Himachal Dental

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.


One Hour Teeth Whitening In Shimla

Posted in Cosmetic Dentistry by UK Dental Tourism on February 22, 2010
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Discolored or badly stained teeth can be very embarrassing and cause the patient to be very anxious and self-conscious about their appearance. It can make people very reluctant to open their mouths or smile in public and be the underlying cause of self-esteem issues and even depression. But with modern cosmetic dentistry there is a solution to having discolored teeth.

Teeth whitening has existed for many years but in the past has been hit and miss at best and often prohibitively expensive. But as more and more dentists offer the treatment and more patients use it the price is dropping and the treatment becoming more available. New whitening treatments are hitting the market each year, each promising new and improved whitening that takes less time and yields better results.

Whitening works in two ways. Firstly, the teeth are cleaned, removing any material or stains that can be cleaned to make the teeth seem whiter. However, many stains occur when foodstuff or liquid penetrate the enamel of the tooth. This cannot be removed by cleaning but can be bleached white using hydrogen peroxide gels. Although these kinds of bleaching kits are available to buy in shops or on the internet, dentists advise that you always have whitening procedures carried out in surgery. This is because the hydrogen peroxide can be dangerous to soft tissue when used in high concentration. Dentists will be able to use the necessary safety equipment to avoid any contact with soft tissue.

This may often involve the manufacture of a custom made bleaching tray designed to fit exactly over the patient’s teeth, applying the active gel to the required area but keeping the soft tissue safe. These bleaching trays can also be used for lower concentration treatment at home, often worn over night for maximum contact with the teeth. The peroxide filters into the tooth enamel bleaching it white and making the teeth look a healthy and natural white. Tooth whitening is available in many different formats as there are many treatments available and will be more effective for some than others but ultimately it will lighten teeth and make them appear more healthy.

Teeth whitening can be one of the most successful and dramatic cosmetic dentistry treatments, capable of completely transforming the teeth and restoring the self-confidence of the patient. If you suffer from discoloration or staining, ask your dentist about teeth whitening and really give yourself something to smile about.

Cosmetic Dentistry For A Perfect Smile

Cosmetic dentistry is a combination of conventional dentistry practices with an added emphasis on art and aesthetic qualities. Its primary aim is to make the teeth look more pleasant and appealing rather than specifically repairing any damage. It has become increasingly more popular in recent years thanks to the development of various dental techniques and the wider availability and affordability of treatments.

Advances in cosmetic dentistry have allowed dentists to reshape or remold your problem teeth. A dental procedure touted to change the appearance of a person’s problem tooth, teeth contouring is regarded as a quick and painless dental cosmetic treatment.

Teeth’s contouring is the solution to several dental problems, including:
• Cracked or chipped teeth
• Crooked teeth
• Overlapping teeth
• Teeth with holes or grooves
Not all individuals are suitable candidate for teeth contouring. Your dentist will determine if you are a suitable candidate by evaluating the health of your teeth and if your bone and tissue are strong enough to support a tooth contouring treatment.

The step by step teeth contouring process follows:
• X-ray examination to determine the strength of your tissue, bone and teeth.
• If you are a suitable candidate, your dentist will make a computer image to show how you will look after the teeth contouring process.
• Your teeth will be marked with a pen in preparation for the sculpting. Some of the materials that will be used are lasers, sanding drills and abrasive strips.
• Material bonding will be made to the tooth to fill cracks and chips, change the tooth’s colour and cover blemishes.
• The final step of the teeth contouring process is the polishing and smoothing.

With teeth contouring, it takes only two dental visits for you to have that smile that you have always dream of.Having a beautiful and healthy smile can make patients look much younger and is one of the most simple ways of making yourself more attractive. Make an appointment to discuss cosmetic dentistry with your dentist and see what wonders can be performed for your smile.

Teeth Whitening For Shining Smile

Our teeth lose their colour because of staining from food and drink we ingest. This happens to some people more than others and also depends on lifestyle choices we make. Certain liquids like red wine and coffee can stain teeth, and using any form of tobacco product can also result in widespread yellowing of the teeth, as well as leaving isolated brown stains.

Teeth whitening procedures involve using bleaching gels to break down stains to make the teeth appear whiter. This is a relatively simple and common cosmetic procedure that most dentists will practice in-surgery. Some dentists may offer pre-prepared take home treatments in trays that patients can wear for longer.

The bleaching ingredient in the gel is called hydrogen peroxide. The strength of the peroxide in the gel varies from three per cent to thirty per cent depending on the severity of discolouration. Take home kits are often lower strength as high strength gels can cause damage to the soft tissue, like gums and lips. It is always wise to consult a dentist before using any whitening products as certain products available for purchase from the internet can be too strong to use without professional safety equipment. Dentists will often use stronger gels when performing the whitening themselves as they have the necessary safety equipment and training.

The procedure, if carried out by a dentist, is perfectly safe but some patients do complain of suffering pain in the teeth after the treatment. This is usually similar to the pain experienced by sensitive teeth and usually fades after a few days.

Teeth whitening can have different effects on different patients. Some find that their teeth are whitened after just one session whereas other patients can have several treatments before there is any noticeable alteration. A  dentist can talk you through the various whitening treatments available at your next six-monthly appointment.

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.

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.

CEREC Crowns

Posted in Cosmetic Dentistry by UK Dental Tourism on October 28, 2009
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While dental crowns are one of our most common procedures, they are also one of the procedures offering the most benefit to patients.

are a type of dental restoration that when cemented into place, fully cover the portion of the tooth above the gum line. Because a crown encases the entire visible aspect of a tooth, it effectively becomes part of the tooth’s new outer surface.

Crowns can be made out of porcelain, metal or a combination of both. Most patients today prefer porcelain crowns due to their natural appearance.As new technology and materials science has evolved, computers are increasingly becoming a part of crown and bridge fabrication, such as in CAD/CAM technology.The CEREC method of fabricating all-ceramic restorations is by electronically capturing and storing a photographic image of the prepared tooth and, using computer technology, crafting a 3D restoration design that conforms to all the necessary specifications of the proposed inlay, onlay or single-unit crown; there is no impression. After selecting the proper features and making various decisions on the computerized model, the dentist directs the computer to send the information to a local milling machine.

We would generally recommend a crown to restore a tooth to its original shape, to strengthen a tooth or to improve the cosmetic appearance of a tooth.We will make an impression of your tooth and a dental laboratory will create the crown. You may wear a temporary crown until the permanent crown is prepared. Once ready, the permanent crown will be cemented onto your tooth. The latest technique being Metal-free restorations where restoration can be placed in an hour. Dr. Goma at Goma dental ,Shimla  can explain how dental crowns can make your teeth look natural and beautiful.

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