Dental implants provide a strong foundation for permanent or removable prosthesis (replacement teeth) that are made to match your natural teeth. They are manufactured from biologically neutral pure Titanium or titanium alloys, that is accepted by the human body and these implants fuse with the jawbone to form a secure foundation for tooth replacement.
TYPES OF DENTAL IMPLANTS
There are two basic types of implants available at our dental clinic. In certain cases, conventional or immediate implants may be followed by immediate loading of crowns and bridges known as immediately loaded implants.
- Conventional implants are applicable to almost anyone who is looking to replace one, multiple, all missing teeth with a permanent restoration solution.
- Conventional implants are done in 2 stages normally in 2 trips about 3 to 6 months apart.
- Conventional implants may be done for most types of bone conditions. If there is moderate or severe jaw bone loss, bone grafting may be recommended prior to dental implantation.
- Immediate implants are also known as one day or same day implants.
- This is the case whereby dental implants is placed during the same time after teeth are extracted. Crowns, bridge, dentures may or may not be placed on during same trip depending on whether immediate loaded implants may be done.
- Immediate implants are normally recommended only for cases with good jaw bone conditions.
IMMEDIATE LOADED IMPLANTS
- Immediate loaded implants are whereby permanent or temporary crowns,bridges or dentures are placed during the same trip when the dental implant posts is embedded in jaws.
- Immediate loaded implants may follow after conventional implants or immediate implants.
- Immediate loaded implants are normally recommended only for cases with good jawbone conditions.
Cosmetic Dentistry Center
Aneja Wellness is one of the most preferred cosmetic dentistry destination in India. It has earned this reputation because of constant hard work & vision of its chief cosmetic dentists. The clinic functions on the concept of providing expertise of the various specialists in dental surgery to provide the top most dental care to the patients. We specialize in all the basic & latest dental procedures for smile correction & smile designing in New Delhi with procedures including teeth whitening including Zoom-AP, Porcelain veneers, gap closures, fixed teeth replacement, tooth colored bondings, instant smile makeovers with componeers, laser gummy smile correction, metal free crowns/bridges,ceramic inlays to replace ugly metal fillings,” jetting out” teeth correction, fluorosis affected teeth correction, dental jewellery (crystals) etc.
WHAT IS GUM DISEASE?
Gum disease refers to inflammation of the soft tissue (gingiva) and abnormal loss of bone that surrounds the teeth and holds them in place. Gum disease is the second most common cause of toothache.
WHAT CAUSES GUM DISEASE?
Gum disease is caused by toxins secreted by bacteria in “plaque” that accumulate over time along the gum line. This plaque is a mixture of food, saliva, and bacteria.
WHAT ARE SYMPTOMS OF GUM DISEASE?
Early symptoms of gum disease include gum bleeding without pain. Pain is a symptom of more advanced gum disease as the loss of bone around the teeth leads to the formation of gum pockets. Bacteria in these pockets cause gum infection, swelling, pain, and further bone destruction. Advanced gum disease can cause loss of otherwise healthy teeth.
HOW IS GUM DISEASE TREATED?
Treatment of early gum disease involves oral hygiene and removal of bacterial plaque. Moderate to advanced gum disease usually requires a thorough cleaning of the teeth and teeth roots called “root planing” and “subgingival curettage.” Root planing is the removal of plaque and tartar (hardened plaque) from exposed teeth roots while subgingival curettage refers to the removal of the surface of the inflamed layer of gum tissue. Both of these procedures are usually performed under local anesthesia and may be accompanied by the use of oral antibiotics to overcome gum infection or abscess. Follow-up gum treatment may include various types of gum surgeries. In advanced gum disease with significant bone destruction and loosening of teeth, teeth splinting or teeth extractions may be necessary.
HOW IS GUM DISEASE TREATED?
It is a progressive inflammatory disease of the gums and the surrounding tissue around the teeth. It is commonly known as gum disease and was referred to as pyorrhea in the old days. It is estimated that up to 80% of the population above the age of 40 may suffer from this disease with the severity varying drastically from one person to another. Periodontitis is the number one cause of tooth loss after the age of 40.
IF YOU NOTICE ANY OF THE FOLLOWING SIGNS OF GUM DISEASE, SCHEDULE AN APPOINTMENT IMMEDIATELY:
- gums that bleed when you brush your teeth.
- red, swollen or tender gums
- gums that have pulled away from the teeth
- bad breath that doesn’t go away
- pus between your teeth and gums
- loose teeth
- a change in the way your teeth fit together when you bite
- a change in the fit of partial dentures
- Scaling and Root Planing: Manually removing the plaque and tarter from the root surfaces of your teeth below the gum line.
- Antibiotics: Because bacteria cause periodontitis antibiotics may be prescribed as pills or as an Antibiotic fiber. The fibers are used in conjunction with scaling and root planing. They are placed directly into the pockets and are removed within 7-10 days later. Antibacterial mouth rinses may also be recommended to help plaque control.
- Bite correction: An imbalanced bite may accelerate bone destruction. Your teeth may be adjusted for proper and better function. A Bite-guard (removable retainer fitting over teeth) may be required to protect teeth surfaces and relax tense muscles.
- Splinting: This technique attaches weak teeth together, combining them into a stronger single unit, making them more stable and offering more comfortable chewing.
- Flap Surgery: Our periodontist separates the gum from the teeth creating a “flap” and accesses the infected pocket. It aims to reduce pocket depth and increase the ability to maintain the remnant pockets clean.
- Gingivectomy: This procedure is performed when excess amounts of gum growth around the teeth have occurred. This results in false pocket formation and the inability to keep them clean.
- Osseous (bone) surgery: This procedure is done to smooth shallow craters and defects in the bone due to mild or moderate bone loss. Guided Tissue Regeneration: This procedure is done in combination with a surgical flap operation where gum growth into a defect is barriered off to allow slower growing bone, cementum and ligament cells to populate a bony defect.
- Bone Grafts: Tiny fragments of the patient’s bone, synthetic bone or bone obtained from a bone bank are used to fill a bony defect around the teeth. These grafts act as a scaffold on or around which patients own bone is conducted or induced to grow.
- Soft Tissue Graft: In cases of gum recession a graft is usually taken from the palate and transplanted onto the receding area to reinforce the thin gum and to inhibit further gum recession.
FLAP AND BONE SURGERY
When gum is inflamed severely (periodontitis), alveolar bone will be absorbed, and defected. Periodontal ligaments which connect between the alveolar bone and the teeth will disappear. Sever bone lose will cause tooth moving and missing. Flap and bone surgery is order to contour the bone, deeply clean the tooth to reduce the inflammation, and promote bone re-growing and connections firm.
- Presurgical bone defect. Gum inflamed and reddish.
- Flap incision to make gum retracted, and the bone shows out.
- The bone is contoured, and remain tartar is removed.
- Gum is sutured back.
- After periodontal surgery, the bone defect disappears, and gum becomes healthy pink color
We recommend a first checkup by 12 months old to make certain that teeth and jaw development are normal, and even more importantly so that parents and guardians know how to help their children be healthy from the start.
GUIDELINES FOR WORKING WITH CHILDREN
- Parents/guardians are always welcome in the room
- comfort is always our concern
- parent / guardian consent and guidance are vital, before any procedure
We recommend a first checkup by 12 months. A simple guide for when to schedule a first visit:
- no longer than 6 months after first tooth is erupted
- at least by 12 months old
- as soon as possible if you have any queries
ORAL HYGIENE INFORMATION FOR YOUR CHILD
There is a significant value for early well baby dental checkups. In particular,checkups for very young children address many concerns including teaching adults how to care for their child’s teeth and gums, how to help their children learn to care for themselves, answering parents questions and concerns, and planning for future dental health.
Education and prevention are the cornerstones of our concern for the dental health of children. In addition to teaching parents and guardians about dental care for their child, checkups are an appropriate time to comfortably and easily evaluate:
- how many teeth are present
- are all teeth present
- loose teeth if any
- braces / bite evaluation
- cavity check
- check health of gums
- habit evaluation
- homecare / prevention
- fluoride use
- review diet
- address adult’s concerns
- teach adults how to care for child’s teeth
OME DENTAL CARE TIPS
It is often difficult initially to brush your child’s teeth. They can really put up a struggle, screaming, kicking, crying, running away, not opening their mouths – every kid is different.
Healthy teeth and gums are so important to start out life with. We’ve often heard the value of choosing your battles with your children, and this is one to choose.
Remember that the initial challenge you face is actually more taxing on you than it ultimately is for your child.
COMMON PROCEDURES INCLUDE
- 2-MIN FLUORIDE APPLICATIONS (For prevention from effects of chocolates; Colas; sticky foods on teeth)
- PIT & FISSURE SEALS (Most recommended way of caries prevention by blocking deep pits & fissures of teeth )
- FLUORIDE FILLINGS (for correction of cavities in milk& permanent teeth)
- ORTHODONTIC ASSESMENT (opinion from specialist Orthodontist whether your child needs Braces ?)
- HABIT BREAKING APPLIANCES (For correction of bad habits like Thumb-sucking; Mouth breathing; Tongue –thrusting)
- SPACE MAINTAINERS (To allow permanent tooth to erupt in place if milk tooth has shed off or extracted early.)
- SCALING & POLISHING OF TEETH (to prevent any gum problem)
- COLOURED GLITTERING FILLINGS (Latest Fashion Statement ! in fillings for kids)
BABY BOTTLE TOOTH DECAY
Baby Bottle Tooth Decay, or Baby Bottle Syndrome, or Nursing Bottle Mouth are all terms used to describe a dental condition, which involves the rapid decay of many or all the baby teeth of an infant or child.
The teeth most likely to be damaged are the upper front teeth. They are some of the first teeth to erupt and thus have the longest exposure time to the sugars in the bottle. The lower front teeth tend to be protected by the tongue as the child sucks on the nipple of the bottle or the breast.
Baby Bottle Tooth Decay is caused by frequent exposure of a child’s teeth for long periods of time to liquid containing sugars. When your baby falls asleep with:
- a bottle containing formula, milk or juice
- a pacifier dipped in honey
- while breast feeding
The liquid pools around the front teeth. During sleep, the bacteria living in every baby’s mouth, turns the milk sugar or other sugars to acid, which causes the decay.
Parents may not know there is a problem until serious damage has been done:
- Oral checks should be performed by parents to detect early signs of the disease.
- Brown spots along the gumline on your child’s teeth are signs which should alert you.
- If your child prefers soft foods, frowns or cries when eating cold, sweet, or hard foods, they should be checked for tooth decay.
By the time tooth decay is noticed it may be too late and crowns, pulp therapy, or even extraction of the decayed teeth may be necessary. As a result, your child may suffer from long term disorders, which include speech impediments, possible psychological damage, crooked or crowded teeth, and poor oral health.
- You can prevent this from happening to your child’s teeth by learning how to protect them.
- clean your child’s teeth daily
- never allow your child to fall asleep with a bottle filled with juice, milk, or formula (or when awake, sip on it for long periods of time as a pacifier)
- start bottle weaning by at least a year
- give your child plain water for thirst
- make sure your child gets the fluoride needed to prevent decay
- have regular dental visits for your child beginning when their first tooth erupts
TIP: Cut back on sugary bottles by gradually watering them down until they are only water.
Most children begin life with strong, healthy teeth. Help your child’s teeth stay that way. Your newborn is totally dependent upon you as a parent. The decisions you make will have a vital effect on your child’s dental future.
ORAL HYGIENE INFORMATION FOR YOUR CHILD
SHOULD I CLEAN MY BABY’S TEETH?
Definitely. Even before the first tooth appears, use a soft, clean cloth to wipe your baby’s gums and cheeks after feeding. As soon as the first tooth appears, begin using a small, soft bristled tooth brush to clean the tooth after eating. Don’t cover the brush with toothpaste. Young children tend to swallow most of the toothpaste, and swallowing too much fluoridated toothpaste can cause permanent spots on their teeth called dental fluorosis.
I FIND BRUSHING MY CHILD’S TEETH AWKWARD. ANY SUGGESTIONS?
Try having your child lie down. Put your child on your lap or on the floor, keeping his/her head steady with your legs. If your child is standing, have his/her back to you with their head tilted slightly and resting against your body. Have your child hold a mirror while you brush and floss their teeth so your child can see what is being done.
IS IT IMPORTANT TO BRUSH BEFORE BED?
Yes. If you have to miss a brushing, the bedtime one is probably the worst one to miss. If you don’t get rid of the bacteria and sugar that cause cavities, they have all night to do harm. While you are awake, saliva helps keep the mouth clean. When you are asleep, there is less saliva produced to clean the mouth. For this reason it is important to brush before bedtime.
HOW TO BRUSH YOUR CHILD’S TEETH?
Every day plaque forms on the inner, outer, and chewing surface of teeth and the gums. Tooth brushing is one of the most effective ways to remove the plaque.
The best kind of toothbrush to use is one with soft, round-tipped bristles.
A child will need a smaller brush than an adult.
Young children do not have the manual dexterity to brush properly. Your child will need your supervision and help brushing until he or she is 8-10 years old to ensure a thorough brushing has been done.
When the bristles become bent or frayed, a new brush is needed.
Start flossing your child’s teeth when the teeth touch each other and you can no longer brush in between them.
Braces (Metallic or Tooth Colored Ceramic)
Dental braces (also known as orthodontic braces, or braces) are devices used in orthodontics that align and straighten teeth and help to position them with regard to a person’s bite, while also working to improve dental health.
Lingual braces are custom made fixed braces bonded to the back of the teeth making them invisible to other people. In lingual braces, the brackets are cemented onto the backside of the teeth making them invisible while in standard braces the brackets are cemented onto the front side of the teeth. Hence, lingual braces are a cosmetic alternative to those who do not wish the braces to be visible.
In the modern times, dentistry has evolved in several aspects. Dental radiology has also improved to a great extent thanks to the excellent technology introduced in dentistry. Dental radiology now utilizes modern technology in the form of digital methods of taking radiographs of the patients. Dental RVG x-ray and dental panoramic x-ray are the two principal segments of the dental radiology which have made significant changes in the diagnosis segment of dentistry.
DIGITAL RVG X-RAYS
Digital radiography is a form of X-ray imaging, where digital X-ray sensors are used instead of traditional photographic film. The advantages of the dental RVG x-rays include time efficiency through bypassing chemical processing and the ability to transfer and enhance images digitally. Also, less radiation can be used to produce an image of similar contrast to conventional radiography.
Radiovisiography x-rays are utilized in the best ways in the recent times. At Kathuria Dental Clinic, Dental RVG x-rays are present which provide great benefit for the faster shooting of the x-rays of patients. It speeds up the entire dental treatment as x-rays are a base of a dental treatment if the procedure deals with the internal structures.
One of the major benefits of the dental RVG x-rays is that films which are to be held with hands are not required here. Digital way of shooting x-rays and diagnosis on the computer is done here. So, patients can also appreciate the status of their tooth along with the dentist. This leads to increased transparency of the treatment steps and status to the patient thus leading to improved co-operation on the patient’s part.
DIGITAL PANORAMIC X-RAY
An Orthopantomogram (OPG), also known as an “orthopantogram” or “panorex,” is a panoramic scanning dental X-ray of the upper and lower jaw. It shows a two-dimensional view of the teeth and surrounding structures for a clear picture and diagnosis.
This new era dental radiography method is useful for dentists as well as patients as it saves a lot of time. It is most useful in case of doubt of the presence of cysts or tumors around the teeth or jaws. Diagnosis can be made easily, and the treatment can be started accordingly. Patient cooperation level has increased because of the ease of taking radiographs on the x-ray machine. The radiation exposure in case of the dental panoramic x-ray is around 30-40% less than that of the traditional radiograph shooting method. So, it is highly recommended instead of taking multiple radiographs according to the case.
Oral Cancer Detection
Oral ID’s fluorescence technology uses a blue light that allows a clinician to identify oral cancer, pre-cancer and other abnormal lesions at an earlier stage, thus saving lives. Wearing the glasses provided and pressing a button means a clinician can distinguish between healthy and abnormal cells because the latter will appear dark due to a lack of fluorescence
Study results have shown that a COE (Clinical Oral Examination) alone may not detect and discriminate reliability between benign, dysplastic lesions and OSCC (oral squamous cell carcinoma). Some mucosal, dysplastic, or even early stage cancer lesions may manifest in mucosa that appears to be normal clincailly.”A COE of mucosal lesions generally is not predictive of their histologic diagnosis.
The fact that OSCCs often are diagnosed at an advanced stage emphasized the need for improving the COE and the need to develop adjuncts to assist in oral mucosal lesion detection and diagnosis.