1.REPLACEMENT OF MISSING TEETH

1. Single tooth replacement

With the loss of a single tooth, there are many options, and the decision is not quite so clear-cut. Single-tooth replacement options vary by cost, appearance and procedure. the best replacement is with implants as we do not have to prepare the neibhouring teeth and it has a root like a natural tooth.

2. Tooth Supported Bridges

Tooth-supported bridges are more highly recommended than partial dentures when it comes to single-tooth replacement, as the success rate for such treatment is generally high. A tooth-supported bridge procedure involves grinding down the two teeth adjacent to the missing tooth and forming a bridge between the gap. In these cases, the bridge includes a replacement for the missing tooth and caps for the remaining teeth, known as abutments. A bridge simply covers the gap with the exposed part of a tooth, known as a crown. That means the tooth is not implanted into the root by artificial means. Root problems with abutment teeth may lead to failure of a tooth-supported bridge after a decade or more. The risk of root canal issues is significantly higher with these bridges, as abutment teeth may decay and ultimately have to be removed.

3. Dental Implants

Unlike the other procedures, a dental implant uses a titanium screw to secure the new crown into the jawbone. This replacement option does not harm the teeth surrounding a missing tooth. So the survival rate of abutment teeth is far higher than with other procedures. More importantly, implanted teeth last, on average, far longer than other tooth-replacement options. Most dental surgeons recommend implant prostheses due to the much lower risk and higher success rate. Advantages are significant in the long term, with 10-year survival rates of implanted teeth higher than 90 percent.

Benefits of an all-ceramic crown on implant :

When both the tooth and root are damaged, the best permanent replacement is a dental implant in conjunction with a ceramic crown. This solution both looks and functions just like a natural tooth.

 Immediately functioning teeth
 Excellent esthetic result
 Life long, stable dental restoration solution

Benefits with fixed bridge on implants :

In this case, when replacing three teeth in the far back of the mouth, a fixed bridge anchored to dental implants is the only fixed alternative. Traditional dentures can’t offer the same stability or function.

Having dental implants replacing your lost back teeth will give you new, unparalleled strength and stability that allows you to eat what you want. It will also preserve your jawbone and facial appearance.

 The only fixed alternative in this situation.
 A stable, secure solution that lets you eat what you want
 Preserves your facial appearance and prevents bone loss

Treatment

After the initial examination, you can expect 4-5 additional visits until the final fixed bridge is permanently attached. It is normal to experience some minor bruising and swelling in the gum and soft tissue afterwards. Any discomfort is usually treated with an ordinary painkiller. You should expect to be able to work the next day.

Course of Treatment

The course of treatment described here is one of several options available. Consult your dentist to find out what the best solution is for you, given your specific condition.

1. Before the procedure

Three teeth at back end of the mouth are missing. The only real replacement alternative is installing a fixed bridge. The bridge contains all teeth in one piece and is anchored on dental implants.

2. Installing the implants

First, the implants are installed. This is normally done in a single session. A temporary bridge may be placed at the same time, making it possible for you to function like normal almost immediately after leaving the dentist.

3. Attaching the bridge

The implants need to integrate with the jawbone before the permanent bridge is attached. This is normally done 1-2 months after the implant installation. The time will vary, depending on the teeth affected and the esthetical demands.

4. End result

The new bridge will handle all the pressure that your strong, natural back teeth did. You will have a stable and secure solution that allows you to eat what you want.

If the entire teeth are missing in an arch the option which is cheap and mostly recommended is complete denture but this is not an ideal option as this seldom completely satisfies the patient. Moreover complete denture causes bone resorption to the extent of more then 60% in 5 years after which denture does not fits and implants may not be possible at that stage.

Full Implant supported full arch bridge is an ideal replacement for natural teeth and many times we consider this better in patients who have questionable prognosis of their natural may get their bad teeth extracted and get immediate replacement with implants .this type of prosthesis is given a guarantee for 10 years and it has been seen that 10 years success of such prosthesis is more then 90 % . we can give immediate teeth also in such cases.

This is a new form of IMPLANTSURGERY in which IMPLANTS ARE PLACED IN Patient’s mouth without giving any cut with the help of a specialy prepared guide made by Nobel BioCare as per details below.

Nobel BioCare: NobelGuide. Nobel Biocare developed a similar system for implant planning and offers the NobelGuide, a CAD/CAM engineering template used by dentists to assure accurate placement. This system was incorporated into their Teeth In An Hour product, a hybrid solution for edentulous patients.

Virtual Surgery for Dental Procedures

Specialized computer software enables implant surgeons to assess all of the critical areas of the maxillary and mandibular bone structures. The precision imaging helps doctors to not only determine the best possible implant sites but also permit the assessment of need for bone augmentation (grafting) that will optimize predictability ratios. The entire process of assessment, treatment planning, selection of implant devices and final restoration products is achieved “virtually” before treatment even begins. Patients benefit from being able to visualize, fully, current state of need and final outcome possibilities, based on their choice of restoration components (types of crowns, abutments, shape, color shading, size, etc). No other dental technology offers this degree of potential for eliminating “treatment surprises.”

The technical data is used to fabricate the implant guide(s) and attachment devices, if needed, that are instrumental for treatment.The actual process of undergoing surgery is comparatively short, since all planning has been completed. Having 4-5-6 implants placed in less than 30 minutes is not unheard of. Understandably, this particular feature of having guided implants is very appealing for most patients.

Need for anesthesia is short … as is the need for having the jaws kept open for an extended period of time. Post treatment pain or muscular discomfort issues may be non-existant for many patients.

All  on  for  techniques

Lower denture stabilized with syncone :

For patients who do not want a fixed option may be due to extreme of age or poor bone where implant supported bridge is not possible can be given an implant supported removable denture with syncone attachments. This can be done for both lower jaw as well as upper jaw.

Over denture

2. COSMETIC TREATMENT

Lower denture stabilized with syncone :

Tooth Whitening (bleaching) is a safe and effective procedure by which stained, yellow, dull teeth can be whitened to give a brighter, dazzling smile. Bleaching can actually change the tooth colour anywhere from 5 to 7….even up to 12 shades brighter. Two tooth whitening (bleaching) procedures are available at Dr Gupta:

30 Minutes ZOOM Advanced Power Whitening in Office The no. one system in the world ZOOM 3 ADVANCED POWER is used.

ZOOM Whitening at Home

Entire whitening system with personalized instructions about how to use it is provided. In addition, we also offer other whitening systems such as Opalascence, Pola etc. In all cases you are given the proper home care regimen to keep your smile looking good for a lifetime. Each and every patient is a

Smile makeover is that process where cosmetic dental procedures are performed on several front teeth in order to produce an overall change in the appearance of your smile . Smile makeovers begin with a smile design consultation where diagnostic data is gathered and your goals and expectations are discussed. A plan is then formulated to achieve your desired result in harmony with your other facial features and the image you want to project.

A beautiful smile conveys self-confidence, warmth and approachability, traits that are important for both business and personal communications. We understand this, which is why we offer an extensive range of smile makeover procedures and products to suit your needs.

Dental Veneers

Dental veneers are thin, custom-made moldings that cover the fronts of unattractive teeth. They are crafted from lifelike, high-tech materials to portray a bright, natural smile. Porcelain veneers are the ultimate restoration for spaces, chips, fractures, rotated or misaligned teeth, unshapely or discoloured teeth; allowing alteration of tooth position, shape, size and color. The end result – a dramatic cosmetic makeover.

Crown & bridge

3. ROOT CANAL TREATMENT

A root canal is the space within the root of a tooth. Root canals and their associated pulp chamber are the physical hollows within a tooth that are naturally inhabited by nerve tissue, blood vessels and other cellular entities.

Endodontic therapy/Root Canal Treatment is a sequence of treatment for the pulp of a tooth which results in the elimination of infection and protection of the decontaminated tooth from future bacterial invasion. This set of procedures is commonly referred to as a root canal.

4. ORAL & MAXILLOFACIAL SURGERY

Removal of wisdom teeth

Treatment of fractures

Orthognathic surgery

5. CROWN & BRIDGE

What are Dental Crowns and Tooth Bridges?

Both crowns and most bridges are fixed prosthetic devices. Unlike removable devices such as dentures, which you can take out and clean daily, crowns and bridges are cemented onto existing teeth or implants, and can only be removed by a dentist.

How do Crowns Work?

A crown is used to entirely cover or “cap” a damaged tooth. Besides strengthening a damaged tooth, a crown can be used to improve its appearance, shape or alignment. A crown can also be placed on top of an implant to provide a tooth-like shape and structure for function. Porcelain or ceramic crowns can be matched to the color of your natural teeth. Other materials include gold and metal alloys, acrylic and ceramic. These alloys are generally stronger than porcelain and may be recommended for back teeth. Porcelain bonded to a metal shell is often used because it is both strong and attractive.

Your dentist may recommend a crown to:

 Replace a large filling when there isn’t enough tooth remaining
 Protect a weak tooth from fracturing
 Restore a fractured tooth
 Attach a bridge
 Cover a dental implant
 Cover a discolored or poorly shaped tooth
 Cover a tooth that has had root canal treatment

How do Bridges Work?

A bridge may be recommended if you’re missing one or more teeth. Gaps left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in a bad bite. The imbalance caused by missing teeth can also lead to gum disease and temporomandibular joint (TMJ) disorders.

Bridges are commonly used to replace one or more missing teeth. They span the space where the teeth are missing. Bridges are cemented to the natural teeth or implants surrounding the empty space. These teeth, called abutments, serve as anchors for the bridge. A replacement tooth, called a pontic, is attached to the crowns that cover the abutments. As with crowns, you have a choice of materials for bridges. Your dentist can help you decide which to use, based on the location of the missing tooth (or teeth), its function, aesthetic considerations and cost. Porcelain or ceramic bridges can be matched to the color

How are Crowns and Bridges Made?

Before either a crown or a bridge can be made, the tooth (or teeth) must be reduced in size so that the crown or bridge will fit over it properly. After reducing the tooth/teeth, your dentist will take an impression to provide an exact mold for the crown or bridge. If porcelain is to be used, your dentist will determine the correct shade for the crown or bridge to match the color of your existing teeth.

Using this impression, a dental lab then makes your crown or bridge, in the material your dentist specifies. A temporary crown or bridge will be put in place to cover the prepared tooth while the permanent crown or bridge is being made. When the permanent crown or bridge is ready, the temporary crown or bridge is removed, and the new crown or bridge is cemented over your prepared tooth or teeth.

How Long do Crowns and Bridges Last?

While crowns and bridges can last a lifetime, they do sometimes come loose or fall out. The most important step you can take to ensure the longevity of your crown or bridge is to practice good oral hygiene. A bridge can lose its support if the teeth or bone holding it in place are damaged by dental disease. Keep your gums and teeth healthy by Brushing with fluoride toothpaste twice a day and flossing daily. Also see your dentist and hygienist regularly for checkups and professional cleanings.

To prevent damage to your new crown or bridge, avoid chewing hard foods, ice or other hard objects.

6. GUM TREATMENT

Gum treatment is the treatment of active gum and jaw bone disease. Gum disease treatment can slow or stop the progression of gum disease. Since there are different stages of gum disease (from gingivitis to advanced periodontitis), there are different levels of treatment. In some cases, the patient may be referred to a specialist.

Gum treatment consists of one or more of the following procedures, depending on the individual case:

Scaling and Root Planing

Scaling and Root Planing is a common non-surgical treatment for periodontal disease. By using special instruments, Dr. Sells removes bacteria and infection from the unhealthy deep pockets around the teeth below the gum line. This is often referred to as a “deep cleaning.” First the tooth is scaled to remove the plaque and tarter that has accumulated on the tooth.

Then the root is planed or smoothed. This eliminates any rough areas on the root that can easily trap plaque and bacteria.

A smooth clean root provides a healthy environment to allow the gums to heal naturally and reattach to the tooth. This will create a reduced pocket, therefore eliminating areas for bacteria to hide and cause further disease.

Scaling and Root Planing combined with a strict home care routine and more frequent periodontal cleanings and exams will increase your chances of keeping your natural smile.

7. FRESH BREATH THERAPY

FRESH BREATH THERAPY

8. PREVENTIVE DENTAL PROGRAMME

PREVENTIVE DENTAL PROGRAMME

9. BLEACHING

Over a period of time as in some people the teeth can go from white to not so bright for various reasons like there could be tea , coffee or tobacco stains which are external stains. Some stains are internal satins it could be due tetracycline, flourosis, genetic or with aging. So bleaching is a non invasive method of lightening dark or discoloured teeth.

10. CONSCIOUS SEDATION

CONSCIOUS SEDATION

11. DENTAL TREATMENT IN AGED POPULATION

 DENTAL TREATMENT IN AGED POPULATION

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