Frequently Asked Questions

Q: What are dental implants and what can they do for me?

Implants are titanium replacements for missing teeth. They can replace a single tooth or multiple teeth. They are placed surgically in the bone. After a few months, they form a very strong bond with the bone, and then artificial crowns or a denture can be secured over the implants. For patients who have difficulty chewing because of missing teeth, or who are tired of their dentures slipping and sliding in the mouth, dental implants offer a secure solution for replacing teeth.

Q: What are the benefits?

Aesthetically, they support teeth that look very natural, greatly enhancing your smile
and confidence.
Functionally, dental implants allow you to eat and speak without pain or discomfort,
and increases chewing efficiency.
Biologically, implants can help prevent atrophy or shrinkage of your bone and this in
turn supports your facial tissues.

Q: What is the success rate?

Implants as a solution to missing teeth has been practiced for a few decades. Generally, because of advances in implant dentistry over the years, dental implants can have success rates above 90% in natural bone. Having said that, success rates depend on many factors, for example, the patient’s own health status or whether he/she is a smoker. Although at the present time we cannot put a figure down as to the longevity of implants, it is known that the first patient who had implants placed in 1965 still has them in function today. Of course, regular checkups and diligently maintaining one’s oral hygiene is also of utmost importance in preventing failure.

Q: What is the procedure like?

There are generally two stages:

Q: How much do they cost?

Every patient’s need is unique. Your treatment cost depends on your particular needs. After a complete examination and consultation, your dental needs will be more specifically determined and the most viable treatment option proposed to you. At this point, treatment cost can then be more accurately ascertained.

Q: Does it hurt?

Dental implants are placed in the jaw under local anaesthesia and so the patient feels absolutely no pain at all during the procedure. After the anaesthetic wears off, there may be slight discomfort, usually manageable with painkillers. In fact, many patients have reported that they didn’t even need to take any painkillers.

Q: Am I too old to have dental implants?

As long as you are generally in good health and have adequate bone, you can have dental implants.

Q: How do I take care of my implants?

It is very important that patients who have dental implants maintain their own oral hygiene diligently. This of course includes brushing, flossing and sometimes using other cleaning aids like an interproximal brush. Regular dental checkups and professional maintenance are vital to ensure longevity of the implants.

Q: How do I get started?

During initial consultation, x-rays are needed to evaluate the availability of bone. Impressions of the upper and lower jaws are then taken to be made into models so that the thickness of the bone can be gauged and a diagnostic mock up of the teeth is done so as to plan the position of the implant/s to be placed. Intra oral photographs are also taken as part of the diagnostic process. Once the essential information is obtained and treatment planning confirmed, first stage surgery can then be done.

Q: Why should you consider dental implants?

If you have had the experience of having lost one or more teeth, you may know all too well what it’s like to live with an unattractive smile, reduced biting efficiency, embarrassment from loose dentures, and pain or difficulty with eating. Fabricating a bridge to replace the missing teeth usually necessitates trimming down adjacent, sometimes perfectly healthy natural teeth. Dentures sometimes can be bulky, unstable or painful during function or speech.
Over time, the bone at the toothless area can undergo “bone atrophy”, or loss of bone height and width. This can lead to functional and aesthetic problems. Placing an implant in the bone can prevent atrophy.

Q: I have no dental problems as such, should I visit a dentist even then? Why?

Regular dental check-ups helps us to diagnose any new cavity developing which can be stopped at that stage only and thus preventing it becoming deeper and painful and the need of root canal treatment.

Q: My dentist had shown me few cavities in my teeth but they are not paining me at present. Should I get these cavities filled? What if I get it filled later?

Today what treatment option is available for you (Filling) my NOT be the option left for you tomorrow and you may have to either do a root canal treatment or extract the tooth.
Cavity fillings in the initial stage is painless as enamel drilling causes no sensation, no pain and less drilling and little loss of natural tooth structure.
2nd layer cavity drilling is slightly sensitive and more loss of natural tooth structure.
If cavity reaches the 3rd layer (Nerve layer) you may have to undergo Root Canal Treatment which is more time consuming and more expensive as compared to Cavity Fillings.

Q: I had pain in my tooth and my dentist told me to go for a root canal treatment on that tooth, but after taking medicines my pain had subsided. Should I still get the root canal done if not done what will happen?

By taking medicines, your pain and swelling may subside for the time being. But later, the decay and infection may spread deeper from that tooth to the adjacent teeth, or that tooth may break from inside and you may have to extract that tooth and then replacing that extracted tooth may cause you more time, energy and money as compared to a single tooth Root Canal with a single cap.

Q: Everyday morning when I brush my teeth, I have bleeding, is it common or is it something bad?

Bleeding gums are not a good and healthy symptom. It is a sign of gum disease (gingivitis or periodontitis) which leads to bad breath and bad taste in the mouth which if not treated at an earlier stage, may lead to further damage to jaw bone and causing loose and shaky teeth and pus discharge from gums.

Q: My teeth are too yellow. Can I have my teeth made as white as these film stars and glamour world?

Yes, you too can have bright white teeth, depending on the intensity of your yellowness and the cause of it, you can have white teeth by any one of the treatment options

  1. Bleaching
  2. Veneers
  3. Cappings.

Q: When I smile my gums jet out, can anything be done to achieve a million-dollar-smile?

You can opt for the option of getting your gum treatment done by a periodontist who will give you the line of treatment of slicing (cutting) the margins of your gums to give it a more pleasing look.

Q: I have multiple dental problems but I am too scared to sit on a dental chair, is there any other easy fearless treatment modality for patients like me?

Yes, even if you are scared of dental treatment, now-adays you can have all your treatment done under conscious sedation (Sleeping Condition) routinely in the dental clinic, no need to get admitted in the hospital.

Q: My front teeth cavity fillings always become yellow after every 3 months, is there any permanent solution for it, it’s too embarrassing for me to have ugly looking front teeth?

Fillings on the front teeth may be changing its colour due to your food colours and stains, permanent solution for this would be to go for the Capping or Veneers.

Q: I have metal caps and old black silver fillings in my teeth, can I change those caps and fillings to new teeth coloured caps and fillings and look better.

Yes, you can go for the Ceramic Fillings, Ceramic Veneers or Ceramic Caps which are the same matching shade of your teeth and makes you feel more beautiful, more confident, more smiling.

Q: My mother has loose fitting dentures and she cannot eat her food inspite of me taking her to , too many dentists. Can I have her fixed dentures made?

Yes, mother can have a relining with her existing dentures. If even then, she cannot eat with the dentures, she can go for Implants, where her dentures can be fixed onto the jaw bone with either a magnetic or a ball and socket method.

Q: My father has multiple missing teeth but he does not want to extract his remaining teeth and root pieces. Can still he have a denture or fixed teeth made for himself?

Yes, your father can have a denture made over existing root pieces. Ideally, its always better to extract the root pieces and make a denture after 4 to 6 weeks, but if he is too scared of extraction, you can smoothen the existing root pieces up to the gum level and make a denture.

Q: Is still today, extraction of all teeth, the only solution for Pyorrhoea? Can Pyorrhoea be prevented and controlled?

Extraction of all teeth was on olden days stories for pyorrhoea, now pyorrhoea can be detected at early stage and can be treated by 1) Scaling and root planning 2) Flap followed by medications, mouthwashes, vitamins and regular teeth and gum cleaning.

Q: I want to have braces treatment but my age is 35, can I still have orthodontic (Braces) treatment which will not be seen?

Yes, now a days Ceramic Braces (Tooth coloured) or lingual braces (Braces fixed on the inner surface of the teeth) are used which cannot be seen.

Q: Dental treatment has become too expensive now a days? Why? What should we middle class people do to have good sterile dental treatment as we cannot go to municipal and government hospitals?

Dental treatment has become expensive because of the innovative latest technology, new German equipments and new German materials, you can opt for clean, hygienic charitable clinics and get good sterile dental treatment.

Q: My wisdom tooth is crooked and decayed and has spoilt my adjacent tooth also, but I am too scared of extraction? Is there any alternative solution for it?

Get your adjacent tooth root canalled and save it and your wisdom tooth extracted under conscious (Sleeping condition) if you are too scared of dental treatment.

Q: Caring for children’s teeth

Childhood teeth are important! Apart from helping to chew and speak, they keep space for permanent teeth to grow correctly.

20 Basic Facts About Your Child’s Teeth With proper personal and professional dental care, your child could keep his primary dentition and thus permanent dentition all his life, as NATURE INTENDED. You will find all your queries about your child’s teeth answered here, in case of any other queries please feel free to contact the Paediatric dentist.

Q: What types of teeth are there and when do they erupt and fall?

There are 2 types milk/baby/deciduous teeth and the permanent teeth. There are 20 milk and 32 permanent teeth. Primary teeth begin to erupt at 6-8 months and fall between 7-12 years.

Q: When should you first visit the Paediatric dentist?

The child should have his first dental visit around 1 year of age. The first visit should be free from pain so he gets comfortable at the dental clinic. His teeth will be examined and you will be given future pointers.

Q: How should you prepare your child for his Paediatric dental visit?

It is very important that you do not project dental treatment as a punishment. You can encourage the child about the benefits such as attractive teeth with no black spots (decay). Also, avoid saying “it will not hurt”, project your dentist as a person who will help keep his teeth healthy and white in a friendly environment.

Q: What will the Paediatric dentist do during your child’s first visit?

Your child’s mouth and teeth will be examined for any irregularities and advise related to dental care will be given.

Q: Are children ill when teething?

No, the child does not fall ill when teething, just gets irritable and may experience itching, aching, mild swelling of gums that leads to stuffing objects in the mouth. These toys, objects or teethers may not be sterile which may lead to infection thus causing fever, vomiting and diarrhoea. Please consult your doctor or dentist.

Q: At what age should a child start using a tooth brush?

He should start using a toothbrush after the first teeth in front erupt. The teeth should be brushed by the parents/guardian until atleast 3 years of age and supervised brushing thereafter. The correct method of brushing is of utmost importance.

Q: What is a healthy tooth and decay tooth?

A healthy tooth is free from gum disease, tooth decay and has adequate bone structure. A tooth begins to decay when food gets stuck on teeth and the bacteria convert the sugary and starchy foodinto acid that erodes the enamel, dentine and finally the pulp is affected.

Q: Why is it important to keep the primary teeth and have them filled if cavities occur?

The milk teeth form a base that determines the quality and alignment of the permanent teeth. They help in chewing thus help keeping your child well nourished, as it is important to chew food. It contributes to facial development of bone and muscle. It also helps in speech development. Last but definitely not the least aesthetics that will help boost your child’s self esteem.

Q: How can tooth decay be prevented?

Q: What is fluoride therapy and pit and fissure sealant?

Fluoride makes the tooth resistant to acid attack hence topical professional application of fluoride in the form of varnish and gels is advised to reduce the chances of formation of caries. An extension of the same programme is application of sealants that seal the deep pits and fissures on grinding teeth (molars).

Q: If a child’s primary teeth are decayed or poorly formed, will his permanent teeth be faulty?

Not necessarily, but an infected tooth may affect the development of the permanent tooth. Early loss of tooth may cause the permanent tooth to erupt out of place or fail to erupt. Regular follow-up is necessary.

Q: What types of restorative options do you have?

Conservation with fillings, root canal therapy must be considered as a priority. However, if defective teeth cannot be treated and filled properly, it should be extracted and space conserved for future erupting teeth.

Q: Should a primary tooth that is lost too soon be replaced with a space maintainer?

Yes, otherwise, the vacant space tends to close up that can lead to irregularly placed teeth and malalignment. If a space maintainer is inserted, it will preserve the space for the permanent tooth and thus prevent/reduce the chances of future orthodontic treatment.

Q: What if your child’s tooth breaks accidentally due to fall of trauma?

Take the child to the dentist immediately. Control the bleeding with pressure. Do not throw away the fallen tooth or its piece. It may be attached back if the dentist sees it fit. Take the tooth as it is in a wet container preferably in saliva or saline. In such cases time is of prime importance, so reach the dentist as soon as possible. Your child may also need to wear wire for a couple of weeks. Each case is an individual one with varying treatment modalities. Help the dentist do the best for your child

Q: Is thumbsucking harmful?

In the first 2-3 years of life thumbsucking is not considered harmful. Persistence of the habit may lead to anterior positioning of teeth with openbite. In such cases, the habit can be discouraged by various methods and appliances as advised by the Paediatric dentist.

Q: What harm can irregular teeth do?

Irregular teeth may accumulate plaque that may lead to fum disease and even tooth decay. A Paediatric dentist can correct the irregularity by restorative, surgical or Paediatric interventional orthodontics.

Q: What is the proper age to correct irregular teeth?

Some need to be treated immediately such as cross bite while some are best treated at a later date. Regular check up helps determine the same.

Q: What is the relationship between nutrition and dental health?

Calcium and phosphorus are necessary during the years teeth are formed. A balanced diet throughout life is a great start. For the decay prone, topical professional application of gel containing amorphous calcium phosphate along with fluoride can be extremely beneficial.

Q: What is nursing caries?

This is rapidly spreading caries when many a times you think the teeth erupted already decayed. It is caused in babies who sleep with milk or sweetened water bottle. Cleaning the oral cavity of the child with a damp sterile cloth after feeds may prevent such decay.

Q: What do you do in case of nursing, milk bottle caries?

In case of such decay, kindly consult the Paediatric dentist as soon as possible. The decay spreads fast and your child may need extensive restorative, preventive and maintenance regime if ignored for long.