Treatment

Treatment

Treatments are facilitated by our sister company named teeth21 limited, a new Kenyan based company, which facilitates various dental services through selected partners in Eastern Africa, UAE, Switzerland, Pakistan, Norway, the US and Finland.
We collaborate with a range of experienced dentists, mainly Implantologists, but also Endotologists and general practioners, who have years of experience, are highly skilled and participate regularly at the latest trainings. These doctors treat you at our partners clinics.
www.teeth21.com
If you are self-conscious because you have missing teeth, wear dentures that are uncomfortable or don’t want to have good tooth structure removed to make a bridge, talk to your dentist to see if dental implants are an option for you.

Dental implants are a popular and effective way to replace missing teeth and are designed to blend in with your other teeth. They are an excellent long-term option for restoring your smile. In fact, the development and use of implants is one of the biggest advances in dentistry in the past 40 years. Dental implants are made up of titanium and other materials that are compatible with the human body. They are posts that are surgically placed in the upper or lower jaw, where they function as a sturdy anchor for replacement teeth.

Most patients find that a dental implant is secure, stable and a good replacement for their own tooth. There are generally three phases to getting an implant:

First, the dentist surgically places the implant into the jawbone. Your dentist may recommend a diet of soft foods, cold foods and warm soup during the healing process.
Next, the bone around the implant heals in a process called osseointegration. What makes an implant so strong is that the bone actually grows around it and holds it in place. Osseointegration means “combines with the bone” and takes time. Some patients might need to wait until the implant is completely integrated, up to several months, before replacement teeth can be attached to the implant. Other patients can have the implants and replacement teeth placed all in one visit.
Finally, it’s time for the placement of the artificial tooth/teeth. For a single tooth implant, your dentist will customize a new tooth for you, called a dental crown. The crown will be based on size, shape, color and fit, and will be designed to blend in with your other teeth. If you are replacing more than a single tooth, custom-made bridges or dentures will be made to fit your mouth and your implants. (Note: The replacement teeth usually take some time to make. In the meantime, your dentist may give you a temporary crown, bridge or denture to help you eat and speak normally until the permanent replacement is ready.)
If you are interested in dental implants, it’s a good idea to discuss it carefully with us first. If you are in good general health this treatment may be an option for you. In fact, your health is more of a factor than your age. You may be medically evaluated by a physician before any implant surgery is scheduled.
Chronic illnesses, such as diabetes or leukemia, may interfere with healing after surgery. Patients with these issues may not be good candidates for implants. Using tobacco can also slow healing.

Pictures of upper complete implants

We at ADSL offer comprehensive, elaborate and modern treatment solutions to all dental problems.Our dental treatment centers in Islamabad, Nairobi and Oslo are all full time out-patient clinics.

Imagine looking in the mirror and seeing a bright white, beautiful smile! That can be you! In as few office visits as possible , we can transform your smile into a fabulous, new smile that will make you look and feel great!

We offer treatments ranging from a routine cleaning and filling to cosmetic treatment and full mouth rehabilitation. Some treatment options are elaborated below:

  • Dental Implants.
  • Root Canal Treatment.
  • Veneers.
  • Crown & Bridge.
  • Bone grafting.

Root Canal Treatment:

Overview

A root canal is a treatment to repair and save a badly damaged or infected tooth. The procedure involves removing the damaged area of the tooth (the pulp), cleaning and disinfecting it and then sealing it with a filling material. The common causes affecting the pulp are a cracked tooth, a deep cavity, repeated dental treatment to the tooth or trauma. The term “root canal” comes from cleaning of the canals inside the tooth’s root.

What to Expect During a ROOT CANAL

If you think you need a root canal, consult your dentist. There are a number of steps that occur over a few office visits.

1

X-ray – if a dentist suspects you may need a root canal, he will first take X-rays or examine existing X-rays to determine where the decay is located.

2

Anesthesia – local anesthesia is administered to the affected tooth. Contrary to popular belief, a root canal is no more painful than a filling.

Veneers:

Veneers are ultra-thin shells of ceramic (porcelain) or a composite resin material, which are bonded to the front of teeth. This procedure requires little or no anesthesia and can be the ideal choice for improving the appearance of the front teeth. Veneers are used to mask discolorations, to brighten teeth and to improve a smile.

Why a veneer?

Veneers are an excellent alternative to crowns in several situations. They provide a far more conservative approach to altering a tooth’s color, size or shape. Veneers can mask undesirable appearance of teeth, such as tetracycline staining or as a result of a root-canal procedure and damage due to trauma. They are ideal for masking discolored fillings in front teeth. Patients with gaps between their front teeth or teeth that are chipped or worn may opt for veneers. Generally, veneers will last for many years, and the technique has shown remarkable longevity when properly performed.

What happens during the procedure?

Patients may need up to three appointments for the entire procedure: diagnosis and treatment planning, preparation and bonding. It’s imperative that you take an active role in the smile design. Spend time in the planning of the smile. Understand the corrective limitations of the procedure. Have more than one consultation, if necessary, to feel comfortable that your dentist understands your objectives. To prepare the teeth for the veneers, the teeth are lightly buffed to allow for the small added thickness of the veneer. Usually, about half a millimeter of the tooth is removed, which may require a local anesthetic. Composite resin veneers are generally done in one appointment. After the tooth is prepared, the dentist carefully bonds and sculpts the composite material onto your teeth. For ceramic veneers, an impression is taken of the teeth, which is sent to the laboratory for the fabrication of the veneers. This may take several days. While the ceramic veneer is being fabricated, a temporary veneer can be placed to mask the unsightly teeth, at an additional cost.
When your ceramic veneers are ready, the dentist places each veneer on the teeth to check their fit and get a sense of the shape and color. While the veneers are resting on your teeth, view the results, and pay particular attention to the color. At this point, the color of the veneers can still be adjusted with the shade of the cement to be used. The color cannot be altered after veneers are cemented. To apply the veneer, the tooth is cleansed with specific chemicals to achieve a bond. Once a special cement is sandwiched between the veneer and tooth, a light beam hardens the cement.

How about maintenance?

For about a week or two, you will go through a period of adjustment as you get used to your “new” teeth that have changed in size and shape. Brush and floss daily. After one or two weeks, your dentist will ask you to return for a follow-up appointment.

What are realistic expectations?

Veneers are reasonable replicas of natural teeth, not perfect replacements. It’s not uncommon to see slight variations in the color of veneers upon close inspection, as this occurs even in natural teeth. Nevertheless, this procedure can greatly enhance your smile and can heighten self-esteem.

Pictures of Veneers

3

Pulpectomy – An opening is made and the diseased tooth pulp is removed.

4

Filling – The roots that have been opened are filled with gutta-percha material and sealed off with cement.

Crown & Bridge Work:

CROWNS

What Are Crowns?

A crown is a restoration that covers, or “caps,” a tooth to restore it to its normal shape and size, strengthening and improving the appearance of a tooth. Prosthetic crowns are made of metal, porcelain fused to metal substrates, or tooth coloured restorative materials. Crowns are necessary when a tooth is extensively broken down and fillings won’t solve the problem. Root canal treated teeth should generally be crowned to prevent fracture of the tooth. If a tooth is cracked, a crown holds the tooth together to seal the cracks, to prevent further damage to the tooth. Crowns are also used to support a large filling when there isn’t enough tooth structure remaining, attach a bridge and cover badly shaped or discolored teeth.

How is a crown placed?

The tooth is anesthesized and prepared for the crown by removing any decay or weakened areas. The remaining tooth structure is then reshaped to meet proper crown preparation design. If necessary, a restorative material, usually a composite resin, is added to the remaining tooth structure to ensure that the prosthetic crown will have a good foundation. This procedure is called a “build-up.” If the dental decay is found to have gone deep to an extent where the living portion (dental pulp) is affected, root canal procedures are essential prior to completion of the crown / bridge procedures. This is to avoid complications from pulpal infections after the tooth has been crowned.

After the tooth is prepared, impressions of teeth and gums are made and sent to the dental laboratory for the crown fabrication.During the second appointment, the new crown is placed on the tooth. Adjustments may be required to exact the perfect fit, so that the crown will feel comfortable in the mouth and will conform to the bite. When the crown fits seamlessly and contacts the neighboring teeth correctly, the crown is cemented on the tooth.

Will it look natural?

Yes. The dentist’s main goal is to create crowns that look like natural teeth. That is why dentists take an impression. To achieve a certain look, a number of factors are considered, such as the color, shape, length and bite of your natural teeth. Any one of these factors alone can affect your appearance. If you have a certain

cosmetic look in mind for your crown, discuss it with your dentist at your initial visit. When the procedure is complete, your teeth will not only be stronger, but they may be more attractive. Metal crowns will have a metallic finish. However, it will resemble a normal tooth in shape and size.

What is the difference between a cap and a crown?

There is no difference between a cap and a crown.

How long do crowns last?

Crowns should last approximately 5-8 years. However, with good oral hygiene and supervision most crowns will last for a much longer period of time. Some damaging habits like grinding your teeth, chewing ice, or fingernail biting may cause this period of time to decrease significantly. The type of material used in crown fabrication also affect the life of crowns.

How should I take care of my crowns?

To prevent damaging or fracturing the crowns, avoid chewing hard foods, ice or other hard objects. You will also have to avoid teeth grinding. Besides visiting your dentist and brushing in the correct manner twice a day, cleaning between your teeth is vital with crowns. Floss or interdental cleaners (specially shaped brushes and sticks) are important tools to remove plaque from the crown area where the gum meets the tooth. Plaque in that area can cause dental decay, gum disease and cause the restoration to fail. Regularly scheduled examinations and hygiene appointments must be adhered to.

A BRIDGE

What is a bridge?

A bridge is a dental appliance, made up of multiple crowns. It generally helps replace one or more natural
missing teeth, thereby “bridging” the space between two teeth. Bridges are cemented into place on the
“abutment” teeth i.e. the surrounding teeth on either side of the space or span, from which the bridge takes
support. Teeth called “pontics” which connects the crowns on abutment teeth together replace the missing teeth. Unlike removable partial dentures, bridges cannot be taken out of the mouth by the patient.

Who should get a bridge?

A person with missing teeth and committed to maintaining good oral hygiene practices, is a good candidate for a bridge. A bridge is the most natural choice to fill the space in the mouth left by missing teeth. If left unfilled, this space can cause the surrounding teeth to tilt into the space and can cause teeth and gums to become more susceptible to tooth decay and gum disease that can cause further tooth loss. Bridges not only correct an altered bite, improve the chewing ability and speech, but they also maintain or restore the appearance by preventing the collapse of facial features that can cause premature wrinkles and age lines.

What types of bridges are there?

Besides traditional bridges, another popular design is the resin bonded or “Maryland” bridge, primarily used for the front teeth. This is usually the most economical choice when the abutment teeth are healthy and don’t contain large fillings. The pontic is fused to metal bands that can be bonded to the abutment teeth with a resin cement and hidden from view, reducing the amount of preparation on the adjacent teeth. A cantilever bridge may be used if there are teeth on only one side of the span. This involves anchoring the
pontic to one side over one or more natural, adjacent teeth. If there are no adjacent teeth to act as anchors,an implant is recommended–a metal post that is surgically embedded into the bone and capped with a crown as an abutment. In some cases where the span is large, a removable partial denture is recommended or even an implant-supported prosthesis.

What is the procedure of its fabrication?

For a traditional fixed bridge, the first appointment consists of the dentist reducing the adjacent abutment teeth that will act as anchors. Impressions are made, from which a metal framework, including the pontic, is created. By the second appointment, the final bridge is fitted over the teeth. The total treatment time is usually around one week, depending on the type of bridge. However, because it is often difficult to match the natural shade of your teeth, the treatment time may be longer.

How do I care for a bridge?

With a bridge, it is more important than ever to brush, floss and see the dentist regularly. If buildup of food debris and plaque is not controlled, the teeth and gums can become infected, requiring further treatment and resulting in possible loss of the bridge. We recommend using floss threaders that help remove bacteria from hard to reach spaces between the bridge and adjacent teeth and gums. Crowns on the bridge cover most of the exposed portion of your tooth and decay does not affect a bridge since it is made of metal and /or porcelain. However, where the natural tooth meets the crown of the bridge can become decayed. If optimal oral hygiene care is maintained,a bridge can last for many years.

Suggestions and precautions

Adjustment period:
It is ok for the bridge to feel a little strange for a few days after cementing. This is because the teeth around this area are adjusting to new forces both in between the teeth and upon biting.
Preventive Procedures:
To provide optimum longevity for your restorations and to prevent future decay and supporting-tissue breakdown, please use the following home care tips:
Brush after eating and before bedtime around the bridge with a soft toothbrush, especially where the crown or bridge meets the gum line (margin). At this margin area harmful bacteria can be harbored to cause decay and gum disease. An electric toothbrush is highly recommended over manual to help you keep this area clean.
Floss at least once to twice a day. On a bridge you must clean under as well as around the bridge. If you do not control the buildup of food debris and plaque your teeth and gums can become infected. Water Pik can be used with an antibacterial, alcohol free mouthwash at the gum line and under the bridge to keep this area healthy Use a proxybrush (interdental brush) to clean around the area after each meal.
Sensitivity:
Do not worry about mild sensitivity to hot or cold foods. This sensitivity will disappear gradually over a few weeks. Rarely, sensitivity last longer than six weeks.
Recare:
Inadequate return for examination is the most significant reason for prostheses failure. Visit us at regular six-month examination periods. Often problems that are developing around the restorations can be found at an early stage where they can be corrected easily and will be more affordable. Waiting for a longer time mayrequire re-doing the entire restoration.

Bone Grafting:

Have you been missing teeth for a number of years? If so chances are your bone in that area has shrunken (generally called bone loss). Bone loss poses an issue for those wishing to restore their missing teeth with dental implants.

Lack of bone.

A good dental implantologist will always evaluate the bone where a dental implant is to be placed. Enough bone must exist to successfully place a dental implant. The existing bone will incorporate the dental implant into it and permanently anchor the dental implant. Lack of sufficient bond will cause the dental implant to fail.
Here is where bone grafting is useful to increase the amount of available bone. With grafting, individuals can have dental implants that will last a very long time.

How do I know if I need bone grafting?

Before diagnosing and treatment planning dental implants, a good dentist will take a 3 dimensional image of your jaws. This is usually done with an ICAT technology.

Bone graft in place.

With your 3 dimensional image, a dentist can measure how much bone is available and where your implant(s) can be securely placed. The long term success of your dental implants is directly connected to the amount of bone available to place the dental implants in. There must be enough bone surrounding the dental implant for your bone to “accept” the dental implant. Lack of bone is a recipe for future problems.
Some people are told that they don’t have “enough” bone for dental implants and are disappointed because they think they can never have a dental implant restoration. Many times this is because their provider doesn’t do bone grafting. If you have been told you can not have dental implants because of lack of bone, it is advisable to get a second opinion from a dentist who offers bone grafting.

How successful is bone grafting?

Successful dental implant with bone grafting.
Bone grafting done properly is very successful.The biggest problem patients have with bone grafting is once they begin the process of dental implant restorations they want everything completed as soon as posible. With bone grafting there may or may not be a waiting period before getting your dental implants depending on your individual situation.

Pictures of Anterior Implants

Anterior implant pictures Case No. 2