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Teeth Extraction with PIEZOTOME Vs Traditional way

Adopt Piezotome Extractions To Maximize Bone Preservation For Immediate Implant Placement and using Lasers for giving prompt Healing

Piezotome Cube Is The Way To Ensure Compassionate Care And To Provide Atraumatic Extraction. Indeed, It Allows To Preserve Bone Thus Making Possible To Place Implants Immediately. Piezotome Cube With Its Exclusive Tip Kits Is The Solution For A Minimally Invasive Extraction.

Piezotome Cube To Deliver Compassionate Care

For You…

  • Greater Safety.
  • Soft Tissue Preservation.
  • Bone Preservation For Osseo integration And Immediate Implant Placement.
  • Precise Cutting.
  • Optimal Visibility (Cavitation Effect).
  • Blood-Free Surgical Site.

And Your Patients...

  • A traumatic Surgery.
  • More Comfortable Operation.
  • Improved Post-Operative Outcomes.
  • Less Pain & Swelling.
  • Better Healing Process.

Piezotome Is Safer

Piezotome Surgery Is Less Traumatizing, Thus Non-Active On Soft Tissues, It Is More Effective In Reducing Surgical Complications:

  • Maintains Integrity Of The Alveolar Bone.
  • Reduces Pain, Swelling & Analgesics Intake By Over 50% For Each Parameter.
  • No Hypesthesia.
  • More Comfortable.
  • Faster & Better Healing Process.

Make Challenging Extractions Easy

Piezotome Cube Is Indicated For Challenging Extractions, It Will Make Them Safer And More Predictable.

  • Root Fracture, Angulation, Depth.
  • Implant Removal.
  • Ankylosed Or Impacted Teeth.
  • Supernumerary Teeth.
  • Preserve Alveolar Bone Integrity.

Immediate Implant Placement Becoming A Standard Of Care

Same-Day Procedure Means Less Trauma For The Patients And More Benefits As Only One Surgery Is Needed. Also, It Optimizes Dentists Time And Is Less Physically Taxing.

  • Fewer Surgical Interventions.
  • Reduction In Overall Treatment Time.
  • Reduced Soft And Hard Tissue Loss.
  • Psychological Satisfaction To The Patient.

 


Tips to Prevent Tooth Decay in Kids

“Protection of Children from Dental Caries”

Examine your children teeth at home regularly for Black dots on teeth (Caries).

When you think about the most common infectious disease in children, tooth decay probably isn’t what comes to mind first. However, 51% of Ohio children have it. Tooth decay in kids is responsible for the loss of over 51 million hours of school.

The surgeon general has called tooth decay the silent epidemic – yet it is anything but ‘silent’. Studies suggest the pain from a toothache is equal to that of a broken arm or leg.

The good news is that tooth decay can be prevented. It’s important to know how it’s caused in order to avoid it. Tooth decay is the perfect storm of:

  1. Having teeth. Even a 12-month old with one tooth can get a cavity.
  2. Frequency of sugar exposures. Some state health data suggest up to 20% of children are exposed to sticky food in early ages.
  3. Lack of tooth brushing and fluoride exposure, or poor tooth brushing.

So what are the best strategies to prevent tooth decay? Here are some tips.

TIPS TO PREVENT TOOTH DECAY IN KIDS

  1. Create a tooth brushing routine. Children respond positively to the creation of routines. A child who gets in the habit of brushing will carry that forward into adolescence and beyond. Children may initially resist, but most will eventually concede to the routine with consistent reinforcement.
  2. Help kids ages eight years old and younger brush their teeth, but supervise until age 11. The eight year marker is approximate, but until children are able to tie their own shoes, they don’t have the skills to brush their own teeth. By helping, parents can ensure that no food is left behind, which can lead to cavities. Even after children are able to brush their own teeth, parents should be supervising to ensure children are doing a good job.
  3. Visit the dentist regularly. Kids’ dentist appointments are just as imperative as adult’s. We will reinforce that oral health is a critical part of overall health, as well as check for early signs of tooth decay. We’ll also give parents strategies for taking care of their children’s teeth, and issues like dental trauma and snacking.
  4. Brush with fluoride. Buy toothpaste with fluoride for children two years old and up. Follow the recommended amount on the packaging – and then don’t rinse! Have your children simply spit out the excess toothpaste. This will allow the fluoride to stay on their teeth, adding extra protection. Your dentist may recommend starting fluoride toothpaste for kids younger than two, but will give you specific instructions.
  5. Limit sugar intake. The amount of sugar that is in kids’ drinks and diets directly relates to the rise in tooth decay. If you have questions about what nutrition your children need, their doctor is the best place to start.
  6. Model good behaviour. One of the best things parents can do for their kids’ oral health is to take care of their own! Seeing a parent value their teeth reinforces its importance. Make it a family event – let children see how the whole family doesn’t go to bed until teeth are brushed.
  7. Stop all types of junk food usage and immediately brush or rinse with water if sometimes taken sticky or other restricted food.
  8. I recommend use of Enafix Toothpaste or 3M USA company Clinpro Toothpaste thrice a day until 12 years of age or even later also if needed for anti-caries activity in mouth.
  9. Parents can use finger brushes in small children to recheck any leftover food in mouth.
  10. Parents must change their children brushes at frequent interval of times to give them new design of brushes, children power toothbrushes.

At the ending of summary -Tooth decay can lead to nights of pain, poor school performance and in some children, behavioural issues.


NEW ERA OF FIXED TEETH –“DENTAL IMPLANTS”

The dental implant procedure is the placement of permanent, prosthetic teeth that look and function like the real thing. The implant procedure is designed to be painless and provide a smile that lasts a lifetime. When placed by an experienced team of dental implant professionals, the procedure is one of the safest and most successful in dental and cosmetic practices.

There are 3 main parts of dental implants: the implant, the abutment, and the arch (or crown).

IMPLANT

The implant is a screw-like structure made of titanium that is embedded into the bone. The bone fuses with the implant through a natural process known as osseointegration. Traditional implants are embedded into the patient’s jawbone. But patients with severe bone loss in the upper jaw may receive zygomatic implants. Zygomatic implants are longer than conventional implants and are embedded in the Zygoma (cheekbone).

ABUTMENT

The abutment is a connector that fastens the prosthetic teeth to the implant. A small screw runs through the prosthesis and into the abutment to keep it tight. Abutments are often angled to allow for correct placement of the prosthesis onto a slanted implant.

ARCH OR SINGLE CROWN

Also known as the “tooth” or “prosthesis”, the crown should be designed to appear and be as strong as natural teeth. The best prosthesis are designed in a lab and custom fit for each patient. Prosthetic teeth designed for dental implants can be for a single tooth or a full set of teeth, known as a “full arch.”

 

WHY DO PEOPLE NEED DENTAL IMPLANTS?

1. To replace missing teeth: People experience tooth loss for many reasons. Some of these reasons include decay, Gum (Periodontal) disease, Anodontia, medications, chemotherapy, drugs, or injury. Many who experience tooth loss choose to replace the lost or decaying teeth with dental implants.

  • For eating: Being able to bite and chew through a variety of foods is necessary for consuming necessary vitamins and nutrients. While dentures only restore up to 25% of original bite strength, dental implants often restore 80-100% of a patient’s original bite strength after the healing period.
  • For self-confidence: Those with lacking or unsightly teeth often face anxiety of social situations, and experience greater isolation as a result. Strong and natural-looking teeth often help a person regain confidence to socialize.

2. To reinforce the structure of the jawbone: When a tooth is lost, the integrity of the jawbone underneath it is compromised. The neighboring teeth then begin to slowly drift. This also causes gradual degrading of the jawbone which in turn causes facial deformity. When a lost tooth is replaced with an implant, the integrity of the jaw is maintained.

 

WHAT ARE THE DIFFERENT TYPES OF DENTAL IMPLANT CASES?

1. CONVENTIONAL:

In standard cases, dental implants are embedded within the jawbone. Conventional dental implants can be a single tooth, bridge, or a full arch.

  • Single: Individual implants can be placed for the replacement of 1 tooth, such as a missing molar or anterior (front tooth). After the implant is placed, a short healing period is needed before a final crown can be fitted on top.
  • Bridge: A bridge fixes a crown or crowns over the area of a missing tooth or teeth. A bridge can be supported by implants or healthy teeth at each end.
  • Full Arch: In many cases, a patient will choose to have a full set of upper or lower teeth replaced with what is known as a “Full Arch.” Arches are full sets of prosthetic teeth fixed onto 4 or more implants.

2. ZYGOMATIC:

In cases of severe bone loss, Zygomatic dental implants will be embedded into the cheekbone (Zygoma). Zygomatic implants are only different from conventional implants in the method of embedding and the length of the implant. This method is used to replace the teeth in the upper jaw.

 

WHAT IS “ALL ON 4?”

“All on 4” is a common term for a full arch dental implant procedure. The “4” represents the 4 implants on which the prosthetic teeth are fastened. However, dental surgeons may choose to use more than 4 implants per arch to give the prosthetic teeth greater fortitude. Therefore, a more accurate nickname for full arch dental implants might be “All on X.”

 

HOW ARE DENTAL IMPLANTS PLACED? 

A CT-scan is taken to give doctors a 3D image of the patient’s teeth and bone structure. The doctor and patient then have a consultation to discuss their personalized treatment plan.

During the dental implant procedure, all remaining teeth are pulled to make way for the implants. This could be one tooth if the patient is receiving a single implant, or all upper or lower teeth if the patient is receiving a full arch procedure.

Single Implant: If the bone or gum tissue located where an implant will be placed is infected, the infection must first be removed. Then new bone may be grafted until sufficient thickness and density is achieved. Bone grafting in the lower arch usually requires 2-3 months and in the upper arch may need 5-6 months. When the bone is ready, the surgeon will place the implant. Next, the abutment and crown are fastened onto the implant.

Full Arch: After the remaining teeth are pulled and all infection is removed from the gum tissue and bone, the surgeon smooths the bone around the area where the implants will be placed. Then, the implants are surgically fastened into the bone. Finally, the abutments and prosthetic teeth are tightened onto the implants. Many full arch procedures can be done in one day.

 

HOW LONG DOES A FULL MOUTH DENTAL IMPLANT PROCEDURE TAKE?

One day. Before the implant procedure takes place, a surgeon must ensure there is enough jawbone available for the placement of the implants. If special techniques are required, such as bone grafting, this could delay the process by 3 months or up to 2 years. Once the jawbone is confirmed as dense and thick enough, the implants can be placed and the prosthetic teeth can be fastened to the implants. This is often a 2-day procedure, but at fully-equipped dental implant centers, such as the procedure can be finished in as little as a few hours. Patients arrive in the morning for the procedure and leave the same afternoon with a full set of implant supported teeth.

If a surgeon is skilled in the Zygomatic implant technique, and a patient with bone loss is seeking an upper arch of teeth, the bone grafting process may be unnecessary. In these cases, the process can be shortened from months to just one day.

Although a new smile can be given in one day, a period of about 3-6 months is then needed for the osseointegration process (the natural process of the bone fusing with the implants) to mature. Acrylic prosthetic teeth will be attached to the dental implants until osseointegration is complete, and then the permanent teeth will be placed.

 

IS DENTAL IMPLANT SURGERY PAINFUL?

Since you’re asleep under general anesthesia or local anaesthesia you will feel no pain during the dental implant procedure. At the end of the procedure, while you’re still asleep, the surgeon will numb your mouth with long-lasting pain medicine that prevents discomfort for several hours after you wake up. You will also be given a prescription pain medicine for use at home, though most patients report not needing them.

 

WHAT CAN I EAT AFTER DENTAL IMPLANT SURGERY?

After the procedure, an implant recipient will be put on a soft diet to allow the implant healing process to mature. A soft diet can include the following foods:

  • Soft fruits and vegetables
  • Tofu
  • Fish
  • Eggs
  • Soups with small pieces of meat
  • Soft breads, pancakes, waffles, muffins
  • Rice and pasta
  • Yogurt and ice cream
  • Generally, anything that can be easily cut with a fork

Chewy foods, such as steak, or foods that require force to bite into, such as an apple, can cause too much pressure to be applied to implants in the healing process. Also, food with small, loose pieces such as popcorn increase the risk of food getting stuck and causing infection.

 

HOW LONG AFTER DENTAL IMPLANTS CAN I EAT NORMALLY?

A dental implant recipient can expect to return to a normal diet after about 3 months of healing. After 3 -6 months, the titanium implants should be properly fused with the jawbone and ready to function with the strength of a natural tooth.

 

WHY DO I NEED 2 SETS OF TEETH?

In your all-in-one-day procedure, you’ll be fitted with a set of “test-drive” acrylic teeth to use while the implants are healing. The test-drive set of acrylic teeth are fastened to the implants so they feel very similar to healthy natural teeth. After 6 months, you’ll receive your own permanent, final set of Zirconia teeth. Here’s why oral surgeons choose to give an acrylic set before the Zirconia set:

1. To allow time for healing: As your mouth has been introduced to new titanium implants, the bone needs time to properly fuse with the implants. Acrylic teeth are light weight, putting less strain on the healing implants.  Acrylic also has shock absorbing qualities that help prevent damage to implants during the healing period.

2. To avoid gapping: After your procedure, your gums will shrink while healing. After 6 months, you’ll need a refitted arch to properly match with your gum-line. Otherwise, a gap may appear between the arch and the gums, leaving room for food to get stuck, which can lead to infection.

3. To get the right fit: As you chew and put pressure on your new teeth, you may find areas that don’t feel right and need adjusting. Acrylic teeth are easier to adjust than Zirconia teeth. This process of adjusting the teeth will help determine exactly how to design and fit your permanent Zirconia teeth.

4. To get the right color: You may need some time to decide which color of teeth suits you best. This waiting period will help you decide if you want a shade that is slightly brighter or slightly darker.

 

HOW DO IMPLANTS STAY TIGHT?

Implants are fastened into the bone and then, through a 3 to 6-month healing period, the natural process of osseointegration occurs. Osseointegration is the process of the bone fusing with the implant, as the bone would with the root of a real tooth.

 

HOW LONG DO DENTAL IMPLANTS LAST?

Dental implants are much different than crowns, partials or other types of common dental work. The titanium implants and the zirconia teeth are designed to last a lifetime and be as durable as natural teeth.

 

ARE DENTAL IMPLANTS AS STRONG AS REAL TEETH?

Yes, dental implants built with zirconia and Titanium are designed to be as strong as healthy natural teeth. But implants created using other, cheaper materials cannot fully guarantee a lifetime of use.

 

Dental Implants are the permanent, ideal solution for tooth loss and decay. Those who favour dentures often do so for the lower cost, yet pay the price of discomfort and occasional slippage, leading to embarrassment or slurred speech. Quality dental implants that are placed by an experienced surgeon and are properly maintained have a 98% success rate to never become loose.

Additionally, Implants reinforce the jaw structure as natural teeth do. Dentures add no reinforcement to the jawbone and allow for continued deterioration. This leads to warping of the lower region of the face . Dental implant patients, however, often show an improvement in jaw structure.


Advanced Management of Jaw Fractures

Your jawbone is the biggest bone in the lower part of your face and it is commonly broken during facial trauma, with only noses getting broken more often.

 

The lower jaw is medically referred to as the “mandible”, which acts as the foundation for your teeth.  Your teeth sit in the “Alveolar bone”  which is the top portion of the mandible.  This so-called alveolar bone can also be commonly broken during trauma.  Depending on the energy and mode of injury that is applied to the face, the teeth and the underlying alveolar bone can fracture, with or without the actual mandible breaking.

On a monthly basis in Apollo Spectra Hospitals , we are commonly encounter identify missed injuries in patients that were already seen in the ER (Emergency Room) and Urgent Care Clinics.  This all comes down to the training, knowing what to look for.  The most common complaint in patients with such injuries is “my teeth just don’t fit together like they used to” or “I cannot close my jaw all the way”.  This is because their “occlusion” is off!  Occlusion refers to how your teeth come together.

Dr. Kapoor and his team of surgeons in Delhi NCR Hospitals , are trained in the intricate relationship between the mouth, teeth, and facial bones.  Oral surgeons are the only field in medicine and dentistry that are trained to reset the “occlusion”, meaning putting back together the important inter-relationships between your teeth and your jaw bone.

Men in their twenties are about 3 times as likely as women to break their jaws. There are a lot of ways the jawbone can be broken, but the most common causes are from motor vehicle accidents, sports injuries, falls, and assaults and so forth. The most common clues or symptoms that something may be off are:

  • Pain, swelling, bruising
  • Numbness of the lips
  • Chipped teeth
  • Teeth that do not close properly
  • Inability to open their jaw all the way
  • Shifting of the jaw to one side when opening
  • Trouble speaking
  • Trouble chewing
  • Trouble swallowing

For many who have experienced facial trauma, the full extent of the injury may not be evident until a few days later.  Although for some patients with severe facial trauma, the signs of a fracture appear quickly, in others this is not picked up until sometime later.   

If you’ve experienced a trauma to the face and notice any of these symptoms, you should seek medical care right away. A trip to the ER (Emergency Room), AND NOT AN URGENT CARE CLINIC, is highly recommended.  Most ER’s are better equipped with the right staff and imaging machine (MRI, CT Scans , OPG and CBCT ) in order to perform a comprehensive evaluation to rule-out other injuries first, such as concussions and so forth.  Once other vital injuries are ruled-out, then the focus will be on the reconstruction of the fractured teeth and jaw bones.

Thankfully surgery is not required in all cases.  Dr. Kapoor and his team will perform a comprehensive examination and do everything possible to put your smile back on your face.  If you have had a facial injury and think that your teeth just do not fit together like they used to, call us at 8882524952 in India and Delhi NCR-01143178800.