Monday, 9 September 2013
Saturday, 24 August 2013
Friday, 19 July 2013
ESTHETIC AND THERAPEUTIC CROWN LENGTHENING USING LASER
A healthy periodontium and incisal wear with adequate tooth structure for restorations may require only restorative treatment. A sound, intact dentition with gingival hyperplasia may require only periodontal treatment. A tooth that has been damaged by caries or trauma to the extent that there is less than 3 mm of sound tooth structure coronal to the alveolar crest will require periodontal and perhaps orthodontic treatment prior to fabrication of a definitive restoration. When significant discrepancies exist in face height, lip length or lip thickness, periodontal and restorative treatment may need to be coordinated with orthognathic and/or plastic surgery procedures If the patient is unwilling or unable to obtain this additional care, then he or she must be informed that limited improvement may result from periodontal and restorative treatment. It is absolutely essential that a complete, comprehensive diagnosis be developed in order to plan treatment that will predictably produce optimal results with long-term stability. It is important to keep in mind that excessive gingival display, often referred to as the ‘‘gummy smile’’ may be the result of several factors, including gingival enlargement, altered or delayed passive eruption, insufficient clinical crown length, vertical maxillary excess and a short upper lip.
Following the formulation of a complete and accurate diagnosis, a comprehensive plan for treatment is developed. When full-coverage restorations are indicated, it is preferable to avoid placing margins subgingivally; however, in anterior areas margins frequently must be placed within the sulcus for aesthetic reasons. In order to minimize colonization of the sulcus by microorganisms associated with periodontitis, it is important to avoid overhangs and to reproduce the original contours of the tooth as closely as possible
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| Therapeutic crown lengthening for better crown adaptation |
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| Esthetic crown lengthening Visit us at: http://www.chinthamanilaserdentalclinic.com/ Email us at: dr_mrgvl@yahoo.co.in chinthamanidental@gmail.com contact us at: 9283786776 |
Monday, 15 July 2013
FLAPLESS KOS DENTAL IMPLANT PLACEMENT
FLAPLESS KOS DENTAL IMPLANT PLACEMENT in left side premolar region.. Provisional Restoration given in 2 days..
Visit Us At:
email us at:
dr_mrgvl@yahoo.co.in
or
Contact: 91-9283786776
Thursday, 11 July 2013
WHAT IS IMMEDIATE DENTAL IMPLANT PLACEMENT ?
Dental Implants are rapidly becoming a routine procedure in today’s dentistry..
Dental IMPLANTS are placed immediately after extraction
of the teeth ie, Implants placed
into fresh Extracted site.. This
procedure is known as IMMEDIATE IMPLANT Placement.
There are many
advantages in this immediate placement technique:
In a traditional two piece implant system,
we have to wait for 6 months after the tooth has been extracted for the
new bone to build up in the site. And a
second surgery for uncovering the Implants and again wait for
few weeks for the teeth to be restored.
But in IMMEDIATE IMPLANT , we use single piece Implants.
Implants placed immediately after
extraction of teeth.
There is no waiting period of 6 months.
Healing process of Implants ( osseointegration ) occur as naturally process, ie, the body builds up the new bone in the
extracted site where the Implant is placed.
There is no second surgery as in
conventional method, we give temporary teeth
on same day and permanent teeth of ceramic or zirconia on 3rd day.. (
fixed teeth in 3 days )
It is convenient for the patient since the
surgical treatment is completed in one intervention.
No multiple appointments.
Cost effective since there is no
multiple visits.
No complications of crestal bone loss or screw loosening as commonly seen
in two piece Implants.
In the present scenario, this procedure is
highly standardized, as it prevents change in shape of
bone and gums surrounding the extracted teeth.
To know more about Immediate Implants,
click this link: http://drmurugavel.in/immediate-implant
Visit Us At:
email us at:
dr_mrgvl@yahoo.co.in
or
Contact: 91-9283786776
Tuesday, 9 July 2013
FLAPLESS DENTAL IMPLANT IN INDIA
Visit us at:
http://www.chinthamanilaserdentalclinic.com/
dr_mrgvl@yahoo.co.in
chinthamanidental@gmail.com
Contact: 91-9283786776
Tuesday, 2 July 2013
LASER TREATMENT FOR SUBMUCOUS FIBROSIS
Oral Submucous Fibrosis(OSMF)
OSMF is a pre- cancerous condition and it occurs predominantly among Indians and even those settled outside India. The causative factors for the occurance of this disease are attributed to areca nut chewing, consumption of hot chilies and genetic predisposition of people of Indian subcontinent. There are more evidences to suspect that areca nut chewing is the main causative factor. OSMF can occur in all parts of oral mucosa.
Diode Laser in Treatment of OSMF
Laser stands for Light Amlification by Stimulated Emission of Radiation. Laser rays are coherent beam of rays that pack lot of energy compared to ordinary light. But the energy delivered can be controlled . There are many applications of Lasers and the characters of Laser rays find many application in surgery. The properties of lasers like reflection, absorption, transmission and scattering are all used for beneficial results in surgery. The Laser can reflect off a surface of the tissue depending on the tissue surface properties and can be absorbed in the tissue cells. In scattering it causes to diffuse the absorption over the large surrounding areas and because of this it is not possible to get precise incision by using this property.
Because of developments in Diode Laser technologies, it has found great applications in surgery due to improved power and precise controllability. It has found great applications in oral surgery practice as well as in other areas. By changing the wavelengths we can control the energy levels and other desired properties that determine incision quality and coagulation parameters.
Diode lasers built with semiconductor materials are portable and very compact in size and can be used in different modes such as pulsed or continuous mode. Diode laser surgery can be successfully used in surgical treatment of OSMF.
LASER PROCEDURE:
The operating team and patient are required to wear the protective eye wear. Ideally 0.3mm diameter cable is used to deliver the beam. Laser hand pieces are used to place the incision at required sites. Incisions are made from the retromolar area to premolar area. These incisions are of 2mm depth to reach the muscle layer while incising only fibrous mucosa and submucosal layer. The same type of incision is done in the region inferior to this starting at a distance one third of the superior incision in the third molar area upto earlier incision made to form the shape of inverted "Y".
Laser beam ideally 5 Watt power is directed. The excision of fibrous bands was followed by forcible separation of mucosa. Bilaterally placed incision was made and then the mouth forced open using Fergusson's mouth gag.
Venier calipers were used to measure the mouth opening. The mouth opening was measured for maxillary and mandibular incisors. The patients are trained on physiotherapy excercise ten days after surgery.
The clinical examination after surgery shows precision in incision and less postoperative edema and pain in patients of all age groups and varying degree of the condition.
The follow up examinations after surgery showed significant improvement in forced mouth opening and later after 10 days and three months these improvements are sustained for spontaneous mouth openeings.
There is no doubt that diode laser surgery is very effective and less invasive technique to treat OSMF and offers great relief to the terrible state the patients suffer because of this disease.
Before Laser Treatment, The limited mouth opening and fibrous buccal mucosa
After Laser Treatment, improved mouth opening and less fibrous buccal soft tissue
For further Queries please contact Us: +91 44 43800059
+91 9283786776
Email Id: chinthamanidental@gmail.com
Website: www.chinthamanilaserdentalclinic.com
Please watch our video for treating OSMF patients using Laser in http://www.youtube.com/watch?v=4NH5elqgPZ8
GINGIVAL DEPIGMENTATION
GINGIVAL
DEPIGMENTATION
Gingival
hyperpigmentation is more of a esthetic procedure rather than a medical
problem. Black gums are of esthetic concern for not only fair skinned
individuals but almost all people of all age groups. Various treatment
modalities have been practiced for gingival depigmentation, such as scalpel,
cryosurgery, electrosurgery, abrasion of the gums using diamond burs, free
gingival grafting procedures lasers.
Melanin
pigmentation, is a brown pigmentation of the skin and gums that occurs in all
races. Gingival depigmentation is a perioplastic surgical procedure, whereby
the gingival hyperpigmentation is removed or reduced by various techniques. The
use of Lasers compared to other surgical procedures have been proven to be more
palliative despite fulfilling the requirements of the patient.
Advantages
of Laser
over other surgical procedures:
1.
Dry
and bloodless procedure.
2.
Instant
sterilization of the surgical site.
3.
Reduced
bacteremia.
4.
Reduced
mechanical trauma.
5.
Minimal
postoperative swelling.
6.
Faster
healing time.
7.
Minimal
postoperative pain.
8.
No
need for periodontal dressing (usually used for protection of the wound created
by scalpel)
Saturday, 29 June 2013
ADVANTAGES OF BICORTICAL SCREW (BCS) IMPLANTS
ADVANTAGES OF BICORTICAL SCREW (BCS) IMPLANTS
- Single piece Implant, being a single component, has no joints or a connecting screw.
- Thin and polished surface:
Smooth long shaft of the Implant body makes it virtually impossible for bacterial colonization along the Implant body. Helps avoid Peri implantitis which is the commonest problem encountered by conventional implants leading to their failures.So no risk of periimplantitis and bone loss.
- Completely avoids the risky bone augmentation procedure.
- Avoids the time delay associated with bone augmention procedure and also the expenses.
- Immediate loading procedure,which means ..
-The patient get the fixed teeth immediately in 2-3 days .
-No intermediate dentures,no edentulous phase.
-Extremely good patient comfort.
-The patient can start eating the food immediately.
- Complicated and expensive sinus lift procedure can be avoided.
- One simple and straight forward flapless procedure. Surgical procedures are not necessary,which means .. immediate extraction and implant placement is possible with immediate fixed teeth.No need for a second uncovering surgical procedure which is necessary in conventional two piece implants.
- No screw, as such no screw loosening occurs.
- No crestal bone loss, no marginal leakage between Implant components.
- The abutment portion can be favourably positioned to craft an esthetically and functionally acceptable prosthesis which mimics the natural teeth in its construction.
visit us at:
email us at: dr_mrgvl@yahoo.co.in
Thursday, 27 June 2013
LASER GUM TREATMENT ( LANAP ) IN INDIA
LASER GUM TREATMENT (LANAP) IN INDIA
http://www.chinthamanilaserdentalclinic.com/
dr_mrgvl@yahoo.co.in
chinthamanidental@gmail.com
or
Contact: 91-9283786776
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