Tuesday, 3 January 2017

Full mouth Rehabilitation....Correction of one or more problems related to your teeth!

Correction of decay,missing,stained,chipped,minimally crowded tooth, can be done by a full mouth reconstruction.
Reconstruction procedures for full mouth includes
  • Fillings,Inlays,Onlays for decay
  • Veneers for esthetic demand such as stains may be of intrinsic (tetracycline like drug consumption minimal severity in defects such as enamel ,dentin-amelogenesis imperfecta )or extrinsic(tea,coffee,tobacco like stains) 
  • Bridges  for missing teeth 
  • Implants  for replacement

Dental restorations used for sealing the cavities created by bacteria.
It includes many fillings.
  • Amalgam
  • GIC
  • Composites
  • Direct filling gold

Louis regnart has been considered to be Father of Amalgam.
One of the oldest of all the materials .
It is nothing but an alloy of two or more metals of which one of the constituent will be mercury.
There are more than six generations of amalgam 
Certain studies has been reported regarding mercury toxicity ,controversies are still seen.
Alternate constituents for mercury came into play namely Gallium.
But gallium containing alloys exhibited postoperative sensitivity and high cost.
Amalgam filled cavity

Reported by Wilson and Kent in 1972.
It is a combination of glass powder particles and polyacids.
GIC has been in practice because of certain properties namely
Biocompatibility (highly acidic ph maintains only for 20 mins and then returns to the tolerable ph) ,
Anticariogenicity (this is due to the free fluoride ions release into the tooth structure)
and Esthetic demand (tooth colored material) meeting property.


Composites are the 3D combinations of two or more chemically dissimilar materials with properties superior or intermediate to those of the  individual components.
Has been used as Direct and Indirect esthetic restorative material(tooth colored material).
While planning for a composite restoration ,when  proper Isolation is achieved the more will be the success rate of the restoration.
chipped enamel
corrected by composites


Being a noble metal gold has been used as  a filling material in previous years.
Pure gold has been manipulated to adhere to the tooth structure.
It has been indicated in cases to seal a small cavities.
There are negative impacts over the gold filling namely esthetics,increased condensation force to compact into the cavity,high cost.

These are the restorations considered when the cavity width is within one third of the tooth structure in chewing surface.
Requires two visits : one for tooth cavity preparation and the other for insertion after  getting from the laboratory
When the width increases involving he cuspal portion of the tooth,onlays should be considered.


Dental veneers deals with certain defects to correct them.
They are very thin in nature made of tooth colored material like shells placed over the tooth structure after a minimal or no preparation according to the type of defect.
There are direct and indirect technique of veneers.
It includes composites, porcelains.
In direct technique,after a minimal preparation composite has been placed over the tooth enamel in increments and cured .

 Smile change over by veneer


Bridges also called as fixed partial dentures utilizes support from the adjacent tooth.
For this the adjacent tooth should be in good strength and to be ready to withstand the forces that has been delivered.
In certain stages , the adjacent tooth may not be in a proper position to provide adequate support in those conditions ,modifications can be done to deliver the bridges.
It may be of many types namely: complete metal ,metal ceramic,ceramic,zirconia  are available.
According to the needs of the patient,bridges can be delivered.
metal ceramic bridge

cemented into patient mouth


Nowadays Dental implants became the hopeful replacement according to the condition of the patient.
In general implants was introduced by Branemark in 1952.
Implants are nothing but bio-compatible components that are placed inside the bone to enhance structural and functional connection with the bone.

Implant consist of body ,fixture and the prosthesis.The placement of implants can be carried out after assessing the systemic and oral hygiene of the patient.
Systemic conditions such as presence of bleeding disorders,undergoing steroid therapy,osteoporosis.
To find out mainly the bone quantity and quality for placement of implants.
They are made of titanium - bio-compatible material and there are variants such as threaded and non threaded.
Types mainly vary by the stage of placement of implants such as single stage or double stage implants.
During the in between period for healing as well as to enhance the bone -implant interface bonding.
The implant success rate depends on the stability .

The reconstruction procedure should be done according to the demanding needs of the patient.
implant placed
prosthesis recieved

For appointments contact at
GUMS AND TEETH LASER DENTAL CLINIC @ mambakkam main road,medavakkam,chennai-100
mail id-care@gumsandteeth.in
Also check us out at www.gumsandteeth.in

No comments:

Post a Comment