Choudhary Multispecialty Clinic


What are dental crowns and bridges?

Dental crowns and bridges are fixed prosthetic devices that are cemented onto existing teeth or dental implants. Dental crowns are commonly known as a cap that is used to cover a damaged tooth or implant entirely. Bridges, on the other hand, are usually used to cover a space if a patient is missing one or more teeth.


How do dental crowns work?

Dental crowns are used to cover a damaged tooth entirely. The said prosthesis is also used to improve the tooth’s appearance, shape, or alignment and even strengthen a damaged tooth. A crown can also be placed on top of an implant to provide a natural-looking tooth replacement that offers a similar function. Some of the materials used for dental crowns are porcelain, ceramic, gold or metal alloys, and acrylic.


How do dental bridges work?

A dental bridge is often recommended to people who are missing one tooth or more. The prosthesis is cemented to the natural teeth or implants where the gap is located. The teeth that are at both ends of the space are called abutment which will serve as anchors for the dental bridge. The number of pontics (fake teeth) to use depends on the number of missing teeth that need to be filled in.


Who Is a Good Candidate for Crowns?
Since a crown is only a superficial covering, the inner parts of the tooth have to be healthy to support it. A dentist must examine the inside of the tooth using X-rays to confirm that the tooth is healthy enough for a crown. Patients who have root canal therapy are also candidates for crowns.


Who Needs Bridges?
Someone who has one or two missing teeth and wants a reasonably secure and semi-permanent solution may benefit from bridges. The bridge is needed to help make it easier to process food, maintain the structure of the jawline and give the patient a smile to be proud of. The abutment teeth have to be healthy enough to support a crown. Generally, a good candidate for a crown will likely also be a good candidate for bridgework.


How Long Will These Dental Solutions Last?
A crown or bridge can last for between five to 15 years or even longer if you take care of your teeth. But no worries, because when the time comes your dentist can redo the crown or bridge and give you another 15 or more years to enjoy your new smile.

Q:What is special about implants?

An implant functions like the root of the natural tooth. So, there is no issue of falling dentures and missing teeth. It prevents bone loss and maintains the thickness and height of the jawbone.


Q:How long does the treatment take?

To place an implant, a small surgery is needed. After this the implant has to integrate with the surrounding bone which takes 3- 6 months time. In the meantime, the patient is given temporary dentures or crowns. Once the healing is complete permanent crowns or fixed dentures can be given.


Q:What is the cost of implant?

Implants come in a variety of makes, and sizes. Depending upon the company the cost of the implant varies. The total cost would also depend on the total number of implants needed. Our rates are highly competitive and reasonable.


Q:Will it hurt during the surgery?

No. We perform surgeries only under Local anesthesia (the region where surgery is performed alone is put to sleep) or general anesthesia (where the person is put to sleep f or a few hours to do the surgery). We also follow conscious sedation to ease the anxiety and fear of the patient.


Q:Do I get a warranty?

The warranty is given by the manufacturer. Leading brands like Nobel Biocare and Zimmer provide warranties.


Q:Where can I get it done?

We have a fully equipped hospital with the latest technology to facilitate all kinds of treatments with precision. Visit us if you want the best treatment.

Q:Should I clean my baby’s teeth?

Definitely. Even before the first tooth appears, use a soft, clean cloth to wipe your baby’s gums and cheeks after feeding. As soon as the first tooth appears, begin using a small, soft bristled tooth brush to clean the tooth after eating. Don’t cover the brush with toothpaste. Young children tend to swallow most of the toothpaste, and swallowing too much fluoridated toothpaste can cause permanent spots on their teeth called dental fluorosis.


Q:What is Baby Bottle Tooth Decay?

Baby Bottle Tooth Decay is caused by frequent exposure of a child’s teeth for long periods of time to liquid containing sugars. When your baby falls asleep with:

    • A bottle containing formula, milk or juice
    • A pacifier dipped in honey
    • While breast feeding

The liquid pools around the front teeth. During sleep, the bacteria living in every baby’s mouth, turns the milk sugar or other sugars to acid, which causes the decay.


Q:I find brushing my child’s teeth awkward. Any suggestions?

Try having your child lie down. Put your child on your lap or on the floor, keeping his/her head steady with your legs. If your child is standing, have his/her back to you with their head tilted slightly and resting against your body. Have your child hold a mirror while you brush and floss their teeth so your child can see what is being done.


Q:Is it important to brush before bed?

Yes. If you have to miss a brushing, the bedtime one is probably the worst one to miss. If you don’t get rid of the bacteria and sugar that cause cavities, they have all night to do harm. While you are awake, saliva helps keep the mouth clean. When you are asleep, there is less saliva produced to clean the mouth. For this reason it is important to brush before bedtime.


Q:How to brush your child’s teeth?

Every day plaque forms on the inner, outer, and chewing surface of teeth and the gums. Tooth brushing is one of the most effective ways to remove the plaque. The best kind of toothbrush to use is one with soft, round – tipped bristles. A child will need a smaller brush than an adult. Your child will need your supervision and help brushing until he or she is 8 – 10 years old to ensure a thorough brushing has been done. When the bristles become bent or frayed, a new brush is needed.

Q:What is Orthodontics?

This is a specific area of dentistry that specializes in diagnosing, preventing and treating dental and facial issues, the most common,“straightening of crooked teeth.


Q:What are the difference between and Orthodontist and Dentist?

An orthodontist is a specialist in the diagnosis, prevention and treatment of dental and facial irregularities. All orthodontists are dentists, but only about four percent of dentists are orthodontists. Only dentists who have successfully completed advanced specialty education programs may call themselves orthodontist.


Q:Who requires Orthodontic / Cosmetic Rx.?

Anyone with misaligned or irregular teeth, buck teeth crowded teeth, overlapping teeth, rabbit teeth or ones with gaps in between may require orthodontic treatment. Ask the question: “Are you happy with the appearance of your teeth?” This will be your guide to further development of the conversation.


Q:Why is treatment so important?

Anyone with misaligned or irregular teeth, buck teeth crowded teeth, overlapping teeth, rabbit teeth or ones with gaps in between may require orthodontic treatment. Ask the question: “Are you happy with the appearance of your teeth?” This will be your guide to further development of the conversation.


Q:At what age child should have orthodontic examination?

The Indian Orthodontic society recommends that all children have an orthodontic screening no later than age 7. Ideally, sometimes even earlier in case of harmful habits such as thumb/finger/lip sucking or nail biting or major facial defects such as hare -lip or clip- palate.


Q:Why early treatment?

The usual policy of wait and watch until all permanent teeth come into the mouth (12 to 13 years), often results in a sacrifice of four healthy permanent teeth as well as compromised and camouflaged Late Orthodontic Treatment. This can be avoided by starting treatment early. Dr. Milind darda has been using this approach since many years. Latest techniques and modern Orthodontic Appliances have made it even easier to treat younger patients, with safe and painless growth modifying appliances.


Q:Why do some patients have to extract teeth and some not?

In some cases a patient may need to get some teeth extracted in order to fix the braces. Teeth are only removed after serious consideration. However, if the patient is referred to a qualified orthodontist at a young age and the problem is not severe, than the entire treatment may be carried out without tooth removal. It is critical therefore to visit a dentist at the earliest sign of irregular teeth so that he may refer you an orthodontist.


Q:Do I have to modify my diet?

You can continue to eat your regular cooked meal without any problems except hard and sticky food. Foods that are best avoided are popcorn, sticky chocolates, hard nuts and fruits, hard crusts and sticky hard non veg food. These foods can break or loosen your braces making you uncomfortable and can delay treatment.


Q:How Much Does Orthodontic Treatment Cost?

The cost of orthodontic treatment will depend on many factors, including the severity of the problem, the length of treatment and the type of braces you choose. Many orthodontic problems require only limited treatment at relatively inexpensive fees. Your orthodontic specialist will be glad to discuss fees with you before treatment begins. Convenient financing with an initial down payment and monthly installments can usually be arranged.


Q:How should I clean my teeth with braces on?

Brushing with braces on your teeth requires a little more effort than, if you didn’t any. Special orthodontic toothbrush is advised to patient, which should be used twice a day in gentle circular motions with special emphasis to dislodge food that is lodged between teeth and the braces. Use mouthwash to rinse additionally.


Q:Does this treatment affect my performance at school / work / sports?

Not at all. You don’t have to take any leave from schools or from your office. It has become more simpler & painless monthly visits than ever. You will only need to take reasonable care of your braces during contact sports like boxing, football, hockey, cricket etc. to prevent damage to the braces and injury to the teeth and lips.


Q:How often will I need to visit the clinic for treatment?

Appointments can be sheduled from four to six-week intervals, depending on your stage of treatment. In the initial stage, the appointments are more frequent. Once the appliances (braces) are fabricated and in place, the adjustment appointments are scheduled at longer interval.

Q:What is root canal therapy?

When the decay in a tooth spreads deep inside and reaches the blood and nerve supply organ called “pulp” the person experiences severe pain, swelling or even pus discharge. Sometimes the dying pulp does not show any symptoms. The infected pulp is removed and filled with a suitable material and the tooth is protected with a crown or cap. It helps preserve the natural tooth and avoids unnecessary extraction.


Q:Does it pain a lot?

No. We perform root canal therapy under Local anesthesia. The medication puts the tooth to sleep so that the procedure is comfortable and no pain is experienced. Your dentist will prescribe you medications to avoid discomfort.


Q:Does it have any side effects?

No. Root canal therapy helps preserve the tooth structure in its original place. In order to get to the pulp significant amount of tooth structure is removed. This weakens the tooth and hence we must protect it with a crown or cap.


Q:How long does it take?

It may take up to two or three sessions for the treatment of a tooth. A temporary filling is placed to protect the tooth in between the appointments, after this the cap can be given within three days.


Q:Why cap/crown is given for root canal treated tooth?

After root canal treatment the tooth in question becomes brittle. A crown covers and protects the tooth from breaking in the future.


Q:Is it not better I get my tooth pulled out?

Not all teeth can be root canal treated. The clinician is the best person to advice you on this. Pulling out a tooth creates an imbalance in the whole mouth and leads to a series of problems subsequently. So whenever possible, it is best to treat the tooth with a root canal treatment.

Q:What is the difference between cleaning and whitening?

Cleaning is a routine procedure that removes superficial dirt and debris from the tooth surface and gums. No Chemicals substances are usually involved unless specific medications are used to improve healing. Whitening is a cosmetic procedure to improve the shade of the teeth and it removes pigments and stains from the uppermost layer of the tooth or enamel to give whiter teeth. It does not involve cleaning the gums.


Q:Does it hurt to get whitening done?

It might lead to a limited period of sensitivity because of the ingredient used to whiten teeth, but this subsides eventually. Most people do not experience any sensitivity issues unless already present.


Q:How long does it last?

Whitening can last for up to two years or more. This depends on a person’s habits, maintenance etc.


Q:How is it done?

The doctor thoroughly cleans all the teeth. The ingredient is then applied on each tooth and activated using light. Every session lasts up to 45 minutes. Sessions can be repeated depending on the results required.

Q:What is Cosmetic Dentistry?

One of the greatest assets a person can have is a smile that shows beautiful natural teeth. The restoration of a smile is one of the most gratifying services a dentist can render. Improving a patients smile often contribute to improved self image and enhanced self esteem.


Q:What procedures fall under cosmetic dentistry?

All the procedures that help you look and feel better fall under cosmetic care. For example smile correction, replacing metal fillings with tooth colored fillings, smile corrections, tooth jewels, veneering, closure of gap between teeth etc.


Q:Do these procedures weaken the tooth?

No. These fillings in fact add strength and good appearance to a badly worn out or discolored tooth.


Q:How long does it take?

Depending on the number of teeth requiring treatment it may take just one visit or several visits to complete the treatment.


Q:What is smile designing or smile make over ?

SMILE DESIGNING is a process whereby complete oral hard and soft tissues are studied and certain changes are brought about which will have a positive influence on overall esthetics of face.


Q:What is veneering?

A veneer is a thin layer of tooth colored material placed over a tooth surface, either to improve the aesthetics of a tooth, or to protect a damaged tooth surface. A composite veneer may be directly placed (built-up in the mouth), or indirectly fabricated in a dental laboratory, and later bonded to the tooth.


Q:Where can veneers be used?

Dentist may use one veneer to restore a single tooth that may have been fractured or discolored, or multiple teeth to create a “Hollywood” type of makeover. Many people have small teeth resulting in spaces that may not be easily closed by orthodontics. Some people have worn away the edges of their teeth resulting in a prematurely aged appearance, while others may have malpositioned teeth that appear crooked. Multiple veneers can close these spaces, lengthen teeth that have been shortened by wear, fill the black triangles between teeth caused by gum recession, provide a uniform color, shape, and symmetry, making teeth appear naturally beautiful and well aligned.