MediCub

  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....

  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...

  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 ...

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...

  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...

           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...

  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...

  Orthodontics is a specialty in dentistry that addresses the diagnosis, prevention and correction of mal positioned teeth and jaws mal aligned bite patterns. It may also address the modification of facial growth known as dento-facial orhtopedics. Treatment may require several months to few years, and entails using the dental braces and other appliances to gradually adjust tooth position and jaw alignment. In cases where the malocclusion is severe, jaw surgery may be incorporated in the treatment plan. Orthodontists provide a wide range of treatment options to straighten irregular teeth, fix irregular bites, align the jaws correctly .        In growing patients there are more options to treat skeletal discrepancies, either by promoting or restricting the growth using Functional appliances, Orthodontic headgear or Reverse-pull facemask. Most orthodontic work begins in the early permanent dentition stage before skeletal growth is completed. If the skele...

  Dental Implants A Dental Implant (also known as endosseous implant) is a prosthesis that interfaces with the bone of the jaw or skull to support a dental prosthesis such as crown, bridge, denture or facial prosthesis or to act as an orthodontic anchor. The dental implant surgery procedure depends upon type of implant and the condition of the jaw bone. Major benefit of implants is solid support for your new teeth. Indications : Dental implants are surgically placed in the jaw bone where they serve as the roots of the missing teeth. The titanium in the implants fuses with the jaw bone which prevents slipping and bone damage. In general dental implants are indicated if :  — One or more missing teeth.  — Have adequate bone to secure implant or able to have a bone graft.  — Have healthy oral tissues.  — Unable or unwilling to wear dentures.  — Willing to commit several months to the process.  — Away from habits like smoking tobacco. Etc. Classification of Dental Implants : 1...

    When advance gum disease (periodontitis) develops, the ligaments and bone tissue that surrounds the teeth are being destroyed, and could even begin losing teeth. If the disease can’t be controlled by non-surgical procedures like scaling, the periodontal flap surgery may be the best treatment option. Flap surgery is the leading procedure for treating and repairing periodontal pockets. Periodontal pockets are the areas under the gum line, where gum tissue has detached from the teeth, resulting in a un cleansable space where harmful bacteria can proliferate. These bacteria causes inflammation of the tissues resulting in sensitivity, bleeding and pain. If left untreated they can cause a host of problems including gum disease, loss tooth-supporting bone structure and possibly even systemic problems. The first step in treating the periodontal pockets is scaling with manual or ultrasonic instruments. If it is ineffective, periodontal surgery is considered. Flap surgery isn’t a cu...