Oral Surgery

What is Marsupialisation Or Partsch Operation - Indication, Advantages, Procedure 

Marsupialisation or Partsch operation is a conservative surgical procedure for management of cysts in oral cavity and other parts of the body.

A cyst is a sac like pathology which can develop in any part of the human body. When a cyst grows to such a big extent that complete removal of the cyst will result in permanent structural and functional loss then marsupialisation is advised.

Procedure in layman terms- The roof of the cyst is removed and the cavity is evacuated the cyst lining may be left intact at that movement but cystic contents are removed and the cyst is left open. Edges or the border of the cyst are stitched with the normal outer epithelium.

This technique relives the intra cystic pressure and reduces size of the cyst and promotes healing. This procedure also reduces the chances of the reccurrency.

After some time when there is enough healing and cyst have been reduced in size then cystic lining can be removed or any kind of cyst removal surgery can be performed, following which the cyst is closed.    

Partsch was the person who invented this technique hence the name Partsch operation is applied.

Indications for Marsupialisation-

When cyst cavity is so big that complete removal of cyst will result in excessive structure loss.

• When cyst is in proximity with vital structure which will get harm if complete cyst is removed.
• When cyst have tendency of high recurrence.

• Those cyst which have character of high volume intra cystic liquid production.

• Compromised cases which does not advocate for complete removal of the cyst.

• Usually used in bartholin cyst. and large dentigerous cyst.

Advantages-

• Conservative operation so it will conserve soft tissue and bone structure.

• Success rate is high.

• chances to damage to adjacent vital structures is reduced.

 

Dental Jewelery

What is dental jewelry?
Dental jewelry is one of the latest means of beautifying your teeth and smile. It gives you a smile that will dazzle others. These are basically gems which are bonded to teeth.

What kind of gems are used for dental Jewelry?
Generally the crystals used for dental jewelry are top quality Swiss Crystals. One of the brands of dental jewelry use Swarovsky crystals.

Is getting dental jewelry painful?
Getting dental jewelry is not at all painful.

On which teeth can I have dental jewelry?
Generally, the crystals are put on the upper lateral incisor, meaning the second tooth from the center in the upper jaw. However it looks good on canines as well.

Can I brush my teeth everyday after I get dental Jewelry?
Having dental jewelry does not in any way alter the way you brush your teeth. Brushing twice a day is always recommended.

Does eating or drinking affect the shine or sparkle of the jewelry?
Eating and drinking does not affect the shine and sparkle of good quality dental crystals.

What can happen if I accidentally swallow a dental crystal?
You will immediately come to know if the crystal comes off into your mouth so that you will be able to remove it. Even if you happen to swallow the crystal accidentally, it will get pass out of your body without any trouble as if you have swallowed a seed.

Can I change the crystal?
Of course yes! The old crystal can be removed any time and a new one can be put immediately.

When you lose a tooth it usually is best for your oral health to have it replaced. Missing teeth compromise your “bite” and decrease your ability to chew properly. Missing a tooth, or several teeth, can also increase the burden on your remaining teeth. Depending on the location in your mouth, a missing tooth can also have a very negative impact on your smile and appearance. Fortunately, missing a tooth is not a life-threatening process and you have time to consider what replacement option is best for you.
At your consultation appointment we will closely examine the area, explain all your replacement options, make recommendations, and most importantly, answer all your questions. It is extremely important to us that you are well informed and that you understand all your options.

What Are My Tooth Replacement Options?

If you are missing one or more teeth and choose to have them replaced, there are several treatment options available to you:

"Flipper"

A “flipper” is a removable plastic tooth device. It is fragile and is meant only to last for a short period of time. Flippers are usually only worn by patients on a temporary basis for esthetic purposes while they are waiting for more definitive and permanent treatment.

Cast Partial

A cast partial denture is also a removable device. It is precision cast in metal for increased strength and longer service. Wire clasps are commonly used to hold it in place. These wire clasps are frequently visible when you smile and unfortunately will also commonly damage the remaining supporting teeth.

Fixed Bridge

A fixed bridge is cemented into place using crowns or “caps” on the teeth adjacent to the open space for support. Crown placement usually requires removing or reducing the outer layer of the adjacent teeth. Fixed bridges have been made by dentists for their patients for decades. Unfortunately, bridges have many significant disadvantages:

• The average “lifetime” of a bridge is 12 years, meaning that most bridges will need to be replaced every 12 years. Frequently, replacing a bridge means making it longer because the original supporting teeth are no longer useful.
• Bridges are very difficult to clean under, which results in decay of the teeth supporting the bridge. Often, patients are not aware of the decay until it is too late.
• Teeth do not like to be “drilled (whittled) down”. A full 10% of teeth supporting a bridge will have to under go root canal treatment sometime in the future. Root canal treated teeth are prone to fracture, which further contributes to the early demise of a fixed bridge.

Full dentures or “plates” are the traditional solution for people who have lost all their teeth in one or both jaws. The success and fit of a full denture depends upon the patient’s jaw shape and size, their oral habits, and their adaptability. Some people adapt well to their dentures, while other patients are not able to adapt at all.

Dental Implants

Dental implants can be used to provide support for the replacement of one tooth or all the teeth. After years of research and clinical trials, we can now provide this option, in addition to the traditional treatments listed above. Implant supported teeth and dentures are often a wonderful option. Implant supported teeth and dentures can be made attractive, stable, and comfortable for many patients.

Are Dental Implants An Option For Me?

Dental implants are changing the way people live. They are designed to provide a foundation for replacement teeth which look, feel and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything they want and allows them to once again smile with confidence.
If you are considering dental implants, we will examine your mouth and oral structures thoroughly. We will review your dental and medical history to ensure that dental implants are appropriate for you. And we will evaluate your jawbones with sophisticated digital x-rays to determine if you are a good candidate for dental implants.

Dental Implants

When you lose a tooth it usually is best for your oral health to have it replaced. Missing teeth compromise your “bite” and decrease your ability to chew properly. Missing a tooth, or several teeth, can also increase the burden on your remaining teeth. Depending on the location in your mouth, a missing tooth can also have a very negative impact on your smile and appearance. Fortunately, missing a tooth is not a life-threatening process and you have time to consider what replacement option is best for you.
At your consultation appointment we will closely examine the area, explain all your replacement options, make recommendations, and most importantly, answer all your questions. It is extremely important to us that you are well informed and that you understand all your options.

What Are My Tooth Replacement Options?

If you are missing one or more teeth and choose to have them replaced, there are several treatment options available to you:

"Flipper"

A “flipper” is a removable plastic tooth device. It is fragile and is meant only to last for a short period of time. Flippers are usually only worn by patients on a temporary basis for esthetic purposes while they are waiting for more definitive and permanent treatment.

Cast Partial

A cast partial denture is also a removable device. It is precision cast in metal for increased strength and longer service. Wire clasps are commonly used to hold it in place. These wire clasps are frequently visible when you smile and unfortunately will also commonly damage the remaining supporting teeth.

Fixed Bridge

A fixed bridge is cemented into place using crowns or “caps” on the teeth adjacent to the open space for support. Crown placement usually requires removing or reducing the outer layer of the adjacent teeth. Fixed bridges have been made by dentists for their patients for decades. Unfortunately, bridges have many significant disadvantages:

• The average “lifetime” of a bridge is 12 years, meaning that most bridges will need to be replaced every 12 years. Frequently, replacing a bridge means making it longer because the original supporting teeth are no longer useful.
• Bridges are very difficult to clean under, which results in decay of the teeth supporting the bridge. Often, patients are not aware of the decay until it is too late.
• Teeth do not like to be “drilled (whittled) down”. A full 10% of teeth supporting a bridge will have to under go root canal treatment sometime in the future. Root canal treated teeth are prone to fracture, which further contributes to the early demise of a fixed bridge.

Full dentures or “plates” are the traditional solution for people who have lost all their teeth in one or both jaws. The success and fit of a full denture depends upon the patient’s jaw shape and size, their oral habits, and their adaptability. Some people adapt well to their dentures, while other patients are not able to adapt at all.

Dental Implants

Dental implants can be used to provide support for the replacement of one tooth or all the teeth. After years of research and clinical trials, we can now provide this option, in addition to the traditional treatments listed above. Implant supported teeth and dentures are often a wonderful option. Implant supported teeth and dentures can be made attractive, stable, and comfortable for many patients.

Are Dental Implants An Option For Me?

Dental implants are changing the way people live. They are designed to provide a foundation for replacement teeth which look, feel and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything they want and allows them to once again smile with confidence.
If you are considering dental implants, we will examine your mouth and oral structures thoroughly. We will review your dental and medical history to ensure that dental implants are appropriate for you. And we will evaluate your jawbones with sophisticated digital x-rays to determine if you are a good candidate for dental implants.

Exactly What Is A Dental Implant?

The best way to explain a dental implant is to compare it to a natural tooth. A natural tooth consists of a root and a crown. The part of the tooth you see and eat with is called the crown. Beneath the crown is the root. The root of the tooth anchors the tooth through the gum tissue to the jawbone. When you lose a tooth, you lose both the root and the crown. To replace a tooth, we first have to replace the root. A dental implant is essentially a new root. This specialized titanium root (implant) is fitted into a socket that we create in your jaw, replacing the lost root of your natural tooth.
Once an implant has been placed in the jaw, the bone around the implant will fuse, or integrate, to the implant. The process of integration typically takes from 2 to 4 months depending upon the quantity and quality of the jawbone. Once the implant has integrated (fused) to the jaw bone, a support post, called a final abutment, will be placed into the implant itself. The abutment actually protrudes up through the gum tissue and serves as a post to which a new crown can be cemented. If all your teeth are missing, a variety of treatment options are available to support and greatly increase the stability, strength, and retention of your dentures.
Dentist has lectured both nationally and internationally on implant designs and techniques. He is constantly updating his knowledge through continuation courses so that he can provide the very best in dental implant therapy to his patients.

How Are Implants Placed?

The office procedure to place a dental implant usually takes about an hour for one implant and no more than two or three hours for multiple implants. The placement process consists of the following steps:

• For the patient’s comfort, we normally recommend IV sedation during the procedure. Once you are sedated, a local anesthetic is administered to numb the area where the implant is to be placed.
  Then an incision is made into the gum tissue and the gum tissue is reflected back to reveal the underlying bone.
• Using specialized instruments, a socket is then carefully created within the jaw bone.
• The titanium implant is then inserted into the socket within the jawbone.
• A healing abutment, or healing cap, is placed onto the implant after it is inserted into the bone. The gum tissue is then brought around the healing abutment and held in place with dissolvable sutures.
  Once the implant has integrated, an impression is made of the implant by the restorative dentist and a final abutment and crown is fabricated. The healing abutment is removed for the last time; the final abutment is placed into the implant, and the crown (tooth) is cemented to the final abutment.

Missing Tooth

Healing Cap

Final Abutment

Final Crown

Two to four months is typically the amount of time required for the implant to integrate to the jawbone. We will follow you closely during this time. Once we have determined that the implant has healed to your jaw, the final abutment and crown will be made by your restorative dentist.
Dental implant therapy can vary greatly from patient to patient. It certainly is not a “one size fits all” form of treatment. That is why clinical expertise and judgment are so critical to implant success. Dentist has the clinical experience and academic background to assure that your implant restoration is highly successful. Dentist will present and discuss with you in great detail all your treatment options, the individual steps along the way, and the expected outcome. We promise to work closely with your restorative dentist and most importantly, as a team; we will make sure that all your implant questions have been answered prior to proceeding with treatment.

Tooth Decay

Tooth decay is the process that results in a cavity (dental caries). It occurs when bacteria in your mouth make acids that eat away at a tooth. If not treated, tooth decay can cause pain, infection, and tooth loss.
See pictures of a tooth and tooth decay .
You can easily prevent tooth decay by brushing and flossing your teeth regularly, seeing your dentist for teeth cleaning and checkups, and avoiding foods that are high in sugar.

What causes tooth decay?

The combination of bacteria and food causes tooth decay. A clear, sticky substance called plaque that contains bacteria is always forming on your teeth and gums. As the bacteria feed on the sugars in the food you eat, they make acids. The acids attack the teeth for 20 minutes or more after eating. Over a period of time, these acids destroy tooth enamel, resulting in tooth decay.

What are the symptoms?

Tooth decay usually does not cause symptoms until you have a cavity or an infected tooth. When this occurs, a toothache is the most common symptom.

How is tooth decay diagnosed?

Your dentist diagnoses tooth decay by:

• Asking questions about your past dental and medical problems and care.
• Examining your teeth, using a pointed tool and a small mirror.
• Taking X-rays of your teeth and mouth.

How is it treated?

Treatment for tooth decay depends on how bad it is. You may be able to reverse slight tooth decay by using fluoride. To fix cavities caused by mild tooth decay, your dentist will fill the cavities with another substance (fillings). For more severe tooth decay, you may need a crown or root canal. In extreme cases, your dentist may have to remove the tooth.

Benefits of Good Dental Care

Regular visits to the dentist are important if you are going to keep your teeth in good shape. Unfortunately the cost of seeing the dentist keeps a lot of people away. The best way to get around this problem is to have a good dental plan.
The main benefit of a good dental plan is that you will be able to get the dental care that you need without having to pay for it out of your own pocket. The cost of seeing a dentist is pretty steep and this would be a problem for a lot of people if they didn't have a dental plan to help pay for it. In most cases your dental plan will require you to pay a small amount for each visit out of your own pocket and then will cover the rest of the cost.
There are a lot of different dental plans available so you are going to want to make sure that you get one that suits your needs. At a minimum all dental plans should cover basic maintenance and necessary procedures. This would be things like regular checkups and cleanings as well as the cost of things like filling cavities. If you are young and your teeth are in good condition this is probably all that you need. However if you have dental problems or if you are older you are probably going to want a plan that covers more things like dentures.
There are a lot of other benefits that you may want to look for when you are choosing a dental plan depending on what you need coverage for. Over the last few years cosmetic dentistry has become much more widely used as people are really starting to worry about what their teeth look like. A number of dental plans will now cover things like this. Obviously this will add to the cost considerably so you will need to determine if you will actually be using the services enough to justify the expense.
A couple of things that you are going to want to think about when you are choosing a dental plan are whether or not your dentist accepts the plan and how much it will cost you out of your own pocket. Most dental plans are only accepted by a limited number of dentists so you will either need to choose a plan that your dentist accepts or find a new dentist. As for the amount that you pay out of pocket, this will largely depend on how much dental care. If you have teeth that are in good shape and all you need is regular checkups then you should choose a plan with a high deductible. However if you need regular dental care you will want to go with the lower deductible.

Sensitive Teeth

What causes sensitive teeth?

Toothbrush and/or toothpaste damage may be the most frequent cause of sensitive teeth. By brushing too hard and/or using abrasive toothpaste, you may be removing tooth structure at the necks of your teeth.
This can result in pain, especially to cold drinks, food, and air, but also to physical pressure, hot, sweet and sour.
The reason for the pain is exposed dentine – the inner substance of the tooth, which is covered by enamel. The enamel can get quite thin, especially where the tooth meets the root (at the gumline). The root is covered by a substance called cementum, which is easily worn away. Dentine contains little tunnels (tubules) that link to the nerves on the inside of the tooth, and when dentine is exposed, these nerves are easily stimulated, resulting in pain.
Other things which can cause sensitive teeth include:

• acid erosion,
• gum recession,
• gum disease,
• tooth grinding,
• tooth bleaching, and
• a cracked tooth or filling.

What can I do about sensitive teeth?

To prevent further damage, brush your teeth gently as described on our toothbrush abrasion page and avoid abrasive toothpaste or use a non-alcohol mouthwash to wet your toothbrush instead.