A "PERIODONTIST" is a dental specialist who looks after your
gums and other supporting structures of the teeth. Teeth are
embedded in a bony socket in the upper and lower jaw bones,
known as the maxilla and mandible respectively. The roots of
the teeth, which are embedded in the bone, are coated with a
substance known as the cementum. This cementum unites the
teeth to the bone with the help of a shock absorbing ligament
known as the periodontal ligament.
The cementum, the periodontal ligament, the bone housing the
teeth and the gums covering the teeth are collectively known as
the periodontal complex. A "PERIODONTIST" looks after, and
treats diseases affecting these structures. A disease of these
structures is known as periodontal disease, and it can affect
individuals in varying forms. t is a very slowly progressive
disease and is caused by colonization of bacteria in, and
around the junction of the gums and teeth. This accumulation
of bacteria and its byproducts is known as PLAQUE.
When this plaque accumulates beyond a certain critical level,
it starts causing destruction of the peridontal structures. If
left unhindered, the disease progresses and the tooth starts
becoming loose and will ultimately fall off. It is the job of
the periodontist to prevent such problems, and treat them if
the disease is already established. A large component of this
disease is preventable if proper precautions are taken and
good oral hygiene is maintained. It is important to note that
the more the amount of PLAQUE in an individual's mouth, the
more the extent of the disease.
The severity of the disease for each individual is variable
and hence, it is very difficult to quantify the critical level
of plaque which will cause disease. It is best to keep the
mouth as clean as possible. It is very advisable to visit your
family dentist at least once year for a check up and, if
necessary, get a scaling (professional cleaning of your teeth),
done. If your dentist notices that you have an advanced level
of gum disease (as it is colloquially known), it may be necessary
for you to seek the services of a Periodontist.
Originating from the latin word "ENDO" which means inside
and "ODONT" which means the tooth, the science of Endodontics
is the study of the problems inside the tooth and an
"ENDODONTIST" is the specialist who treats the inside of the
tooth. The outermost layer of a tooth is the Enamel which
covers the Dentine. In the core of the tooth is the pulp which
has blood vessels supplying nutrients to the tooth and a nerve
which provides the sensations. These enter the tooth from the
apex of the root and curve up to the pulp chamber which is
literally in the center of the crown.
This pulp chamber which is normally sealed off from the
outside world may sometimes get infected by microorganisms.
More often than not, these microorganisms gain entry into the
pulp chamber due to dental decay taking place on the tooth
surface. The dental decay or more technically speaking caries,
dissolves the enamel and dentine and over a period of time
reaches the pulp chamber. Once it gets to the pulp chamber the
bacteria quickly eat away and degenerate the blood supply and
nerve tissue of the pulp and the canal till the root apex
A COSMETIC DENTIST is a dentist who has developed the competence
to be able to expertly handle the materials and colors available
for modifying tooth structure by means of continuing education
programs. An AESTHETIC DENTIST can bring about dramatic changes
in an individuals appearance in a couple of days. Such situations
do not always exist. There are a large number of situations wherein
the case dictates the need for collaborative work with an
orthodontist for minor tooth movements prior to making wholesale
changes. At other times, a teamwork may be required from a plastic
cosmetic surgeon in conjunction with an AESTHETIC DENTIST.
If you feel that you want that million dollar smile that you see
being flashed by models on catwalks or artists in films, do not
despair. At Le Visage we have some of the best AESTHETIC DENTIST who can
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An ORAL SURGEON is a specialised dentist who carries out
major surgical work primarily involving the upper and lower
jaw bones and to a certain extent, the mid face. There are a
vast array of circumstances which require surgical intervention.
An example is injuries caused during an accident. It is very
common for hits on the face to lead to a fracture of the upper
or lower jaw bones, technically known as the Maxilla and the
Mandible.
Such cases are best treated by an ORAL SURGEON since the
positioning of the jaw bones requires an intimate understanding
of how the teeth bite with each other.
ORAL SURGEONS are also required in complex work
involving removal of teeth which do not fully erupt and get
stuck midway in the bone. Such removals can range from the
very simple to quite complex operations. ORAL SURGEONS will
also play an important role in tumors and growths in the jaw
bone. Many a times parts of the jaw bone have to be removed in
totality
A "PEDODONTIST" is a dentist specialized in handling
children, in obviating the fear in a child's mind that is
usually created by seeing the complex gadgetery and plethora
of drills all around. The "PEDODONTIST" is specially trained
in winning the child's confidence, making the child aware of
the responsibility of looking after his/her teeth and the
importance of a healthy mouth.
A number of procedures are modified from the norm to become
possible in small child's mouth. A PEDODONTIST will go to
great lenghts to see to it that this is the case. Even if the
teeth are lost the PEDODONTIST will work towards maintaining
the space till such time that the permanent teeth are guided
into the right place. The biggest challenge facing the
PEDODONTIST is the scared and nervous child and converting the
child into a confident patient. Generally treating a child
will take two or three times more than it will take for the
same procedure in an adult. It is worth the effort to do so.
An "ORTHODONTIST" is a dentist who specializes in correcting
these situations. An ORTHODONTIST will shift and manipulate
teeth positions slowly and bring them into alignment with the
help of wires and various kinds of appliances. An ORTHODONTIST
can usually predict the growth patterns from the ages of 7 to 8
onwards with the help of X-rays of the jaw bones. Various
measurements can be made on the X-rays and a growth pattern can
be predicted which helps in determining if the teeth will be
properly aligned or not.
Minor discrepancies can usually be solved with the help of
simple appliances which can be worn by the patient for a few
hours everyday. If the discrepancy is substantial the
ORTHODONTIST will have to generally use a fixed wire system.
This kind of appliance is adjusted every 3 or 4 weeks and teeth
are slowly shifted into the correct position. Such treatments
will easily take upto one and half to two years for complete
correction.
A "PROSTHODONTIST" is a dental specialist who specializes
in replacing your missing teeth, may it be a single missing
tooth, multiple teeth or all the teeth. A prosthodontist will
either make a fixed replacement called a "Fixed Partial
Denture", more commonly referred to as a "Bridge" or a
removalble device called as a "Removable Partial Denture",
more commonly referred to as a "Flipper".
For individuals who have lost all the teeth, a Prosthodontist
will fabricate a full denture which may or may not be
supported with two or four implants which have been placed
in the jaw bone.
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