Diagnosis & Treatment Planning:

Intra oral camera with Practice Management software, which help in Restored patient data and photographs of before and after treatment. All data are computerized.
Treatment planning with Digital X-Ray, OPG (Full mouth X-Ray) and   also by CT Scan. CT Scan and NOBLE GUIDE SOFTWARE also helps in treatment planning for implant support tooth and bridge.

» Cosmetic & Smile Design

Cosmetic dentist ‘s work will often perform a smile design consultation. Cosmetic dentists understand that communication with the patient over what they expect, what they want their teeth to look like, is critical to their success. Cosmetic dentistry is a self-esteem service. As such, if the result is not pleasing to the patient, the treatment is a failure. In order for you to be happy with the result, you need to have strong input into the artistic planning of your smile. To help you accomplish that, we have this brief presentation on the Six broad categories of smile design.

Tooth color filling – By Light Cure (UV)
Before	After
Laminates – Porcelain, Procera or Composite
Cosmetic and Smile Design: Procera all Ceramic Cravers will make what you want to:- Show off your smile With Procera you will have:- Beautiful, natural looking teeth No gray line at the base of teeth Lost lasting Performance Metal free strength Increase Confidence Lamc younger Feel healthier Procera all Ceramic Cravers can rejuvenate your smile and your life.
Before	After
Crown – Metal (Nickel Free), Ceramic, Procera  or alumina (Metal free ceramic)
Before	After
Dentures – Acrylic (Lucitone, Pink acrylic etc), Cast partial dentures & attachment dentures
Cast Partial Dentures	Cast Partial Dentures
Smile Design
Before	After
Before	After
Full Mouth Rehabilitation – Ceramic Bridges or Implant supported bridges
Before	Before
Before	After
Before (Ceramic Bridge)	After (Ceramic Bridge)

» Root Canal Treatment

Root canal treatment (endodontic treatment) is required when you have a tooth infection. When you have an infection, your body sends white blood cells and antibodies to the infected area to kill the bacteria. The tissue becomes red and swells. When you have an infection in your tooth, there is no room in the canal space for extra antibodies or white blood cells. When the tissue attempts to swell, it chokes itself and dies, and then it becomes a perpetual source of infection, called a tooth abscess, spilling into the bone tissue around the end of the tooth.
 
In endodontic treatment, the dentist removes this dead or diseased tissue, cleans the inside of the tooth thoroughly, and then places a sealer material inside the tooth. It's important that the tooth be filled to the very end of the apex of the tooth.

» Pediatric Dentistry

In pediatric dentistry, the oral health of infants, children and adolescents (from newly born to 15 years age) are looked after.
We have advanced equipments and we provide the most accurate diagnosis and treatment through the most updated analysis system.  The treatment facilities available are:
1.   Dental Sealants – for filling the decade teeth
2.   Fluoride Application – for strengthen the enamel that helps your child teeth resist  decay
3.   Orthodontic treatment – for a crowded teeth by fixed braces or orthodontic trainer
4. Myofunctional appliances for treatment of thumb sucking, mouth breathing, tongue placement between teeth

» Orthodontic Treatment

Orthodontics is the art of aligning the teeth and jaws to improve the patient's smile and oral health. It is recommended that a child be seen by an orthodontist early on so as to form a baseline on development of the child's arch and jaw. If braces are needed, placement usually occurs between ten and fourteen years old. The reason for this age is due to the fact that the mouth and head are still growing. Braces are worn depending on each individual case. The average length of time is between eighteen and thirty months which is followed by wearing a retainer for a few months to allow the tissues and bones to form around new tooth position. With braces, oral hygiene is more important than ever before. Due to the appliances and tiny spaces that they contain, food and plaque get trapped. Decalcification and cavities can form quickly so children must brush more often. The use of fluoride toothpastes and rinses are also recommended to protect the teeth. Treatment available are:

1) fixed metallic Braces
2) Fixed Ceramic Braces

» Scaling & Oral Prophylaxis

1. Why do we brush our teeth?
• It is important to remove the dental plaque and food that stick top teeth, and cause decay and gum disease.
• Brushing and flossing are the most effective ways of controlling plaque.
• You need to be aware of the fact that plaques being formed continuously.
• Plaque formation and growth cannot be stopped. Plaque can only be controlled by regular daily removal.

2. What are the recommended techniques for brushing teeth?
• We recommended two methods for brushing teeth. They both use the same angled position of the brush: Place the brush at a 45-degree angle towards the junction of the tooth and the gum. This is the position for brushing the sides of the teeth.
• One suggested method is to brush gently in a circular movement.
• Another technique is known as the gentle scrub method.
* The brush is moved backwards and forwards horizontally in very short strokes.
* Each stroke is no more than the width of one tooth.
* Brush all the tooth surfaces of all the teeth.
* Brush behind the front teeth with an up and down movement using the end of the brush.
* Brushing should be unhurried and thorough.
• Partial dentures should be removed for the efficient brushing of the remaining teeth.

3. How can I be sure that I am cleaning my teeth properly?
• Disclosing tablets can be used after brushing to check that all the plaque has been removed.
* These are brightly colored tablets, which are chewed, which are chewed and then rinsed out.
* If your teeth are not clean, a pink stain will show where more brushing is needed.
* If your brushing has been through little or no stained dental plaque will be seen.
* The disclosing tablets are only used occasionally, to confirm how well the teeth are being cleaned.
* Disclosing tablets are available in a few colors.
• Teeth should be brushed at least twice a day, preferably after meals.
• It is most important to brush your teeth before going to bed at night.
• Brushing should not injure the gums and cause bleeding. If your gums bleed after gentle brushing you should see your dentist.

4. What helpful aids are there for cleaning between the teeth?
• There are many dental hygiene products available for cleaning between the teeth. We describe and show them below.
• It is most important to clean between the teeth to prevent decay and gum disease.
* Plaque and food particles stick to the teeth in these areas.
* Normal tooth brushing cannot reach these tooth surfaces.
* Plaque can only be removed by daily brushing and interdental cleaning.
• Flossing is the method of choice for cleaning between teeth.

Why it is important to use dental floss?
• Dental Floss is the most efficient way to clean between teeth.
• Different types of floss are available, such as regular floss, dental tape and super floss.
• Floss is also available on a plastic holder, in the shape of a bow. The string of the bow is slipped between the teeth and makes flossing more manageable.

Here are a few tips for flossing as demonstrated below:
• Use a 12- 15 inch (30-40 cm) length of floss.
• Wrap the floss around your middle fingers.
• Hold the floss between the thumb and fore finger of each hand.
• Leave about 2 inches (5cm) of floss between the hands.
• The floss must be taut when it is used.
• Gently guide the floss across the contact point between the teeth.
• When the floss is in position between, rub it up and down a few times against each tooth surface, one after the other.
• This is then repeated for all the teeth in the mouth.
• Be careful not to cut your gums with the floss.
• A sharp downward thrust of the floss will damage the gum and make it bleed.
• Your dentist will be happy to show you how to floss, and choose which floss is best for you.
• The floss holders shown above are easy to use , if you have difficulty using the conventional floss.

Interdental (Interproximal) brushes
• These are triangular shaped small brushes, like little bottle brushes.
• They are very useful for cleaning between the teeth.
• They fit onto a plastic handle and are available in varying sizes.
• Select the size of brush that is best suited to you.
• Gently push the brush back and forth into the spaces between the teeth.
• This interdental brush is best suited to teeth that have spaces between them, caused by gum recession.
• Some degree of gum recession is seen in most mouths by middle age, and in those with gum disease, at any age.

End or single tuft toothbrushes
• These are toothbrushes with only one tuft of bristles.
• They are used where the normal, multi-tufted toothbrushes cannot reach.
• These brushes are designed for brushing around crowns, bridges, displaced and rotated teeth.

Interdental picks or sticks
• These are specially designed soft wooden wedges for cleaning between teeth. They can be used after meals or at any time.
• The end of the stick should be moistened and softened in the mouth before use.
• Gently insert the stick between the teeth, with the flat edge facing the gum.
• Then move it in and out gently to clean the teeth and massage the gums.
• Food trapped between the teeth can be removed with these sticks.
• They are effective for mouths where receding gums have left spaces between teeth.
• The sticks should only be used where there is sufficient space to allow the free movement of the stick between the teeth. Do not force them into position.
• They should not to be used if they cause any bleeding.
• They are suitable for the children.

Interdental rubber tip stimulators
• These are pointed rubber tips that are fitted to a toothbrush handle.
• They are used to stimulate and firm up the triangular soft gum between teeth.
• Your dentist or Periodontics will tell you if you need them.

Pulsating water or medicament spraying devices
• Irrigating devices provide a steady or pulsating stream of water under pressure through a nozzle. They are especially useful in mouths with fixed bridges and for cleaning between teeth.
• They should not be used as a substitute for tooth brushing.
• Speak to your dentist before you buy one.

5. Can brushing damage teeth?
• Tooth wear, the wearing away of the enamel and dentine, can be caused by brushing too vigorously and by using a toothbrush with a very hard bristle.
• This type of tooth wear is called abrasion.
• It is usually takes place at the gum margin, where the enamel is thin and is easily worn away.
• Brushing across the teeth with long horizontal strokes is the main cause of abrasion. Gentle brushing is all that is necessary.

6. What is the ideal toothbrush?
The ideal toothbrush should meet the following requirements:
• It should have a head that is small enough and correctly angled, to reach all the teeth.
• The brush should be multi-tufted and have a medium/soft texture.
• Hard bristles can damage teeth and gums and are not recommended.
• The bristles should be made of nylon and their ends need to be rounded.
• Bristles made from synthetic rather than natural materials are preferable for hygienic reasons. Natural bristles may be porous and are likely to absorb bacteria.

7. Are all toothbrushes made to the same design?
• There is a large selection of toothbrushes:
• Some have bristles arranged in patterns that reach the greatest possible area of tooth surface.
• Others are designed for cleaning between the teeth, and along the gum margins.
• Yet another design is made with a row of colored bristles that fade with use and thereby indicate that the brush needs replacing.

8. What type of toothbrush is suitable for children?
• A toothbrush with a small head is recommended, so that children can use it easily, and it will not cause gagging when they brush their back teeth.
• The handle should have the correct length and thickness. It must be easy to use and provide a firm grip.
• Toothbrushes can easily be modified if difficulty is experienced with a regular brush.
• Brushes for children often have handles and heads that are brightly colored and show cartoon characters. Brushing needs to be a fun experience.

9. How often should your toothbrush be changed?
• The toothbrush should be changed at the first sign of wear.
• The bristles may become flattened and lose their shape.
• Bristles wear differently from person to person depending on how the toothbrush is used.
• Plaque removal becomes less efficient with an old worn toothbrush.
• It is recommended that you to change your toothbrush every four to six months.

10. Should I share my toothbrush with another member of the family?
• Toothbrush should not be shared as they can harbor infectious bacteria.
• Using the same toothbrush can transmit hepatitis and other diseases.
• Mothers should not share their toothbrushes with their children.
• The initial immunity to infection that the child shares with the mother does not last indefinitely.
• Toothbrushes should also be kept separately, as an added precaution.

11. Are electric toothbrushes recommended by dentists?
• Electric toothbrushes have proven to be very successful in maintaining good oral health, and removing Plaque.
• Electric toothbrushes are recommended for the elderly and people with arthritis or other disabilities, who may find it difficult to manage with a manual toothbrush.
• Children enjoy the fun of using an electric brush. It will result in a more through cleaning of their teeth, particularly at an early age.
• As they grow older it may be less important to use an electric toothbrush.
• It is effective with fixed orthodontic appliances.
• Remember that the cleaning of teeth will only be successful, if the motivation exists to have healthy teeth and gums.
• Electric toothbrushes may provide interest and motivation for people who are reluctant to brush their teeth properly.
• Consult your dentist and follow the manufacturer’s instructions.

» Extraction of Teeth

Post-operative Care for a Tooth Extraction
While you are still in the dental clinic:
Sit still for a few minutes immediately after the appointment. You want to be sure that a blood clot has formed before you get up and around, because you could provoke bleeding. The amount of time you need to sit still varies with the type. If this was a baby tooth that was close to coming out on its own, you may only need one or two minutes of sitting still. For the simple removal of an adult tooth, you may need to sit for about ten minutes. For a surgical extraction in which stitches were necessary, it could be half an hour or longer. This amount of time could be longer if you tend to bleed longer than most people.
You will be biting on a gauze while you are waiting. This keeps pressure on the site and assists in stopping the bleeding.
Advice on what to do after you leave the dental clinic:
After you leave the clinic, you should be somewhat still, without strenuous activity, for about two hours. Don't suck or spit, as this will inhibit the formation of a blood clot.
Some persistent bleeding is normal. Expect your saliva to be tinged with blood for several hours.
However, if you notice thick bleeding with dark red blood clots, you need to apply more pressure to the site. Most dental clinic give you a pack of gauze in case this occurs.

» Surgical Dentistry

It includes impaction i.e. surgical removal of teeth which is impacted in bone, TMJ joint surgeries, all kinds of surgery related to opening of mouth due to tobacco chewing, eating of betel leaf, smoking etc.    and all kind of oral and maxi facial injury.
1. What is an impacted tooth?
• An impacted tooth is one that is prevented from growing (erupting) into its correct or normal position. It is usually wedged against another tooth below the gum.

2. What causes a tooth to become impacted?
• There a many factors that influence the growth pattern of a tooth.
• The size of the jaw may be too small to allow the tooth to erupt into its correct position.
• Neighboring teeth that are out of their normal position, May obstruct the growth path of a tooth, and cause it to become impacted.
• A layer of bone or a hard cover of gum over the tooth can also affect the growth process.
• A tooth may become impacted if it grows in an abnormal direction and position.

3. Which teeth are most likely to become impacted?
• The teeth most commonly impacted are the wisdom teeth and the eye teeth.

4. What signs and symptoms are associated with an impacted tooth?
• The signs and symptoms of an impacted tooth are:
• Severe pain can be caused by the impacted tooth exerting pressure on other teeth, and on nerves around it.
• A partially erupted wisdom tooth may have a flap of gum over it.
• Food can become trapped between the tooth and the gum. This can cause a severe infection around the tooth.
• This is called a peri-coronitis, and it can be very painful.
• It may be painful to open your mouth or to chew.
• Temporary relief can be provided by taking an analgesic and possibly an antibiotic.
• There may be no symptoms from a dormant impacted tooth for many years.

5. What is the treatment for an impacted wisdom tooth?
• When an impacted tooth causes pain, or adversely affects the tooth it has impacted against, it will usually be extracted.
• The tooth blocking the way of the wisdom tooth can be extracted, thereby creating space for the impacted tooth to grow into.
• When a wisdom tooth is impacted, the opposing wisdom tooth in the other jaw may not be.
• The normal wisdom tooth will continue to grow after reaching its normal position if there is no opposite tooth for it to chew against. This is termed over-eruption.
• In these circumstances it may be wise to extract this tooth before it reaches the gum in the opposite jaw.

6. What is the treatment for an impacted canine or eye-tooth(canine)?
• Since eye-teeth are very important for dental aesthetics & facial appearance, techniques have been developed to correct their positions.
• The gum is cut open to expose the tooth.
• The orthodontist attaches a bracket to the tooth & begins the process of moving it into position with the use of wires, elastics & often the extraction of teeth.
• These techniques are generally successful but they do take time.