Dental Services. Kids Dentistry. First Visit. Cleaning

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1 Dental Services

2 Dental Services The standard recommendation is to visit your dentist twice a year for check-ups and cleanings. This frequency level works well for most people, although some people with gum disease, a genetic predisposition for plaque build-up or cavities, or a weakened immune system might need to visit the dentist more frequently for optimal care. Also, keep in mind that certain life events particularly those that cause stress or illness might cause changes in the mouth or the development of an infection, and might make more frequent visits to the dentist necessary. The three most important reasons for twice-yearly visitation schedule are: So that your dentist can check for problems that you might not see or feel To allow your dentist to find early signs of decay (decay doesn t become visible or cause pain until it reaches more advanced stages) To treat any other oral health problems found (generally, the earlier a problem is found, the more manageable it is) Kids Dentistry We recommend a first check-up by 12 months old to make certain that teeth and jaw development are normal, and even more importantly so that parents and guardians know how to help their children be healthy from the start. First Visit We recommend a first check-up by 12 months. A simple guide for when to schedule a first visit: no longer than 6 months after first tooth is erupted at least by 12 months old as soon as possible if you have any queries There is a significant value for well early baby dental check-ups. In particular, check-ups for very young children address many concerns including teaching adults how to care for their child s teeth and gums, how to help their children learn to care for themselves, answering parents questions and concerns, and planning for future dental health. Cleaning Dental cleanings involve removing plaque (soft, sticky, bacteria infested film) and tartar (calculus) deposits that have built up on the teeth over time. If calculus (tartar, as dentists like to call it) is allowed to accumulate on the teeth it will unfortunately provide the right conditions for bacteria to thrive next to the gums. Cleaning Although home-based tooth brushing and flossing help remove plaque, only a professional cleaning provided by your dentist can thoroughly clean your teeth and remove the hardened plaque (called calculus or tartar) that builds up on teeth. Polishing After your teeth have been cleaned, they are polished to remove plaque and stains on the tooth surface. The polish contains an abrasive substance and fluoride, and is applied using a small rotating rubber cup or brush attached to the dental hand piece.

3 Gum Diseases What is gum disease? Gum disease refers to inflammation of the soft tissue (gingiva) and abnormal loss of bone that surrounds the teeth and holds them in place. Gum disease is the second most common cause of pain in the mouth. What causes gum disease? Gum disease is caused by toxins secreted by bacteria in plaque that accumulate over time along the gum line. This plaque is a mixture of food, saliva and bacteria. What are symptoms of gum disease? Early symptoms of gum disease include gum bleeding without pain. Pain is a symptom of more advanced gum disease as the loss of bone around the teeth leads to the formation of gum pockets. Bacteria in these pockets cause gum infection, swelling, pain, and further bone destruction. Advanced gum disease can cause loss of otherwise healthy teeth. How is gum disease treated? Treatment of early gum disease involves oral hygiene and removal of bacterial plaque. Moderate to advanced gum disease usually requires a thorough cleaning of the teeth and teeth roots called root planing and subgingival curettage. Root planing is the removal of plaque and tartar (hardened plaque) from exposed teeth roots while subgingival curettage refers to the removal of the surface of the inflamed layer of gum tissue. Both of these procedures are usually performed under local anesthesia and may be accompanied by the use of oral antibiotics to overcome gum infection or abscess. Follow-up treatment may include various types of gum surgeries. In advanced gum disease with significant bone destruction and loosening of teeth, teeth splinting or teeth extractions may be necessary.

4 Tooth Coloured Restorations Tooth coloured restorations or fillings are also referred to as composites, because they are composed of a complex molecular structure of a resin matrix and fillers. Tooth coloured restorations are actually bonded to remaining tooth structure compared to silver/ amalgam restorations, which are locked into tooth structure. This property of resin restorations makes them a very conservative approach to tooth restoration after caries removal. The composite resin used in bonding can be shaped and polished to match the colour and shine of the surrounding teeth. Most often, bonding is used for cosmetic purposes to improve the appearance of a dis coloured or chipped tooth. It also can be used to close spaces between teeth, to make teeth look longer or to change the shape or colour of teeth. Sometimes, bonding is also used as a cosmetic alternative to amalgam fillings, or to protect a portion of the tooth s root that has been exposed when gums recede Teeth Whitening Human teeth naturally vary in colour. Not all people are lucky to have a bright white as the natural colour of their teeth. Slightly yellow teeth is normal for most people. There are three main types of tooth discoloration. Extrinsic tooth discoloration occurs when the outer layer of the tooth (the enamel) is stained by some drinks or foods or by smoking. These external stains can usually be removed through a thorough dental cleaning by a dentist. Intrinsic tooth discoloration is when the inner structure of the tooth (the dentin) darkens or gets a yellow colour. Fluorosis or tetracycline stains are examples of common intrinsic stains. Intrinsic stains are best removed through the use of whitening products that can bleach the tooth and change the natural tooth colour. Tooth bleaching or dental veneers may also be required for extrinsic stained teeth if the stains have remained on the teeth for a long period of time allowing them to penetrate to the inner tooth structures.

5 Age-related discoloration is usually a combination of extrinsic and intrinsic factors. Yellowing teeth are a common symptom of aging. Their mineral structure changes becoming less porous and making the teeth to appear darker. The enamel that covers the teeth gets thinner with age, allowing the underlying layer of yellowish dentin to show through. The continuous accumulation of extrinsic stains also contributes to the natural yellowing of the teeth over time. Root Canal Treatment Root canal treatment is a dental procedure in which the infected or damaged pulp of a tooth is removed and the inside areas are filled and sealed. The pulp of the tooth is the soft tissue that contains nerves, blood vessels and connective tissue. It lies within the tooth and extends from the crown of the tooth to the tip of the root in the jawbone. Root canal treatment saves teeth that would otherwise need to be extracted. The most common cause of pulp infection is a cracked tooth or a deep cavity. Both of these problems can let bacteria enter the pulp and cause an infection inside the tooth. If not treated, pus builds up at the root tip in the jawbone forming a pus-pocket called an abscess, which can cause damage to the bone around the teeth. Porcelain Veneers Porcelain Laminate Veneers are coatings crafted out of porcelain that are bonded to the front surface of the tooth. These veneers greatly enhance the look of your smile with as little discomfort as possible. They are made to suit the patient s individual needs and are indistinguishable from natural teeth. Veneers can be used in situations like: Spaces between teeth Discoloured teeth Mal positioned or crooked teeth Odd shaped, cracked or chipped teeth Fractured teeth with fair amount of tooth structure left To provide a white smile in a person with naturally dark teeth Crown & Bridges Crown and bridge treatment is a long-term method of replacing missing teeth. A crown is placed on an individual tooth, (somewhat like a thimble over our finger) where there is no longer sufficient tooth structure left to place a filling. A bridge spans a space where one or more teeth have been lost in the dental arch. When a permanent tooth is lost, the neighbouring

6 teeth are affected. Because the support and chewing forces are altered, the remaining teeth will begin to shift. The tooth above or below the one that was lost will begin to move up and out of its socket. This accelerates periodontal (gum) disease and causes further breakdown in the dental arch. If the missing tooth is not replaced, more teeth will eventually be lost, due to the improper forces exerted during chewing. Common indications for crown are: To restore badly decayed teeth, with large fillings or teeth which are root canal treated To protect fractured teeth where little tooth structure is left To strengthen worn down or mobile teeth As a part of the bridge to support a tooth replacement To improve the bite Dental Implant A dental implant is an artificial tooth root that an Oral Implantologist places into your jaw to hold a replacement tooth or bridge. Dental implants are an ideal option for people in good general oral health who have lost a tooth or teeth due to periodontal disease, failure of endodontics, an injury, or some other reason. Dental implants are actually more tooth-saving than traditional bridgework, since implants do not rely on neighboring teeth for support. What dental implants can do Replace one or more teeth without affecting adjacent teeth Support a bridge and eliminate the need for a removable partial denture Provide support for a denture, making it more secure and comfortable

7 Impacted Teeth Removal Each individual wisdom tooth is unique and depending on how it grows, it can have different impact on bones and/or tissues. Their varied developments such as impaction, horizontal or slant placement may effect other teeth and cause troubles. They have to be extracted out and is a highly skillful job being performed by our Dental surgeon. Based on the nature of the overlying tissue impaction, impacted wisdom teeth can be classified into: Soft Tissue Impaction. When the height of the tooth s contour is above the level of the surrounding alveolar bone and the superficial portion of the tooth is covered only by soft (though this can be dense and fibrous) tissue. Soft tissue impaction is usually the easiest of type of impacted tooth to remove. Hard Tissue ( Bony ) Impaction. This is where the wisdom tooth fails to erupt due to being obstructed by the overlying bone. This can be sub-divided into Partial and Complete Bony Impactions. Partial Bony. The superficial portion of the tooth is covered only by soft tissue but the height of the tooth s contour is below the level of the surrounding alveolar bone. Apart from cutting the gingiva (gum) & possible bone removal from behind the tooth, the tooth s roots may need to be divided. Complete Bony. The tooth is completely encased in bone so that when the gingiva is cut and reflected back, the tooth is not seen. Bone removal (large amounts) together with root sectioning will be needed to remove the tooth. These are often the most difficult tooth to remove.

8 Emergency Dental Care Fortis Clinique Darné s 24/7 Emergency Department is open for all after hours dental emergencies. Emergency dental services include treatment for simple toothaches to facial trauma and treatment of soft tissue injuries of the face. Facilities Our dental clinic is fitted with a dental chair, an Orthopantorrogram (Panoramic Xray), Intra-Oral Digital Radiography and Intra-Oral Camera. Key Services: Cardiac Sciences Chest Medicine Critical Care Dentistry & Dental Implantology Dermatology Endocrinology ENT Gastroenterology General Surgery Internal Medicine Minimally Invasive Surgery Neonatology Nephrology Neuro Sciences Obstetrics and Gynaecology Oncology Ophthalmology Orthopaedics Paediatrics Plastic & Aesthetic Surgery Psychiatry Rheumatology Urology Support Services: CT Scan Bone Densitometry Chemotherapy Dental Scan Dialysis Echography Emergency and Ambulance Services (24/7) Health Check-ups Laboratory Services Mammography Open MRI Pharmacy Physiotherapy Vaccination Centre X-Ray THE MEDICAL & SURGICAL CENTRE LTD HEAD OFFICE: Georges Guibert Street, Floréal 74111, Mauritius Tel: (230) Fax: (230) (Administration) / (230) (Medical) FCD NORTH: Office C, C0 05A & C2 204, La Croisette Mall, Grand Bay, Mauritius Tel: (230) Fax: (230) clinique@cliniquedarne.com /7 Emergency and Ambulance Services: Dial 118

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