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Utkarsh Mittal Photography, Meerut City (2026)

30/08/2023

“What Must a Dentist Do if the Wrong Tooth is Extracted?”

Quick Read #05
If a dentist accidentally extracts the incorrect tooth, it could lead to potential liabilities and patient dissatisfaction. To protect themselves from lawsuits or litigation, dentists can consider the following steps:
1. Open Communication: Immediately inform the patient about the mistake and apologize for the error. Honest communication can often help in preventing legal action.
2. Documentation: Maintain detailed records of the procedure, including pre-operative notes, X-rays, and any discussions with the patient. Accurate documentation can be crucial in case of legal disputes.
3. Reporting: Depending on the jurisdiction and dental board regulations, dentists may need to report the incident to the appropriate regulatory authorities.
4. Insurance: Ensure the dentist has appropriate malpractice insurance coverage to handle such situations. Contacting their insurance provider promptly can help with legal protection.
5. Rectification: If feasible, provide remedial treatment or referral to another specialist to correct the situation.
6. Legal Counsel: Consult an attorney experienced in medical malpractice cases to understand the best legal approach and potential options.

To ensure the best outcome:
1. Thorough Examination: Perform a comprehensive assessment before any procedure to minimize the chances of confusion.
2. Verification Protocols: Develop protocols that involve verifying the patient’s identity, reviewing records, and double-checking the procedure plan before starting.
3. Team Communication: Maintain effective communication with the dental team to ensure everyone is on the same page.
4. Time Management: Adequately allocate time for procedures to avoid rushing and making mistakes due to time constraints.
5. Consent Process: Ensure patients provide informed consent for the intended procedure, which includes discussing potential risks and benefits.
6. Continuous Education: Stay updated with the latest guidelines, techniques, and technologies to enhance skills and reduce the likelihood of errors.

02/06/2023

Photography is the art of capturing light and creating images. To master the basics of photography, one must understand the importance of lighting, composition, and camera settings. With the right tools and techniques, anyone can take stunning photos that tell a story and evoke emotions. Whether you're using a smartphone or a professional camera, there's always more to learn and explore in the world of photography.

04/11/2022

Enhancing my dental photography skills 📸🦷

📸 Iphone 13

01/11/2022

Suturing Armamentarium ✂️🔪

28/10/2022

Occurrence of Black Chromogenic Stains and its Association with Oral Hygiene of Patients
• Black tooth stain is a characteristic extrinsic discoloration commonly seen on the cervical enamel following the contour of the gingiva caused by chromogenic bacteria.
• It can be diagnosed as pigmented, dark lines parallel to the gingival margin or as incomplete coalescence of dark dots rarely extending beyond the cervical third of the crown.
• Though these stains are more prevalent among children, in the present scenario their occurrence has been noticed in adult population also.
• The presence of black stains were associated with low caries risk.
• It is a form of bacterial plaque and mainly consisted of black insoluble ferric compound, probably ferric sulphide.
• The presence or absence of these stains as
1) No line;
2) Incomplete coalescence of pigmented dots;
3) continuous line formed by pigmented spots.

18/10/2022

Painless removal of the whole tooth or tooth root with minimal trauma to the investing tissue, so that, the wound heals uneventfully and no post operative prosthetic problem is created.
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Techniques of Extraction
1. Intra alveolar extraction
2. Trans-alveolar extraction
3. Stobie's technique
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INDICATIONS

1. Severe Caries
2. Pulp Necrosis
3. Severe Periodontal Disease
4. Orthodontic Reasons
5. Mal-opposed Teeth
6. Cracked Tooth
7. Pre Prosthetic Extraction
8. Impacted Teeth
9. Supernumerary Teeth
10. Teeth associated with pathologic lesion
11. Pre Radiation Therapy
12. Teeth involved in Fractured Jaw
13. Esthetics
14. Economic
15. Prophylactic Extraction
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CONTRAINDICATIONS

▪︎ A] Systemic C/I
a) Uncontrolled metabolic disease – such as D/M, mild D/M and well controlled severe D/M can be treated.
b) Uncontrolled leukaemia and lymphoma
c) Uncontrolled cardiac diseases such as – IHD, valvular heart diseases, heart failure
d)Uncontrolled hypertension persistent bleeding can be occurred CVA as a result of stress
e) Pregnancy especially first and last trimester
f) Severe bleeding diathesis - haemophilia, platelet disorders, coagulopathy
g) Medications -such as corticosteroids, immunosuppressive, chemotherapeutic agents, long term use of low dose asprin
h) Organ failure such as liver failure, renal failure some renal and liver diseases
i) Respiratory Disorders – Asthma, COPD, Chest Infection
j) Extraction during menstruation period – Painful stressful condition
k) Extreme old age – neurologic evaluation

▪︎ B] Local C/I
a) History of therapeutic radiation for head and neck cancer
b) Tooth or teeth located within tumour especially malignant tumour.
(hasten the metastatic process and disseminate cells)
c) Severe pericoronitis (ANUG)
d) Acute dentoalveolarabscess e) Acute infection especiallywith an uncontrolled cellulitis
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14/10/2022

🦷TOOTH🦷

12/10/2022

Case of an Extra Oral Sinus!

08/10/2022

🔘 Dental explorer tool : is a versatile and useful dental tool for any professional dentistry practice. Commonly known as a “sickle probe” , Usually made of flexible metal that conducts vibrations from working end to the clinician's fingers . Working end is 1-2 mm of the side of the explorer called " The explorer tip " .

💠 Primary Designs of Dental Explorers 👇🏻
1. Cowhorn or Pigtail Explorer :
🔸️Uses : A) Calculus detection in normal sulci or shallow pockets extending no deeper than the cervical third of the root . B) The curved lower shank causes considerable stretching of the tissue away from the root surface .🔹️Examples : 3ML , 3CH , and 2A ____________________________________ 2. Straight Explorer :
Unlike the “curved” explorers, the straight explorer has no curvature to the metal endpoint. It slants straight at a downward angle .🔹️Examples : 6 , 6A , 6L , and 6XL explorers ____________________________________
3. Shepherd Hook Explorer //🔸️Uses : A) Supragingival examinations for dental caries ( Decay ) and irregular margins of restorations . B) NOT recommended for subgingival use because the point could injure the soft tissue at the base of the sulcus or pocket .🔹️Examples : 23 and 54 explorers ____________________________________ 4. Orban or #17/18 Explorer //🔸️Uses : Assessment of anterior root surfaces and the facial and lingual surfaces of posterior teeth . Difficult to adapt to the line angles and proximal surfaces of the posterior teeth . 🔹️ Examples : 17 , 20F , and TU17. _____________________________________
5. 11/12 type explorer :🔹️Long complex shank suitable for both anterior / posterior teeth with normal sulci or deep pockets. 🔹️Tip at 90 ° to the lower shank . _____________________________________ 6. Curved Explorer //🔸️Uses : A) Calculus detection in normal sulci or shallow pockets. B) Care must be taken not to injure the soft tissue base of the sulcus or pocket if the working end is used subgingivally . 🔹️Examples : 3 and 3A .

07/10/2022

🟣 Periodontal curettes - focus on Gracey curettes :
Periodontal curettes are used in non-surgical periodontal therapy, to treat the patient’s early stages of periodontal diseases, such as periodontitis .

✅ These double-ended dental hand instruments . They are designed to remove bacterial plaque and calculus from supragingival and subgingival tooth surfaces. Meticulous scaling and root planing with curettes has been scientifically proven to be very effective to improve periodontal health .

🔹️The original Gracey series was developed in the 1930's by Dr. Clayton Gracey , a periodontist at the University of Michigan. 🔹️ They feature long shanks and unique blades , some with bends improving access to complex root surface morphology .

Gracey curettes are available in stainless steel or in carbon steel . Carbon steel requires more care as it rusts very easily and also wears away more quickly.

It can be identified by holding the terminal shank of the end in question , blade side lower , in a vertical position and viewing the blade portion head on.

🟣 Gracey curettes 👇🏻

Numbers and uses :

There are 9 types of traditional Gracey curettes. Each of them is designed to access particular areas of the mouth and particular surfaces of the teeth .

• Gracey 1/2 : for anterior teeth, all surfaces

• Gracey 3/4 : for anterior teeth, all surfaces

• Gracey 5/6 : for anterior teeth and premolars, all surfaces

• Gracey 7/8 : for molars and premolars, buccal and lingual surfaces

• Gracey 9/10 : for molars and premolars, buccal and lingual surfaces

• Gracey 11/12 : for molars and premolars, mesial surfaces

• Gracey 13/14 : for molars and premolars, distal surfaces

Utkarsh Mittal Photography

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