Himachal Dental

Dental Implants : The Secret


A typical implant consists of a titanium screw (resembling a tooth root) with a roughened or smooth surface. The majority of dental implants are made out of commercially pure titanium, which is available in 4 grades depending upon the amount of carbon and iron contained. More recently grade 5 titanium has increased in use. Grade 5 titanium, Titanium 6AL-4V, (signifying the Titanium alloy containing 6% Aluminium and 4% Vanadium alloy) is believed to offer similar osseointegration levels as commercially pure titanium. Ti-6Al-4V alloy offers better tensile strength and fracture resistance. Today most implants are still made out of commercially pure titanium (grades 1 to 4) but some implant systems (Endopore and NanoTite) are fabricated out of the Ti-6Al-4V alloy[10] Implant surfaces may be modified either by plasma spraying, anodizing[11], etching or sandblasting to increase the surface area and the integration potential of the implant.The main benefit provided by implant technology is that the new teeth last a life-time. There are few substances that are biocompatible with the human body – and titanium is one of them. Titanium is very strong at a low weight, and is also extremely resistant to corrosion.
While these features are ideal in serving the mechanical needs,  the most unique feature of titanium is that the bone tissuegrows on, and bonds to, the surface of the titanium.

Damon Braces

Using Damon braces wires are held into the brackets by miniature clips instead of elastic bands. This means there is less friction between the wires and the brackets so that the teeth can move faster.
These brackets are half metal, half white and are a lot smaller than conventional braces. So although they are not completely white or “invisible” when compared to treatments such as invisalign or clearstep, they are sufficiently discrete for patients to be very happy with them.
What are the advantages of Damon Braces?
•Shorter treatment period – less time with braces on!
•The teeth can move faster due the reduced friction between the wires and the brackets. This can reduce overall treatment time by an average of 4 – 6 months.
•More comfortable treatment – easier to get used to your braces.
•The wires exert very gentle forces on the teeth, meaning there is less discomfort when the braces are fitted and adjusted. Less frequent adjustment visits – less time in the dental chair!
•Damon braces do not need to be adjusted as regularly as conventional braces. For the first half of the treatment, visits are 10 weeks apart, instead of 6 to 8 weeks. This means you do not have to attend the practice so often, meaning less time out of work etc.
•Discrete and easy to clean!
•Since the brackets are much smaller than those used in conventional braces, they are less noticeable. Also, as there are no elastic bands used that can sometimes trap food, they are easier to keep clean. *
•Broader Smiles – The Damon system is particularly good at making “wider smiles”, by expanding the side and back teeth.

Get Best Dental Implants In Shimla

Dental implants are probably one of the main contributors of cosmetic dentistry to the world. A dental implant is essentially an artificial replacement that resembles a tooth or a group of teeth. Some of the reasons that lead to tooth loss are dental caries, root canal failure, tooth decay, periodontitis, injury, congenital defects or excessive wear and tear. Dental implants are the best and most effective choice to replace lost teeth. These implants can be of two different types;
1. Osseointegrated implant
2. Fibrointegrated implant

The popularity of dental implants has risen tremendously over the recent years. Some of the main advantages that have led to the popularity of these implants over other tooth restorative options are;
• Implants are stronger and more durable for long term use.
• Implantation is a permanent solution to replace lost teeth.
• Dental implants can be combined with other restorative processes to increase effectiveness.
• Aesthetically Pleasing – they look like real teeth.
• Most implantation procedures are computer-guided which makes them safer and faster and take very little time to heal.
• Implants eliminate the need for cutting natural teeth to replace one missing tooth and offer a permanent solution, that cannot decay.
This procedure has one of the highest success rates in dentistry, but all are not eligible to get a dental implant done. Consult Goma Dental ,we will take your history and examine your teeth and gums to consider you for this restorative procedure.

TMJ Disorders

TMJ, TMD or TMJD, temporomandibular disorder is a condition affecting the temporomandibular joint (TMJ) , which connects the mandible or the lower jaw to the temporal bone of the skull, which is located in front of the ear. The TMJ includes the muscles surrounding the jaw, blood vessels, bones and nerves. A person will have two TMJs, one located on each side of the jaw.
The TMJ mainly works to coordinate movements of the jaw, like chewing and biting. Any disorder in this area will therefore affect the flexibility of the jaw. You may notice pain while talking, yawning or chewing, and even while the jaw is at rest. TMJ disorder can cause intense pain, which can be intermittent, or can be constant and last for many years.
Symptoms of TMJ disorder
•The most common symptom of TMJ disorder is pain, with intense discomfort not just in the face and jaw joint, but also the neck and shoulders.
•You may experience an overstretched feeling in your joints, and may also suffer from muscle spasms.
•There is pain during jaw movements like talking or yawning.
•There can also be ear paining, tinnitus or ringing in the ears, or even hearing loss.
•You may even hear a clicking or popping sound when you move the joint. The sounds may be audible to other people also.
•There may be swelling of the face and mouth.
•There may be a shifting in the position of the teeth, or a change in the bite.
•You may find it hard to open the jaw fully, or the jaw may shift to one side after opening.
•You may experience trouble while swallowing.
•There could be nausea, headache or dizziness.
Diagnosis of TMJ disorder
Since TMJ is accompanied by an onset of pain we will gauge the intensity of pain by administering a “clench” test. If you experience pain in any one tooth or all teeth or the jaw when you bite down, dentist will diagnose it as TMJ. To confirm this diagnosis and to evaluate the position of the temporomandibular joint, your dentist will create mold impressions of your bite, and mount these on an articulator. Through this, your dentist can determine if there is a structural disorder inside the joint, or other factors like uneven teeth are affecting the joint.
Treatment of TMJ disorder
Very few TMJ cases are severe enough to need surgery. Most bite problems can be corrected through restoration or orthodontic treatment.
Dental appliances
If there is no structural disorder in the joint, but your dentist notices interferences that affect the bite, he may suggest correcting the problem using an appliance.
Occlusal equilibration
Occlusal equilibration is the most frequently used option to remove deflective interferences, and enable the jaw to close down properly. It involves the reshaping of the teeth surfaces that are involved in biting. Your dentist will examine the occlusion and the joints, before he recommends a particular treatment.
Mouth guards
The dentist may fit you with a plastic shield that acts like a mouth guard to protect your upper or lower teeth. This guard or splint can protect your teeth against teeth grinding when worn at night. If the splint causes pain, discontinue use.
Surgical treatment
If your dentist believes that your problem is caused by a structural disorder, and if your pain is not relieved through occlusal equilibration or the use of splints, then he will recommend an X-ray. Finally, he may recommend orthodontia, an intra-oral appliance or maxillofacial surgery, depending on the results of the scans. He will refer you to an oral surgeon or a maxillofacial surgeon. Surgery is performed under local anesthesia. Here, two needles are inserted into the temporomandibular joint, one connected to a syringe containing a cleansing solution, and the other acting as an exit for the fluid. This procedure is used to wash out the joint. In some cases, your surgeon will make use of a scalpel like tool to remove any tissue adhesions in the joint.
Another type of surgery to treat TMJ is orthroscopy, in which an incision is made at the temple to insert an endoscope into the area. Using images provided by the endoscope, your surgeon will remove adhesions, or reposition the disc.
Open joint surgery
Open joint surgery is the only option that allows access to any tumors, scarring or worsening bone structure.

First aid for TMJ
To treat intense pain before you meet with your dentist, try the following self help remedies.

•Apply hot and cold packs to the side of the face to lessen the pain. The pack should be applied for 10-minute durations.
•Avoid yawning or other extended jaw movements, and limit the amount of pressure you place on your jaw.
•Eat only soft foods, and avoid foods that require heavy chewing
•If you are under any dental treatment for tooth decay, continue with the treatment.
•Massages and biofeedback can also offer some relief from TMJ.
•Anti-inflammatory drugs, anti-anxiety drugs and anti depressants can provide relief from intense pain.
•Dental appliances like mouth guards can reduce teeth grinding which can enhance your bite, enabling your lower jaw to fit properly into the TMJ socket.
Remember that any TMJ treatment should only be provided by a dental specialist who is highly experienced in this area.

Alternative treatments for TMJ
Alternative treatments for TMJ include TENS (Transcutanaous Electrical Nerve Stimulation), radiowave therapy and ultrasound. Radiowave therapy and TNS work by sending radiowaves or low-intensity energy waves to the affected region to stimulate the flow of blood to the area. These alternative treatments do not work to treat the causes of TMJ, and can only be relied on for temporary relief.

Prevention of TMJ disorder
If you notice jaw pain occasionally, avoid eating hard foods, chewing gum or biting on hard objects. Support your lower jaw with your hand when you yawn. If you find yourself grinding your teeth or clenching your jaw at night, consult your dentist – he may be able to design a splint for you to protect your teeth.

High Powered Magnification

In all phases of general dentistry, the increased visual detail provided by high magnification reduces ambiguity in diagnosis and treatment decision-making, increases control in treatment implementation, allows a dentist to produce more ergonomic restorations that are less prone to recurrent decay, and arguably improves clinical outcomes compared to work performed with unaided vision. High magnification enhances a dentist’s ability to diagnose caries and cracks in teeth, distinguish between different colors intraorally, detect the interfaces between different surfaces and materials, detect microscopic interferences in fixed and removable metal frameworks, adjust occlusal prematurities, and polish restorations. This article explains specific general dental applications for high-powered magnification in restorative dentistry, fixed and removable prosthodontics, endodontics, pediatric dentistry, periodontics, and oral surgery. Most dentists use the naked eye to acquire visual information when treating patients. It can be argued, however, that in many clinical situations, unaided vision and even low-powered magnification (such as 2.5x) will not provide a dentist with all of the clinically relevant visual information needed to diagnose and treat dental pathology rationally.The ability to perceive microscopic details provided by high-powered magnification (4x–6x or greater) may improve a dentist’s ability to deliver optimal dental therapy, which also may quantifiably improve treatment outcomes such as tooth lifespan and patient satisfaction.
There are several general reasons why high-powered magnification provides more clinically relevant visual information to general dentists than unaided vision. Dental caries is a disease that originates at the microscopic level. It is associated with microscopic risk factors such as tiny plaque or food traps and features microscopic manifestations of disease, including thin demineralized grooves, tiny discolorations on a tooth surface, and pinpoint breaks in tooth structure that may lead to extensive decay. High magnification reveals these aspects of dental caries. Intraoral prosthetic devices have minimal tolerance of fit and microscopic interferences may prevent crowns, bridges, and removable partial denture frameworks from seating fully. These interferences may be located on the metal understructures of fixed or removable prostheses; they also may result from subtle convexities or undercuts on the teeth where these prostheses are to be seated.
High magnification improves a dentist’s ability to differentiate between subtle shades of color intraorally, which is important when diagnosing and treating dental pathology. Finally, loupes or microscopes with a long working distance allow dentists to maintain a longer distance from the patient during dental work, improving the dentist’s posture and reducing the risk of exposure to aerosols and spatter.High magnification can aid in examining, diagnosing, and treatment planning; in addition, high magnification in combination with a microscope or loupes attached to a digital camera makes it possible to document a patient’s dental condition.5 It allows a dentist to locate tiny, clinically relevant discolored areas on a tooth (for example, within transilluminated Class III interproximal surfaces) and to detect tiny gaps in restorations or crowns when using an explorer. When performing operative dentistry, dentists can use high magnification to see the subtle color contrasts between carious and healthy tooth structure on a microscopic scale. High magnification is helpful in assuring dentists that caries has been entirely removed from the margins of the future restoration.High magnification is useful when preparing crown and bridge abutments and seating restorations particularly in evaluating undercuts.High magnification aids in detecting supra- and subgingival plaque and calculus biofilms.When extracting a tooth, dentists can use high magnification to sense and fully exploit all of the potential purchase points of the straight elevator. Dentists can sense subtle or microscopic differences in the angles and directions of tooth movement while luxating.Magnification also allows dentists to better identify anatomical landmarks within the pulp chamber—including the sides, overhanging walls that are remnants of the pulp chamber roof, and initial perforations into the pulp—and to differentiate between the pulp horns and the main body of pulp within the chamber. Magnification aids in locating the mesiobuccal-2 canal and other accessory canals of maxillary molars. High magnification is essential for seeing cracks or craze lines that are too subtle to see with unaided vision and for helping dentists to determine the cause of general sensitivity (pulpal pathology, high restoration, or a crack) while chewing.High levels of magnification increase the aggregate amount of visual information available to dentists for diagnosing and treating dental pathology, which may allow dentists to develop ways of solving a given dental problem that differ from those used by dentists who use unaided vision. Dentists who use high magnification may be able to develop expertise at an accelerated rate. Dentists who use high magnification may diagnose and treat dental pathology with greater complexity and are more likely to be certain about the causes of a patient’s symptoms, compared to dentists who use unaided vision.

Is Dental Implant Suitable For Everyone

dental_implant_price_londonDental implants can be placed in patients of any age (with fully developed jawbones), provided that they have a sufficient quantity and quality of bone tissue available. Most healthy individuals that maintain a good oral hygiene program are suitable candidates for dental implants. Circumstances where implants may not be suitable, or situations that have an increased risk of implant failure, include:

Heavy smoking – this slows down and hinders the healing process.
Excessive alcohol intake – disrupts healing of the gums. 
Periodontal gum disease – all active gum disease must be treated prior to any implant procedure to ensure the long-term success of any treatment. Periodontal disease is a major cause of bone loss, which would hinder the success of any implant procedure.
Immuno-compromised individuals (steroids, auto-immune disease, patients undergoing radiation treatment).
Teeth grinders (bruxism) – a night-time splint can be given to treat this.

Ultra Thin Veneers-Lumineers

Lumineers are a special type of ultra-thin veneers by Cerinate. Just like traditional veneers, Lumineers can reshape your smile and give you that perfect smile makeover. They can cover gaps between teeth and enhance the appearance of worn-down and discoloured teeth.
The main difference is that Lumineers are made from a special patented cerinate porcelain that is very strong but much thinner than traditional laboratory-fabricated veneers. Their thickness is comparable to contact lenses, and so they are often called contact lenses for your teeth. The main advantage of these ultra-thin veneers is that minimal tooth preparation is required. In other words, very little – if any – of your natural tooth structure needs to be removed through shaving or grinding prior to bonding the Lumineers over your natural teeth. As a result, the procedure is often reversible, since your natural tooth structure is left intact, unlike traditional veneers, where a significant amount of your tooth structure may need to be removed. Click here read more about traditional veneers and the procedure involved. Lumineers are so versatile that they can be placed over existing crown and bridge work, without the need to replace them. They are the perfect solution for stained, chipped, discoloured or slightly misaligned teeth.

Computer Guided Implantology

Modern implantology uses techniques that can provide function, esthetics, and comfort with a minimally invasive surgical approach. Flapless implant surgery has been proposed to fulfill these requirements. Traditionally, flapless implant surgery was carried out by using a tissue punch technique, which may be potentially harmful because of the inherent blindness of the technique.
Using dedicated interactive computer software programs and 3D radiographic techniques such as computed tomography (CT), the precise location of each implant is planned. Using the concept “prosthetic-driven implantology,” surgery is carried out for the rehabilitation of patients. Based on three-dimensional implant planning software for computed tomographic (CT) scan data, customized surgical templates and final dental prostheses are designed to ensure high precision transfer of the implant treatment planning to the operative field and an immediate rigid splinting of the installed implants, respectively. There is no doubt that three-dimensional oral implant planning software, of both surgical templates for flapless surgery and dental prostheses for immediate loading is a very reliable treatment option.

Rotory Endodontics

Rotory endo

Chemo-mechanical preparation is an integral part of conservative root canal treatment . However, during the last decade several new types of continuously rotating instruments were introduced. The evolution from hand- to engine-driven techniques was facilitated by manufacturing rotary instruments from nickel–titanium with its array of special properties . Initially, hand instruments were fabricated from nickel– titanium.Initially Nickel–titanium files, particularly the engine-driven types,were prone to fractures. Various test for Torque measurements cyclic fatigue tests, torsional moments and forces exerted during actual canal preparation were carried out using straight canals . However, nickel–titanium instruments are particularly helpful for successful shaping of curved canals. Several studies using simulated canals in plastic blocks have repeatedly proved that canal anatomy influences the performance of instruments .
To date, several torque-controlled low-speed motors have been introduced to help reduce the incidence of separation when using rotary instruments (TriAuto ZX, Morita, Dietzenbach, Switzerland; Endostepper, S.E.T., Germering, Germany; ART-Teknika, Dentsply Maillefer).The efficacy of torque-controlled motors can be improved by relying on data collected during canal preparation.

Gingival Depigmentation for Esthetics

Brown or dark pigmentation and discoloration of gingival tissue, whether psychological or pathological, can be caused by variety of systemic or local causes. Frequently gingival hyperpigmentation is caused by excessive melanin deposition mainly located in the basal and suprabasal cell layers of epithelium.
Gingival depigmentation is a periodontal plastic surgical procedure where the gingival hyperpigmentation is removed or reduced by various techniques. The first and foremost indication for depigmentation is patient demand for improved esthetics.
Different techniques employed for Gingival depigmentation
Surgical Methods aimed at removing the pigment layer
     Scalpel surgical technique
     Lasers (Nd;YAG,CO2 lasers)
Methods aimed at masking the depigmented gingival with grafts from less pigmented areas
     Free Gingival Grafts
     Acellular Dermal Matrix Grafts

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