tag:blogger.com,1999:blog-60237518364318246502023-11-16T08:40:16.157-08:00Dr. Yogeshdr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.comBlogger14125tag:blogger.com,1999:blog-6023751836431824650.post-42864159982964999002015-12-21T04:13:00.001-08:002015-12-21T04:13:38.831-08:00EMERGENCY DENTISTRY !<div class="MsoNormal">
<span lang="EN-US" style="font-size: 16pt;"><b> EMERGENCY DENTISTRY!<o:p></o:p></b></span></div>
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<span lang="EN-US" style="font-size: 16pt;"><b>H</b>ave you ever suffered the most annoying or painful ache in your jaws? A stabbing horrifying pain that appeared out of nowhere, travelling through your jaws, into your head, and literally stopped you from doing whatever that you were currently doing at that moment? It throbs, hurts, and now all of your attention is suddenly on the pain. Well, the first thing you would think of is seeing a dentist! But just right then, you realized that most of the clinics were closed???<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 16pt;">Most often an unfortunate incident occurs either only after working hours, or it happens to be a public holiday. It is always during times like these when a tooth decides to crack, or a painful cavity appears out of nowhere, or perhaps a swelling comes about, or worse... an accident occurs! Emergency situations like this need to be attended to as the pain can be unbearable. Fortunately we have 24 hour operating hospitals that would attend to our problems at the 11th hour, but even then we have to wait and survive through the night with all the pain until the dental surgeon on-call sees you. What do you do in the mean time? Well, here are some answers ...<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 16pt;">If you ever woke up with a throbbing pain in the middle of the night not knowing what or how did it happen, firstly take a deep breath and relax! Throbbing pain running along your jaw, radiating to your head near the temporal region, and sometimes behind your ears and side of neck indicates a nerve issue. Due to the nature of our brain, any nerve pain originating from one tooth would be translated as the whole nerve bundle been triggered. Therefor, a simple trigger from the nerves of a tooth would trigger the entire distribution of the nerve course, relating in pain on the entire region of distribution. It is the similar situation for a patient undergoing a heart attack, where he feels his entire left arm and neck affected by the pain while the source of the sensation is actually the heart. It is known as <i><b>"referred pain"</b></i>. <o:p></o:p></span></div>
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<span lang="EN-US"><span style="font-size: 16pt;">Nerve pain can be a death sentence if left untreated. It is hard to point out where it is coming from, but most often it originates from a very deep cavity affecting the nerves, or simply your wisdom tooth! </span><u><span style="font-size: x-large;">The best solution</span></u><span style="font-size: 16pt;"> is to primarily have 2 tablets of Paracetamol 500mg stat! Note that if you are allergic to Paracetamol, you should consult your physician for alternative drugs - though Paracetamol allergy is extremely rare. Firstly, we will need to understand how does pain come about. When the tooth nerves are affected or infected, they send out signals to the brain. The brain perceives this as </span><b style="font-size: 16pt;">PAIN</b><span style="font-size: 16pt;"> impulse, hence causing us to feel physical pain. At the same time, damaged tissue releases chemicals called prostaglandin which amplifies the electrical signal of the nerves to the brain. The purpose of having Paracetamol is to reduce the effect of prostaglandin at the brain level. This somehow temporarily increases our pain threshold and suppresses the pain. By this time, try contacting the hospital if necessary to get through the dentist on-call. <o:p></o:p></span></span></div>
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<span lang="EN-US" style="font-size: 16pt;">While waiting, you could also try "<i>warm salt water gargle"</i>. <b>Salt</b> is an hyper osmotic chemical that would help in killing the bacteria around the infected site, while increasing the pH balance in the oral cavity making it more alkaline - bacterias struggle to survive in this environment. However, the next step would be to take painkillers known as "<i>NSAID"</i> (Non Steroidal Anti-inflammatory Drug). These group of drugs reduces pain at a higher level as compared to Paracetamol, while having an anti inflammatory effect. The enzymes responsible for producing prostaglandins are known as Cox-1 and Cox-2. The NSAIDs work by chemically blocking these enzymes, causing less pain and less inflammation. Examples of such drugs are Aspirin, Ibuprofen, and Naproxen. However, it is important to remember that these drugs if consumed on an empty stomach could cause gastritis. Therefor, consume these drugs after a small meal as precaution. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 16pt;">These steps should be enough to take care of the pain throughout the night. The following morning, it is important to seek dental treatment immediately to treat the source of infection. Remember, the remedies above are merely relieving us from the pain symptom and not treating it. Hence the causative factor for the pain needs to be addressed professionally. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 16pt;">Tooth cavities are common findings in the mouth. The nature of pain that follows depends on the extent of toot decay- initial caries, progressive caries, advance caries. The deeper and more aggressive the decay process gets, the pain increases. This is due to the bacteria invasion of the enamel layer penetrating into the dentine, where the nerve endings are located. The distribution of the nerve endings are more dense towards the pulp horn and roof of the pulp chamber. This causes a sharp shooting pain in the tooth when hot or cold water touches the tooth. At this stage, restoring the cavity with some filling materials as long as the pulp is not exposed can save the tooth. However sometimes due to the nature of the bacterial invasion, the dentine lying just above the pulp chamber can get affected and result in a severe throbbing ache. In such cases, seeing a dentist becomes inevitable. In case you were unable to see a dentist right away, go to the local pharmacy and purchase a bottle of <b>"<i><u>clove oil"</u></i>.</b> Get some clean cotton and roll it into a small pellet. Dip the cotton pellet with clove oil and immediately soak the tooth cavity with it. Leave it in there for sometime and you will find a huge sense of relief from the pain. It is important to try to clean the cavity with vigorous salt water gargle before soaking it with clove oil filled cotton pellet. Clove oil is an essential oil extracted from the clove plant. It contains <b>Eugenol</b>, which acts an a natural antiseptic and analgesic. Another alternative to clove oil would be benzocaine, which is an anesthetic agent in a form of gel sold in the pharmacy.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 16pt;">Accidents are the last thing that you need during a holiday. Unfortunately, it can happen at any time and in worst ways. It is important to understand the complexity of the situation as it could result in a long term damage and loss if the injury sustained from the accident isn't managed well. The first thing to do in an accident is to make sure that the victim did not loose consciousness. This is important as he/she could have swallowed or choke on any fractured tooth. If a fractured tooth was sustained, the broken piece of tooth should be located if possible. The exposed part of the tooth could be rinsed with saline (salt water), thereafter placing a "clean" gauze of the site. The patient could gently bite on the gauze to prevent further bleeding. If the tooth has avulsed completely (the whole tooth came out), immediately locate the tooth and wash it gently with salt water. Do not rub or scrub the tooth at all! Next, preserve the tooth in a bottle of milk, or saline, or the patient's saliva if possible. As for the exposed tooth socket, rinse gently with saline and get a clean gauze to bite on. Never use a tissue or cotton in replacement. At the worst case, a clean handkerchief would be good. The art to stop any active bleeding is good compression. Now, you could call the nearest available dental surgeon to attend to the situation immediately. There is a good chance of implanting back the avulsed tooth back into the socket (with a semi rigid splint) if it is done within the same day - ideally within 2 hours! <o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 16pt;">The trick to such an emergency is to remain calm, save the tooth (if any), keep the affected area clear from infections via saline rinse, and not forgetting compression to reduce the bleeding. After that, get in touch with a dental surgeon who knows how to handle such a case. An early intervention makes a huge difference to the outcome of the treatment. <o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 16pt;">For further tips and remedies for dental pain, kindly contact us at +6012-2621067, or email us at <a href="mailto:dryogeshbds@yahoo.com">dryogeshbds@yahoo.com</a> .<o:p></o:p></span></div>
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dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0tag:blogger.com,1999:blog-6023751836431824650.post-5682054467220897942015-09-22T07:01:00.003-07:002015-09-23T07:06:16.797-07:00Dentophobia !<div class="separator" style="clear: both; text-align: center;">
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Did you know that there are over 500 different types of phobias in the world? Health professionals describes phobia as<b><i> " </i></b><b><i>an extreme or irrational fear of or aversion to something ". </i></b>Each and every one of us might have a phobia that we are aware of, yet it is different from one individual to another.<br />
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One of the common phobias is actually the Dentophobia. This occurs to people who suffer from fear of seeing the dentist. It is usually caused by a traumatic experience with a dentist from the past that has instilled fear in them. Uncle Samad is one of them, who had undergone dental treatment years ago as a teenager replacing his upper front teeth. </div>
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" I swear i wouldn't step foot in a dental clinic EVER since i last had my treatment done 25 years ago"</div>
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Uncle Samad was a state rugby player who lost his upper front teeth from a rough tackle by his opponent. It was a head on collision with another player from the opposite direction. He woke up with blood all over himself and a sharp throbbing pain on his upper jaw. The tackle had caused him his front 2 teeth. He was about 32 when this happened. The immediate response was to send him to the nearest government hospital to get his teeth fixed. He was brought in to the Emergency Deaprtment and where his broken upper front teeth had to be removed. </div>
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"The pain of getting through the night was a nightmare. Since then, I get cold feet when i think of dental clinic. Its like being paralysed at the thought of visiting a dentist. Sometimes, it is much easier just to bare with the pain"</div>
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Unfortunately for Uncle Samad, his little wish of never seeing a dentist didn't last him for long. Reality hit him when his upper set of false teeth (dental fixed prosthesis-bridge) started to get loose and infected. He wasn't the happiest person to think that he will need to get his upper teeth fixed, but he decided to wait and prolong the visit to the dentist until one day it finally dropped out. Now he had NO choice but to eventually succumb to the hands of a dentist, to replace his upper missing teeth. However the difference was that he had now lost 4 upper teeth in total, as compared to previously losing only 2. This was a result of waiting and procrastinating his dental treatment for over two decades!<br />
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Dental phobias are very stressful and could cause anxiety attacks in extreme cases. Uncle Samad was terrified about seeing us. However, he knew he had to get his teeth fixed. He learnt about us through an interview on the BERNAMA news channel about Cosmetic Dentistry. After watching the program his dental fears had calmed down a little, and so Uncle Samad decided to give it a try.</div>
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We had a good session chit chatting with him, understanding his fear from dentists while he expressed what he wanted. He tried sourcing for permanent fixtures for his defective dental condition. We knew the exact fixtures that Uncle Samad needed. It had to be better than the last one, stronger than before, and aesthetically acceptable. So in a nutshell, an anxious patient having a low smile line and a long upper lip needed replacement for 4 upper teeth. He needed implants.</div>
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We planned on installing the implants at bone level using Swiss made implants with simultaneous GBR (Guided Bone Regeneration). A combination of autograft and allograft was used to enhance bone growth on the implant site.</div>
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The implant placed on upper left was a little more subgingival due to the bone height of the alveolar ridge at that site. After a good 4 months of healing while being on a temporary bridge, the final prosthesis was constructed- made from Zicorn core, finished with a porcelain touch.</div>
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We also decided to crown a few more teeth on the upper jaw. This was necessary from the aesthetic point of view, and also to aid in the occlusion. Uncle Samad was satisfied with his new set of teeth. He is now a good friend of ours. It is very encouraging to see him battling his phobia from seeing a dentist every time he meets us, as he is able to relate to us as a healthcare practitioner who cares for his needs, feelings and most importantly understanding his deep seated fear.</div>
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dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0tag:blogger.com,1999:blog-6023751836431824650.post-5752146033974549872015-07-19T23:03:00.005-07:002015-08-15T18:51:44.104-07:00The Plastic Man<div class="MsoNormal">
<span lang="EN-US">Have you accidently ever bitten on a small
piece of stone, or plastic while chewing on your delicious meal? Its like a
jolt of pain shooting to your head, blowing your brains apart!! Now imagine
biting through this piece of plastic everyday for 25 years. Can you bare the
discomfort of chewing your meals with a heavy piece of acrylic for your breakfast,
lunch, tea, dinner, and supper??<span style="mso-spacerun: yes;"> </span>The
answer is = DREADFUL !<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span lang="EN-US">Mr. Akram has
been trying to get comfortable with his upper dentures for at least 25 years now.
He has literally celebrated a silver jubilee of 25 years of horror, trying to
eat and chew through that heavy piece of acrylic! Mr. Akram didn’t have the
best options for treating his teeth when he was very young due to unethical decisions
made by his previous dentist. He had lost most of his upper teeth as a result
of extraction.<o:p></o:p></span></div>
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<span lang="EN-US">Dentures had
been his only option to replace his missing teeth back then. Ever since, he had
to suffer to learn how to eat using a set of false teeth, with his tongue constantly
in contact with the acrylic on his upper palate. He couldn’t taste his food, since
his tongue does not touch his palate ( the upper part of the mouth ). His
speech was affected, where he had to learn to speak and pronounce words clearly
with the presence of the denture. Overtime, the denture got loose once the bone
started to resorb. This occurs as a result of loosing teeth over a period of
time, as the bone around the extracted tooth socket tends to resorb due to
absence of the tooth. This causes a change to the anatomy of the gum and mouth
resulting in reduced support to the denture. It is a series of unfortunate
events that a denture wearer has to live with, not forgetting the fact that
they will have to remove their dentures at night before their sleep.<o:p></o:p></span></div>
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<span lang="EN-US" style="mso-no-proof: yes;"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span></span><br />
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<span lang="EN-US" style="mso-no-proof: yes;"><span style="mso-spacerun: yes;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjXGSyuvHHj9h4Icd2grU33Jx-GCVD4fixnWB22fSdUQegxDdPvpMFsabehlocCuNvX03OFN2OLb57CfLhWlOs2sAy3eU29wPfCBNvh4hyphenhyphenJpz2cXe7nQJjnfn-fJEhL89TMVlb4DUNkLeE/s1600/2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="277" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjXGSyuvHHj9h4Icd2grU33Jx-GCVD4fixnWB22fSdUQegxDdPvpMFsabehlocCuNvX03OFN2OLb57CfLhWlOs2sAy3eU29wPfCBNvh4hyphenhyphenJpz2cXe7nQJjnfn-fJEhL89TMVlb4DUNkLeE/s400/2.jpg" width="400" /></a></span></span></div>
<span lang="EN-US" style="mso-no-proof: yes;"><o:p></o:p></span><img src="webkit-fake-url://F590A477-B832-4FA1-A31C-2CF15B8D2683/application.pdf" /></div>
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<span lang="EN-US" style="mso-no-proof: yes;">Mr. Akram had
decided to end his tourment. He paid us a visit, seeking advice on his dental dilemma.
He was keen on getting rid of the denture for once and for all. <span style="mso-spacerun: yes;"> </span>He asked for some professional advice, and we
started analyzing his case. We ran a full dental examination on him, observing
his smlie line, width of mouth opening and his facial profile. <o:p></o:p></span></div>
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<span lang="EN-US" style="mso-no-proof: yes;"><span style="mso-tab-count: 1;"> </span><o:p></o:p></span><img src="webkit-fake-url://A880FCA8-228E-4C1B-9BE9-D8C8DF14DBEF/application.pdf" /></div>
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<a href="https://www.blogger.com/blogger.g?blogID=6023751836431824650" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=6023751836431824650" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=6023751836431824650" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://www.blogger.com/blogger.g?blogID=6023751836431824650" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"><br /></a><a href="https://www.blogger.com/blogger.g?blogID=6023751836431824650" imageanchor="1" style="clear: right; float: right; margin-bottom: 1em; margin-left: 1em;"></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhnmvNz31wg-iyBl9MAHLN2XC1HcX5Ygu5_X4r3hePmbjWCJnDwJpDBV2mLr8UVGkJUX_avEwLARj37Zde5wO2CzgZjlucgu2F0f12_o68uBw4cTaTLc8P1kL9q-jHM0J8q9rFsIn39D-s/s1600/3.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="312" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhnmvNz31wg-iyBl9MAHLN2XC1HcX5Ygu5_X4r3hePmbjWCJnDwJpDBV2mLr8UVGkJUX_avEwLARj37Zde5wO2CzgZjlucgu2F0f12_o68uBw4cTaTLc8P1kL9q-jHM0J8q9rFsIn39D-s/s400/3.jpg" width="400" /></a></div>
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<span lang="EN-US">We had then begin our cosmetic treatment
for Mr. Akram. We planned an upper Zicornia bridge for him, mimicking his
original teeth shape, size and profile as much as possible. Within 2 weeks, his
new bridge had arrived. It looked like a set of polished diamonds, ready to be
installed.<o:p></o:p></span></div>
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<span lang="EN-US"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span><o:p></o:p></span><img src="webkit-fake-url://E1E0F868-CA08-4C2B-AA11-CADBF0C6C42D/application.pdf" /></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiqvYjaoI8s8xZnUSCOMl2GPMIlZg-jPlzxLs_am9-m7kn3UjHM3XXlUS4bIQ7j-GsJ2AvjwGscN-txsQY6i30vR_AXHl19zeDtBjwbdiwKu8jfUxKobskFpyT6UAakADyGxJSVDRXPBdg/s1600/4.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="298" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiqvYjaoI8s8xZnUSCOMl2GPMIlZg-jPlzxLs_am9-m7kn3UjHM3XXlUS4bIQ7j-GsJ2AvjwGscN-txsQY6i30vR_AXHl19zeDtBjwbdiwKu8jfUxKobskFpyT6UAakADyGxJSVDRXPBdg/s400/4.jpg" width="400" /></a></div>
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<span lang="EN-US">The bridge was inserted into his mouth. It
was a MATCH ! The color, texture and fitting was perfect, and Mr. Akram was
overwhelmed. He was very happy with his new prosthesis. He had now a new set of
teeth, feeling like brand new ones. <o:p></o:p></span></div>
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<span lang="EN-US"><span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span></span><br />
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<span lang="EN-US"><span style="mso-tab-count: 1;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAHCHZvGGnQG5qhmHdZr0ZWx4c8DGdlG_7sIwRWUeNKun5I0bhdka_Ko4QfikFnSMvHINSGpwK5xbWrzbAVDYOHMN5T_S9hDTf4geEJzfdD-rt0Z68jT4DgeNsrMS8oyNt_jCSYBJLSZA/s1600/5.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="242" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAHCHZvGGnQG5qhmHdZr0ZWx4c8DGdlG_7sIwRWUeNKun5I0bhdka_Ko4QfikFnSMvHINSGpwK5xbWrzbAVDYOHMN5T_S9hDTf4geEJzfdD-rt0Z68jT4DgeNsrMS8oyNt_jCSYBJLSZA/s400/5.jpg" width="400" /></a></span></span></div>
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span><o:p></o:p></span></div>
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<span lang="EN-US">Mr. Akram was satisfied with his new set of
teeth. They were better, stronger, whiter and much lighter than his previous
denture. He was able to speak comfortably, smile confidently, and above all, he
could now TASTE HIS FOOD! What a relief … no more plastic tastes, no more rocks
to bite from !! With his new Zicornia bridge, he was able to appreciate his
food better… say Good Bye to plastic roof!<o:p></o:p></span></div>
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<span lang="EN-US"><o:p> </o:p></span><img src="webkit-fake-url://7C7D8C7E-EC2B-4FBC-83F0-D9AB3E440B51/application.pdf" /></div>
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dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0tag:blogger.com,1999:blog-6023751836431824650.post-607157140614380372015-07-18T06:07:00.003-07:002015-07-18T06:32:36.059-07:00A Good Day to Smile - Understanding the Law beyond Just a Beautiful Smile...<div class="MsoNormal">
Not everyone is born with a perfect set of teeth, beaming
white and crystals glowing as they smile. A good smile comes from a beautiful
lip line, high cheek bones and an attractive set of teeth. But what happens if
you were blessed with such a fortune of a smile, but with defected teeth??<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhpdPh-rjVgnrjniX4xs2s-H5tdj8gqh-TaL2_oaYuVfxkNcXDwhlSKyRJEzotAP5C6pZIReOOl8AHTfFg8Y9ryCjeiuv2UivlpAUr08lSCFxxdMqYk8uUznDK374-2KJdgN0etnQaVPWg/s1600/smile3.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="212" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhpdPh-rjVgnrjniX4xs2s-H5tdj8gqh-TaL2_oaYuVfxkNcXDwhlSKyRJEzotAP5C6pZIReOOl8AHTfFg8Y9ryCjeiuv2UivlpAUr08lSCFxxdMqYk8uUznDK374-2KJdgN0etnQaVPWg/s320/smile3.jpg" width="320" /></a></div>
<div class="MsoNormal" style="text-align: center;">
Smiles are just mesmerising when it feels right...</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Rampant caries is a very common disease of the dentition. It
is an aggressive, devastating type of<span style="mso-spacerun: yes;">
</span>decay of the teeth due to invasive bacteria, and the lack of<span style="mso-spacerun: yes;"> </span>protective mechanism to the teeth itself.
Very simply, we prevent decay<span style="mso-spacerun: yes;">
</span>(demineralization of the enamel and dentine) by our day to day routine
of brushing and flossing. What we do not realize is that there are more than
just this 2 methods to restore balance to your oral hygiene. Its connected to
our daily activities and lifestyle, which plays a big role in keeping our teeth
healthy and protected. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjT_GguRb0FGuFXWEmpHT6HQLvJA5noED315pL_cHXKi0PoN1ITKfqOf5oAvIsXK7jCIb_LfUmh9LX02iidxG_XYRr3-VyOOtzxP2A7nGFA8sIagbFZBGhP3tRWE0wEmFnvKZ_CEMxZa1Y/s1600/tooth_decay_serious_disease_deamonte_driver.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="174" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjT_GguRb0FGuFXWEmpHT6HQLvJA5noED315pL_cHXKi0PoN1ITKfqOf5oAvIsXK7jCIb_LfUmh9LX02iidxG_XYRr3-VyOOtzxP2A7nGFA8sIagbFZBGhP3tRWE0wEmFnvKZ_CEMxZa1Y/s320/tooth_decay_serious_disease_deamonte_driver.jpg" width="320" /></a></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Study the list of options below. Interesting as it may be,
these might just enlighten us on the complexity and the dynamics on how tooth
decay can be prevented.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]-->Proper diet – less sugar and starchy food,
flruoride <o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]-->Proper brushing method<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]-->Brushing frequancy – 2 times daily<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]-->Flossing <o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]-->Mouth rinse <o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]-->Eating timing<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]-->Eating frequancy<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]-->Adequate rinsing<o:p></o:p></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]-->Water intake <o:p></o:p></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -36.0pt;">
<!--[if !supportLists]--><span style="mso-bidi-font-family: Cambria; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Cambria; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><!--[endif]-->Frequant visits to the dentist<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Lets take number 8 for instanse. Adequate rinsing simply
means cleansing the teeth with a form of liquid ( water,mouthwah,saliva ) to
remove any reminants of food particles or pelicle layers over the tooth
surface.<span style="mso-spacerun: yes;"> </span>Any cause of deficient rinsing,
or inability to rinse efficiently would be a major causative factor for decay
to form. So could you imagine a child with impaired salivary production
sufering the consequences of rampant caries due to his/her inability to produce
adequate saliva to wash away all the food particles? The impact to the child is
severe, as while he suffers from lack of confidence to smile and interact with
children of<span style="mso-spacerun: yes;"> </span>his age, his teeth is
undergoing damage every second. Such cases require good dental intervention and
a proper treatment plan for the child. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
We had a patient, 19 year old male from Perth who had
similarly suffered from xerostomia (inabillity to produce saliva) and faced
issues with his teeth. He had generalized caries, some of which has caused his
teeth to be non-vital and presented with dental abcess. It was quite sad to see
a young individual sufering from multiple carious lesions due to his natural
inability to produce adequate saliva. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiH2rqYkn8h1yn92_T9rpcishzSAg9BqYPi9Zw-IqhGKcJ3XGmY6eI9YJQx7PK1V5Ojde1iWvgx4ijuFHzzIRRSaM6hKNBINP-2GqwyLHju94rgyeMU9mHk5h2QahFbca2y0eDzMg6YEtM/s1600/IMG_7981.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiH2rqYkn8h1yn92_T9rpcishzSAg9BqYPi9Zw-IqhGKcJ3XGmY6eI9YJQx7PK1V5Ojde1iWvgx4ijuFHzzIRRSaM6hKNBINP-2GqwyLHju94rgyeMU9mHk5h2QahFbca2y0eDzMg6YEtM/s320/IMG_7981.jpg" width="320" /></a></div>
<div class="MsoNormal">
<o:p><br /></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<o:p> He has a good long future ahead of him. However looking at his current condition, he might not even pass 25 before all his teeth are fully damaged. This young man needed help, and the sooner he received it the better it would be. So we designed a treatment plan for him, bearing in mind about his diet, hygiene level and most importantly his inability to produce enough saliva. It was not an easy task as if also involved smile designing. Our team had initially proposed veneers and fluoride therapy.</o:p></div>
<div class="MsoNormal">
<o:p><br /></o:p></div>
<div class="MsoNormal">
<o:p><br /></o:p></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2QAkBN2njqCLdtPZbZRwbxtOnYypzwlR7_PEGhiuAyTDxHfTCKnX5dULGXUDRBp0NhD2QKsxixdgQW7KKb6-vZYfZTRr370J97HmcM9vUE7tqnGzkjOOVI1M-teG0Fy1T9MMdYurPMv0/s1600/IMG_7985.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="202" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEj2QAkBN2njqCLdtPZbZRwbxtOnYypzwlR7_PEGhiuAyTDxHfTCKnX5dULGXUDRBp0NhD2QKsxixdgQW7KKb6-vZYfZTRr370J97HmcM9vUE7tqnGzkjOOVI1M-teG0Fy1T9MMdYurPMv0/s320/IMG_7985.jpg" width="320" /></a></div>
<div class="MsoNormal">
<o:p><br /></o:p></div>
<div class="MsoNormal">
<o:p><br /></o:p></div>
<div class="MsoNormal">
<o:p> However we realised that his with state of tooth decay, the palatal and lingual surface where the veneers end were at risk of having recurrent caries- thus causing the veneers to vulnerable to failure. Despite being the best and most minimally invasive treatment, veneers were perhaps not the best option for him. Well, given the limitations at this point, the only option left were Zicornia crowns. This is simply due to their nature of being compatible with his gums, which were going to help him in the long run, and as well as securing his teeth from any further damage due to lack of salivary flow. The saliva acts as a source of lubricant to wash away food particles and sugar that might adhere to the tooth surface, as well as providing the first line of defence against regular oral bacterias. It was absolutely necessary to now protect the whole tooth for this reason. </o:p><br />
<o:p><br /></o:p>
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teeth with normal salivary flow</div>
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<br /></div>
<div class="separator" style="clear: both; text-align: center;">
teeth with limited or no salivary flow</div>
<o:p><br /></o:p>
<o:p><br /></o:p>
<o:p>Mr. Marten Stroh, our German technician was designated with the job task to design a precise set of Zicornia crowns for our patient. It was constructed to match his teeth profile, size and shape. These new crowns were measured and fabricated from the Zicorn core, then later adjusted with the overall occlusion for the patient. Finally, they were given a superior polish touch with a glaze to it that made the crowns very smooth - ideally for easy cleansing. </o:p></div>
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<div class="MsoNormal">
<o:p><br /></o:p></div>
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When the crowns were finally fitted in for the patient, the results were satisfying. He looked amazing, with his new set of white crowns dominating his smile. A job of such precision, deserved a moment of joy for both the patient and our team. We were just glad we were able to make a difference to a persons life. </div>
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<i>... before and after ...</i></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLk-VmAWH5OX3zZTrQz_eIf9MtkeG967ZEmbcXbsOPzx5IZkE9Xpuvi4fCwbUb61bm_6cYw6o192F8f8kIJR0RU7K0nuuhVAf69PyNjn4pADjY0SzXPdjVDpooYxkQEBNG8VI0dnYN4iQ/s1600/IMG_7984.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="258" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjLk-VmAWH5OX3zZTrQz_eIf9MtkeG967ZEmbcXbsOPzx5IZkE9Xpuvi4fCwbUb61bm_6cYw6o192F8f8kIJR0RU7K0nuuhVAf69PyNjn4pADjY0SzXPdjVDpooYxkQEBNG8VI0dnYN4iQ/s320/IMG_7984.jpg" width="320" /></a></div>
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dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0tag:blogger.com,1999:blog-6023751836431824650.post-4362935321552424002015-07-11T22:28:00.002-07:002015-07-11T22:28:20.357-07:00A Whole New SmileOne fine morning, we received an email from a lovely couple living in Perth, Australia. Juliana, had wrote to us inquiring about our dental centre and was keen on getting some dental work done. She was interested in getting her upper front teeth treated as they were yellow, chipped and started to show gaps between them. She expressed her desire that she wanted to get herself a nice set of natural looking teeth that would return her smile to how it was 10 years ago. Understanding her needs were important as she was about to embark a 5 hour journey up to Malaysia just to get her teeth done. She had sent us a couple of pictures to show me how her smile looked like.<br />
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We understood her need to get her teeth fixed almost immediately</div>
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Juliana arrived in Malaysia the following month. She was excited as she was really looking forward to her brand new set of teeth. We were very happy to meet her and her husband. We carried out a thorough check up for Juliana and inquired about her expectations as we wanted to Deliver What She Wanted. Judging from the condition of her teeth and from the her dental history, Juliana had undergone multiple cosmetic treatment for her upper anterior teeth. She was never truly satisfied with the results and was seeking for a permanent solution. So we assembled our cosmetic team together with our German technician to start our dental odyssey in getting Juliana the smile she needed.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiAJCNBhN2ws1B9QEY7DpOjPaYDCJI1SpXxtU6cAZCRYHmkJMjOmXrcw2-7XXx1EvquCYWItTuFEtRp-b4cahlZQYen4W37fBBq3QTAjH2kFC9oWNqfeyVo88lhrFLDW7okkhzVK7oijeQ/s1600/IMG_8734.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="258" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiAJCNBhN2ws1B9QEY7DpOjPaYDCJI1SpXxtU6cAZCRYHmkJMjOmXrcw2-7XXx1EvquCYWItTuFEtRp-b4cahlZQYen4W37fBBq3QTAjH2kFC9oWNqfeyVo88lhrFLDW7okkhzVK7oijeQ/s320/IMG_8734.jpg" width="320" /></a></div>
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We... had work to do!</div>
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Our team started doing the necessary ground work of digital records and radiographic examination to determine the health status of her dentition. Juliana needed 3 root canal treatment followed by 10 Zicornia crowns designed by our very best German technician. Her treatment was done is stages, to reduce her chair side time and also to allow proper healing in between her dental visits. </div>
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Finally, her crowns had arrived and was ready for installation. She was amazed by the natural architecture of the Zicornia crowns, designed to give her a natural smile. These crowns are made from Zicornia core, finished with Noritake porcelain and finally glazed to perfection.</div>
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The final results were stunning. Juliana was really happy with her new set of teeth that had changed her smile, moreover her husband couldn't stop complementing her and was really pleased with the crowns. </div>
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<br />dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0tag:blogger.com,1999:blog-6023751836431824650.post-75740083424917506592013-09-22T04:22:00.002-07:002013-09-22T04:22:55.654-07:00My Sweet 16 Smile...Jennifer, a 40 year old beautiful woman works in a reputed university in Kuala Lumpur. She lectures in Human Psychology, speaks 7 different languages and specializes in Sociology. Having to face almost 200 students a day, her outlook consciousness begun to rise. DAY AFTER DAY she looked at her smile and realize she needed to do something about it. WHY exactly ? Here is why...<br />
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Jennifer was desperate to get her teeth done up. Her self esteem started to get affected, while she was finding hard to smile confidently. He next step was to search form a cosmetic dentist to seek advice on how to fix her problem. She visited MalaysiaCosmeticDentist, and called in to make an appointment.<br />
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On a beautiful Sunday afternoon, she walks in for the 1st time to get her teeth checked. We had a long talk about what she worked as, what were her problems and how they affected her lifestyle. She addressed all her dental issues, as we LISTENED carefully and patiently. At the end of the conversation, we finally decided to take a closer look into her dilemma and a detailed picture of her mouth. She had some moderate crowding of her upper teeth, where her lateral incisors were sticking out prominently, giving her a cold sharp look whenever she smiled.<br />
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It is said that Sometimes... Small changes gives great results! In her case, it was just a matter of correcting her crowded teeth and changing the angulation. A set of 4 Zicornia crowns were made for her upper front teeth, setting it straight and white. Together with some minor gum treatment<br />
( Gingivoplasty ) the results were stunning and the patient loved it ! We had custom made the crowns according to what Jennifer wanted. Together with Mr. Marten; German technician, we constructed beautiful strong crowns for our patient and engineered it as how she wanted, as in the color texture and the length of the tooth.<br />
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She now parades happily with her new set of teeth. She has put behind her days of sorrow for a new tomorrow, and she is a happy woman now!<br />
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<br />dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com1tag:blogger.com,1999:blog-6023751836431824650.post-20453201340364359762013-09-09T10:03:00.001-07:002013-09-09T10:06:26.457-07:00When in dOUBT ...<div class="separator" style="clear: both; text-align: center;">
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<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="font-size: large;"><b>T</b></span></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="font-size: 12px;">hey say... </span><i>When in doubt, Cut it OUT</i><span class="Apple-style-span" style="font-size: 12px;"> !! Extension for prevention has always been a way round doubtful circumstances in the healthcare industry. Fortunately, things have changed over the decads from barbaric gory procedures to minimally invasive interventions.</span></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"><br /></span></span><br />
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<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">In the world of dentistry today, the technology advancement allows everyone to have the luxury of saving their teeth. Each one of us have a choice of keep our infected tooth rather than it being extracted. Conventional treatment for badly decayed or broken tooth would suggest the latter. Given the choice today, root canal treatment is a better and smarter choice. Nothing comes close to chewing food with your own original teeth. The luxury of retaining your real teeth rather than removing and replacing them with false teeth is</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">indescribable.</span></span><br />
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">The common dilemma among many of us these days is NOT whether to save, or not to save the tooth, but saving the tooth in the most minimally invasive method possible. That brings us to ponder upon the efficacy of a root canal treatment. Understanding what a root canal treatment is, how it works, and how effective is it is important. A root canal treatment is basically removal and debridment of infected nerves and tissues in the roots of the tooth. Our tooth comprises of three layers,</span></span><br />
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">Enamel - outer most layer, strongest substance in</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> the body</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span></span><br />
<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">Dentin - comprises most of the tooth substance,</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> lying under the enamel, forming the roots</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> and body of the tooth, and the roof/base/</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> walls of the nerve plexus</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">Pulp - the center containing nerve plexus</span></span><br />
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">Most of the time, caries development goes undetected. It progresses over time, setting of different symptoms and sensation as it infests deeper into the tooth. </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">The right question we should be asking here is, HOW do we know if we have a cavity infesting in our "healthy" dentition? Well for a start, your reaction towards cold drinks and food would indicate if there are any activities going on in your teeth.</span></span><br />
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">INITIAL CARIES ( early stage )</span></span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEguBIKTnV4-P1B_zk4D9xi4djmA2i_9lxWoo0OoFLvd7iBkpy8-ljYhdNrkxx-lQblqBdn2R_H7EyMit9194cbIM6-rDsEeeftjsBHbW6gHoBHj6iJBGVfqRH8jZbWS5PBz-fW2xpmUrcc/s1600/Slide1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span class="Apple-style-span" style="color: white;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEguBIKTnV4-P1B_zk4D9xi4djmA2i_9lxWoo0OoFLvd7iBkpy8-ljYhdNrkxx-lQblqBdn2R_H7EyMit9194cbIM6-rDsEeeftjsBHbW6gHoBHj6iJBGVfqRH8jZbWS5PBz-fW2xpmUrcc/s400/Slide1.jpg" width="400" /></span></a></div>
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<span class="Apple-style-span" style="color: white;">ADVANCED CARIES</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgEronpDRK7mSDVtjyM3sh-wHMgeS3hJvf2raXV5-mPi9Fy9Wqx6vJgxnYjFsELlHBO_p-FTiLN636O58YKMtpsG27Hq5LHwDZqajkXs7_IwgQvF-0MkUOV2qlzuCLtuRhm8ixcd5iKlGo/s1600/Slide1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span class="Apple-style-span" style="color: white;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgEronpDRK7mSDVtjyM3sh-wHMgeS3hJvf2raXV5-mPi9Fy9Wqx6vJgxnYjFsELlHBO_p-FTiLN636O58YKMtpsG27Hq5LHwDZqajkXs7_IwgQvF-0MkUOV2qlzuCLtuRhm8ixcd5iKlGo/s400/Slide1.jpg" width="400" /></span></a></div>
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<span class="Apple-style-span" style="color: white;">LATE STAGE CARIES ( with pulp involvement )</span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhA_8QrqjoxdD-tHL8hH86HnTb8oCjtFtGspOHxmQo1wpl8kmkTm09Uant8FN6KNeOqYOROSiccYoF5hPqLfssETb3PJ5ET_N-ewUbs6bHD9GhBixsBZWUsh5LxdUZyiTGws3bVGRdUvSY/s1600/Slide1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span class="Apple-style-span" style="color: white;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhA_8QrqjoxdD-tHL8hH86HnTb8oCjtFtGspOHxmQo1wpl8kmkTm09Uant8FN6KNeOqYOROSiccYoF5hPqLfssETb3PJ5ET_N-ewUbs6bHD9GhBixsBZWUsh5LxdUZyiTGws3bVGRdUvSY/s400/Slide1.jpg" width="400" /></span></a></div>
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">These are just indications to the severity of the decay. A thorough dental examination followed by proper digital imaging usually helps in diagnosing existing cavities, and as well as initial caries lesions. Initial caries lesions are usually reversible ( provided no cavitation are present ), and are treated by practicing good oral hygiene together with fluoride therapy. Advanced caries simply means there is a sign of cavitation and the decay has progressed beyond the enamel into the dentin, without breaching the pulp chamber. At this stage, the tooth can still saved by doing a filling in order to restore its function back to normal. However a late stage carious tooth could not be restored with a filling, the reason being the nerve plexus ( the pulp chamber ) has been breached and requires further treatment. This is when the dentist usually advices the patient to do a Root Canal Treatment.</span></span><br />
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="font-family: Times;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">At many occasions, deep cracks (complicated fractures) or gum disease involving the pulp (nerve plexus) would require a root canal treatment as well. RCT usually requires 2 or more clinical visits, unless it is a prophylactic endodontic treatment on a sound (healthy) tooth, in which it can be done in a single visit.</span></span><span class="Apple-style-span" style="font-family: Times;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span></span></span></span><br />
<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span></span><br />
<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">During the 1st visit, a through examination is carried out based on the patients chief complain. An investigation is done on the patient's medical history, followed by an extraoral and intraoral examination, and finally studying the problematic tooth itself. A good Periapical radiograph or panoramic imaging (OPG, X-ray) is done to aid in the diagnosis. When the final treatment plan is done, the root canal treatment (if indicated) is then carried out. This is after analyzing all the circumstances and factors influencing the</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">prognosis of the tooth. A good diagnosis and treatment plan will determine a good outcome of the treatment. This one of the most crucial stage in determinating the fate of the tooth.</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">A good local anesthesia is administered to numb the tooth and the surrounding tissues. Next, the pulp chamber of the tooth is accessed in order to carry out pulpectomy (removal of the nerves) and debridment of any discharge or infected tissues in the root canal. The canals are cleaned and shaped using rotary and hand instruments to remove any infected debris or tissues within the canal. It also helps widen the diameter of the canal, to aid disinfection and filling of the canal later on. By the end of the 1st visit, the dentist would have placed an intracanal medicament and sealed the canal orifice with a temporary filling material. </span></span><br />
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">At the 2nd visit, the seal is removed and intracanal</span></span><br />
<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">medication washed out. The canal, if not presenting with any sign or symptom of infection, is then filled with an obturating material (gutta perca). The final restoration is then placed, awaiting a prosthesis to further strenghten the tooth.</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span></span><br />
<span class="Apple-style-span" style="color: white; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">The entire procedure is carried out under local anaesthesia. To treat a tooth with RCT requires few considerations :-</span><br />
<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">a) the degree of tooth fracture - vertical fractures respond poorly to RCT due to bacterial </span></span><br />
<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> invasion beneath the gums</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">b) extend of decay - severe decay extending below the alveolar bone level might </span></span><br />
<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> compromise root canal treatment</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">c) exisiting sinus tract - how severe</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">d) existing chronic periapical abcess</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">e) pathological lesions - cyst, ameloblastoma,OKC</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">f) tooth mobility - Grade 3, poor prognosis of </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">survival</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">g) periodontal disease - perio-endo lesion, causing periodontal abcess</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">h) other limiting factors , such as limited mouth opening, very poor oral hygiene, root caries, </span></span><br />
<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> xerostomia.</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">A RCT is only carried out once all pathological influence is removed. The fundamentals of a good root canal treatment is to do it under asepsis method, where a good isolation of the tooth (infection control) using proper and specific instruments is needed. The use of proper irrigation material and procedure together with good intracanal medication is necessary. A good root canal treatment done could determine the fate of the tooth treated. The chances of reinfection of the tooth depends on how well the tooth was treated, medications and irrigation system used and above all identifying and treating the causative factor of</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">the infection within the tooth. Early evaluation on the condition of the tooth, together with a good dental history has a big role in treating the source of infection.</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">Having known now all the considerations before carrying out a root canal treatment, it is crucial that the root canal treatment is then performed optimally to ensure a high success rate. The astute dental clinician has to have enough knowledge and expirience in order to carry out the treatment efficiently and successfully. For further inquiries regarding root canal treatment, please email Dr. Yogesh at</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">dryogeshbds@yahoo.com.</span></span>dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0tag:blogger.com,1999:blog-6023751836431824650.post-88557530865302805432013-09-09T06:27:00.001-07:002013-09-09T10:04:36.013-07:00OMG ! My Teeth ... ?!!<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOJN7Y15nEA5v5TArf62QlEMRQtFAkzp8f8907hv7LrJPwHR2OhkBWOUuNWoHbNxq7ewsxbH4tC5M8IC5XdYIXKg3Uk_xp47HdXhYACbkcBHdxebAYslDrgqrAdy6qcDkNbEDkhg3VS9o/s1600/Unknown.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjOJN7Y15nEA5v5TArf62QlEMRQtFAkzp8f8907hv7LrJPwHR2OhkBWOUuNWoHbNxq7ewsxbH4tC5M8IC5XdYIXKg3Uk_xp47HdXhYACbkcBHdxebAYslDrgqrAdy6qcDkNbEDkhg3VS9o/s400/Unknown.jpeg" width="400" /></a></div>
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<span class="Apple-style-span" style="color: white; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><b>LOOKS FAMILIAR ??? No way he is going on a date till he gets that tooth fixed ! </b></span><br />
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><b><span class="Apple-style-span" style="font-size: large;">Nobody</span></b> wants to have a missing tooth, especially if its right in front ! It stares right at you, like a scar. Fortunately the technology today gives us the privilege to replace any defects from missing teeth any the palms of our hands. We just have to decide how we want to replace it, with a removable or fixed prosthesis.</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"><br /></span></span><br />
<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">Replacing a missing tooth basically means restoring a false toothin the location of the missing one. In order to support the false tooth, there are mainly three means of doing so :-</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">1. Denture - acrylic base platform supporting false</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> tooth</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">2. Bridge - metal/porcelain/zicornia base platform</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> using neighbouring teeth as anchorage</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> supporting false tooth</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">3. Implants - titanium screws placed into the jaw</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /> supported by the bones to prepare a platform</span></span><br />
<span class="Apple-style-span" style="color: white; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> for the placement of future prosthesis</span><br />
<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">It is essential to recognize the difference between these three types of dental intervention. </span></span><br />
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">Dentures...</span></span><br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgTCzG-ZjFT5uBFqHywWX198SU0jQPmCeGGC2BV35PivSUbftUIcJatrBmw7HFULD3lMqRcsxuD8aCMGyx3mD_UPEDjV5wWr7FCGWWCyd_XAXLhGDzT4poPgHTdmnBckNnK-lI-Ig2L8wk/s1600/images.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span class="Apple-style-span" style="color: white;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgTCzG-ZjFT5uBFqHywWX198SU0jQPmCeGGC2BV35PivSUbftUIcJatrBmw7HFULD3lMqRcsxuD8aCMGyx3mD_UPEDjV5wWr7FCGWWCyd_XAXLhGDzT4poPgHTdmnBckNnK-lI-Ig2L8wk/s1600/images.jpeg" /></span></a></div>
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> ... are the one of the earliest and oldest dental prosthesis used to restore missing teeth. It could be used to replace any number of missing teeth, from as big as the whole arch to as small as one tooth. The main physics of how a denture functions is basically retention, suction and neuromuscular control of an individual with the denture. It is more like a plastic plate held in place by those 3 factors, restoring dentition for functional purpose. The problem with a denture however is the extensive acrylic plate covering the gums. This can really be annoying especially when it comes to the lower jaw -interference with the tongue and cheeks. As for the upper jaw, a full palatal coverave denture causes disturbance with</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">speech ( especially on pronouncing words containing letters such as "S", "T", "L" ). Some even claim that wearing a denture gives them a retching sensation, while others complain about not being able to taste food properly ( as some taste and smell receptors are located in the palate ). Wearing dentures would not prevent bone resorption at missing tooth site, so eventually the denture will becomes loose overtime due to ill fitting denture bearing surface.</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">Well enough about dentures, the question these days is whether to restore a missing tooth, or teeth with a bridge and whether we choose an implant.</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span></span><br />
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<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="font-size: x-large;"><b><br /></b></span></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">Previously, we discussed about Whether Or Not to restore a tooth that has a low prognosis to survive.</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">In case of removal of a "hopeless" tooth, with a</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">good justification and consent from the patient, we then have to decide which dental intervention would be best for the patient. The factors that mainly decides the treatment depends on :-</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">1. Longevity of prosthesis installed</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">2. Duration of treatment (number of visits and time</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> frame required)</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">3. Cost of treatment</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">4. Conditional restrictions - severe loss of bone,</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> space with opposing tooth, smile line, soft</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> tissue condition, number of teeth needs</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> replacement</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">4. Medical problems - diabetes, gum disease</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"> </span></span><br />
<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> Considering all the above, deciding on the type of prosthesis that best suits the patient it is very subjective from one case to another. A simple bridge construction would require shaving down a substantial amount of the neighbouring tooth</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">structure in order to support the incoming prosthesis. </span></span><br />
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<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">In modern dentistry today, the objective of a dental treatment is to restore function and aesthetics for the patient with the most minimal invasive procedure. Bridging in this case does not comply to that,although in quite a few cases it is wise to do a bridge when the neighbouring teeth is indicated or due for a crown. The advantage of a bridge over an implant is mainly the time frame needed to construct the prosthesis. An implant would require a window peroid of 2 monthsor more for a full healing and restoration of the tooth, where else a bridge only requires around 2 weeks of waiting period before the prosthesis is ready to be installed. Also a properly constructed bridge on vital teeth (not root canal treated with posts) has a 10 year success rate as much as 86%.</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span></span><br />
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">As far as implants are concerned, they hold the</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><b><u>highest survival rate.</u></b> The bone surrounding the titanium plate of the implant undergoes osteointergration and ankyloses with the implant., giving it strength 10 times stronger than a normal teeth. To achieve good aesthetics for the anterior region, it is crucial that the implant is placed properly with good bone grafting and soft tissue augmentation ( if needed ). In cases of severe bone loss due to traumatic accidents or extractions, other alternatives can be considered besides an implant alone. A proper treatment plan must be drawn up to maximize the results for the patient.</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif; font-size: 12px;"><br /></span></span><br />
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">Conclusion ... the option to restore a missing tooth fairly relies upon several factors as discussed earlier. Eventually the decision to restore it would be either to :-</span></span><br />
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">1) Wear a denture</span></span><br />
<span class="Apple-style-span" style="color: white; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">2) Construct a bridge </span><br />
<span class="Apple-style-span" style="color: white; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">3) Place an implant</span><br />
<span class="Apple-style-span" style="color: white; font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">4) Orthodontic treatment - provided the gap that needs closure is small and manageable</span><br />
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<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="font-size: x-small;"><b><i><br /></i></b></span></span></span><br />
<span class="Apple-style-span" style="color: white;"><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="font-size: x-small;"><b><i><br /></i></b></span></span>
<span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><span class="Apple-style-span" style="font-size: x-small;"><b><i>HISTORY</i></b></span></span></span><br />
<span class="Apple-style-span" style="color: white;"><i><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">The implants that we know of today didnt appear overnight, but they came from a long historic transition. The early implants ages back as far as the Maya civilization around 1350 years ago. Back then, there were evidence of implants used to replace missing lower incisors on a young woman </span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">using shells. This evolved through time, inspiring researches to invent an implant system that could be used in the medical field.</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">This research caught Per-Ingvar Branemark's attention. He started developing implants for knee and hip surgery, but soon after he decided to concentrate on constructing dental implants. His 1st implant was placed in 1965. However the 1st dental implant ever placed in the modern world of dentistry is by Dr. Leonard Linkow in 1952 ( known as the father of modern dentistry ). After an article published in 1966 by Stefano Melchiade Tramonte, the fear towards dental implants started to fade away, and many people started to embrace the concept of having a dental implant placed in the mouth. However, the implants back then were much larger, longer and wider as in compared to the ones now.</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> </span></i><i><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"> Many research has been done over the decades</span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;"><br /></span><span class="Apple-style-span" style="font-family: 'Helvetica Neue', Helvetica, Arial, sans-serif;">to improve the quality of dental implants manifacture. The research caught Pen-Ingvar Branemark's attention. After Stefano Melchiade Tramonte's published article in 1966 on his successful cases on titanium dental implant placement, the concept of dental implants was more widely accepted. Branemark started placing his own implants in 1965, soon after he started doing research on dental implants. He entered a commercial partnership with a Swedish defense company, Bofor AB. This company was later restructured as Nobel Industries, giving birth to NobelBiocare in 1981. They were the leading implant suppliers for many years. These days other implant suppliers such as Strauman, backed up by decades of case studies and research are among the leading dental implant supplier in the market.</span></i></span>dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0tag:blogger.com,1999:blog-6023751836431824650.post-72797114843661822812013-08-14T04:34:00.002-07:002015-07-19T05:11:01.682-07:00Veneers<!--[if gte mso 9]><xml>
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<span style="color: white; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">Everyone is conscious about their appearance.
Everyday, we are becoming more aware of our outlook. Beauty takes form in
different ways in an individual, it is accentuated in multiple ways in some
people. Some have a good smile, while others have a beautiful face. Fortunately
we have the technology these days that enables us to make a change to our
appearance. When I say make a change, I’m not talking about beauty makeovers
and facial reconstruction surgeries. I am referring to smile enhancement
procedures that could make a huge difference to a persons outlook. Why? How? …<o:p></o:p></span></div>
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<span class="Apple-style-span" style="color: white;"><br /></span></div>
<span style="color: white; font-family: "Helvetica Neue"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Helvetica Neue"; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;">Allow me to explain. One of the most prominent change in a persons look
is their smile. A beautiful smile, is a desire deep inside everyone’s
heart... Enhance your smile, enhance your looks. Colgate came up with a very ingenious idea. I’m sure most of us would
agree on this picture below on How Important A Good Smile Is, and its influence. </span><br />
<span style="font-family: 'Helvetica Neue';"><i><span class="Apple-style-span" style="color: white; font-size: xx-small;">These pictures below are the courtesy of Colgate.</span></i></span><!--EndFragment--><br />
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<span class="Apple-style-span" style="font-size: large;"><b>NOTICE ANYTHING OBVIOUS ???</b></span></div>
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<span class="Apple-style-span" style="font-size: large;"><b><br /></b></span></div>
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Im sure most of us will notice that in all 3 pictures, the guys had some deformity on their teeth. Be it food, gap between teeth or a discolored tooth, it STANDS OUT immediately. Now...</div>
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LOOK CLOSELY !!!</div>
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In the 1st picture, the lady has more than five fingers on her left hand. In the 2nd picture, there is a phantom arm sitting on the guys left shoulder while in the 3rd picture, the poor guy has one missing ear! Wasn't all of these physical defect obvious?? Well OF COURSE they are, they just didnt stand out obvious enough! </div>
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Clearly it proves that dental defects catches ones attention drastically. Food stuck between teeth, disfigured tooth or poorly maintained teeth when smiling draws more attention than any physical defect. All that is needed to be done is simply removing, or rectifying the defect. A small and simple repair is all that it needs, which could totally change the scenario in this case! </div>
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small change is all that is needed to produce a big result. Now how hard is it
to alter ones smile? Simple cosmetic procedures is all it takes to enhance
one’s smile. And today, everyone can own a smile they want. What is so DYNAMIC
about a good smile? Well let me tell you, that there are many of us hidden
among this huge society who have a complex against cameras, meeting people, and
even talking to people of the opposite gender. A poor set of teeth,
congenitally or developmental, either discolored, maligned, disfigured, missing
or broken, could have a huge impact on a persons social life. The inability to
SMILE, TALK confidently or get into CLOSE PROXIMITY with someone could lead to
some people being antisocial, feeling shy and having a lack of confidence. Some
avoid cameras, while some others end up smiling awkwardly in pictures. The very
same people who are suffering from these problems have showed great
improvements and complete transformations from who they were after a smile
designing procedure. Now if it works for these people and brings an advantage
to them, then EVERYONE deserves a chance to enhance their smile – and be a
winner! I will introduce a method of smile enhancement that is Minimally
Invasive, Simple, Safe… and results = STUNNING! With this procedure, “almost”
anything is achievable !</span></div>
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aesthetics can be achieved easily with the use proper techniques and materials.
One of the most aesthetic and easiest methods to do this, is by the use of
Veneers. Veneers are laminates that are placed over the labial surface of the
tooth. It is like a porcelain blanket covering the tooth, wrapped on the outer
surface completely and partially on the inner surface. A veneer is able to
change the color,<o:p></o:p></span></div>
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teeth to a certain degree. Moderate to mildly malaligned teeth can usually be
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of high end ceramic; Noritake porcelain, veneers creates a beautiful glowing
tooth surface that helps resist stain and plaque accumulation. It not only
serves aesthetically, but also restores function in maintaining good oral
hygiene when it comes to brushing. A properly designed veneer allows food
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<i style="mso-bidi-font-style: normal;"><span class="Apple-style-span" style="color: white;">Another case of a 30 year old Chinese male
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<i style="mso-bidi-font-style: normal;"><span class="Apple-style-span" style="color: white;">A doctor walked in to our clinic one day,
having a terrible dental condition. Due to negligence, she had </span></i></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -14.2pt; margin-right: -10.25pt; margin-top: 0cm; text-indent: 7.1pt;">
<i style="mso-bidi-font-style: normal;"><span class="Apple-style-span" style="color: white;">suffered from
eroded and attrited teeth over the years. We worked on her teeth, raising her
bite and </span></i></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -14.2pt; margin-right: -10.25pt; margin-top: 0cm; text-indent: 7.1pt;">
<i style="mso-bidi-font-style: normal;"><span class="Apple-style-span" style="color: white;">protecting her teeth with help of some crowns and veneers.<o:p></o:p></span></i></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiupktSuVXyQFRcrpBMTfALLHP-5O25hVD7JtWtNx2O8oIC7BosuAgldv1QAjbyRWyyMgSopQOql82Iz0dtReVjV4dQRECgSgux06M3DLsxrtXz5TlaOq1zOMHhmNBgERKPw1V0AyCo4I0/s1600/IMG_4486.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span class="Apple-style-span" style="color: white;"><img border="0" height="262" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiupktSuVXyQFRcrpBMTfALLHP-5O25hVD7JtWtNx2O8oIC7BosuAgldv1QAjbyRWyyMgSopQOql82Iz0dtReVjV4dQRECgSgux06M3DLsxrtXz5TlaOq1zOMHhmNBgERKPw1V0AyCo4I0/s320/IMG_4486.jpg" width="320" /></span></a></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Helvetica Neue"; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;"><br /></span>dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0tag:blogger.com,1999:blog-6023751836431824650.post-8400092028456154122013-08-09T05:56:00.005-07:002013-08-09T05:56:56.961-07:00Gum Disease
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">Ever seen someone smiling at you with beautiful
white teeth, supported with a splash of bright pink gums? Most people are
concerned about their appearance, so they take real good care about their
teeth. But what they fail to realize is that beneath those strong white tusks
of theirs lies a supporting structure that holds their teeth in place, allowing
them to be used for chewing efficiently. These supporting structures serves as
pillars to the whole dentition structure in the mouth, just as how tall skyscrapers
are supported by strong pilling underneath them. The fundamentals to a good
oral hygiene and healthy teeth starts from your gums. Your bone and gum tissue
should fit snugly around your teeth like a turtleneck around your neck. They
provide comfort, shelter and a cozy home for your teeth to live in. It is a
very peaceful and harmonious neighbourhood providing a soft cushion blanket
around your teeth. <o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">HOWEVER ... when we have gum disease, this soft
cushion around your teeth becomes painful and red. It will cause discomfort to
your teeth and if not treated, this lovely comfortable home for your teeth
might get jeopardized. This is brought upon by destruction of the underlying
supporting tissue and bone , forming "pockets" around the teeth. What
was once a beautiful home is now a wrecked warzone with disease and dead cells.<o:p></o:p></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivNQc7mjQLqjLX2LQzm2h6uEI7uDQwKuthOugZa8f-DHitUMJZhneyKZln5Pm9R3uDMUJ5uYExnXmdlcQTaoZKunvzhw5eB468ysswuib4EwA6ySct3ERblwFeYnjnw5jLybxnwluMGnI/s1600/gum3.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivNQc7mjQLqjLX2LQzm2h6uEI7uDQwKuthOugZa8f-DHitUMJZhneyKZln5Pm9R3uDMUJ5uYExnXmdlcQTaoZKunvzhw5eB468ysswuib4EwA6ySct3ERblwFeYnjnw5jLybxnwluMGnI/s1600/gum3.jpg" /></a></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">But it does not stop there. Over time, these
pockets become deeper, providing a larger space for bacteria to live. As
bacteria develop around the teeth, they can accumulate and advance under the
gum tissue. These deep pockets collect even more bacteria, resulting in further
bone and tissue loss. Eventually, if too much bone is lost, the teeth will need
to be extracted. So much for the beautiful white teeth we were safeguarding all
this while. <o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">Now that I have got your attention regarding
healthy gums, let us discover what gum disease is all about and why does it
happen. There are many kinds of gum disease. Knowing what they are and their
underlying causes might help us understand gum disease better. The mouth is a
very complex structure, it comprises of both hard and soft tissue supporting
each other in an equilibrium. The fundamentals of healthy gums is keeping a
good oral hygiene and preventing the formation of calculus ( hardened, calcified
food, a.k.a. Plaque ). Accumulation of plaque, a sticky soft layer of slough
over tooth surface, usually approximated close to the gums (cervical area) over
a period of time could cause swelling of the gums. That is the primary
indication of a gum disease. The 1st type of gum disease is Gingivitis.<o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">GINGIVITIS simply means inflammation of the
gums, ( gingiva - gums, itis - inflammation ). It is the mildest form of
periodontal disease. It causes the gums to become red, swollen, and bleed
easily. There is usually little or no discomfort at this stage. Gingivitis is
often caused by inadequate oral hygiene. Good news is Gingivitis is reversible
with professional treatment and good oral home care.<o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">Factors that may contribute to gingivitis
include, diabetes, smoking, aging, genetic predisposition, systemic diseases
and conditions, stress, inadequate nutrition, puberty, hormonal fluctuations,
pregnancy, substance abuse, HIV infection, and certain medication use.<o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";"><span style="mso-spacerun: yes;"> </span>If <b style="mso-bidi-font-weight: normal;">gingivitis</b> it's <b style="mso-bidi-font-weight: normal;">left untreated</b> and persevered over a period of time, it will
deteriorate and affect the underlying supporting tissues-causing <b style="mso-bidi-font-weight: normal;">periodontitis</b>. Periodontitis ( peri -
around, odonto - dental tissues, itis - inflammation ) is an inflammation and
destruction process of the periodontium tissue, such as the cementum (overlying
structure that protects the roots), the alveolar bone (base that the tooth sits
on-the bone socket), the periodontium ligament ( tissue fibers holding the
tooth in its place, prevent a tooth from dislodging or moving on an otherwise
healthy tooth, also known as the shock absorbers to reduce impact on the tooth
) , and finally the gingiva ( gums ). Any destruction to these tissues could
result in mobility of the tooth, gum recession-leading to sensitive teeth,
tooth ache-due to bacteria colonies brooding in the calculus, causing pain due
to the inflamed supporting tissues, bleeding of gums during brushing, and
leakage of the seal between the oral environment filled bacterias and the
sterile tip of the root, resulting in abcess formation. <b style="mso-bidi-font-weight: normal;">Periodontitis</b> is a result of a longstanding gingivitis that is left
untreated. It all starts of with poor oral hygiene, where bacteri colonies
start to dwell within the gums, causing minor swelling on your gums. <o:p></o:p></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgchYy6Tc5c1Rc0KkMBkGMG4XAGu02s-mL03AoqcqZrkX3uIbz_OhWV8cwcji6Qup1XuJZq0vSMhH3hWE6HmyVCSenQwXAGidTkrRrEiF93MOLN4BSmmsuxqeDeGE68sNz-64uGsJwYSuY/s1600/gum2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="90" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgchYy6Tc5c1Rc0KkMBkGMG4XAGu02s-mL03AoqcqZrkX3uIbz_OhWV8cwcji6Qup1XuJZq0vSMhH3hWE6HmyVCSenQwXAGidTkrRrEiF93MOLN4BSmmsuxqeDeGE68sNz-64uGsJwYSuY/s320/gum2.jpg" width="320" /></a></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">WHAT ARE THE RISK FACTORS ???<o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">It is very important to identify the
predisposing factors for gum diseases. Elimination of the source of infection
is better than treating it. Get to know your risk factors.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue"; mso-fareast-font-family: "Helvetica Neue";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">Hormonal changes in girls/women. These changes can make
gums more<span style="mso-spacerun: yes;"> </span>sensitive and make it easier
for gingivitis to develop. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-layout-grid-align: none; mso-list: l0 level1 lfo1; mso-pagination: none; text-autospace: none; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue"; mso-fareast-font-family: "Helvetica Neue";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">Diabetes. People with diabetes are at higher risk for
developing<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">infections, including gum disease. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue"; mso-fareast-font-family: "Helvetica Neue";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">Other illnesses. Diseases like cancer or AIDS and their
treatments can <o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">also negatively affect the health of gums.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue"; mso-fareast-font-family: "Helvetica Neue";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">Medications. There are hundreds of prescription and over
the counter<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">medications that can reduce the flow of saliva,
which has a protective effect on the mouth. Without enough saliva, the mouth is
vulnerable to infections such as gum disease. And some medicines can cause
abnormal overgrowth of the gum tissue; this can make it difficult to keep teeth
and gums clean.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue"; mso-fareast-font-family: "Helvetica Neue";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">Genetic susceptibility. Some people are more prone to
severe gum <o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">disease than others. Back to top Who gets gum
disease? People usually don’t show signs of gum disease until they are in their
30s or 40s. Men are more likely to have gum disease than women. Although
teenagers rarely develop periodontitis, they can develop gingivitis, the milder
form of gum disease. Most commonly, gum disease develops when plaque is allowed
to build up along and under the gum line.<o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">HOW DO I KNOW IF I HAVE GUM DISEASE?<o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">Symptoms of gum disease include: <o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">1. Bad breath that won’t go away </span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">2. Red or swollen gums </span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">3. Tender or bleeding gums </span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">More teeth are lost through gum disease than
through tooth decay. Gum disease is likely to strike anyone who neglects oral
hygiene or eats a poor diet. Particularly at risk are people with alcoholism,
malnutrition, or AIDS/HIV infection or who are being treated with steroid drugs
or certain cancer chemotherapies. Regular brushing and flossing help to prevent
puffy, sore, and inflamed gums. It is important to know when to expect gum
problems if we understand the causative factors. We have to first rule out the
involvement of any sistemic disease that could possibly cause the gum
condition. This can be achieved by a good history taking and clinical examination,
followed by blood tests, histopathological examination of biopsy, and medical
consultation. <o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">Well, this introduction to GUM DISEASE is to
educate us all about the heritage we own and how important it is to maintain
and preserve it. There is much more to the gums and teeth than we think we
know. This is yet merely tapping into the depth of dental science, of which we
should be aware of. In the next volume, I shall discuss further about the types
of gum diseases, the cause and impact on an individual, and also the solutions
available to curb this disease. <o:p></o:p></span></div>
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<span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">However, the basic remedy to a healthy gum and
teeth are to :-<o:p></o:p></span></div>
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</span></span></span><!--[endif]--><span style="color: #353535; font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">EAT RIGHT – a healthy diet
always brings about positive results to the body !<o:p></o:p></span></div>
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<br /></div>
<span style="color: #353535; font-family: "Helvetica Neue"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Helvetica Neue"; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;">For any further inquiry, please visit </span><span style="font-family: Cambria; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin;"><a href="http://WWW.MALAYSIACOSMETICDENTIST.COM/"><span style="font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">WWW.MALAYSIACOSMETICDENTIST.COM</span></a></span><span style="color: #353535; font-family: "Helvetica Neue"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Helvetica Neue"; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;"> , or you could contact me at </span><span style="font-family: Cambria; font-size: 12.0pt; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin;"><a href="mailto:dryogeshbds@yahoo.com"><span style="font-family: "Helvetica Neue"; mso-bidi-font-family: "Helvetica Neue";">dryogeshbds@yahoo.com</span></a></span><span style="color: #353535; font-family: "Helvetica Neue"; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-font-family: "Helvetica Neue"; mso-bidi-language: AR-SA; mso-fareast-font-family: "MS 明朝"; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-fareast;"> .</span><!--EndFragment-->
dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0tag:blogger.com,1999:blog-6023751836431824650.post-40260648909632090872013-06-09T03:32:00.001-07:002013-06-09T03:32:28.602-07:00A Wish... That Came TRUE !"EVERYONE wants to own a beautiful smile " . So I was told, by a 62 year old man, native Malaysian who had come to see me for a regular dental visit one fine evening. He had a tan complexion, a false eye and few grey strains of hair left on his head, but he had the spirit of a 25 year old youth when it came to life. Being diabetic and hypertensive, he was taken ill most of the time and spent more hours in the hospital than at home. But yet, he never gave up on life and cherished every moment he had. He always had a smile on his face where ever he went. But what occurred to me was he never showed his teeth in any of his pictures.<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizmVSJp8aaH0hmBrKOjAZ63JLjq6eLsJ7DPEI0aM2Me37KTLdmhU1XPYHN4xClaEpSppHSFrailGwHp2gJ5CPjX_GwaqmOjMlbqZZhuRsejyYoGUjAWxgBN7ZmhawH5lyxgYgadFX-le0/s1600/IMG_2137.JPG" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEizmVSJp8aaH0hmBrKOjAZ63JLjq6eLsJ7DPEI0aM2Me37KTLdmhU1XPYHN4xClaEpSppHSFrailGwHp2gJ5CPjX_GwaqmOjMlbqZZhuRsejyYoGUjAWxgBN7ZmhawH5lyxgYgadFX-le0/s400/IMG_2137.JPG" width="400" /></a></div>
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Its interesting how much our teeth affects our daily life. We think about chewing our food with our teeth being the main issue, but others such as phonetics, and aesthetic appearance makes a huge difference as well. This poor man, had given up smiling for a very long time. When asked he mentioned that he cant remember when was the last time he smiled with his teeth. Then, it all became clear when he tried smiling with his teeth showing.</div>
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Many people suffer from this issue everyday. Having a poor dental hygiene together with conditions such as missing tooth, crowding and discolored teeth affects their lifestyle and habits. Now we knew what he was going through, and we offered him a chance to Change his Smile completely. But, we know it was not going to be easy. So, we had to plan!</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRnnFGesPuUZzgIFYGhJbE0wkbmI_TxCcRpAuTjaTvbZJ5iI2TpeYaN5CyEcDrO8_Iz0VS0ZNZURcYeVzjL5rhxn9pVxLDz50EVtDktMqeDKhxAslrp-T9ZTr9qKUpTt3LZUYgi7etXqs/s1600/IMG_2140.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="195" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgRnnFGesPuUZzgIFYGhJbE0wkbmI_TxCcRpAuTjaTvbZJ5iI2TpeYaN5CyEcDrO8_Iz0VS0ZNZURcYeVzjL5rhxn9pVxLDz50EVtDktMqeDKhxAslrp-T9ZTr9qKUpTt3LZUYgi7etXqs/s320/IMG_2140.jpg" width="320" /></a></div>
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The treatment of giving our patient a new smile was to be done in stages. The idea was to repair his broken and infected teeth, DESIGN a new smile for him and construct some new Zicornia crowns. Some implants were suggested on his missing lower left molars. It was a combined surgery with Oral Surgeons and Prosthodontists, correcting his bite and treating few of his teeth with Root Canal Treatments, while 3 Implants were placed and the rest of his teeth were fitted with beautiful white crowns ( after some crown lengthening and Laser treatment on the gums - Emundo dye ). </div>
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The treatment took us 75 days to complete in total, due to his medical conditions and implant placement. But as they say, patience is a Virtue ...</div>
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... <i>before & after ...</i></div>
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<br />dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0tag:blogger.com,1999:blog-6023751836431824650.post-50687168572197854622013-06-09T02:33:00.001-07:002013-06-09T02:33:34.254-07:00ToothLESS is Kuala Lumpur ! ! !<br />
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It was a quite dull morning in the blistering cold winters of Victoria. The southern winds blew strong into the skins, giving chills that ran down the spine. Tucked into their winter coats right up their neck, wrapped around with silk mufflers they waited for the 6 a.m. train to arrive. It was a Wednesday morning, just another busy day of the week in the states of Melbourne. Occupied with their unvarying daily errands, everyone was eager to get themselves onboard on that train at the break of dawn.</div>
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Damaries, a petit 60 year old medical nurse was onboard the train that morning. Seated comfortably at the corner of the train carriage, she was half asleep while waiting for her station to arrive. She suddenly woke up with a streak of sharp agonizing pain on her left side of her face. She looked up, and saw a young fairly built individual swinging his arms against her, she tried to avoid but the guy kept assaulting her without mercy until she was beaten down to the floor. Damaries vision blurred, she passed out. She woke up in a hospital, her face badly assaulted. She had suffered a fractured jaw and multiple abrasion wounds all over her Left side of her face. She had injured her facial nerve due to the impact and had completely lost her sensation over her Left side of her face. </div>
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Damaries was terrified of what happened to her. It took her 10 months to recuperate physically and mentally, but the assault incident had caused her to loose most of her bottom teeth, and all of her upper teeth. She had to now survive without having much teeth left to eat with, and also adapt to her new dental environment. The doctors had given her options to get her dentures done, but she wasn't very happy with them. </div>
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Damaries started to google up dentists that offer reconstructive dental procedures. She figured that she needed a makeover. Through a recommendation from a friend and after visiting our website, she decided to fly down to Malaysia for a holiday and to get her dental treatment done here. Upon arrival in Kuala Lumpur, she paid us a visit the very next day. She poured out her heart contents and expressed her disappointment of not being able to eat, chew or taste food properly since the incident took place almost a year back. We paid full attention to this poor aged woman, petit in size and having shown signs of undernourishment and fatigue. We knew we had to instantly do something to get her to be able to chew again normally.</div>
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<i>lost of facial texture and muscle support on the Left side</i></div>
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<i> Protrusion of lower jaw to compensate loss of teeth over time</i></div>
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<i> </i>A thorough examination was done, with a full mouth dental inspection from extraoral and intraoral point of view. She had only 11 teeth left in her mouth, out if which 2 of them were extremely mobile and suffered severe bone loss, causing them to undergo gum recession. The remaining teeth had over erupted over the past 1 year as there were no opposing upper teeth.</div>
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She had a vague smile line, showing her lower teeth which seemed protruding out in an awkward manner. She was not happy about this, and it often caused her ulcers as a result of lip biting from her front teeth.</div>
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<i>Protruding lower front teeth which are not aligned properly</i></div>
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<i> </i>A full mouth image was recorded, to paint the full picture of what she was actually having to deal eith everyday, and what we were about to face in order to design a beautiful set of fully functional teeth for her. We knew at this point this was not going to be an easy case, and we had some work to do !</div>
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<i> </i>A good and precise treatment plan was done for Damiries. The aim of the treatment was to give her :-</div>
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1. Good dentition, to allow her to chew food like normal</div>
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2. Align her teeth according to her jaw arch</div>
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3. Shorten her over erupted teeth</div>
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4. Replace her missing teeth</div>
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The 1st line of treatment was getting rid of the rotten redundant tooth on her lower Left jaw. It had a very poor prognosis since it was extremely mobile, over erupted, protruding forward and suffered severe bone loss. Since nothing could be done to keep the tooth in, it was best to remove it. Next, we did a full mouth scaling, removing all source of plaque and calculus surrounding the existing healthy teeth. This was followed by the use of Laser equipment. We used the ARC Laser together with Emundo dye, which was a photodynamic therapy that specifically targeted the bacteria infiltrated tissues that caused tooth mobility and gum diseases. After securing the periodontal tissues, we started designing a prothesis for her. </div>
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Finally, Damiries had her smile again. She was able to eat, chew and taste her food as before. She was overwhelmed with joy, she felt the pleasure of having a good smile, appearance and ability to even speak well. </div>
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dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0tag:blogger.com,1999:blog-6023751836431824650.post-16135138457373386682012-05-20T09:31:00.003-07:002012-05-23T03:49:07.100-07:00thE DiaMond sMiLE<br />
<div class="MsoNormal">
Working in the field wasn’t easy. The heat was excruciating,
the workload was never ending and the costal wind dried up his lips. Mr.
Constantine worked in the rigs along the cost of the South China Sea, his job
was to make sure the operation ran smooth. Being in charge of a large number of
men under a huge company was not something every individual could handle. Mr. Constantine did, he managed the work on
the field very well, but soon after realizing he had started grinding his teeth
subconsciously. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
The stress was high during such jobs. Mr. Constantine walked
in to Diamond Cosmetic Dental, anxious doubtful and worried about his dental
condition. He had learnt ways to hide his smile, an adaptive maneuver due to
his teeth appearance.</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEghZ76bI5kF569mHZPABRYeglK3CvqWK4a9LnUnpNrNeSrAISzZbpXLxeZOh-wwnDs6_7yihS0nKtBWxmXt084mhGIRFRepI_HgoQkhEJ8fpI5H6JXldMKgoczBVukVtNtSf2JCDvXZE/s1600/1.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="416" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEghZ76bI5kF569mHZPABRYeglK3CvqWK4a9LnUnpNrNeSrAISzZbpXLxeZOh-wwnDs6_7yihS0nKtBWxmXt084mhGIRFRepI_HgoQkhEJ8fpI5H6JXldMKgoczBVukVtNtSf2JCDvXZE/s640/1.jpg" width="640" /></a></div>
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</div>
<div class="MsoNormal">
After a good interview with Mr. Constantine, we came to
realize that the grinding habit was not the only problem he faced. He had
generalized sensitive teeth, with enamel structures that were not mature. He also had multiple Amalgam fillings placed
in his teeth, with mild crowding on his upper jaw. <o:p></o:p></div>
<div class="MsoNormal">
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<br /></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgt76QMo4E-JRurHdZMC-xQoRZJ_s2lDw4UBHrLZ35K5ELxCzYNprUmM8Uc5FUFBQmAqa1FtacOlP9fwXx-aeZzB5pUsdKR4sLu7dCdkqsjJlKBCdOSgsqp7d7PLXUI5ldlhnnRB6u89uM/s1600/aa.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgt76QMo4E-JRurHdZMC-xQoRZJ_s2lDw4UBHrLZ35K5ELxCzYNprUmM8Uc5FUFBQmAqa1FtacOlP9fwXx-aeZzB5pUsdKR4sLu7dCdkqsjJlKBCdOSgsqp7d7PLXUI5ldlhnnRB6u89uM/s1600/aa.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="220" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgt76QMo4E-JRurHdZMC-xQoRZJ_s2lDw4UBHrLZ35K5ELxCzYNprUmM8Uc5FUFBQmAqa1FtacOlP9fwXx-aeZzB5pUsdKR4sLu7dCdkqsjJlKBCdOSgsqp7d7PLXUI5ldlhnnRB6u89uM/s320/aa.jpg" style="cursor: move;" width="320" /></a> <a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgt76QMo4E-JRurHdZMC-xQoRZJ_s2lDw4UBHrLZ35K5ELxCzYNprUmM8Uc5FUFBQmAqa1FtacOlP9fwXx-aeZzB5pUsdKR4sLu7dCdkqsjJlKBCdOSgsqp7d7PLXUI5ldlhnnRB6u89uM/s1600/aa.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><br /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgt76QMo4E-JRurHdZMC-xQoRZJ_s2lDw4UBHrLZ35K5ELxCzYNprUmM8Uc5FUFBQmAqa1FtacOlP9fwXx-aeZzB5pUsdKR4sLu7dCdkqsjJlKBCdOSgsqp7d7PLXUI5ldlhnnRB6u89uM/s1600/aa.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIq6ps5RiFp9suTAa6eAySuauQLYKcR6wARam9cD9-QRY-6BJlUrmU8T1etBU39zXsbWkC2X-egX1dwE8Ermw6jBBPBjb9XuPoV0uwsva2Kq-kqgEpBciWsvfjwrKuTJCIghk2uPj5_wI/s1600/aaa.jpg" imageanchor="1" style="clear: right; display: inline !important; float: right; margin-bottom: 1em; margin-left: 1em;"><img border="0" height="275" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjIq6ps5RiFp9suTAa6eAySuauQLYKcR6wARam9cD9-QRY-6BJlUrmU8T1etBU39zXsbWkC2X-egX1dwE8Ermw6jBBPBjb9XuPoV0uwsva2Kq-kqgEpBciWsvfjwrKuTJCIghk2uPj5_wI/s320/aaa.jpg" width="320" /></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgt76QMo4E-JRurHdZMC-xQoRZJ_s2lDw4UBHrLZ35K5ELxCzYNprUmM8Uc5FUFBQmAqa1FtacOlP9fwXx-aeZzB5pUsdKR4sLu7dCdkqsjJlKBCdOSgsqp7d7PLXUI5ldlhnnRB6u89uM/s1600/aa.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><span class="Apple-style-span" style="color: black;"></span></a></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Multiple amalgam fillings done more than 10 years, causing the metallic silver color to creep out into the surrounding tooth tissues </div>
<div class="MsoNormal">
- giving it a bluish tinge. </div>
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<br /></div>
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<br /></div>
<div class="MsoNormal">
Gingiva were swollen and inflamed due to poor oral hygiene. There were spontaneous </div>
<div class="MsoNormal">
bleeding from the gums, halitosis ( bad breath ) </div>
<div class="MsoNormal">
and plaque accumulation over the gingival </div>
<div class="MsoNormal">
margin of the teeth. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
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<br /></div>
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</div>
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<br /></div>
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<br /></div>
<div class="MsoNormal">
We had now understood what Mr. Constantine really wanted. It
is important to get the patient to understand what his problem was, and
why he wants the treatment done. This is
an essential aspect of MCD, to recognize the need to get the treatment done.
Questions such as What is the problem, Why do you want to do the treatment, How
is it done, and What do you expect at the end of the treatment is always
brought in the conversation in order to achieve optimum results. <o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
We had suggested for a total make over of all the affected
teeth in Mr. Constantine’s mouth. A full
mouth rehab programme was constructed in order to restore back his dental
health status back to normal. This would require a full mouth survey on his
biting habits, smile line, upper and lower lip line, facial profile and speech assessment.
We tried to retain his front teeth profile as much as possible in order for him
to get accustomed to his new dental environment.<o:p></o:p></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
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<div class="MsoNormal" style="margin-right: -.05pt;">
The upper jaw crowns were installed
first. It had made a world of difference to <o:p></o:p></div>
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Mr. Constantine. He has now the
ability to smile, laugh with no restrictions and work again confidently without
worrying about his upper teeth again. He was a whole new man, and walked out
proudly from our center.</div>
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BEFORE & AFTER...</div>
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<br />dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0tag:blogger.com,1999:blog-6023751836431824650.post-13068036626105999362012-04-17T08:54:00.000-07:002012-04-17T08:54:59.978-07:00Meet The ZICORNIANS - Part 1<br />
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Datin Hasnah had always wanted to have a beautiful set of teeth. Being a director of a public listed company, a mother of three, and a grandmother of 2 she has always been busy keeping her family and career at the top of her priorities. She had always tried to maintain a good oral hygiene, but stress and age caught up with her. She was happy with her life, but not with her teeth. Datin Hasnah finally decided to pay us a visit to set things right.</div>
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She voiced out her concern about her teeth, and wished to change her appearance. Being a very religious person, her main concern was to establish a good dental function, being able to carry out good oral hygiene ( to aid the cleanliness ) and last but not least, to smile confidently again. Our team had diagnosed her dental dilemma, and we were ready to begin our treatment plan with her.</div>
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We started by taking some digital imaging of her, and analyzing them. Fine details were taken into considerations, such as the midline, moderate smile line margin, lip line, and teeth exposure. She had gaps between her teeth, and was concern about it.</div>
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After proper considerations, a treatment plan was then constructed for her. The analysis proved favorable to the a construction of a new set of lower teeth design to fulfill her needs to eat comfortably, brush her teeth properly, with a touch of beauty to it. Since the treatment was going to involve most of the bottom teeth, a new shade was chosen to enhance the beauty of the upcoming crowns.</div>
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The crown preparation was carried out successfully. A final impression was taken after </div>
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the crown preparation to be sent for processing. Temporary crowns were constructed </div>
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in the mean time and patient was sent home. The crowns were ready after a week.</div>
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The patient was called and the new crowns were placed in.</div>
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The final results were stunning. The crowns had covered ALL THE GAPS between her teeth previously, maintained her midline, and had a wonderful shade. Datin Hasnah was very pleased with her teeth. Seeing her, her husband decided to go on an odyssey to replace his missing teeth! That's … just another story altogether. </div>
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...BEFORE...</div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi58qrAzw2L6RH2dq_YjaRnD_110sZF238Dtgdezjd1GYjS3G2E00ABtiOPunvbmfM_qisabovezTyClC_zNZYQdrh98Mk-Sc06RL2rArpyT3Gf4S1x5oZdhd8bY7Wei7mKJeHZ0xu4GX8/s1600/d1.jpg" imageanchor="1" style="clear: left; float: left; margin-bottom: 1em; margin-right: 1em;"><img border="0" height="181" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi58qrAzw2L6RH2dq_YjaRnD_110sZF238Dtgdezjd1GYjS3G2E00ABtiOPunvbmfM_qisabovezTyClC_zNZYQdrh98Mk-Sc06RL2rArpyT3Gf4S1x5oZdhd8bY7Wei7mKJeHZ0xu4GX8/s320/d1.jpg" width="320" /><span class="Apple-style-span" style="-webkit-text-decorations-in-effect: none; color: black;"></span></a><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEh3yk40-q0x5cwf2an6Jk1c8pJXek9yzVuS-3zQmRIcLOCs5kPNfYqJm5fRZ6hE-zHpBY3TH4pLGDxTbf0p91c-bPjWCGyJVzdHC7y9Qxs436gnT2hfQh4eS538tMqTUpdzDNH6CvAxfMs/s1600/d4.jpg" imageanchor="1" style="clear: right; display: inline !important; margin-bottom: 1em; margin-left: 1em;"><span class="Apple-style-span" style="-webkit-text-decorations-in-effect: none; color: black;"><span class="Apple-style-span" style="-webkit-text-decorations-in-effect: none;"></span></span></a></div>
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<i>... the final result, was stunning ...</i></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUS2U4jljI2iPmtkGNGai-P_IfJw21ZNN31-hJWGfdqFThZJ1VFt8ahMXoT110JYVh47OibiT7VIwLGSDzw1ZEgmK_IOz4wrZW_7tIzUd62bIqhAUOKSmhdTWMwjoZpqstnxNsiRbJJQQ/s1600/d5.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="300" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgUS2U4jljI2iPmtkGNGai-P_IfJw21ZNN31-hJWGfdqFThZJ1VFt8ahMXoT110JYVh47OibiT7VIwLGSDzw1ZEgmK_IOz4wrZW_7tIzUd62bIqhAUOKSmhdTWMwjoZpqstnxNsiRbJJQQ/s400/d5.jpg" width="400" /></a></div>dr. yogeshhttp://www.blogger.com/profile/16970087398202635321noreply@blogger.com0