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Full Mouth Rehabilitation

Full Mouth Rehabilitation

Full mouth reconstruction improves the appearance of the teeth and has a number of less obvious benefits. Full mouth reconstruction is one of the most comprehensive forms of dental treatment that is currently available.
Also known as full mouth rehabilitation or restoration, the process combines all dental specialties to individually reconstruct every damaged tooth in the mouth. This helps to correct a variety of complaints, such as improper bite position and chipped, worn down or broken teeth.
Typically, the treatment involves the application of white fillings, dental bridges, Dental Implants, crowns and veneers to multiple damaged teeth in the mouth. While it requires a huge amount of effort on the part of a team of skilled dental professionals, it is widely considered to be preferable to offering patients removable dental restorations such as dentures.
For instance, studies have shown that people with removable denture solutions are only able to chew at between 10 and 20 per cent of their potential – a problem that would not arise if they opted for a full mouth reconstruction with fixed restorations.
Upper dentures can also cause wearers to lose their appetite, as the layer of acrylic covers the roof of the mouth, taking away any sense of taste from the palate and can become a harbour for oral fungal infections.
Anyone considering a full mouth reconstruction should first consult with one of our experienced dentists at Hyderabad Smiles dental clinic, who will perform a comprehensive examination to see if the treatment is the best course of action.

In particular, the dentist will look at whether or not the teeth show any signs of decay or cavities as well as root canal problems and potential movement.
Periodontal issues – complaints related to the gums – will also be taken into consideration, as people who suffer from these problems are likely to need LASER assisted root planning and scaling and full mouth debridement before full mouth reconstruction is started.
For more intensive treatments a gum specialist opinion may be required in some circumstances, in order to ensure that the newly-reconstructed teeth have a firm foundation and do not move around. Among the possible courses of action that could be taken to prevent this from occurring is the process of grafting soft tissue or bone grafting to build up the jaw bone and gums for dental implants.
Your Hyderabad Smiles dental clinic dentist will also consider aesthetics – namely the colour, shape, size and proportion of the teeth – and whether or not you have a stable bite when deciding if we should proceed with full mouth reconstruction.
During this thorough examination process, detailed records of the mouth – including X-rays, photographs, study models and impressions of the upper and lower teeth – will be taken to ensure that nothing important is missed.
When all the relevant information has been gathered, we will draw up a written treatment plan detailing how we intend to go about correcting all of the mouth-related complaints that you have.
If at any stage you feel that you do not fully understand the procedure, it is important to ask us for more explanations and further description of the work we plan to carry out. We will also provide you with a written consent form that will detail your treatment at length. Not only will this make the treatment – including the associated risks and benefits – easier to understand.
The decision on which procedures are required during each full mouth reconstruction ultimately lies with the dentist and any specialists working with them on the case, although other processes may be available.

Among the potential treatments that can be used for full mouth rehabilitation are crown lengthening of the crowns of the teeth to expose a healthy and sound tooth structure, contouring of gumto bring more balance to a smile and the fitting to ensure the teeth are in the best possible position for restructuring.
Regardless of the course of action that your Hyderabad Smiles dental clinic dentist decides to take, you should bear in mind that any full mouth reconstruction treatment is likely to be a lengthy project involving multiple phases and trips to the practice.
Despite this, anyone who feels the procedure may be beneficial to them should not be put off by the possibility of 3 months or more of treatment, as the advantages will be obvious for all to see come the end of the process.
Once full mouth rehabilitation treatment is complete, those who have opted for reconstruction will typically find the appearance of their teeth is far better, while their functionality and overall comfort should also have greatly improved.
Furthermore, the work could have a number of less obvious health benefits. For instance, the ability to chew more effectively means that food can be more easily digested as it travels through the body, helping you to make the most of your meals’ nutritional elements.
In this way, a healthy mouth can help to enhance the body, allowing patients who have undergone full mouth reconstruction work to gain a new, positive outlook on life.

Gum Treatment

Teeth can sometimes lose bone and gum support as a result of gum disease. This can lead to progressive loosening of the tooth and eventual loss of the tooth if the gum disease is not treated.
At Hyderabad Smiles Dental hospitals, we take gum disease very seriously and every patient undergoing a full examination is provided with gum assessment to determine if any gum disease exists.
If active gum disease exists, we usually recommend sessions of deep cleaning (Advanced gum treatment) with our Periodontist (Gum Specialist) where all the bacteria is removed from the tooth and root surface under Local Anesthetic if necessary.
We also would assess your daily cleaning methods and recommend any changes that would be necessary in order to make your daily cleaning more effective in removing plaque.
Sometimes other factors such as smoking or diabetes may also be contributing to the worsening gum condition and we would inform you if you need to make any changes to improve your gum condition.

A Guide to Gum Disease

Gum disease (also known as periodontitis) is an extremely common ailment that affects a high number of individuals at some point during their lives and can lead to the eventual loss of a tooth or the spread of infection.
While many people do suffer from this condition, it remains one of the most easily preventable issues in dentistry – where an effective oral hygiene routine could ward off the problem in the first place.
It is estimated that 50 to 90 per cent of the adult population suffers from some degree of gum disease.

What is gum disease?

Referred to by some dentists as gingivitis, gum disease can cause serious problems for the teeth and gums, leading to the surrounding areas becoming red and inflamed and often to bleed when brushing.
It is usually caused by a build-up of plaque on the teeth that has not been removed during cleaning.
Long-term gingivitis can eventually evolve in to periodontal disease, of which there are a number of types. As the Condition worsens, the bone anchoring the teeth in the jaw is lost, which can cause the teeth to feel loose.
If this issue is left untreated, the teeth may eventually fall out – with figures revealing more people lose their teeth through gum disease than as a result of decay.

What are the symptoms?

If oral health is maintained to a high standard, gums will be pink and firm while keeping the teeth anchored securely in place. Additionally, they should not hurt or bleed when they are touched.
While gum disease is not usually painful, sufferers may notice swollen and redness of the tissue, as well as bleeding after brushing or flossing is carried out.
The signs of periodontitis, which develops if the original problem is left untreated, are usually more severe than that of the aforementioned issue. However, there are a number of additional symptoms to look out for, including:

Am I likely to suffer from gum disease?

Although it is unpleasant, gum disease is often unavoidable and the majority of people will fall victim to the condition at some point in their lives, particularly if they neglect their oral health.
The issue is a major cause of tooth loss in adults despite the fact its slow development rate means it can be monitored and treated by a professional – such as those from Hyderabadsmiles Dental Clinic – to ensure teeth and gums remain strong.

What are the causes?

While the issue can be caused by a variety of factors, the most common basis is a lack of oral hygiene that eventually results in a heavy build-up of plaque. The soft, sticky substance is formed when bacteria collects on the surface of the teeth and can result in long-term issues if left untreated.
When food and drinks that are high in carbohydrates are consumed, they combine with bacteria found in the mouth to break down into an acid. Following this, the saliva and food particles that are left after brushing collect and form a sticky film.
Although the substance can easily be removed through brushing the teeth twice every day and flossing up to three times every week, it can harden and create tartar. This sticks much more firmly to the pearly whites than its predecessor and can usually only be removed by a dental professional – a service that is available at hyderabadsmiles Dental Clinic.
There are also a number of risk factors that can increase a person’s chance of developing the condition, with smoking among the main causes of gum disease – as well as the easiest to avoid.
Additionally, diabetes and a weakened immune system (usually due to an illness such as HIV, AIDs or chemotherapy treatment) can lead to an upturn in risk.

How is gum disease diagnosed?

Patients who have noticed they are displaying some of the symptoms of this condition should book an appointment with a dental professional at Hyderabad Smiles Dental Clinic as soon as they can, this visit could be the difference between the issue being resolved or worsening.
Those who are suffering from periodontitis are likely to require a full dental examination using a special probe that is shaped like a thin, silver stick with a bend located at the end. When placed inside the mouth, underneath the gum line – the tool allows the specialist to determine how dramatically the symptoms
In many cases, patients will need to be X-rayed to monitor the condition of the teeth and jaw bone. This course of action uses radiation to take images of the bones to highlight any abnormalities within the teeth.

Can this issue be treated by a dentist?

Patients who suffer from this problem can seek treatment from a dentist – such as those at Hyderabadsmiles dental clinic – who may carry out a number of procedures to bring the gums back to health.
Scaling and polishing – This course of action is a type of professional clean that is usually carried out by a trained hygienist. It involves having the plaque and tartar scarped away from the teeth with a special instrument before any stains are removed.
Those people with severe problems may need to have more than one scale and polish to ensure the best results are achieved. Many patients have a myth stating that if we do cleaning surface enamel would wear, but this is not true as the dentist try to remove calculus which is adhered to teeth very strongly after cleaning n polishing it appears to be little sensitive teeth as dentinal tubules would be opened, as it clearly shows it is wise decision to do scaling n polishing every 6 month interval.
Root planning – Often, this is required to clean bacteria from the roots of the teeth. Before this treatment is carried out, patients may need anaesthetic to numb the area effectively. Following this, individuals are assured it is perfectly normal to feel some mild discomfort for up to 48 hours.
Additional treatment – Patients with more severe cases of gum disease or periodontitis may need surgery to remove the affected tooth.

How can I prevent gum disease?

Rather than looking for ways to treat gum disease, it is recommended that patients enquire how best to prevent the onset of the condition. Just a few simple steps could result in individuals maintaining their oral health and perfect smile well into the future.

An efficient hygiene routine includes:

  • Brushing pearly whites for between two and three minutes twice every day.
  • Using a toothpaste that includes fluoride to protect against decay.
  • Flossing teeth at least three times every week, or more if achievable.
  • Abstaining from unhealthy lifestyle choices such as smoking and consuming excessive levels of alcohol.
  • Visiting a Hyderabad Smiles Dental Clinic practitioner on a regular basis.

Laser Gum Reshaping

Some patients suffer from excessive gum tissue showing, especially in their smile zone which makes their teeth look shorter and less attractive.
Patients who suffer from an uneven gum line resulting in some teeth looking longer than others and so creating an unattractive smile, look for an easy and painless way of correcting their gummy smile.
A gummy smile can be painlessly & easily corrected with a soft tissue laser and with laser gum contouring the teeth can be made to look longer once again and the smile can be improved quickly and dramatically.

To correct the gummy smile, we carry out soft tissue Laser Sculpting of the gum tissues and where necessary the underlying bone can be removed to create a healthier and more attractive looking gum contours. If underlying bone tissue is removed, the procedure is called crown lengthening.
As a result of Laser sculpting, gummy smile sufferers see more of their teeth when they smile and less of their gums will be visible. We can also further improve the appearance of the teeth by using veneers or crowns.
Our dentists have the skills and experience in performing soft tissue Laser sculpting and crown lengthening. We are one of a few practices in the Hyderabad to have a state of the art smile makeovers .
You can book a laser gum reshaping consultation by calling our reception team on +91-8801627272 seven days a week. Our clinic is open from Monday to Sunday, 8am to 10pm.

Crown Lengthening

Crown lengthening is a surgical procedure performed to expose a greater amount of tooth crown structure for the purpose of subsequently restoring the tooth with a crown. This is done by incising the gum tissue around the tooth and, after temporarily displacing the soft tissue, predictably removing a given height of alveolar bone from the circumference of the tooth being operated on. Indications for crown lengthening

  • Root fracture.
  • Crown fracture leading to inadequate crown length remaining for a crown.
  • Perforation of the tooth root.
  • Inadequate crown length due to tooth wear.
  • Below the gum decay on the root surface of the tooth.

Contra-indications for crown lengthening

  • Smoking is a contra-indication to most gum surgeries including crown lengthening.
  • Thin gum tissue.
  • Perforation of the tooth root.
  • Poor oral hygiene.
  • Where the furcation between the roots of a molar tooth will become exposed following crown lengthening.
  • Unfavourable crown to root ratio being created by crown lengthening. i.e. the crown becoming longer than the root following crown lengthening surgery.
  • Front teeth with long clinical crowns.
  • An un-restorabe tooth after surgery.

Before we carry out crown lengthening surgery, we take impressions, x-rays and photos of your teeth and provide you with a mock-up waxup of the crown so that you can see how the final crown of the tooth will look before we begin any crown lengthening surgery.

Types of crown lengthening surgery available at Hyderabad Smiles Dental Clinic

  • Reducing gum tissue (gingivectomy) using laser gum surgery.
  • Apically repositioned gum surgery.
  • Apically repositioned gum surgery with bone reduction.
  • Forced root eruption with Invisalign orthodontics.
  • Forced root eruption with surgery.

Crown lengthening surgery risks

  • Small black triangles appearing between teeth.
  • Rebound of gum tissue. The distance between soft tissue margin and crest of the bone is genetically determined, so soft tissue will re-grow to its genetically predetermined height in relation to bone.
  • Change in colour pigment of gum. Although this will be minimal.
  • Transient tooth mobility.
  • Root sensitivity. Once the root is exposed, if it’s not covered by a crown or a veneer, the root can become sensitive.
  • Gingival recession, as gum tissue can recede post gum surgery.
  • Root resorption.

During your crown lengthening consultation we inform you of alternatives to crown lengthening surgery such as Invisalign tooth extrusion or extraction of the tooth and replacing it with a dental implant or a dental bridge.

After crown lengthening is carried out, the final crown restoration is usually placed onto the tooth between 2-6 months after the crown lengthening surgery.

Instructions that you should follow after periodontal crown lengthening surgery

  • Rest your mouth for the first 3 hours.
  • Apply ice packs to your face for at least 1hour.
  • Eat a soft diet for the first 24 hours.
  • Use the opposite side of the mouth for 1 week.
  • Brush and floss except in the treated area.
  • Expect swelling, some bleeding and some pain post-operatively.
  • ake over the counter painkillers as directed by your dentist.
  • Take prescribed antibiotics or use antiseptic mouthwash as prescribed.
  • Call the practice emergency dentistry if you have any concerns.
  • Come back to see us for a review 10-14 days post surgery for us to remove any remaining sutures.

At Hyderabad Smiles dental clinic, for those patients that suffer from dental anxiety, we offer Conscious IV Sedation to help you feel more relaxed during your crown lengthening treatment. Crown lengthening treatment is usually carried out by our Periodontist (Gum Specialist).

We will always provide you with a full written treatment plan so that you are fully aware of the costs involved before we begin any treatment. We have published our fees on our web site, so that there are no hidden costs.

Stain Removal

Self-conscious individuals who may have discoloured teeth and want to make improvements to their smile should contact a Hyderabad Smiles Dental Clinic professional as soon as possible to improve their quality of life.
The practice’s range of stain removal treatments remove the appearance of any discoloration that may have emerged on teeth as a result of years of smoking or consumption of coloured food and drink.
While staining on the teeth is very common, it can cause significant reductions to a person’s self-esteem and make them feel unnecessarily uncomfortable and nervous in social situations – particularly with company they may not know.

Extrinsic discolouration, which is staining found on the surface of the teeth, can be brought on as a result of a number of factors, including poor oral hygiene and a build-up of plaque.
In addition, regular consumption of substances such as tea, coffee, red wine, curry, fried food and fizzy drinks can have a similar effect in creating a yellow or brown build-up on the surface.
Some antibiotics can also cause certain individuals to experience a change in the appearance of their teeth, while mouthwashes containing the antibacterial chlorhexidine can cause discolouration.
Intrinsic stains, which are found within the structure of the tooth, can be caused by fluoride from toothpaste causing both brown stains and white flecks, while older individuals could develop brown staining as a result of a thinner layer of protective enamel.

The use of tetracycline antibiotic among children can also cause tooth discolouration, with the stains taking the shape of brown and grey striping across the enamel surfaces.

Both smoking and tooth decay, which can be caused by poor dental hygiene and a sugary diet, can cause extrinsic and intrinsic staining on the teeth and should therefore be prevented through the adoption of a healthy lifestyle, which could also promote overall wellbeing.
While extrinsic staining of the teeth can be relatively simple to remove, intrinsic discolouration can be more difficult to contend with. Hyderabad Smiles Dental Clinic offers a wide range of treatments for individuals to enjoy the benefits of a smile.
The practice’s professionals are able to offer guidance on an effective oral hygiene program that could reduce the risk of the issue exacerbating over time, as well as medical treatment that can remove the stains from the teeth.
Teeth whitening can also be useful for reversing the effects of discolouration, while chewing sugar-free gum could also give teeth a healthier appearance.

How to find us

Our Practice is open seven days a week from 8am till 10pm. You can book a free consultation with one of our experienced dentists by calling +91-8801627272 or
email; us for further information or to arrange a consultation.

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