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Apicectomy

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  Apicectomy Apicectomy is a procedure of removing the tip of tooth’s root, which is known as the apex. This minor surgical operation is usually carried out under local anesthesia, if infection or cysts persists after Root canal treatment or the dentist is unable to seal the root tip with the normal root filling. An apicectomy cannot eliminate the infection without a root filling, which must be carried out first. Procedure : Initially surgeon will numb the tooth and the surrounding area. A flap of gum tissue is lifted and the tip of the root, small amount of surrounding bone and infected tissue are removed. The area is cleaned and disinfected. The tip of the root is cut back by few millimeters. A small filling is placed in the root to seal the root tip. The gum is stitched back in to place with dissolvable stitches. Post surgery care: Follow the advice given by the doctor in using the pain relievers and antibiotics. Some bleeding may occur after the local anesthetic wears off....
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Tissue graft

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  A gum graft may be necessary to protect your teeth from the damaging effects of gum recession, or to improve the appearance of the smile. Gum recession is a process in which the tissue that surrounds the teeth pulls away from the tooth, exposing more of the tooth or tooth’s root causing damage to the surrounding bone. However people don’t even notice that their gums are receded because it’s a gradual process. This can cause tooth sensitivity especially when eating hot or cold foods. Eventually gum recession if not treated leads to tooth loss. To repair the damage and prevent further dental problems, a gum tissue graft may be needed. Procedural types of Gum tissue grafts: Three different types of gum tissue grafts are performed. The graft procedures include: 1. Connective tissue graft : This is he most common method used to treat root exposure. In this procedure, a flap of skin is cut at the roof of the mouth (palate) and tissue from under the flap, called sub-epithelial connect...
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Bone Grafting

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  Dental bone grafting is a procedure which adds volume and density to your jaw in areas where bone loss has occurred. The bone graft material may be taken from your own body (autogenous), may be purchased from a human tissue bank (allograft), or an animal tissue bank (xenograft). In some instances bone graft material may be synthetic (alloplast). A bone graft is necessary when bone loss has occurred in the jaw. This procedure is commonly performed prior to dental implant placement or when bone loss is negatively affecting neighboring teeth. Once the bone graft is placed, it holds space or your own body to do the repair work. A dental bone graft is like a scaffold on which your own bone tissue can grow and regenerate. In some cases the dental bone graft is combined with platelet-rich-plasma (PRP). This is taken from a sample of patient’s own blood and is used to promote healing and tissue regeneration. Indications :   A person with bone loss in the jaw needs a dental bone ...
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Teeth Aligners

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Why teeth alignment is essential : Now a days minor irregularities or slightly mal aligned teeth have become a common phenomena due to various reasons, such as prolonged habits, genetics etc. These mal alignments may range from merely unnoticeable to severe cases which compromises the normal aesthetics and also the function. Severe mal aligned teeth may not only cause issues regarding the normal function such as chewing, speaking, breathing but also affects the psychological well-being of an individual. The abnormal alignment of upper and lower teeth is called as Misaligned teeth. Mal alignments will definitely play a significant role in increasing the Gum disease and tooth cavities. The contemporary advanced and sophisticated innovations in the field of Dentistry have paved the way in treating the misaligned teeth easily, thereby resulting in the re-creation of stunning smiles. Proper alignment of teeth is the key factor for a beautiful and healthy smile & also proper function wit...
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Splinting

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  A splint is defined as an apparatus used to support, protect or immobilize teeth that have been loosened, replanted, fractured or subjected to certain endodontic surgical procedures. The dental splints attaches the week teeth together, turning them into a single unit that is stable and strong than the single teeth by themselves. The procedure is most commonly performed on the front teeth. There are 3 common reasons for the teeth to become loose : 1. Loss of attachment which leads to ligament damage ; 2. Heavy bite force (primary occlusal trauma) which is often a result of grinding and clenching of teeth ; 3. Gum disease resulting in extensive bone loss around a tooth, which in turn results in (secondary occlusal trauma) or a combination of both. In dental splinting the teeth are joined together using a thin fiber reinforced wire thereby increasing their stability. This procedure allows you to save your teeth and also reduces the pain that a very mobile tooth can cause. Mobile low...
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Mandibular fractures

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           Fractures involving the mandible. Major causes includes, vehicular accidents, interpersonal violence/assaults, falls, contact sports, industrial/work related, pathological fractures. Types of Mandibular fractures: -- Simple (includes a closed linear fractures) -- Compound/open -- Comminuted -- Greenstick -- Pathologic -- Multiple -- Impacted -- Atrophic -- Complicated/complex. Classification of mandibular fractures based on the Anatomic region : -- Condylar process -- Coronoid process -- Ramus -- Angle -- Body -- Symphysis -- Para symphysis -- Alveolar process. Signs and Symptoms : Coleman’s sign : There is one sign which is almost pathognomonic of fracture of the body of the mandible, and that is an effusion of blood in to the floor of the mouth raising its mucous membrane and producing a characteristic bluish, tense swelling under the tongue. Symptoms : symptoms of broken jaw include, Pain, Swelling including facial swelling, Bleeding includin...
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Le Fort’s maxillary fractures

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  Le Fort’s fractures are the fractures of the mid-face which collectively involve separation of all or a portion of the mid face from the skull base. In order to be separated from the skull base, pterygoid bones of the sphenoid bone need to be involved as these connect midface to the sphenoid bone dorsally. Le Fort’s classification system based on the plane of injury: -- Le Fort type 1 (horizontal) : Horizontal maxillary fracture separating the teeth from the upper face. Fracture line passes through the alveolar ridge, lateral nose and inferior wall of the maxillary sinus. Also known as the Guerin fracture. -- Le Fort type 2 (pyramidal) : Pyramidal fracture with the teeth at its base, and naso-frontal suture at its apex. Fracture line passes through the posterior alveolar ridge, lateral walls of the maxillary sinuses, infra orbital rim and nasal bones. Upper most fracture line can pass through the naso-frontal junction or the frontal process of the maxilla. -- Le Fort t...
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