Dr. Ekta Narula, Indian Dentist - Crowns, Bridges, Root Canal, Braces, Teeth Whitening, Smile Design, Veneer, Implants 's Dental Care Clinic

Procedures

 

 

TEETH WHITENING

Sometimes discoloured teeth really make you loose your confidence.Here is a great solution to your problem.It is a very simple procedure where you can get a lighter shade as you desire.There are two ways of getting it done.


HOME BLEACH-here we give you customized tray that will fit on your teeth and the bleaching kit which you need to apply on the tray and keep it for a number of hours.You can apply it every alternate day atleast four times and you will get the desired result.

 

CHAIRSIDE BLEACH-you can also get bleaching done faster while sitting in the dental chair by the surgeon.Normally one or two sessions will be good enough to get a white and bright smile.

 

DENTAL VENEERS

Chipped,discoloured and weakened teeth can be repaired by a simple procedure wherein their structural integrity can be maintained and they can leave the teeth looking as good as the original teeth or may be even better.there are two types of veneers.ceramic or porcelain veneers are fabricated in the lab and cemented onto the teeth resulting in real looking teeth with desirable shade,shape and lustre.composite veneers also give desirable results and are less time consuming.


SMILE DESIGNING

There are procedures where your smile can completely change.unsighty gaps between teeth ,crooked teeth,broken teeth can be repaired easily.esthetic natural looking crowns can be given on the teeth . It is a simple procedure where measurement  of your teeth will be taken and the fabricated crowns will be placed on the prepared teeth



ORTHODONTICS-BRACES AND REMOVABLE APPLIANCES

Orthodontics is concerned with the treatment of improper bites,crooked teeth,malaligned teeth.It is mainly carried out for improving the general appearance of patients’ teeth and face for cosmetic reasons.It is also done to get a functionally improved bite(occlusion) to the patient.


1. FIXED ORTHODONTICS(BRACES)

In this orthodontic wires are inserted into dental braces which are made of stainless steel or ceramic. Appropriately trained doctors align the teeth with respect to the surrounding soft tissues, with or without movement of the underlying bones, which can be After a course of active orthodontic treatment, patients will often wear retainers, which will maintain the teeth in their improved position while the surrounding bone reforms around themmoved either through growth modification in children or jaw surgery (orthognathic surgery) in adults.


2. REMOVABLE ORTHODONTICS

Also removable appliances, or "plates", headgear, expansion appliances, and many other devices can be used to move teeth. Functional and orthopaedics appliances are used in growing patients (age 5 to 14) with the aim to modify the jaw dimensions and relationship if these are altered. This therapy is frequently followed by a fixed multibracket therapy to align the teeth and refine the occlusion.

 

COSMETIC DENTISTRY

Crooked,stained,chipped fractured teeth can be transformed into natural clean shapely teeth within one or two sittings.Composite tooth coloured fillings can be done to improve the look of the teeth. Their use includes the restoration of dental cavities, the replacement of dental amalgam (metal alloys), and the restoration of teeth when they have been worn or chipped away. In addition, composites are often used for aesthetic reasons to enhance the contour, shape, colouring or relative position of the front teeth.

 

DENTURES

Dentures are prosthetic devices constructed to replace missing teeth, and which are supported by surrounding soft and hard tissues of the oral cavity. Conventional dentures are removable, however there are many different denture designs, some which rely on bonding or clipping onto teeth or dental implants. There are two main categories of dentures, depending on whether they are used to replace missing teeth on the mandibular arch or the maxillary arch. There are many informal names for dentures such as dental plate, false teeth and falsies.

TYPES OF DENTURES

Removable partial dentures

Dentures are prosthetic devices constructed to replace missing teeth, and which are supported by surrounding soft and hard tissues of the oral cavity. Conventional dentures are removable, however there are many different denture designs, some which rely on bonding or clipping onto teeth or dental implants. There are two main categories of dentures, depending on whether they are used to replace missing teeth on the mandibular arch or the maxillary arch. There are many informal names for dentures such as dental plate, false teeth and falsies.

 

Complete dentures

Conversely, complete dentures or full dentures are worn by patients who are missing all their teeth in an arch (i.e the maxillary(upper) or mandibular(lower) arch).

  • Our denture clinic-dentures
  • Have an excellent fit (even in difficult cases)
  • Hardly move around at all making eating a more enjoyable experience
  • Reverse the "sunken" look found in denture-wearers taking years off your face
  • Look extremely natural unlike most dentures.

 

IMPLANTS


What are implants

A dental implant is an artificial tooth root replacement and is used in prosthetic dentistry to support restorations that resemble a tooth or group of teeth. A dental implant is an artificial substitute / replacement for the root portion of your natural tooth and is anchored into a pre-drilled socket in your jaw-bone to support a crown, bridge or secure a denture firmly in place. Implants are made from titanium, a material that is well tolerated by bone and integrates easily with bone tissue. During the placement of a dental implant the goal is to achieve a close contact between the outer surface of the implant and the surrounding bone tissue so they can “fuse” together (osseointegration) creating a stable support for the new teeth.


Why are dental implants better than dentures and bridges?

  • improved oral hygiene
  • better tooth function
  • reduced bone loss
  • no need to reduce adjacent healthy tooth structure
  • less bone loss
  • looks natural and esthetic

 

CROWNS AND BRIDGES

Teeth are important in maintaining proper alignment of other teeth,chewing and speaking.Tooth loss can occur due to various reasons and teeth need to be

replaced to maintain their proper function.

A crown placement will require two visits at our dental centre.In the first visit the decay is removed ,crown is given a proper shape and a temporary crown(plastic or metallic) is placed.In the next sitting the crown fabricated in the dental lab is cemented on the prepared crown and you get a new beautiful looking tooth.

Materials used

All ceramic

  • Metal ceramic(silver or gold)
  • Metallic(silver  or  gold)
  • Zirconium

A bridge is a device which fills the gap where teeth are absent.Fixed bridges are bonded into place and can be removed only by a dental professional.

 

Why do require a bridge?
  • to replace missing or absent teeth to restore the function and appearance of teeth.
  • to provide support to the lips and cheeks
  • increased risk of gum disease is the worst side effect of missing teeth
  • speech disorders due to missing teeth

It is important to maintain the crowns and bridges by proper cleaning and flossing so that the surrounding teeth and the bridge get good support.

ROOT CANAL TREATMENT

A root canal is the commonly used term for the main canals within the dentin of the tooth. These are part of the natural cavity within a tooth that consists of the dental pulp chamber, the main canals, and sometimes more intricate anatomical branches that may connect the root canals to each other or to the root surface of the tooth. Root canals are filled with a highly vascularized, loose connective tissue, the dental pulp. This sometimes becomes infected and inflamed, generally due to caries or tooth fractures that allow microorganisms, mostly bacteria from the oral flora or their byproducts, access to the pulp chamber or the root canals; the infected tissue is removed by a surgical intervention known as endodontic therapy and commonly called a root canal treatment.

 

How it is performed

Root canal surgery is usually carried out under local anaesthetic, although in some cases, where the tooth has clearly died and is not sensitive, this may not be necessary. Local anaesthetics will not work in an infected area, and your dentist will usually give you antibiotics to settle the infection first and start treatment about a week later.

Your dentist will first open the tooth through the crown (the flat top part) of the tooth, so that the pulp chamber can be accessed. Any remaining tooth pulp is then removed.

Once the pulp has been removed, the remaining root canal will be cleaned and enlarged so that it can easily be filled. The root canals are normally an oval shape and may be very fine and difficult to fill. Your dentist will use a series of small files to enlarge the canals and make them a regular shape so that the root filling can be placed. The treatment may take several hours to complete, and may be carried out in one, or several visits.  

Generally, the front, incisor and canine teeth have one canal, premolars have two canals, and the back molar teeth have three. The more roots a tooth has the longer the treatment will take to complete.

If the treatment is carried out over several visits your dentist may put a small amount of medication in the cleaned canal in between visits to help clear up any remaining germs and bacteria. The tooth will then be sealed with a temporary filling. You may also be given antibiotics to manage and prevent further infection.

Once the root canal has been cleaned out and shaped, the root filling will be sealed tightly into the root canal. The tooth may then be restored with a filling.  

Root-filled teeth are more brittle than live ones and in some cases your dentist may suggest placing a crown on the tooth to protect what remains of the tooth structure. In some cases a root-filled tooth may darken, particularly if it has died as a result of a blow and there are several ways for your dentist to treat this.


Root canal treatment is usually very successful. However, if the infection comes back, the treatment can be repeated.

 

 

PEDIATRIC AND PREVENTIVE DENTISTRY (DENTISTRY IN CHILDREN)

"Pediatric Dentistry is an age-defined specialty that provides primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs."

 

Pediatric dentistry is of particular importance especially in children with special needs…hemophilia,congenital diseases and leukemias.


FIRST DENTAL VISIT

At the first dental visit of your child a complete prenatal, perinatal and postnatal development of the child is reviewed.The examination is done with the child sitting on the parents lap.If treatment is required the dentist will provide with the necessary therapy.


Nursing bottle caries

Inappropriate feeding of children can lead to a typical nursing pattern decay. One term used for this type of caries is Baby Bottle Tooth Decay (BBTD), others include nursing bottle caries, nursing caries, bottle caries, infant caries, early childhood caries  


Bottle feeding past 12 months of age leads to a drastically increased caries risk.

  • Infants should not be put to sleep with a bottle containing a liquid other than water
  • Infants should be encouraged to drink from a cup prior to their first birthday
  • Infants should be weaned from the bottle at 12-14 months of age
  • Infants should start to supplement their diet with nonliquids at 4-6 months of age
  • Juices should only be offered from a cup
  • Oral hygiene should be started with eruption of the first primary tooth
  • Within six month of eruption of the first tooth (no later than the first birthday) it is time for the first dental visit

Very early detection of demineralization on teeth, chalky white spots or lines, may allow to remineralize teeth with fluoride application and diet modification. The first dental visit will help to evaluate your child's caries risk . Your pediatric dentist will discuss methods of disease prevention. 

If obvious decay is present full coverage of the teeth with stainless steel crowns or veneered crowns is indicated. Adhesive fillings have generally a very poor prognosis on anterior primary teeth as far a retention and recurrent decay are concerned. 

If decay reaches the pulp chamber pulp therapy or extractions will need to be considered. Space maintenance is in general not necessary (anterior primary teeth are usually spaced, space maintenance is a concern for posterior primary teeth). 

 


SEDATION AND GENERAL ANAESTHESIA FOR PEDIATRIC PATIENTS

Why would a child need sedation or general anesthesia just to have teeth fixed?

Unfortunately, many children suffer from serious, potentially painful dental diseases. Unlike such health conditions as colds or flu, dental diseases won't go away on their own. When treatment is required for a serious dental condition, sedation or general anesthesia may be recommended to make delivery of that required treatment possible in a safe and comfortable manner. Without treatment dental diseases can adversely affect, learning, communication, nutrition and other activities necessary for normal growth and development.



GUM DISEASES AND TREATMENT(GINGIVITIS AND PERIODONTITIS)


What causes periodontal disease?

Our mouths are full of bacteria. These bacteria, along with mucus and other particles, constantly form a sticky, colorless "plaque" on teeth. Brushing and flossing help get rid of plaque.  Plaque that is not removed can harden and form bacteria-harboring "tartar" that brushing doesn't clean.  Only a professional cleaning by a dentist .

 

 

 


Gingivitis

The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums that is called "gingivitis."  In gingivitis, the gums become red, swollen and can bleed easily.  Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist or dental hygienist. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.


Periodontitis

When gingivitis is not treated, it can advance to "periodontitis" (which means "inflammation around the tooth.")  In periodontitis, gums pull away from the teeth and form "pockets" that are infected. The body's immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body's enzymes fighting the infection actually start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and connective tissue that support the teeth are destroyed.  The teeth may eventually become loose and have to be removed.   

RISK FACTORS

  • Smoking
  • Hormonal chnges in girls/women
  • Diabetes
  • Genetic susceptibility
  • Medications
  • Stress

How is periodontal disease treated?

The main goal of treatment is to control the infection. The number and types of treatment will vary, depending on the extent of the gum disease.  Any type of treatment requires that the patient keep up good daily care at home.  Additionally, modifying certain behaviours, such as quitting tobacco use, might also be suggested as a way to improve treatment outcome.


Deep Cleaning (Scaling and Root Planing)

The dentist, periodontist, or dental hygienist removes the plaque through a deep-cleaning method called scaling and root planing.  Scaling means scraping off the tartar from above and below the gum line.  Root planing gets rid of rough spots on the tooth root where the germs gather, and helps remove bacteria that contribute to the disease.


How do I know if I have periodontal disease?

Symptoms are often not noticeable until the disease is advanced. They include:

  • Bad breath that won't go away
  • Red or swollen gums
  • Tender or bleeding gums
  • Painful chewing
  • Loose teeth
  • Sensitive teeth

Any of these symptoms may signal a serious problem, which should be checked by a dentist. How do I know if I have periodontal disease?

Symptoms are often not noticeable until the disease is advanced. They include:

  • Bad breath that won't go away
  • Red or swollen gums
  • Tender or bleeding gums
  • Painful chewing
  • Loose teeth
  • Sensitive teeth

Any of these symptoms may signal a serious problem, which should be checked by a dentist.  At your dental visit.