Himachal Dental


Immediate Loading Dental Implants

“One of the most critical (perhaps the most critical) factors in successful osseointegration of an implant is stability in the bone at time of placement. Relative motion between the implant body and the surrounding bone during the early healing phase is considered to be a high risk factor for early implant loss as failure of osseointegration occurs” The term osseointergration means how the implant fuses with the bone. During the critical healing period, a loaded implant would be at greatest risk of realitive motion and would theoretically be most susceptible to failure of osseointergration. Loading the implant means the time when the crown, bridge, or denture is placed on the implant and used for biting and chewing.

It is very popular now to “immediate load” an implant but there is not complete agreement in the profession as to how soon and in what locations this is prudent. We, in consultation with our surgeons, decide what patients are good candidates for immediate load. The advantage of course is you get your restoration sooner, but at what cost? The idea is for your implant to last as long as possible.The concept of immediate implant loading has recently become popular due to less trauma, reduced overall treatment time, decreased patient’s anxiety and discomfort, high patient acceptance and better function and esthetics. Nonetheless, research and understanding in this area are confuse and sometimes contradictory. Hence, it is the purpose of this review to provide rational for immediate implant loading, summarize current available literature, and analyze factors that influencing this newly introduced treatment method. Results from this review indicated that immediate implant loading achieved similar high success rate as that noted in the conventional approach (delayed protocols). However, a careful case selection, proper treatment plan, meticulous surgery and proper design of prosthesis are essential for optimal outcomes when this approach is adopted.

This procedure has one of the highest success rates in dentistry, but all are not eligible to get a dental implant done. Consult a  dentist who will take your history and examine your teeth and gums to consider you for this restorative procedure.For More information please contact Goma Dental at177-645-0704.

Dental Tourism : Shimla in the Himalayas

Medical Tourism is a developing concept whereby people from all over the world visit other countries for their medical and relaxation needs. As health care costs skyrocket, patients in the developed world are looking overseas for medical treatment. We, at HimachalDental, are capitalizing on its low costs and highly trained doctors to appeal to “medical tourists.” Even with airfare, the cost of going to India for surgery is markedly cheaper, and the quality of services is often better than that found in most countries. Indeed, many of our patients were pleased at the prospect of combining their oral-facial maxillary surgery or prosthesis on their implants with a trip to Holiday Destinations In India, all courtesy of HimachalDental world-renowned services.

Not only do you save an enormous amount of money — since offshore dental procedures can be performed for as little as one-fourth the cost of what would normally be charged in the Western states, with state-of-the-art facilities to boot, you also get to enjoy VIP services, such as personalized hotel accommodations, free shuttle services to and from the airport, and absolutely to-die-for hotel accommodations, restaurants, spas, and vacation packages anywhere India.

The reason HD is often referred to as “a patient’s dental paradise” is because our infrastructure and technology, is at par with those in the advanced countries. It is one of the first dental centers in the Himachal to take advantage of the country’s positive image as a destination for medical tourism due to its world-class dental care and modern technology, with procedures delivered at a fraction of the cost of those in developed countries. In addition, the services of hotel bookings, pick-up services, city tours around Shimla may be included as part of the dental tourist’s package – making it one of the most convenient and well-planned dental tourism packages offered in the country today.

Since  India is also one of the most favorable tourist destinations in the world, dental medicine combined with tourism has come into effect, from which the concept of Medical Tourism is derived. What’s more, we have developed links for speedy treatments for foreign nationals on account of the fact that in those countries one has to wait for extended periods of time to undergo operations. Here, at HD, our focus is on giving you our closed attention and the finest of dental care. We maintain our notable full service operation in all levels of dentistry to ensure you the utmost possible care. Renowned as a pioneer in one-stop dental treatment in Shimla, we extend our full dental service to welcome you at the gate of India.

Dental Implants : Permanent Solution For Missing Teeth

Dental care has made vast improvements during our lifetime, yet millions of people experience tooth loss because of injury, gum disease and tooth decay. For several years, the only way to replace a missing tooth was with dentures or a dental bridge.Now dentists are offering patients the benefits of dental implants. Unlike traditional treatments of crowns, bridges , root canals and dentures dental implants offer a permanent solution for your missing teeth actually mimicking your natural teeth.

Dental implants are replacement tooth roots that are placed within the jawbone after a tooth is lost. After the implant is in place, a replacement tooth is attached or it may be used to anchor a dental bridge more securely. Implants are typically made from and provide a solid foundation for permanent or removable teeth that are designed to replace missing teeth. By using an implant to fill the space in your smile, you may also prevent other dental problems.

There are three most common types of dental implants:

Root form dental implants are the most common. A root form implant is a screw-type implant shaped like the root of a tooth. It is placed under the gums and directly into the jawbone.

If the jawbone has deteriorated, too short or too narrow for a root form implant, a plate dental implant may be used. The plate form is a longer, flat piece of titanium placed beneath the gums and on top of the jawbone.

These implants are used only when there is not enough jawbone to support either a root dental implant or a plate dental implant. This dental implant is custom made and attached directly to the jawbone to strengthen the surface.

Making the decision to have dental implants can genuinely be life altering for someone who has missing teeth. There are numerous advantages to having permanent a replacement for a lost tooth. Dental implants:

-Look and feel like your own teeth
-Are designed to fuse with your jawbone so they become permanent
-Allow you to speak without the worry that your dentures/teeth may slip
-Eliminate the discomfort of removable dentures
-Work like your own teeth, allowing you to eat foods with confidence
-Give you back your smile and help you feel better about yourself
-Are durable and will last many years –with good care, some implants last a lifetime
-Implants eliminate the need for cutting natural teeth to replace one missing tooth
-Offer a permanent solution, that cannot decay

Implant however, is not an option for everyone, as it requires surgery, patient should be in good health and further patients must have an adequate bone to support implant.But missing teeth can be replaced with naturally looking stronger materials with the latest advances in technology.It’s important to be aware that dental implants require the same care as real teeth, including brushing, flossing, and regular dental check-ups.

If you are missing one or several teeth and would like to consider implant dentistry to replace them, contact your dentist to schedule a consultation.

Dental Bridge Can Get Your Smile Back

Having a missing tooth can be embarrassing and can cause you to be afraid of smiling, but with a dental bridge it is possible to achieve a realistic and natural looking smile that could restore your confidence.. Several types of dental bridges exist that can be classified as; traditional bridges, resin-retained bridges, and cantilever bridges. There are also many different designs that can be incorporated into these classifications. Your  dentist will explain these bridges to you.

Basically, traditional and cantilever bridge tooth/teeth replacement involved preparing the adjacent teeth surrounding the missing tooth/teeth. These are prepared into peg-like or barrel-like shapes, and the bridge is then made to fit over these pegs and also replace the missing tooth/teeth. If you picture a regular bridge in the outside world, you will get a good idea of what a bridge is. The missing tooth portion of the dental bridge is referred to as a pontic, while the prepared teeth are called abutments. The resin-retained bridge will not require as much tooth preparation and is usually used in the front of the mouth. The teeth are minimally prepared and the bridge is made and cemented using a resin material. Thus, it allows replacement of the tooth without damaging the adjacent teeth. This is an excellent choice if the adjacent teeth do not have any decay and/or fillings.

Your  dentist will perform a complete intro-oral examination, together with X-rays, and a periodontal and bite analysis.  Dental impressions are then taken of both the area of the missing tooth/teeth, the prepared teeth, and the opposing teeth. A bite registration is also taken so that the dental laboratory can line the teeth up, and a tooth shade is chosen. These are all sent to a dental lab that fabricates the final bridge. During this time, you will be wearing a temporary bridge to keeps your teeth from shifting and becoming sensitive.

Dental bridges are effective substitutes for real teeth. They are fixed substitutes unlike partial dentures or dental plates, so patients do not have to worry about the embarrassment of them falling out. If properly cared for and cleaned, a dental bridge can last for more than ten years. If you have suffered the pain of a knocked out or decayed tooth, ask your dentist about a dental bridge and you could restore your teeth to full functionality and restore their cosmetic appearance.

Form of Mercury in Older Dental Fillings Unlikely to be Toxic

University of Saskatchewan research team found that surface forms of mercury in older “silver” fillings (also known as amalgams) may be less toxic than previously thought. But due to the significant mercury loss over time, human exposure to mercury lost from fillings is “still of concern” and that further research is needed to determine when, how and in what form mercury is lost from fillings.  Despite the fact that their finding is far from conclusive, we still should have our old fillings checked during our routine visits (at least once every 6  months) to our dentist.

Dental Amalgam ( Mercury) Fillings may be less toxic than previously thought.

Amid the on-going controversy over the safety of mercury-containing dental fillings, a University of Saskatchewan research team has shed new light on how the chemical forms of mercury at the surface of fillings change over time.an amalgam filling

Their work, just published in the American Chemical Society journal Chemical Research in Toxicology, shows that the surface forms of mercury in older “silver” fillings (also known as amalgams) may be less toxic than previously thought.

“The dental amalgam on the surface of an old tooth filling may have lost as much as 95 per cent of its mercury but what’s left is in a form that is unlikely to be toxic in the body,” said U of S Canada Research Chair Graham George who led the study.

But the team cautions that due to the significant mercury loss over time, human exposure to mercury lost from fillings is “still of concern” and that further research is needed to determine when, how and in what form mercury is lost from fillings.

Mercury-based fillings have been used by dentists to repair teeth for well over a century. But in recent decades, their use has become controversial due to concerns about exposure to potentially toxic mercury.

“Mercury can potentially exist in several different chemical forms, each with a different toxicity,” said George. “Prior to our work, little was known about how the chemical forms of mercury in dental amalgam might change over time.”

The team used a special X-ray technique at the Stanford Sychrotron Radiation Lightsource to probe the amount and chemical nature of mercury at the surface of both freshly prepared metal fillings and aged fillings (about 20 years old) obtained from the U of S dental clinic’s tooth bank.

While the fresh fillings contained metallic mercury, which can be toxic, aged fillings contained a form of mercury called beta-mercuric sulfide or metacinnabar which is unlikely to be toxic in the body. For this reason, grinding or polishing during dental cleaning is unlikely to cause any toxic effects.

But of potential greater concern is the nature of the surface mercury lost from fillings. This may be due to evaporation (with subsequent inhalation and leaching of mercury into saliva), exposure to some kinds of dental hygiene products such as those containing peroxides, exposure to certain sulphur-containing foods (such as onion and garlic or coffee), or other factors.

“Possibly this missing mercury is in the less toxic form of mercury (metacinnabar) abraded from the surface of the filling. Or alternatively, it may be mercury lost prior to formation of the metacinnabar through various types of exposures,” said George.

Because of its durability, dental amalgam (mercury based) are still widely used in North America and other developed countries. With new types of tooth colored fillings, most dentists are gradually phasing out its use.  This is a matter of  personal choice to ensure that our patients are not exposed to unnecessary health risk but is definitely a good news for concerned patients with old amalgam fillings.

Tooth Replacement : Dental Bridge

Having a tooth knocked out or losing it to dental decay can be a very painful experience but people rarely consider the pain and anxiety that comes as a result of a missing tooth. Firstly, a missing tooth can be very embarrassing, especially in the teeth visible when smiling or talking. This can have serious repercussions for a patient’s self-confidence and esteem.

But a missing tooth can have more than just psychological effects on a patient. A missing tooth in the dental arch can create a breeding ground for bacteria. Because the soft tissue is difficult to clean with a regular brush, it needs special attention to keep the hollow clean and prevent the spread of dangerous infections. A vacant space in the arc can also cause the remaining teeth to lean and shift about. This can cause irritating alterations to bite . If left untreated this irritation can develop into a painful jaw condition called TMJ problems. It can also be the cause of sub-conscious teeth grinding known as bruxism. In cases where more than one tooth is lost, the loss of the rigid teeth structure can cause the facial tissue to sink, a process which becomes irreversible of not addressed in sufficient time.

It is therefore important to replace missing teeth as soon as possible. One of the most common artificial dental substitutes is called a dental bridge.A bridge, also known as a fixed partial denture, is a dental restoration used to replace a missing tooth by joining permanently to adjacent teeth or dental implants. This involves making a bridge from an artificial tooth attached to existing teeth on either side of the gap. If teeth are healthy and strong, the artificial tooth, known as a pontic from the Latin word for bridge, is attached with resin-bonded strips. If the teeth are not of sufficient quality the pontic will be attached to crowns cemented over the adjacent teeth.The materials used for the bridges include gold, porcelain fused to metal, or in the correct situation porcelain alone.

Dental bridges are effective substitutes for real teeth. They are fixed substitutes unlike partial dentures or dental plates, so patients do not have to worry about the embarrassment of them falling out. If properly cared for and cleaned, a dental bridge can last for more than ten years. If you have suffered the pain of a knocked out or decayed tooth, ask a your dentist about a dental bridge and you could restore your teeth to full functionality and restore their cosmetic appearance.

How To Select A Cosmetic Dentist ?

The number of dentists in  many parts of the world that are offering cosmetic dental procedures is increasing all the time. Cosmetic Dentistry includes a large variety of procedures and techniques that are used individually and in various combinations for the purpose of enhancing, altering or completely changing your smile. The later is often called an extreme makeover smile.

Finding a qualified cosmetic dentist requires careful consideration and caution.When you select a cosmetic dentist, you are selecting a dental professional who will help you change your appearance by changing the look of your teeth and your smile. It is a very personal and important choice. Most cosmetic dental procedures are not reversible, so you will want to take your time, ensure that you feel comfortable with the dentist, and that you feel confident with his/her skills and capabilities. When you do, you will likely be happy and completely satisfied with the results that are achieved with the cosmetic dentistry treatment you receive.

If there are any complications during a cosmetic dentistry procedure, an experienced cosmetic dentist will be more adept at handling the situation. In addition, a cosmetic dentist who has performed many complicated dental procedures will have had more time to perfect his or her technique and results. Cosmetic dentistry treatments like dental veneers and bonding require an artistic touch to produce the most attractive and natural-looking results. Choosing the best possible cosmetic dentist near you requires evaluation of many things. When you plan cosmetic dental work to enhance, alter, or change your smile, it is important that you choose a qualified and experienced cosmetic dentist. Cosmetic dentists who have performed numerous complicated dental procedures will have had more time to perfect their techniques. Cosmetic treatments like porcelain veneers, tooth-colored fillings, and crowns on dental implants require an artistic touch as well as superior technical ability to produce the most attractive and natural-looking results.

“Hollywood” Smile Makeover : Porcelain Veneers

If you have unsightly amalgam fillings, tooth discoloration, or uneven teeth, it may be to your advantage to have porcelain veneers. While these coverings will not necessarily add any strength to your teeth, they will make them look much more attractive. Today, when you visit a dentist , you can have porcelain veneers created for you.

In dentistry, a veneer is a thin layer of restorative material placed over a tooth surface, either to improve the aesthetics of a tooth, or to protect a damaged tooth surface. There are two main types of material used to fabricate a veneer, composite and dental porcelain. A composite veneer may be directly placed (built-up in the mouth), or indirectly fabricated by a dental technician in a dental laboratory, and later bonded to the tooth, typically using a resin cement such as Panavia. In contrast, a porcelain veneer may only be indirectly fabricated.Depending on the size of the area that needs to be filled in, your dentist may need to do a small amount of drilling. Typically, most patients do not require anesthesia for this process. That said, if you are nervous about dental drills, your dentists will do everything possible to help you relax and feel comfortable. For the most part, you will find that having porcelain veneers placed is far less distressing than getting cavities filled.

Traditionally, a reduction of approximately 0.5 mm is required for a porcelain veneer. Once the surfaces of your teeth are prepared for veneer insertion, your dentist will need to take molds of each tooth surface. From there, the porcelain veneers will need to be custom designed. In most cases, you will need to come back for a second visit in order to have the veneers bonded to you teeth. While this is not a painful process, you will be very relieved to see how much better you look with your new porcelain veneers in place.

As may be expected, veneers are primarily used to help create an even and beautiful smile. Therefore, you may find that you will need several veneers inserted at the same time. This will help create even coloring for all of your teeth, as well as make it easier for your dentist to create a harmonious balance that will create a perfect smile. Perhaps best of all, once your porcelain veneers are in place, you can enjoy a bright, beautiful smile for years to come.

Dental Implants :Greatest Alternative To Natural Teeth

Dental Implants enable you to replace missing teeth and recapture the beauty and health of your smile after tooth loss.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.

A dental implant is a metal fixture (usually a screw) that is surgically placed into the jaw bone. It takes on the role of an anchor within the mouth, for a false tooth or a set of false teeth. Then when dental work such as a crown, fixed bridge or a full set of dentures is added, one or more missing teeth can be replaced.

Mini dental implants or a standard dental implant are fabricated from a very strong, bio compatible material. After an initial healing period, during which the implant fuses itself to the bone. Small metal posts are then secured in place to support the artificial tooth.

Dental implant treatment has the power to change your life. Missing teeth can significantly affect your self-esteem, confidence and facial appearance. Just a few of the benefits Dental Implants surgery offers patients:

• Dental Tooth Implants look and feel so natural that you may forget you ever lost a tooth.

• After your dental implants procedure many patients find they can eat and speak as they did previously – foods that were forbidden are now back on the menu.

• Increased preservation of bone and decreased gum tissue shrinkage providing permanent solution to replace lost teeth.

• Titanium Dental Implants don’t sacrifice the quality of your adjacent teeth (i.e. this can occur in bridge treatment) does because neighboring teeth are not altered to support the implant.

• Most implantation procedures are computer-guided which makes them safer and faster and take very little time to heal.

Dental Implants Dentures will give additional support, security and freedom from the clicks and wobbles of traditional dentures. You can say goodbye to worries about misplaced dentures and messy pastes and glues.

Whether you have one missing tooth and require one dental implant or you require full dental implants for all of your missing teeth – a dental implants dentist can help you.This procedure has one of the highest success rates in dentistry, but all are not eligible to get a dental implant done. Consult your dentist who will take your history and examine your teeth and gums to consider you for this restorative procedure.For more information on dental implants in your area please call Goma Dental at 177-645-0704.

Advantages Of Tooth Colored Fillings

At the Goma Dental, we have seen tooth-colored fillings quickly replace traditional metal fillings as the filling of choice for patients wanting a natural, healthy-looking smile.

Tooth-colored, or white, fillings are the fillings made out of a composite resin that is the same natural color as your own teeth. They are often bonded to the tooth, which helps to strengthen it.As with other composite materials, a dental composite typically consists of a resin-based oligomer matrix, such as a bisphenol A-glycidyl methacrylate (BISMA) or urethane dimethacrylate (UDMA), and an inorganic filler such as silicon dioxide silica. Compositions vary widely, with proprietary mixes of resins forming the matrix, as well as engineered filler glasses and glass ceramics. The filler gives the composite wear resistance and translucency. A coupling agent such as silane is used to enhance the bond between these two components. An initiator package(such as: Camphorquinone (CQ), Phenylpropanedion (PPD) or Lucirin (TPO)) begins the polymerization reaction of the resins when external energy (light/heat, etc.) is applied. A catalyst package can control its speed.

In addition to their natural appearance, tooth-colored fillings are generally preferred by cosmetic dentists because they require the removal of less tooth structure than silver fillings, allowing you to keep more of your natural tooth.The main advantage of a direct dental composite over traditional materials such as amalgam is improved aesthetics. Composites can be made in a wide range of tooth colours allowing near invisible restoration of teeth.While somewhat more expensive than silver fillings, tooth-colored fillings are widely considered the better choice due to the fact that they strengthen the tooth. Plus, they don’t contain mercury, which is considered by many to be a toxic substance.

If you currently have silver fillings, they can be easily replaced with tooth-colored fillings to match your own teeth. If you have a new cavity, you may want to consider a tooth-colored filling over a silver filling.With proper care, tooth-colored fillings can often last 5 to 10 years before needing replacement.For more information on white fillings please call Goma Dental at 177-645-0704.

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