPTOMS

  • Tooth wear
  • Tooth mobility
  • Pain

TREATMENTS

  • First of all the patient needs reassurance that the condition is not that serious that may lead to anxiety.
  • Specially made night guard to wear while sleeping to avoid clenching.
  • Orthodontic correction of teeth if the misaligned teeth are the cause for clenching.
  • Avoiding smoking and alcohol and having a healthy lifestyle.
  • Other interventions include relaxation techniques, stress management, behavioural modification and habit reversal.

 

 

For more information, you can book an appointment at Dr Sachdeva’s  Dental Aesthetic & Implant Center I 101 Ashok Vihar Phase 1, Delhi- 110052

            Contact us at

What Are Dental Emergencies? How To Deal With Them

 

  • Are you suffering from severe pain?
  • Does your mouth bleed while brushing?
  • Are your teeth mobile/loose?
  • Do you have any swelling in your mouth inside or outside?

Dental emergencies are very common, but one should have the knowledge to handle the situation in case of stress or emergency. Proper maintenance of oral hygiene and regular visit to dentist can help to reduce the chances of experiencing a dental emergency.

The most common dental emergencies may include teeth that are –

Forced out of position causing loosening of tooth

  • Facial trauma
  • Fractured facial bones.
  • Chipped, Broken or fractured tooth
  • Infection indicating an abscess

Treatment will depend on the severity of the damage. For example a chipped tooth is slightly damaged; it can be corrected by smoothening, of maybe restoring the tooth by bond and composite filling material. If the damage is beyond dentin and pulp involvement with severe pain, then the tooth should be treated (RCT).

Here are few scenarios where you may prevent the symptoms before they get worse, or even you get an idea that the time is right to see a dentist now:

  1. Chipped Tooth Or Broken Tooth

If it fairly visible and you are afraid about your looks then call your dentist and explain the situation.

Try to find and retain the chipped particle or any pieces and place it in a moist cloth with a few drops of water or saliva (If kept in good condition, it may be possible to reattach it).

  1. What To Do When Tooth Is Knocked Out Of Socket?

If your tooth is knocked out due to a blunt force trauma causing severe facial injury, try first to find the lost tooth. If the appropriate emergency steps are followed immediately after the tooth has been knocked out, the chances are very good that the tooth can be reinserted and preserved by a dentist.

  • Handle the tooth only by the crown not by the root. If you try to touch the root, u may damage the fragile cells on the root necessary for its reattachment back into the bone.
  • If the tooth is dirty, very gently rinse it in water to ensure that the tooth is clean but do not scrub the tooth or remove any tissue attachment.
  • If you want to then try placing the clean tooth gently back in the socket without touching the root and make sure that the tooth is facing the right direction. Do not force it into the socket. If it is not possible to put the tooth back in position then wrap it in a clean cloth or gauze. Soak it in a container of cold milk or if milk is not available, put the tooth in water that contains a pinch of table salt.
  • It is important to see the dentist for an emergency appointment for the best chances of retaining the tooth.

 

  1. What To Do When Tooth Is Fractured Or Cracked?


  • Rinse your mouth immediately to clean the area with warm water.
  • Take medication prescribed by your physician or dentist.
  • Do not attempt to put any painkiller directly on the site of injury to avoid any burning sensation, it may worsen the situation.
  • Avoid chewing with the injured site and always avoid extreme temperatures that may affect the already traumatized area.
  • Immediately contact your dentist as only he can tell how bad the condition is. The dentist might need to do an X-ray for evaluation of the severity of the situation.
  • See your dentist as soon as possible. Not receiving the proper treatment may result in progression of infection or further decay or damage.

IN CASE OF:

 

Lost Filling

As a temporary measure, you stick a piece of softened sugarless chewing gum at the place where filling is missing.  You should be sure that the gum is truly sugarless, as sugar can cause pain when in contact with the tooth and can lead to bacterial infections in the area.
See your dentist as soon as possible for the proper treatment and care.

Lost Crown

If you dropped out a crown of the mouth, make sure to visit your dentist as soon as possible without waiting for extra days. The tooth portion now exposed that has lost its support could easily be damaged or break off or crumble.

Keep the crown in a cool, safe place because if the crown is not damaged your dentist can reinsert it.

If the crown is out of the mouth for a long period of time, the teeth may shift causing further damage and the old crown will not fit at this stage.

Broken or Loose Brackets, Wires Or Bands

If a wire breaks or sticks out of a bracket it may cause discomfort by poke in cheeks, tongue, or gum.

Try to cover the pointed end with something soft substance like orthodontic wax, sugarless gum, or piece of gauze to avoid discomfort until you visit your orthodontist.

You should never try to cut the wire as you could swallow it or breathe it into your lungs.

Abscess

 

Dental abscess or tooth abscess is an accumulation of pus inside the teeth or gums. It should not be ignored as the infection may spread into nearby spaces affecting other teeth as well.

You may try to gargle with pinch of table salt in lukewarm water for a brief time for some relief.

Contact your dentist for proper care and treatment for the dental abscess before the infection spreads.

Possible Broken Jaw

To control the swelling in the traumatized area apply cold compressions. Stabilize the jaw with bandage wrapped beneath the jaw and tied on top of the head.
A broken or dislocated jaw may cause breathing problems or significant bleeding. If it is not treated properly, a broken jaw can leave you with devastating effects on a person’s ability to eat and breathe.

Sip on ice water and hold for sometime in your mouth until you see your dentist.

 

For more information, you can book an appointment at Dr. Sachdeva’s Dental Aesthetic & Implant Center  I 101 Ashok Vihar Phase 1, Delhi- 110052

Contact us at

Why Did My Dentist Recommend a Root Canal?

Inside the tooth, under the white enamel and a hard layer called the dentin, is a soft tissue called the pulp. The pulp contains blood vessels, nerves and connective tissue, and helps to grow the root of your tooth during development. In a fully developed tooth, the tooth can survive without the pulp because the tooth continues to be nourished by the tissues surrounding it.

A root canal is a procedure that is recommended by your dentist in order to repair & save a badly damaged or infected tooth. This procedure involves removal of inflamed or infected pulp, careful cleaning & disinfecting it & then filling & sealing it with a material called gutta percha. The causes that affect pulp are a deep cavity approaching pulp, repetitive trauma to the tooth, a cracked tooth, faulty restoration.

Root canal is essentially a term that refers to the natural cavity that occurs within the core of a tooth. The nerve i.e. the pulp which is removed in the root canal treatment has no role in health & function of a tooth. Its only core function is to provide sensitivity towards hot & cold.

Why root canal treatment is recommended?

Pain: A toothache is the most common symptom of needing a root canal. The tooth may start to hurt spontaneously, in the middle of the night, or sometimes when the patient isn’t even using the affected tooth to eat or drink. The pain can progress to a very severe generalized headache that may cause the person to even forget what initially caused the pain. If the tooth is dead and has become abscessed, the patient will feel pain when he or she chews food or puts pressure on the tooth.

An Abscess:  may or may not produce swelling or bleeding around the tooth, and sometimes it causes significant swelling of the cheek, jaw, or throat. If this swelling is noticed, treatment needs are urgent.

It is very important, when feeling some pain around a tooth, to get a thorough examination with pulp vitality testing by a licensed dentist for a proper diagnosis.

What to expect during a root canal procedure?

  1. X-ray: If a dentist suspects you may need a root canal, he will first take x-rays to be certain of decay location.
  2. Anesthesia: Procedure is initiated with the administration of local anesthesia to the affected tooth.
  3. Pulpectomy: an opening is made & the diseased tooth pulp is removed.
  4. Filling: The roots that have been opened to get rid of the diseased pulp are filled with gutta-percha material & sealed off with cement.

 

Why Root Canal??

Saving the natural tooth with root canal treatment has many advantages:

  1. Efficient chewing
  2. Normal biting force and sensation
  3. Natural appearance
  4. Protects other teeth from excessive wear or strain

Modern endodontic treatment is very similar to having a routine filling and usually can be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances.

You can expect a comfortable experience during and after your appointment at Dr. Sachdeva’s Dental Institute.

ENVISION THE FATE OF DENTISTRY – FACTS/PREDICTIONS

THE FUTURE OF DENTISTRY IN 2020 AND BEYOND WRITTEN BY DR.RAJAT SACHDEVA

I thought I’d share a few interesting facts/predictions that I came across whilst researching.
The exposure towards treating diseased individual over a growing population – Over the next 20 years the population in India is predicted to grow by 1.252 billion to just over 1.454 billion. The number of Indians over the age of 60 years has hit an all-time high, accounting for 8.6 per cent of the country’s population. Based on statistics we would be treating an ageing population – Today almost 1 in 15 people over 60 years old and by 2020 it would be 1 in 5 people above 60 years with an overall grow in population. We will be treating an increasingly diverse population – By 2030, ethnic populations will make 30% of the population of India.There will be an increase in the number of dentists – India currently has 309 dental colleges, which churn out around 26,000 dentists every year as compared to only 8,000 dental students graduated annually in year 1970. It is now, however, estimated that there will be a surplus of more than 1 lakh dentists in India by 2020. The dentists: population ratio of India, on date is 1: 10,000. However, the reality is that; in rural India 1 dentist is serving over a population of 2,50,000. Thus, the real picture is not that simple as it seems. As, we are about step into the next decade, there lies an urgent need to analyze the dental work force for many underserved groups of the country that do not have any access to oral health care.We will be treating less caries or moderate periodontitis but more tooth wear and more peri-implant disease.We will be treating a population with increasing socio-economic inequalities – Men and women in the highest socio-economic class can, on average, expected to live just over 5-6 years longer than those in the low socio-economic state. There will be an obvious increase in focus on value and impact on quality of life with more expectation over results. Dental professionals will be working in multidisciplinary teams and promoting the importance of oral health for general health. With every passing year there has been surge in proportion of female dentists with about 5% in last 5 years, a trend which is expected to continue. In the recent years, female students outnumber male students in getting admitted in dental colleges( like 60- 70% of the seats are occupied by girls).Although only 30% are practically converted into private practitioners.A growing propoprtion of female dentists will work part-time according to the research.The use of virtual reality will be constitutive to dental practice. Google glass integrated with dental loupes can become next best tool for dentists. Technology such as CAD/CAM, lasers and perhaps even robotics may be routinely used in practice.The evolution of materials would continue with bioactive,bone regenerative materials reproducing some compelling results.The impact of smart phones and social media will continue to grow for both dental professionals and patients.

Post-Operative Complications of Implant Placement

With the increasing acceptance of dental implants as a viable tooth replacement therapy, complications & failure rates have also increased proportionately.

A range of possible post-operative complications & their prevention are described below:

  1. Infection: Implants are made of titanium, which is strong & biocompatible, which means that is not rejected by the body. So the chances of developing post-operative infection are extremely rare. At times when dentist do not follow effective & strict protocol of sterilization, patient might be vulnerable to post operative infection.

Post-operative infection causes pain & discomfort to the patient, reason being- bacterial contamination of implant or surgical site during the procedure.

If the infection is limited to the soft tissue, a small gum boil will be noticed over the implant site. It can be punctured using a sharp probe & irrigated with chlorhexidine solution or citric acid. It heals & the pain subsides within 24hrs.                                                                                        In case of continuous pus discharge & severe pain which is not relieved by analgesics, this depicts that the infection has reached to the bone-implant body interface.

Prevention: one should follow strict protocol of sterilization in the operatory in order to avoid any bacterial contamination. Also, in such cases, the implant should be removed immediately & prescribe good antibiotic like tab Augmentin 1000mg twice a day for 5-7 days. A new implant can be inserted when the site gets healed in 6 weeks.

  1. Post-operative Edema: Post-operative edema develops in cases of traumatic implant placement. High speed drilling & no constant stream of chilled saline causes bone to overheat & this leads to accumulation of fluids in tissue spaces i.e. edema.

 

Prevention: Unnecessary trauma to the bone must be avoided during osteotomy preparation. Drilling speed must be set according to the density of bone along with a pumping motion of the drill should be employed during drilling to allow the saline to cool down the bone. This prevents overheating & necrosis of the bone.

Patient must be advised to apply an ice pack over the facial   skin of the surgical site intermittently for 45 min to cool down the bone in order to suppress heat generation & inflammatory oedema.

        prevention

  1. Pressure necrosis: results in cases where implant has been inserted & screwed at a very high torque, it may lead to pressure necrosis of the surrounding bone & the patient will complain of continuous pain not relieved by analgesics, for weeks after the surgery.

 

Prevention: Drilling at higher speed with maximum amount of chilled saline irrigation flow to cool down the bone. Use of final drill with the diameter only 0.2mm less than the implant diameter along with the use of bone tap to prepare threads in the bone to accommodate implant threads. Following these instructions help in reduction of post-operative pressure necrosis.

  1. Suture line opening: leads to exposure of implant threads in the oral environment & may cause the collection of plaque over the exposed rough surface of the implant, which may further cause peri-implantitis & loss of hard & soft tissue around the implant.

 

Causes of implant thread exposure

  • Suture line opening & loss of graft in cases where simultaneous bone grafting has been performed with implant placement also leads to implant exposure.
  • More superficial implant placement.
  • Thin mobile soft tissue recedes with muscle pull.

        Management:

  • Tension free sutures should be used to avoid the suture line opening because of the tension in the flap.
  • The open suture line should not be re-sutured but the patient should be instructed to keep it clean, as it heals by secondary intention in 2-3 weeks.
  • If soft tissue healing has not covered the exposed threads, either cover the threads using soft tissue grafting with or without simultaneous bone grafting, or adequate grinding & polishing should be done to make the surface smooth & prevent accumulation of plaque.

  1. Bone resorption: one of the most common complication in dental implantology. When occlusal forces are not distributed equally i.e. is off-axis to the implant prosthesis leads to resorption. Also, when implant with a wider platform is placed into the narrow crestal bone causes crestal bone resorption.

 

Prevention: Implant must be placed along the axis of the future prosthesis. For large mesio-distal diameter two implants should be placed with narrow occlusal table of prosthesis. Along with the maintenance of oral hygiene, soft tissue grafting for compromised soft tissue around the implant must be addressed.

  1. Peri-implantitis: is an inflammatory reaction with the loss of supporting bone in the tissues surrounding a functioning implant. Peri-implantitis is characterized by bleeding/suppuration on probing, together with loss of supporting bone.

The peri-implantitis lesion exhibits histopathological features that similar, but not identical, to those in periodontitis. Similar to periodontitis, the treatment of peri-implantitis must be based on infection control. Under these conditions, progression of the disease may be arrested & subsequent, lost peri-implant tissues may be generated by bone augmentation & soft tissue grafting procedures.

peri-implantitis

With this increasing trend of replacing the lost tooth with an implant, at Dr. Sachdeva’s Dental Institute, we incorporate several associated procedures like bone augmentation to provide this therapy to the maximum number of patients. We follow strict protocol for sterilization & restore implants to minimize postoperative or post loading complications.

RECESSION OF GUMS

CAUSES, DANGERS AND TREATMENTS

The loss of Gingiva (gum tissue) resulting in the exposure of the roots of the teeth is called Gum recession or receding gums

Periodontal disease also commonly known as Gum Recession refers to an infection of the tissues supporting and surrounding the teeth mainly caused by the accumulation of bacteria from the dental plaque that inflames and damages the gums.

Receding gums affects people over the age of 40, can be present in younger ages as well. It may be generalized or localized depending upon the oral hygiene maintenance and it is generally progressive in most cases.

The first usual sign of gum recession is sensitivity to cold and hot drinks. The affected teeth appear longer and the roots start to get visible, a notch like depression can be felt near the gum line and spaces between teeth seem wider.

Commonly experienced symptoms are:

  • Red, Swollen And Tender Gums
  • Pus And Pockets Between Gums And Teeth
  • Receding Gums
  • Bleeding Gums During Or After Brushing Flossing Or Eating Hard Food,
  • Shifting Or Separating Teeth Creating Gaps
  • Persistent Bad Metallic Taste In Mouth And Bad Breath
  • Mouth Sores
  • Changes In The Fit Of Dentures And The Teeth Fit During Bites.

The Causes May Be:

  • Poor Oral Hygiene
  • Periodontal Or Gum Disease
  • Aggressive Brushing Technique
  • Trauma To The Gums
  • Systemic Illnesses Like Diabetes Or Cancer
  • Faulty Restorations
  • Malposition Of The Teeth
  • Hormonal Imbalances During Pregnancy And Menstruation
  • Regular Or Repetitive Teeth Grinding Or Clenching
  • Smoking And Chewing Tobacco
  • Hereditary Disorders
  • Medications Such As Contraceptives And Anticonvulsants

Why Is It A Serious Condition?

When the gums pull away from teeth, the roots of your teeth which were earlier covered are left bared and exposed and this puts your dental health at risk for decay and damage. If they are left untreated, receding gums will lead to functional and aesthetic problems.

What Are The Treatment Options?

  • Scaling and roots planning, stabilization of the teeth is first line of treatment if the recession is caused by periodontal disease. Oral hygiene maintenance is extremely important to avoid further gum recession and bone loss.
  • In case of overaggressive brushing, visit your dentist and he can help you by demonstrating the proper brushing technique and recommending the best oral hygiene tools according to your requirement.
  • By eating healthy, fibrous food, maintaining a balanced diet, smoking cessation and regular use of dental appliances for your grinding habit can also prevent the gingival recession.
  • In advanced gum recession cases, gum tissue regeneration and gingival grafting can be done by a Periodontist or an Oral surgeon.
  • If you experience hypersensitivity to cold and hot drinks or food, consult your dentist. If the damage to teeth is less, then it can be corrected by desensitizing agents, varnishes and dentine bonding agents. He may recommend specific toothpaste and mouthwash to reduce the sensitivity.

Bleeding Gums: Myths and Facts

1.Is it normal for gums to bleed?

Without proper dental hygiene, the bacteria present in the mouth forms plaque on the teeth surface. These bacteria cause gums to become inflamed, resulting in red, swollen, or bleeding gums. In some cases the inflammation is not so painful. If left untreated, gingivitis can worsen and lead to loss of teeth.

2.     What to do when Gums bleeding during brushing or flossing?

Bleeding gums, also known as gingivitis, is very common condition. People actually stop brushing and flossing after finding out blood, as a matter of fact, they should never cease to brush. Visit your dentist and follow the general oral hygiene practice.

3.     How should I clean my teeth effectively?

Always make sure that you use gentle, circular motions to clean your teeth and gums.

Make sure that you clean not only the teeth, but also the gums. A lot of bacteria are found at the junction of gum meeting the teeth and it needs to be cleaned.

Flossing is also very important, in those areas where your toothbrush alone just can’t get rid of to remove the bacteria, mainly in between the teeth. Many times patient’s gums start bleeding when they floss after not having flossed in a very long time. It’s because the gums are inflamed from bacteria not being removed for a longer period of time. Generally brushing twice a day and flossing once a day will make bleeding gums will go away within a week or so.

Without regular teeth cleanings with your dentist, dental tartar/calculus will harbor even more plaque bacteria, which can push the gum line below and lead to gum disease.

4.     What other health conditions could be related to gum diseases?

The bacteria present on the teeth and gums continuously release toxic substances that harm your healthy gums and can cause redness and swollen gums. If left untreated, the infection and the inflammation can damage your gums and even spread further down to your bone. Gradually it will lead to periodontitis and teeth loss.

In other cases, bleeding gums can be caused by numerous conditions such as severe vitamin deficiency, hormonal changes like pregnancy or menstruation, chemotherapy, some diseases like diabetes, certain medication like blood thinners, antiepileptic drugs.

Smoking also causes damage to your gums and makes the gum disease progress much faster.

5.     Are there any OTC medications that can be taken for bleeding gums?

The best treatment is to remove the sticky transparent film like plaque by brushing twice a day and flossing once a day that causes bleeding gum. When dental plaque builds up, it hardens and turns into tartar, a hard substance that gets attached to your teeth. Without regular teeth cleanings with your dentist, dental tartar or calculus will harbor even more plaque bacteria, which can push the gum line below and lead to gum disease.

6.     What other things I can do to prevent bleeding gums?

Visit your dentist. Your dentist will remove the soft and hard deposits by scaling and root planning treatment, which slows the process of gum disease down. Maintaining the oral hygiene is also important after getting cleaning done by the dentist.

In case of an advanced form of periodontal disease, periodontal therapy as seeing a periodontist, a gum disease specialist is recommended. In those cases, sometimes dental surgery may be needed to control the progression of the gum disease.

7.     Is there any advice for patients with gum disease?

Always brush and floss regularly. Get your teeth cleaned professionally with dentist every 3 to 6 months, depending on the condition of the gums, to prevent any disease in the future.

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PORCELAIN LAMINATE VENEERS

Also called as PLV

Veneers are translucent ceramics bonded on the prepared surface of natural tooth/teeth by transparent luting resin.

They exhibit fluorescence and reflect and transmit light exactly as natural tooth structure.

STRENGTH

  • Normally they are weak in strength in comparison to porcelain fused to metal (PFM) or all ceramic crowns.
  • But once they are bonded to the prepared tooth surface, they integrate with the tooth structure and become extremely durable.
  • It also requires less invasive tooth preparation and the natural strength of the tooth is also maintained contributing to the longevity of the tooth and the veneer too.

LONGEVITY

The union of etched enamel and porcelain combined with the bonding composite resin luting agent with a silane coupling agent, enables the dentist to perform restorations that are solid as well as long lasting

93% success rate

 “The Smile Is The Reflection Of An Individual”

 Creating natural looking smile

A pleasing smile is important to the patient’s morale and self-esteem while the loss of it will have effects negatively.

Attention to the details examined by dentist is very crucial as it will help in getting the desired results from the technician too and appreciation from the patient.

The dentist’s skill, awareness and understanding the patient’s needs, personality and psychological state will lead to acceptance of the proposed treatment plan.