Doctor in Kansal Dental Clinic & Orthodontic Centre
Root Canal Treatment
Teeth Cleaning Procedure
Teeth Whitening Procedure
Chronic Skin Allergy Treatment
Tooth Extraction Procedure
Dental Extractions Procedure
Skin Rash Treatment
Gap Closing (Dental) Treatment
Artificial Teeth Treatment
Treatment of Root Canal Treatment (RCT)
Wisdom Tooth Removal Procedure
Teeth Scaling & Polishing
Braces Treatment for Adults and Teens
Teeth Cleaning (Scaling) Procedure
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Patient Review Highlights
Very intelligent doctor, humble and kind hearted
I found the answers provided by the Dr. Puneet Kansal to be very helpful. Mai aaj hi dentidt ko dikhaungi
I found the answers provided by the Dr. Puneet Kansal to be very helpful. Doc how to do tooth whitening.
Dr. Puneet Kansal provides answers that are well-reasoned, knowledgeable and caring. Thanks doc.
ivisited many drs for my gums problem but i got relief only with dr puneets treatment
I found the answers provided by the Dr. Puneet Kansal to be very helpful. Thx
Very very good
What is a Dental Deep Cleaning And Why You Need it?
Teeth cleaning is part of oral hygiene and involves the removal of dental plaque from teeth with the intention of preventing cavities (dental caries), gingivitis, and periodontal disease. People routinely clean their own teeth by brushing and interdental cleaning, and dental hygienists can remove hardened deposits (tartar) not removed by routine cleaning. Those with dentures and natural teeth may supplement their cleaning with a denture cleaner.
Periodontitis infects close to half of all adults over the age of 30. Severe cases of Periodontitis are more prevalent in individuals who are 65 and older. Gum redness, swelling, bleeding, and soreness are all symptoms of the disease. Millions of people battle mouth pain and fear of tooth loss every day. Are you one of them?
DENTAL DEEP CLEANING DETAILS
When your teeth and gums suffer from bacterial build-up, it can be harmful to your health. Tartar, bacteria and food particles collect under the gum line. After which, the human body goes into protection mode. As foreign entities build underneath gum tissue, inflammation occurs. It is the bodyâs immune response to battle off bacterial infection.
Bacteria need to be removed completely to keep your smile gleaming. This requires scaling and root-planing (also known as deep cleaning.) Teeth cleaning and deep cleaning are two very diverse processes. Teeth cleaning addresses tooth and gum surface issues, but deep cleaning gets to the ârootâ of the problem. It removes bacteria from underneath the gum line. Your dental professional planes the roots of your teeth to inhibit future bacteria build-up.
ASKING THE RIGHT QUESTIONS
Understanding all the ins and outs that come with deep cleaning could prove more challenging. If you want an experienced dental team that can be a valid resource for you, research what facility suits your individual needs. When workable, affordable procedure pricing and experienced staff go hand-in-hand, it is a winning situation. Here are some questions and answers regarding deep cleaning that can help you determine your next step towards achieving a healthier smile:
Q. How much is deep cleaning at the dentist?
A. Average costs of deep cleaning may vary in comparison with other regions. Deep cleaning can cost anywhere from 1200 to upwards of 1700.
Q. How long does it take to get a deep cleaning at the dentist?
A. Every mouth is unique. On average, in two visits lasting 45 to 60 minutes each, deep cleaning of the mouth can be completed. Sometimes the dental professional will finish the job in 4 visits at the patientâs request.
Q. What can you eat after a deep cleaning?
A. Soft pasta, soups, cheese, mashed potatoes are acceptable. Spicy foods, highly acidic or extremely hard morsels should be avoided.
Q. How long does it take to recover from a deep cleaning?
A. Recovery time is short. Most people notice a decrease in bleeding, redness or swelling within the seven-day mark.
Professional teeth cleaning
Dental hygienist polishing a personâs teeth
Teeth cleaning (also known as prophylaxis, literally a preventive treatment of a disease) is a procedure for the removal of tartar (mineralized plaque) that may develop even with careful brushing and flossing, especially in areas that are difficult to reach in routine toothbrushing. It is often done by a dental hygienist. Professional cleaning includes tooth scaling and tooth polishing and debridement if too much tartar has accumulated. This involves the use of various instruments or devices to loosen and remove deposits from the teeth.
As to the frequency of cleaning, research on this matter is inconclusive. That is, it has neither been shown that more frequent cleaning leads to better outcomes nor that it does not. A review of the research literature on the question concluded â[t]he research evidence is not of sufficient quality to reach any conclusions regarding the beneficial and adverse effects of routine scaling and polishing for periodontal health and regarding the effects of providing this intervention at different time intervalsâ. Thus, any general recommendation for a frequency of routine cleaning (e.g. every six months, every year) has no empirical basis. Moreover, as economists have pointed out, private dentists (or other dental professionals) have an economic incentive to recommend frequent cleaning, because it increases their revenues.
Most dental hygienists recommend having the teeth professionally cleaned every six months. More frequent cleaning and examination may be necessary during treatment of dental and other oral disorders. Routine examination of the teeth is recommended at least every year. This may include yearly, select dental X-rays. See also dental plaque identification procedure and removal.
Good oral hygiene helps to prevent cavities, tartar build-up, and gum.
Modern oral implantology can be traced since the 1960s, and it is now a predictable and successful treatment modality for edentulous (toothless) situations. A dental implant is a prosthetic tool that is fixed into the jaw to provide support to a crown, fixed denture, or removable denture.
A dental implant is a titanium pillar which helps to provide support when embedded into the jaw bone. Such titanium pillars are compatible with the human body and thus, are incredibly safe for usage. The implants then blend in with the bones and tissues and create a stable foundation for teeth restoration. By indulging into a process called abutment where the repair is attached with the help if a connector, a natural look is then obtained for the implants.
Dental implant procedure
Problems solved by dental implants
Used in for any tooth replacement; particularly useful for the:
Single tooth replacement
Completely toothless state
Long toothless spans.
When a fixed partial denture is compromised due to:
Long toothless spans
Unfavorable number & location of abutments.
When a conventional complete denture may be compromised due to:
Poor muscular coordination.
Low tolerance of mucosal tissues
Hyperactive gag reflex
Procedure for dental implants
The surgical site is thoroughly cleaned and painted with 1% povidone-iodine solution to bring down the bacterial colony count in the mouth.
Incision: standard trapezoidal incision or branemark system buccal incision is made midway between the crest and depth of the vestibule, and then the flap is reflected lingually.
Drilling into bone: the manufacturer gives a guide to the sequence of drills (sizes) to be used to make proper sized drill hole for a particular implant.
Drilling: â the first drill invariably is the round one, to puncture the cortex at the crest. After that, the drills are used in ascending order of thickness.
Drilling speed: bone must be drilled at a speed less than 800 rpm. The drills are marked for depth to guide the surgeon as to how deep the hole should be.
Insertion: implants are provided in a sterile pre-packed container with an implant carrier, which is gently taken to the drilled site and hand twisted to engage a few threads, and then a special ratchet is used to screw the implant up to its required depth. The implant carrier is removed then and healing cap is screwed on to the visible implant top.
Irrigation: it is done with normal saline to keep the local bone temperature at normal body temperature and also to flush out the bone to debris from the drill hole.
Closing the wound: Black silk is the preferred suture material with a traumatic curved needle. Interrupted sutures are placed and are removed 5-7 days postoperatively.
Advantages of dental implants
Some of the advantages are as follows:
Preservation of bone: the placement of an implant will ensure that the bone level is maintained in that region.
Teeth can be positioned for aesthetics: with an implant, the teeth may be positioned where the natural one existed rather than in the neutral zones for stability.
Maintenance of vertical dimension: the loss of vertical dimension decreases due to wear and bone resorption. Implant dentures can maintain the vertical dimension, as bone resorption is minimal.
Occlusion: easier to establish proper occlusion and occlusal loads can be directed.
Improved mastication: enhanced bite force and masticatory efficiency.
Increased stability and retention
Reduced size of the prosthesis
The enhanced success rate of prosthesis
Healthy smile with dental implants
Disadvantages of dental implants
Some of the disadvantages include:
Prolonged treatment duration
Involves a surgical procedure.
After effects of dental implants
Tear of flap
Puncture of the buccal or lingual cortex
Lack of irrigation or insufficient irrigation
Lack of primary stability of implants
Rarely fracture of the implant
Loosening of implant
Loss of implant
So, if a person wants healthy and natural teeth, then go for dental implants. It is found that the success rate for dental implants is 98%.
Teeth may be lost due to various reasons - decay, periodontal disease, age, trauma, etc. Whatever the reason, losing a tooth causes some side effects, as noted below:
1. Reduced chewing efficiency, thereby affecting nutrition
2. Aesthetics, more effect if front teeth are lost
3. Structural support to the face - puckering can happen
4. Overall nutrition affected
For someone who has lost a tooth or teeth, dentures are a boon. There are various options for people, and choice can be made based on economic, cosmetic, and overall health conditions.
Partial/complete: If only one or few teeth are being replaced, it is a partial denture. This can be fixed or removable. In case of old age or trauma where all teeth are lost, a complete denture would be in order. In most cases, this is a removable denture.
Fixed dentures/Removable dentures: Depending on whether the denture is fixed in the mouth or can be removed when not in use.
Metal or ceramic or combination: In some cases, for aesthetic or economic reasons, the patient can decide to go for a metallic fixed partial denture. The fabricated crowns will have a metallic surface but is acceptable given the strength, especially in posterior teeth, which take a heavy mastication load.
In cases of front teeth loss, the denture should almost always be a ceramic one, especially for cosmetic reasons. If the person cannot afford, a removable denture can be done.
The optimal denture should be chosen based on a number of factors including the functional and aesthetic expectations.
Caring for dentures: It depends on the types of dentures you choose.
Fixed dentures: This requires religious brushing, flossing or interdental brushing, and rinsing. The edges of the denture can put pressure on the gums and cause irritation, this needs to be watched for.
1. Clean the dentures after every meal
2. Be careful when handling them to avoid fall and breakage
3. Handle the clasps with care, altered clasps may not fit properly
4. Clean the bone and gums around the denture after each meal
5. Soak the dentures overnight in water or a denture-soaking solution
6. Avoid soaking it in hot water, can lead to warping of the denture plate
7. Avoid hard brushing of the dentures
With any denture in the mouth, visit the dentist regularly every 6 months to keep a constant vigil on your overall dental health. Ill-fitting dentures, especially, need to be corrected immediately as they can lead to irritation, ulcers, and even infections.
With these small precautions, the denture can function to its optimal level and serve as a good replacement of the lost tooth.
Tongue is an important organ of your body. Without the tongue you would not have been able to enjoy one of the most pleasurable experiences of life: tasting food! Imagine how life would be without the sudden euphoria you experience when you taste something delicious. Not only do your taste buds help you to taste food, but it also rejects harmful substances like toxins and sends your brain a signal to avoid consuming it. The tongue also helps in digestion of food. It makes the food pass easily from your mouth and throat to your stomach. Apart from tasting and sending signals to your brain, the tongue helps you to talk. It facilitates speech. It alters the air in your mouth which is produced by the vocal cords. That is how you make a wide range of sounds.
Burning sensation on the tongue: This normally occurs in women who have recently attained menopause. Mood swings are also a characteristic feature of menopause. Burning sensation is rare but a symptom of post menopause. Burning sensations can also occur due to cigarette smoking.
Change in the tongue color: Many times having a pink tongue means deficiency in iron, folic acid and vitamin B-12. This can also be because of an allergy to gluten. A white tongue can occur due to smoking or drinking alcohol.
Oral thrush: It is a yeast infection. It makes the surface of the tongue and the mouth look like cottage cheese. People suffering from asthma or diabetes can also get oral thrush.
Don't consume spicy and hot food.
If you have a canker sore, try to drink only cold beverages and eat soft foods.
Rinse your mouth regularly with a mixture of warm water and salt or you can also make a mixture of warm water and baking soda.
Apply ice to soothe your tongue.
If the tongue pain persists then it is better to book an appointment with an ENT specialist or with an otolaryngologist.
Is dentistry expensive?
One word answer to this will be a No!
Dentistry is not expensive, delay is.
Usually we dentist recommend to come for check up every 6 months, but we all are lazy especially for our own health. Going for a picnic or going to mall is all right but going for health check up is a big no.
As a result the small cavities which were possible to treat in 1 sitting, half an hour & less expense turns into a deeper cavity, reaching pulp & causing painc & that is when we run to our dentist. We do get calls at midnight or early morning when we are not out of bed! pain is there since 2-3 days but now it has become severe! most of the time tooth requires root canal treatment or extraction.Patients do complain very time I come to you, you suggest root canal to which my reply is only time you come to me when you have pain.
Now the same tooth which was possible to treat in 1 sitting becomes 6-8 sittings, half an hour becomes 5 hours & expense becomes 8-15 times.