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Bad Breath

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Brushing technique

Angle the bristles of the brush along the gumline at a 45- degree angle and apply gentle pressure so the bristles slide under the gumline. Vibrate the brush while you move it in short back- and – forth strokes and in small circular motions. Brush two or teeth at a time, and then move to the next teeth, allowing some overlap. To brush the backs of the front teeth, tilt the brush and use the tip of the brush. Don’t forget to brush on the inner side of teeth.

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Flossing

Most cavities and periodontal disease begin between the teeth. While brushing is important, the bristles of your toothbrush simply don’t remove plaque and bacteria from between the teeth. That’s why we recommend that you floss every day.

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Tongue cleaning

studies suggest that brushing and flossing should be accompanied by tongue cleaning in order to achieve a truly cleansed oral cavity. Tongue cleaning is Chemical-free. Removes the plaque and other debris from your tongue, instead of just masking it Comfortable, Easy, Takes less time than using a rinse.

Deep Cleaning

If plaque and tartar is left on the teeth, as we mentioned before, it provides the right conditions for bacteria to thrive. The bacteria irritate the gums, which means that they bleed more easily. This is the early stage of gum disease called gingivitis. If gingivitis not treated and nothing is done about it, the inflammation will work its way down towards the foundations of the tooth causing a "periodontal pocket". Again, within the confines of the pocket, the conditions are such that the bacteria can have a right old party, and cause more damage. Gum disease can break down the support (bone) structures of the teeth, so that eventually, they will become loose. The problem is that until it gets quite severe, the person often has no symptoms. Sadly, the damage to the support structures of the teeth is irreversible. The good news is that if gum disease is caught in time, its progression can be halted and improved upon, and that is the key.

To stop gum disease from progressing, your dentist may advise periodontal therapy i.e. flap surgery with or without bone graft, or deep cleaning. This gets rid of the bacteria in the pocket and provides the necessary conditions for healing to occur.

The tartar and plaque is a responsible for gum disease. So it needs to be removed regularly to prevent gum disease. This procedure is carried out with use of ultrasonic scaler and hand instruments.

DOES IT DAMAGE THE TOOTH SURFACE?

Proper technique and good equipment doesn’t damage the tooth surface.

WHO NEEDS DEEP CLEANING OR FLAP SURGERY?

Bleeding gums

Swollen gums

Foul smell from mouth

Sensitivity to cold and sour

Food logement

Bleeding while brushing

Change in position of teeth

Smokers and tobacco chewers may have gum problem without any symptom

Mobile (loose) teeth

DOES IT HURT OR GIVES PAIN?

No the procedure can be carried out with or without creating numbness in the teeth. The need of numbness depends on severity of disease and patient tolerance.

Does the dentist puts in something to kill the bacteria?

Sometimes in certain cases the dentist may put antimicrobial / antibiotic in the gums to get better results.

HOW LONG THE PROCEDURE LASTS?

The procedure usually takes one appointment but in certain cases two appointments may be needed.

Flap Surgery & bone grafts

This procedure is carried out in local anaesthesia ( making the teeth and gums numb). The gums are slightly deflected from the teeth and inner surface of gum, the root surface and bone is cleaned so further progress of disease can be prevented. If needed artificial bone graft material is placed on the bone to form new bone and make the tooth more strong. Some times a specific GTR membrane is placed to get more favorable results.

WHO NEEDS FLAP SURGERY WITH OR WITHOUT BONE GRAFTING?

Bleeding gums

Swollen gums

Foul smell from mouth

Sensitivity to cold and sour

Food logement

Bleeding while brushing

Smokers and tobacco chewers may have gum problem without any symptom

Mobile (loose) teeth

Change in position of teeth

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PREOP
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AFTER DEEP CLEANING
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AFTER FLAP SURGERY
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PREOP (SWOLLEN GUMS)
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POSTOP (AFTER FLAP SURGERY)

DOES THE PROCEDURE IS PAINFUL?

No, the procedure is carried out in local anaeshesia. I t does not give pain.

Some of result of bone graft

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PREOP
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POSTOP (6 MONTHS)
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PREOP
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POSTOP (6 MONTHS)

Adding Gum Tissue

MANAGEMENT OF IMPLANT COMPLICATIONS

As a natural tooth there can be bone loss around implants also which can be treated with various bone grafts and GTR so the lost bone can be regenerated.

If bone loss is very advanced sometimes the implant may needs to removed and replaced with other one