Scaling/cleaning of teeth is a procedure by which the dentist through an ultrasonic scaler removes the plaque, tartar & food particles from the tooth surface and surface of restorations. Tartar/ Calculus appear as yellow /brown/blackish hard deposits between gums and teeth.

Excessive deposition of tartar over a period of time leads to mobility of teeth and unhealthy gums. External stains on the teeth which cannot be removed by simple brushing can be removed by scaling and polishing. External stains on the teeth are caused by smoking, tobacco, tea & coffee intake etc. Sometimes even if a person does not have these habits still stains are observed. That is because of few chromogenic bacteria present in the saliva which causes these stains.

Scaling is done by ultra sonic machine which does not cause any harm or scratches on the natural tooth structure. No local anesthesia is given for this procedure as this is virtually painless procedure.

WHEN CAN SCALING BE DONE?

• Scaling is a part of oral prophylaxis which needs to be done every six months.
• Is done for patients having bleeding gums, foul smell from mouth, stickness in mouth, mobility of teeth.

MYTHS ABOUT SCALING OF TEETH

• Teeth become weaker. Mobility of teeth post scaling is a myth as teeth can only get better and healthier after scaling. Presence of tartar holds the shaky teeth intact psychologically, but actually it is causing a negative impact on the natural attachment of gums and teeth.
• Gaps are increased than before. In some cases there are gaps between teeth which gets covered by tooth colored tartar. On removal of this tartar the patient feels the gap has occurred due to cleaning of teeth which is wrong.
• Sensitivity appeared which was not there prior to the scaling procedure.
  As the tartar is removed the concealed part of the teeth is exposed to the oral environment thereby causing mild to moderate sensitivity to the teeth which is transient. This sensitivity vanishes in a day or two. Most of the patients do not even experience this sensitivity.

It is a procedure whereby a dental specialist expels an ailing tooth from the jaw bone easily in the wake of giving you anesthesia.

When Decide TO REMOVE THE TOOTH?

Tooth should be extracted after conditions

• When the tooth is rotted.
• When the encompassing structures are harmed.
• Intentional extraction to make space for orthodontic [braces] treatment.
• Impacted teeth which are not prone to emit at their typical position.
• Infected root bits of teeth.
• Overretained drain teeth.
• Patient can’t bear the cost of sparing a tooth either because of time limitations or practical reasons.

Types of Extraction

Simple extractions: Minimal time, ability and instruments are required.

Difficult(complicated extraction):Specialized Instruments ,ability and time required where a pro may slice the tooth into pieces, cuts a portion of the encompassing bone and then evacuates the tooth.

IS DENTAL EXTRACTION PAINFUL?

In current scenario dental extractions has turned out to be effortless and fear less strategy particularly if done by an oral surgeon.

WHAT TO DO AFTER EXTRACTION ?

• Strictly take after the direction given by the dental specialist.
• Keep the cloth piece in the mouth and continue gnawing continually in any event for 60 minutes.
• Wait until the impact of anesthesia wears off before eating anything strong.
• Take solutions frequently. it can be perilous to stop pharmaceutical without your dental practitioners learning.

WHAT NOT TO DO AFTER EXTRACTION?

•  Don’t spit at any rate for 24 hours as this may remove the coagulation prompting to the dry attachment.
•  Don’t Smoke for 48 hours as this may defer the recuperating procedure.
• Don’t eat any hot thing as this may bring about swelling.

A tooth which has failed to erupt in its normal position in the mouth due to less space in the jaw or due to hindrance in its path by the adjacent tooth.

WHY IS IT NECESSARY TO REMOVE AN IMPACTED TOOTH?

An impacted tooth may cause:

• Dull to severe pain in the jaw, surrounding areas especially the ears.
• It can spoil the adjacent normal tooth due to continuous food lodgement & inability to clean the area properly. That can also result in foul smell in mouth.
• It can cause continuous pressure on the teeth ahead resulting in malalignment (crowding) of front teeth.
• It can be a potential source of cysts or tumours in the jaw.
• It can continuously result in cheek biting & swelling on the overlying gum (pericoronitis).

HOW IS AN IMPACTED TOOTH REMOVED?

It can be done either in Local anesthesia or general anesthesia depending on patients requirements. It is done by a specialist (Oral surgeon). General minor surgical protocols of preparing the patient & sterilization procedures are carried out. Next the specialist gives a small cut intraorally on the overlying skin covering the impacted tooth. A flap is then reflected & the tooth is then exposed. Next overlying bone is removed if it is covering the tooth & then finally the tooth is gently lifted with special instruments from its socket. Sometimes splitting the tooth & removing it in pieces might be required. Finally, the socket is cleaned, bleeding if any is stopped & wound is closed with sutures.

TOOTH JEWELRY is the latest thing to add a sparkle to your dazzling whites. You can now have a sparkling crystal glass design or something in gold or a twinkle of ruby or maybe an aquamarine blue diamond shining on your tooth. These tiny tooth accessories are great fun and add a zing to your pearlies!!

The tooth jewelry used and the procedure for applying it are absolutely safe! The application is a very simple 15 minute procedure. .You can have it removed at any time, or simply replace it with another one. Since there is no drilling involved (it is directly bonded to the tooth surface), it does not harm your teeth and is absolutely painfree!

So now get ready to spice up your smile and get noticed in parties or any special occasion and be a star.

We at our clinic don’t believe in just mechanical correction of your teeth/smile line but consider many factors such as your age, occupation, sex, personality, color of your skin, eyes & hair , build and facial features etc………

Finally we believe in delivering the best result and a perfect smile to boost up your self confidence and make your pearly whites a matter of pride for you.
Cosmetic dental procedures involve treatment for following dental problems

Your smile is the gateway of your personality and a bright pleasant smile will create a long lasting first impression which will literally change your life
Book your appointment today to experience the magic of a beautiful smile and stand out from the crowd.
Here are some brief explanation of the cosmetic treatments we offer.

Enamel Shaping / Contouring:

Here we trim(contour) minor irregularities in the tooth to give the tooth a good shape.Also termed as enameloplasty .

Dental reshaping / Contouring:

Here we shape the major irregularities of the tooth like crooked teeth ,chipped teeth, cracked teeth or even overlapped teeth in just one session. In certain circumstances it may even substitute orthodontic (braces ) treatment. It is commonly used to alter the length, shape or position of the teeth.

Bonding:

Here we apply enamel like dental composite material on tooth structure. It is sculpted in to shape, hardened with special UV light & finally finishing & polishing done.

Veneers:

These are ultra thin, custom made porcelain laminates bonded directly to the teeth. These are an option to be considered for closing gaps or disguising discolored teeth that do not respond to whitening procedures.

Gum lift:

For those who have a gummy smile.Here we raise & sculpt the gum line.Here reshaping of the tissue and/or underlying bone is done to create the appearance of longer & more symmetrical teeth.

Bite reclamation:

For persons who have a closed or shorter look of face due to execessive wear of teeth. Here we open the bite by temporary bridges & reclaim vertical dimension of the face. Wrinkles on the face disappears & gives a more youthful appearance.

It is a method where a gravely rotted or broke or dead tooth is spared by evacuating its delicate part (mash) from the crown and the base of the tooth. Mash is situated in the center of the crown and foundation of the tooth. It resembles embalming a dead tooth to save it.

WHAT ARE THE INDICATIONS OF RCT?

• Decayed tooth
• Painful tooth
• Non-imperative or dead tooth
• Trauma uncovering the mash
• Grossly attrided tooth
• Intentional RCT

HOW RCT IS DONE?

A Deep Infection

Root canal treatment is required when a harm ora substantial pit uncovered the tooth’s mash and the root gets to be distinctly contaminated or excited.

Course to achieve the mash of the tooth

The dental specialist may numb the tooth in the event that it is difficult. An opening is made through the crown of the tooth to the mash chamber.

Evacuating the Infected/Inflamed Tissue

Extraordinary documents are utilized to clean the disease and unhealthy mash is expelled out of the canals. Then they shape the canals for the filling material. Water system is utilized to clean the canals and expel flotsam and jetsam.

Filling the Canals

The canales are loaded with a changeless latent elastic material called gutta-percha cones. This keeps the canals free of disease or pollution and fills the dead space.

Revamping the tooth

A transitory filling material is put on top of the gutta-percha to seal the opening. The filling stays until the tooth gets a lasting filling or a crown. A crown, in some cases called a top is set over the highest point of the tooth. It would appear that a characteristic tooth

Additional Support

At times, a post is put into the root alongside the gutta-percha. This gives the crown more support.

The Crowning/topping of the root canal treated tooth

To keep the Root canal treated tooth from crack, a counterfeit empty dental crown is built and established over it.

WHAT ARE THE ADVANTAGES OF RCT OVER OTHER TREATMENT PROCEDURES?

• In instance of profoundly carious tooth the main treatment choices are expulsion of tooth or the root canal treatment (RCT). However root canal treatment (RCT) is extremely traditionalist strategy which spares the common tooth.
• Subsequently root canal treatment (RCT) keeps the bone misfortune and keeps up the solidness of the adjoining tooth.
• Most of the time the torment is identified with the mash tissue just and the strategy is pretty much effortless.
• As contrasted with other teeth substitution systems after extraction, sparing the characteristic tooth by root canal treatment (RCT) is very financially savvy and better choice.

Uncovered tooth roots are the consequence of gum subsidence. Gum unite surgery will repair the imperfection and keep extra subsidence and bone loss.

Gum grafts can be utilized to cover roots or create gum tissue where missing because of unnecessary gingival retreat. Amid gum join surgery, your periodontist takes gum tissue from your sense of taste or another benefactor source to cover the uncovered root. This should be possible for one tooth or a few teeth to even your gum line and decrease affectability.

WHAT ARE THE BENEFITS OF GUM GRAFT SURGERY?

A gum graft can lessen advance retreat and bone root. At times, it can cover presented roots to shield them from rot. This may lessen tooth affectability and enhance style of your grin. Whether you have a gum unite to enhance capacity or feel, patients regularly get the advantages of both: a wonderful new grin and enhanced periodontal wellbeing – your keys to grinning, eating and talking with solace and certainty.

Gingivectomy is the procedure to trim abnormally enlarged gums (gingiva). This procedure is usually done by a periodontist (Gum specialist). Gingivectomy may also be done in order to achieve a more aesthetic appearance and/or functional contour. Gingivectomies are frequently performed using LASERS to cauterize away the undesired gum tissue without pain and bleeding

HOW IS IT DONE?

First of all scaling (superficial cleaning) is performed with an Ultrasonic scaler.In the next sitting local anesthesia is administered to the infected gum area by the periodontist . Diseased gum tissue is removed by making a small incision in the gum, and the remaining tissue is reshaped. Lasers can be used here very effectively.With Lasers one might not require local anesthesia. After the procedure, a putty-like substance (periodontal pack) is placed over the area to protect the gums during the healing process.

WHY IS IT NECESSARY? (ADVANTAGES)

Gums might sometimes get abnormally enlarged either due to tartar deposition because of poor oral hygiene or because of the side effects of certain medicines if used for a longer time. This leads to swelling in the gums due to increased blood supply (Inflammation) which manifests as bleeding gums. Gums appear red & spongy. These enlarged gum tissue might harbour lot of bacteria in it which ultimately might loosen your teeth. Also enlarged gums looks unaesthetic (ugly),making your smile unpleasant.

• Gingivectomy cures bleeding gums.
• It brings back the enlarged gums to normal size.
• It improves your smile line.

What are its complications? (Disadvantages)

• May cause mild postoperative pain.
• If not properly maintained it may reoccur.

Gingival flap surgery is a type of gum procedure. The gums are separated from the teeth and folded back temporarily. This allows a dentist to reach the root of the tooth and the bone. During this time, the dentist can clean the deposited tartar and hard set calculus. 

WHEN IS IT PERFORMED?

• Gingival flap surgery is used to treat gum disease (periodontitis/pyorroea).
• It may be recommended for people with moderate or advanced periodontitis.
• Usually, a treatment that doesn’t involve surgery is done first. This is called scaling and root planing. If this treatment does not eliminate the gum infection, gingival flap surgery is indicated.
• Flap surgery is done to treat gum enlargements.
• Bone grafting and guided tissue regeneration are done along with flap surgery procedure, if required.

HOW IS IT DONE?

• First, a local anesthesia is given to numb the area.
• Then the periodontist will use a scalpel to separate the gums from the teeth.
• They will be lifted or folded back in the form of a flap. This gives the periodontist direct access to the roots and bone supporting the teeth.
• Inflamed tissue will be removed from between the teeth and from any defects in the bone.
• The periodontist will then do a procedure called scaling and root planing to clean plaque and tartar.
• If you have bone defects, your periodontist may eliminate them. This procedure is called osseous recontouring. It smoothes the edges of the bone using files or rotating burs.
• After these procedures are completed, the gums will be placed back against the teeth and stitched (sutured) in place.
• Some periodontists use stitches that dissolve on their own. Others use stitches that have to be removed a week to 10 days after the surgery.
• Your periodontist also may cover the surgical site with a bandage known as a periodontal pack or dressing.If bone is deficient , then the periodontist may also put some bone grafting material there.

ARE THERE ANY POST OPERATIVE COMPLICATIONS?

• There can be mild pain, oozing of blood and /or mild swelling.
• After flap surgery, there can be mild gingival recession.
• Temporary sensitivity to hot and cold can be encountered.

Pre & Post operative pictures

Tooth loss can happen for some reasons (periodontal problem, rot or injury). Dentures have been utilized to replace missing teeth for a long time now. Elective techniques used to supplant missing teeth incorporate dental implants and fixed bridges.

The loss of your teeth can affect your confidence, your capacity to bite sustenance and your nibble. Since your teeth give structure and support to your cheeks, tooth misfortune can bring about the sagging of your cheeks and make you seem more established than you are. It is basic that you’re missing teeth are supplanted as quickly as time permits.

Dentures are removable swaps for your teeth, intended to look and capacity like your own characteristic teeth and encompassing gum tissues. Cutting edge dentures can look extremely practical and common and feel great.

At the point when every one of your teeth are feeling the loss of, a total denture is utilized to supplant them, while if just a couple of teeth need supplanting, a fractional denture or overdenture is utilized. Incomplete dentures can keep your current sound teeth from moving after tooth misfortune.

Dentures are for the most part created from acrylic gums. With advances in cutting edge restorative dentistry, there are a wide assortment of materials accessible for dentures, and your dental specialist may give you a few choices, including the most recent adaptable Valplast corrective dentures.