Orthodontics ● Dental Implants ● Cosmetic dentistry

Nanda Dental Care

Patient Education

The Importance of Regular Visits


Why does your dentist want to schedule another appointment with you so soon - even if today's oral examination was perfect? Regular dental visits are essential to maintaining healthy teeth and gums. For maximum benefit, a good home care regimen must be supplemented with an examination at least every six months. Depending on the status of your oral health, your dentist may recommend more frequent visits.


Several months after cleaning, teeth can have plaque build-up as well as stains from food, beverages, tobacco, etc.



Checking your teeth for decay is only a small part of a thorough oral exam. During each visit, your dentist (or dental hygienist) will also: check your gums (gingiva) for inflammation, tooth mobility and pockets; examine your mouth for indications of possible cancer, diabetes and vitamin deficiencies; and note any irregularities in your facial structure, bite, saliva and temporomandibular joint (TMJ). Your dentist or hygienist will clean your teeth and encourage you to maintain good oral hygiene.

The Regular Dental Visit
At every regularly-scheduled dental appointment, your dentist examines your teeth, gums, mouth and throat. A regular dental visit may include the following:



 The Cancer Exam

 Facial Structure Exam

 Palpation of Chewing Muscles

 Palpation of Lymph Nodes

Temporomandibular Joint (TMJ)


 Periodontal Exam- including gingiva, periodontal pockets

 Mobility of Teeth

 Mucous Membranes

 Saliva (or lack of it)

 Occlusion (Bite)

 Decay of Teeth

 Broken Fillings


 Removable Appliances

Contact Between Teeth


 Assessment of Mouth Cleanliness




Oral Hygiene Instructions

After completing the clinical dental exam, your dentist might outline a detailed treatment plan, if necessary, and indicate when you need to return for a follow-up visit. Regular preventive maintenance of this type, along with a thorough home care regimen, helps assure your good oral health.

Be sure to follow the special home care instructions provided by your dental professional.



Orthodontics / Braces

What is "orthodontics," and why do people get braces?
Orthodontics is a special discipline of dentistry concerned with aligning the teeth and jaws to improve one's smile and oral health.  "Ortho" means correct or straight and "Odont" means tooth.  A dentist usually recommends braces to improve the patient's physical "orofacial" appearance.  Through orthodontic treatment, problems like crooked or crowded teeth, overbites or underbites, incorrect jaw position and disorders of the jaw joints are corrected.

When is the right time for braces?
Patients with orthodontic problems can benefit from treatment at nearly any age. An ideal time for placement of braces is between 10 and 14 years of age, while the head and mouth are still growing and teeth are more accessible to straightening. However, because any adjustments in facial appearance can be traumatic to a child during these sensitive years, parents should discuss the matter with their children before braces are applied. And braces aren't just for kids. More and more adults are also wearing braces to correct minor problems and to improve their smiles.

What kind of braces will I have to wear?
Your dentist will know what appliance is best for your particular problem, but the patient often has a choice. Braces generally come in three varieties:  The most popular type are brackets, metal or plastic, that are bonded to teeth and are far less noticeable. The "lingual" type of braces are brackets that attach to the back of teeth, hidden from view.  Bands are the traditional type that cover most of your teeth with metal bands that wrap around the teeth.  All use wires to move the teeth to the desired position.

How long will I have to wear braces?
That depends upon your treatment plan. The more complicated your spacing or bite problem is, and the older you are, the longer the period of treatment, usually. Most patients can count on wearing full braces between 18 and 30 months, followed by the wearing of a retainer for at least a few months to up to two years to set and align tissues surrounding straightened teeth. Some patients may have to wear a permanent retainer.

Will treatment be uncomfortable?
The interconnecting wires are tightened at each visit, bearing mild pressure on the brackets or bands to shift teeth or jaws, gradually into a desired position. Your teeth and jaws may feel slightly sore after each visit, but the discomfort is brief. Keep in mind also that some teeth may need to be extracted to make room for teeth being shifted with braces and for proper jaw alignment.


Do I have to avoid any foods or personal habits?
Yes.  Cut down on sweets, chips and soda.  Sugary and starchy foods generate acid and plaque that can cause tooth decay and promote gum disease.  Cut healthy, hard foods like carrots or apples into smaller pieces.  Sticky, chewy sweets like caramel can cause wire damage and loosen brackets.  Avoid hard and crunchy snacks that can break braces, including popcorn, nuts and hard candy.  More dont's:  ice cube chewing, thumb sucking, excessive mouth breathing, lip biting and pushing your tongue against your teeth.


What about home care of my teeth with braces?
With braces, oral hygiene is more important than ever. Braces have tiny spaces were food particles and plaque get trapped. Brush carefully after every meal with fluoride toothpaste and a soft-bristled toothbrush. Rinse thoroughly and check your teeth in the mirror to make sure they're clean. Take time to floss between braces and under wires with the help of a floss threader.  Have your teeth cleaned every six months to keep your gums and teeth healthy.  Insufficient cleaning while wearing braces can cause enamel staining around brackets or bands.


Who will provide my orthodontic treatment?
Your family general dentist is responsible for coordinating your dental treatment, and this could encompass any orthodontic treatment plan, including diagnosis, examinations and some orthodontic procedures.  Your dentist may, however, refer you to an "orthodontist"a specialist trained in the development, prevention and correction of irregularities of the teeth, bite and jaws and related facial abnormalities.







Root Canal


Tooth loss can have a far-reaching effect on your dental health and personal appearance. When you lose one or more teeth, your remaining teeth can drift out of position. This can lead to a change in the bite, the loss of additional teeth, decay and gum disease.

Dental implants can be an effective method to replace one tooth or several teeth. Each implant consists of a metal anchor that is inserted into the jawbone, and a protruding post, which is outfitted with an artificial tooth. Implants can also support a bridge, replace a partial denture or secure a fixed denture. The process requires surgery and may take up to a year to complete.


Replace a missing tooth


Support a bridge




Secure a removable denture


Secure a fixed denture



Several steps are usually necessary to place an implant. Depending on the type of implant, the steps may vary. The placement of a single-tooth endosteal implant is illustrated below:

The first step is completed under local anesthesia. A metal anchor, or artificial root is placed into the jawbone. Bone grows around the anchor. This takes about three to six months.


Next, a "healing cap" is placed when the implant is uncovered.


Then, the healing cap is removed and a metal post, or abutment, may be attached to the anchor.


When your gums and jawbone have healed, a crown (artificial tooth) is constructed, then screwed or cemented to the post. Fitting your new crown properly may take several appointments.

Brush and floss your implant twice daily, just like your natural teeth. Be sure to brush the back of the abutments and floss around the front, back and sides. Avoid chewing on hard objects or extremely sticky food. Proper oral hygiene will help keep your implants and your mouth healthy.

Be sure to follow the special home care instructions provided by your dental professional.

Crowns and Bridges

When a tooth is fractured, has a large, old filling, or is severely damaged by decay, your dentist may recommend the placement of a crown, or cap. Crowns strengthen and protect the remaining tooth structure and can improve the appearance of your smile. Types of crowns include the full porcelain crown, the porcelain-fused-to-metal crown and the all-metal crown.

Fitting a crown requires at least two visits to the dentist's office. Initially, the Dentist:


Removes decay and shapes the tooth.


Makes an Impression.


Makes and fits a temporary or transitional crown of plastic or metal.


In a subsequent visit, the dentist:
Removes the temporary crown, fits and adjusts the final crown. Cements the crown into place.



Few incidents have greater impact on dental health and personal appearance than tooth loss. When one or more teeth are missing, the remaining teeth can drift out of position, which can lead to a change in the bite, the loss of additional teeth, decay and gum disease.

When tooth loss occurs, your dentist may recommend the placement of a bridge. A bridge is one or more replacement teeth anchored by one or more crowns on each side.


Initially, the dentist prepares teeth on each side of the space to receive crowns and makes an impression of the entire area.


Fits a temporary or transitional bridge.


In a subsequent visit, the dentist places, adjusts and cements the fixed bridge.


Be sure to follow the special home care instructions provided by your dental professional.


ISO 9001:2008 Certified

-British Standards Institute

If your tooth's nerve chamber becomes infected by decay, or damaged by trauma, root canal treatment is often the only way to save your tooth.

Inside the hard outer shell of each tooth is a specialized area called the pulp or nerve chamber. The pulp chamber contains a system of blood vessels, lymph vessels and nerves, the pulp, which enter from the bone through the root canals. This system provides nourishment for the cells within the tooth.

Deep tooth decay or other injury can cause damage to or infection of the tooth pulp. In a root canal or endodontic treatment, the dentist removes the damaged or infected pulp and replaces it with a special filler which helps maintain the remaining tooth structure.


Some indications of the need for root canal treatment may be:

 Spontaneous pain or throbbing while biting.

 Sensitivity to hot and cold foods.

 Severe decay or an injury that creates an abscess (infection) in the bone.



Step 1
After the tooth is anesthetized, an opening is made through the crown into the pulp chamber.

Step 2
The length of the root canals is determined.



Step 3
Unhealthy pulp is removed. Canals are cleaned, enlarged and shaped.

Step 4
Canals are filled and sealed. A metal post may be added for structural support or to retain restorative materials.



Step 5
The tooth is sealed with a temporary filling. Usually a gold or porcelain crown adds further protection.

The material used to fill your root canal will probably last you a lifetime, but eventually the filling or crown may need to be replaced.

Be sure to follow the special home care instructions provided by your dental professional.