Dr. Girish P.V B.D.S, M.D.S (Orthodontics & Dentofacial Orthopedics) Assistant. Professor, NSVK Dental College, Certified clear aligner specialist- Germany
Invisible (lingual) braces Ceramic bracesClear aligners(Invisalign)Metal bracesMini bracesRemovable braces
FUnhealthy gum tissue is one of the most important issues affecting individuals hoping to improve their oral health before undergoing any kind of cosmetic dentistry. Without strong gums to support the teeth, patients may find they do not qualify to receive a wide variety of cosmetic treatments.
In addition, maintaining strong teeth and gums is important in the prevention of wider health issues such as diabetes, stroke and heart disease.
Smile Architect Dental Clinic offers a wide variety of cosmetic and corrective gum treatments to improve the health and appearance of gums.
If gum disease is left untreated, you could lose your teeth as a result of a degradation of bone and soft tissue support. Deep cleaning treatments are provided by our dentists, during which bacteria is removed from the root surface.
Patients can also receive advice on how to improve their daily cleaning routines to ensure regular brushing and flossing becomes more effective in removing bacteria and potentially harmful plaque from teeth.
In addition, we can give advice about the issue of halitosis, which can cause high levels of embarrassment for sufferers. Establishing the cause and an appropriate dental cleaning programme is vital for individuals to enjoy the benefits of fresh breath.
Chewing sugar-free gum can also help to mask the effects of halitosis by increasing saliva flow and inhibiting the build-up of harmful substances and cleans teeth following a meal.
Some patients suffer from excessive gum tissue showing, especially in their smile zone which makes their teeth look shorter and less attractive.
Patients who suffer from an uneven gum line resulting in some teeth looking longer than others and so creating an unattractive smile, look for an easy and painless way of correcting their gummy smile.
A gummy smile can be painlessly & easily corrected with a soft tissue laser and with laser gum contouring the teeth can be made to look longer once again and the smile can be improved quickly and dramatically.
Below you can see an Image of our Kavo Soft tissue laser that we use for gum contouring:
To correct the gummy smile, we carry out soft tissue Laser Sculpting of the gum tissues and where necessary the underlying bone can be removed to create a healthier and more attractive looking gum contours. If underlying bone tissue is removed, the procedure is called crown lengthening.
As a result of Laser sculpting, gummy smile sufferers see more of their teeth when they smile and less of their gums will be visible. We can also further improve the appearance of the teeth by using veneers or crowns.
Our dentists have the skills and experience in performing soft tissue Laser sculpting and crown lengthening. We are one of a few practices in Bangalore to perform the Laser gum surgery and our Periodontist (Gum Specialist) is specialized in Kavo diode laser surgery
Crown lengthening, is a common gum surgery in which gum tissue and bone is removed from around a tooth to expose more of a particular tooth. This is often carried out when a tooth needs a crown and there is not enough tooth tissue left above the gum to support the crown.
Before any crown lengthening treatment is conducted, patients will be asked to attend an initial consultation with one of our experienced dentists to review their medical history and teeth both clinically and with X-rays. Following this, the second appointment will see the patient undergo the procedure while under local anaesthetic. Intra-venous sedation is also available for any patients who wish to be sedated before having gum surgery.
The gum specialist (Periodontist) will raise the gum to pull the soft tissue away from the tooth to expose the root and surrounding bone. She will then remove some bone around the root and this will then provide adequate room to install a crown.
Prospective patients suffering from gummy smile looking for an alternative procedure to improve the appearance of their smile by displaying more tooth tissue could benefit from laser gum reshaping treatment.
During this procedure, patients will be placed under local anaesthesia while the dentist trimming small amounts of excess gum tissue and reshaping the gums with a soft tissue laser gently. Soft tissue Lasers are designed to carry out the procedure bloodlessly and with minimal post-operative bleeding and swelling.
The soft tissue laser used to carry out this procedure allow patients to heal quickly with little discomfort caused, helping them enjoy a dazzling Hollywood smile in a short period of time.
1. Home bleach
2. In office bleach (Ultradent Boost)
3. Laser tooth whitening
Patients with stained or discoloured teeth who are hoping to improve the appearance of their smiles could benefit from a wide range of teeth whitening procedures available from Smile Architect Dental Clinic.
Using teeth whitening techniques, members of the public could see a complete smile transformation and enjoy the benefits and confidence they receive when they are happy to flash their smile in public.
The increasing number of celebrities using teeth whitening techniques to brighten their pearly whites has signalled a surge in the popularity of the procedure. Increased exposure to gossip magazines and reality makeover programmes has played a part in making the treatment hugely popular amongst patients.
Standard teeth whitening procedures are able to reverse the effects of everyday wear and tear caused by the consumption of coloured food and drink, including red wine, tea and coffee, as well as stains caused by the effects of smoking.
In addition, tooth decay, fillings and tartar build-up can contribute to tooth discolouration, along with general ageing of the teeth in later life. If patients suffer from tooth decay and gum problems, they are advised to have their teeth treated first before having any teeth whitening treatment.
The majority of patients respond very well to teeth whitening and are able to enjoy optimum whitening results that last for a long period of time. Although teeth may feel slightly sensitive, after the initial treatment the feeling of discomfort is likely to subside quickly.
During the procedure, your Smile Architect dentist will use Hydrogen peroxide or Carbamide peroxide to give the smile that Bollywood glow.
When a tooth is missing there are usually a number of solutions available.
1. You could have a false tooth made and fitted to a plate.
2. Alternatively a Bridge can be fitted to an adjacent tooth.
3. Or you could have a Dental Implant which doesn't affect the adjacent teeth.
In our practice, we have selected the most modern, top of the range dental Implants from Lifecare(Israel), Nobel Biocare (swiss) and MIS implants. These implant systems are all world class dental implant companies which have been established for many years.
There are many alternative cheaper type of implants available in the market but as we do not have the much needed scientific and clinical support to back their performance, at Smile Architect Dental Clinic we do not think is justifiable to provide them to our patients no matter what the financial benefits can be to both to the patients and the dentists.
Also by using dental implants from one of the major implant companies, we ensure that in years to come if the patient's implant needs a new screw or an abutment, the company is likely to be still in business to supply the parts needed for maintenance.
Missing or failing teeth can break down your confidence leaving you feeling uncomfortable with smiling and anxious. Dental implants have long been the permanent solution to teeth lost to accident, disease, or decay, and at Smile Architect Dental Clinic we are the leaders in the placement of crowns and bridges immediately after implant surgery using techniques like the All on 4. We can give you a beautiful, natural-looking smile in just one day.
For patients who have lost most or all of their teeth, the All on 4 technique developed by the world leader in Implantology Nobel Biocare can provide teeth that look and feel real in just one day.
That's just one of the many reasons that people choose us to rebuild their smiles, but there are so many important benefits that come with permanent replacement teeth.
First and foremost, you can eat like normal again. Dentures so often slip and make eating difficult. Even when low bone mass has presented problems in the past, we can help. All-on-4 can often help patients with bone mass issues without the need for costly bone grafting that can be painful and take months to heal. All in all, most patients can come in during the morning and leave with brand new teeth in the afternoon.
• First we assess your teeth to check all-on-4 suitability. We would be looking for cases where most/all of the teeth in any jaw have been lost or will soon be lost due to decay, gum disease or cases where there is a lot of bone loss.
• We will arrange for a CT scan to assess your bone quality and quantity.
• We would then remove the hopeless teeth and place a minimum of four implants in your jaw during a morning session.
• That same day we will construct a full arch fixed acrylic bridge which we will attach to your implants in the afternoon session.
All that remains is for you to enjoy your new natural smile.
Dental Implants require sufficient bone of good quality and quantity in order for the dental implants to have stability once the implants are placed in the bone.
Generally speaking the human lower jaw has tougher and more dense bone compared to the upper jaw which usually has more softer bone.
Once a tooth is removed, the bone in the tooth socket starts to remodel and resorb and after several months, there can be a lot of bone loss in the tooth socket caused by the loss of that tooth.
The ideal time for implant placement is around 6-8 weeks after tooth extraction at which time soft tissue healing has occured but a lot of bone loss has not yet occured. Waiting 6-8 weeks also allows any infection remaining in the tooth socket to be cleared up.
At Smile Architect dental clinic, we usually place our implants 6-8 weeks after extractions. At that time we inspect the bone quality and quantity and there can usually be three scenarios:
• One possibility is that there is insufficient bone present for implant placement and we will have to do bone augmentation to build-up the bone in that region. For bone augmentation we will use either donated human cadaver bone OR Bio-Oss (bovine derived) bone granules OR patients own bone.
Bone augmentation can fail (25% failure rate) and the bone graft can become infected or become loose and lead to graft failure, in which case it will need to be redone or a different treatment tried.
Once bone grafting is carried out we will have to wait around 6 months for the patients own bone to grow into it before we can place the implant.
• The second possibility is that the bone is slightly insufficient, in which case we can place the implant and do bone grafting at the same time.
We usually use Bio-Oss (bovine derived bone) along with placing the titanium implant.
• The third possibility is that there is sufficient bone present and we can place the implant without doing any bone grafting.
Bone grafting is an important part of dental implantology and you can find our more about it on our bone grafting page.
For a better functional and cosmetic dental implant outcome, where needed we always carry out bone grafting. We can use the patient's own bone, irradiated cadaver bone, synthetic bone or bovine derived bone. If bone grafting is not carried out in cases where it is necessary, it can lead to serious problems for the patient.
Overdentures are dentures that are supported by and attached to dental implants or root filled tooth roots, which are utilised to increase the retention and support for the overdenture.
If you wish to have an implant supported overdenture, your Pearl Dental Clinic dentist will need to ensure there is enough bone left to install the implants, which are most commonly provided in areas where traditional fixtures are less stable.
Overdentures are great for patients who wish to have the benefits of dental implants but don't necessarily wish to go through bone grafting and gum grafting surgeries that is usually required for multiple single implants or do not wish to incur the time and costs involved with having multiple dental implants.
In the case of tooth root supported overdentures, the advantage of not removing the remaining roots from the mouth is that they allow proprioception to remain and the jaw bone to remain around the roots and not to shrink away as is the case with complete dentures. The jaw bone can then be used in future for the installation of dental implants should that be required.
Alternatively to traditional fixtures, overdentures provide a large degree of stability because they are attached to and supported by the installation of dental implants in the jawbone. So overdentures have far better retention compared to complete dentures.
This means that individuals who have previously worried about their dentures falling out or becoming loose could experience an improved quality of life as a result.
Patients will not experience problems with speech and be able to eat comfortably knowing their overdentures are securely fitted following the procedure and they will not have to worry about using messy denture adhesives.
Full mouth reconstruction improves the appearance of the teeth and has a number of less obvious benefits. Full mouth reconstruction is one of the most comprehensive forms of dental treatment that is currently available.
Also known as full mouth rehabilitation or restoration, the process combines all dental specialities to individually reconstruct every damaged tooth in the mouth. This helps to correct a variety of complaints, such as improper bite position and chipped, worn down or broken teeth.
Typically, the treatment involves the application of white fillings, dental bridges, Dental Implants, crowns and veneers to multiple damaged teeth in the mouth. While it requires a huge amount of effort on the part of a team of skilled dental professionals, it is widely considered to be preferable to offering patients removable dental restorations such as dentures.
For instance, studies have shown that people with removable denture solutions are only able to chew at between 10 and 20 per cent of their potential – a problem that would not arise if they opted for a full mouth reconstruction with fixed restorations.
Upper dentures can also cause wearers to lose their appetite, as the layer of acrylic covers the roof of the mouth, taking away any sense of taste from the palate and can become a harbour for oral fungal infections.
Anyone considering a full mouth reconstruction should first consult with one of our experienced dentists at Smile Architect dental clinic, who will perform a comprehensive examination to see if the treatment is the best course of action.
In particular, the dentist will look at whether or not the teeth show any signs of decay or cavities as well as root canal problems and potential movement.
Periodontal issues – complaints related to the gums – will also be taken into consideration, as people who suffer from these problems are likely to need root planing and scaling and full mouth debridement before full mouth reconstruction is started.
For more intensive treatments a gum specialist opinion may be required in some circumstances, in order to ensure that the newly-reconstructed teeth have a firm foundation and do not move around. Among the possible courses of action that could be taken to prevent this from occurring is the process of grafting soft tissue or bone grafting to build up the jaw bone and gums for dental implants.
Your Smile Architect dental clinic dentist will also consider aesthetics – namely the colour, shape, size and proportion of the teeth – and whether or not you have a stable bite when deciding if we should proceed with full mouth reconstruction.
During this thorough examination process, detailed records of the mouth – including X-rays, photographs, study models and impressions of the upper and lower teeth – will be taken to ensure that nothing important is missed.
When all the relevant information has been gathered, we will draw up a written treatment plan detailing how we intend to go about correcting all of the mouth-related complaints that you have.
If at any stage you feel that you do not fully understand the procedure, it is important to ask us for more explanations and further description of the work we plan to carry out. We will also provide you with a written consent form that will detail your treatment at length. Not only will this make the treatment – including the associated risks and benefits – easier to comprehend, but it could also prove useful if you decide you would like a second opinion.
The decision on which procedures are required during each full mouth reconstruction ultimately lies with the dentist and any specialists working with them on the case, although other processes may be available.
Among the potential treatments that can be used for full mouth rehabilitation are crown lengthening of the crowns of the teeth to expose a healthy and sound tooth structure, contouring of the gum tissue to bring more balance to a smile and the fitting of invisible braces to ensure the teeth are in the best possible position for restructuring.
Regardless of the course of action that your Smile Architect dental clinic dentist decides to take, you should bear in mind that any full mouth reconstruction treatment is likely to be a lengthy project involving multiple phases and trips to the practice.
Despite this, anyone who feels the procedure may be beneficial to them should not be put off by the possibility of 3 months or more of treatment, as the advantages will be obvious for all to see come the end of the process.
Once full mouth rehabilitation treatment is complete, those who have opted for reconstruction will typically find the appearance of their teeth is far better, while their functionality and overall comfort should also have greatly improved.
Furthermore, the work could have a number of less obvious health benefits. For instance, the ability to chew more effectively means that food can be more easily digested as it travels through the body, helping you to make the most of your meals' nutritional elements.
In this way, a healthy mouth can help to enhance the body, allowing patients who have undergone full mouth reconstruction work to gain a new, positive outlook on life.
At Smile Architect Dental Clinic we use clear aligners to treat a variety of orthodontic concerns including teeth which are crooked, crowded or with gaps – but because it is clear, removable and comfortable, it won't interfere with your life.
Because Invisalign/clear aligners is nearly invisible, almost no-one can tell you are wearing Invisalign, so you can smile more during as well as after your treatment. You can remove clear aligners so you can eat and drink what you like, and studies have shown that it can be better for your dental hygiene during treatment as well! With no metal or sharp edges, clear aligners is comfortable to wear and does not cause allergies.
• Invisalign/ clear aligners treatment starts with a dental examination by our experienced Invisalign dentist. He will examine your teeth and develop a computer model of your treatment. Together you can review and agree on your Invisalign treatment plan Invisalign will then make a series of custom made aligners that will only fit you. Each aligner is slightly different, moving your teeth gradually into the desired position. You wear each aligner for two weeks, before moving on to the next in the series.
• We will see you for a progress review every four to six weeks and you will then receive your new aligners. Each Aligner will move your teeth little by little, week by week, until they reach the desired position.
• Treatment length will vary depending on your case, but the average Invisalign/ clear aligners treatment is nine to fifteen months and the average number of aligners worn during treatment is between 18 and 30 aligners. Finally all that remains is for you to show off your beautiful new smile!
• Predictable treatment, as Invisalign/clear aligners is planned in advance, we can more accurately predict when your treatment will be finished.
• Cosmetically superior to normal braces due to near invisibility of Invisalign braces. So, no more embarrassing metal wires.
• No metal allergies due to brackets and wires.
• Greater treatment visibility and easier planning with our treatment software.
• Custom manufacture means a tailored match to your teeth, for reduced irritation and fewer scratches.
• Invisalign is Removable, so you can eat and drink what you want while in treatment.
• Brushing and Flossing your teeth are not a problem.
At Smile Architect dental clinic, we are dedicated to helping you to achieve the perfect smile for your wedding day. Our range of cosmetic dentistry and facial rejuvenation treatments have been designed to ensure that you walk down the aisle on your big day, looking and feeling your absolute best.
• Teeth whitening / Laser tooth whitening
• Laminates / Porcelain veneers for the perfect wedding smile makeover.
• Gum surgery/ crown lengthening treatments.
• Clear aligners/Lingual invisible braces.
• Changing silver fillings to White fillings
Whether you're the bride, groom, mother of the bride or bridesmaid, why not take some time out to visit our clinic in Bangalore. Our experienced cosmetic dentists will discuss your various treatment options with you and provide you with a beautiful wedding smile.
A variety of tooth jewellery in different colors and shapes can be attached to your teeth for that glowing smile!!
Have a stunning makeover with a tooth jewel!!
Lingual braces are fixed onto the inner sides of the teeth. These braces have been used for many years. Their popularity is now growing as more adults are seeking orthodontic treatment. They are not seen at all so the patients who are conscious about wearing braces can get their teeth repositioned to get an aesthetic smile.
The latest lingual brackets are highly refined and low profile. Therefore, they are more comfortable for the patients. We use the Multi-Purpose Attachments for many of our patients wherever possible. These are the thinnest possible brackets available and therefore are most comfortable for our patients. All kinds of irregularities of the teeth can be treated with lingual braces. The patients are uncomfortable for a few weeks due to confined tongue space and speech problems but get adjusted later. Time required for every appointment is more. The treatment time is the same as that with the regular braces. It depends on the severity of the irregularity.
Different materials are used to manufacture tooth coloured brackets. Ceramic brackets are the most popular. Ceramic brackets with metal inserts are more advantageous to use because the teeth get corrected faster with these. Ceramic brackets are strong, not very visible, inert and stable in the oral conditions.
Invisalign / ClearPath/ Clear Aligner are appliances used for straightening teeth without the conventional fixed braces. A series of custom made trays are prepared according to the corrections required for a patient. These trays bring about changes in the positions of teeth sequentially. The patient is supposed to wear the trays as instructed and check ups are done every 6-8 weeks by the orthodontist or dentist to monitor the progress. They are not visible so adult patients not wanting to wear braces can get their teeth corrected.
They are removable so the patients do not have restrictions on food as those with the fixed appliances. As they are removable, the forces do not act on the teeth all the time. Patient cooperation is very important.
Only mild to moderate malocclusions can be treated efficiently and effectively as the control needed over teeth for complex movements is less with Invisalign/ ClearPath/ Clear Aligner as compared to that exerted by fixed braces. Patients may experience speech problems for a few days.
In many cases, it may not be possible to achieve the best possible aesthetic smile; functional and stable results without repositioning teeth with orthodontic appliances. These patients have the option of choosing appliances which are not very visible or not visible at all. Due to recent advances in orthodontics, the time taken for orthodontic corrections has reduced. In most cases aesthetic improvements can be achieved in a few weeks to a few months. Invisalign is not available in India as of now.
Laser dentistry
