Friday, 20 March 2020

Idyll Dental:

                                                                  Ident Idyll Dental


As A Preventive Measure against COVID-19
We are closed for Elective Dental Procedures uptill the 31st of March 2020

We are available for all Dental Emergencies
On 26-03-2020 (Thursday)
By Prior Appointments Only

For Appointment please contact +91 22 40147049
Or Email:
Timing: 10:00am to 02:00pm

Let’s all stand together and show solidarity in following Social Distancing.

             Stay Home Stay Safe              

Thursday, 19 March 2020

Idyll Dental: COVID -19          Coronavirus is the most talked ...

Idyll Dental: COVID -19          Coronavirus is the most talked ...: COVID -19           Coronavirus is the most talked about and concerning topic in media and news these days. The coronavirus had also s...


          Coronavirus is the most talked about and concerning topic in media and news these days. The coronavirus had also spread in 2003-2005 by the name of SARS (severe acute respiratory syndrome) and many people worldwide were affected by it. Coronavirus spreads like flu and has originated from Wuhan district, China. It is understood that the virus originated from a food market in China, however, it is not completely established. In the present scenario, the virus is spreading through Human-Human transmission and is new type of virus which can have serious consequences in around 20% of the infected patients. There are over 20,000 people affected by the virus and around 400 deaths have been reported in China from coronavirus till date. Some cases of the virus have also been diagnosed in other parts of the world like Asia-Pacific region, America, Europe, Australia and Japan.
Etiology and Symptoms:

The research on Coronavirus is still ongoing as it is a new and deadly virus. This is a respiratory virus that affects birds, mammals, and in humans, this virus is believed to spread through snakes and seafood. The people who come in contact with or eat such affected species are prone to coronavirus.

Coronavirus is a communicable virus that spreads from mammals & birds to humans and then from one human to the other. The severe effects of coronavirus can lead to the death of birds and mammals. In affected humans the symptoms of coronavirus are almost like any upper tract respiratory infection such as cold, fever, sore throat, breathing difficulty, cough, etc. Around 1 out of 5 patients may also suffer from its severe symptoms like respiratory distress, decreased oxygen levels, pneumonia, etc. If these symptoms are not controlled at an early stage, they can have serious effects and can lead a person to the hospital. If still, the symptoms are not under control, it can further lead to respiratory failure such as breathing difficulty, shortness of breath, extremely low oxygen levels in the blood, etc. The uncontrolled symptoms of this deadly disease can put a patient on a ventilator, which can further involve detrimental impact on multiple organs including kidney and ultimately may lead to death.

The other common reasons for the virus spread include low immunity specifically in the older age groups, children, heart patients, people already suffering from respiratory infections, immunocompromised patients and transplant patients, who are more prone to acquire coronavirus. Also, in such cases, the virus spread is rapid and hence these patients need to be much more careful.

According to the latest reports, coronavirus infection is also being reported from India, primarily from Kerela. Though are deaths that have been reported from India, and everyone should be aware of the risk factors and its ways of spreading. The common ways of coronavirus spread are through droplet infections through cough, sneeze and touch (handshake), similar to any other flu.
Preventive Measures:

W.H.O has declared coronavirus outbreak as ‘public health emergency of international concern’ and hence, it is very essential to take precautions and be watchful to protect yourself. The most important measure is to maintain hand hygiene. Some of the other precautions which are needed to be taken care of include:
  • Wash hands before going out and when entering back in the house and especially before eating food.
  • In case of symptoms like cough, cold and fever, wear a mask to cover your mouth and also avoid going out until these symptoms disappear.
  • In case of breathing difficulty and fever, contact the doctor.
  • Use a clean handkerchief to cover your mouth while coughing, and properly dispose of the infected items.
  • Wash hands with an alcohol based drug repeatedly.
  • Avoid touching nose, eyes etc. with unwashed hands unnecessarily.
  • Frequently clean the gadgets, such as mobile phones, which are more often used.
  • Boil the milk properly before consuming.
  • Avoid eating seafood and processed food and consume only properly cooked meat.
The coronavirus can easily affect people if they are not cleaning their hands properly before touching their faces. It is important to get tested within 14 days, if someone has travelled to China or has come in contact with an infected person or has a persistent cold, dry cough or fever.
Treatment options:

There is no treatment available for coronavirus currently, and hence, it is very important to prevent yourself from the infection. The treatment which is being offered currently is only symptomatic, like if there is severe shortness of breath then the patient is admitted in ICU and is put on a ventilator but if the infection gets severe, then there are no treatment options available. The only cure possible is if the virus and its effects diminishes itself.

The reports are that the coronavirus is very resistant, and hence is leading to multiple deaths occurring worldwide. Hence, everyone needs to be aware of coronavirus and we need to educate each other on how to prevent it from spreading.
Stay Safe and Stay Home.

iDent, Idyll Dental Clinic

Call us at: +912240147049/09321330133

Thursday, 13 February 2020

Idyll Dental: Teeth aren't pearly, until you smile.           ...

Idyll Dental:

Teeth aren't pearly, until you smile.           ...
: Teeth aren't pearly, until you smile.                                            - Anthony Liccione With Valentine’s Da...

Teeth aren't pearly, until you smile.                                           - Anthony Liccione

With Valentine’s Day only just around the corner, we remind our patients to be extra careful when choosing their treats! You’re probably looking forward to spending some quality time with your sweetheart, as well as indulging your sweet tooth with some chocolates. Of course, it’s important to remember to show your teeth some love as well!
Here are a few helpful ideas for avoiding tooth decay and making sure your teeth truly shine when you step out with your date:
  • Avoiding Bad Breath: While bad breath can be a common symptom of a great meal, it’s probably not that appealing to the person you’re sharing it with. Keep some floss in your pocket so that you can quickly get rid of food particles and pesky bacteria in the bathroom; then, pop in a mint to give your smile a fresh, appealing feel. If your bad breath persists even after the minty scent has worn off, though, that means it’s time for a checkup with your dentist.

  • Not All Chocolate Is The Same: If you are buying sweets or chocolates on the big day, solid chocolate (the ones without chewy or sugary centers) don’t tend to stick to the teeth like more chewy treats do, making them better for your oral health. In fact, dark chocolate is an even better option, as it contains less sugar than milk chocolate!

  • Don’t Get Sticky: Try to avoid gummy candies, hard candies, and sticky caramels. These can be terrible for your teeth. Instead, try giving flowers, a card, or even a romantic dinner at home.

  • Sweets At The Right Time: If you and your partner just can’t stay away from the candy, it’s best to enjoy them after a meal so that you keep from constantly exposing your teeth to sugar and harmful bacteria. Also, be sure to drink water and practice a good, thorough hygiene routine afterwards!

  • Kiss More: Kissing helps prevent cavities!   When you kiss someone it stimulates saliva in your mouth which breaks down plaque and washes bacteria away.

  • Valentine’s Dental Gift: Looking to surprise your sweetheart? Teeth whitening may be just the gift your smile needs to look its very best!

IDent, Idyll Dental Clinic

To book an appointment with us:
Call us at: +912240147049/09321330133

Friday, 22 November 2019

Class v Lesions 

            Class V lesions are those occurring at the cervical aspect of the buccal or lingual surfaces of teeth. Conventionally, based on the etiology, a class V lesion is broadly classified as Carious and Non-­Carious lesions. The non-carious cervical lesions are further categorized into abrasion, erosion and abfraction. Shafer, Hine and Levy asserted that abrasion and erosion are separate and distinct processes, each of which results in loss of tooth substance. A study done by Bader et al provided a strong evidence of multifactorial etiology for the development of class V lesions. According to him, factors such as brushing, diet and occlusal mechanisms may act independently at different points on the same tooth and result in a class V lesion. Pintado et al in his longitudinal case study over a time span of 14 years showed a direct correlation between occlusal wear and growth of non-carious cervical lesions. Survey by Khan F and Young WG et al also concluded that cervical lesions may have a multifactorial etiology with either erosion as the primary factor in conjunction with stress or tooth brush abrasion as the primary etiologic factor. Due to the diverse dynamics that take place in the oral cavity in the form of both external and internal contributing factors, most of the cervical lesions may be the result of a combination of two or more processes. Hence a more appropriate classification for these lesions could be explained on the basis of four combined or synergistic events which can lead to loss of dental hard tissues.
  1. Erosion Corrosion
  2. Abrasion Corrosion
  3. Abfraction-Abrasion
  4. Biocorrosion-Abfraction
Things to consider while working with a class v restoration:
  1. Material of choice for a class V lesion.
  2. Reasons for using the particular material.
  3. Factors to consider during the selection of material for a class V situation.

The class V lesion occurs in a small area which is structurally diverse. This region contains enamel (96% inorganic and 4% organic matter), dentin (65% inorganic and 35% organic matter) and cementum (45% inorganic and 55% organic matter).The Cementoenamel junction that acts as the fulcrum of the tooth is subjected to stress concentration during occlusal loading. Any lesion (carious or non-carious) occurring in this region of the tooth has to be analyzed critically, for a better understanding of the multifactorial etiology and the restorative treatment to be carried out. Overlooking this important aspect could lead to failure of treatment.

Erosion CorrosionThe glossary of metallurgical terms endorsed by the American society of metals, defines the term 'erosion' as "the abrasive destruction of materials by the movement of liquids or gas, with or without solid particles". 'Corrosion' is defined as the physical deterioration of a material by chemical or electrochemical attack. Corrosion can be metallic or non-metallic. Teeth are non­metallic and crystalline. The process of corrosion more precisely relates to the common misnomer "dental erosion". Pure erosion in the sense of wearing away by fluid flow such as water consumed by humans or flow of other non­corrosive materials may not cause significant loss of dental hard tissues. Repeated exposure of dental hard tissues to corrosive chemicals such as highly acidic beverages is considered to be the primary cause for these lesions. Studies have also reported that any substance with a critical pH of <5.5 can demineralise the hard tissues of the tooth.The wasting of teeth as seen in bulimia, termed as perimylolysis and Gastro­esophagal reflux disease (GERD) are also examples of the combined activities of erosion and corrosion during the flow of regurgitated acidic stomach contents over the teeth. These lesions appear clinically as smooth and spoon shaped. Rarely, occupational hazards such as continued exposure to fumes of corrosive acid such as hydrochloric and sulphuric acid may also lead to erosion corrosion lesions.

In each of the above mentioned situations, it is the mechanical flow (erosion) by a corrosive material that causes the combined degradation of the teeth; the major factor being that of corrosion or chemical dissolution.

In deciding upon the restorative treatment of these lesions, Glass ionomer cements are not to be used as there is dissolution of the glass matrix in the acidic environment leading to failure of the restoration. Composite resins which are highly esthetic and have good retention and wear resistant properties are the materials of choice.

Abrasion CorrosionThe abnormal loss of tooth substance resulting from direct frictional forces between the tooth and the external objects or between components in the presence of an abrasive medium following demineralization by some endogenous or exogenous acidic agent could be termed as Abrasion Corrosion.

Two mechanisms can be attributed for the development of these lesions:

  1. Brushing the teeth immediately after drinking an acid beverage such as lime or citrus fruit juice.
  2. Faulty brushing techniques, wherein the gingival crevicular fluid (GCF) itself acts as a source of acid.

These lesions present clinically as sharp, flat and angular defects at the cervical third of the tooth.

When considering the restorative option in this case, conventional glass ionomer cement may not be ideal, although it has a modulus of elasticity similar to that of dentine and is referred to as dentin substitute, because of its low tensile strength, poor esthetics, moisture sensitivity and low wear resistance.

Materials of choice in these situations could be microfilled composite and resin modified glass ionomer cement.

Microfilled composites being highly esthetic, having good finish and good wear resistance also tend to flex with the tooth under occlusal load.

Resin modified Glass ionomer cement has the advantage of dual cure setting, higher compressive strength compared to conventional Glass ionomer cement, low solubility, fluoride release and better esthetics.

Abrasion Abfraction

During mastication, every chewing stroke is associated with axial and horizontal forces caused by occlusal morphology and the cyclic movement of the mandible , but when abnormal forces act on the teeth, as in bruxism, fatigue and fracture of the most flexed zone i.e; the cervical area of the tooth takes place. This results in cracking or breakage of the tooth structure. Many investigators hypothesize that, these abnormal interocclusal forces create physical microfractures or abfractions at the cervical region which results in notch shaped or V shaped lesions in the CEJ. Studies conducted by McCoy in 1980 established a direct cause and effect relationship between abrasion and abfraction lesions. Citing engineering studies, he postulated that tooth flexure from tensile stresses lead to cervical tooth breakdown and class V restoration failure. Lee and Eakil later hypothetized that the primary etiological factor in a wedge shaped lesion is the tensile stress from mastication and malocclusion. According to them, when a tensile stress is generated as a result of lateral forces acting on the teeth, instead of dissipating, they concentrate at the cervical aspect of the teeth. Due to this, water or other small molecules could penetrate the broken hydroxyapatite molecules making the tooth highly susceptible to the action of the abrasive agents. Based on the the above studies, Grippo subsequently coined the term Abfraction from the Latin words 'ab' away and 'fractio'- breaking. He defined it as the pathological loss of tooth substance caused by biomechanical loading forces that result in flexure and failure of enamel and dentin at the location away from loading. Using FEM analysis, McCoy further demonstrated that eccentrically loaded teeth flex and that internal stress distribution occurred in such a way that the stress concentrated at the cement enamel junction, generating tensile stresses that pull apart enamel prisms, thereby increasing the susceptibility to loss of tooth substance.

Few other surveys also concluded that cervical lesions may be seen in conjunction with stress and abrasion as the primary etiologic factor. Clinically, these lesions are mostly wedge shaped and develop as hard tissue defects in the cervical region of the teeth commonly in the buccal aspect .

An associated terminology called as the "Dental Compression Syndrome"33 refers to tooth deformation related to malocclusion, para functional habits and TMJ disorders.

Disregard in understanding the etiological factor causing the lesion can lead to marginal leakage, debonding and restorative failure, Studies by have shown that following restoration of these abfraction lesions the rate of progress of tooth destruction reduces from an average of 7 microns to 2 microns a week. According to Grippo, the restoration would support the tooth, thereby minimizing flexure and abfraction and also prevent further loss of tooth structure.

One of the most effective methodologies advocated for the management of these lesions is the use of a bilayered restoration wherein the deeper layer is made up of a material with low modulus of elasticity. A study was conducted to show that, a restoration wherein, the deeper layer consists of a microfilled composite with low modulus of elasticity and high tensile strength and a superficial layer of hybrid composite performed the best.

Biocorrosion Abfraction:The combined effect of biocorrosion (caries) and abfraction is the pathologic loss of tooth substance associated with caries where plaque adheres preferentially to the tooth surface roughened by flexural microfracture (abfraction). A Study done by Grippo has suggested that root caries could be potentiated by the presence of plaque in areas of stress concentration resulting in stress corrosion . Measures to maintain good oral hygiene and bringing caries under control are as important as deciding on the final restoration which may be in the form of Composite resin.

Adequate history, case selection and treatment planning arc vital parameters in ensuring the successful management of class V lesions in the oral cavity. A thorough understanding of the factors causing the lesion and the methods of treating it will go a long way towards achieving this end.

iDent, Idyll Dental Clinic

To book an appointment with us:
Call us at: +912240147049/09321330133