Himachal Dental

Dental Payment Plans Available In Shimla

Posted in Dental Promotions by UK Dental Tourism on July 4, 2010

At the Goma Dental located in Shimla we offer a wide variety of payment plans. Dr. Goma will work with you on your time table and within your budget. Because he spends time discussing your individual needs he can also stretch your treatment to maximize your insurance benefits or if you are uninsured we have The Dental Plan.

Payment plans at our office include:
Cash-With this payment we will give you a 5% courtesy adjustment for prepayment on treatment.
Credit cards- We accept American express, Visa and Master Card.
For extended payments we can create an automatic payment that gets drawn out of your credit card on a monthly basis.
Care Credit- This gives you the option to pay interest free for up to one year. Many of our patients choose this option if the plan is a larger plan.

If you don’t have dental insurance our Dental plan includes:

2 exams, 2 cleanings, complete set of digital xrays, series of digital photographs, and 12% off of any dental procedures.  All of this for Rs2000 per year which is less than 50% of the cost for an initial visit.

If you have questions about any of our payment plans please call our office at 177-6450704 or email us at contact@himachaldental.com

Treatment Of Sleep Apnea

Posted in General Dentistry by UK Dental Tourism on July 3, 2010

You may well have heard of sleep apnea. There has been a lot of coverage of this condition in the media over the last few years but many people are still confused about the exact nature of apnea, what causes it and how it can be treated.

The most important thing to realise is that sleep apnea is not simply the same as snoring or even a variant of it. Snoring is cause by soft tissue vibrating when breathing during sleep. Apnea is the complete cessation of breathing during sleep and the noise of choking associated with this. As you can see it is definitely a more serious problem than but there are two variants of sleep apnea that are very distinct.

The most common signs people should be aware of include: excessive sleepiness during the day, and repeated shortness of breath while sleeping. Your bed partner may be the first one to notice these apnea indicators

The sleep apnea disorder may also have associated features which helps people ascertain if they have the condition or not. Some of these sleep apnea symptoms include;

– loud snoring
– depression
– heartburn
– high blood pressure
– irritability
– dry mouth after waking up
– having trouble concentrating or remembering
– in some cases, insomnia
– morning or night headaches
– unexpected gain in weight

Sleep apnea symptoms differ from person to person, and some patients even suffer from multiple of these signs. To help diagnose the severity of the said sleep disorder, a sleep apnea test can be taken.

The first is called obstructive sleep apnea and occurs when the airway becomes blocked by a collapsing soft palate at the back of the throat. This will eventually right itself after a few seconds but can happen many times during the course of a night. This is the less serious form of apnea and can usually be treated with an appliance from your dentist.

The other kind of apnea is called central sleep apnea and is concerned with an interruption in the central respiratory part of the brain, which forgets to send a message to the lungs to breath. As you can imagine this is a slightly more serious problem and needs more serious medical attention. Central sleep apnea can be the underlying cause of stress, anxiety, fatigue and in extreme cases, even death. If you are concerned about sleep apnea of any kind then you need to make an appointment with your dentist to have the problem treated as soon as you can.

No doubt you’re tired and not thinking too clearly. For the great majority of sufferers there is only one option offered – CPAP. It is not an easy solution to accept and has many drawbacks. But for those suffering with daytime fatigue and worry over long term serious health effects, it is a lifeline.

However, it’s important to understand that there are CPAP alternatives.Let’s start with the easy ones!Here are some alternative sleep apnea treatments that are the easy to do – but they will not completely cure your apnea. What they WILL do is help you to get a better night’s sleep while you are looking into permanent apnea solutions.

# Change your sleeping position involving sleeping on your side, instead of on your back.
#Breathing solutions which include nasal strips and saline drops.
#Didgeridoo therapy involving breathe control therapy focusing on strengthening the airway muscles and calming.
#Lifestyle changes that can improve apnea include the reduction or elimination of drinking, smoking, and drugs.
#Dental device (also called Oral device)that is worn in the mouth to bed and holds your jaw in a forward position, which opens your airway. After a referral from your doctor, a dentist will make a mold of your teeth and create a mouthpiece.
#Acupuncture which may facilitate release of body-healing hormones.
#Throat surgery – especially if your apnea is caused by a problem with the structure of your airway.These include the removal of the uvula, adenoids, and tonsils. Other procedures involve stiffening of the upper throat with implants, and repositioning (advancement) of your tongue.
#Nasal surgery can be an effective treatment for some sleep apnea sufferers. Nasal surgery can include any of the following types of surgery:

o Straightening of the septum
o Reduction in size of the turbinates, either through tissue removal or radio frequency to reduce underlying bony structure
o Removal of inflamed or infected tissue in the sinuses
o Enlargement or removal of bony tissue in the upper sinus area

Sleep apnea can be the underlying cause of stress and anxiety in everyday life as it prevents the sufferer getting the necessary amount of proper sleep. More worryingly though is the fact that it can put an enormous strain on the heart which can lead to heart disease and even fatal heart attacks. If you or a loved one is suffering from sleep apnea it is important that they see a dentist for diagnosis and treatment as soon as possible.

Are Resin Restorations Better Than Amalgam Fillings ?

Posted in Cosmetic Dentistry by UK Dental Tourism on July 2, 2010
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Many of us have received amalgam (silver) fillings, but Dr. Goma’s cosmetic dentistry practice has made noticeable metal fillings a thing of the past. Aside from creating a more appealing smile visually, metal-free fillings may also be better for your health. Despite warnings and scientific proof that metal-free fillings are a better choice than metal amalgam fillings, many patients are not well-informed as to the benefits of metal-free fillings and the risks of metal amalgam fillings.For over 100 years, dentists have been using silver-mercury amalgam fillings to restore decayed or broken teeth.   These materials contain about 50% mercury combined with silver and other metals.  The worked well but they are not only ugly and unnatural in appearance, but they have the potential of creating fractures in the teeth cause by the expansion and contraction of the mercury within the filling.  In the past the only other alternative was gold and that was too expensive for most folks.

For about the last 10 years or so there has been an economical way to beautifully restore teeth in the Shimla area  using tooth-colored resin fillings.  The resin is made up of glass particles in a plastic matrix which is like clay as we mould it and shape its surface.  We bond the putty-like material to the tooth with a high-intensity light.  This hardens the material and allows it to be shaped and polished for immediate use.

Once completed, the tooth has a natural appearance and is actually stronger than before due to the strength of the adhesive agent used to bond the resin to the tooth. Because these fillings bond to the teeth they can remain very small whereas in the past the silver-mercury fillings had to have a large hole drilled to hold the filling in place.  Resin restorations not only look better, but they are stronger and last longer than the old silver-amalgam fillings.

Resin restorations are slightly more costly than the amalgam fillings because of the time and expertise required to place them is much greater.  The benefits of increased natural beauty and safety are worth the difference in price.

Because of its durability, dental amalgam (mercury based) are still widely used in India. 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.Please call our Goma Dental office at  177-6450704 to have any questions you may have about the benefits of resin restorations.

Gel That Can Regenerate Tooth Tissue

Posted in Dental News by UK Dental Tourism on July 1, 2010

After testing their idea on cell cultures and laboratory mice, scientists in France suggest that a new biomaterial shown to regenerate bone could be used as a gel inserted in tooth cavities to encourage tooth regeneration, thus avoiding the need to drill and fill the teeth.

The study was the work of co-author Dr Nadia Benkirane-Jessel, a scientist at the Institut National de la Sante et de la Recherche Medicale (INSERM) Faculty of Medicine in Strasbourg, France

The purpose of the gel would be to control cavities after they develop, it was not like toothpaste, so people would still need to keep brushing and flossing to prevent the cavities in the first place, reported Discovery News.

Dentists save millions of teeth every year by drilling and filling and doing root canal therapy, and there is a high rate of success in such procedures, but the researchers hypothesized that a better approach might be to remove decayed or diseased dental pulp and replace it with healthy tissue that revitalizes teeth.

For the patient this could be an attractive alternative because it would mean no more drilling: just a quick dab of gel on the infected tooth and it would heal from within, said Berkirane-Jessel. However, the researchers also said the method would probably only work for a small number of cases: most cavities would still have to be drilled and filled.

The researchers decided to try a version of a peptide called MSH (melanocyte-stimulating hormone), that had already been shown to regenerate bone. The version they used is called PGA-a-MSH, a chemical combination of poly-l-glutamic acid (PGL) and alpha-MSH.

They tested the biomaterial on cultures of human dental pulp fibroblasts, the cells that produce the collagen and other extra-cellular materials that form the structure of new tissue, and found it had “potential effects in promoting human pulp fibroblast adhesion and cell proliferation”.

They concluded that:

“Our results indicated clearly that, by using PGA-a-MSH, we increase not only the viability of cells but also the proliferation.”

When they did a nanoscale examination of the new tissue using atomic force microscopy they found an increase in the thickness and roughness of its structure that was consistent with an “increase of the proliferation of the cells growing on the surface of these architectures”.

“We report here the first use of nanostructured and functionalized multilayered films containing a-MSH as a new active biomaterial for endodontic regeneration,” they added.  For more info please visit  Medical News Today

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