health and hygiene dental clinic

26/09/2025

Smile correction with composite.11,12,21,22 diastema closure

25/08/2025

Patient reported with pain on a previously restored tooth.
On examination: Periapical changes noted with tenderness on percussion.
Treatment: Root canal treatment was performed by Dr Paul George
Restorative management was challenging due to deep restoration margins. A composite overlay was placed to complete the restoration.

Restorative Phase:

1. Isolation: Tooth isolated under rubber dam.

2. Caries and Margin Management: Deep margin elevation performed using SDR flow+ (noted for its enhanced radiopacity).

3. Core Build-Up: Core built with Everex Posterior for reinforcement.

4. Final Restoration: Remaining tooth structure restored using 3M Bulk Fill composite.

5. Occlusal Adjustment & Finishing: Checked, polished, and finished for proper occlusion.

22/08/2025

Case Summary

Chief Complaint:
Patient reported food lodgment and sensitivity.

Investigations:
Radiograph revealed deep caries in close proximity to the pulp.

Treatment Performed:

Endodontic Phase:

Caries excavation done; pulp exposure noted.

Root canal treatment completed.

Restorative Phase

Deep margin elevation performed with SDR.

Immediate dentin sealing (IDS) done.

Core build-up done using EverX Posterior.

Final restoration completed with 3M composite compule.

23/05/2025

16/04/2025

17 yr old girl came to the clinic with c/o restricted mouth opening for the last 7 months.it was devloped while eating hard food.she consulted many doctors and took medication for the same.currently she was doing mouth opening exercises,but still no improvement.we examined the patient.following was the findings
1) restricted mouth opening - 2 finger
2)tmj clicking present
3)tenderness over lateral pterygoid area on left side
4) deviation and clicking of tmj
5) load test mildly positive
6) no pain during functional manipulation
7)pathologic group function on working and nonworking side
8) hit and slide present
9) midline shift
Treatment start with deprogrammer for one and half months.after 6 weeks mouth opening improved .no tenderness.plannig occlusal correction thank u Dr Dhanalaksmi ma'am for all the guidance 😍

15/04/2025

14/04/2025

Try to save extremely decayed teeth biomimetically.patient came to the clinic with c/ o pain on upper left premolar.o/e acute irreversible pulpitis on 25 noticed.Rct was done .h/ o RCT 24,14,15 3-4yrs back.no tenderness on percussion.but very less teeth structure for the 3 teeth.prognosis of the tooth explained to the patient.we advised rerct.14,15,24 - under obturated canals and grossly decayed teeth. So we planned to save those
teeth biomimetically.steps
1)Gingivectomy and crown lengthening
2)Core build up done with every posterior
3)Outer cover by bulkfill compule from 3 M.planning to do reRct once the patient become symptomatic

01/04/2025

Direct composite overlay

13/02/2025

Deep caries management without rct
Case details
19 yr old girl c/ o sensitivity of the tooth and came with dislodged ss crown.she has enamel hypoplasia on all first permanent molars.11 yrs back ss crown were placed on all permanent first molars.now 26 shows secondary caries. Steps
1) radigraphs and history took
2) vitality tests done
,3)deep caries removed
4) ids done
5 ) composite build up done.
6) cad cam temporary crown placed.adv to review after 6 months