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The American obsession with dental hygiene has taken an ironic turn over the past decade. In an attempt to have the bright, white, healthy-looking smile of the stars, many consumers are bleaching their teeth into oblivion.  Dentists call this addiction to whitening "bleachorexia," calling the overbleachers "bleach junkies." Such patients abuse in-office and at home bleaching agents, leaving teeth eroded, prone to sensitivity and extremely unhealthy, despite their pearly white exteriors.

 

"The media has done a good job of making whitening sound innocuous, but it's not," says Dr. Ira Handschuh, a White Plains, N.Y., dentist. Carbamide peroxide, the whitening agent in most bleaches, can irritate the gums, causing them to recede, making the teeth brittle, chalky and so thin as to be translucent at the edges when the product is overused.

Lyndsey Gurowitz, 28, has been bleaching her teeth for the past decade with a combination of professional bleaching trays tailor made for her teeth, at-home whitening kits and a few sessions at a "bleaching spa."

 

"Whenever I thought my teeth weren't up to par, I'd do another bleaching. I would use the product for the prescribed amount of time, but then they say to do it only once a month and I would just kind of do it whenever I was unhappy with the color," says Gurowitz, who lives in New York.  "I think it's a level of hygiene. I don't want my teeth to look dirty, or like I don't take care of them. I think I'm being realistic -- I don't want them to look like Chiclets," she says.

 

After her dentist told her she was losing the enamel on her teeth, she was given a special, more gentle toothbrush and she started using special toothpaste for sensitive teeth, but she continues to bleach regularly. The bleaching trays, designed to fit snugly on her teeth, are now too large, possibly due to the wearing down of her teeth by the bleach, says Dr. Jennifer Jablow, Gurowitz's dentist.  "For some people, their teeth are never white enough, so they'll do anything to brighten," says Jablow, who coined the term "bleachorexic" back in 2005. Ironically, beyond making teeth weak and prone to decay, overbleaching can actually strip away the protective enamel allowing the underbody of the teeth, which is naturally more yellow in color, to show through.

 

When someone is a bleaching junkie, you can spot it right away, says Dr. Irwin Smigel, founder and current president of the American Society for Dental Aesthetics. "It's not everybody, but we see it often enough that it bothers me. Enamel doesn't grow back. Sometimes we have to put crowns or veneers on when the teeth have become too damaged," he says.

 

Bleaching in the Time of the Bard

Whitening strips and bleach trays may be an invention of the past 30 years, but techniques for teeth whitening go back centuries. In the 1100s, physicians would recommend scrubbing teeth with elecampane (a yellow flower) or a sage and salt mixture to make "them firm, white and healthy" or "clean, white, and sweet," Trevor Anderson, an osteoarchaeologist, notes in a 2004 paper on medieval dentistry.  Later on, some would use acid washes in an attempt to strip away stains, but unfortunately, these rinses mostly stripped away all the enamel on the teeth, leaving them crumbling, says Dr. Scott Swank, curator of the National Museum of Dentistry in Baltimore.  It wasn't until the advent of Hollywood and Technicolor movies that there was widespread interest in whitening teeth, usually through whitening toothpastes, he says. Enter the 1980s and in-office bleaching treatments, and it only took off from there, Swank says.  "I think it's followed the rise in plastic surgery and other elective cosmetic procedures throughout the 1990s. It's a matter of what people are willing to put their income into."

 

Bright White or Bust

Today, Americans spend more than a billion dollars a year just on over-the-counter teeth-whitening products, according to the American Academy of Cosmetic Dentistry. While bleaching can be done safely, especially under the guidance of a dentist, the advent of at-home bleaching kits and spa bleaching treatments have made it all too easy for bleaching junkies to double up or triple up on treatments at the expense of their dental health.

"Bleaching is very effective in moderation, and it's safe in moderation," says Dr. Jablow. "It's when you're bleaching all the time, beyond what is recommended -- that's when you run into problems."

 

Source:  ABC News/Health

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Why Teeth Extraction is Necessary?

Tooth extractions can be defined as the removal of a tooth from its bone socket. The dentist is always trying to save the tooth, but could not be in a situation where a tooth is extracted.

 

In the early days of the history of many human diseases have been attributed to dental infections. As there were no antibiotics in the days of a tooth extraction was carried out to cure the disease. Different tools were used to extract the tooth at different points in time. The first was invented by Guy de Chauliac in the fourteenth century and was known as the dental pelican. This has been the main tool used to Century 18 in the dental pelican key that replaces a tooth extraction tool. dental key is replaced by modern forceps in the 20th century and is the main tool used today to extract the tooth. Dental extractions are very variable and facilitate different types of extractions from a wide variety of instruments are used.

 

Reasons for Tooth Extraction

 

Generally, when a tooth or tooth loss caused by damage to tooth decay dentist trying to fix a tooth by different means-such as the filling, crown repair, etc. However, there are times when a tooth is damaged, so it can not be repaired, and in these circumstances has no choice as distinguished from a tooth. This is the most common cause of tooth extraction. Also, many diseases and medications require the extraction of a tooth, because it weakens the immune system and cause infection of the tooth. These are - anti-cancer agents, tooth decay, gum disease, teeth, in addition, a broken tooth, organ transplantation, orthodontic treatment, radiotherapy, and wisdom teeth.

 

Types of Extraction

 

There are two types of tooth extractions - simple and surgical.

 

simple extractions * - these are performed on teeth that are visible from outside the mouth and can be easily done by general dentists. The dentist gives him an injection of local anesthetic before removing the tooth.

 

  • Surgical Extractions - these are performed on teeth that are not easily accessible, which could occur if the teeth are broken under the gum line or partially erupted teeth. In such cases, the surgeon must cut and remove gum and providing access to remove a piece of bone or tooth. surgical extractions require oral surgeon specialist.

Prefetching considerations

 

Before tooth extraction dental surgeon or dentist about your medical and dental x-rays can also make the affected area. He may also prescribe antibiotics if you have an infected tooth, a weak immune system or medical problems.

 

After removal considerations

 

  • For simple extractions to your dentist can prescribe anti-inflammatory drugs like ibuprofen without prescription.

  • For surgical extractions, your dentist can prescribe pain medication for a few days to see NSAIDs.

  • * Once the tooth is extracted the dentist bite off a piece of gauze to facilitate clotting and should not disturb this clot in the wound.

  • You must use ice packs must be swelling after surgery. Use hot compresses when the jaw is rigid.

  • * Most items will disappear in a week or two. rinse with warm salt water can dissolve the stitches. remaining items will be removed by your dentist.

  • * Do not smoke or spit after surgery, which could remove the clot away from the tooth and increase blood flow and cause dry socket.

Risk factors

 

Risk factors due to the extraction of teeth - infection, prolonged bleeding, inflammation, alveolitis, nerve damage, damage to the teeth, incomplete removal, jaw broken, and the hole in the sinuses, sore jaw muscles or joints and numbness in his lower lip.

 

Pune Dentist gives more details about the reasons for Tooth Extractions and risk factors.

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Methods of Teeth Bleeching

When it comes to tooth whitening, there are many ways for you to whiten your teeth. many teeth whitening products are available on the market, such as teeth whitening strips, whitening gel, whitening and bleaching, a dentist with a toothbrush and the recipes at home for whitening teeth. You can always take the help of the general dentist teeth bleaching.

 

A simple and easy way to whiten teeth is to brush 2-3 times daily. This will undoubtedly enhance the color of your teeth. If you want to go perfect teeth whitening product or procedure put in place, be sure to follow the advice of others or dentists. Most of the population in general, depends on two factors in the choice of tooth whitening products. These two factors are the specifications and budget. An affordable way of teeth bleaching treatment at home, sometimes even provides immediate results.

 

When it comes to a whitening treatment at home, you should know that this treatment can be done more damage to teeth, in the long term. Often ruin the enamel of the teeth at the same time due to the hypersensitive. Therefore, it is always advisable to speak or consult your dentist before using any whitening treatment at home, such as bleach. In general, whitening strips or contain peroxide, which does not remove the stains of oxidation of it. Teeth Bleeching products contain peroxide generally show immediate results, which demonstrate the cause sensitivity to teeth. It & is so important that you can find teeth whitening product that is right concentration of peroxide, so that no damage to teeth.

 

One way to whiten teeth is with the help of a dentist. Process of whitening teeth dentist usually involves two steps. First, you will have a treatment in practice and is treated at home. The process in practice of tooth whitening at the dentist begins the examination of the condition of the teeth. Later, the protective materials are placed on the upper lip and gum for the chlorine will not hurt them. After applying the bleaching solution, which is activated by laser light to accelerate the process. This usually takes an hour to see positive results.

 

 

Another way to whiten teeth with a dentist whitening kits. In the latter case, the dentist may recommend a bleach solution and on the whole with the appropriate instructions on what to do. In general, the tank should be taken by the patient's teeth so that once applied the gel and put on the shelf, it fits perfectly. This method of Teeth Bleaching will work in 2-3 weeks. Pune Dentist can give you a more better information.

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After Tooth Extractions

After Tooth Extractions, it is important to form blood clots to stop bleeding and start the healing process. Therefore, your dentist will ask you to bite a piece of gauze for 30 to 45 minutes after extraction. If bleeding or oozing continues after you remove the gauze bandage, gauze, place an area and bite firmly for another 30 minutes. You may need to do this several times.

 

After the blood clot forms, it is important to protect, in particular for the next 24 hours. It is important not to:

 

o smoke and chew tobacco

o drinking alcohol

o suck through a straw

o rinse your mouth vigorously

o clean the teeth next to the extraction site

 

These activities will reap the clot and delay healing.

 

Limit yourself to calm activities for the first 24 hours. This keeps your blood pressure, reduces bleeding and helps the healing process.

 

After the tooth is extracted you may feel some pain and swelling. You can use an ice pack (20 minutes, 20 minutes off) to keep this to a minimum. The inflammation usually begins to decline after 48 hours.

 

To control discomfort, take pain medication as recommended. Do not take medication on an empty stomach or nausea may cause. If antibiotics are prescribed, continue to take for the prescribed time, even if all the signs and symptoms of infection have disappeared. In addition:

 

o Drink lots of fluids.

o Eat only soft, nutritious foods on the day of the extraction.

o Don't use alcoholic beverages.

o Avoid hot and spicy foods.

 

You can begin eating normally the next day, or if not before then, as soon as it is comfortable. Rinse your mouth with warm salt water three times a day (put a teaspoon of salt in one cup of warm water, then rinse gently swish and spit). Also, rinse gently after meals. This will keep the food off site.

 

It is very important to continue with normal dental routine after 24 hours. This should include brushing your teeth and tongue and flossing at least once a day. This will accelerate the healing process and helps keep your breath fresh and mouth. Call the dental office immediately if you have heavy bleeding, severe pain, continued swelling after two or three days, or reactions to medications. After a few days, you will feel good and can continue to function normally.

 

Dry socket is an infection in your socket after a tooth is extracted. The disease usually develops when a blood clot does not fit, or if the clot breaks off. It is occurs in about 5 percent of all Tooth Extractions.

 

Normally, promoting blood clot that forms after a tooth is removed from healing, on the basis of new bone growth. When dry socket occurs, the clot of blood lost and the infected, inflamed socket appears empty - hence the name. Nerves are exposed, and sometimes the bone is visible in the empty pedestal.

 

You may not have symptoms until 3-5 days after extraction. Then, the disease is manifested by pain persists, often accompanied by what looks like an earache. You may also have an unpleasant taste in the mouth and bad breath. Call your dentist immediately if you notice any symptoms of dry socket. Treatment of dry socket typically includes a gentle rinse of making and dressing to take sedatives.

 

Pune Dentist can give you more better information.

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Teeth Whitening Tips for You

There are so many kinds of products for teeth whitening and systems available on the market today. A person can have various possibilities how he can turn to teeth whitening. He may choose to go to the dental clinic to get various types of courses procedures.Of teeth whitening, we would have to pay a portion of the money for it. A person who desires to have nicer teeth can also choose to use home tooth whitening products and systems. Now, whatever the approach of a person intends to use is an advantage that he knows not proved more effective tips to whiten your teeth at home and avoid new stains and darker .

 

A person who wants to get whiter teeth is to know more about the concept of teeth whitening and tooth colored. Before the success of bleach or whiten your teeth, it is important that you learn first in a number of factors that lead to tooth staining and color. Some factors influencing this are the person's age, diet, genetics, smoking, alcohol and personal dental hygiene. When a person is in use the teeth whitening system, you stick a good plan until the desired color of the teeth is satisfied.

 

The first piece of advice essential for achieving whiter teeth are starting to avoid foods and drinks can cause tooth discoloration. We can use all the teeth whitening products out there, but if you do not know how to prevent dental coloring products, then he just looked over future costs with respect to whiten teeth. Some of the biggest causes of tooth discoloration and stains are the nicotine from cigarettes, cola drinks, coffee and tea. It would be better than smoking and drinking dark beverages are arrested. If these things can not be avoided, then the individual must learn to rinse your mouth after every time you drink or smoke colored drinks.

 

It is also essential that you know that teeth whitening natural elements that can be found at home. For example, if you have strawberries at home, can crush some pieces in place, rub on your teeth and rinse your mouth thoroughly afterwards. strawberry puree or crushed, when rubbed on the surface of the teeth, the teeth can have instant effects of money laundering. Sodium bicarbonate can also be used as the washing of the powerful capabilities. Can be used with pure water or combined with a few drops of lemon juice and salt. Once you create the mixture, the mixture should be rubbed on the teeth and then you get a fresh product instantly without bleaching.

 

Another important element that can help a person to have whiter teeth is water. Tap water can do a lot for someone who wants whiter teeth one at a time, to prevent staining of teeth. It is important to drink plenty of water, not only after every meal, but also after each meal. If you smoke, be sure to rinse your mouth with water after each smoking session. It is not only help food particles from the mouth, but you can also rinse your mouth colored liquid. With these tips, you can have whiter teeth without buying expensive teeth whitening products.

 

Are you looking for more information regarding teeth whitening? Visit Teeth Bleaching today!

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You have just found out that she is pregnant, but she just had a canal yesterday. Suddenly, she remembered what a friend told her about a main root canal, with negative effects on the child. She panicked and had to drive all the way back to ask his dentist for her situation. In general, midwives advised to delay any medical or dental procedure that may affect the developing fetus during pregnancy, even if the risk is minimal. However, it is not always easy to move Root canal treatment in the same way as the suspension of tooth whitening.

 

Potential risks of Root Canal Treatment at the time of pregnancy

 

A root canal is not really have a direct effect on the fetus during pregnancy. Although the film is necessary to examine the tooth, the radiation in question is minimal and x-rays are directed towards the mouth and not the abdomen. Other possible sources of risk associated with root canal treatment are: anesthesia. Dentists often use small amount of anesthesia to pregnant women. But if the dose is not sufficient to alleviate the pain of the patient, the dose may be increased gradually. As the tension of the dental procedure has a detrimental effect on the baby, additional anesthesia is preferable to allow the stress affects the baby. Or antibiotics. They are often prescribed by dentists to fight infection after dental procedure. However, they do not prescribe antibiotics that are safe for pregnant women.

 

How to be a safe treatment during pregnancy

 

When your dentist recommends a root canal, be sure to let you know you are pregnant. This allows you to make the right decisions about how and processing time. Often the first quarter is the most crucial. This is when the fetus begins to develop. If there is no need to rush in treatment may be postponed until the second trimester or after delivery. However, if treatment should be done immediately, inform the dentist of your situation will help the process as safe as possible.

 

 

Prevent Root Canal in Pregnancy

 

Pregnant women, like everyone else, need a balanced diet. It is then necessary to limit sugar intake as much as possible not only for health but also for the baby. In addition, maintaining good oral hygiene is necessary to prevent any dental problems throughout the pregnancy period. And if you have regular dental checkups during pregnancy, it is important not to lose. All this will help avoid the need for root canal treatment and maintaining safe and easy pregnancy.

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Good Dentist :- How to Find

Dental treatment almost always is not something most of us look forward. This is not the kind of appointments that we are most eager to participate. Often, we hope that the date will be moved or canceled. Dentists are probably the most feared among therapists. Children often behave like lambs sweet when they are told they should be sent to the dentist as punishment for misconduct. Most of us have been afraid of dentists since we were young. Often, we are committed to the dentist our family has known for years but it is also wise to evaluate if our dentist provides us with adequate treatment. Otherwise, it is probably best to seek new and better practitioner. Moving to a new location also presents the problem of finding a good dentist. In addition, many of us who do not have a dentist regularly.

 

How do you find a new dentist and good? Your first instinct may be to turn the yellow pages and let your fingers do the searching. Although most of us will do just that, finding a new dentist through the yellow pages and local dental societies are not very good ideas. They may have a complete list of dentists in the area, but they do not judge them, and do not give points for comparison. Instead, try these sources:

 

1.Check a dental school nearby. Dental schools are good sources of good dentists. You can call and request the names of faculty members in office.

 

2.Check the hospitals and health centers that provide dental services in your area. The dentist is responsible for these structures could give good recommendations. The dentist is responsible for the well-known reputation, and presentations to his colleagues who practice in the area.

 

3.You can ask an orthodontist or a periodontist if you know. They will be able to recommend a good doctor. These specialists should be familiar with the type of dental work to contractors.

 

4.If you move to a new location, you can ask your current dentist if he knows a good dentist in your new location.

 

Your new dentist must carry out a preventive approach. This means that your first visit, he will conduct a medical and dental history with a full head and neck examination. Head and neck exam is usually done on the patient is first visit and every 6 months thereafter.

 

Your dentist should give you sufficient knowledge of how to take care of your teeth and perform good oral hygiene. These are preventive measures in the fight against tooth decay and other dental problems.

 

Your dentist should be invited back for regular checkups. This will ensure that no problems can not be controlled. The dental hygienist must perform oral prophylaxis or brushing your teeth after every six months.

 

Your dentist should take x-rays more responsibly. complete set of X-rays should not take more than once every five years or more. Do not take X-rays, the other is as bad as X-rays too often.

 

Your dentist and dental hygienist must practice proper care against infections. Should wear rubber gloves and a mask in the treatment of their patients. Your dentist should be bright, explaining all the procedures of the health clinic is the implementation and or use for patients and protect themselves from unwanted infections. Finding a good dentist is not so difficult if you know how to handle it.

 

Pune Dentist Your Independent Dental guide

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Sinus Augmentation

Poor oral function and inferior self-esteem are just a couple of the many difficulties associated with tooth loss. Complete or partial dentures, often the solution to the problem of tooth loss, may not restore oral function completely because of poor fit due to jaw bone deterioration. Bridges, often the solution to single tooth loss, have their drawbacks too, because placing a bridge requires the teeth surrounding the missing tooth to be ground down and compromised.

To improve the aesthetics and function of tooth replacement, dental implants were developed and have gained popularity in recent years. Dental implants are titanium “screws” which are placed in the jawbone replacing the root of the lost tooth. Dental implants provide an alternative to standard removable complete and partial dentures and bridges while improving chewing function almost completely.

The Problem

In order to be a candidate for the dental implant placement procedure, a patient must have sufficient bone height and width to support the titanium post or artificial tooth root. Unfortunately, if a patient has been without a tooth or teeth for a prolonged period of time, the bone that once supported the teeth becomes weakened and deteriorates, resulting in a lack of bone height to sustain a dental implant. This is especially true when tooth loss occurs in the maxillary (upper) jaw bone. Because the maxilla rests against the sinus, when bone loss occurs, the sinus expands to fill the space once occupied by jaw bone.

The Solution

To solve this issue, sinus augmentation (lift) procedures have been developed allowing bone in the upper jaw to be regenerated providing ample space to place a dental implant. The sinus lift procedure, invented in the mid 1970′s has been refined and is now frequently successfully performed. Different versions of the sinus lift procedure have evolved over time, each successful in different cases.

Successful, predictable dental implant placement in the posterior maxilla typically requires a minimum of 10mm of vertical bone height. Moreover, bone density in the posterior maxilla is often poor, which could lead to complications during implant fixation. To address these problems, maxillary sinus elevation surgery was developed to increase the amount of bone available for implant placement and has proven successful and become popular, allowing patients with insufficient bone to undergo dental implant surgery. The type of sinus augmentation that a surgeon chooses to use on a given patient depends on the surgeon’s preference as well as patient anatomy.

Types of Sinus Augmentation (Lift) Procedures:

The Lateral Window Technique (LWT)

Implant placement can be performed simultaneously with the sinus elevation procedure or following a healing period that can last 6-9 months. Immediate placement during sinus elevation reduces overall healing time and eliminates another surgical procedure, which can be desirable to patients. The decision to place an implant during sinus augmentation is dependent on the presence of adequate bone volume and quality to provide for initial stability of the implant. Rosen and colleagues (1999) recommended at least 5mm of native bone for immediate implant placement during sinus augmentation. However, more recent studies have found that implant stability can be achieved with less than 5mm (Peleg 2006).

 

Lateral Window Sinus Augmentation: The lateral approach involves a modified Caldwell-Luc operation to gain access to the sinus cavity. A bony window is created in the lateral maxillary wall, the Schneiderian membrane is elevated, and bone grafting material is a combination of autogenous bone and allograft. An absorbable collagen membrane is placed between the bone graft and the membrane as well as over the bony window.

This technique is usually the preferred method of sinus elevation in situations of poor bone quality and minimal residual bone height because it allows for direct visualization and accurate bone placement and volume at the position of the implant. Also, tearing of the membrane can be easily treated, minimizing contamination of the graft during healing.

The Crestal Core Elevation (CCE)

The Crestal Core or Crestal Window Elevation technique is an alternative to the traditional Lateral Window technique typically used in Sinus Elevation surgeries. While usually successful, the Lateral Window technique may cause patients to withstand post-operative pain, bruising and swelling. This limitation of the Lateral Window technique may be due to the “blind” nature of the procedure and the lack of visibility when the clinician is manipulating the Schneiderian Membrane and opening the sinus floor. To combat the associated post-op complications, the Crestal Core technique was developed.

The Crestal Core technique for sinus augmentation is reportedly less invasive than the lateral window technique. In an August 2010 study posted in the Journal of American Periodontology, 45 patients who had undergone the CCT were retrospectively evaluated over a 1-11 year period of time. The Crestal Core technique was successful in 31 of 45 sites (68.9%) and partially successful in 6 sites (13.3%). Surgical failures were reportedly due to core detachment which resulted in large tears of the sinus membrane. Implants placed in successful sites presented 100% survival rate during the duration of the study.

The conclusion was made that the Crestal Core Technique, when implemented simultaneously with molar extraction provided therapeutic benefits to the patient post-operatively. The subsequent dental implant placements using CCE showed a fantastic survival rate as well in the evaluated population.

The Crestal Window approach to sinus augmentation is simple, predictable technique which results in very low patient morbidity. It is, therefore, a suitable alternative to traditional sinus augmentation, giving clinicians a choice of techniques when approaching cases of varying degrees of difficulty and complication. The Crestal Core Technique may be the best option for elevating the sinus for many patients.

The Osteotome Technique (Summers Technique)

One of the more conservative methods of sinus elevation is the Osteotome or Summers Technique. This technique involves sinus elevation immediately followed by dental implant placement. During the osteotome technique, a tiny hole is made in the jaw bone and bone grafting material is inserted into the area between the sinus floor and the bone, increasing the distance between the sinus and the jaw. This technique allows for immediate implant placement and allows for shorter post-treatment waiting times. The Osteotome technique is considered one of the least invasive of the sinus augmentation techniques.

Osteotomes

Balloon Sinus Elevation

The minimally invasive Zimmer Sinus Lift Balloon allows for improved vertical sinus elevation results and gives clinicians added security when performing a traditional lateral wall sinus lift procedure — protecting the Schneiderian membrane from tearing, which can significantly disrupt an implant case. The balloon instrument is also well-suited for effectively measuring the required bone grafting material. For example, 1cc of saline, which is used to inflate the balloon, is equal to 1cc of grafting material.

 

 

 

The Zimmer Sinus Lift Balloon is available in three convenient, single-use configurations for optimum efficiency and ease-of-use. The angled design is ideal for lateral window procedures, the straight model is well suited for a crestal approach, and the popular micro-mini design can be used for either of these indications.

Conclusion

Numerous studies have shown that dental implant survival rate is higher in patients whose dental implants were placed in grafted sinuses than the dental implants placed without sinus lifts. The sinus augmentation procedure provides a way to increase the amount and quality of available bone and allows for the placement of longer implants, leading to increased stability. Many different techniques exist for effective bone augmentation below the sinus, a few of which were discussed earlier in this report. Which approach is used is largely dependent on the extent of the patient’s bone loss and the specific procedure that is slated to be performed for the dental implant and final restoration. Given the many options available for sinus augmentation, it stands to reason that only a highly trained dental specialist can decide which procedure is the most suitable option for proper, successful treatment.

If you enjoyed this article on maxillary sinus augmentations, there is a good chance you will like these articles from my blog as well:

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Planning is prepared? Expected to achieve accolades in the near future? If you have already programmed with your orthodontist or need help deciding which best suits the needs for treatment of orthodontic braces, you probably have some questions or concerns about the process of orthodontic treatment. Once you fully understand what to expect from your treatment and how to take good care of your teeth, you can reduce the uncertainty or questions you have about orthodontic treatment. If you have questions or concerns about your orthodontic treatment, we should certainly consult your orthodontist responsible for career guidance.

 

 

Do Braces Hurt

 

One of the most common questions people ask before starting treatment is Do braces hurt?; And Every person reacts differently in pairs, but it is important to talk to your orthodontist about a couple of options for reducing or irritation. When all is said and done, the fees for the treatment far outweigh any inconvenience that may be experienced. The first time you have braces, or after some changes in the mouth may be sore. Over the counter painkillers can actually help reduce pain if necessary. Fortunately, most orthodontic treatment is currently less cumbersome and less important, is more comfortable and more discreet than the old-style dentistry. All orthodontic treatments can help to produce smooth as possible.

 

Braces Care

 

After applying your brakes, your orthodontist will ensure that they are prepared and equipped to take care of your keys, gums and teeth. Flossing and brushing are more important than ever for people with braces, so you want to ensure you get the right tools cleaning help maintain good oral hygiene being. You can also avoid certain foods while in the process of treatment, such as ice, popcorn, nuts, gum, corn, hard or sticky candy. soft or hard foods can damage the brake and loosen the bands. The more you follow these rules, unless you find the interruptions throughout your orthodontic treatment, which means you will have your new smile at the right time.

 

Exceptional dental care

 

The remains and plaque can get caught in the little room between the son and the media, which can lead to staining of dental caries and enamel. Flossing and brushing becomes even more important when you start orthodontic treatment. If possible, brush your teeth after each time you eat to get rid of dirt, and floss at least once a day with a special wire orthodontics. If you do not have a toothbrush with you, rinse your mouth to clean your dentures leftovers. An experienced specialist can demonstrate the proper techniques for care and cleaning of your teeth throughout your orthodontic treatment. You should definitely ask about special cleaners that make cleaning around braces less difficult and more effective.

 

If your appointment with the orthodontist comes, I hope you feel more relaxed about the orthodontic treatment treatment. If you have not yet made an appointment with an orthodontist, consider consulting with one before making any decision. It can help you determine if the brakes are the best way of correcting their teeth.

 

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Dentures And Bridges

If you lose several teeth, or have been weakened or softened the teeth extractions, there are options to keep a confident smile. Your dentist can give you a list of options suitable for the particular situation, and usually contain artificial teeth and bridges.

 

Dentures replace missing teeth or extracted teeth. Typically, acrylic resin prostheses are usually removable. There are four main types of dentures including complete, with all the teeth and the tissue is removed. Partial dentures, also known as &;bridges", fill in the difference between missing teeth. conventional prostheses associated with the process in which it was resolved all the teeth before the patient is fitted to the whole set of dentures. In addition, the immediate dentures to fit directly into the mouth when the teeth were removed, after which the changes are made.

 

When implants are for you, it is important to keep them clean and the food particles and other debris that can cause bad breath and sores inside the mouth. Remove the dentures every day and brush with a brush and a detergent specifically for dentures. Do not use harsh chemicals, artificial teeth, and do not cook for them, because this can cause them to become deformed. Regular medical check-ups with your dentist to make sure that your dentures do not cause irritation around the gum.

 

Bridges, on the other hand, are generally used in patients who only need one or more replacement teeth. Bridges are not removable, but tied directly to the teeth are broken or damaged. There are a number of bridges available, all of which are destined for a particular type of dental problem. Dental dental crown, the area more natural, with a traditional bridge together. Resin-bonded bridge fuses with artificial teeth with a special cement, and is often used as a missing or broken teeth can be found in front of the mouth. Finally, the cantilever bridge is used when there is only one tooth on both sides are missing or broken tooth.

 

As with all dental care, cleaning to prevent infection in the mouth. It is very important to brush your teeth after every meal to remove food particles that can be retained in your dental work. Avoid sugary foods and starches, as they may turn into damaging acids that can promote plaque buildup in its deck. You should also floss every day after the bridge was completed. Your dentist may recommend a specific type of dental floss that can help you reach all parts of the new bridge. With good hygiene and regular dental cleaning visits, the average dental bridge can last up to 10 years.

 

Dentures and bridges are unique solutions to dental care that can help reveal a bright smile for many patients. Talk to your dentist about the best repair or replace your teeth, making sure to take care of your teeth to maintain the quality of your extensive dental work.

 

If you ever find that you lose a tooth or several teeth, remember that dentures and bridges are a viable way to restore your teeth and smile. Dr. Aakash Shah is a qualified Pune Dentist and dental Surgeon

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Dental Health :- Eight Easy Steps

Many dentists say that for a complete oral health status is a must for us to take these eight steps for dental health. Brushing and flossing is beneficial for oral health. There are cases that brushing and flossing are not enough. To ensure that the person to maintain good oral health, these steps are followed.

 

  1. An understanding of the oral health needs of an individual. People have different dental problems. Some people have problems with tooth sensitivity. Others have cavities. There are those who have gum disease. It is vital for a person to visit your dentist about your current situation.

  1. You should keep a daily routine of health. The daily routine is to brush your teeth three times a day. You can use dental floss is necessary to brush your teeth immediately. In addition to assessing dental and cleaned at least every six months is very important. Those people who have braces or health of the need to consult with their dentists in a dental procedure.

  1. Use a fluoride toothpaste. Fluor has many advantages. It strengthens the teeth and it also helps prevent tooth decay. There are so many dentists that are available today if you want an extra dose of fluoride. That may be so, it is always best to consult your dentist about them.

  1. Daily brushing and flossing are essential. This will usually remove the plaques that are in decline. Dentists frequently advise their patients to brush their teeth after every meal. If plaque is not removed, bacteria back in your mouth lead to dental problems.

  1. Eat a balanced diet. Too sweet products should be avoided. Sweets, sweet biscuits, cakes and other sweet foods stays in the mouth can produce bacteria. citrus or vitamin C is also useful for bones and teeth.

  1. Regularly check your mouth if there are cases of swollen gums, lesions, wounds, discolored teeth, chipped teeth and other problem areas.

  1. Quit smoking and drinking from time to time. This practice is not only beneficial for the body but also to the oral health of an individual. Chain Smokers tend to develop mouth cancer.

  1. Has a fixed dental check up. To maintain the healthiest state of the gums and teeth, a regular visit to the dentist is necessary confidence.

 

By going these steps you can prevent from root canal treatment, dental implants etc.

 

Entrusted to the dentist can provide a great help to any problem of oral health. These steps are useful, if a person wants to maintain a healthy lifestyle and Good Dental Health. Dental waiting for your visit. Check your local dental office hours.

 

Oracare Dental Center has been in the field of dentistry for a long time and maintains a website at the Pune Dentist, where you can get answers to all your questions.

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At some point in almost everyone's life, a tooth needs to be removed. It may be damaged in an accident, or it may decay and come out on its own or with help from a dentist. Sometimes a dentist needs to remove a crooked tooth to create space for others. When you find yourself missing a tooth for any reason, your dentist may consider replacing it with dental implants.

 

There are many reasons to replace teeth that are missing. Most people are concerned with how a missing tooth makes them look. It may also become difficult to eat your favorite foods if a tooth is missing. Furthermore, when there is a space, your other teeth may begin to shift out of alignment to fill the missing gap. This can cause problems with your bite and result in jaw pain.

 

You can prevent problems in the long term, it is better to replace missing teeth as soon as possible. Time says the jaw begins to deteriorate when the tooth does not take so drastic a change in appearance. Over time, the less the support of the bone is what is even more difficult is the system installed. The longer you wait, the fewer options may be. A dental implant is a titanium post that is embedded in the gum. It works just like the root of the tooth and the tooth must be strongly being added later. They are very strong, but you have to worry about them, as you natural tooth. This means that to maintain a clean denture tooth brushing and flossing regularly and visiting the dentist checks.

 

If you experience this type of denture, you may be wondering what the procedure entails. Your dentist will create a space for the implant into the jawbone. This is done using a special dental drill that your dentist is very experienced with. Using X-rays, the exact location and determination of titanium implants to be fitted. After it is established, it takes a number of months to move from the bone to form around the implant. In this way, it will be handled almost as strong as your natural tooth. If an artificial tooth is attached to the implant too soon, you can not get the result you were hoping to achieve. The healing process will be closely monitored by your dentist.

 

Once the professional has determined that the implant is strongly linked to the jaw, which is equipped with artificial teeth. This may be a replica of ancient porcelain tooth, bridge, or other dental prostheses. Your dentist will decide what works best for you. This can be fixed or removable, depending on your particular situation. Replacing a missing tooth or teeth have benefits beyond their appearance. It is important for your overall health, too. Missing teeth can affect the food we eat, how your face and jaw feels and how to interact with others. A healthy smile builds confidence. Dental implants are a way to get a healthy smile.

 

Looking for the best Pune Dentist, we are on your dental service in the evening. Consider the excellent dental health by the best pune dentist.

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Top 10 Dangerous Toothpaste Ingredients

 

Even though toothpaste (in some form or another) has been around as long as the Ancient Greeks have, the formula (as we know it) did not become popular until World War I. As soon as companies began manufacturing toothpaste, people began to purchase the magical concoction – guaranteed to produce glistening teeth! White teeth were all the rage after World War I had ended, and toothpaste quickly became a product that most people simply couldn’t live without.

Toothpaste is one item that nearly everyone uses today, but what makes this concoction so special? Whether you brush your teeth once per day or three times per day, chances are that you’ve never taken the time to read that ingredient list. Some believe that the ingredients contained in a standard package of toothpaste are essential – others believe that water may be just as effective. In the end, there’s a good reason why most toothpaste packages warn: “Do Not Ingest!”

10. Formaldehyde

formaldehyde

That same ingredient that coroners can’t live without can be found inside of your toothpaste tube. Formaldehyde kills all of those small bacteria that climb onto your teeth after eating or sleeping. If a large amount of formaldehyde is accidentally ingested, the result could be fatal. Severe formaldehyde ingestion results in jaundice, kidney damage, liver damage, and death.

9. Detergent

detergent

Foam, suds, activation! What would toothpaste be without that satisfying soapy feeling? Manufacturers use regular detergent in order to appease the masses that prefer bubbly toothpaste. While bubbles may be fun, be careful if you accidentally ingest a large amount of this stuff – swallowing detergent can cause digestive tract burning.

8. Seaweed

seaweed

Stretchy and slimy, seaweed holds that paste together. Without this green stuff, toothpaste would simply fall apart! The good news is that seaweed isn’t toxic. In fact, seaweed has a number of nutritional benefits, though hitting the sushi bar is a better way of gaining those benefits.

7. Peppermint Oil

peppermint oil

Minty, minty, minty! Fresh breath can only be kept fresh with the help of peppermint oil! While refreshing when brushing your teeth, peppermint oil can cause a slow pulse, heartburn, and muscle tremors if it is consumed.

6. Paraffin

paraffin

As slick as the petroleum that it is derived from, paraffin creates a smooth paste that oozes onto your toothbrush. As you might imagine, paraffin wasn’t meant to be eaten. If you happen to swallow this ingredient, you may end up with abdominal pain, nausea, vomiting, and severe constipation.

5. Glycerine Glycol

glycerin

Never heard of this ingredient before? Sure about that? Glycerin glycol is added to toothpaste in order to prevent the paste from becoming too dry – it’s also found in antifreeze. Even though glycerin is not toxic, this additive may cause nausea if swallowed.

4. Chalk

chalk

That’s right – chalk. Thanks to the fact that chalk is made from exoskeletons, it’s hard enough to remove all of that caked on gunk from your pearly whites. Chalk dust may cause lung problems if inhaled, and swallowing a bit of chalk could cause bleeding.

3. Titanium Dioxide

titanium dioxide

This is another common toothpaste ingredient, though it’s usually found in white paint. When added to toothpaste, titanium dioxide has the safe effect on your teeth as it does on walls – it keeps them nice and white (for a few hours, at least!). Ingesting titanium dioxide won’t hurt you, but it isn’t recommended either.

2. Saccharin

saccharin

Something has to combat that terrible detergent taste! Saccharin is sweet, but not too sweet – just the way that most people like their toothpaste! Saccharin has been a hot topic of debate every since Theodore Roosevelt was in the White House. The USDA tried to ban the substance in 1972, though it is considered “safe” to ingest today.

1. Menthol

menthol

One last ingredient to add a minty note to your breath. Without menthol, toothpaste might taste like, well, chalk, glycerin, paraffin, detergent, titanium dioxide, and seaweed! Go ahead and ingest menthol if you like, but sipping some tea containing menthol is a far better idea than chewing on your tube of toothpaste.

My advice is to always buy toothpaste that has the ADA seal of approval on the box and has fluoride as an active ingredient.

If you enjoyed this article on the dangerous toothpaste ingredients, then there is a good chance you will enjoy these articles as well:

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Mother's Day Advice For All Women

It is known that women are more susceptible to gum disease and associated periodontal problems.  The primary reason for this finding is related to both normal and abnormal hormonal changes that women experience throughout their life.  A few are listed below.

 

Puberty

During puberty, an increased level of sex hormones, such as progesterone and possibly estrogen, causes increased blood circulation to the gums. This may cause an increase in the gum's sensitivity and lead to a greater reaction to any irritation, including food particles and plaque. During this time, the gums may become swollen, turn red and feel tender.

As a young woman progresses through puberty, the tendency for her gums to swell in response to irritants will lessen. However, during puberty, it is important to follow a good at-home oral hygiene regimen, including regular brushing and flossing, and regular dental care. In some cases, a dental professional may recommend periodontal therapy to help prevent damage to the tissues and bone surrounding the teeth.

Menstruation

Occasionally, some women experience menstruation gingivitis. Women with this condition may experience bleeding gums, bright red and swollen gums and sores on the inside of the cheek. Menstruation gingivitis typically occurs right before a woman's period and clears up once her period has started.

Pregnancy

Women may experience increased gingivitis or pregnancy gingivitis beginning in the second or third month of pregnancy that increases in severity throughout the eighth month. During this time, some women may notice swelling, bleeding, redness or tenderness in the gum tissue.

In some cases, gums swollen by pregnancy gingivitis can react strongly to irritants and form large lumps. These growths, called pregnancy tumors, are not cancerous and are generally painless. If the tumor persists, it may require removal by a periodontist.

Studies have shown a relationship between periodontal disease and pre-term, low-birth-weight babies. Any infection, including periodontal infection, is cause for concern during pregnancy. In fact, pregnant women who have periodontal disease may be seven times more likely to have a baby that is born too early and too small! If you are planning to become pregnant, be sure to include a periodontal evaluation as part of your prenatal care.

Women who use oral contraceptives may be susceptible to the same oral health conditions that affect pregnant women. They may experience red, bleeding and swollen gums. Women who use oral contraceptives should know that taking drugs sometimes used to help treat periodontal disease, such as antibiotics, may lessen the effect of an oral contraceptive.

Menopause and Post-Menopause

Women who are menopausal or post-menopausal may experience changes in their mouths. They may notice discomfort in the mouth, including dry mouth, pain and burning sensations in the gum tissue and altered taste, especially salty, peppery or sour.

In addition, menopausal gingivostomatitis affects a small percentage of women. Gums that look dry or shiny, bleed easily and range from abnormally pale to deep red mark this condition. Most women find that estrogen supplements help to relieve these symptoms.

Bone loss is associated with both periodontal disease and osteoporosis. Research is being done to determine whether the two are related. Women considering Hormone Replacement Therapy (HRT) to help fight osteoporosis should note that this may help protect their teeth as well as other parts of the body.

 

So, what can women do to help prevent or minimize gum problems?

Steps to Protect Oral Health:

Careful periodontal monitoring and excellent oral hygiene is especially important for women who may be noticing changes in their mouths during times of hormonal fluctuation. To help ensure good oral (and overall) health, be sure to:

  • See a dental professional for cleaning at least twice a year.
  • if you or your dentist notice problems with your gum tissue. Problems may include:
    • Bleeding gums during brushing
    • Red, swollen or tender gums
    • Gums that have pulled away from the teeth
    • Persistent bad breath
    • Pus between the teeth and gums
    • Loose or separating teeth
    • A change in the way your teeth fit together when you bite
    • A change in the fit of your dentures
  • Keep your dental professionals informed about any medications you are taking and any changes in your health history.
  • Brush and floss properly every day. Review your techniques with a dental professional.

For more information, check out the American Academy of Periodontology.  Happy and Healthy Mother's Day!

Source:  AAP

 

Cary Feuerman, DMD

Periodontal Associates

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Dirty Mouths Lead to Broken Hearts

Nurses who care for elderly patients with dementia now have a tailored approach to dental hygiene for these special patients, thanks to a pilot study by a team of nurses.  "Poor oral health can lead to pneumonia and cardiovascular disease as well as periodontal disease," said Rita A. Jablonski.  According to Jablonski, assistant professor of nursing, Penn State, persons with dementia resist care when they feel threatened. In general, these patients cannot care for themselves and need help. 

Jablonski and her team introduced an oral hygiene approach called Managing Oral Hygiene Using Threat Reduction (MOUTh) specifically for dementia patients. Many of their strategies focus on making the patient feel more comfortable before and while care is provided, the researchers report in the current issue of Special Care in Dentistry.  "We have come up with 15 strategies -- techniques to help reduce threat perception," said Jablonski. These strategies include approaching patients at eye level if they are seated, smiling while interacting, pantomiming, and guiding patients to perform their own care by placing a hand over the patient's hand and leading.  People with dementia are often no longer able to distinguish low or non-threatening situations from highly threatening situations. This happens when the parts of the brain that control threat perception -- particularly the fight, flight or freeze responses -- begin to deteriorate. As a result, patients with dementia often react to something as intimate as a nurse brushing their teeth as a perceived threat.

In the past 30 years the number of nursing-home residents who still have their own teeth has risen significantly. Many of these people need assistance with their dental hygiene, as well as with other hygiene.

Jablonski and her team conducted a pilot study with seven people who had either moderate or severe cases of dementia. The researchers used the MOUTh technique on the subjects for two weeks, recording the state of the patients' mouths and how the patients reacted throughout the study.  At the beginning of the study all seven subjects had poor oral health, as determined by the Oral Health Assessment Tool. Eight categories concerning oral health are scored between zero and two. The lower the score the healthier the mouth. The average score for the subjects at the start of the study was 7.29. By the end of the study the average score was 1.00.

"To my knowledge, we are the only nurses in the country who are looking at ways to improve the mouth care of persons with dementia, especially those who fight and bite during mouth care," said Jablonski. "Our approach is unique because we frame resistive behavior as a reaction to a perceived threat."

 

Cary Feuerman, DMD

Periodontal Associates

 

Source:  Science Daily

 

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Glucometer testing is a simple means of determining the blood glucose level at the time the test is taken. After the discovery of insulin in the early 1900s, glucometer testing has probably done more to save lives than any other device in diabetes care. Because glucometer testing is so simple, people are willing to keep track of their glucose levels much more frequently and consistently. Some people with diabetes check their blood sugar five or six times a day, especially those taking insulin.

Right now, glucometers are not accepted as a means of screening people for diabetes but this could change in the future. If the American Dental Association (ADA) decides that glucometers are a great screening tool and dental offices are a good health care setting to do it in, then that’s wonderful. There is some hope that the ADA will look at dental offices and decide that it might be a good place to screen patients, especially those who may have some oral sign or symptom of undiagnosed or poorly controlled diabetes. I do not think it’s appropriate to test every dental patient for diabetes with a glucometer because of the cost. Instead, dental offices should look for signs and symptoms of undiagnosed diabetes and refer the patient to a physician for formal evaluation and testing.

Usually new medical history forms are done every 6 to 12 months in most dental practices. Patients should always be asked if they are taking any new medications before treatment is started each visit. In my opinion, patients who take insulin should test their blood sugar before treatment begins in the dental office. The risk of hypoglycemia is higher in any patient who takes insulin—always—so getting a baseline pretreatment glucose level is important. If the patient is taking oral medications instead of insulin, the risk of low blood glucose is reduced. Risk is also affected by which drug class the patient is taking since some oral agents are more likely to cause hypoglycemia than others.

Glucometers are generally quite accurate in determining blood sugar levels, within 10% to 15% of a plasma laboratory test level. There is a difference between the glucometer test and an actual laboratory blood test. The results will be different because the glucometer test is done from capillary blood pricked from the finger and a blood test is from venous blood. The capillary blood results typically show lower levels of blood sugar than the plasma derived from whole-venous blood.





If I have a long treatment planned and the patient’s glucose level is either below the average level or even at the lower end of normal, I will give the patient glucose before I start. I generally give about 4 ounces of juice, which raises most people’s glucose level by about 25 mg to 30 mg/dl.

If on the other hand, the person’s glucose level is above normal or at the higher end of normal, then I usually will not increase his or her glucose level. I will also pause mid-way through a long treatment to have the patient take his or her glucose level again just to make sure it has not decreased to a level that could cause hypoglycemia.

If a dental office elects to purchase a glucometer to test patients’ blood glucose, the dental office is now classified by the government as a medical laboratory. This is a federal law that most dentists are completely unaware of.

The law is called the Clinical Laboratory Improvement Amendment (CLIA). It was originally passed in 1988 and has been modified several times since then. CLIA is a federal quality control law that monitors medical laboratories to make sure they are doing quality controls on their equipment. The government views in-office testing as needing quality control procedures in place to assess the data because treatment decisions are made based on the quality of data gathered with in-office testing. So a glucometer is considered a laboratory testing device. Because of this, medical and dental offices that use glucometers fall under CLIA. If a physician wants to check a patient’s cholesterol with an in-office finger stick test, his or her office is now a medical laboratory. Most physician offices actually are labs. CLIA covers almost 200,000 labs in the United States and most of those aren’t actually medical laboratories. So the dental offices that keep a glucometer in their office fall under CLIA, meaning they need to be essentially approved by the government. This sounds like an onerous burden but it is actually a simple process.



Dental offices need to visit the Centers for Medicare and Medicaid Services, Health and Human Services’ website, www.cms.hhs.gov/center/clinical.asp, to get a CLIA certificate. Click on “CLIA: Clinical Laboratory Improvement Amendments” under the heading “Policies/Regulations” to find the CMS Form 116. This form is used to apply for a CLIA certificate, which registers the dental practice as a laboratory. While the form looks intimidating, most of it does not apply to the dental office using a glucometer. The dental office notes on the form that it wants to perform glucometer testing in the office to check glucose levels before and during dental treatment. Glucometer testing is called a CLIA waived procedure. So the dental office is registered as a lab to do a procedure that is actually exempt from the act. While it seems confusing, it’s really not.

The dental office becomes a CLIA waived lab, which allows the office to use its glucometer to check patients. The glucometer has to be tested using the control solutions that come with all glucometers, to make sure that the results are accurate. The waived lab designation costs $150 every 2 years. The dental office does need to post the CLIA waiver certificate that Health and Human Services will send to the office, just like licenses have to be posted.

The number one barrier to dental offices doing glucometer testing in their office is CLIA. The CLIA is not a big burden but it is a paperwork exercise, which turns many dentists off.

I think it’s good for dental offices to have their own, at least as a backup to the patients’.

If you enjoyed this post on a the management of diabetic patients in the dental office, there is a good chance you will like these posts from my blog as well:
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HowStuffWorks: Invisalign Braces




Invisalign braces are the most modern technology used in orthodontics, redefining orthodontic treatment. Invisalign straightens your teeth by using some plastic “mouthguard” like trays, you change every 2 weeks, for as long as needed till the end.

Any orthodontics treatment starts with the initial consultation and this doesn’t break the rule. Your orthodontist will check you with great care and, should you “qualify” for Invisalign, you’ll be ready to undergo the first step to the trays: your molds. For the Invisalign specialists to really be able to create your patient specific trays, they will need to obtain perfect dental impressions. So, don’t be scared if your orthodontist is that determined to have them perfect. They are needed this way, since your entire treatment for all these months will depend on them. At Align Technologies your impressions, the information about the course of treatment and all other initial materials, will be taken by other orthodontic specialists. They will make a positive out of your dental impressions; the plaster molds helping them see your teeth in their normal form. Because your orthodontist was so careful with those impressions, now, the Align Technologies specialists almost have your “teeth” there, and you won’t have to travel thousands of miles just so they can also do your consultation.

The plaster models are checked again and cleaned. Any residue or imperfection is manually checked and solved, so that the plaster can enter the other stage: 3D processing. State of the art scanners are able to create a three dimensional version of these plasters, and these can now be processed on the computer. A barrier coating is applied to protect it from the possible damage it can take on the next stage. Once sealed, the models get placed into a chase, then in a mixture of urethane resin and hardener. They spend some hours in a vacuum pressure chamber the resin hardens and makes them look as blocks. Each tray gets into a destructive scanning machine. This removes paper thin slices 3000 of an inch, while a digital camera takes two dimensional images of each of these slices. The computer gathers more than 300 such images to create the 3D model.



These materials get sent to the technicians, who check once again if all is correct, the teeth and also the bite as the patient has it. The graphic designers will use a proprietary 3D application to cut each tooth and save it as a separate geometrical unit. The teeth are now separated and re-grouped on each arch in the position they will have once the treatment is complete. From the initial stage to the final result, there are many intermediate stages that make up the entire treatment. These are carefully considered since the treatment is different for each patient and the entire orthodontic process needs time. As in traditional braces case, we cannot have straight teeth over night, so all these stages are just the normal tooth movement created with each aligner till the teeth are straight and the bite corrected.

The quality check process is next, so that all the process, the teeth movement, prescribed treatment etc. are correct. The orthodontist who takes care personally of the patient is the one to decide if the treatment is a “go-go”, together with the patient him/herself. This application form is called “clincheck” After all the treatment was checked and approved the aligners will be created. A series of models are created of photo sensitive thermo plastic, each of them will then be turned into an aligner. The thermo plastic sheet is pressed over each model by the use of heat. Trimming comes next so that the aligners come half a millimeter under the gum line, reducing the chances of sores and making the removal easier for the patient.

The aligners are polished and disinfected in a series of cleaning tanks, each set being then packaged, labeled and shipped to the prescribing orthodontist.

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