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Also known commonly as Bleaching. It refers to restoration of normal colour to a tooth by decolorizing the stain present, with the help of bleaching agents.
The procedure is done in the dental clinic by the dentist. It is a single sitting procedure where in the desired result is immediate.
The procedure is simple, painless and can be done at home by the patient himself with the help of Bleaching trays (custom made) which are provided along with the bleaching agent to the patient. Relevant instructions are given. The patient uses the bleaching agent overnight. With constant monitoring, the bleaching is generally completed in 3-4 session. (10-15 days).
Root canal treatment often conjures up a frightening picture in your mind, of pain, sharp instruments and multiple visits to the dentist.
However, with recent advances in dentistry, root canal treatment is not only painless, but also in some cases, can be done in one sitting.
If left unattended the decay in the tooth spreads to the inner layers of the tooth, affects the nerve and then breaks open the bony wall surrounding the tip of the root. Pus accumulates and the tooth becomes painful and tender to touch. In case of teeth that have suffered traumatic injury; the force of the impact itself sometimes damages the nerve of the involved tooth. As a result, the nerve gets infected resulting in severe pain. In such cases root canal treatment is advised.
In certain cases, it can be completed in one sitting. Otherwise, it may take 2 to 3 sittings.
Capping/ Crowning is mandatory to ensure best results.
Has your dentist or endodontist told you that you need root canal treatment? If so, you're not alone. Millions of teeth are treated and saved each year with root canal, or endodontic, treatment. Remember, root canal treatment doesn't cause pain, it relieves it.
Inside the tooth, under the white enamel and a hard layer called the dentin, is a soft tissue called the pulp. The pulp contains blood vessels, nerves and connective tissue, and helps to grow the root of your tooth during development. In a fully developed tooth, the tooth can survive without the pulp because the tooth continues to be nourished by the tissues surrounding it.
Contrary to jokes about the matter, modern endodontic treatment is very similar to having a routine filling and usually can be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances. You can expect a comfortable experience during and after your appointment.
Root canal or endodontic treatment—treatment done to the inside of the tooth—is necessary when the pulp becomes inflamed or infected.
The inflammation or infection can have a variety of causes: deep decay, repeated dental procedures on the tooth, faulty crowns, or a crack or chip in the tooth.
In addition, trauma to a tooth may cause pulp damage even if the tooth has no visible chips or cracks.
If pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess.
During root canal or endodontic treatment, the inflamed or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed with a rubber-like material called gutta-percha.
Afterwards, the tooth is restored with a crown or filling for protection. After restoration, the tooth continues to function like any other tooth.
Endodontic treatment helps you maintain your natural smile, continue eating the foods you love and limits the need for ongoing dental work. With proper care, most teeth that have had root canal treatment can last a lifetime
There are many misconceptions surrounding root canal (endodontic) treatment and whether patients experience root canal pain. We wants you to have accurate information. As always, when considering any medical procedure, you should get as much information as you can about all of your options. Your dentist or endodontist can answer many of your questions, and if you still have concerns, it is often wise to seek a second opinion.
Truth—Root canal treatment doesn't cause pain, it relieves it.
The perception of root canals being painful began decades ago but with modern technologies and anesthetics, root canal treatment today is no more uncomfortable than having a filling placed. In fact, a recent survey showed that patients who have experienced root canal treatment are six times more likely to describe it as "painless" than patients who have not had root canal treatment.
Most patients see their dentist or endodontist when they have a severe toothache. The toothache can be caused by damaged tissues in the tooth. Root canal treatment removes this damaged tissue from the tooth, thereby relieving the pain you feel.
The myth: Patients searching the Internet for information on root canals may find sites claiming that teeth receiving root canal (endodontic) treatment contribute to the occurrence of illness and disease in the body. This false claim is based on long-debunked and poorly designed research performed nearly a century ago by Dr. Weston A. Price, at a time before medicine understood the causes of many diseases.
In the 1920s, Dr. Price advocated tooth extraction—the most traumatic dental procedure—over endodontic treatment. This resulted in a frightening era of tooth extraction both for treatment of systemic disease and as a prophylactic measure against future illness.
The truth: There is no valid, scientific evidence linking root canal-treated teeth and disease elsewhere in the body. A root canal is a safe and effective procedure. When a severe infection in a tooth requires endodontic treatment, that treatment is designed to eliminate bacteria from the infected root canal, prevent reinfection of the tooth and save the natural tooth.
The presence of bacteria in teeth and the mouth has been an accepted fact for many years. But the presence of bacteria does not constitute "infection" and is not necessarily a threat to a person's health. Bacteria are present in the mouth and teeth at all times, even in teeth that have never had a cavity or other trauma. Research shows that the healthy immune system takes care of bacteria in a matter of minutes.
Tooth extraction is a traumatic procedure and is known to cause a significantly higher incidence of bacteria entering the bloodstream; endodontic treatment confined to the root canal system produces much less trauma and a much lower incidence and magnitude of bacteria entering the blood stream.
There is no adequate replacement for the natural tooth - it should be saved whenever possible. Root canal treatment, along with appropriate restoration, is a cost effective way to treat infected teeth because it is usually less expensive than extraction and placement of an implant. In most cases, endodontic treatment allows patients to keep their natural teeth for a lifetime.
But what about Dr. Price? This is a good example of how the Internet can give new life to long-dispelled theories. Believe it or not, the misinformation about roots canals that is found on the Internet is still based on Dr. Price’s century-old, discredited research. Dr. Price’s research techniques were criticized at the time they were published, and by the early 1930s, a number of well-designed studies using more modern research techniques discredited his findings. In 1951, the Journal of the American Dental Association took the extraordinary step of publishing a special edition reviewing the scientific literature and shifted the standard of practice back to endodontic treatment for teeth with non-vital pulp in instances where the tooth could be saved. The JADA reviewed Dr. Price’s research techniques from the 1920s and noted that they lacked many aspects of modern scientific research, including absence of proper control groups and induction of excessive doses of bacteria.
As recently as 2013, research published in JAMA Otolaryngology—Head & Neck Surgery, found that patients with multiple endodontic treatments had a 45 percent reduced risk of cancer.
Truth—Saving your natural teeth, if possible, is the very best option.
Nothing can completely replace your natural tooth. An artificial tooth can sometimes cause you to avoid certain foods. Keeping your own teeth is important so that you can continue to enjoy the wide variety of foods necessary to maintain the proper nutrient balance in your diet. If your dentist recommends extraction, ask whether root canal treatment is an option.
Endodontic treatment, along with appropriate restoration, is a cost-effective way to treat teeth with damaged pulp and is usually less expensive than extraction and placement of a bridge or an implant.
Endodontic treatment also has a very high success rate. Many root canal-treated teeth last a lifetime.
Placement of a bridge or an implant will require significantly more time in treatment and may result in further procedures to adjacent teeth and supporting tissues.
Millions of healthy endodontically treated teeth serve patients all over the world, years and years after treatment. Those healthy teeth are helping patients chew efficiently, maintain the natural appearance of their smiles and enhance their enjoyment of life. Through endodontic treatment, endodontists and dentists worldwide enable patients to keep their natural teeth for a lifetime.
It is normal to feel some tenderness in the area for a few days after your root canal treatment as your body undergoes the natural healing process. You may also feel some tenderness in your jaw from keeping it open for an extended period of time. These symptoms are temporary and usually respond very well to over-the-counter pain medications. It is important for you to follow the instructions on how to take these medications. Remember that narcotic medications, if prescribed, may make you drowsy, and caution should be exercised in operating dangerous machinery or driving a car after taking them.
Your tooth may continue to feel slightly different from your other teeth for some time after your root canal treatment has been completed. However, if you have severe pain or pressure that lasts more than a few days, contact us anytime.
Do not eat anything until the numbness in your mouth wears off. This will prevent you from biting your cheek or tongue.
Do not chew or bite on the treated tooth until you have had it restored by your dentist. Be sure to brush and floss your teeth as you normally would.
If the opening in your tooth was restored with a temporary filling material, it is not unusual for a thin layer to wear off in-between appointments. However, if you think the entire filling has come out, contact us.
Contact us right away if you develop any of the following:
Root canal treatment is only one step in returning your tooth to full function. A proper final restoration of the tooth is extremely important in ensuring long-term success.
Contact your dentist as soon as possible to arrange your next appointment. If your tooth is being treated in more than one visit by an endodontist, do not return to your dentist for the final restoration until the root canal treatment is completed.
The tooth that has had appropriate endodontic treatment followed by a proper restoration can last as long as your other natural teeth. After the tooth has been restored, you need only practice good oral hygiene, including brushing, flossing, regular checkups and cleanings. Your dentist or endodontist may periodically x-ray the tooth to ensure that healing has occurred. Occasionally, a tooth that has undergone endodontic treatment does not heal or pain continues. At times, the tooth may become painful or diseased months or even years after successful treatment. Often when this occurs, repeating the endodontic procedure can save the tooth.
Tooth Saving Tips
Patients today have more options than ever before to treat their teeth. Understanding your choices and their impact on your future dental health and lifestyle is important. Read on to learn why nothing is as good as your natural tooth and get simple tips for saving your teeth! Saving a natural tooth through endodontic treatment should always be the first choice for the best health and cosmetic results.
There are many advantages to saving your natural tooth:
Never choose extraction because you think it will be cheaper! When a natural tooth is extracted, it must be replaced with an artificial tooth to prevent other teeth from shifting, and to prevent future dental problems.The cost of a denture, bridge or implant,plus the extraction, often is higher than the cost of an endodontic procedure that would save the tooth for years to come. Most dental insurance plans cover endodontic treatment.
Never choose extraction because you think root canal treatment will be painful! Modern techniques and effective anesthesia make root canal treatment virtually painless.In fact, discomfort after the procedure is generally greater with a tooth extraction. Patients who have experienced root canal treatment are six times more likely to describe it as "painless" than patients who have not had a root canal.
Never choose extraction because you think it will be quicker! Endodontic treatments generally require one to two visits lasting less than an hour each.An extraction requires one visit, but the denture, bridge or implant will require several additional visits with your dentist.
A dental implant provides strength to a tooth. It is literally an artificial tooth root that is placed into the jawbone to hold a replacement like a single crown (single tooth) or bridge (multiple teeth) or even a denture.
Like tooth roots, dental implants are secured in the jawbone and are not visible once surgically placed. They are made of titanium, which is lightweight, strong and biocompatible so that they are not rejected by the body. The next best thing to healthy, natural teeth.
A single missing tooth can be
Multiple missing teeth can be
If a patient has all the teeth missing; they can be replaced using implant-supported bridges/dentures.
In this procedure, the implant fixture is placed such that the prosthetic part of the implant extends into the oral cavity. These implants are usually stabilised immediately to avoid the action of excessive loading forces on the implant during healing phase. There are three parts to the procedure that our IMPLANT TEAM considers in making this treatment successful.
In this procedure, a multi-component implant system is used. In the first stage, the implant body is seated in the bone and completely covered with muco-periosteal flaps. The fixture under the flap is allowed to merge with bone. The second stage is done after 6-8 weeks after the first surgery, where the implant fixture is uncovered so that the prosthetic component can be placed over the implant.
There are three parts to the procedure that our IMPLANT TEAM considers in making this treatment successful.
There are a number of issues and steps to consider during Diagnosis and Treatment Planning for an Implant.
The type of alveolar bone present can be classified broadly into four types:
Type I (D1) – Homogenous Cortical Bone –
Found in anterior region of mandible (lower jaw) with moderate to severe resorption – has the best strength (100%).
Type II (D2) – Thick Cortical Bone with Marrow Cavity
Found in anterior region of mandible followed by posterior region of mandible – has 40-60% strength as compared to type I.
Type III (D3)-Thin Cortical Bone with Dense
Trabecular Bone – found in anterior region of maxilla (upper jaw) – has 50% less strength than type II.
Type IV (D4) – Very Thin Cortical Bone with Low
Density Trabecular Bone of poor strength – has the least bone strength. Single Sitting Implants can usually be placed in type I and type II categories of bone. Two stage Implants can be placed in type I, type II and type III categories of bone.
Let our IMPLANTOLOGIST decide if you are an ideal candidate for Single Sitting Implants.
An unpleasant smile stems out due to various reasons, like discoloured teeth, spacing and crowding of teeth, fractured teeth or unpleasant gums.
A skillful blend of cosmetic science and art, helps your dentist “sculpt” or ‘design’ smile for you.
The various techniques employed in "Smile Design" are as follows:
Benefits of Smile Design
Dental veneers (sometimes called porcelain veneers or dental laminates) are paper thin, custom-made shells of tooth-coloured material designed to cover the front surface of teeth to enhance your appearance. They are made of ceramic or composite resin. Indirect (ceramic) veneers are more durable and require 2-3 sittings whereas direct (composite) veneers require single sitting.
Veneers can transform the size, shape and colour of the teeth to a desired effect and are the most preferred and effective tools to give your smile a quick cosmetic makeover.
They require minimal to no preparation of the teeth and hence require a painless and minimally invasive procedure. Due to major advancements in ceramic technology and bonding science in dentistry, veneers now look, feel and function like natural teeth and are firmly bonded to the teeth, lasting many years.
Benefits of Veneers
A crown (often called a cap) is an artificial cover that restores a decayed or damaged tooth to its original shape and size. It is used for protecting the surface of a tooth that is cracked or broken.
Crown is used to protect a tooth that has undergone root canal treatment, to protect teeth with large fillings, to correct a cosmetic problem, to correct a bite problem, to replace existing broken or poor fitting crowns
The types of crowns we provide:
A Bridge can replace one or more missing teeth. In this procedure, support is taken from one/more adjacent teeth. It is a universally accepted technique because it is simple, painless, and economical.
It requires minimum sittings.
The types bridges we provide are:
Benefits of Crown
Benefits of Bridge
Orthodontics is a branch of dentistry that specializes in treating patients with improper positioning of teeth (mal-alignment) with the help of braces (wires).
Apart from being unaesthetic, such teeth pose difficulty in biting. Cleaning them is also difficult. Dental braces, also known as orthodontic braces, apply force on such teeth causing them to move over a period of time to a desired position
Orthodontic braces can be worn at any age and are used to correct a variety of mal-alignment conditions.
Our Orthodontist will help you decide which braces are suited for you.
When decay is restricted to superficial layer of teeth, a Light Cure Composite Restoration can be used to restore the tooth to its normal function. It usually involves less or minimal drilling of the tooth structure.
Depending upon the number of decayed or missing teeth in your mouth, you may need a complete denture or partial denture.
Swelling and bleeding gums are caused by the accumulation of plaque and tartar around the teeth. Over a period of time it may cause severe destruction of gum tissue and underlying supporting bone, resulting in bone loss and loosening of teeth. Gingivitis (inflammation of gums), if not treated in time, could lead to periodontitis (inflammation of gums, bone and surrounding tissues that support teeth).
There are various surgical and nonsurgical ways to treat gum diseases and restore the gums to a healthy state and also prevent the further destruction of gums and supporting bone.
Our periodontist will help you solve all your gum problems.
Wisdom teeth (your third molars) are the last teeth to grow. There are chances that they may not emerge at all or most often, they are impacted or trapped in the jawbone and gums, because of inadequate space in the mouth.
A thorough dental evaluation consisting of clinical examination of the teeth and x-rays to assess the health of your teeth will help pinpoint any existing problem. Based on this evaluation, we may recommend surgery to remove the wisdom tooth and eliminate the problem. The space left by the removal of a wisdom teeth heals. Replacement is not generally required in cases of wisdom tooth removal. Removal of a wisdom tooth is a minor surgical procedure carried out under local anaesthesia and does not cause any damage to adjacent teeth or to the eyesight. Loss of a wisdom tooth does not compromise chewing or biting habits.
Our oral surgeon will help you decide if you require an extraction.
Pediatric dentists are dedicated to the oral health of children from infancy through the teen years. They have the experience and qualifications to care for a child’s teeth, gums, and mouth throughout the various stages of childhood.
Aditya dental clinic assures a happy smile across generations. Our Pedodontists (children specialists) will take care of the little ones for any kind of Pediatric Dental issue. The friendly DENTAL team also assures the best comfort for kids.
With proper care, even teeth that have had root canal treatment can last a lifetime.
But sometimes, a tooth that has been treated doesn't heal properly and can become painful or diseased months or even years after treatment. If your tooth failed to heal or develops new problems, you have a second chance. An additional procedure may be able to support healing and save your tooth. If you are experiencing dental pain or discomfort in a previously treated tooth, talk to us about retreatment.
As occasionally happens with any dental or medical procedure, a tooth may not heal as expected after initial treatment for a variety of reasons:
During retreatment, the endodontist will reopen your tooth and remove the filling materials that were placed in the root canals during the first procedure. The endodontist then carefully examines the tooth, looking for additional canals or new infection. The endodontist then removes any infection, cleans and shapes the canals, and places new filling materials. The opening is then sealed with a temporary filling. Once the tooth heals, a new crown or other restoration is placed on the tooth to protect it
Occasionally, a nonsurgical root canal procedure alone cannot save your tooth and your endodontist will recommend surgery.
Endodontic surgery can be used to locate small fractures or hidden canals that weren't detected on x-rays or during previous treatment. Surgery may also be needed to remove calcium deposits in root canals, or to treat damaged root surfaces or the surrounding bone of the tooth.
We at Aditya dental clinic use advanced technologies like digital imaging and operating microscopes to perform surgeries quickly, comfortably and successfully.
There are many surgical procedures that can be performed to save a tooth. The most common is called an apicoectomy, or root-end resection, which is occasionally needed when inflammation or infection persists in the bony area around the end of your tooth after a root canal procedure.
In this microsurgical procedure, the endodontist opens the gum tissue near the tooth to see the underlying bone and to remove any inflamed or infected tissue. The very end of the root is also removed. A small filling may be placed to seal the end of the root canal and few stitches or sutures are placed to help the tissue heal. Over a period of months, the bone heals around the end of the root. Local anesthetics make the procedure comfortable, and most patients return to their normal activities the next day. Postsurgical discomfort is generally mild.
Traumatic dental injuries often occur in accidents or sports-related injuries.
Treatment depends on the type, location and severity of each injury.
Any dental injury, even if apparently mild, requires examination by a dentist or an endodontist immediately.
Sometimes, neighboring teeth suffer an additional, unnoticed injury that will only be detected by a thorough dental exam.
Endodontists are dentists who specialize in treating traumatic dental injuries. With their advanced skills, techniques and technologies they can often save injured teeth.
We offer tremendous flexibility in accommodating emergency cases including weekends in some cases so your pain can be relieved quickly.
Most chipped or fractured tooth crowns can be repaired either by reattaching the broken piece or by placing a tooth-colored filling. If a significant portion of the tooth crown is broken off, an artificial crown or “cap” may be needed to restore the tooth.
If the pulp is exposed or damaged after a crown fracture, root canal treatment may be needed. These injuries require special attention. If breathing through your mouth or drinking cold fluids is painful, bite on clean, moist gauze or cloth to help relieve symptoms until reaching your dentist’s office.
Never use topical oral pain medications or ointments, or place aspirin on the affected areas to eliminate pain symptoms. Injuries in the back teeth often include fractured cusps, cracked teeth and the more serious split tooth. If cracks extend into the root, root canal treatment and a full coverage crown may be needed to restore function to the tooth. Split teeth may require extraction.
During an injury, a tooth may be pushed sideways, out of or into its socket. Your endodontist or general dentist will reposition and stabilize your tooth. Root canal treatment is usually needed for permanent teeth that have been dislodged and should be started a few days following the injury. Medication such as calcium hydroxide may be put inside the tooth as part of the root canal treatment. A permanent root canal filling will be placed at a later date.
Children between seven and 12 years old may not need root canal treatment since their teeth are still developing. For those patients, an endodontist or dentist will monitor the healing carefully and intervene immediately if any unfavorable changes appear. Therefore, multiple follow-up appointments are likely to be needed. New research indicates that stem cells present in the pulps of young people can be stimulated to complete root growth and heal the pulp following injuries or infection.
If a tooth is completely knocked out of your mouth, time is of the essence. See an endodontist or dentist immediately! Handled the knocked-out tooth very gently, avoiding touching the root surface and follow these steps to protect the tooth.
Your endodontist or dentist will carefully evaluate the tooth, place it back in its socket and examine you for any other dental and facial injuries. A stabilizing splint will be placed for a few weeks. Depending on the stage of root development, your dentist or endodontist may start root canal treatment a week or two later. A medication may be placed inside the tooth followed by a permanent root canal filling at a later date.
The length of time the tooth was out of the mouth and the way the tooth was stored before reaching the dentist influence the chances of saving the tooth. Again, immediate treatment is essential. Taking all these factors into account, your dentist or endodontist may discuss other treatment options with you.
A traumatic injury to the tooth may also result in a horizontal root fracture. The location of the fracture determines the long-term health of the tooth. If the fracture is close to the root tip, the chances for success are much better.
However, the closer the fracture is to the gum line, the poorer the long-term success rate. Sometimes, stabilization with a splint is required for a period of time.
Chipped primary (baby) teeth can be esthetically restored. Dislodged primary teeth can, in rare cases, be repositioned. However, primary teeth that have been knocked out typically should not be replanted. This is because the replantation of a knocked-out primary tooth may cause further and permanent damage to the underlying permanent tooth that is growing inside the bone.
Children’s permanent teeth that are not fully developed at the time of the injury need special attention and careful follow up, but not all of them will need root canal treatment. In an immature permanent tooth, the blood supply to the tooth and the presence of stem cells in the region may enable your dentist or endodontist to stimulate continued root growth.
Endodontists have the knowledge and skill to treat incompletely formed roots in children so that, in some instances, the roots can continue to develop. Endodontists will do all that is possible to save the natural tooth. These specialists are the logical source of information and expertise for children who are victims of dental trauma.
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