Himachal Dental


Treatment Of Sleep Apnea

Sleep apnea is a common disorder in which you have one or more pauses in breathing or shallow breaths while you sleep.Breathing pauses can last from a few seconds to minutes. They often occur 5 to 30 times or more an hour. Typically, normal breathing then starts again, sometimes with a loud snort or choking sound.Sleep apnea usually is a chronic (ongoing) condition that disrupts your sleep 3 or more nights each week. You often move out of deep sleep and into light sleep when your breathing pauses or becomes shallow.This results in poor sleep quality that makes you tired during the day. Sleep apnea is one of the leading causes of excessive daytime sleepiness.

The most common type of sleep apnea is obstructive sleep apnea. This most often means that the airway has collapsed or is blocked during sleep. The blockage may cause shallow breathing or breathing pauses.When you try to breathe, any air that squeezes past the blockage can cause loud snoring. Obstructive sleep apnea happens more often in people who are overweight, but it can affect anyone.

Untreated sleep apnea can:

* Increase the risk for high blood pressure, heart attack, stroke, obesity, and diabetes
* Increase the risk for or worsen heart failure
* Make irregular heartbeats more likely
* Increase the chance of having work-related or driving accidents

Major Signs and Symptoms

One of the most common signs of obstructive sleep apnea is loud and chronic (ongoing) snoring. Pauses may occur in the snoring. Choking or gasping may follow the pauses.The snoring usually is loudest when you sleep on your back

Others signs and symptoms of sleep apnea may include:

* Morning headaches
* Memory or learning problems and not being able to concentrate
* Feeling irritable, depressed, or having mood swings or personality changes
* Urination at night
* A dry throat when you wake up

Treatment Of Sleep Apnea

* Avoid alcohol and medicines that make you sleepy. They make it harder for your throat to stay open while you sleep.
* Lose weight if you’re overweight or obese. Even a little weight loss can improve your symptoms.
* Sleep on your side instead of your back to help keep your throat open. You can sleep with special pillows or shirts that prevent you from sleeping on your back.
* Keep your nasal passages open at night with nose sprays or allergy medicines, if needed. Talk to your doctor about whether these treatments might help you.
* Stop smoking.
* A mouthpiece, sometimes called an oral appliance
* Breathing Devices-Continuous positive airway pressure (CPAP)
* Surgery

Sleep apnea often goes undiagnosed. Doctors usually can’t detect the condition during routine office visits. Also, there are no blood tests for the condition. Most people who have sleep apnea don’t know they have it because it only occurs during sleep.Lifestyle changes, mouthpieces, surgery, and/or breathing devices can successfully treat sleep apnea in many people. Treatment can improve your overall health and happiness as well as your quality of sleep.Consult your doctor today for more information.

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Get The Best Dental Implant In India

There are several options available to replace missing teeth. Some patients opt to have a partial denture, others choose to have a fixed dental bridge. Both dental bridges and dentures have their advantages, most notably that they are both relatively affordable. However, they both also suffer from a degree of impermanency and are at times prone to breaking. Some patients are looking for a dental substitute with a greater degree of solidity. This is one of the reasons why dental implants are becoming the option of choice for patients to replace missing teeth.

A missing tooth can be the source of embarrassment. It can make people reluctant to smile for fear of exposing what is a very visible flaw. Missing teeth can also be damaging for your dental health. The hollows left by missing teeth can be breeding grounds for decay-causing bacteria. Gaps in the teeth can also encourage existing teeth to lean, causing painful interruptions in the bite. Missing teeth can also be the cause of facial tissue sinking and loss of profile. For these reasons it is important to replace the missing tooth as soon as possible and a dental implant is the most secure method of doing just that.

A dental implant takes the form of a tapered screw that is anchored into the jawbone. This acts as a solid base for a post and artificial tooth, or crown, to be attached. They work particularly well for patients who have strong and healthy jawbones and teeth. Because they are so solid dental implants do not prohibit the eating of certain foods that other dental substitutes can. Neither do dental implants require any kind of messy dental bonding or adhesives.A dental implant will take two or three sessions to fix.

Patients who have jawbones and gums which are strong, will particularly benefit from a dental implant. A good standard of oral hygiene is needed to maintain the implant but the permanency it provides really sets it apart from other dental substitutes. Many patients opt for implants, despite the extra cost, because of the feeling of security and permanency they provide. If you have a missing tooth, or are considering changing an existing artificial dental appliance, visit your dentist and ask about dental implants. For More information please call Goma Dental at 177-6450704.

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.

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.

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.

Dental Implants : Improve Quality Of Life

The art and science of implant dentistry has advanced rapidly during recent years and new techniques and materials have greatly improved our ability to replace missing tissues with functional and natural-looking artificial prostheses called a dentures implant.However, it must be remembered from the outset that no prosthesis or artificial substitute will ever function as well as the original living tissues. Research has shown that the chewing efficiency of experienced denture patients is, at best, less than 20% as efficient as the average chewing efficiency of patients with natural teeth.

Both upper and lower dentures are retained in the mouth by an intimately close fit of the plastic denture base to the gums. The intimately close fit is achieved by a combination of muscle control and suction. Mastering the function of the lower denture is more difficult than learning to use an upper complete denture.By comparison, the lower denture has less stable tissue with which to rest on than the upper denture. The lower denture stays in place largely due to the ability of the denture wearer to control their tongue well enough to hold the denture down while they speak and chew. Therefore, lack of tongue coordination in a lower complete denture wearer can severely affect the patient’s ability to wear a lower complete denture.

For various reasons, teeth have to be removed. After tooth removal, the residual bone that is used to support the teeth will then shrink away quite rapidly over the first year because the body knows that the residual bone is no longer needed. The greatest amount of shrinkage occurs during the first year after tooth removal. Research has shown that wearing dentures will accelerate jawbone shrinkage. As the shrinkage of the jawbone support progresses over time, new dentures will need to be fabricated in approximately six to ten years.Because each denture wearer is unique, sometimes the internal surface of the denture needs to be readapted to the gum tissues. This procedure is called a reline.

Some patients are never able to adapt to functioning day-to-day with their complete dentures. Many of these patients do not have adequate bone to stabilize a lower denture. Others never develop enough muscle coordination to learn to chew with their dentures. For many years, dentistry had nothing more to offer patients other than a denture adhesive.

Today, such problems can often be managed through the use of implant dentistry. Even with as few as two dental implants, the retention and stability of a lower denture can be greatly increased with a dentures implant. In fact, the chewing efficiency can also be greatly increased. Some patients have estimated that they regained up to 70% of their original chewing capacity. Overall, patients feel more confident when they are in public because they no longer fear that their dentures will slip or cause them embarrassment with a dentures implant.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 and help improve your quality of life. Go ahead chew healthy and be healthy!

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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