Wednesday, 29 June 2016

One more case of full mouth rehabilitation-An option to know.

         Presenting you a case of full upper teeth set rehabilitation.

From that to this.

     A young patient reported with a complaint of all front upper tooth worn out with poor face profile.She had a different type of upper and lower teeth bite position.Usually we have upper teeth aligned overlapping the lower teeth.But she had the opposite combination where lower teeth overlapped the upper teeth.This type of occlusion is called CLASS III.This was the reason for poor facial profile and teeth wearing out.

All you can see is the lower teeth.This was her profile-a typical class III

Upper front teeth all worn out due to class III

          First  and ideal treatment option suggested was extraction of all tooth and placing implants.But the patient was young and was all quirky about removal of the teeth at this young age.Concerned about her worries of extraction and money factor, a secondary treatment plan was proposed which was to do root canal treatment for those upper tooth and rehabilitate with cap.But to perform this the height of the teeth was not sufficient.So firstly height of the teeth was decided to be increased by a procedure called CROWN LENTHENING with the help of LASER. 

Can you spot the difference???
RCT was performed earlier and The length of each tooth is increased .

Patient was happy that the whole procedure done to increase the height of the teeth was so smooth with LASERS as it involved a less painful,almost bloodless,less post-operative effects,less time-consuming advantages of LASER.A conventional procedure would have involved all the above mentioned disadvantages and need for sutures.

This is how artificial teeth were given.

Her bite was given edge to edge.That is, her upper tooth and lower tooth were made almost in the same line with upper teeth slightly overlapping the lower teeth improving her profile.

Have a look at the improved bite and profile of the happy patient.

For more details,contact GUMS AND TEETH LASER DENTAL CLINIC @ mambakkam main road,medavkkam,chennai-100
Book yourselves appointment at :practo.

Monday, 27 June 2016

Procedures to undergo before getting a FULL set of TEETH!

Are you advised by your dentist to remove all your teeth???Do you think once after extraction of all your teeth you can immediately take measurements for your permanent complete denture???

First before tooth extraction dentist will check out your medical history.
 If you are medically fit ,then your treatment starts with pre profile photograph and your old photographs to reproduce the same facial profile.

 Your tooth extractions are done in sequential order under local anesthesia,all your teeth are not removed on the same day, you have to come for 3 or 4 sittings depending on the number of tooth present,strictly you are advised to follow the instruction given after tooth removal and medications.After complete removal of teeth ,your gums will take minimum of 15 days to maximum of 30 days to heal completely.

You will be reviewed after 15 days,if healing  of gums and bone are satisfactory.your upper and lower jaw are thoroughly examined by your dentist before fabrication of your denture.

you must first know, what is preprosthetic surgery???
Preprosthetic surgery is done to reshape your hard and soft tissue,this helps to eliminate the hindrance to wear your denture done before fabrication of your denture.

Pre prosthetic examination and treatment:
Jaw bone shaping OR remodeling procedure (alveoloplasty):
This procedure is done in case of 
  • Any bony elevation in jaw bone (irregularities are corrected, jaw bone need not be smooth but sharp edges are rounded and protruded areas are reduced) for equal distribution of your masticatory force. 
  • If the jaw ridge has any undercut it is corrected so that it makes denture insertion and removal comfortable and stable.
  • Additional lump of bone on the jaw or hard palate (tori or exostoses) It is corrected to provide adequate space between both the jaw.
  • labial frenum a thin band of tissue that extends from the upper lip to the upper jaw, it may interfere while wearing your upper denture,repeated irritation may lead to recurrent ulceration ,hence Frenectomy is done.
  • lingual frenum a thin band of tissue , it may interfere while wearing your lower denture ,speech  and tongue movement,hence frenectomy is done.
Unsupported hypermobile tissue(soft tissue excision )
  • Mucosa covering the jaw bone should be in uniform thickness for even distribution of force
Resorption of underlying bone ,reduced jaw height:
  • Bone grafting done(augmentation of bone) to increase height of jaw.
  • To increase the height of jaw and surface area of denture bearing area ( vestibuloplasty)

Case presentation:

Presenting a case of 52 year old female,came to our clinic to replace her missing teeth,she was advised to undergo complete removal of teeth.

        Before extraction                                    After extraction(15 days after healing)
                          advised alveoloplasty

Irregularity in upper jaw and sharp edges

Irregularities corrected and sharp edges rounded

 Finally sutured

clinically preprosthetic treatment should be done for a successfull complete denture.........

For further queries contact our experts
mambakkam main road,

Tuesday, 21 June 2016

Don't let your teeth move after ortho treatment...!

                              Orthodontics is the definitive way to straighten your crooked teeth.It is quite a long process requiring approximately one to two years.But the fruits of the months together labor is wonderful.The orthodontically treated patients are advised to wear retainer or removable clip at nights for months after the treatment to enjoy the fruits of labor .This is to keep all the tooth in aligned position.The tooth aligned to one position tends to rebound to its old position .Thus retainers are in use.This process of teeth rebounding to misalignment is called "Relapse".Many orthodontically treated patients are victim of relapse and this blog explains about it.

Why relapse?
                     The reason we are able to straighten your is because it can be moved.Once this movement has been brought about by us..the teeth tends to get back t its original position on its own.That is why relapse occur.Retainers are been suggested to be worn by the patient immediately after the removal of clip is to hold the teeth is the aligned position until your body accepts it.Retainers are designed in a way to hold the teeth and not move.So not wearing retainers as suggested is one reason for relapse. Periodontal fibres are those help the tooth maintain in position.After the tooth has been moved it generally takes a year to reorganise and solidify.Retainers come to rescue at this period.
                       Wisdom tooth can offend your alignment too.You may have finished your treatment before 20s successfully but a impacted wisdom tooth can push your teeth.This may shift all the teeth to front or together or out of alignment.
                        Teeth grinding can also be a reason.Repeated tension on the teeth can push those out of alignment.
                        As age progresses tooth support can weaken and space can occur.
                        Frenum is the thin of muscle fibres present between lips and gums.This can be pronounced in certain cases which is the cause for gap between two central incisors.During the course of ortho treatment they are surgically removed.If not relapse can occur.

aberrant frenal attachment
How to long last the smile?
                         Once our job of aligning is done your job of maintaining begins.Just as keeping teeth clean a life-time commitment maintaining your ortho smile is a long term commitment.The chance of teeth rebounding is high..but usage of retainers is the easy and cheapest way to overcome this problem. After all nobody likes to go through the treatment for the second time.Initially retainers are suggested to worn immediately and constantly,then nightly later once or twice in a week.Removable  retainer are of the following types.

Clear or invisible type of removable retainer

Conventional removable retainer
                         Fixed retainers can be placed lingually.

Fixed type of retainer in back of the teeth.

                        Pericision-As said earlier periodontal fibres are the ones which hold the teeth is position.During orthodontic treatment these fibres holding the teeth gets stretched and once braces are removed they pull the tooth back again causing relapse.Pericision is the process of disrupting the fibres and this reduces the likelihood of relapse.
                         Frenectomy-A surgical procedure of removing the frenum.
                        If more than mild relapse has occured ortho treatment is again advised.

For further queries contact our experts
mambakkam main road,


Thursday, 2 June 2016

Lengthy Tooth/ Gums receding down?? ....Facts about why your tooth hurts even if there is no decay...


Is it normal or abnormal?? In your healthy teeth, roots will not be exposed,hence it is abnormal...

You have to brush your teeth twice daily morning and night..
  • If not, the food that you eat gets deposited over your teeth,if it is left undisturbed for 24 hours,it forms a chalky white to brown or green colored band around your teeth ,initially you will have bleeding while brushing ,which cannot be cleaned by normal tooth brushing methods its nothing but the bacteria ,it starts to eat your bone and bone starts to loose simultaneously your gum line lowers and the roots gets exposed,you may have sensitivity to hot or cold drinks since your roots are not covered by enamel , this is said to be gum disease, space between the teeth......if left untreated your teeth becomes mobile.

Brush your teeth twice daily.Controlled diabetes because the is relation between gum disease and diabetes
 Even though you brush your teeth twice daily your roots are exposed??What do you think can be the reason behind your root exposure??

1.Brushing too hard or over brushing may lower your gum line and leads to sensitivity as forceful brushing may abrade your teeth food particles gets accumulated in the abraded area(mechanical force of tooth brush wears away your tooth surface) which results in tooth decay...

preventive tips:no worries !!Here are some tips to protect your teeth...... Dentist advise you to use a medium bristle tooth brush.your deposits are soft so brushing too hard is not required ,you have to brush all the surfaces of your teeth thoroughly with enough pressure and proper brushing technique.
how too correct your abraded area and prevent it from decay....its easy visit your dentist and have a tooth colored filling in the abraded area.

2.Pregnancy ,due to hormonal imbalance, especially in case of second trimester,you may have initial stage of gum disease.
you may have a doubt, if you can undergo treatment during pregnancy??
 yes you can and clean your teeth but no surgical procedures... you can prevent it from further progression to severe stage of gum disease,then gum line lowers and roots gets exposed.
other hormonal imbalance includes your puberty and menopause.

3.In case of malaligned teeth,crowded teeth,teeth outside your jaw towards the cheek,rotated are not able to clean certain areas as you brush cannot reach that area  with lowered gum line,which results in root exposure

Preventive tips:Orthodontic treatment wearing braces helps to realign your teeth in correct position.

4.Family history of gum disease: genetic or hereditary.

5.Forceful biting like night grinding can lower your gum line,
Preventive tips :In such case dentist may advice you to wear night guard in order to reduce the force due to stress.

6.Smoking:Stained teeth ,nicotine present in the cigarettes shrink the blood vessels and weakens the gum ,lowers the gum line.
Preventive tips:Try to quit smoking

7.Piercing of lips and tongue:continuous irritation from lip and tongue piercing can cause your gum line to lower and roots gets exposed.

How to override this problem??
visit your dentist...
  1. Scaling,cleaning your teeth has to be done.
  2. In cases were there is severe bone loss ,dentist may advise you to undergo flap surgery nothing but cleaning your root portion of your teeth known as root planning.
  3. Once your gum line lowers your teeth will give a elongated tooth appearance ,you may look older ,as your roots are exposed.if you notice it initially in mild stage with good prognosis ,it is curable.soft tissue graft and root coverage procedure can be done.
  4. Bone graft can be done but it depends on the type of bone loss,bone grafting has a good prognosis in vertical type of bone loss ,but  has a poor prognosis in horizontal type of bone loss this helps to replace the lost bone.



Roots exposed,giving an elongated appearance to the teeth,tissue taken from some other portion of mouth and grafted in affected area or crown lengthening procedure is done then sutured.suture removed in the seventh day...


427/200B Gums and Teeth Laser Dental Clinic and Implant Center
Mambakkam main road
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