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Dental Treatments

Introduction

Typically, dental caries can be spotted on two specific areas of the teeth: occlusal caries, which form on the top most part of the tooth where food particles repeatedly come in direct contact with the teeth and interproximal caries, which are dental caries that form between the teeth. It’s in these two locations where bacteria fester and pose a risk to your oral hygiene. If the teeth and surrounding areas are not cared for properly, the bacteria will begin to digest the sugars left over from food in your mouth and convert it into acids as a waste product. These acids are strong enough to demineralize the enamel on your teeth and form tiny holes—the first stage of dental caries. As the enamel begins to break down, the tooth loses the ability to reinforce the calcium and phosphate structures of the teeth naturally through saliva properties and, in time, acid penetrates into the tooth and destroys it from the inside out. Permanent teeth can last a lifetime with proper care. The risk of tooth decay, gum disease and tooth loss can be reduced with good oral hygiene, a low-sugar diet, use of a mouthguard when playing sport, and regular visits to the dentist or other oral health professional. It is recommended that everyone, including young children, visit the dentist at least once every six months. Modern techniques mean that dental treatment can be carried out with no, or very little, discomfort.

Types Of Dental Treatments

Teeth whitening – There is only one place to begin, and this is with teeth whitening. There is no denying that this is a service that has gotten very popular in recent years, as more and more people go in search of a celebrity smile. There are teeth whitening kits available online. However, if you read the reviews on most of these you will find the hat a lot of people are not happy with the results. After all, there is nothing better than having a new smile from a professional dentist.
Dental implants – Another type of dental service that has become very popular in recent times is dental implants. Dental implants involve replacement teeth, yet they are permanent, unlike dentures. The teeth will be made to fit in with your current smile so that you do not look like you have a false tooth or false teeth at all. Some people get dental implants simply because they do not like their current smile. Here are then those who turn to this solution because they have been involved in an accident or they have lost a tooth for any other reason.
Teeth cleaning – The third treatment that many people seem to be making the most of today is professional teeth cleaning. Again, it is not hard to see why this would be popular. Dentists have all of the experience and tools needed to provide you with a thorough and effective clean. They will make sure that any tartar and plaque are removed. You can feel like a new person once you have come out of the dentist chair after having them clean your teeth. This is also a good way of saving yourself money through preventative care. You can ensure issues are picked up on quickly and problems do not get worse. Root Canal- When a tooth becomes infected, the decay can travel down the root of the tooth. If left alone, it can cause an abcess under the tooth and requiremore serious treatment. A root canal removes the decay and fills the root of the tooth so it will not be infected anymore. A final restoration is required to complete the procedure.

Risk Factors

Risk factors include:

  • In planning your dental treatment, risk level is determined from an assessment within four fundamental categories: Periodontal Risk, Biomechanical Risk, Functional Risk and Aesthetic Risk.
  • Periodontal Risk- This comprises threats to structures that support your teeth, particularly bone. If bone is being or has been lost, you are at greater risk for tooth loss from periodontal (gum) disease. This risk may be influenced by systemic (general) health conditions such as diabetes and habits such as smoking. Risk can be managed by changing personal behaviors and ensuring optimal oral hygiene. Periodontal risk ("peri" – around; "odont" – tooth) can also be affected by inflammatory conditions such as cardiovascular ("cardio" – heart; "vascular" – blood vessel) disease, and vice versa. These health conditions should be controlled with the help of your physician. For those who are highly susceptible to periodontal disease, the risk cannot always be completely eliminated; treatment decisions must take this into consideration.
  • Biomechanical Risk- This involves the structural integrity of the teeth — past tooth structure loss due to decay (cavities), acid erosion, and fracture, as well as susceptibility to decay. Certainly the higher your decay activity or rate, the higher the risk of structural (tooth) compromise. Addressing bacterial, dietary, salivary (dry mouth) and other known risk factors can help minimize the risk for future decay. If teeth are severely compromised by tooth decay, their removal and replacement with dental implants may be recommended to lower biomechanical risk.
  • Functional Risk- This relates to how teeth, muscles and jaw joints are functioning and wearing. This assessment involves categorizing your bite — the way the teeth fit together and how you chew. It involves assessing muscle forces generated during biting, which can affect the way the teeth wear, cause tooth looseness by affecting their attachment to the bone, and/or affect the temporomandibular (jaw) joint (TMJ). For example, if you have worn your teeth excessively it is important to figure out why your teeth have worn and look the way they do. If the problem is not addressed, the same wear patterns can result in breakage of the teeth and damage to tooth restorations (crowns or veneers, for example). Moving, reshaping, or restoring the teeth might accomplish this but the important part is to establish and address functional risk before proceeding with any treatment. For a small percentage of people functional risk cannot be eliminated, in which case an oral appliance such as an occlusal (bite) guard should be used to protect teeth during stressful periods and/or when sleeping.
  • Aesthetic Risk- This is really about how your teeth look and thus the risk tends to be more subjective. It is based on an assessment of "tooth display" and (ideal) tooth position in relation to your face. Aesthetic risk is higher in those who display more of their teeth and gum tissue when smiling. In these cases, any aesthetic issues affecting teeth and gums — gum recession, for example — are that much more visible and influential to your smile. Because aesthetic value is subjective, your personal opinion will be a large consideration.

Procedure

Procedure include:

  • BONDING- Bonding is a conservative way to repair slightly chipped, discolored, or crooked teeth. During dental bonding, a white filling is placed onto your tooth to improve its appearance. The filling "bonds" with your tooth, and because it comes in a variety of tooth-colored shades, it closely matches the appearance of your natural teeth. Tooth bonding can also be used for tooth fillings instead of silver amalgam. Many patients prefer bonded fillings because the white color is much less noticeable than silver. Bonded fillings can be used on front or back teeth, depending on the location and extent of tooth decay. Bonding is less expensive than other cosmetic treatments and can usually be completed in one visit to our office. However, bonding can stain and is easier to break than other cosmetic treatments, such as porcelain veneers. If it does break or chip, tell your doctor. The bonding can generally be easily patched or repaired in one visit.
  • BRIDGES. A bridge may be used to replace missing teeth, help maintain the shape of your face, and alleviate stress on your bite. A bridge replaces missing teeth with artificial teeth, looks great, and literally bridges the gap where one or more teeth may have been. Your bridge can be made from gold, alloys, porcelain, or a combination of these materials and is bonded onto surrounding teeth for support. The success of any bridge depends on its foundation — the other teeth, gums, or bone to which it is attached. Therefore, it’s very important to keep your existing teeth, gums, and jaw healthy and strong.
  • CROWNS. Crowns are a restorative procedure used to improve your tooth’s shape or to strengthen a tooth. Crowns are most often used for teeth that are broken, worn, or have portions destroyed by tooth decay. A crown is a "cap" cemented onto an existing tooth that usually covers the portion of your tooth above the gum line. In effect, the crown becomes your tooth’s new outer surface. Crowns can be made of porcelain, metal, or both. Porcelain crowns are most often preferred because they mimic the translucency of natural teeth and are very strong. Crowns or onlays (partial crowns) are needed when there is insufficient tooth strength remaining to hold a filling. Unlike fillings, which apply the restorative material directly into your mouth, a crown is fabricated away from your mouth. Your crown is created in a lab from your unique tooth impression, which allows a dental laboratory technician to examine all aspects of your bite and jaw movements. Your crown is then sculpted just for you so that your bite and jaw movements function normally once the crown is placed.
  • DENTURES. Dentures are natural-looking replacement teeth that are removable. There are two types of dentures: full and partial. Full dentures are given to patients when all of the natural teeth have been removed. Partial dentures are attached to a metal frame that is connected to your natural teeth and are used to fill in where permanent teeth have been removed. Just like natural teeth, dentures need to be properly cared for. Use a gentle cleanser to brush your dentures, always keep them moist when they're not in use, and be sure to keep your tongue and gums clean as well.
  • EXTRACTIONS. There are times when it is necessary to remove a tooth. Sometimes a baby tooth has misshapen or long roots that prevent it from falling out as it should, and the tooth must be removed to make way for the permanent tooth to erupt. At other times, a tooth may have so much decay that it puts the surrounding teeth at risk of decay, so your doctor may recommend removal and replacement with a bridge or implant. Infection, orthodontic correction, or problems with a wisdom tooth can also require removal of a tooth.
  • FILLINGS. Traditional dental restoratives, or fillings, are most often made of silver amalgam. The strength and durability of this traditional dental material makes it useful for situations where restored teeth must withstand extreme forces that result from chewing, often in the back of the mouth. Newer dental fillings include ceramic and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins, are usually used on the front teeth where a natural appearance is important, but they can also be used on the back teeth depending on the location and extent of the tooth decay. There are two different kinds of fillings: direct and indirect. Direct fillings are fillings placed into a prepared cavity in a single visit. They include silver amalgam, glass ionomers, resin ionomers, and composite (resin) fillings. Indirect fillings generally require two or more visits. They include inlays, onlays, and veneers. They are used when a tooth has too much damage to support a filling but not enough to necessitate a crown.
  • FLUORIDE. Fluoride is effective in preventing cavities and tooth decay and in preventing plaque from building up and hardening on the tooth's surface. A fluoride treatment in your dentist's office takes just a few minutes. After the treatment, patients may be asked not to rinse, eat, or drink for at least 30 minutes in order to allow the teeth to absorb the fluoride. Depending on your oral health or your doctor's recommendation, you may be required to have a fluoride treatment every three, six, or 12 months.
  • IMPLANT RESTORATION. If you are missing teeth, it is crucial to replace them. Without all your teeth, chewing and eating can destabilize your bite and cause you discomfort. When teeth are missing, your mouth can shift and even cause your face to look older. Implants are a great way to replace your missing teeth, and if properly maintained, can last a lifetime! An implant is a new tooth made of metal and porcelain that looks just like your natural tooth. It's composed of two main parts: one part is the titanium implant body that takes the place of the missing root, and the second part is the tooth-colored crown that is cemented on top of the implant. With implant treatment, you can smile confidently knowing no one will ever suspect you have a replacement tooth. In addition to tooth replacement, implants may be used to anchor dentures, especially lower dentures that tend to shift when you talk or chew. For patients with removable partial dentures, implants can replace missing teeth so you have a more natural-looking smile.
  • ROOT CANALS. In the past, if you had a tooth with a diseased nerve, you'd probably lose that tooth. Today, with a special dental procedure called "root canal treatment," your tooth can be saved. When a tooth is cracked or has a deep cavity, bacteria can enter the pulp tissue and germs can cause an infection inside the tooth. If left untreated, an abscess may form. If the infected tissue is not removed, pain and swelling can result. This can not only injure your jawbones, but it is also detrimental to your overall health. Root canal treatment involves one to three visits. During treatment, your general dentist or endodontist (a dentist who specializes in problems with the nerves of the teeth) removes the affected tissue. Next, the interior of the tooth will be cleaned and sealed. Finally, the tooth is filled with a dental composite. If your tooth has extensive decay, your doctor may suggest placing a crown to strengthen and protect the tooth from breaking. As long as you continue to care for your teeth and gums with regular brushing, flossing, and checkups, your restored tooth can last a lifetime.

Range of Treatment Cost

Procedure Duration In Hospital Min Cost (INR) Max Cost (INR)
Teeth whitening   5700₹ 6000₹
Instant teeth whitening   20000₹ 25000₹
Root Canal Treatment   6600₹ 7000₹
Gum Contouring   9600₹ 10000₹
Dental Implants   36000₹ 46000₹
Ceramic Inlay/ Onlay   9000₹ per/tooth 10000₹ per/tooth
Smile Makeover 3-4 days 19800₹ per tooth 20000₹ per tooth
Resin veneers    INR 11700₹ per tooth INR 12000₹ per tooth
All on Four   540000₹ per jaw 600000₹ per jaw
Invisaligns    138000₹ 158000₹
Dentures   33000₹ 36000₹
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