Tuesday, April 27, 2010

Root Canal Treatment in Kanpur, India: RCT - Myths Busted

Root Canal Treatment: Myths Vs Reality


Root canal therapy is considered to be the most feared dental procedure. Does that surprise you? A survey recently conducted reveals that most people with a fear of the dentist base their fear on someone else's experiences, not their own.

The inaccurate information about root canal therapy prevents patients from making an informed decision regarding their teeth. There are many patients that go as far as requesting that a tooth is extracted, rather than save it with a root canal.

Before you believe the hype, take a look at the top root canal myths, and learn the truth for yourself.






Myth #1: Root Canal Therapy Is Painful

Root canal therapy is almost always preformed because a tooth is causing pain from an irreversible condition. Pulpitis, an infected pulp, broken teeth, or a slowly dying nerve are all common reasons for root canal therapy.

Root canal therapy is used to alleviate pain. Most people who have root canal therapy admit they did not experience any pain during the appointment and felt better afterward.

The perception that root canal therapy is painful stems from early treatment methods used to preform the procedure. In addition, if you are suffering from pain on the day of your appointment, your apprehension and fear may heighten the sensations you feel during the procedure.





Myth #2: Completing a Root Canal Requires Several Appointments

Root canal therapy may be completed in one to two appointments. Factors that determine the number of appointments necessary to complete a root canal include:

•The extent of the infection
•The difficulty of the root canal
•Whether a specialist, i.e. a qualified MDS does the procedure

Restoring the tooth after root canal therapy is necessary in order to ensure the tooth functions properly. The appointments necessary to completely restore the tooth, in essence, should not be considered part of the root canal process.





Myth #3: Teeth Need to Hurt Before Root Canal Therapy Becomes Necessary

Teeth that require root canal therapy are not always painful. In fact, teeth that are already dead may require root canal therapy to prevent the tooth from becoming infected.

Your dentist will examine your teeth thoroughly during your regular check-up. It is usually during this routine appointment where your dentist will discover a tooth that has died or is on its way. Tests used to confirm a dead tooth include:

•Temperature testing
•Percussion testing
•Using a pulp vitality machine





Myth #4: The Benefits of Root Canal Therapy Don't Last Very Long

A common misconception is that the benefits of root canal therapy don't last very long after the procedure has been completed. This myth originated after patients experienced their tooth breaking months after a root canal was performed on their tooth.

When the nerve is removed from the inside of the tooth, the blood supply is eliminated from inside the tooth. The tooth eventually becomes brittle, and depending on the size of the filling used to close the tooth after the root canal, the forces from grinding, eating, and even talking may cause the tooth to break. Failing to have a crown placed on the tooth may cause this to happen.

Technically, it is not the root canal that has failed; it is the restoration on the tooth that has failed.






Myth #5: Root Canal Therapy Causes Illness

The idea that bacteria trapped inside an endodontically-treated tooth will cause illness, such as heart disease, kidney disease, or arthritis, stems from research conducted by Dr. Weston Price from 1910 to 1930 -- almost 100 years ago.
Recent attempts to confirm Dr. Price's research has been unsuccessful in proving that root canal treatment causes illness.
Bacteria can be found in the mouth at anytime. Even teeth free from decay and gum disease have tested positive for bacteria.

Tuesday, April 20, 2010

A Smile is for a lifetime - Treatment of Facial Injuries and Deformities at Dr Saxena's Dental Super Specialty Centre by Dr Mayank Saxena

Any injury or deformity of the face is physically as well as emotionally debilitating. The Physical component includes inability/ difficulty in speech. Most often it is also accomapanied by problemsin chewing food.

Rajesh sustained multiple panfacial injuries to his face in an accident while he was on his way home driving on his two wheeler. As he is a native of a village in Uttar Pradesh, India, primary health centres are not very well equipped. He was administered i.v. fluids for a week before disharging.

When he came to our centre, mandibular fracture was diagnosed and facial lacerations and resultant deformity was noted.




Fixation of the jaw was done with miniplates and the patient started his routine daily activities within a week of treatment.


Tuesday, February 23, 2010

Cosmetic Dentist in Kanpur - www.kanpurdentist.com

Cosmetic Dentist in Kanpur - www.kanpurdentist.com: "Welcome to�Dr SAXENA�S DENTAL SUPER SPECIALTY CENTRE, situated in the heart of Kanpur City and a one stop destination for all your dental problems."

Thursday, February 18, 2010

Dental Treatment in Kanpur: Mandible Fracture Treatment at Kanpur Dentists by Dr Mayank Saxena

The Incidence of Facial Injuries has been on the rise since the advent of High Speed Motor Vehicles. But in recent times, we have seen a decrease of such injuries in developed cities due to the strict rules regarding compulsory seat belts for four wheelers and helmets for two wheelers.

Nevertheless, underdeveloped cities and developing cities like Kanpur (As per the Indian standard) still witness a large scale flouting of these norms and the resultant effect has been an increase in Head and Facial Injuries.



Recently, a young female reported to us with fracture in her lower jaw at 2 places. (Right and Left Parasymphysis) She was a victim of a road traffic accident and was riding as a pillion when the two wheeler collided with a stray animal. We controlled the bleeding and stabilized her vitals as soon as she reported to us.



We ordered an X-ray OPG (Orthopantomogram) and the diagnosis for Bilateral Compound Displaced Fracture Mandible at right and Left Parasymphysis was confirmed.



The patient had difficulty in talking as well as during eating and swallowing. She also suffered a sensory loss in her lower lip as a result of injury to her mental nerve.

We decided to operate her and apply internal fixation as she desired fast recovery of form as well as function (eating, drinking, talking etc). She was operated under general anesthesia and the surgical site was exposed intraorally.
One of the greatest disadvantage of a skin incision would have been facial scar, therefore we took great care to minimise post operative discomfort, both physical as well as psychological.



We decided to apply Locking Miniplates of Stryker Lebinger as they function as internal as well as external fixators.



Two plates each were applied to her parasymphysis, both right and left.



As these plates are state of the art rigid fixators, we did not place the patient on intermaxillary ligation.

She resumed her normal functions (eating, drinking, talking) from the very next day; though we advised soft diet for the first 2 weeks.




Post operatively, the occlusion of teeth was excellent and the X-rays confirmed bony union and healing.

Friday, February 12, 2010

Kanpur Dentists : Dental Implants placement for 4 missing teeth in a single sitting

Dr Saxena's Dental Super Specialty Centre is a well reputed clinic in India, famous for Dental Implants placement.

Recently, a lady in her mid thirties came to our centre seeking replacement of missing teeth as well as a very poor localized periodontal condition in the lower anterior region.

She gave a history of trauma 5 years back in the lower anterior region and one of her lower incisors had got avulsed at that time. She showed her case to a local dentist who just splinted the tooth with some cold cure acrylic. As this procedure reflected very poor judgement on the part of that dentist, the patient had a very hard time cleaning this area of her mouth. It eventually led to severe bone loss in that region and the surrounding teeth also got loosened up. We found heavy calculus deposits in the lower anterior region.



We started with cleaning of the teeth and the splinted tooth had to be sacrificed as it had lost all attachment from the oral tissues. The patient was given a removable partial denture and kept on a regular follow up and excellent oral hygiene was observed on part of the patient.



As the patient also had missing teeth in the lower posterior right and left regions, she had trouble chweing her food and requested fixed prosthesis. We prepared the patient for implantation of 4 missing teeth in the lower arch. OPG (Orthopentomogram) and IOPA X-rays were taken and measurements of the edentulous ridge was done.



The regions to be implanted included:

Lower right first molar region



Lower left central incisor region (shown above) and Lower left second premolar and first molar region. As the latter two regions contained attrited root peices of the original teeth, they were extracted few days before the surgery. Bone grafting was planned for this region.



Implants placed in this patient were Uniti dental endosseous fixtures, fabricated from medical grade titanium with unique Kompress thread and Microgrip blasted surface.

A D4.3 x L10 was placed for rt lower first molar



A D3.7 x L13 was placed for left lower central incisor



Two D5.3 x L10 implants were placed for left side premolar and molar regions. As the bone density was not very dense, and extraction sockets had not completely healed, thicker implants with Hydoxyapatite graft were used.





We shall now wait 3 months before loading these implants. Follow up photos of this case shall be regularly posted in this section of our blog.

Saturday, February 6, 2010

Dental Clinic in Kanpur : Root Canal Treatment with Apicoectomy at Kanpur Dentists



Recently, a middle aged female arrived at our centre with swelling in the upper lip with pus dischare from the nose which was not subsiding despite continued antibiotic therapy and frequent visits at a local dentist as well as an ENT surgeon.

Upon examination and digital imaging, we discovered a peri apical pathology wrt upper right central incisor. Patient also gave history of facial trauma around 7 yrs back.

RCT was started and BMP was done till F2 (Dentsply) and consequent emperical antibiotics were supported with local fibrinolytic enzyme therapy (Bromozyme-DT) as an antibioma was kept under diffrential diagnosis. Hot compressions were recommended for vasodilatation.

Within 3 days, the swelling subsided and we appointed the case for apicoectomy.




Post surgery, the tissues in the concerned area improved dramatically and the patient was completely asymptomatic within 7 days during suture removal.



The tooth mobility reduced remarkably and we plan to crown the tooth within a week.

Friday, January 29, 2010

Dental Implant Placement at Dr Saxena's Dental Super Specialty Centre, Kanpur



Our latest in Dental Implant Cases was a 2 stage 3.7 mm x 15 mm self threading Uniti Dental Implant placed in the region of upper right incisor region. We plan the uncovering and loading in around 3 months time.

Dr Saxena's Dental Super Specialty is amongst the very few Dental Centres in India complying with all the standard procedures related with Implant Dentistry.
We have a fully dedicated section for Implant related cases and our staff is well trained and fully qualified in placing Dental Implants.