Monthly Archives: October 2016

dental tips

How Can You Do a Successful Endodontic Treatment

Various studies around the globe has reported that the most important factor the rotary instrument seperation was the operator. This is probably attributed to their clinical skills or their decision either to use instruments for a specific number of times or until defects were evident.

Successful endodontic motor treatment depends on a series of sequential procedures including shaping and cleaning of the root canal system. Biggest engima for an endodontist is the separation of rotary endodontic instruments .This negates the achievement of efficient bio mechanical preparation , which can result in under-filling of the root canal or the treated case may end in failure.

Preventive procedures related to breakage/ seperation are of utmost importance. Therefore an endodontist should have understanding of the mechanisms and factors contributing to file fracture is essential. It is very essential that both training and adequate skills are imperative for all dental procedures and particularly so in rotary endodontics.

The thumb rule for rotary endodontics as with other endodontic hand instruments is examination of the dental equipment, before and after use, to rule out any stress on the instrument/ stretch marks. Other important rule is that no rotary instruments should not be used in dry canals and or no instrument should be used without any lubrication. Further rotary files should be used according to the manufacturer’s instructions and excessive forces should be avoided. There is a variety of protocols for rotary root canal instrumentation.

Another important factor for rotary instrument seperation is the root canal morphology. More complicated the root canal morphology, the greater the risk of endodontic instrument breakage. A higher prevalence of rotary instrument separation has been reported in molars particularly in the mesial roots of mandibular molars.Further, the risk of instrument seperation in the apical third of the canal is higher when compared with coronal and middle thirds.Rotary files undergo greater fatigue as the curvature increases and the contact surface with the dentinal walls is greater since most curved canals are narrow. Clinically, fatigue of an instrument may be related to the degree of instrument flexure when placed in a curved root canal.

When the curvature of canals is pronounced, the cyclical fatigue of the instrument is greater and thus its life expectancy is lower.The parameters of the angle and the radius of curvature are independent in such a way that even if two canals have the same angle of curvature they may have different radii of curvature, which indicates that some curves are sharper than others.

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Dental Implant Treatment has Greatly Improved

Dental implant treatment has greatly improved the level of care offered to patients. According to Misch 2015, implant retained prosthetics are usually installed by a means of intra oral cementation or by a screw-in method, that involves the extra-oral cementation of the abutment-prosthesis complex on a model.

The screw-in technique is commonly referred to as retrievable. It is implied that this installation process allows the prosthesis to be removed from the mouth and reinstalled without any critical damage to the prosthesis. It also implies that a prosthesis that is cemented intra orally is not easily retrievable and that it would have to be critically damaged during its removal.

No differences in complication and failure rates have been found in reviews that compare the two installation systems. The cited reviews indicate that 31- 33% of the fixed prostheses retained by dental implants are associated with mucositis, 10-16% peri-implantitis and that the survival rates of the implants are about 96% over five years and 92% over 10 years. The biological complications of treatment manifest themselves as peri-implant inflammation, exudate, loss of gingiva and supporting hard tissues. All these complications require treatment and can cause a “less than happy” experience for the patient and the dentist. Yes, treatment complications can be emotionally and financially taxing for all involved. The question is, “Can we reduce these complications?”

What is the main difference between the two installation systems? The main difference appears to be related to where the prosthesis is cemented to its’ abutment or abutments. In a traditional setting, the screwed-in prosthesis is assembled on a model that is not a precise representation of the mouth. This extra-oral assembly of the abutment-prosthesis complex thus forms an imprecise rigid structure that, when transferred to the mouth, causes a misfit at the implant-abutment junction. This misfit problem can be exacerbated by tight contacts with adjacent tooth structures, which also can prevent the abutment from seating fully onto its implant retainer.

A misfit at the implant-abutment junction is not optimized for stability and is also more susceptible to invasion by oral pathogens. This can create problems for the patient. These problems can include loose and broken screws, foul odour and taste, and the abovementioned complications including mucositis, peri-implantitis and implant failure. The misfit of the implant-abutment junction is a known risk factor for peri-implant disease. These complications can be difficult to mitigate because the implant-abutment misfit cannot be easily rectified. In addition, one must consider the possibility that uneven loading of an ill-fitting connection by the abutment screw tightening process and/or intraoral camera function could also cause damage to the adjoining components. It is possible to replace a damaged abutment, but how does one repair a damaged implant top? In conclusion, the major weakness of the screw-in prosthesis technique, appears to result from a misfit at the implant-abutment connection that is difficult to correct.

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What Are The Advantages Offered By Prosthesis Retrievability

When prosthetic materials are not durable, like with acrylic based hybrid fixed prosthetics, retrievability may have a relatively high value, so that it will be possible to make necessary repairs or refurbish the prosthesis. When prosthetics are durable, like solid zirconia bridges, do you ever expect to take them out for repair? If they have porcelain on them and the porcelain has a critical fracture, can the dental laboratory equipment really fix the prosthesis or will it be a remake anyway?

I would suggest that it will usually be the later. What about loose screws? What do you think will have more loose screws? A prosthesis with a misfit at the implant-abutment junction, like a screwed-in multi-unit hybrid, or one with an optimized implant-abutment fit? So, optimizing the fit of the implant-abutment junction and proper torqueing and re-torqueing of the abutment and would be expected to further reduce abutment screw loosening to an unusual event.

Do you need to be able to remove a prosthesis from the mouth in order to tighten a loose abutment screw? That is usually not necessary. In most locations, an access hole can be made through the prosthesis and the loose abutment screw can be tightened without removing the prosthesis. In the anterior maxilla, there might be an advantage to have a lingual access channel for possible screw tightening procedures, because making a facial screw access channel opening could render the prosthesis unaesthetic. This could be a cause for prosthesis replacement.

It is also unfortunate that the lingual access channel may require the clinician to build a facial cantilever into the prosthesis. This may also cause additional mechanical stresses on the abutment screw and make the prosthesis difficult to maintain by the patient. Both of these problems may feed into the peri-implant disease process and cause the failure of the retaining implant(s) and their attached prosthesis. So, building retrievability into a treatment is dependent on many elements that are not free of cost and risk.

Dental milling technologies, that are CAD/CAM based, have allowed the dental industry to create increasingly precise implant-abutment components. Milled components can be made to fit better and thus be more stable and resist bacterial penetration better. Beware of older technologies that require a casting process that can distort the milled implant-abutment connection. The UCLA bases are precision milled, but the casting process can damage their fit by temperature related distortion and mechanical removal of investment material. 29 A poor implant-abutment fit can lead to increased complications.

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The Benefits of Protecting Dental Handpiece

Most dental practices have anywhere from 8 to 12 working handpieces that get rotated throughput the practice on a daily and weekly basis. But we all have our “favorites” and tend to use them more often than others, because it’s human nature to use what we are most comfortable with. If you tend to use your “favorite” handpieces at higher RPM’s than what is suggested by the manufacturer, and ignore the daily and weekly maintenance, then those handpieces will need to be repaired more often.

Since a high speed handpiece drill runs at 400,000 to 500,000 RPI’s, and is sterilized at 275 degrees after each use, its parts tend to wear out. The turbine is the only moving part in an air-driven handpiece, and takes the most abuse during sterilization, so it needs to be replaced frequently.

Care and regular maintenance of these instruments is essential to preserving their lifespan and proper function. Whether your dental practice uses air driven handpieces, electric handpieces, or both, these little instruments are the workhorse of your practice and a large investment.

Effective and Efficient Patient Treatment: If the turbine is the brains of the handpiece, then the tiny little bearings are the heart. When the bearings start to wear down, the turbine no longer rotates at optimal performance, causing it to fail and eventually stop holding the bur in place during a procedure. When the bearings start to fail, the handpiece makes a loud high pitch sound or vibration. Avoiding the warning signs of an inferior performing handpiece has a number of pitfalls, including loss of patient treatment.

Patients Satisfaction: Dental handpieces are the number one tool in any successful dental practice, allowing for a high degree of productivity that patients appreciate today. The history of dental handpieces have drastically evolved over the last 150 years. Early handpieces were big and clunky, running at a maximum speed of 3000 rpm’s, which meant procedures took longer and were more painful. Today, handpieces run at a much higher speed and with more efficiency.

Protecting your Investment: Protecting your investment and ensuring your dental handpieces are working to the best of their abilities is essential to running a profitable dental practice. Building a working relationship with a reputable dental handpiece repair company will ensure you are working more effectively and providing quality patient care without worrying about the performance of the handpiece.

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The Advantages of Using Dental Scaler

Many of the recognized brand names have survived the test of time, offering the benefit of reducing hand and wrist fatigue as well as tissue trauma. Common in today’s hygiene and periodontal armamentarium is the sonic or ultrasonic handpiece. Whether used only occasionally or on a routine basis, most dental professionals are familiar with sonic or ultrasonic technology in some capacity. With the utility of the products that are available today, there is no reason why every operatory should not be equipped with this technology.

The use of ultrasonic devices has dramatically improved the practice of supragingival scaling and periodontal debridement. Although ultrasonic technology has been around for decades, improvements in recent years have allowed its use to become mainstream. Ultrasonic technology in general, whether magnetostrictive (long inserts with metal rods that flex) or piezo-electric (small tips that screw onto the dental handpiece), and sonic scalers to a lesser degree, offer several advantages over hand scaling:

(1) less hand and wrist fatigue due to the light touch necessary to merely guide the scaler tip along the tooth surface.

(2) decreased treatment time, especially with heavy deposits, leaving more time for patient education or procedures such as placement of chemotherapeutic agents (ie, Arestin [OraPharma], Atridox [Collagenex Pharmaceuticals], or PerioChip [Dexcel Pharma]).

(3) more efficient removal of dental plaque and calculi with ultrasonic instrumentation.

(4) water provides continuous tissue lavage, thereby reducing the need for rinsing during scaling, since the water flow allows for high visibility throughout the procedure; this lavage also increases tissue comfort for the patient during and after the procedure.

(5) antiseptic solution can be substituted for the water to provide simultaneous irrigation/disinfection of the region being treated.

(6) gritty, pumice-based polish may no longer be necessary or indicated following scaling with ultrasonic; due to the efficient stain removal during scaling, a milder, minimally invasive paste or polish can be used, preserving the glaze on composite and porcelain restorations; less abrasive polish enhances patient acceptance and lowers post-scaling sensitivity.

Hygienists in our office rave about our new piezo-electric scalers and, more importantly, patients are very complimentary about how their mouths feel after their maintenance visits. If you have the desire to move into the world of electric scalers, or are ready to upgrade, give considerable thought to the purchase of a piezo-electric scaler. This technology will stand the test of time. It is the ultimate in ultrasonic scalers.

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What Should You Know before Buying Dental Lab Equipment

Dental laboratory equipment encompasses the full range of systems used for manufacturing fixed or removable dental prosthetics. Whether your lab is focused on using the latest digital dental technologies for highly efficient production or time-tested techniques for maximum esthetic appeal, these systems will be critical to your ability to fabricate dental restorations.

Your equipment includes everything from the bench you work at and the utilities working in the background, to the systems and machines you need to complete the highly specific tasks that allow you to produce top quality dental restorations. Having the right equipment and having it in good working order is critical to your labs operations and success.

First question is what types of dental laboratory equipment do you need? The answer to this question is completely dependent on what type of lab you operate and what types of restorations you want to be able to create. If you are a full service lab using a variety of techniques to produce fixed and removable restorations from a wide range of materials, then your lab will require an equally vast range of equipment, and it will make a lot of sense to look at systems that are both flexible and efficient. If you are a specialty lab focused on one restorative area, then you will want to invest in the equipment best suited to the tasks you will need to complete every day.

Just about every lab will have need for the basics such as dental laboratory furniture including benches and lighting, as well as utility equipment including dust collectors and oilless air compressors. Other must haves when it comes to dental laboratory equipment include a reliable and versatile handpiece, an articulation system for mounting models and cases, as well as cleaning and polishing systems for putting those final touches on restorations.

With the first consideration of what types of restorations you want to create settled, it’s time to take a more specific look at the needs of your dental lab. Your investments need to not just fit in the lab, but be able to be set up in an ergonomic and useful manner, so be sure to look at the size and configuration of any system you are considering makes sense for your lab’s physical layout. Another important consideration is the company behind the systems you purchase.

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Why does the Cosmetic Dentistry Important

Dental procedures and treatment can be anything from a minor rectification or whitening to a major surgery. You will find thousands of people undergoing various kinds of cosmetic dental treatments around the globe.

Teeth play a very vital role in our appearance and personality. Cosmetic dentistry is specialized field of medicine which deals with various kinds of teeth improvements. Modern day cosmetic dentists in NYC undertake various kinds of procedures and surgeries. The purpose behind all of these would be either enhancement of beauty or to better the denture in its function.

The main purpose of cosmetic dentistry is to enhance the beauty of one’s smile. It contributes a lot to a person’s self-confidence and thus makes him feel good about himself. The person can freely smile and express his joy. Apart from this the major aim of any cosmetic dentist in Manhattan is to provide their patients with healthier teeth and a lasting cosmetic treatment. Some of the commonly adopted procedures are led teeth whitening, straitening, crowning, bridging, replacing and many other complicated procedures that would help the patients to lead a healthy and happy life.

Cosmetic dentistry is particularly preferable for solving various issues like dentures and spaces between teeth. Cosmetic dentistry Orange County provides solutions to these problems, thereby ensuring that you can chew on your favorite food without worrying about parts of it getting stuck. The dental implant Riverside treatment deserves special mention at this point because it offers a one-time solution and of course, a worriless life!

Cosmetic dentistry has also become a favorite among the patients as it is a less painful treatment procedure than other forms of dental surgery. The process involves the least amount of pain. Therefore, if you are really scared to go for a cosmetic dentistry, then do not be worried anymore. Your problem has just been solved with these unique methods of treatment.

The treatment options and procedures like autoclave sterilizer done by cosmetic dentists are quite numerous. Some of these include tooth bleaching or teeth whitening, dental bridges, contouring, and bonding. For some advanced treatments, you’ll find lumineers, veneers (porcelain layer bonded to the teeth), and let us not ignore, the gum lift.The procedure for gum lifting makes the tooth appear more symmetrical by sculpturing the actual gumline.

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How to Prevent Tooth Decay

Children with poor dental health may also experience associated symptoms, including inadequate nutrition, poor self-esteem and problems with speech development.

Tooth decay is something one normally associates with adults, but it’s happening more and more in young children and toddlers. Dental caries is the most common chronic childhood disease, five times more common than asthma in children, and significantly more prevalent than chronic bronchitis.

Untreated caries in children may affect the growth of adult teeth, with poor dental health and disease persisting into adulthood. Caries can lead to infection, pain, abscesses, chewing problems, malnutrition and gastrointestinal disorders. It can affect speech and articulation, and like many chronic diseases, the risk factors of early childhood caries also contribute to childhood obesity and malnutrition.

Brush your child’s teeth at least twice a day. You must also clean his tongue and massage his gums. Use a fluoridated toothpaste when cleaning his mouth. If your child wants to brush his own teeth, you must supervise them.

Floss with dental x-ray machine your toddler’s teeth everyday once he reaches two years of age.

Provide a healthy and well-balanced diet for your child. Limit or eliminate sugary snacks and liquids, such as soft drinks and soda.

Visit their dentist regularly and ask about what fluoride to use or dental sealants to protect your child’s teeth.

Schedule regular dental scaler and examinations for your toddler. It is advisable to have dental cleanings every six months.

Dental Visit When Your Infant Turns One: It is advisable to bring your infant to a dentist when they are around six months to one year of age, or once his first tooth emerges. Early dental visit means getting a better chance of preventing dental problems. Remember that if your child has healthy teeth, he will be able to chew his food easily, learn to speak more quickly and clearly, and develop self-esteem.

Healthy Diet: As a parent, you must provide your child with a healthy diet. This means that you must limit the frequency of snacking which can increase the risk of developing tooth decay and cavities. By limiting the amount of time that your toddler snacks throughout the day can significantly lower the chances of tooth decay.

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New Dental Technology Makes Dentists Practice More Efficiently

New dental technology has enabled dentists practice more efficiently and comfortably and has eliminated the use of drilling and filling. Other technologies have made patients smile improve in a very short time while others enable patients grow new teeth.

Laser technology like dental air polisher has grown in popularity in the recent years and has found a niche in dentistry. Due to the laser energy produced, different dental problems can be cured. It also sterilizes and coagulates blood vessels to reduce risk of infection. The advantage of laser technology is the reduction of pain felt in dental procedures and minimized bleeding and controlled swelling in gum disease treatment.

Air abrasion is a new procedure used for treating cavities and eliminates anesthesia and dental drill. It involves the use of tiny particles of aluminum oxide used to remove cavities by propelling it against the tooth. It is an expensive procedure but effective in the treatment of small to medium sized cavities. It is making patients visit to the dentist comfortable since it does not require anesthesia and is done in a very short time and does not come with build-up of fluids that accompany the use of the dental drill.

Dental implant is another new development in the field of dentistry.Implant dentists can easily replace your missing tooth by an artificial one. The procedure of dental implants involves replacement of tooth surgically into the jawbone and anchors replacement teeth. The artificial tooth will acts as a natural tooth enabling you to use basic things such as chewing and speaking without any difficulty. You can simply replace a single tooth or a number of teeth, this procedure is very expensive yet it allows you to improve your smile as well as boost your confidence.

Dental whitening is now gaining in popularity today. Teeth whitening machine is also developing. With the help of dentist you can simply whiten your teeth. Another development in the field of dentistry we see today is bonding. In this process, the dentists whether its general dentists or emergency dentists cleans and prepares the surface of your teeth and then bonds tooth colored resin fillings to them. This method can be utilized for repairing chipped teeth, close small gaps between teeth as well as change the shape of teeth and sometimes cover changing of color in teeth.

One of the other new method in dentistry today is veneers, this method can be utilized in improving the appearance of teeth by changing the shape of the teeth, by altering the color of teeth also by masking strains as well as by replacing small fractured pieces of teeth.

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The Importance of Getting Healthy Teeth

A white smile indicates perfectly healthy gums and teeth and how confident one feels. The importance of getting healthy teeth cannot be emphasized enough in today’s society especially with the advent of many new high-tech ways to keep the teethhealthy.

A healthy set of teeth has its functional utilities served well – grinding, chewing and tearing food to help in the digestive system. Additionally, there’s the cosmetic value of having shiny white teeth which is key to boosting self-image and self-confidence. Having a healthy smile is having good dental and internal health. A person may have unhealthy teethdue to some medical conditions like diabetes. Such medical conditions may prevent a person from having good set of teeth.

What then does it take to have that healthy smile? For one, improper dental care and hygiene often results to dental problems – toothache, cavities, tooth decay, etc. Excessive sugar and plaque can cause tooth decay and gum disease. When debris and bacteria collect on theteeth, and are not removed by oral cleansing, plaque build-up can be expected. A lost tooth or a chipped tooth is an example of tooth injury. When cavities formed one gets toothache. When a person has a toothache, or has chipped tooth or a missing tooth with dental equipment, smiling becomes pretty hard and an unwanted activity.

The professionalism of a dentist is also important to consider. He should be able to present himself properly through his physical attributes and the way he interacts with clients and staff. His clinic and staff should also be professional in dealing with clients and with everyone in the clinic. They should also abide with the OSHA policies especially those pertaining to sterilization and disinfection of materials and methods in the clinic.

Results of the dentist’s treatments should be available to their clients via website and on the walls of their clinics. This is like a professional portfolio for most dentists these days. These are also ‘turn-ons’ for their would-be clients, proving their worth and expertise in the field of cosmetic dentistry. You may check Brisbanesmilecentre website for a sample portfolio of Camp Hill dentists and Coorparoo dentists if you live in these areas.

Truly, dentist with a vast knowledge of the field and specialty is dedicated and professional in many ways with dental curing light. He is not just a person to if you have a dental crisis, but he’s also available to give his insights and advice on how you can keep your beautiful smile for a long time.