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Thursday, 27 June 2013

FLAPLESS DENTAL IMPLANT IN INDIA



FLAPLESS DENTAL IMPLANT PLACEMENT IMMEDIATELY AFTER EXTRACTION



FLAPLESS BCS IMPLANT placed immediately after extraction of periodontally weakened teeth. Provisional restoration given  in 2 days.


                                      For Further Details, Visit us at:
                           http://www.chinthamanilaserdentalclinic.com/
                                        dr_mrgvl@yahoo.co.in
                                 chinthamanidental@gmail.com

                                                   or

                                 Contact: 91-9283786776









Wednesday, 26 June 2013

Dr.Murugavel MDS (omfs) getting an award as Best Dental IMPLANTOLOGIST in South India for the year 2012-2013





The award for the most promising dental implantologist in south india for the year of 2012-2013 is given to Dr.Murugavel MDS (oral and maxillo facial surgeon). The Award is given by Big-research team with its media partner NDTV profit. this is the award given for doing the dental implant treatment in simple and effective way. and to make the Cost  of dental implants in chennai affordable to every one.

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Tuesday, 25 June 2013

TREATMENT FOR GINGIVAL OVERGROWTH

GINGIVAL OVERGROWTH

Gingival enlargement or overgrowth is an increase in the size of the gums .it is a common feature of gingival disease. Gingival enlargement can be caused by a number of various stimuli, for example, people under orthodontic treatment with poor oral hygiene maintenance can develop gingival overgrowth due to plaque as a stimuli. People taking antihypertensive drugs, drugs for epilepsy etc can cause gingival overgrowth, "treatment is based on an understanding of the cause and underlying pathologic changes.

 

Inflammatory enlargement 

Inflammatory enlargement is the most common cause of gingival enlargement. The gums appear  red, swollen, soft and discoloured. This is due to stasis of blood and fluid in the tissue spaces which is caused by prolonged exposure to bacterial plaque.


 

Drug-induced enlargement 

Drugs which cause enlargement of gums includes

  • Anticonvulsants (such as phenytoin, phenobarbital, lamotrigine, valproate, ethosuximide, topiramate and primidone)
  • calcium channel blockers, such as nifedipine, amlodipine and verapamil. The dihydropyridine derivative isradipidine can replace nifedipine and does not induce gingival overgrowth.
  • Immunosuppresant like cyclosporins. 

Systemic factors that induce enlargement includes
Pregnancy
Puberty
Vitamin C deficiency
Systemic diseases like: Leukemia, neoplasms can also cause enlargement.

False enlargement 

when there is an underlying bony or dental tissue lesion it can be shown as gingival enlargement.


TREATMENT FOR GINGIVAL OVERGROWTH- LASER

LASER is chosen as the latest treatment method because it has photothermal, chemical and plasma mediated effects. LASERs have an advantage over all the conventional techniques by accomplishing removal of the soft tissue and producing a favourable environment for healing. LASERs have potential advantage of bactericidal, detoxifying effect. Diode lasers have been used in a variety of soft tissue surgical procedures and have many advantages such as less pain, bleeding, scar formation and infection. Less postoperative swelling and pain is another advantage of lasers which most likely correlates with decreased tissue trauma and an alteration of neural transmission.

Laser application for excising oral hyperplastic lesions shows some advantages such as less bleeding that is suitable for surgical treatment that are suitable for oral mucosal lesions which are rich in blood vessels.







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email us at:
 dr_mrgvl@ahoo.co.in
chinthamanidental@gmail.com

PROBLEMS WITH REMOVABLE DENTURE




PROBLEM -1:
      They have to fasten to your existing teeth, and because of that they put extra stress on those teeth. What tends to happen over the years is that you will lose those teeth that it attaches to. This especially happens if you have a large number of teeth missing as you do on the upper.

PROBLEM-2:
      They trap food. There are either metal or plastic clasps that attach to the teeth, and food collects around those clasps, which also causes problems for those teeth. The collected food promotes tooth decay.

PROBLEM-3:
      They are uncomfortable. The hardware in your mouth is annoying. Sometimes upper partials have to cover your palate, and this can provoke a gagging reflex in some people.

PROBLEM-4:
      They are risky.There is a risk that you may swallow the partial denture.It may struck in your food track or your wind pipe..which is quite dangerous.

PROBLEM-5
      Mostly the removable dentures are loose..and it may come out while drinking,eating and speaking and it may lead to embarrassing moments

PROBLEM-6:
      Removable dentures don’t  increase the chewing efficiency.

PROBLEM-7

     In the long run they resorb the underlying jaw bone

      HOW TO OVERCOME FROM THE LOOSE REMOVABLE DENTURE:

                                 The best, smart  and excellent way to overcome from removable denture is choosing the DENTAL IMPLANT.

Dental implants have none of the problems associated with removable dentures.They are simple and straight forward and economical option to get fixed teeth



This 28 years old young man came to us with a complaint of very old  loose dentures with poor oral hygiene..

                                             DENTAL IMPLANT was advised for him 









                                                    2  Implant were placed in 13 and 22 region


                             Provisional restoration given in 3 days and sutures removed on the same day.



  For further details:
  Visit us at:
                                                      http://www.chinthamanilaserdentalclinic.com/
                                                                dr_mrgvl@yahoo.co.in
                                                              chinthamanidental@gmail.com
                                                                                 or

                                                                    Contact : 91- 9283786776


WHAT ARE DENTAL IMPLANTS ?

                                                         
                                                                   DENTAL IMPLANTS

                                                

            Dental Implant is an artificial tooth root that is placed into the jaw for  replacement of tooth or bridge. Dental Implant is an option for people  those  who  have lost their teeth due to periodontal disease, any injury or some other reasons. 

Virtually all dental implants placed today are root-form endosseous implants, i.e., they appear similar to an actual tooth root (and thus possess a "root-form") and are placed within the bone (endo- being the Greek prefix for "in" and osseous referring to "bone"). The bone of the jaw accepts and osseointegrates with the titanium post.

What is osseointegration:
                            Osseointegration refers to the fusion of the implant surface with the surrounding bone. Dental implants will fuse with bone, however they lack the periodontal ligament, so they will feel slightly different than natural teeth during chewing.
Prior to the advent of root-form endosseous implants, most implants were either blade endosseous implants, in that the shape of the metal piece placed within the bone resembled a flat blade, or subperiosteal implants, in which a framework was constructed to lie upon and was attached with screws to the exposed bone of the jaws.
Dental implants can be used to support a number of dental prostheses, including crowns, implant-supported bridges or dentures. 
 


                                                             BEFORE TREATMENT



                                               AFTER IMPLANT TREATMENT



            For further details about the Implant treatment and cost:
                                     Visit us at:
                         http://www.chinthamanilaserdentalclinic.com/
                                                  dr_mrgvl@yahoo.co.in

                                                                 or

                                             Contact:  91-9283786776





Monday, 3 June 2013

Quick Tips To get rid of oral ulcers - LASER is the answer......



The  role of the diode laser in helping with palliative care in the treatment of  ulcerative oral lesions  (Recurrent Aphthous Ulcers (RAU or RAS)) and Oral Herpetic lesions (HSV-1)).

The reason for the recurrence of these ulcers is unknown most of the time, might be a viral infection as with the case of Herpes infection which is associated with mild fever and vesicles in the corner of the mouth. but the exact reason for aphthous ulcers is idiopathic, the possible etiologic factors include: citrus fruits, trauma, stress, lack of sleep, immune system reactions, and deficiency of B12, Iron or Folic Acid. These lesions are found on the “loose” tissues of the mouth including the inner aspects of the lips, buccal mucosa, tongue, soft palate and the floor of the mouth.

These ulcers begin with a mild burning sensation as first sensed by the patient and appears as a yellow or white oval lesion surrounded by an inflammed red border. At this stage it is usually painful and gets aggravated on taking any hot and spicy food. Even the use of toothpaste can trigger the pain in some.

LOW LEVEL LASER THERAPY has been proven to accelerate wound healing and reduce the pain symptom. The dental diode laser technology has an anti- bacterial effect and offers patients dramatic, almost instant relief. The diode laser emits light that is coverted into heat which vapourizes the ulcer without damaging the surrounding tissue.

Benefits of Laser Treatment

  • Promotes faster healing
  • Pain relief is immediate and profound
  • Affordable 
  • Stops progression of the ulcer
  • Only takes a few minutes
  • No anesthesia
  • Little if any discomfort
  • Sores reoccur with less intensity and frequency at the same site









For further Queries please contact Us: +91 44 43800059
                   +91 9283786776
Website: www.chinthamanilaserdentalclinic.com

Tuesday, 28 May 2013

POSTOPERATIVE INSTRUCTIONS TO BE FOLLOWED AFTER LANAP

POSTOPERATIVE INSTRUCTIONS TO BE FOLLOWED AFTER LANAP
  • Normally, some discomfort is to be expected, but is usually managed well with the anti-inflammatory medication that was prescribed for you.
  •  Some slight bleeding is also normal
  •  Tissues can be gray, yellow, red, blue, purple or “stringy” and reflect normal response to laser treatments.
  •  Avoid spicy or excessively hot foods for the first week.
  •  Try to keep your mouth as clean as possible in order to help the healing process.
  •  Brush in all the areas of your mouth except for the treated areas.
  •  Do not apply excessive tongue or cheek pressure to the treated areas.
  • Some swelling may occur. To keep this to a minimum, gently place an ice pack on the outside of your face on the treated side for 20 minutes each hour on the treatment day. Do not continue using the ice bag the next day.
  •  It is very important to maintain a good food and fluid intake. Try to eat soft but nutritious foods, such as eggs, yogurt,cheese , ice cream, etc., until you can comfortably return to a normal diet.
  • Stronger pain medication is usually not needed.
  • An antimicrobial rinse was also prescribed. Since you cannot brush or floss the treated areas for one week, use of the rinse as directed will reduce the accumulation of plaque and tartar on the treated teeth in the absence of brushing. You may experience a medicinal aftertaste, which is temporary.
For further Queries please contact Us: +91 44 43800059
                   +91 9283786776

Monday, 27 May 2013

What is Peri-implantitis

Peri-implantitis is defined as an inflammatory reaction, with the loss of supporting bone in the tissues surrounding a functioning implant. The features to be observed are 
1. bleeding gums
2. swollen gums
3. shaking implant
4. exposure of implant screw threads
5. Loss of bone in the X- ray


                               


Treatment of peri-implantitis

According to the best available evidence, traditional periodontal infection control including plaque control regimens and mechanical cleaning of the affected areas possessing professional cleaning should be performed. 
It is essential to inform the patient about the need for effective oral hygiene procedures (particularly around implants), and the patient should be carefully instructed in the proper use of necessary additional oral hygiene aids. Oral hygiene procedures should be trained under professional supervision.

Surgical exposure of the lesions was performed, and the affected implants were cleaned using hydrogen peroxide.
Systemic antibiotics were administered according to a susceptibility of bacteria. The applied surgical and antimicrobial treatment strategy was successful in less than 60% of the treated implants. Despite treatment and re-treatment of peri-implantitis–affected areas, additional loss of supporting bone was found in up to 40% of the advanced peri-implant lesions.

LASERS to treat Peri-implantitis

A promising method for decontaminating implant surfaces involves the use of laser energy. Unlike mechanical decontamination methods, which cannot fully adapt to the irregularities on the surface of an implant, lasers can irradiate the whole surface, reaching areas that are too small to receive mechanical instrumentation. Power settings are variable, and the clinician can choose a setting that will effectively disinfect the implant while not damaging the surface. 

Conventional approaches include:
• Systemic administration of
   antibiotics
• Removal of supragingival bacterial plaque
• Removal of granulation tissue
   with plastic curettes
• Debridement of the exposed surface by using mechanical brushing, air powder abrasives, citric acid, disinfectants like chlorhexidine or topical tetracycline, plaque inhibitor like delmopinol, or low-intensity ultraviolet radiation
• Removal ofthe peri-implant pocket
• Regeneration of peri-implant hard tissue by means of guided tissue regeneration
• Plaque control and oral hygiene.

Advantages of Laser in the treatment of Peri-implantitis
  • The laser easily vaporizes any existing granulation tissue.
  • The implant surface can be debrided by lasing directly on the implant’s exposed screws with a low-energy setting. Both the target tissue and implant surface are disinfected without damage.
  • The laser is bactericidal.

Contact Us: +91 44 43800059
                   +91 9283786776


Sunday, 26 May 2013

Disadvantages of Removable partial dentures
If you have lost a single tooth, you have various tooth replacement options to consider. One option would be a removable, single tooth partial denture. However, there are various disadvantages with this alternative.
1. The bulk of metal and acrylic will be uncomfortable to the patient.
2. The unsightly clasps necessary to stabilize the prosthesis might be irritable to the gums of the teeth supporting the denture.
3. A major consequence of this option is the bone loss that occurs due to the absence of the natural tooth root. 
4. Biting forces will cause the partial denture to move and shift because its design lacks a secure connection. 
5. Difficulty in cleaning: Must remove the teeth at night.
6. There are chances of future decay.
7. Difficulty in speech which can be practised in time.


Removable Partial Denture for single tooth replacement   Removable Partial Denture causes irritation

Contact Us: +91 44 43800059
                   +91 9283786776

Oral signs and symptoms in Diabetes

Oral manifestations of diabetes mellitus

The common oral manifestations of diabetes include the following: gingivitis; periodontal disease; multiple periodontal abscesses, xerostomia and salivary gland dysfunction; recurring bacterial, viral and fungal (Candida) infections; dental caries; periapical abscesses; loss of teeth; delayed wound healing; burning mouth syndrome; taste impairment; and oral lichen planus.

Gingivitis and periodontitis: Poor glycemic control has been associated with the incidence and progression of gingivitis, periodontitis and alveolar bone loss. Common signs being bleeding gums,presence of multiple abscesses, mobility of teeth, bad taste, receding gingiva exposing roots of the teeth, migration of teeth from their original position and development of spacing between teeth.

                                  

Xerostomia : People with diabetes have been reported to complain of dry mouth, or xerostomia. The cause is unknown, but may be related to polyuria or to alterations in the basement membranes of salivary glands. Xerostomia can lead to further complications like increased caries and oral candidiasis.


                                   
Oral infections: Another manifestation of diabetes and an oral sign of systemic immune suppression is the presence of opportunistic infections, such as oral candidiasis. Candida pseudohyphae, a cardinal sign of oral Candida infection, can be easily identified in patient mouth. It usually appears as which curd like deposit on the oral mucosal surface which can be easily removed from the underlying surface.


                                        
Dental caries and periapical pathologies: Dental caries is more prevalent in Diabetics, due to the presence of Xerostomia, decreased salivary secretion will reduce the flushing of food particles which will tend to be sticking to the teeth and be a source of medium for the oral mbacteria to thrive. the untreated caries can further lead to more infection and periapical pathologies/ infection upto and beyond the apex of the teeth and lead to cellulitis.

                                                 
Neurosensory disorders: Patients with diabetes have reported increased complaints of glossodynia and stomatopyrosis. A poorly understood orofacial neurosensory disorder called burning mouth syndrome has been allied with diabetes mellitus. Long-lasting oral dysesthesias experienced by patient could adversely affect oral hygiene maintenance.

Oral mucosal diseases: Greater prevalences of lichen planus and recurrent aphthous stomatitis in diabetic patients. They may be due to chronic immune suppression.


Halitosis/bad breath: Diabetic patient may also present with halitosis because of the xerostomia in controlled diabetics and acetonic breath in the uncontrolled diabetics. Halitosis in such patients can be controlled and treated.


Contact Us: +91 44 43800059
                   +91 9283786776