Monday, 30 May 2016

Retainer vs Fixed clip

                     People confuse between retainers and orthodontic clip.Although both are used in the teeth aligning treatment,there is difference between both.

                     Basically orthodontic clip is used for the straightening the teeth.It can be fixed or removable.Removable form of clip  that is almost transparent is called invisalign.For more information on invisalign refer the following blog.http://blog.gumsandteeth.in/2016/05/worried-that-braces-might-make-you-look.html
Most commonly used and conventional type of straightening teeth is fixed orthodontic treatment.This effective way of straightening teeth involves clip/brackets placed on each tooth and all are inter-connected by a wire.After certain duration the wires will be changed regularly and accordingly tooth gets aligned.The clips that is placed can be metal or tooth colored ceramic.

Braces

                      Retainers is the removable plate with a single wire which is meant for retaining the teeth in the same position once the teeth has been straightened by orthodontic treatment.Retainers after aligning teeth with clip only makes the treatment complete.Teeth aligned by pulling by the wires in the ortho treatment tends to get back to their previous position and thus these retainers are placed so as to keep all the teeth in the aligned position.Retainers will restrict the movement of teeth.


Retainer

     
                       A few orthodontic treatment looks like retainers and people confuse with it.They are plates that used to correct narrow arches or to create space.This will be the part of main course fixed treatment teeth+jaw correction.These appliances do not straighten but prepare the tooth for performing the straightening procedure in major problems

                       In a very few cases where there is a mild gap or just a couple of tooth to be moved appliances just like retainers will be used.But most orthodontists don't consider it effective.

In short,Retainers are just for keeping the teeth at the aligned place after orthodontic treatment and not for straightening.But its very important to maintain the fruits gained from labor of ortho treatment.


To straighten your teeth ask our experts
                                                  @Gums and teeth dental clinic ,
                                                  427/200B,mambakkam main road ,
                                                  Medavakkam-100
                                                  Phone: 9962497766
                                                  Mail: care@gumsandteeth.in
                                                  Appointments can be fixed by https://www.practo.com/chennai/doctor/dr-sadana-shree-dentist#recommended
                                                       

Friday, 27 May 2016

DOES TOOTH INFECTION CAUSE BLOOD INFECTION???

DENTAL INFECTION??HOW SERIOUS IS ABSCESSED (PUS)TEETH??TOOTH INFECTION CAUSES BLOOD INFECTION??

A dental abscess is collection of infected material(pus),Opening in the tooth enamel allows bacteria to infect the pulp ,infection can spread out from the root of the tooth, Bacteria from the tooth can extend into the gums,the cheek,the throat,the tissues beneath the tongue or even into the jaw or facial bones.


CAUSE of dental abscess:

  • Deep cavity
  • Gum disease
  • Cracked teeth
  • Trauma
  • Sometimes recent dental procedure such as extraction and implants,Poor dental health.
  • Previously performed dental procedure as they get older and start to leak and fails.
  • Diabetes,Immune failure.

WHAT ARE THE SYMPTOM??

  • If the root of the tooth dies,the toothache may stop ,but the infection remains active and continues to spread and destroy tissue.If the root of the tooth is alive,you will have severe tooth ache.
  • Pain when chewing
  • Sensitivity to heat and cold
  • Bitter taste in the mouth
  • Bad breathe
  • Possible fever
  • Swollen glands of the neck
  • Discomfort,uneasiness or ill feeling
  • Swollen area of the upper or lower jaw----a very serious condition.
Clinical examination by dentist:
  • The patient will feel pain when the dentist taps the teeth.
  • Sensitive to hot and cold,even exposure to air.
  • Biting or closing the mouth tightly also increase the pain ,gums may be swollen and red and may drain pus(drain thick material),due to the pressure within the abscess.


OUR IMMUNE SYSTEM TRIES TO KEEP THEE INFECTION FROM SPREADING ,SO THE PAIN MAY NOT BE PRESENT ,SOMETIMES ABSCESS MAY RUPTURE AND DRAIN ON ITS OWN OR DRAINED SURGICALLY .BUT WHEN THE ABSCESS SPREADS IT MAY LEAD TO COMPLICATIONS.


WHAT IS THE TREATMENT??
The goal of treatment is elimination of infection,preservation of the tooth and prevent the complications
  • Warm saltwater rinses may be soothing.
  • Pain reliever to relieve pain ,fever and antibiotic to fight against infection.
  • Surgical drainage of the abscess or
  • Removal of the affected tooth  or root canal treatment may be recommended,it depends on the condition of your teeth,your dentist will decide if the tooth can be saved or not by clinical examination and by taking X-ray of the affected teeth.
IF LEFT UNTREATED WHAT WILL BE THE COMPLICATIONS??

  • Loss of the teeth.
  • Spread of infection to the jaw bone.(severe tooth abscess may become large enough to perforate bone and extend to soft tissue)
  • Spread of infection to soft tissue(growing infection makes space within the tissues)Heart problem (endocarditis),
  • Spread of infection to other areas of the body.
PREVENTION:
  • Maintain good oral hygiene.
  • If your tooth becomes loose,chipped,broken ,traumatized or decay,visit your dentist immediately to prevent further damage.
  • Brush your teeth twice daily,floss regularly.




427/200B Gums and Teeth Laser Dental Clinic and Implant Center
Mambakkam main road
Medavakkam
Chennai-600100
Ph:9962497766
For more info Visit us at www.gumsandteeth.in

Convinced to have SILVER FILLING...!!...then you should read this..

   Silver colored filling have been in dental practice for more a century.Popularly known as silver filling not only because of the color but also because one of its content is silver.But does it contain only silver???? NO...! Silver colored filling a.k.a amalgam is a combination of silver,tin,copper,zinc and also the bothersome mercury accounting for 50% of the combination.This blog will enlighten you on the chronic mercury poisoning.

     Dental associations says that mercury from the amalgam fillings are not a threat to us.You must know that generally mercury in the mercury is the most poisonous substance.WHO(World Health Organisation) claims no safe level for mercury.But amalgam filling is not a health hazard is still a topic on debate.Mercury can directly or indirectly can poison your body at some level.This can lead to Chronic mercury poisoning.

     The mercury from amalgam can affect your body over 100 different ways.Its based on the filling- how many?how long?how often?

Symptoms: 
     It is not that only mercury can cause all these symptoms.Various factors such as lifestyle,genetics,occupation.It can be either be alone or in association with mercury poisoning.Severity of symptoms can be based on how severe the answer to above mentioned question lie.

1) Your digestion process can be affected-diarrhoea/constipation,vomiting or sensation of vomiting,loss of hunger and subsequently loss of weight.

2)Since mercury is a neurotoxin..it can affect your nervous system-mood swing,confusion,fear,depression,hallucination,anger,depression.You may get memory loss,tremors,numbness and slurred speech

3)You may have anemia and so You may be tired or restless.You may get headaches,dizziness and ringing in ears

4)you may deal with breathing difficulties and stuffy nose

5)you may have muscle weakness,pain in joints or joint stiffness

6)Regarding oral cavity..you will have metallic taste,bone loss,bad breathe,ulcers.discoloration inside mouth,white patch and sometimes ulcer

7)you may be insomniac ,you may have skin problems,kidney problems,vision problems and even allergies.


Though you may not have enough no. of filling or enough time you retained those filling to make you chronically mercury toxic......but one cannot tell that you are not being poisoned by it.

Studies have revealed that the following list contain possible disease outcome of chronic mercury poisoning and also the list can be dilated.


  • Alzheimer's
  • Asthma
  • Arthritis
  • Autism
  • Candida
  • Kidney disease
  • heart disease
  • liver disease
  • skin disease
  • parkinsonism
  • Thyroid
  • Reproductive disorders
  • Hormonal disorders and ...uff...so on.....


Do you know? The excess filling left over from filling the cavity is filled in a safe container in a dental office or the scrapes from a removed amalgam filling is placed in the same.Now you will why this emphasis on toxicity of mercury is all about..!You are smart!

Visit amalgam free dental clinic in medavakkam ,Gums and Teeth dental clinic.
427/200B,mambakkam main road,medavakkam-100
phone no.9962497766
email id- care@gumsandteeth.in

Wednesday, 25 May 2016

DO YOU KNOW ME??? your toothbrush!!!

TOOTH BRUSH....INTERESTING FACTS ABOUT TOOTH BRUSH THAT YOU MIGHT HAVE NOT KNOWN....


  • Can you brush your teeth immediately after eating?????About half an hour after you eat,because high acid level in your saliva along with abrasive nature of your tooth brush can wear away your tooth enamel.

  • You have to replace your tooth brush after catching a cold or viral infection because the bacteria in the bristles can reinfect you and make you sick.

  • The most popular tooth brush color is blue.

  • You should change your tooth brush every 3 months once or even earlier




How to store your tooth brush??Thoroughly rinse toothbrushes with tap water after brushing to remove any remaining toothpaste and debris.store the brush in an upright position if possible and allow the brush to air dry until used again.

  •  Try to keep your tooth brush 6 feet away from toilet because bacteria after flushing can travel through air upto that distance.

  • Don't place your tooth brush close to sink,because water or soap may splash out when you wash your hands.

  • You should also ensure that your family's toothbrushes don't touch each other inside the storage container to make it difficult for bacteria to transfer from one brush to another.

  • Commonly used practice of putting a cap on tooth brush,moisture entrapped in the cap favor bacterial growth.




History behind your tooth brush...Number of years the tooth brush is going strong,Did you know the tooth brush was invented in 1498 in china in the 17th century.the nylon tooth brushes that we ue today was invented in 1938.Tooth brush bristles are originally made from cow hair,no need to worry modern tooth brushes uses nylon bristles.

BRUSH THE RIGHT WAY ( easy steps)
  • Start brushing your molars towards the front of your mouth.
  • Brush from your gums towards the chewing surface .
  • Use little strokes to get your teeth clean.
  • Make sure to clean all your teeth and every surface of your teeth.
  • Brush in vertical direction or circular motion don't brush your teeth in horizontal motion .
  • Dont forget to brush your tongue.
  • Finally floss your teeth to complete your brushing


Extra soft.soft.medium.hard tooth brushes...WHICH IS BEST??Soft tooth brushes that are made of nylon.soft bristled brushes are safer for your teeth because when you use hard and medium bristled brushes it is possible that you damage the tooth enamel,gums and root surfaces.
Medium bristles are for those who know The right way of brushing,your teeth are strong and you know how to prevent damage to the gums.If you have sensitive teeth,this brush is not for you.

Use bristles that are rounded at the tip.
Use long handled tooth brush.

Flexible tooth brush or single piece of solid plastic....WHICH IS BEST??Flexible brush allows you to reach all the contours of the teeth,at the same time this allows you to press a little harder on the teeth as the brush will bend to compensate when you are pushing too much



427/200B Gums and Teeth Laser Dental Clinic and Implant Center
Mambakkam main road
Medavakkam
Chennai-600100
Ph:9962497766
For more info Visit us at www.gumsandteeth.in



TOOTH CEMENTS-Part III....A quick guide to indirect restorations

                  Indirect restoration is that filling that is carried out outside mouth and cemented to the tooth later.Common indirect restorations include inlays,onlays,crowns,bridges and veneers.

We have discussed a lot about crown.bridges and veneers in previous post
This blog explains indirect restorations such as inlay and onlay

Commonly used material for indirect restoration are gold alloy,ceramic and sometimes base metal alloy.Previously gold was used.But the color and the cost has pulled it down in the industry.Now mostly tooth colored resin or composite is preferred

Inlays and onlays are made with with composite resin,ceramic or porcelain.Tooth affected by bacteria can have extensive decay and thats when larger area has to be restored.In that case,indirect filling is usually suggested.

An inlay is a indirect filling whose margins are completely bound by the tooth structure

An onlay is a indirect filling whose margins extent to involve one or two walls of the natural tooth



Procedure:
               Decay removed.Cavity has to be prepared to receive this particular indirect restoration.Impression will be made and sent to lab.Filling will be fabricated by the dental technician in the lab and after minimum of two days ... the filling will be cemented to the prepared tooth.

Inlays and onlays are like any other filling but their advantages over other can be listed as follows


  • Even though unlike conventional fillings they take two sittings ....the chair side time is less when compared to amalgam or a composite filling
  • As mentioned earlier they are cemented to prepared natural tooth.This can increase the retention of the filling and longetivity. Hence preferred in large cavities that usually cannot be restored by direct conventional filling
  • Highy aesthetic
  • High Strength


Disadvantage:


  • The disadvantage to onlays and inlays are just that it is technique sensitive ,requires two visits and cost.
  • Eventhough cost is high it could be easily a one time filling rather that composite and amalgam direct restorations


Also two visit can be tedious but it only takes less chairside time and this disadvantage can be overruled by CAD-CAM which just takes a single sitting.




          The trending advancement in dentistry is CAD-CAM ........Computer aided design and computer aided manufacturing.It makes it possible to do the preparation ,tooth scanned by computed and have final restoration fixed on the same day.Digitally fabricated models and restoration are more accurate when compared to conventional techniques

Procedure:
                This procedure has multiple steps.But overall it just takes 2-3 hrs of time.The dentist will prepare the tooth to receive restoration.Photographs will be taken with a tiny camera that gives the three dimensional view of your teeth.A computer program will design the restoration as such it will look in the place in the future.You can see your future tooth right in front of you in the computer screen.Computer aided manufacturing of the restoration will be done and you walk out with the filling cemented in a few hours.



Gums and teeth dental clinic
 427/200b mambakkam main road,
medavakkam-100
phone no. 9962497766
email- care@gumsandteeth.in

Tuesday, 24 May 2016

INTERESTING FACTS ABOUT YOUR TEETH...





 INTERESTING FACTS ABOUT YOUR TEETH..........



1. The hardest part of your entire body? your tooth enamel, Once lost ,it cannot be grown again.

2.Adult human have 32 teeth,while babies,however have only 20 teeth.

3.Humans have 2 sets of teeth, milk teeth and permanent teeth, but in contrast sharks have about 40 sets of teeth.

4.Teeth starts to form even before you are born,milk or baby teeth start to form when the baby is in the womb, but they come out when the child is between 6-12 months old.

5.Your teeth and tongue are as unique as your fingerprint, so be proud of your unique set of teeth.

6.Your mouth produces over 25,000 quarts of saliva in a lifetime-that's enough to fill two swimming pools.Saliva has many uses,assisting you with digestion and protects your teeth from bacteria in mouth.

7.An average person spends 38.5 days brushing their teeth over their lifetime.

8.Many disease are linked to your oral health,including heart disease, osteoporosis ,and diabetes.

9.One third of your tooth is underneath your gums-that means only two thirds of your tooth's length is visible.

10.If you are right handed you will chew your food on the right side,if you are left handed you will chew your food on the left side.

11.The tooth that gets knocked out will start to die within 15 minutes,put your teeth in milk or in your mouth,this will help your teeth to survive longer.

12.When you don't floss,you miss up to 35% of your tooth's surface area.

13.People who drink 3 or more glasses of soda each day have 62%more tooth decay,filling and tooth loss than others.Put down the soda,soft dink and sports drinks and pick up some nice fresh water instead.





427/200B Gums and Teeth Laser Dental Clinic and Implant Center
Mambakkam main road
Medavakkam
Chennai-600100
Ph:9962497766
For more info Visit us at www.gumsandteeth.in

Saturday, 21 May 2016

Worried that braces might make you look ugly?? INVISIBLE BRACES are here for you....

               

  INVISALIGN ,INVISIBLE CLEAR ALTERNATIVE TO BRACES.......
  Invisalign is a modern approach to straightening teeth........








WHAT TYPE OF PROBLEM DOES INVISALIGN CORRECT?

  • Spacing between the teeth
  • Crowded teeth
  • Open bite
  • Anterior crossbite
  • Deep bite
  • Under bite
  • Narrow arch
Certain corrections are problematic or not possible with invisalign, and opted to regular braces.

HOW DO YOU GET STARTED WITH INVISALIGN?


1.visit dentist:
Patient is clinically examined and find out if invisaligner is appropriate for you,

2.Treatment plan explained by dentist
if yes and if you decide to proceed treatment,
  • Impression of your teeth are made,
  • X-rays ,
  • Photographs ,
which is used to plan your treatment.once your treatment plan is finalized,your dentist will explain your treatment plan to you and the anticipated treatment time.once you approve the plan,

  • your dental impressions are send to the lab
  • Dental impressions are scanned to create 3-D computerized model of your teeth are taken ,
  • These aligner are modeled using CAD-CAM software,Technician move the teeth to desired location with program treat,this creates the stages between the current and desired teeth positions.
  • six to forty eight aligners are may be made.
  • your invisalign aligner is custom made using a clear thermoplastic material that applies pressure to your teeth,each aligner moves teeth .25 to .33 millimeters.


3.Receive your custom made invisalign based on your personalized treatment plan:

Invisalign trays are made smooth ,that are nearly invisible plastic, that you wear over your teeth,more comfortable than metal braces and are removable.They take less time to straighten teeth(12 months on average).Invisalign straighten teeth gradually and gently shift your teeth into place through a controlled force,based on the exact movement your dentist plans out for you.The best part of it is the whole process in most people won't even know you are straightening your teeth.


Invisalign vs braces:





  • Invisalign aligner are more comfortable and apply less force per week to your teeth than braces.
  • Aligner are smooth.there is no discomfort on your lips and cheeks when compared to metal braces.
  • Invisalign aligner are clear and invisible.
  • Invisalign allows you to eat the food you want,without worries of tooth decay around braces .Since invisalign aligner are removed when eating ,you must take care not to lose them.
  • Brushing and flossing your teeth is faster and easier with invisalign.
  • Aligner can be removed when you need to go for special events,etc.
  • The average treatment time for invisible is 12 months,as opposed to 18-24 months for braces.
  • In Invisalign you will see a computerized stimulation of planned tooth movement and expected result.showing every step.
  • In invisalign, there are no metal brackets or any wire to tighten.
4. Wear a new aligner every 2 weeks:
  • For every 2 weeks you will wear a new set aligners,for every two weeks you will move to next stage of your treatment.
  • Visit your dentist every 6 weeks once to monitor your progress of treatment.
  • You should wear your aligner for 20 to 22 hours per day,for best result.
  • You can clean your aligner by brushing and rinsing them using lukewarm water.

5.Reveal your smile and keep it looking great:
Congratulations!This is the time for you to celebrate.you have reached the end of treatment and you will be smiling more than ever.
Once your treatment is complete,protect your beautiful new smile you have invested in.your dentist will advice you retainer to keep your teeth in their new position.retainer are made using the same state- of- the- art technology as invisalign.

Tips and precautions to be take once decided to wear aligner:

  • Tooth grinding and clenching can damage aligners(Aligners are changed about every weeks,so this is not usually a serious problem)
  • Lost or damaged aligner may be replaced at additional cost
  • Failure to wear aligner as directed by dentist cause treatment to go out off track therefore requiring a mid treatment correction by new aligner fabrication at additional cost.
  • Smoking will discolor your clear aligner.


427/200B Gums and Teeth Laser Dental Clinic and Implant Center
Mambakkam main road
Medavakkam
Chennai-600100
Ph:9962497766
For more info Visit us at www.gumsandteeth.in


Friday, 20 May 2016

TOOTH CEMENTS-Part II....Understanding different Direct restoration cements..!

                       For about 150 years and more amalgam or silver colored fillings were used to fill the cavities.In recent years many advanced types of tooth colored cements have come to role.Bring your tooth back to life with tooth colored filling composite.The entry of new material for filling have not only improved aesthetics but also retains the strength of conventional fillings.

Amalgam vs tooth colored composite:
amalgam vs composite

Amalgam: 

                        Amalgam is combination of silver,copper,tin,mercury.Mercury accounts for 50% in the combination.Because of the silver color the filling it preferred in back tooth.Dentists use this cements because of its strength and easy handling.Relatively lower cost too.Amalgam has a property of self sealing.
Disadvantage:

tooth discoloration by amalgam
  • Mercury in amalgam is still a controversy when comes to toxicity to our body
  • The color by itself
  • It imparts color the healthy part of tooth 
  • As this amalgam retains in the tooth based on the mechanical locking..some part of healthy tooth has to be prepared to receive a retentive filling.Thus it weakens tooth.
  • Chances of sensitivity when opposite grinding teeth also has the same filling.
  • micro-leakage at times
Procedure:
            Caries is conservatively removed.Cavity is prepared in such a way to receive a retentive filling.Cotton roles will be placed for isolation of tooth.A base layer of cement will be placed and then amalgam filling will be filled ,condensed with pressure and nicely shaped to tooth's form,finished and polished.Chewing at that tooth is restricted for at least 8 hours.


Composite
Were you able to find the filled tooth??
                        Now, Commonly used tooth colored filling is composite cement.Composite is increasingly popular now-a-days because of close to natural appearance and versatility.Shade of the filling can be matched with individual's tooth.Although in the beginning composite were not suitable t back tooth filling because of low strength..advancements have been made for both front and back teeth usage.Advantages over amalgam filling are the natural appearance,Insulation against thermal sensitivity or shock effect.
This is how his tooth was before composite
Disadvantages:
 In due course of time,color can change from food and beverage you eat/drink
Increased sensitivity for few days after the procedure
Shorter lifespan in larger cavities
Technique sensitive to Dentists
shrinkage can happen


Procedure:
                     Decay removed.Cavity mildly prepared to receive composite filling.Chemical treatment of cavity will be done to increase the bonding of cement with tooth.Bonding agent will be placed.Incremental layer of cement will be placed and each time made to set with blue light.Polishing the final step.You will be given appointment after 24 hours for further polishing and will be insisted not to chew anything at that tooth for at least 8 hours.

Glass ionomer cements:
          GIC is also a tooth colored filling material.It is a silicate glass material with certain acid.GIC is commonly used in children as the procedure can be performed quick and they exhibit chemical boding with tooth..so no special preparation is required.The cement must be placed within 2-5 mins as the nature of cement is that it get distorted or set in short span.It has a advantage of fluoride releasing property

Disadvantage:
Poor strength
Not so pleasing appearance as composite
short span
Isolation from saliva and water plays a key role,hence technique sensitive.

Procedure:
               Decay removed.Tooth isolated from saliva by cotton.Cement mixed and placed.Advised not to drink water for an hour and not to chew for 8 hours at least.

Gums and teeth dental clinic,mambakkam main road,medavakkam.
Our team is happy to explain you about the cements and suggest one for your scenario.
Call our office @ 9962497766
Mail your queries to care@gumsandteeth.in

Thursday, 19 May 2016

TOOTH CEMENTS-Part 1

      Even if you keep up with your in-house oral hygiene habits,decay can occur.Decay at the beginning stage can be easily digged out and can be treated cost-effectively by Dental cements/fillings.Dental fillings are just cements that replace the structure,form and function of decay lost portion of a tooth at dental office.Tooth fracture and decay can expose the parts of tooth to bacterial invasion.When a filing is placed it effectively seals off the tooth from bacterial invasion.Thanks to advancements that the dentist and the patient have variety of options to fill their cavities
 Basically filling can be classified to
 DIRECT FILLING-That filling that can be performed inside the mouth at dentist's office.
      Amalgam or silver colored filling
     Composite or tooth colored filling
     Glass ionomer cements
Fractured front tooth

 Directly Filled with tooth colored filling-composite

INDIRECT FILLING-That filling to be customized in lab and then placed in the mouth
     Ceramic/porcelain
     Gold alloy
     Base metal alloy
Filling made at lab.To be cemented in patients 

Restoring the damaged tooth with filling have the following advantages

  • Seals and protects the remaining healthy tooth from bacterial invasion
  • Limits the ongoing damage-The teeth will be still stronger because of less teeth to filling ratio.
  • Restores the function of normal teeth
  • Prevents healthy tooth loss and thus prevents further fracture and pain-Greater amount of healthy tooth structure is maintained.
  • Makes your breath fresh
  • You regain your confidence and chewing ability
  • Saves you nine-cost effective-Treatment is less complex-->short duration-->more patient comfort-->less post op discomfort

Kinds of dental fillings:
  •  Class I- chewing surface of teeth back to canine
  •  Class II-chewing and side surface of teeth back to canine
  •  Class III-Sides of front and back of front tooth-left canine to right canine.         
  •  Class IV-Tips of front tooth
  •  Class V-Tongue or cheek side of tooth just above the gum line
  •  Class VI-tips of back tooth                                                                                                                           
  • class I

          

class II
        We have discussed all about where ,when ,why and how useful are dental cements. We will discuss cement materials used in dentistry in further blogs                                                                                                                                                                                                                                                                                                                                                          
GUMS AND TEETH DENTAL CLINIC,mambakkam road,medavakkam
Phone no.-9962497766
mail id-care@gumsandteeth.in
website-www.gumsandteeth.in

Wednesday, 18 May 2016

SMILE MAKEOVER.....Using Dental Veneers, a conservative option..

DENTAL VENEERS:
Dental veneers are used to cover a variety of dental problems involving teeth in the smile zone either to improve your smile and appearance or protect the tooth surface from damage.

DENTAL VENEERS ARE USED TO CORRECT MANY DENTAL PROBLEMS:

  • Space between the teeth
  • Crooked or crowded teeth
  • Poorly shaped teeth
  • Permanently extrinsic or intrinsic stained teeth
  • Stained filling
  • Chipped ,broken or worn out teeth
  • Prematurely aged appearance
  • Provide uniform color ,shape,size and length of teeth
  • Discolored tooth due to trauma ,root canal treated teeth,tetracycline stains ,fluorosis stains
  • Malaligned teeth




Dental veneers are made from porcelain or composite resin,

  • Porcelain veneers are stain resistant,therefore will not pick up permanent stains from cigarette smoking or from dark or richly colored liquids or spices.Porcelain veneers resist stains better than composite resin.
  • Porcelain veneers better mimic the light reflecting properties of natural teeth which is not possible with other bonding material like composite resin.
  • Porcelain veneers gives :Natural teeth appearance,Gum tissues tolerates porcelain well.
  • The color of porcelain veneer can be selected such that it makes dark teeth appear whiter.
  • Composite resin:Composite veneers are accomplished in one visit but an adequate amount of tooth structure is removed to allow for the placement of composite resin in the desired shape.
  • Porcelain veneers are more expensive than composite resin

ALTERNATIVE TO DENTAL VENEERS:
  • Dental Crown:
Veneers don't require extensive shaping prior to the procedure that crowns do,yet offer a stronger,more aesthetic alternative

TIPS TO BE FOLLOWED AFTER PLACEMENT OF VENEERS:
  • Avoid biting with your front teeth,biting with front teeth can lead to dislodge or fall off veneers,if its chipped out or broken it cannot be repaired,it can only be replaced ,hence avoid nail biting ,chewing pencil or hard objects with excessive force.
  • Tooth with veneers can still experience decay hence maintain good oral hygiene

    veneers are not good choice for
    • Individuals with decayed teeth ,gum disease,fractured teeth,large dental filling,inadequate amount of enamel.
    • individual who grind or clench their teeth are poor candidate for porcelain veneers,as these activities can cause the veneer to crack or chip.
    • severely malaligned or malpositioned teeth .orthodontic treatment may be required to obtain desired result
    HOW LONG WILL THE DENTAL VENEERS LAST?
    Porcelain veneers can last for many years usually 10-15 years,if you take good care of them using good oral hygiene and avoiding using them to crack or chew hard objects.

    CASE PRESENTATION:
    Presenting a case of 29 years old male with discolored teeth,on clinical examination fluorosis stains are evident,patient was advised to undergo gingivoplasty to reshape the gums and veneers for discoloured teeth


    gingivoplasty done to reshape the gums and tooth shaping done for venner placement


                                                                     shade selection

     
                                                                         veneer

    You will need to discuss the best choice of veneer material for you with your dentist





    427/200B Gums and Teeth Laser Dental Clinic and Implant Center
    Mambakkam main road
    Medavakkam
    Chennai-600100
    Ph:9962497766
    For more info Visit us at www.gumsandteeth.in




    Friday, 13 May 2016

    Possible reasons for IMPLANT FAILURE.

                There is no doubt that implant is the best way to replace the missing teeth,but like any other surgery implant do have factors that leads to complications or failure of the implants.Implants are artificial substitutes for missing tooth from the root level itself.Infection poses the major threat to the implant.There are several other possible reasons too.....


    #Infection:
               Infection to implant can occur at any time -at the time of placement,weeks after surgery or even years after it. Even though implant is not like a natural tooth that bacteria can directly damage like decay ,they are prone to something like gum infection called the peri-implantitis.Bacteria that causes gum infection around the natural tooth can affect the implants too.That is why we always explain our patients that half of the implant success rate depends on you...and insist on good oral hygiene practice and maintenance.Poor oral hygiene at the time of surgery or the following days lead to inflammation around the implant.A implant stays in position only if the jaw bone tightly adapts around it.Bacteria from accumulated deposits causing the inflammation erodes the bone and eventually implant loosens.Some cases it can be saves.But in most of the cases..we are left with only solution of removing the implant.
               So the answer for the question of how to prevent infection against implant is simple from your side.All you have to do is to do what you do to your natural teeth- brush,floss and rinse regularly to keep bacteria at the bay. As with time like natural tooth tartar builds up on the implant that cannot be removed by normal brushing.Leaving it unattended can lead to loosening of implant because that is the source of the culprit-bacteria.Thus regular dental visit is a must-every year ,preferably 6 months once.

    #Failed osseointegration:
               Osseointegration is the formation of connection between the person's bone and the fixed implant.This is a long term process that take several months,typically 5-6 months.Implants fail when this connection fail to occur.This connection disturbance can occur in patients
             Who smoke
             Who have the habit of night grinding or bruxers
             Who have diabetes
             Who have poor quality and width of bone
             
              Failure to osseo-integrate can be because of incorrect positioning of implant,overloading causing damage to surrounding tissue,sudden impact to implant or due to fractured implant.If there is no enough width of bone near sinus,sinus lifting is to be done.Perforation of implant to sinus will cause infection and thus again failure.
              If osseointegration does not occur the implant becomes loose.In that case dentist removes the implant and wait for the completely healing of the bone and then surgery is performed again

     #Damage to surrounding structures:
               Damage to surrounding structures especially nerves can occur.In lower jaw ,a nerve (inferior alveolar nerve) run through it.Penetrating into this nerve can cause severe pain ,numbness around the jaw,lips,cheek.This can be temporary or permanent.This kind of symptoms can occur if implant is placed right over the nerve.If all the symptoms don't subside implant has to removed for the relief.

    #Foreign body rejection and allergic reaction:
               Very rarely these two occur.Person's body can reject the implant considering it a foreign body and thus implants fall out.Traces of nickel present in the titanium implant can be allergic to a few people,but its rare.

                 Finding an experienced dentist and  also playing our role in maintaining as advised by the dentist will increase the success rate of the implant.

    Gums and teeth dental clinic,
    427/200B medavakkam-mambakkam road,medavakkam-100
    9962497766
    mail uu doubts to care@gumsandteeth.in
    our website-www.gumsandteeth.com

    Monday, 9 May 2016

    Dear EXPECTANT mother..!DENTAL INFORMATION you must know.

          Congratulations on the great news !!You might have so many questions  running in your mind currently regarding the general health and dental health of the baby.As a family dentist in medavakkam,we are obliged to give you all the necessary information regarding dental queries.
    To begin with...
                   The best thing that a pregnant woman  can do to herself and baby is to maintain her own general and dental health.A balanced diet will provide the necessary calcium,phosphorus and other essential minerals for the development of the baby's teeth and bones.

    My calcium or calcium from what I eat...???
                    You might have heard baby's teeth calcium comes from your teeth.But no.....Actually the calcium comes from the food you take.That's why balanced diet is suggested.You should include calcium rich food like dairy products and leafy vegetables.

    What pregnancy does to my gums..???
                    During pregnancy ,the level of the hormone progesterone increases.That makes your gums sensitive to bacteria which makes the gums swollen,puffy and red.This is common during 2nd to 8th month.Gingivitis can lead to loose teeth if unattended.There can be growth in the gums which will subside after delivery.This is called pregnancy tumor.To know further on this refer the following blog http://blog.gumsandteeth.in/2016/03/dental-guide-for-pregnant-women.html

    So..how do I take care of my gums and teeth??
                      Having said that there may be link between gums problem and pre-term baby,you should take good care of your gums.Brush your teeth twice daily.Make sure you attend all the teeth and even between teeth.Use inter-dental brush of floss.Use mouth rinses.To know better about these,visit the nearby dental office.Use of fluorinated paste is still questionable.

    Potential for tooth decay?
                      During pregnancy you have morning sickness which may cause tooth erosion.Craving for sugary substances and certain foods during pregnancy can increase the acidic nature of your oral environment which makes your teeth potential for decay.

                       You are wise by being bothered about your baby's dental health now itself as tiny jaws already started forming from 5th to 8th week of conception.By the time of birth all the 20 teeth formation would be completed.

    In general,avoid xray.If you feel any exaggerated reaction in your mouth,contact us

                                     +Gums & Teeth Laser and Dental Implant Center
                                      Mambakkam road,medavakkam,ch-100
                                      phone no. 9962497766
                                      care@gumsandteeth.in






                     


    Saturday, 7 May 2016

    DID YOU KNOW?????? Stem cells from baby teeth....

    It is important to plan your child's future ...

    STEM CELLS from baby teeth and wisdom teeth:Recently it was discovered by researchers that the Baby or deciduous teeth that falls out naturally ,when a child is between 6 and 11 years of age,contains rich blood supply in the nerve tissues inside the tooth.

    DID YOU KNOW???Baby tooth contains stem cells that have the ability to develop into many different types of cells such as skin ,nerves,muscles,fat,cartilage and tendon.they can potentially be used to replace diseased and damaged tissues in the body without rejection.
    Stem cells obtained are the child's own tissue, so they can be used later without any fear of tissue rejection or transmission of infection from another donor.


    TOP reasons why child's tooth stem cells should be stored today 

    1. These stem cells could one day save your child's life.
    2. Storing stem cells today means they are available tomorrow and anytime throughout your child's life.No searching.No hoping for a stem cell match.
    3. Your child's own stem cells are their only perfect stem cell match.Using their own cells means no rejection and no chance of another's disease or genetic disorder.after all they are natural part of you own teeth.
    4. Obtaining stem cells from the teeth is the only way to obtain stem cells without the need for expensive or painful medical intervention.
    The stem cells found in teeth hold the potential to treat conditions such as:
    • Type 1 diabetes ,Juvenile diabetes
    • Neuronal degenerative disorders(Alzheimer's,Parkinson's and Huntington's disease)
    • Used to grow replacement skin,cornea, retina,trachea.
    • Heart repair after heart attack
    • Spinal cord injury
    • Multiple sclerosis
    • Certain forms of cancer
    • liver disease,kidney.
    • Stroke
    • Joint bone repair
    • Plastic surgery
    • Teeth,dental pulp
    Advantage of stem cells derived from teeth over umbilical cord??
    Storing tooth stem cells is very similar  to storing umbilical cord stem cells,the hematopoietic stem cells derived from umbilical cord that can only develop in the blood and immune related cells,Stem cell derived from teeth have a unlimited potential due to their pluripotency (ability to differentiate in the several cell types)

    Which is the right age to collect stem cell from milk/baby teeth ?
    5 years onwards ,the right time to recover baby tooth with stem cells is before the teeth becomes very loose,as the cells of dental pulp will remain more viable if they continue to have a blood supply.

    Procedure for preserving your child's tooth stem cells:

    Step 1: Enrolement : After paying the necessary fees,the customer signs a contract authorizing to maintain and preserve the dental pulp and ensure its timely retrieval whenever required.

    Step 2:Tooth collection:Dentist will have the dental sampling kit,containing the necessary components,which will ensure the tooth is stored safely,at a particular temperature,until it reaches the lab.
    • On the day of extraction,the dentist will extract the teeth,the extracted tooth will be placed in the dental sampling kit with your details on it.
    • Blood sample will be collected along with your teeth
    • The dental sampling kit is then packed carefully 
    Step 3:Isolation:Stem cells will be isolated from the extracted teeth.Stem cells will be tested for sterility and quality.

    Step 4:Cryopreservation:Stem cells are frozen at a temperature of -238 F in liquid nitrogen and stored with appropriate labeling of the customers relevant details ,using cryopreservation technology  to maintain their viability,on retrieval in future.

    Step 5: Receipt of sample certificate and future retrieval of dental stem cells:After the stem cell is preserved,the certificate of banking is sent to the customer,which he/she must keep it safely for further records.


    • SAVE YOUR CHILDREN LIFE BY SAVING THEIR TOOTH STEM CELLS............. 



    427/200B Gums and Teeth Laser Dental Clinic and Implant Center
    Mambakkam main road
    Medavakkam
    Chennai-600100
    Ph:9962497766
    For more info Visit us at www.gumsandteeth.in

    Tuesday, 3 May 2016

    Chipped tooth concern

                  With right direction of slip and wrong timing in your ship ,your tooth have chances to chip!!!
    Having chipped your teeth you must right away walk to your dentist.But before you ignore it...we are concerned to inform the chip impacts from low to high.

                    Although enamel of the teeth is the hardest ,it cannot with stand all the forces.One gets chipped their teeth following a fall or hit or biting hard or accident or weakened tooth due to decay.A chipped tooth may not hurt but it can potentially lead to a serious problem.But do not  panic...!! Your dentist will take prompt action.


                     Ranging from lower impact to higher impact it can be assessed based on the symptoms and x-ray

                     A smaller chip-You may not have any symptom  or you will have sharp tooth .Your dentist will simply polish the teeth to smoothen.No further treatment will be required


                    A medium chip-you will have sensitivity to hot/cold food or just air or sharp tooth or you might be just worried about the appearance(as commonly affected tooth are front ones).Whatever be of the above,your dentist will simply polish the teeth to smoothen and will bond a filling to the broken tooth.Unfortunately the filling in the front tooth sometimes don't last longer unless you take utmost care.In that case of frequent dislodgement of filling ,a cap is suggested to bring back the appearance,form and function of the broken tooth.

    A medium chip.Patient reported with the complaint of sensitivity.
    A bonded filling given as treatment.

                          A larger chip-A larger chip will most probably give you pain or severe sensitivity or no symptoms that in later stage can lead to death of the tooth or discoloration.A chipped tooth left untreated can allow bacterial entry and infection too.A larger chip affects the nerve portion make it either infected or dead.Either ways root canal treatment followed by cap is the right action.
    In some cases,an abscess can form.The dead contents will release gases and thus discharge in the form of pus..If untreated can lead to swelling or pungent smelling discharge ,then loosening of tooth and finally you have to forget that you had a tooth there.


                         Leaving a chipped tooth can lead to further cracks in some cases and in some cases it wont.Your dentist can assess the degree of the impact.



    Give us a call @9962497766 if you are worried
    Or walk into Gums and teeth dental clinic,medavakkam-mambakkam road,medavakkam-100
    For fixing appointment log on to www.gumsandteeth.in 

    whats behind a loose teeth??

    WHATS BEHIND A LOOSE TEETH??When a baby tooth looses,its a celebration for the tooth fairy to erupt.When a permanent tooth losses,its worrisome.Once it looses, it wont grow another.Its a sign of something wrong with the ligament and bone that supports the teeth. When an adult teeth feels a bit loose,which is particularly noticeable when you are eating or brushing your teeth.In many cases this sensation will feel worse in the mornings ,and then gradually tighten up during the day.Often this sensation is gone by morning.


    TOP REASONS BEHIND LOOSENING OF TEETH:

    1. Once you intake food,food particles accumulates around your teeth,this is normal.If you failed to brush your teeth every 24 hours??? your accumulated food particles gets mineralised and converted to plaque,If the plaque is left undistorted for 12 days???it gets converted to hard calculus, which cannot be removed by normal brushing,Initially you will have mild bleeding while brushing,bad breathe.
    In your next stage, the deposits begin to develop beneath the gum line ,an infection can occur, gum line lowers from its normal position.The beauty of this gum disease is you will not have any pain,so you fail to treat it,hence the bacterial infection erodes the bone underneath, as bone is progressively lost ,you notice it only while your teeth becomes loose.
    • Smokers are twice prone to gum disease than non smokers.smoking affects the blood supply to the gums resulting in gum disease.
    • Improper positioning of teeth,difficult to clean them,such teeth are more prone to gum disease.
    • Missing teeth- when a tooth is lost ,it causes the bone surrounding it to resorb,if the lost teeth are not replaced the opposing teeth gets displaced into the empty space and cause gum problem.
    • Pregnancy: Hormonal imbalance during pregnancy results in gum disease
    • Diabetic patients are more prone to gum disease.
    https://www.blogger.com/blogger.g?blogID=551254504545878980#editor/target=post;postID=7195382027022637015;onPublishedMenu=posts;onClosedMenu=posts;postNum=20;src=postname

    2.Another common reason for teeth becoming loose in the absence of bacterial infection is oral trauma,the small ligaments that holds the tooth roots in place can stretch.Each tooth has thousands of these ligament lined up all around the root,when these become stretched the tooth begin to feel loose.
    oral trauma is caused by

    •  Night time tooth grinding./clenching of teeth this condition causes you to sleep with your teeth clenched very tightly all through the night. this results in stretching of ligament that holds the teeth ,this can cause your teeth feel loose
    • Malaligned teeth-abnormal force acting on teeth,stretching the ligament ,that can cause your teeth feel loose
    3.Trauma to the teeth...Have you ever have beehn knocked out from a fall or accident or blow during your childhood?even if the tooth does not fall off due to trauma.it may develop infection after months or years later.this infection may cause the root to resorb and subsequently cause loosening of teeth

    4.Not getting decay treated: severely decayed teeth gets infected that results in pus formation around the roots of teeth,that loosens the teeth.

    Some home tips to prevent loosening of teeth:
    • Brush your teeth twice daily morning and night.
    • Flossing daily
    • Reduce stress by doing yoga or meditation
    Once you feel your tooth started loosening,here are some tips to prevent further loosening:

    Visit your dentist and know in which stage of gum disease you are in.
    • Deep scaling and root planning,bone graft,gingival graft.
    • Bite adjustments in case of occlusal trauma.
    • Splinting your teeth to stabilize your teeth and this splint is worn around your teeth for two weeks ,this helps to stabilize the ligament around the teeth.
    • In case of night tooth grinding habit ,mouth guard should be worn overnight to prevent trauma due to force.
    • Controlled diabetes
    • Fill your decayed teeth
    • Replace your missing teeth
    • orthodontic treatment - braces for malaligned teeth

    427/200B Gums and Teeth Laser Dental Clinic and Implant Center
    Mambakkam main road
    Medavakkam
    Chennai-600100
    Ph:9962497766
    For more info Visit us at www.gumsandteeth.in