Understanding Cosmetic Surgery

Ad Min - Monday, September 28, 2020

Many would equate cosmetic dental surgery to sparkling white teeth. This specialised surgery does more than that – it also works on the shape of the teeth, the appearance of mouth through its numerous procedures. Some are simple that are completed in a single consultation whereas some require more detailed procedures.

Dental cosmetic procedures are decided based on the consultation the dentists have with their clients. The complete dental check-up helps to give a detailed and clear picture of the oral region. What are the areas that need correction, what procedures are suited best to achieve the desired results – all these are decided after check-up.

Cosmetic surgery helps to improve smile and appearance, it also helps boost oral health and hygiene and also self-esteem. Many dental concerns that people have be it crooked teeth or overcrowded teeth or stained teeth – all these points towards loss of oral health. By different cosmetic treatments, oral health is recovered. Major cosmetic procedures are discussed.

Teeth Whitening

Teeth whitening can be thought of as a synonym for cosmetic dentistry as many know cosmetic dentistry through its teeth whitening procedure. This is one of the simplest dental procedures conducted to improve the appearance of the teeth and also for enhancing the cleanliness of the teeth. Teeth which are stained due to food stains or due to habits like smoking or tobacco or long term use of medicines are cleaned with this procedure. Tartar or plaque formation can also cause teeth discolouration. The dentist will place a rubber covering for the gums and then apply a safe bleaching agent to the teeth. This procedure can be done at home or in a dental clinic.

Composite bonding

Improving the appearance of teeth is done by bonding, this does not require removing any part of the tooth. Teeth lose their shape due to injury, teeth grinding, or trauma to the oral region. The crooked tooth can regain its shape by this procedure. A resin material is added to the tooth to help regain its natural shape. There are also used to fill the gaps between the teeth to get a ‘fuller’ appearance. This procedure does not require many visits to the dentists, usually is done in a single visit. The products do last long provided proper care is taken. The advantage is that they do not stain and sparkle in the teeth will stay for a long time.

Inlays and Onlays

Both these are different types of fillings used on the teeth. They offer protection and strength to the teeth that have been worn out due to wear and tear. The decayed portion of the teeth is removed and the procedures are conducted. The Inlay or Onlay is placed on the tooth and then polished. There are different types of materials that one can use from for the Inlays and Onlays. Inlays are fillings that are applied to the grooves of the teeth and do not extend towards the sides whereas Onlays are applied when there is extensive damage and covers the cusp of the teeth also.

Dental Veneers

Veneers are protective thin covering placed over the tooth. This is useful if the tooth is chipped, broken or crooked. They look like natural teeth and they come in different colours as well so to mimic the natural teeth colour. They can also be placed to fill ‘gaps’ between teeth.  They are durable and for placing them, the dentists will remove or shape the teeth so that when veneers are placed, the teeth don’t jut out. It is the dental enamel that is removed for this process and the dental veneers are placed and glued to the teeth. They do not absorb stain from food or drinks and need not be replaced frequently.

Dental Implants

This is a detailed procedure or surgery that is performed to replace lost teeth. The roots of the tooth are replaced by metal roots and then the artificial tooth is placed on the place of the tooth that is lost. This is a lifesaver for those who are unable to go for dental crowns and bridge procedures. This procedure takes few months as the jaw bone is cut open to place the root of the tooth. After the gum is healed, then the dentist will perform the procedure of placing an artificial tooth. This can be easily done for those with strong jaw bones and suited for those who cannot wear dentures.

Invisalign or braces

Invisalign is the latest in the field of using braces. Braces help to straighten crowded teeth, align them properly and gives the wearer the confidence of having straight and perfect teeth. Overcrowded teeth are often a problem seen in both adults and children. While there are traditional braces that one can opt for, many prefer to go for invasalign treatment. These are invisible dental aligners that can be slipped into the teeth. They are custom made and slowly they shift the teeth to the desired position. They are more comfortable than the normal metal braces, when requiring the elastic bands be adjusted at the clinic and they are visible also. With these invisible braces, many people feel confident of using the braces.

Teeth reshaping

This is also called dental contouring, teeth that are crooked, chipped, cracked or even overlapping are set right with this cosmetic procedure. Dentists will remove the outer enamel to shape and trim the tooth to the desired shape. This is sometimes used as a substitute for those who might need braces. This procedure is usually combined with teeth bonding for a better finish. This procedure helps to correct the appearance and also obtain a better bite. Correcting overlapping teeth will help reduce plaque or tartar formation between the teeth.

Orthodontic treatment

This treatment involves straightening teeth or moving them to the desired position for a better appearance. Jaws that are not properly proportioned or have teeth that move out of line can be correct using this cosmetic procedure. Pain and ache in the jaws, mouth are all caused by an uneven bite. This type of treatment can help remove these issues. Different procedures are adopted depending on the need. This procedure using braces only, or can be a combination of surgery or braces.

Understanding Dental Implants

Ad Min - Tuesday, September 15, 2020

In simple terms dental implants are one of the major prosthetic replacement for missing teeth. A dental implant is an implanted metal piece inserted into the jawbone and allowed to be surrounded by dental tissues till it fuses completely with the bone, and can act a tooth root, which will be then used to hold artificial teeth on top of them.

Who can benefit from a dental implant?

Dental implants are used for people who have lost teeth for whatever reason. They can be used for aesthetic dentistry also.

Dental implants can be used to replace one tooth or multiple teeth depending on the need of the patient. They can benefit people who have lost teeth because of tooth decay, injury, medical problems, or trauma.

Since they involve invasive dentistry, the overall physical health of the patient is most important. The candidate for the dental implants needs to be fee from major diseases and some conditions.

Diseases that require radiation will affect the fusion of the implant with the bone, and will hinder growth of tissues around the metal screw inserted in the jaw. Also, people with uncontrolled diabetes are not the right choice for dental implants because the blood sugar will interfere with the healing and fusing of dental tissues with the metal implant in the jaw bone.

People who have periodontal disease cannot be considered for the dental implants because the infection in the gums will not allow the bone to fuse with the metal screw implanted in the jaw. Smoking and alcoholism also prevent successful fusion of the bone and therefore people with these habits may not be considered for the dental implants.

Benefits of dental implants

  • Dental implants are a better option than other therapies for teeth replacements.
  • Dental implants look very natural and therefore give better smile, making the person more self-confident.
  • The neighbouring teeth are not affected by the implant and that makes implants practical.
  • The dental implants are get integrated into the bone structures of the jaw. And almost become natural. This prevents complications of other traditional replacement options and are generally more safe and stable.
  • It requires very little maintenance and therefore costs less for maintenance after the initial cost.
  • Dental implants are cost effective because in addition to teeth replacement, they can also be used to support removable dentures.
  • Another benefit of dental implant is, its use as a temporary anchorage, when there is a need to move teeth in desired direction. This orthodontics procedure can be carried out by using mini implants. (These mini implants are removed after their purpose is served).

Actual procedure to install dental implants

The procedure starts with the visit to the dentist with a complaint for missing teeth. The dentist will study the bone structure and looks at all the possibilities for treatment. When he presents the various options available, he allows the patient to decide whether he wants to opt for dental implants.

Before the decision to go for dental implant surgery, the dentist requires x rays and a full panoramic view of the teeth structure to see whether the bone is strong and dense enough to support implants and also to choose the spots where implants can be installed. In subsequent meetings, the dentist will require the patient’s overall health report. Blood sugar levels are very important for the healing process. The blood sugar should be controlled before the surgery.

The dentist will also need to know if the patient is on any specific medication for diseases like cancer or lung diseases because any kind of radiation will not allow healing after the surgery.

The cost factor is an important factor before the surgery. The dentist will discuss the cost of the implants and the other incidental costs including the fees. The patient will have to find out how much will be covered by the dental insurance and other state benefits.

Before the actual installation, the dental surgeon will perform extractions of teeth if needed. It is usually a requirement because many sites where dental implants are placed may have a damaged tooth there.

To install the implant this damaged tooth has to be extracted. In many cases the receiving bone needs an alveolar bone graft if there is a damaged tooth there, either synthetic or real. placed there to obtain a more solid base. This site may need 2 to 6 months to heal. If the site has no teeth on this site, it may have lost bone. Here onlay bone will be placed on top of the existing bone. Sometimes the dentist may carry out implant procedure in the same sitting. When bone is resorbed a lot, the sinus lift may be needed where the sinus has to be lifted to place the bone graft.

The titanium post is implanted in the readied bone with special tools. A cap is placed over the implant and it is left to heal for many months. A temporary denture is made for aesthetic purposes. During the healing period the bone and implant are integrated and the implant becomes ready to receive teeth on top. The dental implant should not be stressed and regular check up of the site is important to see the healing and integrations are going on well. Once the dentist is satisfied with the progress of integration, he will place a prosthetic piece called abutment on the implant and fix it in place with screws. Abutment is used to hold crowns or replacement teeth, which are customised according the image of the abutment mould.

If the patient is fit, and takes good dental hygiene care, the dental implants will last almost for life.

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