Oral surgical procedures

Extraction of third molars (Wisdom Teeth) - The wisdom teeth also referred to as the third molars are the most common teeth to be impacted partially or fully in the bone &usually appear between the ages of 17 and 25. If their position is abnormal (can be studied by an x-ray), they can cause damage. A lack of room to allow the teeth to erupt results in a risk of periodontal disease and caries that increases with age.Hence they may require to be removed. They are removed to prevent possible future problems like damage to other teeth or the jaw bone.

Extraction of teeth - An extraction is the process or act of removing a tooth or tooth parts. A dental extraction is performed for a wide variety of reasons, including tooth decay that has destroyed enough tooth structure to prevent restoration. Extractions of impacted or problematic wisdom teeth are also routinely performed, as are extractions of some permanent teeth to make space for orthodontic treatment.Supernumerary (extra) teeth are removed in order to avoid complications related to permanent tooth crowding/eruption, tooth resorption, hygiene and tooth pathology.

Alveoloplasty - Alveoloplasty is an oral surgical procedure where the alveolar bone that supports the teeth is adjusted and shaped, most commonly in preparation for denture wearing.

Tori Removal - Tori and exostoses are thickening or outgrowths of bone found in the upper or lower jaws. Removal of these areas of excess bone aids denture wearing, oral hygiene, and relief from irritation.

Expose and Bond - An oral surgical procedure used to guide eruption of an impacted permanent tooth as part of an orthodontic treatment plan. This procedure consists of uncovering a tooth (expose) and, when required, placement of a surgical bracket (bond) in order to assist in the positioning of the tooth in the dental arch.

Biopsy - A biopsy is the surgical removal of oral soft tissue, teeth or bone to be examined for change or irregularity. The tissue in question is analyzed by a physician specializing in pathology for cell type in order to provide a diagnosis and guide further treatment if necessary.

Periodontal surgical procedures
Periodontal treatment involves removing all infection in the gums. Gum disease is generally characterized by bleeding gums which can also be red in color, bad breath, sensitivity in the teeth etc. If it is not treated, tooth loss can occur.

Flap surgery / pocket reduction surgery - During this procedure the gums are lifted back and the tarter is removed. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. The gums are then placed so that the tissue fits snugly around the tooth. This method reduces the size of the space between the gum and tooth, thereby decreasing the areas where harmful bacteria can grow and decreasing the chance of serious health problems associated with periodontal disease.

Gingivectomy (Gum surgery) - Gingivectomy is the removal of gum tissue (gingiva) by surgery. It is more commonly used to remove overgrown gum tissue and improve the appearance of gums.

Gingivoplasty / gum contouring - Gum reshaping or gum contouring is the procedure by which excess and/or uneven gums are shaped properly to give a nice, even smile.

Gum depigmentation - Gum depigmentation is the correction of blackish or brownish coloured gum to achieve aesthetic healthy pink gums. This discoloration is usually because of excessive pigmentation.

Bone grafts - This procedure involves using fragments of your own bone, synthetic bone, or donated bone to replace bone destroyed by gum disease. The grafts serve as a platform for the regrowth of bone, which restores stability to teeth. New technology, called tissue engineering, encourages your own body to regenerate bone and tissue at an accelerated rate.

Soft tissue grafts - This procedure reinforces thin gums or fills in places where gums have receded. Grafted tissue, most often taken from the roof of the mouth, is stitched in place, adding tissue to the affected area.

Bone surgery - Smoothens shallow craters in the bone due to moderate and advanced bone loss. Following flap surgery, the bone around the tooth is reshaped to decrease the craters. This makes it harder for bacteria to collect and grow.

Crown Lengthening - If you have felt that you have a "gummy" smile because your teeth appear too short and you show too much gum when you smile or that your gum line is uneven, crown lengthening can be performed to solve your problem and expose more of your natural tooth. In addition, if a tooth is decayed or broken off under the gumline, it is often impossible to restore without exposing tooth structure; therefore, crown lengthening is necessary.

Frenectomy - Frenectomy is a surgical procedure that removes and adjusts a thick band of tissue at the tongue base or attaching the gums to the lips. This procedure will aid denture fit, orthodontic stabilization and function of the tongue and lip.

Ridge Augmentation - If you lose one or more teeth, it is not uncommon to have an indentation in your gums and jawbone where the tooth used to be. This defect causes an unnatural indentation in the jaw line making it difficult to clean and maintain. In addition, this defect causes problems in placing dental implants because you do not have an adequate amount of bone.Ridge augmentation improves your dental appearance and increases your chances for successful long-lasting dental implants.

Preventive dentistry

Oral prophylaxis / Scaling & polishing - Plaque, tartar and stains collect over the teeth over a period of time. Cleaning procedure thoroughly removes all of it and is followed by the polishing of the teeth. It should be done every six months to maintain proper oral health.

Here are some of the benefits of prophylaxis:

  • Tartar removal – Tartar (calculus) and plaque buildup, both above and below the gum line, can cause serious periodontal problems if left untreated. Even using the best brushing and flossing homecare techniques, it can be impossible to remove debris, bacteria and deposits from gum pockets. The experienced eye of a dentist using specialized dental equipment is needed in order to spot and treat problems such as tartar and plaque buildup.

  • Aesthetics – It’s hard to feel confident about a smile marred by yellowing, stained teeth. Prophylaxis can rid the teeth of unsightly stains and return the smile to its former glory.

  • Fresher breath – Periodontal disease is often signified by persistent bad breath (halitosis). Bad breath is generally caused by a combination of rotting food particles below the gum line, possible gangrene stemming from gum infection, and periodontal problems. The removal of plaque, calculus and bacteria noticeably improves breath and alleviates irritation.

  • Identification of health issues – Many health problems first present themselves to the dentist. Since prophylaxis involves a thorough examination of the entire oral cavity, the dentist is able to screen for oral cancer, evaluate the risk of periodontitis and often spot signs of medical problems like diabetes and kidney problems. Recommendations can also be provided for altering the home care regimen.

Topical fluoride application - Fluoride helps prevent tooth decay by making the tooth more resistant to acid attacks from plaque bacteria and sugars in the mouth. It also reverses early decay. In children under 6 years of age, fluoride becomes incorporated into the development of permanent teeth, making it difficult for acids to demineralize the teeth. Fluoride also helps speed remineralization as well as disrupts acid production in already erupted teeth of both children and adults. Flouride treatment is mainly recommended to be done for children. It makes the teeth stronger.

Pit & fissure sealants - Pit and Fissure sealing is a process by which a thin layer of a protective film is applied to the chewing surfaces of the teeth. A procedure where a plastic material is placed in the pits and fissures or chewing surfaces of usually the permanent molar teeth at the back of the mouth.These molar teeth are considered the most susceptible teeth to dental caries due to the anatomy of the chewing surfaces of these teeth, which unfortunately inhibits protection from saliva and fluoride and instead favours.plaque accumulation Again it is most beneficial for children as the chewing surfaces of their teeth are prone to cavities. Also used in patients with a history of dental caries,Deep retentive pits and fissures,Early signs of dental caries, Poor plaque control, Enamel defects, such as enamel hypoplasia, Orthodontics appliances.

Cosmetic & Restorative dentistry

Cosmetic dentistry is that part of dental treatment involved with smile makeovers by enhancing a person’s smile, overall look & appearance and dental health. Cosmetic dentistry is that part of dental treatment involved with smile makeovers by enhancing a person’s smile, overall look & appearance and dental health. Any or all of the following procedures are involved in cosmetic dentistry .

Cosmetic Dentistry
Dental veneers : Dental veneers are thin, custom-made, shell-like structures of tooth-like ceramic material which cover the front portion of unattractive teeth. They are used to correct misaligned teeth, spacing, cracks, chips, discolored teeth and rotated teeth. Because they alter the tooth position, size, shape and color, they result in a dramatic smile makeover

Dental bonding : Dental bonding is a single sitting procedure in which a composite resin material is bonded on to the tooth surface. It is very cost effective and is mainly used to repair minor defects in the teeth like gaps, chips, discoloration etc

Tooth whitening : Tooth whitening or teeth whitening is a safe and very effective way to lighten and whiten discolored stained tooth or teeth. It whitens the teeth by 6 to 8 shades easily. Both options of in office and at home whitening are available.

Cosmetic contouring / tooth reshaping : The natural teeth can be shaped and contoured to make them more pleasing and beautiful. This procedure is cosmetic contouring.

Gum reshaping / gum contouring : Gum reshaping or gum contouring is the procedure by which excess and/or uneven gums are shaped properly to give a nice, even smile, Most common procedure for this is gingivoplasty.

Gum depigmentation : Gum depigmentation is the correction of blackish or brownish coloured gum to achieve aesthetic healthy pink gums. This discoloration is usually because of excessive pigmentation.

Restorative dentistry

Tooth colored cavity fillings : When the tooth develops a cavity, it needs to be restored with a filling. Tooth colored filling uses a composite or glass ionomer resin which is bonded to the tooth surface. The resin can be sculpted to the perfect shape before being hardened and polished.

Crowns or caps : A crown (also called as a cap) is an appliance which looks exactly like the tooth and is cemented over the filed down and prepared existing tooth. It gives the tooth support and strength as well as enhances its appearance. Porcelain is the most commonly used material to make crowns because it closely resembles natural teeth in function and appearance.

Metal free ceramic crowns or caps (no black margins) : A metal free ceramic crown or cap, as the name implies does not have any metal and hence mimics a natural tooth to perfection. Thus the problem of fake looking teeth, caused by the black margin of porcelain fused to metal crowns, gets eliminated. This is especially useful for the front teeth, where high aesthetics is desired.

Bridges : Crowns joined together is called as a bridge. It is a custom made appliance used to replace one or multiple missing teeth. The teeth on either side of the missing area are filed down and used as abutments to hold the replacement teeth in its place.
Root canal treatment-The pulp is a thread like structure present in the root of the tooth. When it gets diseased or injured, the pulp tissue dies. If it is not removed , it causes infection in the tooth which leads to severe pain. This can in turn lead to a dental abcess. Hence a root canal treatment is performed wherein the pulp is removed, the root canal is disinfected and a sealant is used to protect it. A crown is generally advised over this tooth to make it functional again.

Complete / Partial Dentures : Denture is a removable prosthesis which is used to replace many or all natural teeth. The appliance can be planned and designed to give a beautiful aesthetic appearance and enhanced function. If it is replacing a few missing teeth, some precision attachments and clasps may be used for added retention. If it is replacing all teeth, some dental implants may be needed for good retention.

Hybrid Dentures : Hybrid Dentures also called fixed-detachable dentures, are a way to replace missing teeth and gum tissue with a prosthetic attached to dental implants. Hybrid dentures are recommended when you have a lot of bone loss in your jaw. This type of denture is more natural looking and stable. To make it, you will need to have four to six dental implants to create a solid base for the denture. The denture is then permanently attached to the implants.

Full Mouth Rehabilitation : Corrects imperfections in bite position and enhances the appearance of the smile. Anyone with short, worn teeth or those that are chipped and broken throughout the mouth would be an excellent candidate. Combining the science of Neuromuscular Dentistry with the artistry of Cosmetic Dentistry, Full Mouth Rehabilitation creates a smile that is functional, comfortable and beautiful.

Tooth Jewellery

Tooth jewellery classic designs are an elegant compliment to standard jewellery. When placed on the tooth, the jewellery creates a distinctive expression of one’s individuality.

There are 2 main types of tooth jewellery available: -
Twinkles: - This is a collection of 24-carat gold and white gold jewellery. The jewellery is available in over 50 different designs with some including diamonds, sapphires and rubies.

Dental Gems: - Are a range of glass crystals are available in nine different colours – diamond, rainbow, ruby, sapphire, emerald, emerald green, aquamarine, pink, sapphire light.

Is The Jewellery For Males Or Females ?
Both – there are many different designs which appeal to everyone. Children under the age of 16 should have parental consent.

How Do You Apply them ?
The dentist will use a dental adhesive to apply the Jewellery to your tooth.
Does The Application Procedure Hurt?
NO! – The procedure is similar to placing an orthodontic bracket on a tooth. There is no drilling involved and the procedure is completely painless

How Long Does The Application Procedure Take ?
The fitting procedure should take no more than 10 to 15 minutes

How Long Will The Jewellery Stay On My Tooth ?
The tooth Jewellery can last on your tooth indefinitely or for as long as you want it..

Will The Tooth Jewellery Harm My Tooth ?
When properly placed by a dentist, the tooth Jewellery will not damage or harm your tooth in any way. Tooth jewellery should only be applied to natural teeth.

How Do I Remove The Tooth Jewellery When I No Longer Want it ?
If you would like to remove your tooth Jewellery the it can be taken off by a dentist at any time.

Smile Makeover
A smile makeover generally combines several cosmetic dentistry techniques to focus most prominently on improving the appearance of your smile. Therefore, any oral health issues will need to be treated beforehand. The dentist will carefully listen to your goals for your smile and discuss the options with you for how to achieve the more youthful, attractive smile that you desire.

Smile Makeover Options :
In addition to correcting tooth proportions, your smile line, and other aesthetic elements of your smile, most cosmetic dentists look at the following when deciding on the combination of treatments for your smile makeover:

Missing Teeth: Tooth gaps can easily distract from the overall appearance of your smile, in addition to being an oral health hazard. While a missing tooth increases the chances of tooth decay, it also provides a space where surrounding teeth can easily shift—destroying the alignment of your teeth over time. When helping you plan your smile makeover, a cosmetic dentist will probably suggest a dental implant, dental bridge, or partial denture to fill out your smile.

Tooth Color: The color and clarity of your teeth greatly affects your appearance. Stains and discoloration can be distracting, even if you have perfectly aligned teeth. Your cosmetic dentist can pick out the color shade that will best match your complexion and perform in-office teeth whitening. Tooth color and shade is also taken into consideration during smile makeover procedures such as porcelain veneers, dental crowns, and composite bonding.

Alignment: Smiles that are severely misaligned will need to undergo full mouth reconstruction or orthodontic treatment prior to a smile makeover. However, slightly misaligned or overlapping teeth can be improved with cosmetic dentistry options such as porcelain veneers or clear braces.

Face Shape: As teeth age, wear down, or fall out, your face shape can alter as well—making you look older. A cosmetic dentist may recommend orthodontics or oral maxillofacial surgery as part of the smile makeover to fill out your cheeks and face, reviving a more youthful look.

Tooth Shape: An extreme makeover dentist pays attention to small details such as tooth shape and size. Teeth can be lengthened or shortened to a more attractive size using gum reduction or porcelain veneers. Tooth shape can also be altered using cosmetic bonding or veneers.

After Treatment Care
No matter which cosmetic dentistry procedures are used during your smile makeover, the lifespan of your beautiful new smile is almost entirely up to you. While some tooth restorations require eventual replacement, you can increase their duration through daily brushing and flossing, as well as regular dental visits. Be sure to avoid chewing hard foods that can chip or crack your porcelain restorations or original teeth. If you grind your teeth at night, ask your dentist about a night guard to protect your teeth.