Wisdom Teeth

Why are they called Wisdom Teeth?

Wisdom Teeth are the third set of molars in the back of your mouth. They generally erupt after the age of 18. An age old myth since they arrive late in the mouth they are supposed to make the person wiser. Contrary to this myth, wisdom teeth have nothing to do with the person’s wisdom or even eye sight for that matter.

Is Wisdom Tooth extraction painful?

The patient will be given local anesthesia to numb the area of extraction. The anesthesia will remain for two hours after which the doctor will prescribe medicines to reduce any pain. It can be managed to make it as painfree as possible.

Do patients need to undergo a surgery?

Depends on the severity of the case, most wisdom teeth extractions do not require surgical intervention.

Does your vision decrease after getting your Wisdom tooth extracted?

This is a very common misconception wisdom tooth or any other tooth is not related to the person’s eye sight.

What if I do not get my wisdom teeth removed?

If wisdom teeth do not get extracted they can lead to the following issues:-

1. Source of recurrent infections.
2. Some patients might develop trismus i.e. inability to open your mouth.
3. Damage to other teeth as the extra set of molars can push your other teeth around causing mouth pain and bite problems.
4. Sinus issues as wisdom teeth can lead to sinus pain, pressure and congestion.
5. Jaws can be at a risk of getting damaged as cysts can form around the new teeth.
6. Inflamed Gums as the tissue around the area can swell up and be hard to clean.
7. Swollen Gums can also need to cavities as they create pockets between the teeth that help bacteria to grow.
8. Alignment can get impacted due to wisdom teeth as they cause problems of crowding other teeth and it becomes necessary to undergo treatment to straighten other teeth.

How long is the recovery/down time post extraction?

You can resume work as early as two hours post the surgery although the entire healing process takes about a week or 10 days, you don’t have to necessarily take a break at home and follow your doctor’s instructions. Here are some general tips that you can follow:-

1. Eat soft foods like rice, pasta or soup.
2. Gently open and close your mouth to exercise your jaw.
3. Use moist heat for a sore jaw.
4. Use an ice pack on your face to reduce swelling.
5. Drink plenty of fluids.
6. Brush your teeth on the second day.
7. Take the prescribed medication to ease the swelling and pain.
8. Always call your doctor if you get fever, pain or the swelling does not subside.

However the following are after care precautions:-

1. Avoid drinking from a straw as sucking may loosen blood clots that help your mouth heal.
2. Avoid rinsing your mouth harshly.
3. A big no to eating hard, crunchy or sticky foods as they may affect the wound.
4. Avoid Alcohol and Smoking as they can slower the healing process.

Can a diabetic/ heart patient extract a Wisdom Tooth?

The Dentist will require a fitness certificate and a consent form from your specialist or alternatively may run some blood tests before they proceed with the extraction procedure.

Does Wisdom Tooth extraction cause any changes to your facial features?

An extraction of a wisdom tooth might cause swelling for a few days. However as soon as it heals there won’t be any difference to your facial appearance. In fact your mouth will feel more comfortable and less crowded.

The post All about Wisdom teeth: Pain, Tooth Extraction, Myths appeared first on Dentissimo Dental Care & Spa | Best dentist / dental clinic in Bandra West , Mumbai | Root canal, teeth whitening, extraction, implant, crowns, filling, teeth cleaning in Mumbai.

1) What is the right age to visit a Dentist? And what is the right age to brush my toddler’s teeth?

You ideally should visit a Dentist as soon as you can see the first tooth in the child’s mouth, and this is also the time you must start brushing their teeth.  After which there should be 6-8 monthly checkups irrespective of any cavity or not in the mouth. Post 3 years a prophylactic fluoride applications should be done as per your dentists recommendations.

2) What toothbrush should I use for my baby?

An actual toothbrush with a small head (lot of brands available in the market) These are called baby toothbrushes because they have a small head with softer bristles. Please refrain from using Silicon toothbrushes, finger brushes etc. (They attract more plaque and food and don’t really clean the teeth).

3) What toothpaste should I use for my toddler?

Most pediatricians recommend using a fluoride free toothpaste for babies below the age of 2 years. After the age of 2 years fluoride toothpaste should be introduced.

Although American Academy of pediatrics recommends switching to a toothbrush and a fluoride toothpaste as soon as the teeth start to come in, the key is to use a very small smear of toothpaste – no more than the size of a grain of rice. (These guidelines are a 2014 update to former recommendations which had suggested fluoride-free toothpaste until the age of 2)

4) What toothpaste should my baby be using, Oral B, Colgate, Pepsodent, Sensodyne , Chicco, Kidodent?

The sooner the better! Starting at birth, clean your child’s gums with a soft infant toothbrush or cloth and water. Parents should use a tiny smear of fluoride toothpaste to brush baby teeth twice daily as soon as they erupt and a soft, age-appropriate sized toothbrush. Once children are 3 to 6 years old, then the amount should be increased to a pea-size dollop and perform or assist your child’s tooth brushing. Remember that young children do not have the ability to brush their teeth effectively.  Children should spit out and not swallow excess toothpaste after brushing.

5) How should mothers brush their kid’s teeth?

Tilt the child’s head towards you, so that you get a full view of your child’s mouth. Your child can either be sitting on your lap or standing, so you face the back of their head. Then start brushing in circular motions. Encourage the child to spit the toothpaste out rather than swallowing it.You can make it more fun by singing songs, making it like a playtime etc.

Demonstration – brushing technique

6) How to combat teething problem?

Nibbling on cold carrots, breast-milk popsicles, cold and frozen bananas, frozen pizza crusts and Homeopathy medicines like BC21…they all work like magic. When teething a small percentage of kids also get what is called a drool rash which usually takes 3-6 days to clear up on its own with some moisturizer application and wiping the drool with a soft muslin cloth.

7) Breast milk and cavities?

Breast milk does not cause cavities, it is actually a myth .Good oral hygiene i.e. brushing upon waking up and before going to bed in the night should be a ritual to avoid any cavities. Although there is no direct link between night feeds and cavities but it is advisable to night wean after the age of 12-14 months and day feeds can continue as long as the mother and baby wish. Pacifiers with honey,sugar etc should be avoided at all costs as they will definitely cause decay.

8) Iron stains and white spots?

It is recommended to visit a dentist when you see any discoloration like black or white spots

White spots could be an early indication of a cavity, black spots could be due to iron supplements or an actual cavity. So iron will stain less:-

1) If you give her food immediately after the supplement

2) Dilute it with water, or better still to put it in the porridge, will definitely stain less.

3) Removal right now only with brushing 2 times in a day.

4) Difficult to follow but if you can brush after the supplement it will be great.

5) We recommend iron in the day time morning better and food is must after.

9) What if my toddler has a tooth injury and it pops out?

The most important thing to do is to remain calm. Then find the tooth. Hold it by the crown rather than the root and try to reinsert it in the socket. If that is not possible, put the tooth in a glass of milk and take your child and the glass immediately to the pediatric dentist.                      

10) How important are my baby’s milk teeth?

Primary, or “baby,” teeth are important for many reasons. Not only do they help children speak clearly and chew naturally, they also aid in forming a path that permanent teeth can follow when they are ready to erupt.

11) How can parents help prevent tooth decay?

Parents should take their children to the dentist regularly, beginning with the eruption of the first tooth. Then, the dentist can recommend a specific program of brushing, flossing, and other treatments for parents to supervise and teach to their children. These home treatments, when added to regular dental visits and a balanced diet, will help give your child a lifetime of healthy habits.

 12) What should I do if my child has a toothache?

First, rinse the irritated area with warm salt water and place a cold compress on the face if it is swollen. Give the child acetaminophen (e.g., Children’s Tylenol) for any pain, rather than placing aspirin on the teeth or gums. Finally, see a dentist as soon as possible.

13) Are thumbsucking and pacifier habits harmful for a baby’s teeth?

Thumb and pacifier sucking habits will generally only become a problem if they go on for a very long period of time. Most children stop these habits on their own, but if they are still sucking their thumbs or fingers past the age of three, a mouth appliance may be recommended by your pediatric dentist.

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Pregnancy is a period where utmost care should be given so that the baby develops a healthy Body and healthy oral cavity. The initial development of the child’s teeth and oral structures occurs in the womb of a mother. Some common questions that pregnant mothers and females planning to get pregnant ask are answered below:

Do I need dental advice prior to becoming pregnant?

• Undergo a dental and medical checkup prior to getting pregnant.
• If your dentist advises further dental treatment, it should be completed.
• Understand the changes which could be anticipated in the oral cavity during pregnancy from your dentist.

What dental care is required during pregnancy?

• Undergo a dental check-up once in 6 months. Brush your teeth using a fluoridated tooth paste twice a day. Floss your teeth at least once a day.
• Brush your teeth only after half an hour of an episode of vomiting as immediate brushing will remove the enamel which has been softened by the gastric acids.
• If tooth-brushing causes morning sickness, then the oral cavity should be rinsed with water and fluoride / chlorhexidine mouth rinses.
• Change your tooth brush once in 3 months.
• Consume foods high in protein, calcium, phosphorous and vitamins A, C and D for the development of strong teeth in your baby.
• Avoid consuming sweets, pastries, carbonated beverages and junk food.
• Consume green leafy vegetables and fruits for a healthy baby.
• Take vitamin supplements, including folic acid to reduce the risk of birth defects such as cleft lip and palate on the advice of your gynaecologist.
• Do not consume alcohol during pregnancy.
• Do not smoke during pregnancy.
• Dental care, if required, can be done safely in the second trimester of pregnancy. Avoid dental x-rays during pregnancy. Elective dental treatment should be deferred after pregnancy.

Gum Disease (Pregnancy Gingivitis)
It occurs usually during the first trimester of pregnancy. Gingival enlargement, which is an overgrowth or an increase in the size of gums, occurs less frequently than gingivitis and pregnancy tumours.In severe cases, the gums can grow to cover the teeth completely.
If proper oral hygiene is not initiated prior to or during pregnancy, conditions such as gingivitis, Pregnancy tumours and gingival enlargement can worsen as the pregnancy progresses. The primary changes are due to a surge in hormones, particularly an increase in oestrogen and progesterone, which can exaggerate the way tissues react to plaque.
Gingivitis in pregnant mothers can result in preterm and low birth babies. Pregnant women should maintain their regular, semi-annual check-ups and consult a dentist if they notice any changes in their oral health.
Regular tooth brushing twice daily, flossing once daily, eating a balanced diet and visiting the dentist regularly will help reduce dental problems that accompany pregnancy.

Enamel Erosion
For some women, morning sickness is a major symptom of pregnancy.Along with the nausea come additional acid that, if left in the mouth, can erode teeth.
Be sure to rinse your mouth out with water or with a fluoride mouthwash to keep the acid level under control. Tooth brushing should be done only after half an hour of an episode of vomiting as the enamel of the teeth would have been softened by the gastric acids.

Tooth Decay
The presence of plaque can make the teeth vulnerable to decay. Use fluoridated tooth pastes to brush teeth twice daily. Consume anti-cariogenic foods like cheese, fruits and vegetables.

Dry Mouth
Pregnancy dry mouth can put women at a great risk for problems such as tooth decay, bad breath and infections. Drink plenty of water stay hydrated and chew sugarless gum to enhance production of saliva.
Tooth Mobility
Tooth mobility increases as pregnancy advances.
Proper oral hygiene measures should be done to prevent periodontitis.

Oral Health Care for Babies
Wipe the teeth and gum pads of your baby with a sterile gauze/cloth after breast/bottle feeding.
Do not feed your baby with juices or milk using feeding bottle during sleep.
Parent supervised tooth-brushing should be shown tooth-brushing procedure in front of a Mirror for easy learning. Children younger than 2 years should use a smear of fluoride toothpaste on the brush, children between 2 to 6 years should use pea sized fluoride toothpaste and children older than 6 years should use toothpaste covering the full length of the bristles of the toothbrush.
Child should be weaned after 12 months. The child can be fed juices and water in cups. Mothers should check the teeth of their child by lifting the lips for any brown/black spots on the teeth.
The first visit to the dentist for the baby should be at the time eruption of the first tooth or not later than the first birthday of the child.
Dental problems in the child should be treated at the earliest by a dentist.
Both parents should constantly motivate their child to adopt healthy oral hygiene practices at the early stages of life itself. Oral hygiene practices developed by the child at an early phase of life will last long.

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Teeth whitening: Before & After

1) How does it work?
Ans: Teeth Whitening is a simple process, whitening products contain one of the two teeth bleaching agents namely hydrogen peroxide or carbamide peroxide. These break the stains into small pieces, which make the colour less concentrated and your teeth brighter.

2) Am I a candidate for teeth whitening? Does it work on all teeth?
Ans: You are a candidate for teeth whitening if you have yellow teeth with stains, if You are a habitual smoker, or if your teeth have gone from white to not so bright with age. Yes, teeth whitening works on healthy teeth; the only barrier being that teeth whitening does not work on teeth that have fillings, veneers or crowns or teeth with severe wear patterns. Our dentist can check your teeth and decide whether your teeth are for whitening or not.

Teeth whitening is not recommended for pregnant or lactating mothers and children under the age of 16 years.

3) What are the different types of teeth whitening and which one is suitable for me?
Ans: If you are a candidate for whitening then there are few options: -
a) In-office bleaching:- This whitening procedure is called chair-side bleaching and usually requires only one office visit. The dentist will apply either protective gel to your gums or rubber shield to protect your gums. Bleach is then applied to teeth. A special light or laser might be used to enhance the action of the whitening agent.

b) At-home bleaching: – The dentist will take an impression of your teeth and make customized trays. The bleach comes in gel form which can be placed in the tray that fits your teeth. The concentration of the bleach is lower in this case than the in-office bleach.

Our dental professionals will be able to tell which one is the most suitable for your needs.

4) Can I use whitening strips? If not, why?
Ans: There are numerous patients who buy the over-the-counter whitening strip available in the market. Although there are some disadvantages to this, the whitening strips are not FDA approved, secondly they are like plastic strips on which the whitening gel is put because you will do yourself there are chances of patchy teeth which means if the strip doesn’t seat properly it will whiten certain areas and leave out the rest. Also if you exceed the amount of time then you can experience sores or teeth sensitivity.

5) How long does the whitening last for? Will it go back to yellow again?
Ans: Generally speaking, the in-office teeth whitening works for about 2-5 years if maintained well.
Over time the teeth can go from white to not so bright with a lot of tea, coffee, cigarette, tobacco, medications, red wine resulting in change of its colour.

6) I am getting married. Is it right to go for whitening of teeth two days before the wedding?
Ans: You can whiten your teeth 10-20 days before your wedding ideally. Although there is no side-effect of whitening, but because you have so many things going on while planning for the big day, it is ideally better to keep a safe window of minimum 10 days from the date of your wedding. The other reason is that once your whitening procedure is over, your teeth will naturally absorb the sunlight and the whitening effect tend to increase with 24 to 48 hours of sunlight exposure.

7) Can I use whitening toothpaste instead?
Ans: Whitening toothpastes have abrasive particles which remove the surface stains by abrasive actions, but they do not actually whiten the teeth. Hence using whitening toothpaste is not recommended since it may remove the surface enamel causing sensitivity in the near future.

8) Is it safe for my teeth?
Ans: If done correctly by a dental professional teeth whitening is absolutely safe, some people experience temporary sensitivity of teeth which last for a maximum one day. This happens when the hydrogen peroxide in the whiten gets through the enamel to the dentin and irritates the nerve.

9) Side effects of teeth whitening?
Ans: Improper and over use of at-home whitening can damage the gums and teeth enamel, so be sure to ask your doctor.

10) Is there any teeth whitening aftercare required?
Ans: We generally advise our patients to be on a white diet immediately after the whitening procedure for about 2 days. This is because immediately after the procedure, your teeth are more susceptible to colour and stains from food, just like a white t-shirt. Some of the white things that can be included in the diet are egg-whites, pancakes, curd rice, dosa, idli, pasta in white sauce, etc. Anything that can stain your white t-shirt for example berries, cola, tea, coffee, wine, sauces, gravy, spices should be avoided for a minimum of 48 hours. This helps in retaining the whitening effect for a longer period of time.

The post Teeth whitening or bleaching details appeared first on Dentissimo Dental Care & Spa | Best dentist / dental clinic in Bandra West , Mumbai | Root canal, teeth whitening, extraction, implant, crowns, filling, teeth cleaning in Mumbai.

One of the most exciting advancements in dentistry has been the dental implant. It’s a natural-looking, usually permanent, secure way of restoring or replacing missing teeth that has allowed millions of people who have been unable to chew for years to regain the chewing ability of their youth. In most cases, implants are titanium anchor posts that are surgically placed in the jawbone and capped with a full crown or bridge.

Who Can Place Implants?

Implant treatment is usually provided by a team including a surgeon (a periodontist or an oral surgeon) to place the implant, a dental laboratory technician to fabricate the crown, and a restorative dentist to place the crown. However, some general dentists are trained in implant dentistry and perform both the surgical and the restorative phases of treatment. Although implant dentistry is not a formal dental speciality, many practitioners have undergone extensive implant training, and some even limit their practices to implant treatment.

How implants are placed Source: Ronald E. Goldstein

How a bridge is placed on Implants                            Source: Ronald E. Goldstein

IMPLANT TREATMENT STEP-BY-STEP

Implant treatment can be immediate or take several months depending on your situation. Following are the basic phases and steps of treatment, although they’ll vary based on your particular needs. The surgical phase is typically performed in two stages, although it can sometimes be done in one.

PRESURGICAL PHASE

• Your mouth is examined thoroughly, and x-rays of your head, jaw, and teeth may be taken. Today many dental surgeons use a CT scan, which provides the dentist with a 3-D look at the site where the implant will be placed. This can help the surgeon to plan where the implant will be placed into your bone with great precision.
• Impressions of your teeth and/or ridges are made to help the dentist determine exactly where the implants should be placed.
• Occasionally, blood tests as well as a medical examination may be required prior to implant placement to determine your overall health status and predict the success of treatment.

SURGICAL PHASE (TWO-STAGE SURGERY)

An incision is made in the gum, the implant is placed, and the gum tissue is stitched back into place. This can be done with a local anesthetic in the dentist’s office or under sedation or general anesthesia in a hospital or clinic. In certain patients, the implant can be placed directly in the bone without the need for incision.

Following surgery, you’ll probably experience some swelling and discoloration of the gums as well as some discomfort, which can be relieved with medication. Within a few days, the gums should return to normal. To allow the implants to heal properly, a soft diet is recommended for 4 to 6 weeks.

The second stage of surgery is usually performed 2 to 6 months after the first in an outpatient setting. The dentist numbs the areas with local aneasthetic, makes an incision in the gums to expose the implants, and connects abutments to the implants.

The gums are stitched into place and a temporary restoration placed on the abutment. At times, additional gum surgery may be required for esthetic purposes. If you’re missing all of your teeth, a comfortable dressing or your old dentures (reline with a soft material) will be placed over the abutments to promote healing and reduce discomfort.

Impressions may be made so that the dentists know where to position your new teeth. Your dentist should instruct you about how to keep the abutments clean.

POST SURGICAL PHASE

About a month later, your new teeth are fitted. In some cases, they’re attached to a metal framework. In other cases, the artificial teeth may be attached to natural or stand alone.

Several checkups are scheduled during the following year so your dentist can ensure that your implants are functioning properly. After that, you’ll need regular maintenance checkups. Follow-up x-rays are taken regularly.

A  NEW TOOTH IN ONE DAY.

Immediate loading is an alternative way of placing implants in which the implant and the crown are placed in the same visit. This eliminates the need for a second surgical phase and greatly speeds up the implant placement process. If you have a tooth that needs to be extracted, ask your dentist or implant specialist if you’re a candidate for immediate loading.

WHAT IF YOU DON’T HAVE ENOUGH BONE?

There’s good news for patients who previously have been told that they don’t have sufficient bone implant placement. If the surgeon, after evaluating your bone quantity and quality on x-rays or a CT scan, believes there’s not enough bone for implant placement, he or she may recommend a bone graft.

A bone graft involves taking a small amount of synthetic or processed cadaver bone or your own bone from another part of your body (such as your jaw or hip) to replace lost bone elsewhere. After a period of healing, sufficient bone should be available for implant placement.

IMPLANTS AREN’T FOR EVERYONE

Dental implants aren’t the right restorative choice for every patient. Poor or questionable candidates for implants include those who have:

1: Insufficient healthy jawbone to support an implant and poor prognosis for bone grafting.

2: Gum disease.

3: Medical conditions that affect the body’s ability to heal and repair itself, such as diabetes and cancer.

4: Conditions affecting the ability to use the hands and arms.

5: Lack of commitment to thorough home care and professional maintenance.

6: Osteoporosis that is being treated with bisphosphonates.

7: A smoking habit.

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Healthy teeth make you look younger

Image credit: www.fitneass.com

The other day I went to see my parents  after a long time. As I was relishing my mom’s home-cooked food and dads witty ideas, which he always shares with us, one thing that he said that day is still lingering in my brain. He said that one innovation that everyone would like to see today is an Anti-ageing pill, not like a placebo but something  that promises people that they won’t ever age; and wow I thought that would be amazing!!!  Who doesn’t want to look young?

People today spend lakhs of rupees each year on services and products designed to make them look more attractive.Countless women and an increasing number of men have facelifts and other surgical procedures in an effort to enhance their appearance and remain competitive in today’s job market where looking youthful is an asset. While many patients benefit from plastic surgery, others could be helped with cosmetic dentistry alone.

After all, your smile is one of the most important parts of your face. If your smile is attractive and healthy looking, it will take years off your appearance. If on the other hand your smile reveals worn, discoloured, chipped or missing teeth, you’ll  look older than you should, and no amount of plastic surgery can change that.

While we all are secretly waiting in anticipation for that magic Anti-ageing pill to hit the markets, I am happy I can do my bit to help people achieve a healthy younger looking smile.

How can you look and feel younger?

Dentistry’s role in improving appearance is often misunderstood and under-rated. For example, many people believe that only a denture can alter the appearance of their smile, yet nothing could be further from the truth. Such cost effective smile correction techniques as cosmetic contouring, bleaching, bonding often work wonders – typically in a single office visit!

10 tips to keep your smile young:

1. Avoid habit such as aggressive tooth brushing: If you’re not brushing correctly, ask your dentist or hygienist to show you how. Although some loss of tooth structure due to mechanical wear is inevitable, incorrect brushing often accelerates the process.
2. Take Preventive oral hygiene seriously to avoid gum and bone loss: Six monthly checkups and teeth cleaning appointments should be scheduled with your dentist.
3. Replace Faulty fillings before they cause problems: Your dentist will be able to check for any micro leakages in the old silver fillings which can be replaced with new tooth coloured material.
4. Lighten any Discoloured teeth: whiter teeth are a sign of youth, if your teeth have become yellow over time its a good idea to whiten them with a home or Phillips zoom office whitening, ask your doctor which one is suitable for your teeth.
5. If Crowns or bridges are worn out, replace them: Sometimes the crowns that you have been living with for years have either worn out or they have metal perforations, please have them replaced before they cause any further damage to your gums or teeth.
6. Replace any Missing teeth as soon as possible: Missing teeth in your mouth will definitely make you look older than your age, especially if they are your front teeth. Replace them with Implants or bridges whatever is the best for you.
7. Never chew ice or hard candy or suck on lemons if you do so it will lead to sensitive teeth in future
8. Watch for unnatural wear and avoid grinding your teeth: Many patients have a habit of grinding their teeth in the sleep, your dentist will be able to find out if your doing so and will make a preventive night guard that will take care of your teeth.
9. Correct a bad bite: If you have been told about a bad bite its always better to correct it to avoid any jaw aches in the future, orthodontic treatment or braces is the first choice for bite correction.
10.  Ask your Dentist for a video intra-oral exam

Lastly I would say, Never stop caring!

As they get older, some people stop taking proper care of themselves, including their teeth. If this sounds like you, remember it’s never too late to start taking care of yourself again.If you have friends or family members who no longer take interest in their looks, share this article with them, let them know how much better they can feel with an updated smile.

You could be a tremendous help in improving not only their appearance but also their outlook on life.

Remember your chronological age should never stand between you and a more pleasing appearance.

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Most of us have thought about improving our smile, but don’t know where to start! Here are  some tips on choosing the right Cosmetic Dentist.

Cosmetic dental treatment

THE FAMILY DENTIST:

Your own dentist may be the best person to see for your cosmetic dental treatment. If your happy with the preventive treatment your general dentist has provided, ask about his or her experience and qualifications in the area of cosmetic dentistry.

LOCATION:

For the sake of convenience, most people choose to visit a neighborhood dentist for their routine dental treatment. When seeking a cosmetic dentist, however, don’t let location alone be a deciding factor. Do some research to find the very best- you’ll be glad you did!

HOW TO SELECT A GOOD COSMETIC DENTIST:

• Contact professionals in appearance related fields. These include plastic surgeons, cosmetologists, hair stylists, and modeling or theatrical agencies.
• Contact local dental specialists. These include orthodontists, oral surgeons, endodontists, prosthodontists, periodontists, and dental technicians. These specialists, who are familiar with the dentists in their communities, often can provide recommendations.
• Contact the Indian Academy of Cosmetic Dentistry (IACD)or other similar national academies for cosmetic dentists in your area.
• Ask friends and business associates.
• Use the internet to research specific areas your interested in, but use caution (most internet sites are not governed or overseen my state board)
• Do your Homework! Don’t rely on advertisements and magazines.

HOW TO EVALUATE A COSMETIC DENTIST:

• Once you have several referrals, evaluate each dentists website. Compare credentials, treatment photos, educational background, and any professional teaching positions. Beware of Hype!
• Ask for a consultation. Expect to pay a fee for the dentist’s time, as well as for any x-rays, computer imaging, intra-oral exams, models, photographs and other records.
• Outline your expectations in a wish-list before your first meeting with the dentist.
• Bring photographs of yourself showing what u used to look like (if you want to have your teeth restored to a previous condition) or pictures of others who have the look you want to achieve.
• Ask to see photographs of patients the dentist has treated with similar conditions.
• Don’t shop for bargains. Instead, look for a dentist who will spend the time it takes to give you what you want. Otherwise, you may end up spending twice the money and time fixing mistakes.
• Get a wax-up. In this procedure, your dentist applies a special wax either to a cast made from your teeth or directly to your mouth to give you an idea how the final result may look.
• Consider a trial smile, Removable “snap in” teeth made of acrylic or composite resin allow you to actually ‘wear your new smile before any treatment is done.
• Ask if the dentist is able to obtain digital images of various treatment alternatives using computer imaging.
• Be aware of your problems and their potential treatment alternatives before seeing the dentist by performing the smile analysis.
• Arrive at your appointment early. You will need time to complete your forms and communicate your desires unhurriedly and in a relaxed atmosphere.
• Bring any x rays or study models you have made.
• Be upfront about budget restrictions. Also, bring your dental insurance information to the appointment. Although typically insurance does not pay for cosmetic treatment, the restorative portions of the treatment, such as crowns and bridges, may be at least partially covered.
• Be willing to invest in second or third opinion.

WHAT ABOUT THE FEES?

Time and expense are two factors that you must consider when seeking cosmetic dental treatment. Although it may be tempting to opt for shortcuts and bargains, remember the old saying-‘ you get what you pay for’

The best esthetic dentistry requires a highly personalized artistic approach and thus typically is neither offered at discount prices nor covered by insurance.

WHEN ASSESSING FEES FOR COSMETIC DENTISTRY:

• Take into account Dentist’s artistic skill and experience.
• Ask to see photos of patients who have undergone treatment similar to what your considering.
• Find how much time the dentist is willing to spend on your treatment. Make sure the fee reflects an adequate amount of time to satisfy your needs.
• Keep in mind that cosmetic dentistry is a team effort. The skill of the dentists support staff- available dental specialists, the dental hygienist, the dental assistant, and especially the laboratory technician who fabricates your restorations- is critical.
• Don’t base your decision solely on price. Instead, match your need for a believably natural result with what your willing to pay.
• Make sure you aren’t rushed during your consultation- see the fees as a long term investment. The most important goal of any consultation is to have the entire dental team thoroughly understand your vision of the esthetic result you seek.

QUESTIONS TO ASK YOUR COSMETIC DENTIST:

• What are my cosmetic options?
• What compromises may I have to accept?
• What will the final result look like?
• Can I see before and after photographs of patients you’ve treated with similar problems?
• How long will my restorations last?
• How well will the restorations stand up to wear?
• What type of maintenance is required?
• How closely will the restorations match my natural teeth?
• Will I have to change my eating habits?
• What guarantees or warrantees do I have?
• What are my payment options?

TRUST YOUR INSTINCTS:

Trust is a major factor in choosing a cosmetic dentist. Your esthetic restorations may initially appear beautiful, and your expectations may be met esthetically, but will their beauty stand the test of time? Were they designed to fit precisely and thereby not irritate the soft tissue? Because its almost impossible for you, as the patient, to make these determinations, it is essential to find a dentist who has the training, experience, and willingness to dedicate the time needed to get exceptional , long lasting results. In short, the dentist must earn your trust.

Excerpt from Change your smile: discover how a new smile can transform your life/Ronald E. Goldstein;contributors, Louis Belinfante, Farzad R. Nahai, Foad Nahai–4th ed.

- Dr. Rainy Surana (Dentissimo Dental Care & Spa, Bandra)

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Weddings are usually also times when the bride and the groom have to go through a series of photography sessions, and since it’s the biggest day of their lives they most definitely want to have the most photogenic smiles in their photo albums.

Do you have to be a Deepika Padukone or have the genes of a bollywood, hollywood celebrity to get the picture perfect smile?
The answer is ‘No’.

Be camera-ready and take perfect selfies

Dr.Tina lists some simple points to follow to create a selfie-ready and a crowd-pleasing smile.

Tip No. 1: Don’t force a smile
Always strike a smile that you can hold on for a long time. Your smile should be soft and natural, don’t tire your facial muscles. When you smile gently, your face looks relaxed.

‘Should I show all my teeth?’ is the most common question and the answer is a big “NO”. Your mouth should open slightly, and your lower lip should match the curve of your upper teeth. You should feel the edges of your upper front teeth gently touching your lower lip. Your cheeks may rise a little.

Things to Avoid:
Don’t go for the jumping-with-joy kind of a smile which you would give otherwise. For example, the smile that flashes on your face when your favourite team wins cricket or a football match. This kind of smile will only make your eyes look smaller and make the face and neck muscles tense. You don’t want a funny looking picture on your big occasion.

Tip No. 2: Choose the correct shade of lipstick
This is for all the ladies out there – Make sure you have some basic shades of lipstick, the right shade can make your teeth look whiter and in turn make you look younger than your age. Always go for the cherry reds, wine, berry, plum or rosy pinks. The shades to avoid should be light pink or blue based undertones; they will bring out the yellow in your teeth.

Note: If you have lipstick sticking to your teeth, it’s a sign that you haven’t been for a professional clean-up in a while and the plaque build-up has increased or you are not drinking enough water, and the mouth has become excessively dry in which case you might want to schedule an appointment with us soon.

Tip No. 3: Keeping a correct posture
Selfie is taken from a very short distance, hence you must keep your posture right. Bend your face at an angle of 45 degrees, so that it’s not parallel to the camera, which will also make your jawline look sharper and avoid showing excess flab on the face. Avoid slouching at all times.

Tip No. 4: Get your teeth and gums camera-ready
Is coffee,or too much wine making your teeth look yellower than usual? Then you might want to contact us to help you whiten your teeth in less than an hour. Similarly, if your teeth are chipped, cracked, broken or crooked then they can be easily corrected through absolutely painless procedures.

Your gums are as important as your teeth. If you have bleeding gums or red gums it’s usually a sign of inflammation and it can spoil your smile. This can also be easily taken care of by regular teeth cleaning and gum cleaning sessions.

Tip No. 5: Practice your smile
A perfect smile will not happen in a day. Make the mirror your best friend. If you have a big event coming up or you want to look amazing in your pictures, try and practice the perfect smile in front of the mirror. Keep your posture right; you can check for the angle that works the best for you. Make sure you have an unforced smile.

Wear a beautiful smile, after-all you are never fully dressed without a smile!!

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Have you always dreamed of bright white teeth but don’t know why they are off white or yellow?

The Answer is simple “Anything That Stains Your White T-shirt will stain your teeth”.

Find out about the foods that Stain your teeth below:

1)  Tea Or Coffee : Tea and Coffee especially Black Tea causes Discoloration of your teeth. switch to Green tea, to avoid stains.

2) Cola’s and Sports drinks: Both Sports drinks as well as cola’s have very high acidic content which causes the enamel in the teeth to erode and  result in staining or discoloration. Try to avoid these or drink them with a straw to save staining the front teeth, replace these with water.

3) Wine : Red wine is both acidic and intensely Pigmented, it has molecules called chromogens and tannins which are harmful and cause tooth discoloration.White wine does not have these strong pigments but it has acidic properties to cause stains if not taken in moderation.

4) Gravy’s and sauces: Asian food has a lot of curries, gravy’s which contain Turmeric which is the cause of the yellow discoloration of the teeth,sauces like soy sauce,tomato sauce  and  balsamic vinegar also have the same effect.

5) Beetroot: Beetroot has a number of nutritional properties but consuming beetroot in liquid or juice form is not great for your teeth as it is very concentrated and stains your teeth immediately, try to eat it rather than drinking the juice.

6) Popsicle’s  or Colored Candies: If you feel like indulging in candy-pops then it would be better to avoid deep colored candies like a berry flavor and go for lemon one, a sugar free Gum with no artificial colors is a healthier option to go with.

7) Cigarettes and Tobacco: Smoking and smoke free tobacco both cause your teeth to stain

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Tooth Decay

Teeth are covered in a hard, outer coating called enamel. Every day, a thin film of bacteria called dental plaque builds up on your teeth. The bacteria in plaque produce acids that can begin to harm enamel.  Over time, the acids can cause a hole in the enamel. This hole is called a cavity. Brushing and flossing your teeth can protect you from decay, but once a cavity happens, a dentist has to fix it.

You can protect your teeth from decay by using fluoride toothpaste. If you are at a higher risk for tooth decay (for example, if you have a dry mouth because of medicines you take), you might need more fluoride. Your dentist or dental hygienist may give you a fluoride treatment during an office visit. Or, the dentist may tell you to use a fluoride gel or mouth rinse at home.

Gum Diseases

Gum disease begins when plaque builds up along and under the gum line. This plaque causes infections that hurt the gum and bone that hold teeth in place. Sometimes gum disease makes your gums tender and more likely to bleed. This problem, called gingivitis, can often be fixed by daily brushing and flossing.

A more severe form of gum disease, called periodontitis, needs to be treated by a dentist. If not treated, this infection can ruin the bones, gums, and other tissues that support your teeth. Over time, your teeth may have to be removed.

To prevent gum disease:

• Brush your teeth twice a day with fluoride toothpaste.
• Floss once a day.
• Visit your dentist regularly for a checkup and cleaning.
• Eat a well-balanced diet.
• Quit smoking. Smoking increases your risk for gum disease.

Cleaning Your Teeth And Gums

There is a right way to brush and floss your teeth. Every day:

• Gently brush your teeth on all sides with a soft-bristle brush and fluoride toothpaste.
• Use small circular motions and short back-and-forth strokes.
• Take the time to brush carefully and gently along the gum line.
• Lightly brush your tongue to help keep your mouth clean.

People with arthritis or other conditions that limit hand motion may find it hard to hold and use a toothbrush. Some helpful ideas are:

• Use an electric or battery-operated toothbrush.
• Slide a bicycle grip or foam tube over the handle of the toothbrush.
• Buy a toothbrush with a larger handle.
• Attach the toothbrush handle to your hand with a wide elastic band.

You also need to clean around your teeth with dental floss every day. Careful flossing will take off plaque and leftover food that a toothbrush can’t reach. Be sure to rinse after you floss.

See your dentist if brushing or flossing causes your gums to bleed or hurts your mouth. If you have trouble flossing, a floss holder may help. Ask your dentist to show you the right way to floss.

Source: National Institute on Aging

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