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Peridontics

If you notice any of the following signs or symptoms you more than likely are experiencing gingivitis:

  1. Gums that bleed when you brush or floss
  2. Gums that are very sore or tender to brushing or flossing  best prices for all customers!
  3.  Gums that have changed in shape or texture
  4.  Gums that release pus
  5.  Bad breath or a bad taste in the mouth
  6.  Teeth that feel loose or have changed in the way that they fit together

Treatment for Gum Disease :

If you have been diagnosed with gum disease, or suspect that you have it; you need to radically change the way you take care of your oral health.

Your dental hygienist will take the following action:

  • Recommend that you receive a deep cleaning (scaling and root planning), a very meticulous cleaning that removes bacteria and harmful debris. It is usually completed within a 1.5 hour appointment. Anesthetic may be used to ensure your complete comfort.
  • Recommend a prescription mouthwash to jump start the healing of your gum tissue. This peridex mouthwash (chlorhexidine) is antibacterial, and will assist your mouth in keeping bacteria under control.
  • Instruct you in proper homecare habits. You will need to use a high quality electric toothbrush, as well as dental floss on a regular basis.

In the future, you will need to see your dental hygienist more frequently, about every three or four months, until the gum disease is resolved. Gingivitis requires additional attention and maintenance procedures, which is why it is so vitally important to be seen regularly.

Most insurance companies will decline to pay for more than two dental cleanings per year. It is very important to remember that insurance should never dictate your quality or quantity of care.

 

Oral Maxillofacial Surgery

Oral Maxillofacial Surgery

Oral and Maxillofacial Surgery is the surgical specialty that includes the diagnosis, surgical and related treatments of a wide spectrum of diseases, injuries, defects and aesthetic aspects of the mouth, teeth, jaws, face, head and neck. It is an internationally recognized surgical specialty.

Oral and maxillofacial surgeons are trained to treat and care for patients who experience such conditions as problem wisdom teeth, facial pain, and misaligned jaws. They treat accident victims suffering facial injuries, offer reconstructive and dental implant surgery, and care for patients with tumors, cysts, and developmental craniofacial abnormalities of the jaws/ face and functional and aesthetic conditions of the maxillofacial areas.

The scope of this specialty is extensive and concerns the diagnosis and treatment of diseases affecting the oral (mouth) and maxillofacial (face and neck) regions, including the following:

  • Oral and dentoalveolar surgery (removal of impacted and buried teeth, cysts, etc.).
  • Preprosthetic surgery (bone augmentation).
  • Dental implant surgery and associated bone grafting (to replace missing teeth or stabilize dentures; rehabilitation of patients having undergone surgery for tumors, to retain facial prostheses.
  • Orthognathic surgery (dentofacial deformities).
  • Facial trauma surgery (facial bone fractures and related soft tissue injuries).
  • Reconstructive surgery of the face.
  • Cleft lip and palate surgery.
  • Congenital craniofacial deformities.
  • Facial plastic surgery (rhinoplasty, rhytidectomy, blepharoplasty, facial implants, etc.).
  • Temporomandibular Joint Disorder (TMJD).
  • Snoring and sleep apnea correction surgery.
  • Tumor/Cancer surgery.

Oral and maxillofacial surgeons (OMS) frequently work alongside other specialists including dentists, orthodontists, prosthodontists, radiologists, pathologists, oncologists, ENT surgeons, neurosurgeons, plastic surgeons and other professionals allied to medicine.

Child Dentistry

Pedodontics

The pediatric dentist is the specialist who is dedicated to the oral health of children from infancy through the teenage years. The very young, pre-teens and teenagers all need a different approach in dealing with their behavior, guiding their dental growth and development, and helping them avoid future dental problems. The pediatric dentist is best qualified to meet these needs.

Pediatric dentists have had special training, which allows them to provide the most up-to-date and thorough treatment for a wide variety of children’s’ dental problems. They are trained and qualified to treat special patients who may have emotional, physical or mental handicaps. Because of this specialized training and commitment to comprehensive oral health, many parents wisely choose a pediatric dentist to treat their children.

At Dr. Pandit’s, we provide dental care for children in a delightful, fun dental atmosphere. Among the services provided by our pediatric dentist include fissure sealant, fluoride applications, space maintainers, tooth – colored fillings, stainless steel crown, and habit breaking appliances.

Sealants

Sealants help preventing tooth decay (dental caries), the most common dental disease among children. Your dentist can help prevent or reduce the incidence of decay by applying them to your child’s teeth.

A Sealant is a clear plastic material that, when applied to the chewing surface of a tooth, bonds into the grooves of the tooth to act as a barrier protecting the enamel from plaque and acids. It is applied to the back teeth (premolars and molars) where decay occurs most often. Sealant is most effective for children age 6 and older.

Topical Fluoride application

The role of fluoride in preventing dental caries is unequivocal. In case of topical fluoride application the reduction in caries experience in children can reach up to 60%.

The number of topical fluoride applications per year depends on the caries risk of a particular child, but a minimum of two applications is considered the optimum in most cases.

Space maintainer

A Space maintainer is an appliance used to maintain the space of a prematurely lost primary tooth until the eruption of the permanent successor. This will prevent later space problems and reduces the possibility of the need for orthodontic treatment.

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Crowns

Two types of crowns are available and can be used in children. The first is the stainless steel crown, which is used to restore a largely decayed primary molar, or a pulpally treated molar. The second is the cellulose crown and is used to restore an anteriorly decayed incisor.

Prosthodontic

Complete Dentures

Dentures are artificial substitutes used to replace all or some of the lost teeth and adjoining tissues to maintain function, health and esthetics of the tissues. So in simple words dentures help to replace lost teeth.

A complete denture is a dental prosthesis that replaces all the teeth and contiguous oral tissues in order to help restore the function, health and the appearance of the patient. Complete dentures can be made for the lost upper and the lower teeth.

Under certain circumstances only the upper or the lower denture is made and this is called a single denture.

Complete dentures fabricated before the extraction of the teeth and inserted soon after the extraction are called immediate complete dentures.

All dentures are made of a denture base and teeth. The denture base is usually made of acrylic resin, which is usually colored pink to resemble the oral gum tissues.

The teeth are made of acrylic resins, which is the most preferred. Teeth are available in various sizes, forms and colors to suit the needs of the patients.

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Immediate Dentures

An immediate denture is constructed before teeth are removed from the patient’s mouth so that the patient doesn’t have to move around with out teeth till the final denture is ready. Constructing immediate dentures involves taking impressions (making copies) of your mouth before the teeth are removed. When your remaining teeth are removed the denture can be inserted immediately.

Because the denture is placed over the new extraction sites it will actually prevent swelling. The denture should not be removed for 24 hours and only by the dentist the day after you receive your new denture.

Post operative visits will be required to check the extraction sites and make required adjustments to the dentures.

Because the mouth will change after it heals, your dentures will need to be evaluated at 3 month intervals and will need to reline to fit the changes that have occurred in your mouth.
Crown & Bridge

Crowns and 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. Porcelain bonded to a metal shell is often used for posterior teeth because it is both strong and attractive.

Indications to do Crown
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 discolored or poorly shaped tooth. Cover a tooth that has had root canal treatment.

How do Bridges Work?
patients and order prednisone canada doctors lined up to testify on the proposed lyme and related tick-borne disease education, prevention and order 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 tempromandibular joint 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, 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 of your natural teeth.

Valplast Partial Dentures

Valplast partial dentures are gradually replacing the conventional metal dentures. Today dentists are prescribing flexible material for removable partial dentures (RPDs) because it makes a better, stronger appliance faster. Flexible material reduces chair time, eliminates invasive procedures and the cumbersome materials associated with rigid partials. In short, there is no longer any need for metal.

The material in flexible partials is perfectly suited to the variety of natural conditions in the mouth. It simplifies the design and enables the RPD itself to balance the simultaneous requirements of retention, support and stability. The choice of a Valplast partial avoids the placement of metal,the patient’s mouth satisfying the patient’s interest in metal-free dentistry.

Ortho Dontics

Fixed Braces

Orthodontics, the branch of dentistry concerned with the growth of the teeth, jaws and face, is in high demand. Orthodontic treatment is about making the best of your teeth; it’s about improving the harmony of your mouth and jaws. Once you can bite together correctly, you can eat more comfortably and care for your teeth and gums more easily. And your smile will benefit immensely.

The Starting Point

Most courses of orthodontic treatment begin with a referral from a general dentist to a specialist. Depending on what treatment is needed, most patients are seen by a specialist in a local practice or by a consultant in hospital. Some patients are treated by dentists with extra training and experience to treat the milder cases.

These are some of the most common reasons for a referral:

  • Protruding upper front teeth – one of the most common dental problems
  • Crowding – a narrow jaw may mean there is not enough room for your teeth, resulting in crowding. Conversely, some patients have significant gaps between their teeth.
  • Asymmetry – particularly when the centre lines of the upper and lower front teeth do not match, perhaps because the teeth have drifted or the position of the jaw has shifted.
  • A deep bite – when your upper teeth cover the lower teeth too much
  • A reverse bite – when your upper teeth bite inside the lower teeth
  • An open bite – when your front teeth remain apart when your back teeth meet; the tongue is often still visible between the upper and lower front teeth.
  • Impacted teeth – in some patients, secondary teeth come through in the wrong position or do not erupt at all. Orthodontic treatment can help bring these teeth into the correct position.

Getting Treatment

Every patient needs tailor-made treatment, planned by the orthodontist and agreed with you, the patient. In order to decide what treatment is required for you, your orthodontist will need to carry out a full assessment of your teeth which is likely to include x-rays, impressions (moulds of the teeth) and photographs. Treatment can take more than two years so it is important you are happy from the outset with what is recommended. Braces are almost always needed. Those which are used most often are:

A fixed brace – this is the most common type of brace today, often known as “train tracks”. Brackets are glued onto the teeth and linked by wires. Small elastic hoops are often used to hold the wire in position. The wires exert gentle pressure to move the teeth into a new position. The brackets can be metal, ceramic or even gold and the elastic hoops come in many colours.

A removable brace – this is sometimes used for correcting a simple problem, such as moving a single tooth or expanding the dental arch. It has a plastic baseplate with wires and springs attached. Removable braces need to be worn all the time except for cleaning or sport.

Functional appliances – these are used to harness the growth of the jaws and improve way the upper and lower teeth meet. There are several designs all of which fit on to both the upper and lower teeth and hold the lower jaw forward. They are mostly removable but should be worn as near to full-time as possible.

Retainers – at the end of treatment, all patients should wear retainers to hold their teeth in the new position. These can be removable or fixed and are an important part of treatment.

Ceramic (Invisible Braces )

Traditionally, braces have consisted of metal brackets and wires. However, some people have feared the idea of a “metal mouth” so much that they refuse to wear braces altogether, missing out on the possibility of a beautiful smile. For this reason, orthodontic research began to focus on less visible options.

Those wanting “invisible” braces can choose from four options:

Ceramic braces
Sapphire braces
lingual braces
Invisalign.

Ceramic, sapphire and lingual braces all function the same way as metal braces. Brackets are glued to the front of your teeth. A wire is shaped into the ideal position of your teeth, then threaded through the brackets. As the wire struggles to get back to its original shape, it gradually pressures your teeth into that shape as well. Your orthodontist (a dentist trained in tooth movement and dentofacial orthopedics) will tighten the wires every four to six weeks. You should see a nice, straight smile within two or two and a half years (though this time period can be shorter or longer, depending on the severity of your problem). Once your braces come off, you will likely wear a retainer for six months to a year, to keep your teeth from shifting and make sure your new smile stays in place.

The difference, though, is that these three types of braces don’t look like traditional braces. Ceramic brackets are transparent and blend in with the teeth. Sapphire brackets are also very transparent, but tend to look best against very white teeth (otherwise, they can stand out). Both of these types of braces are placed on the front of the teeth and are barely visible from over a metre away, or in photographs. Lingual brackets and wires, meanwhile, are glued onto the back of the teeth, making them completely invisible when you smile.

Dental Implants

Dental implants are used as an alternative to bridges to replace lost tooth/teeth. A titanium implant is set in the toothless area of the jawbone. The jawbone fuses with the titanium surface providing a strong anchorage for the implant. The implant functions as a support for the dental prosthesis – like a ceramic crown – constructed over it. Whether for a single tooth or replacement of all of a patient’s teeth, dental implants are now recognized as standard treatment for a complete range of teeth problems.

The dental implant procedure begins with a thorough diagnosis and treatment planning. A recipient site is created in the jawbone with drilling instruments and the implant is inserted into it. In most cases, a healing period of 3 to 6 months is required for the jawbone to fuse with the implant. After this healing period, the prosthesis is constructed over the implant.

 

Endo Dontics

Endodontics is a specialty of dentistry, which deals with the tooth pulp. The pulp (containing nerves, arterioles and venules as well as lymphatic tissue and fibrous tissue) can become diseased or injured and thus is unable to repair itself. The pulp then dies and endodontic treatment is required. The word comes from the Greek words endo meaning inside and odons meaning tooth. Literally taken, it means study of that which is “inside the tooth”.

Root Canal Treatment:

The most common procedure done in endodontics is root-canal therapy, which involves the removal of diseased pulp tissue. The tooth consists of two parts: the crown and the root. Inside each root is a channel that runs the length of the tooth. This channel, called ‘the root canal’, contains the pulp (nerves, blood vessels and soft tissues). The tooth aches when the gum is inflamed or infected. In order to save such tooth, root canal treatment is performed which involves the removal of the inflamed root canal contents, which are replaced with an inert, proven, biocompatible material. This tooth is then brought back to form and function by fixing a crown on it.

Periapical Lesion:

Most periapical diseases are induced as a result of direct or indirect involvement of oral bacteria. The etiologic factors are oral contaminants through the root canal or degenerating pulpal tissues. Therefore, mere surgical removal of the periapical lesions without proper root canal disinfection and obturation will not result in the healing of periapical tissues.

Conventional root canal treatment is aimed primarily at eliminating these bacteria as completely as possible. Treatment options to manage large periapical lesions range from non-surgical root canal treatment and /or apical surgery to extraction. Current philosophy in the treatment of teeth with large periapical lesions includes non-surgical root canal treatment. When this treatment is not successful in resolving the periradicular pathosis, additional treatment in the form of surgical intervention (curettage and apical resection with retrograde filling) is given.

Cosmetic Dentistry

Tooth Whitening

Cosmetic dentistry is a discipline within dentistry in which the primary focus is the modification of appearance of a patient’s oral cavity and surrounding structures, in conjunction with the prevention and treatment of organic, structural, or functional oral disease. Through cosmetic dentistry, the appearance of the mouth can be altered to more closely match the patient’s subjective concept of what is visually pleasing Teeth Whitening is the most commonly prescribed cosmetic dental procedure. While many whitening options are now available, dentist-supervised treatments remain the recommended procedures for lightening discolored teeth.

Tooth whitening can help ward off the embarrassment of yellow teeth that shows up as a result of natural aging process or discoloration due to stains occurred by over-consumption of tea, coffee and cola. Teeth whitening procedures can not only lend you that smart, younger look but also can pep up your confidence level and thus your self esteem.
At Dr. Pandit’s, we use the BriteSmile teeth whitening system which is clinically proven to be safe, and the benefits can last for years.

Tooth Jewellery

Tooth Jewellery is the latest craze.

The latest fashion craze, this ready made tooth jewellery is available to everyone including the rich and famous. Fitting takes about 10 to 15 minutes and is completely painless as there is no cutting of the tooth surface.

The jewellery is just cemented onto your tooth, the design can be changed several times if you want to change your smile, or even go back to your original smile.

Some designs include diamonds and also rubies; please specify which shape and if with diamond or ruby at time of ordering.

  • No Drilling
  • No Holes
  • Painless Does Not Harm Tooth
  • Temporary

Procelain Veneers

In dental terminology, “veneers” or “laminates” means a covering on the front side of a tooth for its cosmetic enhancement. With the advancement in technology, several different materials have been developed over the years for the purpose of making a veneer. PorcelainVeneers are very thin pieces of durable, tooth shaped porcelain that are custom made by a professional dental laboratory.

These can completely reshape your smile and individual teeth. They can be used to cover small imperfections and defects, and to mask stains or discolored teeth. Porcelain/ceramic veneers can also be used as alternatives to crowns and to cover previous discolored fillings. Teeth which are permanently discolored .stained are ideal candidates for porcelain veneers. Veneers are frequently utilized for filling the spaces that lie between teeth.They are very durable and will last many years, giving you a lasting and beautiful smile