Dental Anxiety

Anxiety while going for a dental appointment almost all patients have. Our practice often gets calls from patients about the pain involved in dental treatment. Sometimes dental phobia does not allow us to visit our dentist and put off dental treatment for even years.

Sedation dentistry that can help calm your nerves and you won’t remember a thing about the treatment received. Right from the time you book an appointment with us, our friendly staff explains all the procedures and treatment in detail. Our hospital has the ambience to soothe your nerves and eliminate any fear that you may have about the treatment. You can rest assured of the hygiene, which is another major area of concern that stops patients to come to dental hospitals. We assure you of our impeccable standards in hygiene.

Tooth Pain

Any pain is a response to something wrong in the area where there is pain. It is the same with tooth pain. Tooth pain or ache is caused due to various reasons. Some of them could be plaque, infection, gum disease, dental decay, tooth loss, dental decay and injury. Sometimes tooth pain may be due to an external reason like jaw pain or even heart attack.?

Common dental problems can be avoided through flossing, brushing with fluoride toothpaste, and having teeth professionally cleaned on a consistent basis. Tooth pain may occur from inflammation of the central portion of the tooth called pulp. The pulp contains nerve endings that are very sensitive to pain. Inflammation to the pulp or pulpitis may be caused by dental cavities, trauma, and infection.The pain usually gets aggravated by chewing or by cold or heat. At Smiline, we recommend a thorough oral examination, which includes dental X-rays to determine the basis of the pain. If you reside in the Ameerpet and surrounding areas, call us on 4200024 or call 29804422 if you reside in and around Hite city to book an appointment.

Tooth Decay Cavities

Tooth decay is a common and persistent problem that many patients walk into our hospital with. It is often the decay that leads to holes otherwise known as cavities or caries in dental terminology. Cavities are a very common disorder in the world and more so in children and young adults.

Two main factors contribute to the formation of cavities: bacteria in the mouth and a high-sugar and starch diet. Cavities are most commonly found where plaque is highly prevalent, such as on the molars, between teeth, near the gum line, and at the edges of fillings.

Typically there are no symptoms of cavities but chalky white or discolored spot on teeth or sensitivity to cold are frequently symptoms of tooth decay. Tooth decay can be avoided by making changes to diet and maintaining good oral hygiene. Fluoride toothpaste, consuming fluoride, as a part of diet,sealants are also recommended for preventing dental decay. At Smiline, we use diagnostic tools like intraoral exam and digital X rays to detect caries and treat it with simple fillings or in severe cases with Root canal treatments.

Broken Tooth

Broken tooth is a function of an accident, injury or a fall. Sometimes tooth decay can also cause broken teeth. Though our teeth are extremely strong, owing to circumstances they can break, chip, or fracture, leaving you in pain, and cause a substantial amount of uneasiness and concern. Pain management and cosmetic management definitely help reduce the trauma associated with broken teeth.

There is usually no pain or hurt when a tooth breaks but our tongue can feel the broken area. A large piece of tooth broken can give us a lot of discomfort because the nerves inside may have been damaged. Air, hot or cold drinks irritate the broken region and can give extreme discomfort.

A broken tooth should never be neglected. At Smiline dental hospitals, we may treat the tooth with an inlay, onlay or a crown depending on the severity of the damage.

Chipped Tooth

A chipped tooth is often a subject of embarrassment as the chipped tooth will never give a complete smile. Depending on the location of chipped tooth, various options can be exercised. One option would be cosmetic bonding – with this option, highly aesthetic bonding material would be applied directly to your tooth to repair the chip. If there is too much chewing force on the chipped tooth then a porcelain veneer might be recommended. Cosmetic dentists at Smiline can evaluate if the break was caused by cavities, clenching / grinding teeth, or just a traumatic incident and if the injury is endangering the tooth’s nerve. Depending on the severity of the break, they may recommend an inlay, onlay or a crown. A tooth with a damaged nerve usually will require root canal treatment.

If the chipped tooth is a small piece of tooth enamel, your dentist may repair the damage with a filling. If the repair is to a front tooth or can be seen when you smile, we are likely use a procedure called bonding, which uses a tooth-colored material to give a natural look.

Dark Teeth

Poor dental hygiene and food habits often lead to discoloration of teeth. Age may be factor leading to yellow or brown teeth in many while some people who have a natural discoloration of teeth notwithstanding their age.

There are many reasons for tooth discoloration or darkness of teeth. Drinks like tea, cola, coffee, wines, some vegetables and fruits, tobacco, poor dental hygiene; inadequate brushing and flossing to remove plaque are some of the reasons for discoloration or darkening of teeth. Certain diseases, medications, dental materials, advancing age, and genetics also contribute to yellowing or darkening of teeth.

Environmental sources like high level of fluoride in water or excessive fluoride applications can cause teeth discoloration. Trauma also is detrimental to the loss of whiteness in teeth. Smiline offers various cosmetic solutions like Porcelain veneers to mask discolored teeth and Tooth whitening to brighten your smiles.

Gum Disease

Gingivitis or gum disease causes the gums to swell and bleed easily. Gingivitis is often caused by lack of or improper oral hygiene. If your teeth and gums bleed when you brush and floss, you are at risk for gum disease. Untreated gum disease or gingivitis can advance to periodontitis. Plaque may grow below the gum line if not taken care. Plaque has bacteria that produce toxins and this irritates the gums and stimulates inflammatory response. In turn the tissues that support the teeth are broken and destroyed.

In the beginning gingivitis does not show any signs or symptoms and this turns to infection in the pockets between teeth and gums. Slowly gum tissue and bone are destroyed. Eventually teeth loosen and may have to be removed.

Infection has to be controlled in gingivitis and periodontitis. The first step in this is to go for deep root cleaning and then medication is administered. However in certain cases surgery becomes imminent. At Smiline, we understand that good health starts with a healthy mouth. At your first visit with us and also at your regular cleaning visits, we will make sure your teeth and gums are healthy and educate you on good brushing techniques and habits.

Wisdom Teeth

Wisdom Teeth are the third and final set of molars which most people develop in late teens or young adults. These teeth are one per quadrant of our teeth and every human being has one to four of such teeth. Often these teeth are misaligned and are difficult to clean which makes them susceptible to tooth decay, infection and gum disease. Wisdom teeth are vestigial third molars and do not contribute to active teeth activity. However if they are not maintained properly they are susceptible to bacteria and infection and may have to be removed.

Usually these teeth are developed between the ages 12 and 15 but some develop later. Some wisdom teeth never erupt and such teeth cause pain as they erupt from gum tissue. Clinical examinations and X rays are taken prior to the removal of any teeth, especially wisdom teeth. Removal of wisdom teeth by surgical procedure is done by an expert oral surgeon at Smiline.

Wisdom teeth are vestigial third molars and do not contribute to active teeth activity. However if they are not maintained properly they are susceptible to bacteria and infection and may have to be removed.

Malocclusion/bad bite

Malocclusion or a bad bite is the position of teeth being disorderly. It is like the teeth are not in alignment thus leading to difficulty in chewing and closing of the mouth and hence create an unsafe condition. A bad bite can sometimes be responsible for tooth pain, jaw pain, headaches, tooth sensitivity, poor appearance etc. Malocclusion is an overbite when the upper teeth are positioned further forward than the lower teeth and under bite when the lower teeth being positioned further forward than the upper teeth. An under bite usually occurs when the jawbone is large or the maxillary bone is short.

Malocclusions are typically inherited. However certain habits also cause malocclusion and can be avoided. Using pacifier after three years of age, prolonged use of feeding bottle, sucking of thumb as infants and later, injuries and other jaw defects also contribute to malocclusion. When you are seen by an Orthodontist at Smiline for an initial exam, your teeth will be examined for any crowding, spacing, bite, or jaw problems and discuss with you the best possible orthodontic treatment options.

Missing Teeth

Teeth may be missing due to various reasons. Having a missing tooth is not a proposition to be enjoyed. It is both inconvenient and uneasy to chew with teeth missing. For many years, the only treatment options available for people with missing teeth were bridges and dentures. But, today, dental implants are available.

Dental implants replace tooth roots. They equip with a strong foundation for fixed (permanent) or removable replacement teeth that are made to match natural teeth.

Dental implants are a blessing in disguise for all those who faced low self-esteem and poor health due to missing teeth. Dental implants provide the advantage of improved appearance, speech and comfort. They last lifetime and are durable.

Abscess in Tooth

Abscess of teeth is a painful infection at the root of the tooth or between gum and a tooth. Causes of abscess are tooth decay, trauma to the tooth such as when broken, or chipped or having gum diseases like gingivitis. These conditions allow bacteria to infect the center of the tooth called the pulp by causing openings in the tooth enamel. If not treated this infection may spread from the root of the tooth to the bones supporting the tooth.

Abscess may be indicated when we experience pain while chewing, hot and cold sensitive, redness and swelling of gums, foul smell of breath and swollen neck glands. Sometimes the pain may subside which may be due to the death of the tooth but infection still needs to be treated otherwise it will spread and destroy tissue.

Did you know that the oral health effects the health of your whole body? The same bacteria that infect the mouth can travel into your blood system. The spread of this infection into the rest of the body has been directly linked to heart attack, stroke, diabetes and numerous other serious conditions. At Smiline, our goal is to help you achieve optimal general health by treating the infection and inflammation in the mouth.

Root Canal

A Root canal is required when there is damage to the pulp of the tooth either due to injury or severe tooth decay. Usually dreaded as a very painful procedure but here at Smiline, we offer painless, root canal treatments with minimum discomfort. We also offer single sitting root canal treatments. Success rates of root canal treatments at Smiline are very high due to cutting edge technology used like Protaper, Lasers and state of the art sterilization practices. During the root canal treatment, the area is assessed and then the damaged and or dead pulp is completely removed and the area is then sealed. A crown (or cap) is then placed over the tooth as this will help prevent tooth breakage especially if extensive restoration is done leaving only a small portion of the tooth. We are highly recommended dental hospitals committed to quality care and patient comfort.

Root canal is an effective way to eliminate pain. Root canal treatments typically take two or more sittings at the dentist’s. The number of sittings or the procedure of treatment depends on how extensive the tooth damage is.

Soft Teeth

In dental terms it is simply erosion of the teeth. Soft teeth is the result of the breakdown of tooth structure caused by the effect of acid on the teeth. If foods high in acid are consumed on an excessive basis, the mouth can’t repair itself and there is a greater chance for dental erosion Dental enamel is the thin, outer layer of hard tissue that helps maintain the tooth’s structure and shape while protecting it from decay. Regular exposure to sugars like Soft drinks, fruit and fruit products, grapes and wines increases the rate of enamel breakdown by feeding harmful bacteria.

Soft teeth can also be caused by stomach acids introduced into the mouth through vomiting and acid reflux. At Smiline we recommend moderate consumption of soft drinks, pickles, lemons, after eating or drinking sugary foods, chew on sugar- free gum to stimulate saliva flow, rinse with water for 30 seconds and use fluoride toothpaste.

Temporomandibular Joint

Temporomandibular joint disorders or TMJ disorders are a group of conditions that cause pain and dysfunction in the jaw joint and the muscles that control jaw movement. The most common feature is pain, followed by restricted jaw movement, and noises from the temporomandibular joints (TMJ) during jaw movement.

What is the temporomandibular joint ?

The temporomandibular joint or TMJ is located just in front of the ears on either side of the head; it connects the lower jaw, called the mandible, to the bone at the side of the head—the temporal bone interposed with a soft disc between them. The disc keeps the motion of the jaw smooth, absorbs shocks to the jaw joint from chewing and other movements. These joints are flexible and allow the jaw to move smoothly up and down and side to side, enabling us to talk, chew and yawn. The muscles attached to and surrounding the jaw joint controls its position and movement. The temporomandibular joint is among the most complicated and unique joint in the body because of its complex movement and unique make up. When problems arise the jaw joint and its controlling muscles can pose a tremendous challenge to both patients and health care providers.

What are TMJ disorders ?

The manifestation of TMJ disorders varies widely from person to person. Most people have relatively mild forms of the disorder. Their symptoms improve significantly, or disappear spontaneously, within weeks or months. For others, the condition causes long-term, persistent and debilitating pain.

The conditions fall into three main categories :

1. Myofascial pain involves discomfort or pain in the muscles that control jaw function.

2. Internal derangement of the joint – disc complex involves a displaced disc, dislocated jaw, or any traumatic injury to the joint.

3. Arthritis refers to a group of degenerative or inflammatory joint disorders that can affect the temporomandibular joint.

A person may have one or more of these conditions at the same time. Some people have other health problems that co-exist with TMJ disorders, such as chronic fatigue syndrome, sleep disturbances or fibromyalgia, a painful condition that affects muscles and other soft tissues throughout the body. These disorders share some common symptoms, which suggest that they may share similar underlying mechanisms of disease. However, it is not known whether they have a common cause.

Rheumatic disease, such as arthritis, may also affect the temporomandibular joint as a secondary condition. How jaw joint and muscle disorders progress is not clear. Symptoms worsen and ease over time, but what causes these changes is not known.

What causes TMJ disorders ?

For many people symptoms seem to start without any obvious reason, though there are multiple recognized causes that may lead to TMJ disorder.

  • Trauma
  • Malaligned teeth ( problems with the bite )
  • Bruxism
  • Psychological factors


Trauma, both micro and macrotrauma, is identified as a possible cause of TMD. Prolonged mouth opening leads to microtrauma and subsequent muscular hyperactivity. This may occur during dental treatment, with oral intubation whilst under a general anesthetic, during singing or wind instrument practice. Damage may be incurred during violent yawning, laughing, road traffic accidents, sports injuries, interpersonal violence, or during dental treatment (such as tooth extraction).

Malaligned teeth ( problems with the bite )

If the teeth alignment is not favorable for comfortable jaw position, it may affect observed electrical activity in masticatory muscles and ultimately lead to TMJ disorder. A cavity filling that is higher than the normal bite plane could disturm the equilibrium of the TMJ complex and lead to TMJ disorder.


Bruxism is characterized by excessive clenching and grinding of the teeth. It is an oral parafunctional habit, which is apart from normal function of eating or talking. It can occur during sleep or whilst awake. Problems with bite (teeth alignment), deflective interferences due to over erupted wisdom teeth, psychological stress are implicated as possible causes of bruxism. It is estimated that normally the teeth are in contact for less than 20 minutes per day, mostly during chewing and swallowing. Whereas for bruxers, the teeth are in contact for much more duration in a day, loading the muscles and TMJ more than normal limits leading to TMJ disorders.

Psychological factors

Emotional stress like anxiety, depression, anger may manifest as TMJ pain. To understand better, put simply the cycle of events that happens in stress and anxiety situation causing grinding of teeth and sustained muscular contraction in the face. This produces pain which causes further anxiety which in turn causes prolonged muscular spasm at trigger points, vasoconstriction, poor blood supply and release of pain mediators. The pain discourages use of the masticatory muscles (a similar phenomenon in other chronic pain conditions is termed "fear avoidance" behavior), which leads to reduced muscle flexibility, tone, strength and endurance. This manifests as limited mouth opening and a sensation that the teeth are not fitting properly.

What are the signs and symptoms ?

How are TMJ disorders diagnosed?

The key to the diagnosis is a thorough study of patient’s signs, symptoms, medical history, dental history, clinical examination of problem areas (head, neck, face, and jaw. Imaging studies may also be recommended. You may want to consult your doctor to rule out other known causes of pain, such as sinus or ear infections, various types of headaches, and facial neuralgias (nerve-related facial pain). In order to narrow down the problems to TMJ disorders, it is important to rule out the other sources of pain.

How are TMJ disorders treated?

TMJ disorders are most commonly treated by conservative reversible methods. Conservative treatments do not invade the tissues of the face, jaw, or joint, or involve surgery. Reversible treatments do not involve any surgical intervention or do not cause permanent changes in the structure or position of the jaw or teeth.

Conservative Treatments

The most common jaw joint and muscle problems are temporary and do not get worse, simple treatment may be all that is necessary to relieve discomfort.

Self-Care Practices to ease the symptoms

  • eating soft foods
  • avoiding extreme jaw movements (such as wide yawning, loud singing, and gum chewing)
  • learning techniques for relaxing and reducing stress
  • physiotherapy practicing
  • Thermotherapy

Pain Medications

Short-term use of pain medicines , anti- inflammatory drugs, muscle relaxants, or anti-depressants as recommended by your doctor help to ease the symptoms.

Occlusal splint or Bite guard

- Your dentist may recommend an oral appliance, also called as occlusal splint or Bite guard, which is a plastic guard that fits over the upper or lower teeth. Occlusal splint aids in relaxing the joint and muscles and ease the symptoms. It should be used only for a short time and should not cause permanent changes in the bite. If a splint causes or increases pain, or affects your bite, stop using it and see your health care provider. The conservative, reversible treatments described are useful for temporary relief of pain – they are not cures for TMJ disorders. If symptoms continue over time, come back often, or worsen, tell your doctor.

Irreversible Treatments

Irreversible treatments refer to the definitive treatments that target the cause of TMJ disorder and correct the same :