Full Mouth Rehabilitation / Reconstruction

Rampant decay, periodontal disease, tooth fractures/trauma, excessive wear of dentition due to parafunctional habits (grinding), tooth erosion (due to acid reflux, foods, beverages) etc may lead to severe deterioration of dentition. This may lead to difficulty in chewing food, lip/cheek biting, unpleasant smile, joint pain in the jaws and an overall reduced quality of life due to these reasons.

Full mouth rehabilitation / reconstruction deals with treating the oral cavity as a whole and restoring the health of entire dentition along with its supporting structures. It involves an amalgamation of preventive, restorative, periodontal and surgical therapies to improve their functions and longevity.

After an initial evaluation, study models are obtained and the patient is advised radiographic scans of the oral cavity such as OPG or CBCT to examine the oral structures thoroughly before devising a treatment plan. These assist in treatment planning and also act as a tool to explain the existing issues to the patient and how the same can be managed. Once the treatment plan is formulated, it is discussed with the patient in detail and patient consent is obtained for the same before proceeding with the treatment.

The treatment is then carried out in stepwise manner as follows:

a. Preliminary Phase :

Teeth that require immediate attention, such as those with active infection/ swelling are treated. Teeth that cannot be saved are extracted.

b. Phase I Therapy :

Procedures such as scaling and polishing, dental fillings (temporary or permanent), minor orthodontic corrections, removal of defective prosthesis and temporization, occlusal therapy are carried out.

c. Phase II Therapy :

Root canal treatments, gum surgeries and dental implant placements are carried out.

d. Phase III Therapy :

As we reach the end of phase II therapy, all the infective processes that were active in the mouth would have been taken care of and the mouth would have reached an infection-free and healthy state. This gives us a very good foundation to carry out the remainder of the rehabilitation. The response to periodontal therapy is also evaluated at this stage.

If any temporary restorations were done during the initial phases, those are converted to final definitive restorations. Dental crowns are fabricated for teeth requiring structural fortification and over the dental implants that have been previously placed. Missing teeth are replaced with the help of tooth supported bridges, dental implant bridges or with the help of removable dentures.

A complete functional occlusal rehabilitation is carried out in which the teeth, jaws and muscles function in harmony with each other.

e. Maintenance Phase:

Patient is educated about oral hygiene maintenance and periodic recalls are scheduled to monitor the oral health.

All on 6 / all on 8 Dental Implants

Dental implants have revolutionised the treatment options available to replace missing teeth. Fixed teeth can easily be given to even those patients who have lost all their teeth with the help of dental implants.

Patients often feel that if all the teeth are missing, then the same number of implants are required to replace them. This is not the case and only six to eight implants are enough to replace all the missing teeth in a jaw. This procedure is generally carried out in those patients who have good remaining bone structure to support these implants.

Procedure :

Conventional procedure involves a two-stage approach. The amount of available bone is first determined with the help of a CBCT scan.

First stage involves placement of 6 – 8 implants in the jaw. These implants are then left undisturbed for healing for 3-4 months. During this phase the implants fuse with the bone through a process called osseointegration. This establishes the foundation for providing fixed teeth to the patient. In the second stage (after 3-4 months), 12 – 14 fixed teeth are fabricated over these implants, thus completing the rehabilitation.

Recent advances in techniques and materials have made it possible to give fixed teeth over dental implants in as less as 48 hours after the implant placement. Such a procedure is called as immediate loading. It can be carried out if adequate stability is obtained for the dental implants during surgical procedure.

Often patients feel that a full mouth implant reconstruction would be extremely costly and this may prevent them from getting the same done. The cost of the procedure is influenced by the total number of implants placed, the brand of implant used and the materials used in the fabrication of the fixed teeth. At Everyouth Dental, we make sure that the cost does not come in the way of our patients getting quality treatment and the same is made available to the patients at affordable pricing.

All on 4 Dental Implants

All on 4 dental implants is a procedure wherein a full arch reconstruction is done using only 4 dental implants. The procedure involves placement of 2 implants in the front part of the jaw and 2 implants in the back region of the jaw. The back implants are tilted so that maximum amount of bone can be utilised to anchor them firmly in the jaw. This also prevents encroachment on the vital structures like the maxillary sinus in the upper jaw and the nerve canal in the lower jaw. 10 – 12 fixed teeth are then fabricated over these implants, thereby, completing the rehabilitation.

This procedure is beneficial in especially those patients who have lost considerable amount of bone in the molar regions of the jaws as a result of tooth loss. Such a situation generally warrants additional procedures like bone grafting and augmentation, which can be avoided with the use of the all-on-four technique.

Advantages of All-on-4 Technique :

a. Fixed teeth

b. Cost effective

c. Quick results (Immediate loading possible)

d. No need of bone grafts

e. Easy to maintain

Smile Makeover / Smile Designing

Smile makeover / smile designing deals with improving the smile through cosmetic procedures. Procedures such as dental veneers (ceramic or composite), teeth whitening, orthodontics, dental implants, tooth-coloured fillings, gum contouring etc are carried out to achieve the desired results.

Smile makeover / smile designing is carried out by one or more of the procedures mentioned above after thoroughly evaluating the existing condition and taking into consideration patient expectations as well. Modifications can be made to the tooth size, shape, colour and texture. Smile arc is evaluated and corrected to achieve a harmonious relationship between the teeth, lips and cheeks.

Some indications for Smile makeover / smile designing :

a. Malaligned teeth

b. Gaps between teeth

c. Discoloured teeth / Yellow teeth

d. Cracked / Chipped / Overlapping teeth

e. Missing teeth

f. Gummy smile

g. Presence of old unesthetic filling

Overdentures

Overdenture is a removable prosthesis fabricated over one or more remaining teeth, tooth roots or dental implants. Accordingly, it is called as tooth supported overdenture or implant supported overdenture.

Tooth supported overdentures are generally fabricated for older individuals who have lost most of their teeth but still have a few teeth left in the mouth which can be used to support the denture.

Implant supported overdentures are fabricated for those individuals who have lost all their teeth in a jaw. Two or more dental implants are placed in the jaw which support the denture.

Advantages :

Improved retention and stability of overdenture compared to conventional tissue supported denture

Preservation of bone due to presence of natural teeth/roots or dental implants.

Improved patient confidence due to tightness of the overdenture

Improved chewing ability as compared to conventional dentures

Presence of sensory feedback through the nerves of natural teeth (for tooth supported overdenture)

Feeling of still having one’s own natural teeth in the mouth (for tooth supported overdenture)

Orthodontic Treatment / Braces / Aligners

Orthodontic treatment involves correction of malaligned teeth to improve the function and aesthetics. The treatment uses metal or ceramic brackets along with wires to cause tooth movements in desirable positions.

Aligners are transparent devices that are used to achieve tooth movement. It is the most recent and most aesthetic method to bring about orthodontic tooth movement.

Teeth Cleaning

Professional teeth cleaning (also known as oral prophylaxis or scaling and polishing) is a procedure done to remove tartar, debris and stains from the teeth. These deposits may develop as a result of improper brushing techniques or due to presence of difficult to reach areas during tooth brushing. Tartar build-up is one of the most common reasons for bleeding gums.

During the procedure, an ultrasonic instrument is used to remove the gross deposits like tartar from the teeth (scaling), followed by use of a prophylaxis paste to achieve a thorough cleaning of the tooth surface (polishing).

Dental Filling

Dental decay / caries if diagnosed at an early stage can be easily managed by a simple dental filling.

Dental filling is a simple procedure which involves removal of dental decay / caries followed by placement of a tooth-coloured material like composite or GIC. This restores the original morphology of the tooth and also improves the aesthetics and function.

Dental fillings can also be used to replace lost tooth structure due to trauma, simple tooth fractures, toothbrush abrasion, etc.

Extractions

Dental extraction involves removal of a tooth from its socket. There may be several reasons why a tooth may need extraction. For example, extensively destructed tooth due to dental decay, loose tooth due to periodontal disease, tooth fractures, etc

Sometimes wisdom teeth fail to erupt in the oral cavity (impaction) and can cause dental issues like pain or pericoronitis. Such teeth may need removal for the patient to have complete relief from the symptoms.

Orthodontic treatments may require removal of certain teeth in order to obtain sufficient space for tooth movement in favourable positions.

Pediatric Dentistry

Pediatric dentistry is the specialty of dentistry that focuses on the oral health of young people. We are concerned about your child’s total health care. Good oral health is an important part of total health. Establishing us as your child’s Dental Home provides us the opportunity to implement preventive dental health habits that keep a child free from dental/oral disease. We focus on prevention, early detection and treatment of dental diseases, and keep current on the latest advances in dentistry for children. Pleasant visits to the dental office promote the establishment of trust and confidence in your child that will last a lifetime. Our goal, along with our staff, is to help all children feel good about visiting the dentist and teach them how to care for their teeth. From our special office designs to our communication style, our main concern is what is best for your child.

Orthodontic treatment/braces

Dental braces (also known as braces, orthodontic cases, or cases) are devices used in orthodontics that align and straighten teeth and help to position them with regard to a person's bite, while also working to improve dental health. They are often used to correct underbites, as well as malocclusions, overbites, open bites, deep bites, cross bites, crooked teeth, and various other flaws of the teeth and jaw. Braces can be either cosmetic or structural. Dental braces are often used in conjunction with other orthodontic appliances to help widen the palate or jaws and to otherwise assist in shaping the teeth and jaws.

Superspecialized consultations

• Endodontist
• Periodontist
• Orthodontist

• Prosthodontist
• Pedodontist
• Oral and maxillofacial surgeon