Root canal treatment is designed to eradicate germs from the contaminated root canal, thus preventing re-infection of the tooth and saving the natural tooth. When one undergoes a root canal treatment, the swollen or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed. A young male patient visited us complaining of a fracture in the upper right front tooth. We did a complete oral checkup and took the required x-rays. The tooth was tender on percussion. An x-ray showed mild periapical infection. The treatment plan finalized was multiple sitting RCT with the placement of intra-canal medicament followed by the crown for upper right central incisor.
After treating 26000+ patients we are ready to help you!
Dental fluorosis is a chronic condition caused by excessive intake of fluorine compounds, marked by mottling of the teeth and, if severe, calcification of the ligaments.
It is a common disorder, characterized by hypomineralization of tooth enamel caused by ingestion of excessive fluoride during enamel formation.
Fluoride is good for teeth because it helps prevent tooth decay. However, applying and consuming too much fluoride while teeth are developing can cause dental fluorosis.
Fluorosis affects the tooth’s enamel. Milder cases cause barely noticeable white flecks on the teeth, whereas more severe cases can include heavy staining or even very visible pitting and pocking.
Children under eight years of age are the most susceptible to developing fluorosis because their developing permanent teeth are still under the gum line and dental fluorosis damaged teeth that haven’t erupted yet. Once teeth have erupted, children are no longer at risk. Due to the risk of fluorosis, children under the age of three should use just a “smear” of fluoride toothpaste and children three to six should use a pea-sized amount of fluoride toothpaste
How do teeth with Fluorosis appear?
It appears as a range of visual changes in enamel causing degrees of intrinsic tooth discolouration, and, in some cases, physical damage to the teeth. The severity of the condition is dependent on the dose, duration, and age of the individual during the exposure.
The “very mild” (and most common) form of fluorosis, is characterized by small, opaque, “paper white” areas scattered irregularly over the tooth, covering less than 25% of the tooth surface. In the “mild” form of the disease, these mottled patches can involve up to half of the surface area of the teeth. When fluorosis is moderate, all of the surfaces of the teeth are mottled and teeth may be ground down and brown stains frequently “disfigure” the teeth. Severe fluorosis is characterized by brown discoloration and discrete or confluent pitting; brown stains are widespread and teeth often present a corroded-looking appearance.
People with fluorosis are relatively resistant to dental caries (tooth decay caused by bacteria), although there may be cosmetic concern. In moderate to severe fluorosis, teeth are weakened and suffer permanent physical damage.
Management of Fluorosis
Dental fluorosis may or may not be of cosmetic concern. In some cases, there may be varying degrees of negative psychosocial effects. The treatment options are:
HOW DOES YOUR DENTIST DIAGNOSE IF YOU HAVE A GUMMY SMILE?
Smile line assessment is important to determine the treatment of Gummy Smile.
Proper assessment of the parameters involving the gums, teeth, bones and lips in relation to the position and function is done.
Proper elaborate history needs to be taken so as to know the time of occurrence and recognization of the condition by the patient.
Study models and radiographs help to assess the structural relationship of the bone and teeth.
MANAGEMENT OF GUMMY SMILE.
Gingival contouring / Gingivectomy: Reshaping or excision of the excessive gingival margin can be done using LASER , Thermo excision or conventional surgical method.
Apical repositioning of the Gingiva
In some cases apical repositioning of the entire soft tissue component may be necessary.
Orthodontic rehabilitation of teeth (Braces)
If incorrect teeth position is the cause of gummy smile it can be corrected with braces treatment.
In cases of gummy smiles due to excessive growth of the jaw bones; maxillofacial surgical correction may be necessary.
Lip repositioning/Lip contouring
Deficit lip height can be corrected surgically.
This is done to reduce the muscular hyperactivity of the muscles associated with the lip, it restricts the contraction of the lips while smiling which in turn helps in reducing the amount of gums exposed while smiling.
Use of Botulinum Toxin (BOTOX)
To reduce the muscular hyperactivity of the lip by reducing muscle contraction.
Use of Prosthetic teeth / Crowns
Crowns or veneers can be used to correct the shape and size of the teeth to make it look more esthetic.
The complete correction of Gummy Smile usually needs a multi disciplinary approach. Which can be best suggested by your dentist.
After treating 32000+ patients we are ready to help you!