DENTAL DIARIES

One of the commonest myth is that "Sugar causes cavities". we have heard this a number of times in our life time. but the real question is how much is the truth in this?? lets find out the answer........... what happens when we have something sweet to eat. a little amount of the sugar sticks to the teeth, this sugar finds its place in between teeth or between irregular tooth surface. but sugar itself is harmless if it is present alone. the problem arises that in our oral cavity there are a number of bacteria's working 24 hours. these bacteria also have a increased number in the areas where sugar find its place. sugar act as a food to these bacteria. these bacteria eats sugar and releases some form of acids that actually damages the teeth. we all know enamel is the hardest part of the body but still it is susceptible to the damage by acids. this acid when in contact with the teeth causes enamel to erode away, that causes decay. before a person get to know this the...

WHAT TO CHOOSE? METAL OR CERAMIC BRACES!!!! When a patient enters a Orthodontic clinic He/She is confused whether to go for metal braces or ceramic braces? Orthodontic treatment is generally considered a cosmetic treatment as this is the primary reason behind patient visiting a Orthodontist. But the choice of braces should be more dependent on the longetivity, comfort and ease of treatment in addition to cost to both the patient and the Orthodontist. Based on my personal experience i would prefer metal braces over ceramic for the following reasons :- 1. Cost effective : metal braces are far cost effective than ceramic braces. approx difference would range from Rs.10,000 - 20,000. 2. Longetivity :- although ceramic braces have a very good tooth to bracket bond strength but they lack marginal strength(i.e. they break from corners because of load). so in this regard they have a lesser life than metal brackets.so for this reason they have to be changed which ultimately ...

REIMPLANTATAION :- To do or not to? A number of cases can be seen which are unresposive to root canal as they have a periapical pathology assosiated with it. In this type of cases what should be the treatment protocol is always a matter of challenge. Small dental lesions like dental abscess can be easily resolved with the help of metapex etc. but larger lesions or we can say granulomatous lesions sometimes require surgical approach.  Question arises which surgical approach to be used. either go for apicocectomy or go for re-implantation? Both the technique have some advantage and disadvantage but before that a fine line exists whether to go for which surgical technique.  Radiograph often reveals periapical radiolucency which is damaging to the health of surrounding bone. now, if the bone is perforated and there is a bony defect we donot have a option for reimplantation. we have to definitely go for apicocectomy but sometimes cases can be seen which can be effec...