Friday, August 16, 2013

Smile Make Over

Smile Make-Over:

In Korayem Dental Clinic we believe that enhancing people’s smiles equal enhancing their life but sometimes people feeling embarrassed to even open their mouths. That’s why we do care about creating smile.
Your oral health must be evaluated before a cosmetic dentist develops a plan for your smile makeover. Your cosmetic dentist will conduct a comprehensive evaluation of your teeth, gums, underlying support structure and bite (occlusion) to determine candidacy for a smile makeover. If your evaluation reveals that you have an oral health problem – such as a misaligned bite (malocclusion) or gum disease – you will need to undergo treatment prior to your smile makeover.
Since treatment for a bad bite often involves most or all of the teeth, it is called a full mouth reconstruction. Although full mouth reconstruction may take more time, patients are usually very pleased with the resulting transformation, since aspects of the smile makeover (such as improving the appearance of your smile) can be part of the process.
Once your smile make over can be treatment planned, other dental professionals may be involved in process. These professionals may include a dental laboratory technician, prosthodontist, endodontist, periodontist, orthodontist or an oral maxillofacial surgeon.
Smile Makeover Preview
An integral part of a Smile Makeover process is the preview of potential results you evaluate before treatment begins. Cosmetic dentists incorporate a variety of dental technologies to show you the changes that you can expect to see in your smile.
For example, during your oral health evaluation for veneers and crowns, your cosmetic dentist may create a wax model mockup of temporary teeth to accurately communicate the requirements of your procedure to the dental lab technician. Temporaries and wax mockups also offer you a preview of the expected outcome to ensure that you are comfortable with the proposed treatment plan.
Other methods available for you to preview your smile makeover include the following:
Dental Imaging Software: Imaging technologies offer a preview of your smile makeover results. Your dentist may use imaging technology to communicate the specifications for your procedure to the dental lab technician or any other dental professionals involved in your treatment plan. However, a digital image only gives you an idea of what you might look like when the makeover is complete; it may not fully match your final results.
Before and After Photos: Before and after photos of other patients who have had smile makeovers offer examples of the results you may expect to see. The photos may also give you an idea of the quality of work performed by your cosmetic dentist.

Dental Study Models: Your dentist will take an impression of your teeth and fill it with plaster to form an exact model of your teeth. The plaster can then be reshaped by trimming away excess areas or enlarging areas that require more volume. Dentists use study models to show you every aspect of the changes you can expect to see with your makeover. Dental lab technicians also use study models as guides for fabricating makeover materials like crowns or veneers.
Your dentist may work with a laboratory that incorporates digital technologies. In such instances your dentist may be able to use digital scans of your teeth, rather than traditional impressions, for use in making the models of your teeth and smile.
Dental Composite Bonding Mockup: Dental composite bonding may serve as a mockup of your smile makeover. The dentist can temporarily bond composite resin material to your teeth so you can fully visualize the impact of the procedure before treatment begins. In the case of veneers, dental composite bonding allows you to identify how comfortable you are with their look, feel and fit. Adjustments may be made until you are comfortable with the function and appearance of your new smile. Temporary mockups have no lasting impact on your teeth once they are removed.

For more information about smile make-over services, kindly contact us: 01141222231



Thursday, August 15, 2013

Fordyce's Granules

(fordyce's Disease)
• Also called fordyce's Disease and sebaceous nevi.
• Not a disease of oral mucosa. It is developmental anomaly characterized by heterotopic collections of sebaceous gland at various sites in the oral cavity.
• This occurs due to inclusion of sebaceous glands in the oral cavity of ectoderm during development of the maxillary and mandibular processes of embryo...nic life.
Clinical Features:
• Appear as small yellow spots, either seen individual or forming a large plaques, often projecting slightly above the surface of tissue.
• Most frequently seen as a bilaterally symmetrical pattern. On the cheek mucosa, opposite the molar teeth.

TMDs and TrPs

 
 
TMDs and TrPs –Temporomandibular joint disorders include acute, painful inflammation of the TMJ and chronic, non-inflammatory joint conditions. Either one can lead to the activation of painful trigger points in various neck and masticatory muscles. These TrPs can also occur independently and are the most prevalent cause of painful symptoms. While most sufferers of TMD have TrPs, not all who have T...rPs in the muscles of mastication have TMD.

The TMJs are bilateral compound synovial joints with a fibrous tissue surface capable of remodeling under stress – something the hyaline cartilage in most synovial joints cannot do. Each TMJ contains an articular disc that essentially divides the joint into upper and lower compartments and acts as a third bone in hinge-sliding movements.

In this illustration of the “click” of early stage TMD, (A) is a rest, (B) as the condyle begins to translate forward it must override a thickness of posterior disc material, causing a click and in (C) and (D) opening of the mandible and translation of the condyle continue normally.

Cuses Of Bleeding Gum





 Systemic diseases:
1- Scurvy ( Vit. C deficiency).
2- Thrombocytopenia.
3- Platelets dysfunction.
4- Acute leukemia....
5- Bleeding diathesis.
* Local conditions:
1-Injury to the gum>
2- Pyorrhea.
3- Receding gums.
4- Local lesions such as:
a- Epulis.
b- Epethilioma.
c- Stomatitis.
d- Papilloma.

Function Of Fluoride In Dentistry




Dental caries is major dental disease affecting a large proportion of the inhabitants of world. But over the past few decades, tooth decay has been reduced dramatically. Fluoride Research has showed that... fluoride reduces cavities in both children and adults. Daily intake of fluoride on an average is 1.7 to 3 3 mg. out of total the dry food the intake is 0.2 -1.8 mg. and average daily intake from water is 1.5 mg. as the optimal level of fluoride in water is1 ppm.

Functions of Fluorides In Dentistry

We have heard so much about the fluoride that it reduces the cavity formation but how it acts? What is the mechanism of action?

Fluoride acts in many ways. Following are the functions of fluoride. It helps in

1. Cavity Control

2. Early Gum Disease Control

3. Advanced Gum Disease

4. Crown And Bridge Maintenance

5. Implant Maintenance

6. Crown And Root Surface Caries Prevention

7. Sensitivity Control

8. Post Surgical Rinse

Mechanism of Action of Fluorides in Caries Reduction

Exact mechanism is not understood. The mechanism by which fluoride increases caries resistance may arise from both systemic & topical applications of fluorides. systemic affect of fluoride is by ingestion of fluoride tablets or drops and topical affect is when the teeth directly comes in contact with the fluoride like using fluoridated tooth paste, gels or applying fluoride varnishes. Before discussing the mechanism of fluorde action first of all we should know mechanism of tooth decay. The bacteria in the mouth ferments the food particles and produces the acid. This acid cause the dissolution of tooth surface and hence the decay. If we want to reduce the incidence of carieseither we have to reduce the formation of acid or make the tooth surface resistant. Fluoridecombines with the tooth surface and makes the enamel stronger so that it becomes more resistant to acid attack and it’s dissolution in the acid decreases. Along with this it helps in remineralization of incipient lesions. Ncipient lesions are early carios lesios which if detected early can be remineralized other wise they become the carious lesion. If ingested systemically during the formation oftoth it is sad that fluoride alters the tooth morpology and teeth no longer remain caries prone.

The incorporation of fluoride into the tooth enamel allows the tooth to be more resistant to demineralization by acid and ensuing tooth decay.:

Sources of Fluorides
The following are common sources of fluoride:

1. Fluoridated drinking water

2. Fluoridated Salt

3. Toothpaste, gels, mouthwashes, pills, other dental applications

4. Processed cereals and other foods

5. Mechanically de-boned chicken

6. Fish and Seafood

7.Juice

8.Soda

9.Tea
See More

The pros and cons of teeth-whitening procedures

As more Egyptians indulge in

teeth-whitening

procedures to boost their self confidence, we consult the experts about the facts



Although the criteria for assessing beauty differs largely from one person to another, and though what men tend to consider handsome in their own features may not necessarily be sought after by females, no one can argue that a dashing, bright smile is a winning card and a common beauty ambition for everybody. That is probably why cosmetic dental surgery in Egypt, as well as the rest of the world, has seen an upward trend in the past few years.

"More people are seeking dental clinics to acquire a more attractive appearance rather than just seeking treatment or easing pain as it was previously," says Dr Wael Nour, a cosmetic and restorative dentist and member of the American Dental Association.
"One of the most sought after procedures is teeth whitening or dental bleaching, obviously, as the pearly color is capable of transforming the appearance of the person for those seeking more than what can be achieved through polishing and scaling, especially since the new techniques of whitening offer complete safety, preventing any damage whatsoever to the structure and strength of the teeth, and minimizing any sensitivity that might occur," adds Nour.
The time required is minimal, assures Nour, the procedure painless, and the only thing required from the patient is to stick to an all-white-diet for a day or two after the procedure.
"In general the effect lasts for a long time depending on the amount of staining food and beverages consumed afterwards," says Nour.
"There are two types of bleaching known that are safe nowadays," says Dr. Ramy El Samman, a dentist and oral surgeon, "The first is home bleaching, which is weaker and requires more time as it is applied to visible teeth every eight hours daily for two weeks in order to achieve a noticeable effect. The second is professional bleaching, which uses a stronger material (hydrogen peroxide) with a greater effect in a shorter time (60-90 mins), but must be handled with extreme caution as it is a caustic material and special precautions must be taken prior to its use, which is why it must be done in the clinic."
"First, you get a pearly white smile with minimal side effects when it comes to sensitivity," says El Samman as he sheds more light on the pros and the cons of the latter procedure, "Secondly, it’s one of the most painless and conservative procedures with zero loss of tooth structure compared to other aesthetic and cosmetic treatments applied to natural teeth. The cons are mainly its limited use for restored teeth, and it is not effective with decayed or mal-positioned teeth that require orthodontic treatment first. Flourosis (fluoride toxicity resulting in a brownish pitted surface) and tetracycline (antibiotic) staining can not be treated using this method, and, finally, during the procedure mild gingival (gum) inflammation and sensitivity, due to leakage of the bleaching material into the living tissue, might occur, though its unlikely."

Wednesday, August 14, 2013

Dental Implants

Dental Implants

A dental implant is an artificial tooth root that is placed into your jaw to hold a replacement tooth or bridge. Dental implants may be an option for people who have lost a tooth or teeth due to periodontal disease, an injury, or some other reason.

Types of DENTAL Implants

  • Endosteal (in the bone): This is the most commonly used type of implant. The various types include screws, cylinders or blades surgically placed into the jawbone. Each implant holds one or more prosthetic teeth. This type of implant is generally used as an alternative for patients with bridges or removable dentures.
  • Subperiosteal (on the bone): These are placed on top of the jaw with the metal framework's posts protruding through the gum to hold the prosthesis. These types of implants are used for patients who are unable to wear conventional dentures and who have minimal bone height.

Are You a Candidate for Dental Implants?

The ideal candidate for a dental implant is in good general and oral health. Adequate bone in your jaw is needed to support the implant, and the best candidates have healthy gum tissues that are free of periodontal disease.
Dental implants are intimately connected with the gum tissues and underlying bone in the mouth. Since periodontists are the dental experts who specialize in precisely these areas, they are ideal members of your dental implant team. Not only do periodontists have experience working with other dental professionals, they also have the special knowledge, training and facilities that you need to have teeth that look and feel just like your own. Your dentist and periodontist will work together to make your dreams come true.

What Is A DENTAL IMPLANT PROCEDURE Like?

This procedure is a team effort between you, your dentist and your periodontist. Your periodontist and dentist will consult with you to determine where and how your implant should be placed. Depending on your specific condition and the type of implant chosen, your periodontist will create a treatment plan tailored to meet your needs.
  • Replacing a Single Tooth If you are missing a single tooth, one implant and a crown can replace it.
  • Replacing Several Teeth If you are missing several teeth, implant-supported bridges can replace them.
  • Replacing All of Your Teeth If you are missing all of your teeth, an implant-supported full bridge or full denture can replace them.
  • Sinus Augmentation A key to implant success is the quantity and quality of the bone where the implant is to be placed. The upper back jaw has traditionally been one of the most difficult areas to successfully place dental implants due to insufficient bone quantity and quality and the close proximity to the sinus. Sinus augmentation can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants.
  • Ridge Modification Deformities in the upper or lower jaw can leave you with inadequate bone in which to place dental implants. To correct the problem, the gum is lifted away from the ridge to expose the bony defect. The defect is then filled with bone or bone substitute to build up the ridge. Ridge modification has been shown to greatly improve appearance and increase your chances for successful implants that can last for years to come.

What Can I Expect After RECEIVING A DENTAL IMPLANT?

As you know, your own teeth require conscientious at-home oral care and regular dental visits. Dental implants are like your own teeth and will require the same care. In order to keep your implant clean and plaque-free, brushing and flossing still apply!
After treatment, your periodontist will work closely with you and your dentist to develop the best care plan for you. Periodic follow-up visits will be scheduled to monitor your implant, teeth and gums to make sure they are healthy.

Monday, August 12, 2013

Cosmetic Dentistry

Cosmetic Teeth Whitening Basics
 In the budding field of cosmetic dentistry, teeth whitening treatments happens to be most popular treatment, universally. A bright set of pearly whites is a sign of confidence, personality and maintained personal hygiene. Several kinds of cosmetic tooth bleaching or whitening solutions available, which suit all kinds of budgets, time restrictions and personal choices.
Therefore, we can comprehend,

cosmetic dentistry

tooth whitening suits everyone. There are several people who have opted to get their teeth whitened and have witnessed moderate to drastic enhancements in the whiteness and brightness of their teeth. However, we must know that teeth whitening don’t last forever and should be regularly touched-up to for long lasting effects. These are some of the commonly available teeth whitening alternatives for you:
 In-Office Cosmetic Whitening:
 In-office cosmetic whitening can bring about significant changes within a very short span of time. This procedure uses highly concentrated amount of peroxide gel. Before dentists or dental technicians apply this gel to your teeth, your gums are protected with a help of a rubber dam. This rubber dental dam is generally of the paint-on kind.
 In general, this treatment may require several minutes. The peroxide gel is left on your teeth for several intervals of 15 to 20 minutes, which mostly sums up to an hour. If your teeth have extremely stubborn stains, you will be required to attend several more whitening sessions. Alternatively, you may also be given home-use teeth whitening kits. This treatment costs around $650 for every visit.
 Professional Take-Home Cosmetic Whitening Sets:
 Dentists from all over the world believe that professional take-home cosmetic whitening sets surely produce excellent effects over the time. Take-home whitening sets include lower concentrations of peroxide gel which must be left on your teeth overnight. Some of these kits also get results within an hour. The cost of these kits cost around $100 to $400. OTC
 Teeth Whitening Options:
OTC teeth whitening products are the most convenient and cheapest products used for whitening and bleaching your teeth. These teeth whiteners can be brought from several departmental and health stores. These OTC kits consist of very low concentration peroxide gels that have to be applied on your teeth. This gel can be applied to your teeth with the help of applicators, whitening strips, trays which suit all teeth. Sometimes these sets do not whiten all your teeth but only the front few ones. The cost of such sets range between $20 and $100.
The result of a teeth whitening treatment vary from person-to-person. It is totally dependent on the stubbornness of your dental stains. Many cosmetic whitening treatments bring about immediate results, while others give disappointing results. Before you begin your teeth whitening treatment you must set realistic goals and ask your dentists about the expected results. Before you begin your treatment you must know its duration and total costs. Don’t let your expectations overrule your budget plans.

 There are several post-treatment precautions that must be taken for long lasting results. The longevity of your results greatly depends on the kind of treatment used and post-treatment precautions.

How to bursh properly



 Here are some tips on Brushing. Follow them for a healthy and shinning teeth.

You need to go at it at least twice a day to keep your teeth in top shape. Ideally, you would brush after every meal, but most people frown upon the idea of taking a toothbrush to work and having a scrub in the employee washroom. Despite the best marketing campaigns by Colgate and Crest, the toothpaste you use can vary widely. In fact, there is growing evidence that you may want to avoid fluoride toothpastes altogether, or you could always make your own at home. Some scientists believe that the overall affects of fluoride on the body can be overwhelmingly negative and far outweigh the benefits to your teeth.

Before you lift brush to mouth, you want to make sure that you are using a soft bristled brush. In fact, every dentist since the beginning of time has told every patient they have ever had that they should use soft bristled brushes, so it remains one of the great unsolved mysteries of our time as to why toothbrushes even come in any other style. Using a hard bristled brush can result in microscopic cuts, scrapes and abrasions on your gums.

The Motion is the Key
Brush correctly in front of the mirror

Now that you have the right brush and the right toothpaste (sans bacon flavour), you can being the act of brushing. Make sure you hold your toothbrush at an angle against your teeth and gums and use either small circular patterns or short back and forth motions. Go from tooth to tooth and try to do the front and back of each one. For some reason, it is human nature to walk around your bathroom or even your entire home while brushing. Stop this habit and brush in front of a mirror so you can see what it is you are doing exactly.

One of the biggest problems for many brushers, especially those that view brushing as a race, is that they don't clean the entire tooth. We see the front of the tooth looking back at us in a mirror, so we assume that is the only part of the tooth that really needs to be cleaned, but it is the chewing surface that really needs the most attention, especially in the back of your mouth. Take extra time to really get in those tiny crevices that dot the top of your molars and try to clean the back of your teeth, as well.