Veneers For Dental Cosmetics

Today, many people think of veneers as a purely cosmetic procedure. Nevertheless, you may find that there will be times when you want to look recapture a perfect smile, as well as hide signs of broken teeth, or other kinds of damage. For example, if you smoke or have Flurosis, you may find that getting veneers will be the best option. When you visit your dentist, you can learn more about this procedure, as well as have an opportunity to learn more about how it will improve your smile.

If you are considering having veneers installed, you may also be wondering if bleaching your teeth will help restore some of their natural colour. As you may be aware, a number medications used to whiten teeth may interfere with other medications that you may be taking. At the same time, if you are not comfortable with using teeth whiteners, you may find that having veneers installed will work better for you. At the very least, you can take care of them simply by following proper oral hygiene. You will also find that veneers will last long than teeth whitening procedures. This is especially important to consider if you have a hectic schedule, or you work in a job where you must often deal with the public.

In most cases, you will find that dental veneers can be installed in one visit. While this procedure is not difficult to perform, you will still be amazed at the difference in your appearance. Since installing veneers may also be part of a total smile makeover, you may find that you look like a different person. Without a question, if your confidence and self esteem have suffered because of ugly teeth, you will more than appreciate what veneers can do for you.

Smile Designing For Bright New Smile

Smile design is a cosmetic philosophy encompassing a ‘Whole Smile’ approach to improving your appearance. Originally developed in the States, the Cosmetic Dentist works in partnership with the Patient and the Master-Ceramist.

At the first Smile Design appointment a number of important factors about you and your smile are gathered together including

* your wishes and expectations
* models of your teeth
* photographs
* x-rays

This information is analysed between the ceramist at the lab and your cosmetic dentist . The ceramist will then produce an accurate wax mock-up of how your teeth will look at the end of treatment.

At the 2nd appointment we will show you the model of how your teeth could look and effect any changes to the design that you might wish for. We also prepare the teeth at this appointment and fit temporary veneers matching the wax-designed teeth. The temporary teeth are worn for a week so that you can assess what you do and don’t like about your new smile.

When you return to the clinic with your temporary teeth in place in third appointment we consult with you on any changes that should be made to the temporaries, effect those changes to your satisfaction, choose the new colour and make an accurate record of your new smile for the ceramist to use as a guide when making your permanent ceramic smile design veneers.


In last appointment the complete new smile is delivered to the clinic and your cosmetic dentist will then bond the multiple veneers into place….new smile complete, time to dazzle your friends and family!

Lasers For The Perfect Smile

Incredibly, dentists have been using laser treatment for over 15 years. Despite some early skepticism the industry is coming to realize that lasers may have a key part to play in the future of dentistry. Their accuracy and all round benefits mean they are becoming ever more popular in dental treatments.

Dentists use lasers for a variety of purposes. They can be used to remove decay and prepare a tooth for a filling and then used to cure or harden the filling itself. They can also be used to reshape gums and remove bacteria during root canal procedures. Other uses include removing small amounts of tissue for biopsy, especially useful in the fight against cancer, and to activate agents in tooth whitening procedures.

Lasers work by delivering energy in the form of light and can be used to cut or vaporize tissue as well as acting as a catalyst for other treatments. They are particularly useful as they can often minimise the pain and anxiety felt by patients and also reduce swelling and bleeding during dental treatments. Also because of the high levels of heat used there is often a reduced risk of post-procedural infection as the laser acts as a sterilizing agent.

Lasers are an innovative and precise dentistry tool that more and more dentists are using because of the obvious advantages to both themselves and dentists. Ask your dentist about laser treatment and take the pain out of your trip to the dentist.For more information on dental lasers please call goma dental on 177-645-0704.

Thermoplastic Materials:An Alternative to Gutta-Percha

Obturation of the cleaned and shaped root canal space has been performed for many years using a core of gutta-percha rubber cones combined with various formulations of sealer cements. This step in root canal treatment is an effort to create a root canal system that is sealed from reinfection resulting from coronal leakage, and to entomb residual bacteria and their by-products remaining in the roots following cleaning and shaping procedures. The gutta-percha cones can be manipulated into the root canal with either cold lateral condensation, or through a method which involves softening the core filling material with the application of heat, which was introduced more than 40 years ago by Dr. Schilder. The gutta-percha and sealer filling material has been the most popular and most tested filling material throughout the history of nonsurgical endodontic procedures.

Despite significant advances in materials science over the past 50 years, it was just recently that an alternative filling material for root canal obturation was introduced and studied in an attempt to improve upon the successful history of gutta-percha. A new a polycaprolactone resin-based thermoplastic filling material (Resilon [Resilon Research LLC]) has been introduced that differs from gutta-percha—the rubber in the gutta-percha material has been replaced with a urethane-based resin. A dual-cured methacrylate resin sealer cement (Epiphany [Pentron Clinical Technologies]) was developed to be utilized with a self-etching primer in association with Resilon in an attempt to create a root filling material that is of a single, solid, bonded material. This system differs from the gutta-percha sealer-based obturation material because it has the ability, through dentin adhesive resin-bonding technology, to bond the root canal walls to the sealer cement, which in turn bonds to the core filling material. This has the potential to strengthen roots and to improve the leakage resistance of the obturated root, hopefully improving nonsurgical endodontic outcome success over the long term. The Resilon and Epiphany obturation material is available under different names: Resilon/Epiphany (Pentron Clinical Technologies), Resinate (Obtura Spartan), and RealSeal (SybronEndo).
In the past 4 years, sponsored and independent research has been busy determining if the new Resilon material is an acceptable alternative to the time-tested gutta-percha and sealer. Factors that have been tested include the cement’s cellular toxicity, bacterial leakage in filled roots, fluid filtration leakage comparisons, microscopic bonding visual analyses, bond strength to root dentin studies, periapical inflammation evaluations, and clinical outcome comparisons. Based on the majority of the current research covering the various aspects of the new material, studies show that the new filling material is a viable alternative to the gutta-percha-sealer technique for filling roots in nonsurgical endodontic treatment. Furthermore, future research and development may eventually reveal that it has the potential to be a better material than gutta-percha.

Despite significant amounts of published research, there is little information about the handling difference between this new root-filling material compared to its traditional alternative. While the dispensing of the Resilon/Epiphany system comes in similar standardized (ISO) cone forms, or pellet form for use in heated syringable dispensing systems (ie, Obtura II [Obtura Spartan] or the Hot Shot [Discus Dental]); the newer material handles differently in several ways.

Retraction cords :For Better Impressions

Good impressions start with good retraction, but often the process is rushed and the impression is resultantly compromised. Most trained prosthodontists agree that two to three minutes is insufficient to achieve good tissue deflection. Consequently, most prosthodontists pack retraction cord for at least five minutes to achieve good tissue memory. This is one of the main secrets in achieving a good impression.
Gingival retracting cords including propylhexedrine (e.g., propylhexedrine HCI) for providing hemostasis and retraction or displacement of gingival tissue. The retraction cords include a hemostatic and tissue stiffening and retraction effective amount of propylhexedrine which avoids the negative side effects associated with the use of epinephrine, commonly used in conventional retraction cords. Retraction cords incorporating propylhexedrine do not cause increased blood pressure or accelerated heart rate. In addition, such retraction cords may include astringents, such as iron (III) salts without causing discoloration of the retraction cord, the patient's teeth or gums, or the fingers of the dental practitioner.


Retraction: Two alternative methods.

Single Cord Technique:
This technique is most common, but often insufficient. The single cord retraction technique is best used when preparing margins at, or above tissue. If gingival tissues are healthy and no bleeding occurs when the cord is packed, this is usually an accepted method.

Double Cord Technique:
The double cord retraction technique is best used when sub-gingival margins are required, and/or if the tissue health is less than ideal. Double cord technique is not simply inserting two cords. The technique sequence listed below will give the best result.
Enough coronal structure is removed to gain easy access to the interproximal areas. Try to avoid preparing areas close to the gingival tissue. Gently an extra thin cord such as Deknatel suture or # I retraction cord (impregnated with an astringent of your choice) is inserted into the sulcus. The Deknatel or # I cord will provide a slight tissue deflection allowing more access will serve as a depth gauge .Then a braided cord impregnated with astringent is packed to achieve adequate tissue displacement. Cord placed below tissue will simply train the upper tissue to curl, defeating the process of tissue deflection. Furthermore, try to use the largest braided cord possible to achieve the greatest tissue deflection. After a minimum of five minutes, the upper braided cord is removed , (leaving the suture cord in place) and the impression is made.

ViziLite : Oral Cancer Screening

Did you know that oral cancer steals the life of one person every hour? India has one of the highest incidence of Oral cancer in the world. The high incidence of oral cancer and oral pre-cancerous lesions in India has long been linked with the habit of betel quid chewing incorporating tobacco.Oral cancer ranks number one among men and number three among women in India. Oral cancer constitutes 12% of all cancers in men and 8% of all cancers among women.

Oral cancer is a major health problem in India. In India it is estimated that among the 400 million individuals aged 15 years and over 47% use tobacco in one form or the other, there are many interesting forms of tobacco use in India eg. Reverse smoking. Annual incidence rate is estimated to be 64,460. However total number of cases at any given will be 2.5 to 3 times higher than this number . Only half of patients diagnosed with oral cancer will survive longer than five years. Because it is often detected in the later stages, oral cancer's mortality rate is higher than that of cervical cancer, Hodgkins disease, brain, liver, kidney, or ovarian cancer. Treatment for oral cancer often causes disfiguration and lessens the patients quality of life.

Thanks to an amazing new technology, ViziLite, dentists and hygienists can quickly and painlessly screen for oral cancer. ViziLite is an identification and marking system that detects tissue abnormalities and is used in combination with traditional visual exams.

All adults should have an annual ViziLite exam because a quarter of oral cancer victims are non-smokers, don't drink, and have no lifestyle factors to heighten their oral cancer risk. Men over 40 and women between the ages of 20 and 40 are the most prone to the disease. Patients with lifestyle risks, including any tobacco use, daily alcohol consumption, viral infections, autoimmune deficiencies like HIV, and diabetes, may need more frequent evaluations.

The screening involves a few simple steps. First, you rinse thoroughly with a cleansing solution. Then, your dentist dims the overhead lights and examines your mouth using the ViziLite wand. If ViziLite finds a problem area, the spot will become illuminated and appear distinctly different from the surrounding normal tissue.

While all of this information sounds disheartening, if oral cancer is found and treated in the early stages the condition has an 80 to 90-percent cure rate. Ask your dentist about whether you could benefit from an oral cancer screening that includes ViziLite.

DIAGNOdent :Finding Decay the Easy Way

One of the most important things we do for our patients is identify and fill cavities. Since any spot of decay can threaten the integrity of an entire tooth, detection is key to preventing a host of potential problems. Lengthy poking and probing sessions have been an acceptable, if not very comfortable, part of dental exams for years. However, such methods of decay detection are only 50 to 75-percent successful. Cavities can hide along fissure lines or inside biting and occlusal surfaces. Further, mechanical exploratory methods are limited to finding only those cavities that are equal to or larger than the probe head. To make the process more comfortable and comprehensive, we use DIAGNOdent, a revolutionary dental laser that finds cavities in the earliest stages.

Laser Reflection Spots Imperfection
DIAGNOdent technology uses a laser diode to inspect teeth, comparing reflection wavelength against a healthy baseline wavelength to uncover decay. First, we take a benchmark reading by aiming the laser onto one of your healthy enamel tooth surfaces, shining the laser into all suspect areas. As it pulses into grooves, fissures and cracks, the laser reflects fluorescent light of a specific wavelength which is measured by receptors, converted to an acoustic signal, evaluated electronically to reveal a value between 1 and 100, and then displayed on a screen. Any variation from the healthy baseline value stimulates emission of a different wavelength and alerts us to a weakened area of decay. Not surprisingly, this technology quickly and precisely identifies even the tiniest bit of decay. This means shallower, simpler fillings, preserving more tooth structure, and providing a specific means of monitoring suspicious areas. No X-rays are required with DIAGNOdent, so patients do not have to worry about radiation exposure.

The Wand Offers a Magic Touch

CompuDent, which is the brain behind the Wand, is a computerized local anesthesia delivery unit. The Wand is actually the pen-like hand piece that administers the anesthesia.

How it Works
Injections can be irritating for many reasons, but one pain factor is that the anesthesia is concentrated in a small area until it dissipates. Anesthesia administered too fast can also cause pain. Another irritation stems from too much tissue going numb, which can leave a patient drooling after an appointment.

CompuDent manages the flow and volume of anesthesia being delivered, and it also offers more accuracy for the area being numbed. The Wand, through which the regulated anesthesia flows, does not look or feel like a syringe. A drop of topical numbing agent first numbs the injection site, and then the needle creates a comfortable injection pathway.The Wand helps patients relax before, during, and after procedures. Beforehand, patients have confidence instead of anxiety; during treatment, they receive regulated medication to keep them comfortable; and afterwards, they can return to normal activity for the rest of the day. The Wand – its like magic!

Laser Dentistry

Just as every picture needs a frame, the gums act as a framing device for the teeth, and bad gums can really detract from good teeth. An excess of gum tissue, which is also known as a gummy smile, can spoil the appearance of nice looking teeth. It is believed that about 14 per cent of women and 7 per cent of men suffer from gummy smiles, which can be a source of embarrassment and affect self-confidence. However, there is something that can be done about it.
Gum contouring is carried out by using an incredibly accurate laser which can be use to painlessly burn off excess gum tissue. The heat of the laser also sterilizes and seals the tissue speeding up the healing process. The dentist uses the laser to reshape the gums to look even and well-proportioned and discomfort is kept to a minimum.

There are many reasons why some people have an excess of gum tissue. Mostly it is nothing more than genetic predisposition but on occasion it can be the result of taking certain blood pressure-reducing medication. In other patients it is because they have either a short top lip or that the position of their teeth is slightly off, making the gums appear larger in contrast to the teeth.
Gum contouring is an easy and effective way of improving the cosmetic appearance of teeth. It is a simple process that can be carried out in one session and requires only minimal healing times and because of the heat produced by the laser there is minimal risk of infection or complication. Ask a your dentist about laser gum contouring and you too could have the perfect frame for your teeth.

Mouthguard :Ideal for sporting activities

As you may be aware, it only takes one blow to the mouth to cause gum injury, tooth loss, and nerve damage. Regardless of whether that blow comes from a cricketball or a fall, it is very important to do what you can to protect your teeth during certain activities. In most cases, wearing a mouth guard will prevent injury to your mouth. Fortunately, when you visit a dentist in Shimla, you will be able to obtain a custom fit mouth guard.

Consider a situation where you would normally wear some kind of helmet. This may include working in construction or riding a bicycle, as well as playing some type of sport. As a general rule, if you are concerned about head injuries, you should be equally concerned about dental ones. This is especially important to consider if you have children that play sports or ride bikes. A custom mouth guard created by a dentist is the only type that will ensure inner mouth structures receive the maximum amount of protection.
Typically, you will find that the procedure for obtaining a custom mouth guard is fairly painless and easy. Your dentist will make a model of your teeth, and then create the mouth guard from soft plastic. Unlike the virtually useless mouth guards sold in most stores, you will have very little, if any difficulty breathing or talking while wearing the mouth guard designed by a dentist. At the same time, if something hits your mouth, the teeth, gums, and inner cheek tissue will all be protected.
Even though you may not engage in activities that require the use of a mouth guard, it is crucial to consider the activities of your children. Unfortunately, even one injury during gym or recess may undo years of dental alignments, cleanings, and cavity management. At the same time, the last thing you will want is for your child to suffer with long term nerve damage. Therefore, it will be best to have custom mouth guards made as quickly as possible.

Change Your Tooth Brush !

Even though you may know when to change your toothbrush, you may not know which toothbrush will work best for you. Among other things, you may have been buying hard toothbrushes for years, and causing damage to your gums at the same time. Fortunately, your dentist can give you a good bit of information about what to look for when you change your toothbrush.

As you may be aware, there are many different kinds of toothbrushes on the market. This includes sonic toothbrushes, electric ones, and conventional bristle brushes. Depending on your situation, you may need to use a brush with raised bristles along the other edge. In other cases, you may be better off with a smaller brush surface. If you have other types of health conditions, your dentist may even be able to provide you with brushes that make it easier to maintain good oral hygiene.

When you visit your dentist for routine exams, you may want to ask about which toothbrush will work best for you. This will also be an ideal time to learn how to brush your teeth properly. Chances are, you will be surprised at some of the answers that you receive. In particular, if you have been scrubbing across the surface of your teeth without gently brushing down from the gumline, you may not have optimal oral hygiene.

Today, many people think that replacing a toothbrush is a simple as buying the same type of brush once the old one wears out. On the other hand, if you don’t talk to your dentist about your specific oral needs, you may be buying, and using the wrong type of toothbrushes. Interestingly enough, taking just a few minutes to discuss this issue can save you from developing receding gums, as well as several other kinds of gum disease.

Inman Aligners : New Ortho Appliances

The Inman Aligner is a fantastic, simple and hassle-free way of straightening your front teeth. It is the orthodontic treatment of choice for adult relapse.This is a relatively new orthodontic appliance and offers a faster solution to correcting tooth alignment problems. It is more effective at correcting problems with front teeth and is hybrid between the Invisalign invisible braces system and traditional metal braces.

The Inman aligner is not as “invisible” as invisalign but has many of the advantages that the invsialign system has over traditional braces in that it is removable so that is doesn’t disturb your eating and oral hygiene. In additional all movements are achieved with a single aligner so there is no need to change your aligners every week.
A faster solution
The Inman aligner can also achieve rapid orthodontics with some treatments being possible in as little as 6 weeks!
A cheaper solution
The Inman aligner is also considerably cheaper than treatment with fixed orthodontics and the Invisalign system.

If you require orthodontic treatment and are looking formore information on the Inman aligner then contact Goma dental Clinic or give us a call on 177 645 0704 for a FREE consultation.

Shimla Healthcare Holidays -Dental Tourism

The British empire may have ceased to exit, but its echoes linger on in Shimla . As the 'summer capital' of the British in India, this was the country's focus for the better part of every year and now, it is state capital of Himachal Pradesh. Today, it has well developed facilities, easy accessibility and numerous attractions make it one of India's most popular hill resort. Placed in the lower ranges of the Himalaya mountains, it is surrounded by pine deodar, oak and rhododendrom forests. Towards the north lie the snow-covered high-ranges, while the valleys breathe whispering streams and swaying fields. Within the town are host of splendid colonial edifices, quaint cottages and charming walks. Shimla holds a variety of shopping, sport and entertainment.Shimla drive its name from Shyamala - the goddess kali where as English named it simla. Shimla provides well developed facilities, easy accessibility and a number of attractions which make it one of the most India's popular hill-Station.
The town of Shimla is built over several hills and connecting ridges. The important hills are Jakhu ( 2,455 meters ), Prospect Hill ( 2,328 meters ), Observatory Hill ( 2,350 meters ), Elysigim Hill ( 2,466 meters ) and Summer Hill ( 2,300 meters ).It is perhaps the biggest hill station in the world, located at an altitude of 2,421 meters above sea level.The most famous holiday destination of India, Shimla is crowned with the title of Queen of Hill Stations. Nestled amidst the beautiful natural surroundings Shimla mesmerizes tourists through its serene waterfalls, snow-capped peaks and churches. Most of the tourists traveling to India believe that trip to India is incomplete without exploring Shimla. It is regarded as one of the most beautiful holiday destination of India.The Ridge, the Mall, Chadwick Falls, Lakkar Bazaar, Christ Church& St. Michael’s Cathedral, Indian Institute of Advanced Study, Annandale, the Glen Forest, Summer Hill, The Shimla Mall, Jakhu Temple, Kali Bari Temple, Tara Devi Temple etc are the major tourist attractions of Shimla, Himachal Pradesh in India.
Hundreds of people every year fly from USA, and Europe to tourist places in Shimla for a grand holiday and DENTAL TREATMENT .Yes, it’s true. The cost of dental treatment is the western countries is approximately 10 times more than that in India. With these high costs people have started to club their tours with dental treatments into one, ending up by having a grand holiday almost FREE.Goma Dental clinic And Implant Center is the Mutltispeciality center in Shimla offering dental treatment in Shimla, dental tourism, dental tours in india, dental care packages, dental tour packages, dental tourism packages, tour packages with dental care, dental package tours, dental tour, dental tours, dental holidays in India.

Aesthetic Laser Dentistry

With the aesthetic zone being absolutely critical to a patient’s external appearance and inner emotions, orchestrating a bioesthetic result is mandatory. Too often, this is complicated when aesthetic desires infringe on the health of the periodontal complex. This is often true when biologic width violations have occurred iatrogenically. Many factors may contribute to these failures, the two main culprits being intracrevicular margin location and over contoured restorations. Not only is plaque accumulation problematic, but the supracrestal fibers also become interrupted, causing the tissues to become further inflamed and aesthetically unmanageable. Dental lasers have evolved considerably as an adjunctive and alternative treatment to safely, conservatively, and reliably decrease bacterial levels and improve the hard and soft tissue contours.From a patient-friendly standpoint, less need for suturing and shorter healing times improves case acceptance for doing ideal dentistry. In selected cases, such as the one presented in this article, minimally invasive laser procedures, with precise restorative planning and technique, can satisfy aesthetic and functional parameters. Furthermore, patients can enjoy optimal results more comfortably and efficiently.The use of a hard/soft tissue laser is a wonderful adjunctive tool for cosmetic and restorative dentistry. The studies demonstrate that this type of laser technology gives dentists the ability to make significant soft and hard tissue changes while being minimally invasive. These changes not only improve the final aesthetic outcome of the case but also provide the physiologic functional parameters required for successful dentistry.

For more information on Aesthetic Laser Dentistry, Dental Implants in Himachal, Dental Tourism in India visit - HimachalDental.com

Goma Dental and Implant Center - A Milestone Reached

We have a Dental Clinic in Shimla, in the name of Goma Dental Clinic and Implant Center. The Clinic is run by Dr. Nisha Goma who has worked as General Dental Surgeon in Zonal Hospital, Solan, HP, India, and as Senior Resident in MNDAV Dental College, Tatul, Solan, HP, India and by Dr. Amandeep Goma who has worked as dental surgeon in Shimla Sanitarium & Hospital. The Clinic was established in 2003. It is Situated on the National Highway and is Drive in. ( no need of walking as in other places in Shimla )
The clinic is equipped with all the Ultra Modern Facilities including Latest Imported Dental Chair, X-Ray, RVG, Intra Oral Camera, Sterilization Unit, Ultra Sonic Scaling, Painless Extractions Under Local Anaesthesia, Tooth Coloured Filling, Silver Filling, Removable Partial Denture, Complete Denture, Crown And Bridge Work, Root Canal Treatment, Treatment of Irregular Teeth, Smile Designing, Dental Implants etc.
The Lab Work is done in the best labs of Chandigarh & New Delhi.Removable partial dentures are delivered the same day whereas the Complete dentures about 3 days. The clinic is registered in the Directory of Dental Tourism in India.

We never compromise in the Quality and try to deliver the best. We assure to provide the best services and never give our patients a chance to complain against us.

For more information on any Dental enquiry and other Dental Services in Shimla, you may visit - Goma Dental and Implant Center, Shimla - HimachalDental.com.