Treatment Offered

PREVENTIVE &

RESTORATIVE DENTISTRY

a. Early Cavity Detection

As the old adage goes “a stich in time saves nine”‼ The goal of modern dentistry is aimed towards a preventive and conservative approach. This includes identifying decayed teeth (cavities) right at their earliest stage. At times when tooth damage is in its initial stages, decay can be reversed by remineralization therapy. However when signs of physical damage are evident, early dental filling is often crucial to arrest its progression. When left untreated these cavities can cause further damage resulting in pain. Oral screening by a professional dentist during your regular dental visit can thus help in timely diagnosis.


b. Pit & Fissure Sealants for Children and adolescents - Preventing Cavities even before they begin

What are sealants?

The chewing surfaces of back teeth are usually groovy, have many irregularities and are called “PITS & FISSURES”. These surfaces are the prime cause of food retention and cavity progression. Sealant is a type of dental filling material, which is applied as a thin layer on these deep groovy surfaces thereby protecting the sealed surface from decay.

How do these fillings work?

Sealants are an effective means of “CAVITY-PREVENTION”. The thin barrier placed prevents food and bacteria from accumulating on the teeth preventing decay. Additionally fluoride-containing sealants are also available.

In which patients are sealants indicated?

Not all teeth are eligible for sealant therapy; a careful evaluation is required based on the following indications,

1. Primarily used for Cavity Prevention rather than treatment of existing cavities.

2. When the patient is at a risk for tooth decay.

3. Ideally recommended for children and adolescents

AGE TOOTH TYPE
3-4 years Baby teeth (Primary molars)
6-7 years Permanent teeth (1st molar)
11-13 years Permanent Teeth (2nd molar and premolars)

4. Newly erupted teeth

5. Sealants are usually placed on the back teeth (premolars and molars)

6. Occasionally indicated in baby teeth when the child is cooperative.

How much time will the procedure take?

Sealants can usually be performed in a single sitting depending on the number of teeth. Following this, check up visits are required to monitor the sealant once a year.

C Fillings

Dental Fillings are materials which when used to fill cavities help to restore the lost tooth structure and prevent the spread of decay. Today, a wide variety of filling materials are available but the choice of the ideal filling material varies according to the type and extent of decay. Teeth were traditionally filled with noble materials such as gold and this was followed by the advent of silver fillings. Current advances in dentistry have resulted in the development of tooth coloured filling materials that are more visually pleasing with minimal tooth involvement.

i. Metallic Fillings

Metal fillings have been in vogue since almost a century. They usually comprise a mixture of silver and elements like tin mercury copper and zinc. These fillings are excellent in terms of longevity and are usually used for fillings in back teeth as they can withstand strong chewing forces. Moreover, the metal fillings are a much cheaper alternative when compared to tooth coloured fillings. The basic limitation is its use in front teeth due to the unsightly metal display.

ii. Tooth Coloured (Composite, GIC)

Tooth coloured fillings are an excellent alternative to metallic fillings. There are two kinds of tooth coloured fillings namely Composites and Glass Ionomer.
Dental Composite fillings are made up of a mixture of resin based materials which are set using a light source. These fillings provide the closest possible colour match to your natural teeth.

Why choose tooth coloured fillings?

- Metallic fillings are unaesthetic due the fact that they cannot match to the original tooth colour.

- Metallic fillings do not chemically bond to the cavity, which means that the dentist has to remove more of your tooth structure to physically compact and retain the metallic filling. This is in contrast to tooth coloured fillings that require minimal drilling as they chemically bond to your tooth.

- Metallic fillings are more prone to get tarnished and corroded. Over a period of time the byproducts from the filling can discolor the tooth.

How is the procedure performed?

Prior to the filling, the chewing surface of the tooth is thoroughly cleaned and polished. The part of the tooth, which is decayed, is carefully cleaned with a drill. The procedure does not require any anesthetic and is absolutely painless. The cavity is shaped minimally preserving the healthy tooth structure. The shade of the tooth is recorded and the corresponding filling shade is selected. The filling material is then placed in layers and artistically carved to restore the natural shape of the tooth. The material is set using a blue light source. Finishing polishing is finally perfomed and the entire procedure can be completed in a single visit.

What precautions should you take to ensure the longevity of the filling?

Thorough oral hygiene is mandatory following any filling procedure and regular dental check ups help in monitoring the status of the filling and assessing hygiene maintenance.