Today’s topic is how patients determine the quality of fix denture teeth by Dr Kamana Vijay Rai dentist at Rps dental clinic in Ranchi.

Extraction of natural teeth is the last option for any dental treatment. Next step is replacement of natural teeth with artificial dental prosthesis. Patients with fixed denture teeth find chewing an easier and cosmetically pleasant smile than those with missing teeth. Now the important point is how patients determine the quality of artificial teeth. First important point is that the patient can feel that the denture teeth should be symmetrical when compared to opposing natural teeth. Some patients complain of teeth big in size when compared to opposite side natural teeth. This happens when dentists do inadequate tooth preparation. Other common problem patients complain of artificial teeth shade not matching when compared to natural teeth. Reasons are multifactorial including low quality dental crown selected by patient due to economic condition and poor shade selection by dentist. Next common problem is after long term fix denture teeth in the mouth and include metallic discoloration of the artificial teeth. The reason may be using low quality metal in the pfm dental crown and dental bridge.

Proper quality of fixed denture teeth can enhance prognosis or success of dental treatment for dental crown and dental bridge. Prosthodontist, dental lab technician and of course patient all are interlinked when determining quality of fix denture teeth.

Today’s topic is pediatric orthodontist for missing maxillary lateral incisor by Dr Kamana Vijay Rai dentist at Rps dental clinic in Ranchi. Maxillary lateral incisor usually erupts at around 7 to 8 years of age. Some parents are more concerned and visit pediatric orthodontists when milk teeth exfoliate and there is delay in eruption of maxillary lateral incisor. We as a dentist take dental x-ray and match chronology of eruption of permanent teeth. Reasons for delay in eruption of permanent teeth are tooth already present in the path of eruption, insufficient space present for permanent teeth, dental infection, thick gum overlying permanent teeth, ectopic positioning and impacted teeth present in oral cavity. So, teleconsultation alone will not solve the problem. As a dentist we have to evaluate the case clinically and radiographically and of course matches the same with chronology of eruption of permanent teeth. Nowadays due to less breast feeding and more bottle feeding there is less exercise of the jaw during sucking. As a result, it leads to improper jaw development and improper tooth alignment including missing teeth, crowding of teeth and impacted teeth. Pediatric orthodontists have a great role to improve your kids' smile. At an early age it is very easy to remodel jaws and align teeth. As the age passes jaw bones develop and teeth become matured so take a longer time to correct dental malocclusions. Preventive dentistry is always better than interceptive treatment.

Today’s topic is dental implant cost and treatment in the dental office by Dr Kamana Vijay Rai dentist at Rps dental clinic in Ranchi. Cost of a single dental implant with dental prosthesis varies from 20000 to 50000 rupees in Ranchi. Charges vary from clinic to clinic, expertise of dentist, types of dental implant and much more. Dental implant is a product and replacing missing tooth with dental implant is regarded as dental implant treatment services. So, charges of dental implant treatment consist of the cost of the dental implant along with the dentist who places it in the missing tooth region. Apart from this other procedure charges may be included like bone graft, sinus lift procedure, nerve repositioning procedure etc if and when required. Compared to conventional fixed partial dentures, dental implants are regarded as costly treatment is false and truth about it is that dental implants are always economical to conventional fpd. Reason behind no cutting of adjacent natural teeth, high success rate and it replaces both crown and root structure. Dental implant treatment should always be done in a dental office entirely dedicated to it. Reason behind high sterilization required, equipment used for it and of course specialist dentists like maxillofacial surgeon, prosthodontist and periodontist must be there for performing such dental treatment. Dental implant is regarded as minor dental surgery even less traumatic than dental extraction. Best for missing teeth patients.

Today’s topic is emergency dental services by Dr Kamana Vijay Rai dentist at Rps dental clinic in Ranchi. Dental emergency services should always be the top priority of every dentist. Road traffic accidents or RTA in short is a common problem leading to dental visits. In my dental practice more than 50% of patients not wearing helmets leads to casualties in the maxillofacial region. Most of the mandibular fracture can be entirely treated by a maxillofacial surgeon in the dental office. Maxillary fracture or trauma to cranium require different specialist doctors including dental surgeon and most probably operated in an operation theatre in a dental hospital or general hospital. Next dental emergency is infection in the maxillofacial region. Most common causes of infection in the maxillofacial region are dental cavity and poor oral hygiene. Usually, infection at the initial stage can be easily treated by a dental doctor. Problems arise when dental patients underestimate infection in the maxillofacial region including oral cavity. Antibioma is a medical term used for patients who take inadequate doses of antibiotics for a longer period of time. Life threatening situation arises in patients who avoid dental treatment caused by infection in the maxillofacial region. As a dentist we always must be ready for patients in need of emergency dental services. We are already equipped for such dental treatment as our dental office is located inside the hospital and opened for 24 hours.

Today’s topic is teeth cleaning for gutka and tobacco chewers by Dr Kamana Vijay Rai dentist at Rps dental clinic in Ranchi. Though many of us know gutka and tobacco chewing habits are bad, still a lot of people are prone to such habits. We as a dentist in Ranchi strongly condemn such bad habits prevalent in society. Teeth got stains both external and internal on long term use of gutka and tobacco. Internal stains are difficult to remove and teeth whitening or bleaching agents are used. External stains are present on the surface of the teeth. Some people brush aggressively and for longer duration in order to remove such stains. But they forget that a toothbrush only removes food particles entrapped between teeth. They don’t whiten teeth or remove internal and external stains. Also, the actual role of toothpaste is to act as a lubricating agent during brushing so that teeth do not wear off easily. Most people think that toothpaste has an actual role during brushing. Ultrasonic teeth cleaning along with dental polishing is the actual line of dental treatment for gutka and tobacco chewers who want their teeth to be cleaned. Ultrasonic scaler cracks surface stains by vibration and water flushes these stains. Also, water is used during scaling to reduce heat generated during professional cleaning of teeth. Basically, there are brown and black stains present on teeth. Brown stains are somewhat intrinsic and black stains are extrinsic in nature. Stay healthy and quit gutkha habits.

Today’s topic is best denture treatment for missing teeth by Dr Kamana Vijay Rai at Rps dental clinic in Ranchi. Dentures are artificial substitutes for missing natural teeth which can be fixed or removable in nature. Fixed denture is usually indicated by our dentist for dental patients with healthy natural teeth adjacent to missing natural teeth. Removable denture is inserted in those patients where prognosis of natural teeth adjacent to missing teeth is questionable. Dental implants also can be used for support for denture. Specialist doctor for denture treatment is a prosthodontist. Dental patients usually think that fixing teeth or dentures is better than removable dentures. This myth about denture is partially correct as fixed and removable dentures advised by our dentist depend on the clinical and radiographic condition of the remaining teeth present. Here a patient came to our dental clinic with missing lower anterior teeth. Chief complaints mentioned for replacement of natural teeth include difficulty in speaking due to missing teeth, unpleasant look and inability to tear food from anterior teeth. So, we advised removable partial dentures as teeth adjacent to missing teeth are mobile. The major advantage of removable partial denture over fpd includes that it replaces missing teeth and gums better than fixed partial denture. Though patients get psychological benefit of having fixed teeth over removable partial denture still we dentists often fabricate rpd as indicated.

Today’s topic is cosmetic dental treatment for dental fluorosis by Dr Kamana Vijay Rai. Excessive fluoride content in the human body is called fluorosis. There are two types: skeletal and dental. So being a dentist we treat dental fluorosis to improve patient smile. Teeth appear yellow in colour in dental fluorosis. Patients usually feel uncomfortable as discoloration of teeth can be easily visible during speaking and smiling. So cosmetic dental treatment becomes a necessity to restore a smile. Dentists in our dental clinic perform a number of procedures as cosmetic dental treatment for dental fluorosis. Teeth whitening is the gold standard treatment for discoloration caused by dental fluorosis. Other treatment modality is composite veneering, dental ceramic veneering. But before initiation of any treatment oral prophylaxis or ultrasonic scaling of teeth followed by dental polishing is required. Elaborating teeth whitening procedure includes words like teeth bleaching or dental bleaching. This procedure reduces the yellow appearance of teeth and indirectly whitens our natural teeth. Once done, teeth whitening dental treatment lasts for a few years if all the precautions were taken sincerely. Contraindication of dental bleaching includes hypersensitive teeth, patient preferring for permanent dental treatment. Usually, two or three appointments are required for a teeth whitening treatment plan but the first appointment only will show 60 percent results as shown by the dentist

Today’s topic is a smile design by a cosmetic dentist using removable partial denture by Dr Kamana Vijay Rai at Rps dental clinic in Ranchi. A Pleasant smile is for every dental patient. Cosmetic dentists are well trained for smile designing. Different dental specialists involved for smile design include periodontist, oral and maxillofacial surgeon, orthodontist, endodontist, and prosthodontist. So, this dental treatment actually requires teamwork. Periodontists usually let your gums look better by procedures like depigmentation of gingiva, flap surgery of gums etc. Orthognathic surgery is usually performed by oral and maxillofacial surgeons. Orthodontists help in correction of crooked teeth. Endodontists perform intentional root canal treatment or rct. Finally, prosthodontists help in fixing missing teeth with artificial teeth called conventional fixed partial denture, removable partial denture, dental implant retained denture and maxillofacial prosthesis. Here presenting dental patients having missing teeth in the upper anterior region of mouth. Patient was not happy with her dental smile. So, our dentist examines her teeth clinically and radiographically. On examination her maxillary lateral incisors are having mobility. So, we planned a removable partial denture or rpd. Patient dental smile is improved which enhances her self-confidence. Rpd is always a better option than fixed partial denture when it comes to cosmetics. Reasons include rpd replaces both gums and teeth.

Today’s topic is fixed denture teeth a good option for cosmetic dental treatment? by Dr Kamana Vijay Rai.

Yes, fixed denture teeth are a good treatment option for cosmetic dental treatment. Cosmetically pleasant smile is important for everyone whether young or old age people. Fix denture teeth also known as fixed partial denture is one of the options for improving smile. Other options are partial coverage dental crowns like dental veneers, composite veneering, dental bleaching etc. But the best treatment option as recommended by our dentist is fixed denture teeth. Procedure involved in broader terms refer to smile design. Generally, we take several photographs of the patient and diagnostic casts are of particular importance. Then we evaluate the smile of the patient as recommended by our smile design software. Next, we make a wax pattern on the diagnostic cast. Then comes the second sitting where we actually perform dental treatment after taking consent from the patient. Tooth preparation is a very important step when we perform fixed teeth treatment. Usually, we reduce the tooth crown structure by 2mm. Then we made a dental impression either manually or with a dental intraoral scanner. After that the dental technician makes dental prosthesis. Our dentist does a trial in the patient's mouth and if accepted by the patient we fix the dental crown or dental bridge in the patient's mouth. Here in this case, it is shown that we have improved the patient's look so that she smile.

Today’s topic is a cosmetic dental treatment plan for tobacco and gutka chewing stains by Dr Kamana Vijay Rai.

In spite of so many efforts by our government some people still develop tobacco and gutka chewing habits. Discoloration of teeth in the form of teeth stains can be easily seen. So, to have cosmetically better smile teeth stains in any form have to be removed. Dental stains are of two types and include external and internal stains. Internal stains are difficult to remove and can be done by teeth whitening or dental bleaching procedure. External stains are superficial and can be removed by ultrasonic scaler. This is a professional teeth cleaning method. Single appointment may be sufficient but in some cases two appointments may be required. This treatment can be done by both a general dentist and periodontist. Periodontists are specialized dental doctors for this type of treatment modality.

Cosmetically we can remove gutka and tobacco stains. I have seen cases where a dental patient swears of not eating tobacco after ultrasonic teeth cleaning. Apart from stains in the teeth there are other side effects of eating gutka. To mention a few are limited mouth opening, social stigma during smiling, and last but not the least chances of developing oral cancer or squamous cell carcinoma. Early signs of oral cancer are white patches seen on the buccal mucosa. Our best dentist in Ranchi is strongly against patients developing any form of tobacco chewing habit.

Today’s topic is Dental Filling in kids by dentist or daant ka doctor in Bariatu and Morabadi region of Ranchi by Dr Kamana Vijay Rai.

Kids dental doctors are specialized doctors for treatment in deciduous or milk teeth and also newly erupted permanent teeth. Dental cavity or tooth decay is very common in kids. Reasons may be multifactorial including eating junk food like chips, sticky chocolates and maintaining poor oral hygiene. Early signs of dental cavity include brown or black discoloration of teeth. Food lodgement between teeth is also common. Dental filling is a very common dental treatment in kids done by kids daant ka doctor or pedodontist. Different types of dental filling material is used in kids but the most common is glass ionomer cement or gic. Reason behind its use is anticavity property. Some suggest use of fluoride application as well to prevent tooth decay.

Kids dental filling can be done in a single sitting where tooth decay doesn’t involve pulp. If the patient complains of pain and involvement of pulp in radiographic evaluation then we proceed for pulpectomy in milk teeth. Real challenges in kids dental filling include behaviour management. They usually panic when they see a dental clinic setup. Parents should prepare their kids mentally before initiation of dental treatment. Also, they should understand that a kid may cry during dental treatment. So, they should be prepared for such a situation. Our pedodontics are well trained for dental filling in kids.

Today’s topic is infection in the maxillofacial region leading to a visit to a dental hospital in Ranchi by Dr Kamana Vijay Rai. A 20-year female patient came to us. Her chief complaint is pus drainage in the lower right submandibular region. The problem persists for the past 3 to years. She previously visited a dental clinic by searching for a dentist near me online. She had previously visited a skin specialist for the same problem. So, they referred her to our dental center.
Our doctors examined the maxillofacial region and pus drainage is clinically noticed in the lower right submandibular region. Patients have low hemoglobin. Also, ESR is high. She has been taking antibiotics for the past 2 to 3 years to escape from dental treatment like root canal treatment rct or extraction by dental or maxillofacial doctor. Slowly the problem becomes so prominent that she cannot resist visiting us. We advised the patient to undergo a routine blood test and dental x-ray. Root stump is present in lower left first molar teeth.
After getting dental and medical history, examining clinically and radiographically we plan our dental treatment. The treatment as proposed by our dental surgeon and endodontist along with prosthodontist is extraction of lower right first molar and irrigation and drainage of pus which led to tract formation from submandibular region to oral cavity. After completing the surgical step patients have to get antibiotic coverage. Later on, patients can get dental implants or dentures.

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Today's Topic is Lower complete denture by Dr Kamana Vijay Rai ,They can be made of a variety of materials and contain any number of teeth in either jaw that are missing. However, a complete (full) denture would be required once all teeth in either the mandibular (lower) or maxillary (upper) jaws have been lost. This article is about a complete lower denture that is worn in the mandibular arch (lower jaw). A complete denture may be a good option if a person loses all of their teeth in one or both jaws. . A face tends to collapse inward when teeth are lost and bone mass decreases, as does the natural appearance they support. Therefore, in addition to the above-mentioned practical application, a denture also offers a cost-effective solution to this less-than-ideal social stressor. The procedure begins approximately eight to twelve weeks after any non-vital (dead) or decayed teeth have been extracted. A mold is made as a base for subsequent molds after the gums have healed in order to precisely define and capture a person's bite. The upper arch as a whole and the mandibular (lower) arch will be measured precisely. .Image shows Lower complete denture work done in RPS Dental Clinic,