MISSING TEETH- MAKING THE BEST CHOICE

                In the recent times, the word DENTAL IMPLANT has become a colloquial term when someone loses their teeth. But the correct information, relieving anxiety or clarifying doubts about the dental implant has not been made clear among the people.
We, the experts at PS DENTAL CENTRE are here to help you out in delivering the best solutions & also rendering the best treatment with the trending dental implants!!

UNDERSTANDING DENTAL IMPLANTS:

Maybe you've heard people talk about dental implants. It's been said that they're modern dentistry's best option for replacing missing teeth; they offer the highest success rate of any tooth replacement procedure. With a proper care, they can last just as long as your own natural teeth — a lifetime. But, you may still be wondering: What exactly are dental implants? We're glad you asked!

            A tooth has two main parts: Thecrown (the pearly-white part that shows up when you smile), and the root, the part below the gum line that anchors the tooth in the jaw. A dental implant replicates the natural tooth . The titanium screw permanently replaces the root part of the tooth which is placed in the jawbone and with a crown (cap) that's created to look and function just like your natural teeth — is then placed on top of the implant. Together, they make an implant a complete tooth replacement system.

What's so great about this system?

It is the fact that the titanium metal of which the implant is made has a very special “osseo-integration” (integration with the bone) property. That's what is essential for an implant to stay in its place properly, to look good and to function well for a long, long time. . And isn't that what everyone wants from their teeth?

Now you have read about dental implants. But, what is it actually like to go through the surgery since the implant has a screw shape? Seems to be what gives some people a pause; having a screw put into bone sounds like it would be painful; the reality is quite the contrary.

Here is a step by step procedure of what to expect:

Appointment 1:

During your first appointment, your dentist will consult you, examine your oral cavity, clarify your doubts, explain you about the treatment, X-rays will be taken for the assessment of bone.

Appointment 2:

On this day, your dental implant treatment begins with a small surgical procedure under local anesthesia. Your dentist will open your gum tissue to expose the underlying bone, followed by which the TITANIUM IMPLANT placed & it is sutured.

After the 7^th day of surgery your sutures are removed.

Appointment 3:

After your dental implant is fused with your jaw bone which will take approx.3 to 6 months. During this healing period a provisional crown will be given incase of front teeth. After the healing period,  your dentist will attach the implant to a small connector called an abutment, which is going to hold your crown/bridge. Your dentist then makes impression & shade selection for your new tooth.

Appointment 4:

The last step is to fix your new crown/bridge into the abutment.

WHY DENTAL IMPLANTS ?

Though there are several good solutions for replacing your missing teeth, the dental implant is the best mode of a replacing a missing tooth for the following reasons:

Ø Dental implant has a success rate of 95-98%.

Ø They provide a long-term result & lasts lifetime when maintained properly.

Ø It preserves the underlying bone structures.

Ø Dental implants can be used for single or multiple tooth replacements, or as a means of supporting overdentures.

Ø It does not require support from your adjacent teeth or any alterations to your adjacent teeth.

Ø It does not require special care apart from brushing & flossing.

Ø There are no dietary restrictions.

Ø There is no risk of slippage while eating or speaking.

WHY YOU SHOULDN’T BE NERVOUS ABOUT IMPLANT SURGERY ?

Dental implant surgery is a routine dental procedure in our PS dental centre. Since we have well trained experts, there is very little discomfort & a very high success rate.

The titanium implant which is placed into your bone is a bio-compatible material, meaning it is non-toxic & it is not rejected by your body.

We plan the procedure precisely. Implant placement details are often mapped out ahead of time. All the necessary pre surgical planning is done with the help of  X-rays & CT images for placing an incision & creating a channel to hold the implant at the proper place . As you can see nothing is left for chance in the hands of an experienced and qualified team.

Implant surgery can be performed with local anesthesia . Implantation is usually easier than tooth extraction. With a local anesthetic, only the implant site and surrounding tissues will become numb while you remain conscious. If, however, you have any anxiety can also ask our expert consultants about implant surgery under sedation or sleep dentistry before proceeding.

There’s minimal discomfort afterward. Thanks to the pre-planned surgical guide and advanced implantation techniques, there’s very little tissue disruption and incised tissues are normally stitched with self-absorbing sutures. While some cases may require stronger pain relievers, most of the time a mild non-steroidal anti-inflammatory drug (NSAID) such as aspirin or ibuprofen is sufficient for discomfort afterward.

The implant site heals fairly quickly and predictably with a 95-97% success rate. A few weeks after bone integration you will receive the crown and you’ll be ready for many years of full function and a confident smile.

God gives you teeth twice. We at PS DENTAL CENTRE with our personalized care give you the third time.

If you would like more information on dental implants, walk in to PS dental centre for an expert consultation.

-         Dr.Imran MDS(Implantologist)

Fellow of International Congress of Implantology(USA)

Advance Implant Therapy & surgical course(Japan)

Mouth Ulcers

 

What?

      Mouth ulcers are painful sores in the oral mucous membrane.

        They usually have an oval or round shape and a diameter of three to four millimetres.

·         A mouth ulcer is grey, white or yellow in colour with a red inflamed edge.

·         They appear on the inside of the cheek, lips, gums or under the tongue.

·         Mouth ulcers can occur singly or in groups and usually disappear within one or two weeks.

·         Mouth ulcer slowly recedes and will disappear within 10-14 days.

·         Pain slightly decreases as the mouth ulcer(s) gets smaller.

·         In some situations mouth ulcers can last for several months or keep occurring every two weeks

If the mouth ulcer doesn't disappear after two weeks, you should visit your doctor or dentist, because this can be a sign of an impending disease.

Types of mouth ulcer

Mouth ulcers occur in several forms. They can appear anywhere in the mouth, except for the hard palate and top of the tongue or lips. There are three main types of mouth ulcers:

•Minor

•Less then one centimetres in diameter

•May appear singly or in groups

•Heals naturally within 7 to 14 days

•Leaves no scar

•Major

•Greater then one centimetres in diameter

•Appear one or two at a time

•May take several weeks or even months to heal

•May leave a scar after they heal

•Herpetiform

•Irregular shape

•Appear in large numbers or clusters

•Healing process takes two weeks to a month 

Recurrent Oral Ulcerations

About 20% of the population suffers from chronic mouth ulcer, called recurrent oral ulceration or recurrent aphthousstomatisis. This disorder is characterized by recurring ulcers every week or month. 

Causes of mouth ulcer

The most common causes of mouth ulcer is a

1.      weak or compromised immune system,

2.      mouth injury

3.      stress.

Although the exact cause of mouth ulcers is unclear, there are a variety of factors that can cause or trigger mouth ulcers:

·   Biting the inside of your cheek, lip or tongue

·   Sharp or broken tooth

·   Poor oral hygiene

·   Spicy food

·   Alcohol

·   Some medicines

·   Smoking

·   Poorly fitted dentures

·   Using a toothbrush that is too hard

·   Toothpaste containing sodium lauryl sulphate(SLS)

·   Hypersensitivity to certain foods

·   Inherited

·   Vitamin deficiency, especially B-complex

·   Low immunity

·   Bacterial or viral infection

·   Hormonal changes

·   Medicines

·   Anxiety

·   Stress

·   Allergy

Prevention

Personal care

·   Eat a healthy varied and well balanced diet of fruit and vegetables

·   Drink plenty of water each day

·   Avoid food or drinks that are hot, spicy or acidic

·   Reduce sweet and sugar consumption

·   Limit alcohol use

·   Take vitamin B-complex and folic acid (especially people with recurrent mouth ulcer and/or immune deficiency)

 Oral hygiene

·   Brushing teeth and floss twice a day

·   Regular dental care/check up's (minimum twice a year)

·   Proper cleaning of the tongue

·    

 Life style

·   Avoid or reduce stress

·   Reduce or stop smoking

When to Contact a Medical Professional

·         If a sore begins soon after you start a new medicine.

·         If you notice large white patches on the roof of your mouth or your tongue (this may be thrush or another type of infection).

·         If the mouth sore lasts longer than 2 weeks.

·         If You have a weakened immune system (for example, from HIV or cancer).

·         If You have other symptoms like fever, skin rash, drooling, or difficulty swallowing.

If any of this above mentioned signs and symptoms occurs kindly walk into any of our nearby PS Dental centre for the specialist consultations ,proper guidance and  treatment at the right time.

Should I have to worry about ulcers?

Most ulcers heal up on their own. However, if they don't heal within three weeks you should visit your dentist. Our dental team will be able to examine your mouth to check that the problem is an ulcer and not something more serious such as mouth cancer. If you suffer from ulcers that come and go often, you should visit your dental team to check that there is not an underlying medical cause.

MOUTH BREATHING

Dear parents, you may notice that your child tends to breathes through the mouth even at rest. It is a sign of abnormality. You have to take into consideration and have to report to your dentist, who is an expert in the field. In that case, we have the best team of doctors at PS Dental centre who are well versed in the field of Mouth breathing and in treating your child with personalized care.

Normally, Most individuals breathes through nose at rest. Breathing through both nose and mouth during exercise is also normal, a behavioral adaptation to increase air intake and hence supply more oxygen to the muscles. But breathing through mouth at rest is abnormal.

If Mouth breathing occurs during sleep, it may cause Gingivitis(Inflamed gums) and Halitosis(Bad breath).Chronic mouth breathing in children may have implications on dental and facial growth.

CAUSES:

Mouth breathing has been classified according to etiology into three groups:

Obstructive:

The nasal airway may be compromised partially or completely obstructed. Such individuals may find it difficult or impossible to breathe through their nose alone. In about 85% of cases, mouth breathing is an adaptation to nasal obstruction.

Habitual:

Some individuals breathe through their mouth through force of habit, perhaps due to a previous cause of nasal obstruction that is now corrected.

Anatomic:

In other cases, the upper lip may be short, and the lips do not meet at rest ("lip incompetence").

POTENTIAL EFFECTS:

Gingivitis, Gingival enlargement and increased levels of Dental plaque are common in persons who chronically breathe through their mouth. The usual effect on the gums is sharply confined to the anterior maxillary region, especially the incisors (the upper teeth at the front). The appearance is red, swollen and shiny. This region receives the greatest exposure to airflow during mouth breathing and it is thought that the inflammation and irritation is related to surface dehydration, but in animal experimentation, repeated air drying of the gums did not create such an appearance.

It has been suggested that chronic mouth breathing in children can lead to the development of a long, thin face, sometimes termed “Long Face Syndrome” or specifically "adenoid facies". Crowded teeth are also suggested to result from chronic mouth breathing in children. Conversely, it has been suggested that a long thin face may cause mouth breathing rather than the other way around. Facial form is also strongly influenced by genetic factors.

Over time, children whose mouth breathing goes untreated may suffer from abnormal facial and dental development, such as long, narrow faces and mouths, gummy smiles, gingivitis and crooked teeth. The poor sleeping habits that result from mouth breathing can adversely affect growth and academic performance.

Treatment for mouth breathing is available and can be beneficial for children if the condition is caught early. The Dental Team of PS Dental centre can check for mouth breathing symptoms and swollen tonsils. If tonsils and/or adenoids are swollen, they can be surgically removed by an ear-nose-throat (ENT) specialist. If the face and mouth are narrow, we, the expert dentist of PS Dental centre use expansion appliances to help widen the sinuses and open nasal airway passages.

At this time, many health care professionals are not aware of the health problems associated with mouth breathing. If you or your child suffers from this condition, Reach us. We have the best team of professional who is knowledgeable about mouth breathing.

SELECTING A GOOD TOOTH BRUSH

Majority of us, buy toothbrush based on the number of advertisements shown per day.

It is totally wrong of selecting a good toothbrush from the market, depending on the advertisement rather than the criteria/morphology of the toothbrush that an individual needs.

PS Dental centre guides you selecting a good toothbrush and also Gifts a Good toothbrush to every patient visiting the clinic.

Before understanding, which type of brush suits you, we just recap the things a good toothbrush should have as per the ADA specifications.

·         Length – 1 to 1.25 inches.

·         Width – 5/16 to 3/8 inches.

·         Surface area – 2.54 to 3.2 cm.

·         No of rows – 2 to 4 rows.

·         No of tufts – 5 to 12 per row.

·         No of bristles – 80 to 85 per tuft.

·         Diameter – Soft brush – 0.007 inch(0.2 mm)

Medium brush – 0.012 inch(0.3mm)

Hard brush – 0.014 inch(0.4 mm)

Any toothbrush with a simple design following ADA specifications, that provides access to all areas of the mouth should be the suitable one, provided the patient uses proper brushing technique. But,  selecting a good toothbrush specifically for an individual arises when he/she doesnot know the Proper brushing technique, which is more important. The best Clinic in Chennai, PS Dental centre has the best doctors to teach you the correct and best Brushing technique suitable for you.

Bristles:

Although there are hard toothbrush(bristles) available in the market, it is usually recommended to use soft toothbrush(bristles) mainly because of two reasons:-

·         People using hard bristles with improper brushing technique will tend to remove the surface enamel layer of the tooth, abrading the surface.

·         Hard toothbrush(bristles) can damage the gingiva and pull it down towards the root, which leads to the sensitivity of the teeth while drinking cold liquids, even water.

These soft toothbrush(bristles) are easy on the teeth and can reach deeper areas pretty easily. But everything  still depends on how you brush your teeth.

Brush Head:

A Good toothbrush should not be too large or small. A toothbrush should be good enough to reach all the areas in the mouth or cover 1 – 2 teeth  at time.

Handle:

Handle of the toothbrush should be firm, providing a good grip to the hand. The flexible handles of the toothbrush can compensate for the forces exerted by the hand during brushing and excessive pressure on the tooth surface is avoided.We at PS Dental centre, guides you to select the good toothbrush suitable for you.

Replace Brush:

Change brush every 3 months or as soon as the bristles Frey, whichever is earlier.

The worn-out bristles not only less effective but can damage gums.

The toothbrush needs to be replaced with a new one, even when there is an infection detected in the mouth or patient with cold, flu etc., as the toothbrush contacting the toothpaste tube, can lead to spread the bacteria involved in the infection.

keep you toothbrush away from your toilet.

Other factors include:

If toothbrush bristles got worn within a few weeks , then there might be a problem in the brushing technique and also your teeth may arranged in crisscross manner. You need to identify or treat that or visit PS Dental centre for advice or to properly align the malaligned tooth.

If you are still unsure of which toothbrush to use, ask PS Dental centre for advice, because sometimes the oral hygiene instructions vary depending on the condition of the teeth and gums of the patient.

Painless Dental Treatment / Extraction

Experiencing dental pain and on hearing your neighbors saying that they had a bad pain during the dental drilling procedure and extraction procedures. Here is the boon to ease away all the pain you have and to stop your  gossiping neighbors, who transformed the peaceful dentist into horror drillers.

          Oh Dudes, We dentist are working hard to deliver painless treatments to you. On delivering this, here comes the new procedure called “Conscious sedation”.PS Dental centre has a team of experts who are well versed in performing painless dental procedures.

              This conscious sedation is channeled to the patients having moderate to severe levels of dental anxiety or dental phobia. It is not an expensive procedure or a scary procedure. The expert will deliver the medicines via Intravenous line and that’s it, you are sedated and ready to face Painless dental procedure and the Main advantage is that you will not loose your consciousness, you will know what the dentist is performing in you, without any pain. PS Dental centre will have a personalized care towards the anxiety patients.

        Intravenous Sedation is usually recommended for oral surgery procedures, to help the patient relax during long and stressful treatments such as wisdom tooth extraction, Dental implant placement, Gum surgery and other invasive treatments. These Invasive procedure are done under one roof at PS Dental centre.

The major benefits include,

•         Higher level of sedation than oral/inhalation sedation.
•     Suitable for patient with moderate to severe anxiety.
•      This will start taking effect within a few seconds.
•      Doctor can easily adjust the dosage & sedation level.
•      Recovery time is generally shorter.
•     It can suppres Gag reflex in over sensitive patients.
•     Consciousness is maintained and patient have little or no memory of any unpleasant dental         procedures.
•     Faster treatment in single appointments.

        Before this procedure, we at PS dental centre have a consultation and pre-operative session wherein we clear the doubts of the patient.PS Dental centre has a dedicated team to provide professional service with personalised care.

The Pre operative instructions are,

• You should not eat for at least 4 hours or drink for 2 hours prior to the IV sedation procedure to minimize the risk of vomiting when sedated.
• Do not drink alcohol for at least 24 hours before IV sedation.
• Stop smoking at least 12 hours (or more if you can) before surgery.
• Take any routine medications you may need for other conditions, only after they are discussed and approved by your sedation dentist.
• An oral anti-anxiety drug may be prescribed to be taken the night before, to help you get a good night sleep and be more relaxed on the day of IV sedation treatment.
• Arrange for someone to drive you or escort you home after the procedure.
• Women should avoid wearing make up and lipstick. The color of face and lips can provide a critical warning to the dentist in case of any oxygenation problems during surgery. Nail polish must be removed from the middle finger of the left hand so that the oximeter monitoring equipment will function properly.
• Contact your IV sedation dentist if you start to have symptoms of cold, flu or other illness in order to rearrange your appointment for after you have fully recovered.

Once again, These instructions will be delivered to you by verbally and in printed form by our dental team at PS Dental centre If you are set to undergo painless dental procedure.

Before the dentist administers the IV sedation drugs and starts the dental treatment, The dentist at PS dental centre completes the following steps,

• A consent form is signed by the patient,
• The blood pressure is recorded,
• The dentist verifies that no new health condition has evolved after the consultation appointment and that the patient has not used any unauthorized drugs,
• A pulse oximeter is attached to the patient’s finger to monitor oxygen saturation and pulse rate.

During procedure, the medicine is administered intravenously and local anesthesia is given. In a few minutes as soon as the LA has taken effect, the dentist starts the dental treatment on the sedated and fully relaxed patient.

Patients are different, and their comfort “windows” are also different. Therefore the exact dose for achieving an adequate IV sedation level cannot be predetermined, as it may vary significantly from patient to patient. Even for the same patient, the required level of sedation may differ between appointments depending on the type, duration of dental treatment, and the degree of procedure’s invasiveness. PS Dental centre has an expert and best dental team to stay with the patient till the painless dental procedure are completed.

The most important body functions that are monitored during an IV sedation procedure are breathing, pulse, BP & oxygen saturation.PS Dental centre has modern state of the art equipments to monitor the vital signs, so that the patient is under utmost personalised care.

Once the dental procedure is done, the postoperative instructions and some do’s and dont’s  after the painless dental procedure will be given to you by the best dentist of PS Dental Centre,chennai.

Thus sedation is the most common procedure to perform painless dental treatments and we hope  this article would fetch you necessary info about the sedation. We at PS Dental Centre have a team of experts who can deliver the original meaning of painless dental treatments and so, you can boldly come to us to undergo any dental procedures which you have been postponing it for years due to pain.…