40 yr young lady wanted to enhance her smile as she lost enamel from upper front 10 teeth and developed gaps with lower teeth .Here i advised full mouth rehabilitation as patient lost both canine guidance and incisal guidance. It was possible only with full mouth rehabilitation. As patient was not ready for this because of budget constraint , I decided to go with composite laminates with her upper front ten teeth (11 12 13 14 15 21 22 23 24 25) and lower 6 teeth (31 32 33 41 42 43).
After this treatment teeth behind caninies are not occluding on both sides , i kept it under observation as it will take further 2 to 3 months for patient to get familiar with this new situation of teeth.
After completion of this treatment now she is happy as she can smile confidently.
Restoring Tooth To Its Natural Form and contour in it self adds strength to tooth and restoration works for longer period.
We are using dental photography while doing our patient's dental checkup since last 11 yrs. It helps patients to understand their dental problem very well as they don't have to imagine about their dental problems. We explain our patients dental problem by taking help of dental photographs. This has helped us a lot to improve quality of dental treatment. We use social media to display our work done in our clinic on face book , twitter,google business page,and our website. This help us patient to know more about dentist, the quality and variety of dental treatments.Looking at various uses of dental photography in dental profession we decided to give presentation on it and train new comers and experienced dentist so that it will help in improve over all dental health care and to increase standard of dentistry in India.
I also gave presentation on Digital Dental Marketing , as because of smart phone most of people are found searching on google or using what's up and facebook very often. For reaching to most of people and to make them aware of dentistry it is the best and most powerful media now a days. I am using it in my clinic,s promotion since last 10 yrs and wanted to share it to my dentist friends.
My wife Dr Vidya Gave presentation on application of rubber dam in dental practice. It is invented 150 yrs back in America and it is mandatory in most of dental treatments. But still hardly 5 to 10 % of dentist are using in their dental practice worldwide. We started it in our practice for doing rootcanal treatments and restoration of teeth. It is very important in dental treatment for isolation of teeth. It also improves quality of dental materials used in dental treatment. It is for security of patients and working dentist as it acts as barrier between throat and woking area. Does't allow ingestion of harmful materials .It makes patient more comfortable as there is nothing inside oral cavity to stimulate salivation , reduces treatment time.
We gave this presentation in Bhor pune infront of 33 participents. We gave hands on on dental photography and application of rubberdam. It helped them in reducing fear of using rubberdam in dental practice and came to know use of dental photography as well.
In This case i gave inlay to patient, inlay is part of tooth which get created in lab and fixed to tooth with adhesives.
Materials used for inlay is composite , zerconia & ceramic . The cost of composite inlay is less as compare to zerconia and pure ceramic . Here patient decided to composite inlay. Strength of composite inlay is less as compare to pure ceramic and zerconia. Its possible to do this kinds of restoration because of good adhesives.
Inlay is given when tooth destruction is more , loyt of tooth destruction is to be restored.
Here i decided to do inlay because of big cavity after decay portion removal and second as patients mouth opening was not good enough , patient is uncooperative to keep mouth open for longer period.
This inlay got fractured after two months of its restoration so decided to restore it with composite filling. This time patient was quiet comfortable and i was able to restore his tooth with composite restoration
This is young 25 yr , pt came one & half year with accidental injury with his front teeth . He came with horizontally broken front two teeth. Pulp tissue of his tooth was not visible , took x ray for checking any root fracture . Roots of both the teeth were intact . He is a student and i explained him my treatment plan . I decided to do composite buildup as it is more conservative treatment and doesnot requires tooth reduction , which is requirement of crown . As pt was young and i felt that i can give him good composite restoration. Pt took his father's consent before proceding treatment. we even discuseed it on phone and finalized te treatment.Did entire treatment in two visit . In first visit i isolated tooth , and gave light cure GIC base on dentinal surface from where pulp tissue was very close as i was able to see redness of it through thin dentinal surface and buildup rest of tooth structure. This procedure requires more time as it is done inside pt's mouth and requires patience from pt as well as from Dentist side. Then and only then it is possible to give best results to patient.
I called the patient for next sitting after 24 hours and did polishing of restoration to give life like appearance to tooth.
After such treatments we call pt after 6 month for follow up , to observe any changes inside bone because of accidental injury to nerve and blood vessels inside root canals.Pt didn't came so we call the pt after 1 & 1/2 yr for follow up x ray. His restoration is in sound position and no sign of damage to pulp tissue i x ray . Pt is happy with his appearance and with restoration done.
We feel very glad to announce that we Dr Yogesh Pandit & Dr Vidya Pandit Conducted Free dental check up and treatment camp at our cliinic at Pashan for 29 Underpriviledged children. We did 74 fillings , 67 pits and fissure sealent fillings, 3 extractions and 3 rcts. Its a dream come true for me and my dear wife Dr Vidya. As we were thinking of giving this kind of services since long and now got succeded in doing this . It was the gret experience for me , Vidya and staff every one enjoyed lot treating these kids . These kids were very enthusiastic, very happy during and after treatment. As a male dentist i had fobia of treating kids , but after this it has reduced as these kids were very confident and eager to do their treatments.
Our staff Sujata and Shital also worked very hard and give their services as they had to work beyond their working hours . We are treating these kids since one month and still it is going on.
Now your dentist is taking every effort to save your tooth in its natural shape and form to give it long lasting strength. By maintaining anatomy of tooth in itself adds strength to filling. It also maintain your normal chewing efficiency. Here i have given lot of time for restoring this tooth in its natural shape. It is the most conservative way of saving your tooth.
Restoration After 2 Yrs
As the size of filling increases, life of it get reduces as most of chewing pressure goes on filling . So it is better to visit your dentist as early as possible to treat decay of teeth. Treating the decayed teeth in early stages of decay or when there is less destruction of your tooth by decay , helps in maintaining your tooth for longer period.
After 2 yrs restoration
52 yr lady visited my clinic as she wanted to close the gaps between her front teeth. She was knowing the results of her daughter's Smile designing and was happy with her treatment. Here i closed the gaps with composite material . Now a days patients and dentist do not have to imagine for the out come of treatments. In first sitting i took the measurement of her teeth then did the wax up on her model and then mock up on her teeth. Taken photographs of her smile and was happy with it and then i gave her next appointment for gap closure. Here i used the papilla compression technique (Compressed the Gum between two front teeth ).
This is simple case and after doing rcf i felt that filling is short and immediately removed
gp points and called pt on next day and did filling in fresh mood. Pt was alright didn't took any medicine. The pain which he had was because of site of injection and keeping mouth open for longer period. Because of good endo most of my pt doesnot take any medicine . hardly they r taking one or two painkillers to relieve pain., which i told pt to take it compulsery at least one painkiller for safer side.I donot prescribe antibiotic which i was doing few years back.Now the role of medicine has reduced a lot. If any pt comes with acute pain and if i do endo he get relief immediately and the no of medicine also go down.
This is 63 yr pt has cervical decay with 11 12 13 14 21 22 23 24. With 13 22 23 i used Light cure gic Inolux and then used Brilliant NG Dentine from Coltene Whaledent India and Enamel shde from Ivoclar Empress. with 21 i used translucent shade in incisal third. 22 and 23 kept under observation as it may require rct in future and explained it to pt.Redness of gum is because of desquamative gingivitis pt has it since last 5 yrs. Has taken lot of dental treatment as well as visited physicans for it but no relief. — at Dr Pandit,s Clinic for Dental Excellence and Implant Centre.
Dr Yogesh Pandit
To make people aware about dentistry ,new technology different treatment modalities.To share views about dentistry