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