Medical Services



Brief about orthodontics

Brief about orthodontics A brief about orthodontics
Orthodontics is one of the specialties of dentistry that deals with correction of teeth alignment and fixing malocclusion. The teeth shape has a huge effect on the external appearance, speech problems, chewing, as well as its importance in oral care. After the loss of the deciduous teeth, the permanents start erupting, and sometimes problems in the alignment take place between the upper and lower jaw. In most of the cases, the teeth size is bigger than the actual space which leads to crowding and misalignment. Sometimes the jaws are actually larger than the teeth themselves, which leads to jaw protrusion.
Orthodontic treatment is done through an appliance designed to adjust the bone and teeth occlusion anomalies. Orthodontic treatment is recommended from the age of 4 in terms of extra oral and intraoral preventive appliances. From the age of 8 until 14 which is the dental growth phase, fixed and removable appliances are used according to the orthodontist's recommendations

Diagnosis
Jaw and dental anomalies usually appear after the age of 7 approximately, where the teeth reach their final stage of development. By then teeth anomalies and speech problems start to become more apparent. It is by then recommended to visit the orthodontist in order to evaluate the case; some cases can't be treated by the orthodontist which is then referred to the surgeon before any orthodontic appliance is used. First of all, the orthodontist will start taking x-rays, photographs, maxillofacial measurements, after which the case is evaluated and then a fixed or a removable appliances is selected


benefits of orthodontic treatment
Orthodontic treatment doesn't aim for cosmetic aspects; its most important benefits are the following:
1- Improving the general facial appearance
2- Correction of speech problems
3- Improvement of dental function and surrounding tissues
4- Correction of impacted teeth which may dictate a surgical intervention
5- Improving immunity in the oral cavity, and protect against food accumulation between the teeth

Types of orthodontic treatments
There are many types of orthodontic treatments which aim to correct dental anomalies, and improve its functions and appearance in the form of metallic or colored or transparent bands
1- Fixed orthodontic treatment: a device which gets fixed to the tooth surface all of the period of treatment. There are several types of it, such as lingual orthodontics which is considered the most advanced, since it's transparent and is fixed on the back surface of the tooth. There is also the conventional orthodontic brackets which are made of a metal or ceramic material that gets fixed on the front surface of the tooth
2- Preventive orthodontic treatment: it's used with children from the age of 7 until the age of 12 in order to get properly aligned teeth and avoid conventional orthodontic treatment in the future
3- Cosmetic orthodontic treatment: Orthodontic brackets are placed on the teeth without any function, but only giving the braces look
Fixing the brackets
After taking the measurements, the fixing of the brackets start where the doctor starts applying heavy forces on the teeth to adjust it and move it to the right place. This leads to a slight tooth mobility which leads to bone growth in order to support the new tooth position, and here the role of the brackets comes in fixing it in the right position. The period of treatment differs from case to case, and depends on the size of the anomaly, and the patient's age, which is usually between 1 year and three years. After fixing the brackets, the patient usually visits the doctor monthly in order to monitor the progress

Adjusting with orthodontic treatment
Usually orthodontic treatment is painless, and when there is any pain, the patient should head to the orthodontist, where certain adjustments can be made. The specialist will give certain instructions such as:
1. Avoid hard, sticky and chewy foods as these will cause your brackets to come away from the teeth.
2. Examples include foods like crusty rolls, crisps, pizza crusts, toffees and boiled sweets.
3. Use fluoridated mouth wash, and do regular cleaning at the dentist's office
4. Also avoid chewing on pens, pencils or fingernails during your treatment.
5. You will find that soft foods like soup and pasta are easier to manage and more enjoyable. 6. Try cutting up food pieces so your teeth are under less force during chewing.

Daily items needed:
These items' availability is vital for the orthodontic patient:
1- Tooth paste
2- Orthodontic tooth brush
3- Pointed brush
4- Special dental floss
5- Plaque dye tablets
6-Orthodontic wax


Complications of orthodontic treatment

There are no huge complications, but the following may occur with some patients:
1- Loss of some tooth structure from the surface, and white spots
2- Feeling of a foreign body inside the mouth, especially the first few days until the patient gets used to it
3- Loss of root length
4- Bad mouth odor which can be overcame by proper oral care
With regards of Dr Wael Al-Miqati

Oral surgery – Dr Mohamed Saeed S

Oral surgery – Dr Mohamed Saeed S The permanent teeth eruption and exfoliation of the deciduous teeth is one of the most important and complicated growth phases, where the permanent teeth get aligned in both jaws in coordination with the facial and jaws' growth, which could lead sometimes to a lack of space for these teeth and thus they fail to erupt, or erupt in an incorrect manner. Early diagnosis for these cases and the early surgical intervention can fix these anomalies in order to prevent them from affecting other teeth.
The most common impacted teeth are the upper canines and wisdom teeth. With the presence of these anomalies, orthodontic treatment might fail to lead to proper tooth alignment which would require a surgical intervention in order to help these teeth erupt or to extract them surgically.

Dr Assad Awad- Cosmetic dentistry

Dr Assad Awad- Cosmetic dentistry A question that pops up almost daily in the dental clinics and we will talk about it in brief.
The case of the lumineer is very different from the veneer. The candidate for the Lumineer should have teeth that are closer to safety and perfection. In this case, the patient will enjoy the lumineer benefits which includes:
1- The patient will not need anesthesia
2- We will not drill your teeth and remove any tooth structure. The result will show a natural tooth shape. If you want to remove it, you will not have to replace it with any other restoration
The main candidate for the dental veneers:
The patient suffers from greater deformities in his teeth, such as
1- Dental fractures
2- Large spaces between the teeth
3- Poor alignment of the teeth
In any case, whether you wish to use a lumineer or a veneer, you should have healthy teeth
Gum problems and tooth decay may prevent you from getting lumineers or veneers, and as well as root canal filled teeth, make the tooth unsuitable for the appearance of contact lenses
In any case, the only way you can make sure that you are a suitable candidate for the lumineer or veneer procedure requires you to schedule an appointment with your dentist and assess the condition of your mouth, gums and teeth and determine if your teeth are covered with a good layer of enamel. If yoo not have enough enamel, you will have to resort to lumineers
I hope you always have a confident and a beautiful smile

beautiful smile Kareem Mahmoud

beautiful smile Kareem Mahmoud If you don’t like the color of your teeth when you look in the mirror, there are easy, effective, and inexpensive options for addressing your concern. Bleaching is an effective method with minimal side effects; however understanding the advantages of professional bleaching versus Over-The-Counter (OTC) home bleaching is a must for any results-driven individual. Professional bleaching not only allows your dental professional to use higher concentrations of carbamide peroxide, the most common bleaching solution, to obtain results faster, but it also ensures an expert is overseeing the entire process. While bleaching is not a permanent solution for brightening your smile, it definitely can produce dazzling results!

Dr Abdul Qader Al-Kahlout

Dr Abdul Qader Al-Kahlout Some believe that brushing and applying toothpaste is enough to keep the teeth clean. This belief is wrong because the brush cleans the external and internal surfaces only and not in between the teeth, where inflammation of the gums usually occur and the caries are not visible clinically. Therefore we recommend using the dental floss at least once a day to protect the teeth and the gums. Hence the importance of periodic dental checkups every 6 months to ensure the safety of the gums from calculus deposits, and for early detection of dental caries, which can then be treated with a suitable filling. Patients should avoid waiting until the onset of pain, which leads to greater problems such root canal or tooth loss due to neglect and lack of dental follow-up

Dr Dipti Sajnani Periodontist

Dr Dipti Sajnani Periodontist Do you have gum problems
Do you suffer from swelling of the gums
Do you have any gingival bleeding
Do you suffer from bad mouth odor
If the answer is yes to any of the above questions, you are having a gum disease
The main cause of gum disease is the plaque layer, which is a layer of bacteria on the teeth that harms the oral tissues
The only way to prevent the occurrence of gum disease is good brushing and maintaining good oral health

Laser by Dr Mohamed Khair Zamam

Laser by Dr Mohamed Khair Zamam It is important to understand the following information:
The aim of the laser procedures that we use to remove gum tissue is to improve the appearance of the smile, or to expose the teeth covered by gum tissue, to accelerate the orthodontic movement of the teeth or to relieve the pain during orthodontic procedures. Overall, the laser treatment aims to improve the intended condition. But sometimes the procedure will need to be repeated in order to reach the desired result.

Dental Implants – Dr Maher Khamee

Dental Implants – Dr Maher Khamee Dental implantology is currently the most advanced dental field in dentistry, where we simply compensate for the lost teeth by placing dental implants (often made from titanium) in the edentulous area surgically, and then restore it with an artificial tooth (often made of ceramic or zirconium)
Dental implants consist of two basic phases:
First: The surgical stage during which the implants are placed within the bone, which can be done immediately after extraction (immediate implant), or 1 to 4 months after extraction. If there is a lack of bone, a procedure called MAXILLARY SINUS LIFT can be conducted
Second: the restorative stage; sometimes restorations could be performed after the implantation directly, but most cases are restored from 3 to 4 months after the surgical step
Dental implants offer multiple solutions for all tooth loss cases where one tooth or even all teeth are missing. All of these cases can be restored by multiple restorative techniques.
The most important development currently in the field of dental implants is the digital technology, where it is possible to design the dental implants on the computer before conducting the oral procedures and fabricate special molds, which saves time and reduces the complexity of the procedures and eliminates almost all risks

Dr Shatha Duhair - Endodontics

Dr Shatha Duhair - Endodontics What is the root canal treatment?
The root canal treatment is the process of removal of the inflamed pulp tissue from inside the tooth
In order to understand the root canal treatment, it is vital to understand the tissue called "dental pulp"
What is the pulp?
The pulp consists of: blood vessels, nerves, and connective tissue
When do we need to do a root canal?
1- Deep caries
2- Tooth fracture
3- Tooth trauma
4- Selective in prosthodontic procedures



What are the signs that the tooth needs a root canal?
- Spontaneous pain or pain on biting
- A small blister on the gums up to a whole facial swelling
- Sometimes the tooth maybe asymptomatic
- The best way to decide is to visit your own dentist to evaluate your case


Reaching the canals
Reaching the root canal is done through a small opening in the tooth top surface (the back teeth) or from the back surface of anterior teeth
Teeth with multiple root canals can be more challenging, but through the use of the microscope we are able to locate any hidden or calcified canal
We then isolate the tooth using a rubber dam which isolates the tooth from saliva and bacteria, and protect the patient from inhaling or swallowing any instrument
Cleaning the root canal
We use multiple instruments of different shape to clean the root canal properly and to shape it according to your own unique anatomy
sterilizing the canal
Sodium hypochlorite is the main disinfectant agent used to kill the bacteria inside the canals, which are delivered through specific instruments into the root canal in a safe and effective manner

Final preparation
After cleaning and shaping the canals, they are dried before filling them

Obturating or filling the canals
Finally the canals are filled with 2 agents
1- The sealer which is special cement
2- The gutta-percha which is a unique filling material made from latex

After the root canal procedure is finished, a temporary filling is placed which consists of cotton soaked in disinfectant and a solid material on top. A crown is constructed finally at a later stage to gain your tooth function and to protect it from fracture. A later appointment will be set to evaluate the healing process. Bone regeneration takes approximately 1 year in order to reach complete healing