Himachal Dental


Good Oral Hygiene

Maintaining a good standard of oral hygiene is crucial in the war against tooth decay and gum disease. Just a few minutes of brushing and flossing each day could save you a lifetime of costly and painful dental treatment.

When it comes to oral hygiene, prevention really is better than cure. Dental problems are very easy to prevent but often very difficult to cure. Dentists recommend that patients brush their teeth twice a day for three minutes using an appropriate brush and toothpaste. This helps to prevent the build up of plaque on the tooth enamel. Plaque is a filmy substance made up of bacteria, decaying food particles and other debris. It breaks down the enamel causing cavities to develop, which if left unchecked will eventually penetrate to the root of the tooth causing toothache, abscesses and even tooth loss.

Flossing helps to remove plaque from between the teeth which is very hard for regular toothbrushes to reach. It allows you to clean below the gum line which is also hard to clean with a normal brush. This can be significant in the prevention of gingivitis, or gum disease as it is more commonly known.

Brushing and flossing are the front line defence against all forms of dental decay and disease and their importance cannot be underestimated. However, it is important, no matter how much of a fervent brusher you are, to keep up six-monthly check-ups with the dentist. Even patients with good standards of cleaning are susceptible to tooth decay, and a dentist will be able to spot the first signs of any problems.

Keeping teeth and gums clean can also have the added advantage of keeping your breath fresh. Flossing removes trapped food particles from between the teeth which are the cause for over 90 per cent of all cases of halitosis. Using tongue cleaners and inter-dental brushes can also help to keep your mouth free of bacteria. Your dentist will be able to offer you advice on which brushes are most suitable for your teeth and give further instruction on the best methods of maintaining good oral hygiene.By making these few small sacrifices and tying it together with the all important six-monthly check ups with a your dentist you can help to prevent any future dental concerns. An extra few minutes each day to maintain dental hygiene is a small price to pay for a life free of the pain and worry caused by dental disease.

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 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.

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.

Botox : Alternative To Surgical Procedures

Botox is increasingly becoming the treatment of choice for patients to regain their youthful appearance. Once solely the preserve of the rich and famous, botox is now a common everyday procedure .Botox is a bacterial toxin that is safe to use in the human body. It relaxes facial muscles and lessens the appearance of wrinkles when it is injected into the face.The injections are safe and simple and last for up to four months before the body breaks down the botox naturally. Patients usually return for top up treatments every four months

Botox works by blocking the signals between nerve endings. When injected in minute quantities it can temporarily reduce the impression of lines caused by muscle movements. It is a painless procedure and patients usually start to see results after two to three days. 90 per cent of women who took part in clinical trials said they had noticed a marked improvement in appearance after only one treatment.The facial rejuvenation it offers is the closest you can get to a non-surgical facelift. It is also becoming increasingly popular  and is being offered by cosmetic dentists as part of an overall smile makeover. It is able to make a significant difference in facial tissue and lip tissue leaving the patient with healthy looking plump and firm flesh that frames a beautiful smile. Consult your dentist about botox treatments and you could take years off your appearance without having to go anywhere near he surgeons knife.

The most promising and exciting new addition to the dental arsenal against TMJ is having Botox injected into the painful muscles. One single session of injections is curative for 2/3 of the patients.Now you may get relief from TMJ clenching, grinding, and headache pain within a week with therapeutic Botox injections.

The most common benefit of Botox is the reduction in the number of clenching events and their intensity. This will reduce the destruction of your teeth, gums and jaw joint, and reduce the discomfort and pain in your face and chewing muscles. A beneficial side-effect is the smoothing of lines between the brows and in the forehead. Since the muscles are unable to contract, Botox may actually prevent new wrinkles from forming. Other benefits are that only the injected areas are affected and results are often seen within 24 – 48 hours. Another possible benefit is that the botulinum toxin does not stay in the body indefinitely, so if there is an adverse effect it is only temporary. There is also the likely possibility that with frequent treatments, the injected muscles will atrophy allowing the patient to go longer and longer between treatments.

Who is an ideal candidate?
Botox may or may not be the best treatment for the results you desire. An ideal candidate meets the following conditions:

* Between the ages of 18-65
* Has a dento-facial problem caused by parafunctional muscle activity
* Does not object to the disappearance of his/her wrinkles
* Is looking for a non-surgical solution
* Is looking for a temporary solution
* Is knowledgeable about the procedure
* Is realistic in expectations
* Is in good physical and psychological health
* Is not pregnant or nursing

Sedation Dentistry : Fear Free Dentistry

Sedation dentistry refers to the use of pharmacological agents to calm and relax a patient prior to and during a dental appointment. The pharmacological agents usually belong to a class of drugs called sedatives, which exert their action by depressing the central nervous system, specifically those areas concerned with conscious awareness.In simple terms it refers to the use of anesthesia during treatment to put patients into a relaxed state, almost like sleep. Sedation dentistry is often used during procedures that require an extensive amount of time in the treatment chair, and sedation is ideal for patients who exhibit dental phobia or have difficulty controlling their movements (this includes children). While sedation dentistry implies that patients are unconscious, this is usually not the case. Some forms of sedation dentistry simply alleviate anxiety or put patients in a sleep-like state, so that little is felt or remembered from the dentistry procedure.There are different types and degrees of dental sedation; the sedation dentistry technique recommended by your dentist will depend upon the treatment being performed and/or the degree of your dental anxiety. Your dentist will be able to tell you if you are a candidate for moderate sedation with oral sedatives or nitrous oxide, or deeper sedation with intravenous drugs.

You may have heard this treatment described in many ways:anxiety-free dentistry, or relaxation dentistry, especially in states where conscious sedation dentistry is regulated. Also used are terms like moderate sedation, oral conscious sedation or even sleep dentistry, though this last should be applied only to general anesthesia . The best and most accurate name is sedation dentistry. Modern dentistry now offers safe, effective, and comfortable treatments to anxious and fearful patients. Sedation dentistry` enables you to be kept awake throughout the entire procedure, but you will feel relaxed and likely won’t remember much about your treatment. One of the major benefits of sedation dentistry is that people often feel like their dental procedure lasts only a few minutes, when in fact it might have taken hours to perform. Therefore, complex dental procedures such as smile makeovers or extensive rebuilding procedures that normally require multiple visits can often be performed in fewer appointments.If you feel that sedation, which is the standard of care for the rest of the body, is necessary for your dental care, call us at 177-645-0704.

Mineral Trioxide : Material Of Choice for Endodontic Application

Mineral Trioxide Aggregate (MTA) is a relatively new material that has become the material of choice for certain endodontic applications like Pulp Capping, Perforation Repair ,Root end fillings.
A significant problem in restorative dentistry and endodontics is isolation of operative feild for moisture control. The root canal system to be obturated must be dry in order to obtain a good good seal and comunication with blood must be avoided.During the direct pulp capping procedure ,hemorrhage must be controlled.When attempting to seal a root perforation,a dry field is  essential.Further during apical surgery,the retro preparation must be absolutely dry.
Recently , Torabinejad and colleagues developed anew cement named Mineral Trioxide Aggregate(MTA), which appears to have all the characteristics of an ideal cement to seal communication between the root canal system and the oral cavity and between root canal system and the periodontium. MTA is an endodontic cement that is extremely bio compatible,capable of stimulating healing and osteogenesis, and is hydrophilic. In simple terms it has a powder which sets in presence of moisture.The cement is different because of its biocomatability, antibacterial properties sealing properties and hydrophilic nature.
Recently the prognosis of the teeth with a perforation has improved with use of operating microscope and the introduction of MTA.Primarily because the MTA is hydrophilic ,it today can be considered the ideal material to seal perforations.In fact,cementum has been shown to grow over MTA,allowing for normal attachment of the periodontal ligament.Furthermore , MTA doesn’t require a barrier,it is not affected by moisture or blood contamination, and seals better than any other material in use today.
The operating sequence to treat a perforation of root or of the floor of the pulp chamber is completed in two visits.The operating field is isolated and perforation site is cleaned.In case of bacterial infection calcium hydroxide is applied for 1 week otherwise 2-3mm MTA is applied and checked radio graphically for position of the material .A wet cotton pallet is applied and temporarily cemented. After 24 hours in second visit the temporary cement is removed and MTA setting is checked.

Criteria For Assessing Success
To be able to state that success has been achieved following treatment of perforation ,the treated tooth must meet following requirements:
* Absence of symptoms such as spontaneous pain or pain on percussion
* Absence of excessive mobility
* Absence of communication between the perforation and the gingival crevice
* Absence of fistula
* Normal Function
* Absence of radiolucency adjacent to perforation
* Thickness of PDL adjacent to obturating material no more than double the thickness of adjacent ligament.If even one of these criteria is lacking the therapy is not successful.

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