The Dental Clinic
The Thamel Dental Clinic
Tel: +977-1-4410004

Specialist Dentistry

Specialist Dentistry

Specialist Consultation

There are three ways that you will be introduced to our specialist dental services.
  • As an existing patient, one of our general dentist will refer you to one of our specialists.
  • As a new patient you can book specialist consultation directly.
  • As a patient of the practice out with The Dental Clinic, your dentist will refer you to The Dental Clinic for your specialist consultation.
  • Which ever method you choose, we want your experience to be exceptional.
  • It is likely that dental x-rays, models of your teeth, special investigation such as CT scan will be required to assist in planning your specialist treatment.
Once you have been thoroughly examined and your dental specialist has had the opportunity to discuss all the options with you and to help you choose the right treatment, you will receive a fully detailed treatment plan and cost estimation.

Dental Implant

A Dental implant is a substitute for a natural root.
  • Almost all the dental implants in use today are made from titanium or titanium alloys which are well tolerated by bone.
  • The term osseointegrated implant 'or endosseous implants' are widely used to describe dental implants that can develop and maintain a close union with bone to support replaced teeth.
  • Implant are commonly available in a screw or cylindrical form which is placed in a socket carefully drilled at the precise location of the intended tooth .If an implant has a screw thread on its outer surface it can be screwed into position and if it does not, it is usually tapped into place.
  • Implant has to be in immediate close contact with the bone to enhance further growth of bone into microscopic roughness on the implant surface which in turn provides initial stability.
  • In order to support replacement teeth, dental implant normally have some form of internal screw thread or post space that allows a variety of components to be fitted like crown, bridge or denture.
  • There are many different implant system available and when competently used can deliver a highly reliable form of treatment.

Are you Suitable for Implant?

You are suitable for implant if you are:
  • Medically healthy. As long as you are able to have extraction or under go minor operation with out any special precaution, it is possible to have dental implant.
  • The sight of missing teeth must have sufficient bone, in terms of thickness and height. In addition the gum must also be healthy.
  • Vital structure such as nerves or sinuses must not encroach on the position of the implant.
  • Good oral hygiene and motivation. As with natural teeth, implant restored teeth must be brushed and kept clean regularly.
  • If you smoke, it may be advisable to stop smoking. There is now evidence that smoking is harmful for the long-term success of dental implants.
  • To assess the above condition, clinical assessment, together with investigations such as digital x-rays, photographs and study models of the teeth are required.
  • Special investigation such as computerized tomograms (CT) and computer soft ware simulation may be necessary in complicated cases.

Dental Implant FAQs

What is a dental implant?

Dental implants are replacement or substitute for a natural root, which allow your dentist to attach a restoration that corrects one or more missing teeth. Dental implant can support and anchor crown, bridges, partial denture or full dentures.

How long will the dental implant last?

Dental implant last for many years. For many people, dental implant can last a life time with proper cleaning and maintenance.

How successful are dental implants?

Implant treatments has been carried out for over 40 years and the success rate are high. The predictability of dental implant has reached up to 90-95%, however this success rate is depended on the individual and also on the site in which implant is placed.

Does our age matter?

Age is normally not relevant, more important is our health. If the patient is under twenty one must finish growing before he or she undergo implant treatment.

How will a patient take care for dental implant?

New teeth must be cared for and checked regularly, just like our natural teeth, brushing and floss as recommended by the dentist. Visit the dentist in six months, or more frequently if so advised.

How long does treatment take?

For routine cases, from the time implant placement to the time of placing the first teeth, treatment time can vary between 6 weeks and 6 months. The availability of better bone can usually decrease time, whilst more time and care must be taken with poorer bone, which can therefore extend treatment time beyond six months.

Is there a chance of implant rejection?

He body does not reject a dental implant, as it might a soft tissue transplant, such as a lung, heart or kidney. This does not mean that an implant cannot fail, but it would be due to other factors, such as misalignment, improper force on the implant or other conditions or existing diseases of the patient. Dental implants are totally bio-compatible with the body tissue and becomes a part of the body.

Specialist Dentistry

Prosthodontics

Your Prosthodontist - is the skilled architect who can restore optimum function and appearance to your smile. He or she is dedicated to the highest standards of care in the restoration and replacement of teeth.

The importance of Occlusion
  • Occlusion = contacts between teeth
  • Occlusion is how your teeth fit together during biting which eventually effect the alignment of the jaws.
  • It is very important to analyze the bit with great care while planning the treatment other wise it may lead to other problems.
  • The existing bite will be copied when a new dental work is fitted, but in some cases, due to problem with the initial bite, a new modified bite will be created which will eventually allows the patient to have a improved function.

The Full Mouth Rehabilitation

Full mouth rehabilitation is a process in which the dental experts or specialist come together to rehabilitate the complex problems of the mouth and teeth so that one may have good oral health with proper maintenance and remain healthy for a long time.

Very oftern several members of the dental team will work together to inform, discuss, and will always act with your best interest in mind to achieve the goal.
Prosthodontics FAQs

What dental procedure is covered by the field of Prosthodontic?

Prosthodontic experts are good at dental rehabilitation, and have mastered many procedures including: crowns, bridges, veneers, removable partial denture, and dental implant.

For further information, please contact on Thamel Dental Clinic +977-1-4410004 and email us info@dentalclinic.com.np

Periodontics

Gingivitis

  • An inflammation of the gum caused by plaque.
  • Dental plaque is a sticky film of bacteria that clings to the surface of teeth and gums.
  • Initial stage of the gum disease which is a reversible process.
  • Signs and symptom include red, swollen tender gums that may bleed while brushing.

Periodontal Disease

  • Periodontal disease is an infection of the tissue that supports the teeth.
  • Teeth are supported by the gums or gingival and the tooth's root is anchored to its socket by fibers called periodontal ligaments.
  • The gums do not attach to the teeth firmly as one might think. A shallow V - shaped gap called a sulcus exists between the teeth and the gum. Periodontal disease affects this gap. Eventually, in periodontal disease, the tissue supporting the tooth breaks down.
  • If only the gums are involved in this beak down, the disease is called gingivitis.
  • If only the supporting fibers and bone are involved, it is called, periodontitis.
  • Left untreated, the disease can lead to tooth mobility and loss.

Periodontal Surgery

Periodontal surgery is necessary when your dentist determines that the tissue around your teeth is unhealthy and cannot be repaired with non-surgical treatment.

Following are few surgical treatments most commonly prescribed:
  • Pocket reduction procedure
  • Regenerative procedure
  • Crown lengthening
  • Soft tissue grafts
Periodontics FAQs

Is it normal for the gums to bleed while brushing?

Bleeding gums are one of the sign of gum disease. In this case gums are mildly inflamed, may appear red or swollen and may bleed during brushing so one must visit the dentist and inquire.

What are pockets?

  • Bone and gum tissue should fit snugly around the teeth like a turtle neck around our neck.
  • When the teeth get involved with periodontal disease, this supporting tissue and bone is destroyed forming pockets around the teeth.
  • Over time, these pockets become deeper, providing a large space in which bacteria can thrive or live and becomes more difficult to maintain oral hygiene.

How do we know if we are having gum disease?

Gum disease can occur at any age, but it is most common among adults. If detected in early stages, gum disease can be reversible and controlled so visit your dentist if you notice any of the following symptoms:
  • Gum that are red, puffy or swollen, or tender
  • Gum that bleed during brushing or flossing
  • Teeth that look longer because gums have receded
  • Gum that has separated, or pulled away, from your teeth, creating a pocket.
  • Changes in the way your teeth fit together when you bite
  • Pus coming from between your teeth and gums
  • Constant bad breath or bad taste in your mouth

How can we prevent gingivitis?

Maintaining good oral hygiene is essential. Professional cleaning is extremely important because once plaque has hardened and built up, or becomes tartar, only a dentist or dental hygienist can remove it.
  • Proper brushing and flossing to remove plaque and debris and control tatar buildup
  • Eating right to ensure proper nutrition for your jaw bone and teeth
  • Avoid cigarettes and other forms of tobacco
  • Scheduling regular checkups with your dentist

How can one avoid surgery for periodontal disease?

  • Depending on how far your periodontal disease has progressed, treatment can vary widely.
  • If the disease is caught early, simple procedure can be done that will remove plaque and calculus from below the gum line and eliminate the infection causing bacteria.
  • If the disease has advanced to the point where the periodontal pockets are deep and the supporting bone is lost, surgery might be necessary.
  • You may have heard about new products on the market that claim to cure periodontal disease. However, they do not replace traditional periodontal therapy. Rather, the intent of these products is to improve the effectiveness of traditional therapies.

Pregnancy

  • Your oral health and your unborn baby's health may be connected. Pregnant women are more susceptible to gum disease.
  • Science suggests that premature, low birth weight may be attributed to advanced gum disease.
  • Gum infection can activate the production of labor - triggering chemicals in the body too early, resulting in premature labor or birth.

Heart Disease

  • Advanced gum disease may be a contributing factor to heart disease.
  • One theory suggest that these germs may enter the blood stream and get attached to the fatty plaques in your arteries, contributing to the formation of clots. These clot, in turn, can cause the restriction of blood flow which may lead to a heart attack.
  • Make sure to inform your dentist if you have a heart condition or under any medication. That way, the dentist can manage your treatment in partnership with your physician.

Diabetes

  • Diabetics are significantly more likely to develop gum disease because of the way diabetes slows the body's natural healing process.
  • Advanced gum disease may have an adverse effect on blood sugar levels potentially making diabetes treatment less effective.
For these reasons, physician and dentist say that a good oral care routine is vital for diabetics.

For further information, please contact on Thamel Dental Clinic +977-1-4410004 and email us info@dentalclinic.com.np

Oral Surgery

A number of conditions require oral surgical procedures.

Types of Oral Surgery

Impacted Teeth

  • Wisdom teeth or third molar, are the last set of teeth to develop.Sometime these teeth emerge from the gum line and the jaw is large enough to accommodate them. More oftern, one or more of these third molar fails to erupt and get impacted.
  • Impacted teeth can result in swelling, pain, infection, and cause permanent damage to nearby teeth, gums and bone. In addition, these some time lead to formation of cysts or tumors that can destroy section of the jaw.
  • Other teeth, such as the cuspids and the bicuspids can become impacted and cause similar types of problem.

Tooth Loss

  • Dental implants are one of the best options for tooth loss due to an accident or infection or as an alternative to dentures.
  • The implants are tooth root substitute that are surgically anchored in place in the jawbone and act to stabilize the artificial teeth to which they are attached.
  • Suitable candidate for dental implants need to have an adequate bone level and density, must not be prone to infection, and must be willing to maintain good oral hygiene practices.

Jaw Related Problems

  • When upper and lower jaw fails to grow properly this will result in difficulty in speaking, eating, swallowing, breathing and improper teeth alignment.
  • These problems can be corrected with braces and other orthodontic appliance.
  • More serious problems require oral surgery to move all or part of the upper jaw, lower jaw, or both into a new position that is more balanced, functional, and healthy.

Improve Fit of Denture

  • Oral surgical procedures are done to correct any irregularities of the jaws prior to creating a denture to ensure a better fit.
  • Supporting bone oftern deteriorates over time resulting in dentures that no longer fit properly. In severe cases, an oral surgeon can add a bone graft to area where little bone remains.

Tempromandibular joint (TMJ) disorders

  • Dysfunction of the TMJ, the small joint in front of the ear where the skull and lower jaw meet, is a common source of headache and facial pain.
  • Most of the patient with TMJ disorders can be successfully treated with combination of oral medication, physical therapy, and splints.
  • However, joint surgery is an option for advanced cases and when the diagnosis indicates problem in the joint.

Other Condition treated by Oral Surgery

  • Facial injury repair
  • Lesion removal and biopsy
  • Facial infection
  • Snoring/sleep apnea
Oral Surgery FAQs

Is wisdom teeth removal necessary?

Wisdom teeth removal is not necessary if your wisdom teeth are:
  • Healthy
  • Fully erupted - grown in completely
  • Positioned correctly and biting properly with the opposite tooth
  • Able to be cleaned as part of daily hygiene practices

Wisdom teeth removal may be necessary if

  • Wisdom teeth partially emerge through the gums. This increases the chance of a bacterial infection called pericoronitis.
  • Unerupted wisdom teeth are expected to grow crooked and damage other teeth.
  • A fluid - filled sac (cyst) develops around a unerupted wisdom tooth, which can damage surrounding tissue or bone.

The decision to remove wisdom teeth isn't always clear. Discuss with your dentist or oral surgeon about the position and health of your wisdom teeth and what's best for your situation.

When should we remove the wisdom teeth?

Wisdom teeth are easier to remove when the patient is younger, since their roots are not completely formed, the surrounding bone is softer, and there is less chance of damaging near by nerves or other structure.

Who is Oral and Maxillofacial surgeon?

Maxillofacial refers to the face and jaws, which along with the mouth comprise the areas of expertise of an oral and maxillofacial surgeon.

For further information, please contact on Thamel Dental Clinic +977-1-4410004 and email us info@dentalclinic.com.np

Solutions for Snoring

What causes snoring?

Simple snoring is caused by the lower jaw relaxing and falling back. This restricts the airway and allow the tongue to rub against the soft tissue at the back of the throat. This combination of events causes snoring noise.

What is the solution for snoring?

Self help tips and remedies
  • Sleep on your side
  • Elevate the head of your bed
  • Limit alcohol and medication
  • Clean your nasal passages
  • Loss weight

Alternative remedies for snoring

  • Singing
  • playing the didgeridoo

Medical cure and treatment for snoring

If your own efforts to stop snoring do not help, consult your physician or an Otolaryngologist (ENT doctor). If you choose to try a dental appliance then you must visit a dentist specializing in these devices.
  • Continues Positive Air way Pressure (CPAP)
  • Dental appliance, oral devices, and low jaw positioners. Dental device, which oftern resemble the mouth guards won by athletes, can help open your air way by bringing your lower jaw or your tongue forward during sleep. Most dental devices are acrylic and fit inside mouth; others fit around your head and chin to adjust the position of your lower jaw.
Surgery - Uvulopalatopharyngoplasty (UPPP), Thermal Ablation Palatoplasty (TAP), tonsillectomy, and adenoidectomy, increase the size of the airway by surgical removal of tissues or correct abnormalities.

For further information, please contact on Thamel Dental Clinic +977-1-4410004 and email us info@dentalclinic.com.np

Orthodontics

The Starting Point

Most courses of orthodontic treatment begin with a referral from a general dentist to a specialist. Depending on what treatment is needed, most patients are seen by a specialist in local practice or by a consultant in hospital. Some patients are treated by dentists with extra training and experience to treat the milder cases.

These are some of the most common reasons:
  • Protruding upper front teeth - one of the most common dental problems
  • Crowding - a narrow jaw may mean there is not enough room for your teeth, resulting in crowding. Conversely, some patients have significant gaps between their teeth.
  • Asymmetrical alignment - this is when two centre lines in the upper and lower front teeth do not meet, usually because the teeth have drifted or the position of the jaw has shifted.
  • A deep bite - when your upper teeth cover the lower teeth too much.
  • A reverse bite - when your upper teeth bite inside the arch of the lower teeth.
  • An open bite - when your front teeth remain open as your back teeth meet, so the tongue is still visible between upper and lower teeth.
  • Impacted teeth - in some patients, secondary teeth come through in the wrong position or do not erupt at all. Orthodontic treatment can help bring these teeth in the correct position.

Orthodontic Treatment

  • Every patient need tailor made treatment, planned by the orthodontists and agreed or approved by the patient.
  • Orthodontist will need to carry out full assessment of your teeth which is likely to include x-rays, impressions (mould of the teeth) and photographs.
  • Treatment can take more then two years so it is important that the patient is happy from the outset with what is recommended.
  • Braces are almost always needed. Those which are used most oftern are :
    • A fixed brace
    • A removable brace
    • Functional appliance
    • Retainers

Invisalign

Its' the virtually invisible way to straighten your teeth with out braces. The invisalign system uses a series of clear, removable aligners to move your teeth over time to give you the smile you deserve.

Benefits of Orthodontic Treatment

  • Straight teeth help to effectively bite, chew and speak.
  • Straight teeth are less prone to decay, gum disease and injury therefore contribute to healthy teeth and gums.
  • Protruding upper teeth are more likely to be broken in an accident.
  • Properly aligned teeth and jaws prevent physical health problems like Tempro-Mandibular Joint Dysfunction (TMD).
  • Correct harmful habits such as thumb sucking, tongue trusting, mouth breathing.
  • Better lip closure
  • Guide permanent teeth into more favourable position
  • Close natural gaps between teeth and similarly close space created by missing teeth with out replacing them.
  • Straight teeth help dentist to make better fitting bridges, caps and implant.
  • An attractive smile contributes to self - esteem, self confidence and positive self image.
Orthodontics FAQs

What is Orthodontics?

Orthodontics is the branch of dentistry that specializes in the diagnosis, prevention, and treatment of dental and facial irregularities.

At what age should child have an orthodontic screening?

Age 7, unless you or your dentist suspects a problem at an earlier age.

Why are children being treated at an earlier age?

  • Early treatment, before eruptions of the permanent teeth, can guide erupting teeth into more favorable position, open and preserve space for permanent teeth.
  • Avoid the fracture of vulnerable front teeth.
  • Early treatment may shorten the total treatment time.
  • Makes extraction of permanent teeth unnecessary.
  • The final result or outcome is more stable.
  • Makes treatment easier and, in some case, less expensive.

At what age should orthodontic treatment start?

  • Orthodontic treatment can be started at any age.
  • Many orthodontic problems are easier to correct if detected at an early age before jaw growth has slowed.
  • Early treatment may mean that patient can avoid surgery and more serious complication.
  • 20 - 25% of orthodontic patient today are adults.

Do braces hurt?

  • The placement of bands and brackets on your teeth does not hurt.
  • Once the braces are placed and connected with the arch wire you may feel some soreness of your teeth for one to four days.
  • lips and cheek may need one to two weeks to get used to the braces on your teeth.

How long does orthodontic treatment takes?

  • Treatment time vary on a case-by-case basis
  • Average time is about 1 to 2 years ( + - 6 months )
  • Actual treatment time is effected by rate of growth and severity of the correction necessary.
  • Treatment length is also dependent upon patient compliance.
  • Maintaining good oral hygiene and keeping regular appointments are important in keeping treatment on schedule.

How much will the braces cost?

Well payment plans can be done in installment bases or the cost is conveniently spread across the course of the treatment. Because no two treatment plans are the same, costs will vary, we will explain all potential costs before commencing any treatment.

For further information, please contact on Thamel Dental Clinic +977-1-4410004 and email us info@dentalclinic.com.np