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6-step Digital Workflow in Dentistry

Key clinical and laboratory procedures have undergone a fundamental change as a result of new digital tools that facilitate data collection, team communication, computer-assisted diagnosis and treatment planning, as well as the design and fabrication of restorations, guides, stents, and devices in general.

To take advantage of these digital opportunities and provide all patients with their benefits, a straightforward, comprehensive digital workflow must be created. Making digital workflows the norm rather than the exception is critical for growing a dental practice in this new environment. This 6-step introduces a new comprehensive digital workflow that alters and improves the process of treating a comprehensive case, from diagnostics to execution and maintenance. 

Step 1. Patient Digitalization
Patient Digitalization has taken the place of traditional and analog patient documentation in the new fully digital process. A significantly more accurate analysis and visualization of all orofacial issues as well as functional, structural, and aesthetic aspects, including the temporomandibular joint (TMJ), airway, and other anatomical structures, are made possible by the integration of a 3D face scan with the CBCT scan, STL files, virtual articulator, and face and jaw movements.

With the use of artificial intelligence (AI) techniques, merging and overwriting of such files is getting noticeably easier. Digital process technologies that boost precision and accuracy are always evolving and may soon replace analog steps, such as taking into account interocclusal data, facebow registration and transfer, and mounting models in an articulator. 

Step 2. Cloud Data Management
The concept of Cloud Dentistry is another significant advantage of the entire digital workflow. The information can be quickly stored in the cloud with specially created software and in formats that are compliant with the local patient data privacy regulations because the patient is digitalized and all paperwork is available as digital files.

A system that enables “asynchronous communication,” or communicating with several persons who are neither in the same place nor available at the same time, is the answer to these problems. This idea comes from social media, where users can message multiple individuals at once. People are free to respond and interact whenever it suits them. Team members can still actively participate even if their schedules or locations do not coincide in time or place since it enables information sharing and exchange.

Step 3. 3D Treatment Simulations & Collective Intelligence
The next phase in the entire digital procedure is to use 3D simulations to explore the numerous options and possibilities. The purpose is to reduce actual errors by making mistakes on the computer. It is comparable to a pilot who practices several times before taking off in a real plane with real passengers.

The new fully digital workflow gives the dentist the chance to turn every treatment option suggested by the team into 3D simulations, either by having the dental office purchase and train staff on all necessary technology, or, in a more practical scenario, by outsourcing the workup to a planning center that converts suggested treatment plans and procedures into simulations, allowing any dentist to take a look. 

These simulations establish a cloud connection between the clinical treatment planning team and the planning center, which is only feasible if all patients have been converted to digital records. As a result, the three foundational components of the current digital workflow are connected in the following ways: patient digitalization —>  cloud dentistry/asynchronous communication —> virtual treatment simulation/outsourcing of planning centers.

Step 4. Patient 3D Presentation
The patient is given the treatment plan as the following step in the workflow. This next crucial step involves the patient after all concepts have been replicated and Asynchronous Communication has enabled the team to assess them and determine the optimum treatment approach. Technology has a significant impact on patient education and motivation. The easiest approach to communicate and persuade people to accept a concept is through visual means. The ability to use visual communication techniques to engage the patient, raise awareness, and eventually win case acceptance is crucial for the person presenting the treatment plan. All previous treatment simulations that were utilized to develop the treatment plan will now be incredibly effective at educating the patient. 

Step 5. Guided Dentistry and Step 6. Digital Quality Control
The differences between initial plans and final results are one of restorative dentistry’s biggest constraints, and digital dentistry is very useful in overcoming this problem. In the past, there were frequently significant variations between the results of an initial diagnostic wax-up and the ultimate treatment.

Additionally, they represented the rule rather than the exception. Analog protocols have been unable to overcome these limitations. Freehand intraoral procedures are expected to be phased out in the future, with all procedures utilizing some type of digitally designed guide or device. This is the idea behind Guided Dentistry. 

Before moving on to the next phase, all methods must also be reviewed by contrasting the results of the first simulation with those that were really obtained. Furthermore, before proceeding to the next step, all procedures must be evaluated by comparing the initial simulation to the achieved result. Discrepancies can be detected and corrective measures implemented by superimposing scans of the initial and actual situation. This is the idea behind Digital Quality Control.

Summary:
The new comprehensive digital workflow consists of six essential processes, including digital simulation, case acceptance, guided therapy, and digital quality control. It also includes cloud-based interdisciplinary treatment planning and digitalized patient information. A facially driven smile design and treatment plan are converted into a 3D project using the digitalized patient data. This project directs the development of a treatment “script” that specifies the precise order and timing of the procedures to be carried out. In order to lessen the differences between the plan, as approved by the dentist and the patient, and the final result, guidelines and gadgets are created. For quality control objectives, the final result and the circumstances during follow-up visits are scanned and overlaid with the initial simulation. Accordingly, adjustments or retreats can be made.

Source: The International Journal of Esthetic Dentistry, Volume 16, Number 1, Spring 2021

All-on-4 Surgery

The All-on-4 treatment concept is revolutionary, offering edentulous and soon-to-be edentulous patients a full-arch restoration. Immediately loaded onto just four strategically placed implants, two of these implants are placed vertically in the front, while the other two are placed at an angle of up to 45° in the back. This cutting-edge treatment concept is transforming the way we approach full-arch restorations!

Below is the clinical procedure for the conventional All-on-4 surgery:

1. Position All-on-4 Guide
– An osteotomy will be made approximately in the midline after an incision for the flap elevation
– Then the All-on-4 guide will be placed in the osteotomy

2. Prepare Posterior Site
– Tilted osteotomy (to a maximum 45°) will then be made for the implant
– After preparing the site, the implant will be inserted
– A 30° Multi-unit Abutment will be placed after the implant
– The same procedure will be made on the opposite side

3. Prepare Anterior Site
– The two anterior sites must be placed far apart to allow safe distance from the apex the posterior implant
– A straight or 17° Multi-unit Abutments will then be placed and allow for proper emergence of the prosthetic screw

4. Take an Impression
– After suturing, the Multi-unit Impression Copings Open Tray will be connected to the Multi-unit Abutments
– Impression will be made using silicone soft putty material and a customized open tray

Tip: Use addition silicone to prevent the impression material to enter and penetrate into the tissue

5. Laboratory Procedure for Provisional Bridge
– A model and a provisional restoration will then be made at the dental laboratory

6. Connect provisional bridge
– By placing and tightening the prosthetic screws, the all-acrylic bridge will be secured on the abutments.
– Block out screw access and check for occlusion

7. Final Restoration
After a sufficient healing period, follow established prosthetic procedures for the final restoration

Is All-on-4 treatment right for you? Need more information about the services Dental World Manila? Contact us to schedule a consultation for your best and complete dental treatment plan.

Source:
All-on-4® Treatment Concept Procedures Manual – Nobel Biocare
https://www.nobelbiocare.com

How to Fix Your Broken Braces Brackets Amid Quarantine

In the Philippines, ceramic braces are getting more and more popular for patients who want to align their teeth and fix bite problems. Unlike the traditional metal braces, the ceramic ones are made of high-grade polycrystalline ceramic (in some cases, porcelain or plastic). The brackets, wires, and elastics are often clear or else colored to be the same color as your pearly whites. As a result, they are less noticeable and much lighter too. All of these while also gradually perfecting the alignment of your teeth. Though ceramic braces come with several advantages, this doesn’t mean that they are not susceptible to inconveniences that orthodontic patients also face when wearing metal braces. The brackets and wires are fragile and can be damaged when:

  • Eating sugary, crunchy, and hard-to-chew foods (such as nuts, candy, corn chips, pretzels, etc.)
  • Over-brushing (which also results in tooth abrasion)
  • Flossing incorrectly (which leads to gum tissue damage and prolonging gum sensitivity too)

If one of your brackets has broken, or your elastics are misplaced, or you’re experiencing other inconveniences, here’s what you need to do for a quick fix and keep further complications at bay:

  1. Determine what’s damaged. Due to quarantine policies, patients with minor issues on their ceramic braces are encouraged to set up a virtual appointment with their trusted dentist in the Philippines. The dental professional will be able to check the whole oral cavity, view the braces, monitor the patient’s progress, and guide them to do any changes necessary. For instance, the wire is attached but sticking out, the patient can press it gently back into position using a cotton swab. Doing so will prevent it from cutting the inside of your mouth or cheeks. In the case of misplaced rubber bands, your dentist may send you elastics and teach you how to properly place them.
  2. Strictly follow your dentist. Though you’re experiencing minor issues only, it’s crucial not to neglect the guidelines of a professional. Say you require more rubber bands, orthodontic wax, or other adjuncts to your treatment, do not resort to cheap, fake, or uncertified dental fixes. Always go for treatments guided by a professional than DIY. Your dentist will gladly mail and send the orthodontic supplies you needed along with proper instructions, while also stressing that your tools and materials must be sterile. Remember, preventing further infections/complications and maintaining the integrity of your ceramic braces are top priorities.
  3. Book an appointment. With the presence of the pandemic, dentists emphasize that dental clinics only accept scheduled visits as part of precautionary measures. For now, the urgency for seeing your dentists depends on how much discomfort you’re experiencing and the degree of damage. If the bracket of your ceramic braces has come loose, remove it completely if possible and bring it with you to the orthodontist for reattachment. For emergencies that may arise aside from several loose brackets, broken wires, or missing elastics, you can call your dentist and have your concerns attended immediately.

Fixing your ceramic braces has become more challenging in the midst of COVID-19 in the Philippines. Fortunately, dentists from premium dental clinics are committed to providing oral care while also ensuring the safety of their patients. For oral health concerns, don’t hesitate to reach out to professionals if necessary. Keep your ceramic braces at its best even when you’re at home!

Cleaning For Your Ceramic Braces Amid Quarantine

smiling with braces

Braces are one of the top dental procedures when it comes to straightening misaligned bites, eliminating gaps between pearly whites, and helping achieve a more aesthetically pleasing smile. One of the most common types is traditional braces. These are made of gray or metallic silver brackets and wires. It also uses different colors of rubber – making it more noticeable in one’s teeth. Meanwhile, ceramic braces are also getting more popular in the Philippines as they also give the benefits of conventional braces but with a more discrete look. It is made of high-grade polycrystalline ceramic that blends into the color of the teeth. However, these ceramic braces and clear elastics are highly susceptible to color degradation.

To feel confident while wearing ceramic braces, you should maintain it clean and white just like your teeth. But with the implemented community quarantine due to the COVID-19 threat, visiting a dentist to regularly clean and adjust your braces is challenging. Many clinics are closed due to the issued social distancing guidelines and lockdown policies. To help you in cleaning and maintaining the integrity of your braces even at home, here are the following tips that you can practice:

1. Regularly brush your teeth.

This is a no-brainer but a crucial move not only to keep your braces at its best but also to maintain your oral cavity’s good health. Gently brush your teeth with a soft-bristled toothbrush every after a meal instead of just twice a day to prevent bacteria from building up and developing into hard-to-remove plaque. Avoid using whitening toothpaste as these usually contain strong chemicals and abrasive ingredients that may stain and damage your ceramic braces. Ask your dentist for recommendation too.

2. Floss and rinse.

Study shows that brushing can only remove about 25% of bacteria, sugar and acids in your oral cavity. There are many hard-to-reach areas and that’s why flossing and rinsing with mouthwash are important. Flossing rubs off the plaque stuck between your teeth and your ceramic braces. Meanwhile, using a mouthwash flushes out stain-causing bacteria and reduces the risk of gingivitis, keeping your ceramic braces white, and your gums healthy for faster orthodontic treatment.

3. Be mindful of your diet. 

Common dental braces staining agents are found in coffee, tea, hot chocolate, red foods, and curry dishes. As per dentists in the Philippines, these acidic flavor stains stick to your ceramic braces even longer and are difficult to remove especially when you consume them regularly. To prevent this, curb your consumption so you do not have to forego you favorite food and beverages altogether. It is also best to quit smoking as your teeth are compromised when in braces, and smoking or chewing tobacco only compromises them further. Nicotine also stains teeth and braces badly. Start cutting down and then quitting altogether for your ceramic braces not to go to waste.

4. Continue to consult your dentist.

Amid quarantine, dentists in the Philippines still carry out online consultation to help their patients care for their ceramic braces even at home. Don’t be shy to ask your dentist for recommendations especially when oral cavity problems arise. Some are even willing to schedule appointments and open their clinics for their patients in need. Make sure you have your dentist’s contact number with you. Remember, professionals know best when it comes to ceramic braces and oral health maintenance. For more tips for caring for your ceramic braces, contact Dental World today!

How to Take Care of Your Teeth After the Holidays?

white smile - veneers

We hope you’ve enjoyed the last bit of 2019 and welcomed 2020 with a bright smile! Talk about a bright smile, how are your teeth and gums after all the family gatherings, sumptuous meals, and endless flow of wine? Is your oral health still on its optimum health? If not, keep on reading as we’ve curated several tips on how to take care of your teeth after the busy holiday season.

For yellowed and stained teeth

Many of us are guilty of binge-eating and -drinking delicious food and sweet beverages. We can’t help it as the holiday season is best enjoyed by eating and drinking your favorites with your loved ones. However, there are some consequences such as yellowed and stained teeth. As per dentists, acidic food and drinks encourage more and faster bacteria buildup in the oral cavity – making way for stubborn stains, discoloration, and hardened plaque.

For eliminating the yellowish appearance of the teeth, whitening treatment will do. The dentist will use strong bleaching gels and innovative light technology to whiten each tooth up to five shades lighter. The treatment could be completed in just one visit and you can have guaranteed whiter pearly whites in an instant!

Meanwhile, for the hardened plaque or tartar caused by excessive bacteria buildup (due to sweet food, acidic drinks, and improper oral hygiene), it is best advised to avail deep cleaning treatment. The dentist will clean the teeth and gums by scraping the plaque and tartar with sterile dental tools. Then, special gels are used to polish the pearly whites.

For damaged teeth

Have you bit food the wrong way and chipped off your teeth? Or have you experienced an unexpected oral injury this holiday season? There are several dental treatments that can bring your damaged pearly whites back to its best shape.

Enamel contouring best works for minimal damage such as chipping or small gaps between teeth. The process involves a dental professional examining your affected tooth then shaping its enamel (protective layer of the tooth) to be even with the other teeth. This treatment can also correct gaps and minimal teeth misalignments.

Another popular procedure for damaged teeth is dental veneers. Dental veneers work by removing the damaged or decayed part of the tooth then covering it with artificial tooth-like material. Most dentists used porcelain veneers for the front part of the teeth as this type promises natural-looking and long-lasting results.

If the tooth is damaged completely, you can repair it with another tooth-like material. In this case, crowns. Dental crownsare designed as fixed prosthetic devices to cover a badly-damaged tooth. They can also act as a replacement tooth to fill the gap when a decayed tooth is extracted.

These treatments not only repair the damage on your teeth, they also improve the overall aesthetics of your smile.

For mouth sores

For stubborn oral sores that hinder the way you eat, drink and speak, ask your dentist for gels and ointments to be applied. However, if your mouth sores are complex and show signs of progressing to other dental diseases, your dentist may suggest oral surgery, too. It is best to consult a dentist immediately when one has persistent mouth sores to prevent further complications.

Taking care of your pearly whites, as well as your overall dental health, after the busy holiday season, is easy when you have good communication with your dentist. Set an appointment with your dentist today and begin 2020 with your best smile!

Your Guide to Dental World Manila in Centuria Makati

Dental World Manila Centuria Makati Lobby

Why Choose Dental World Manila in Centuria Makati?

The newest branch of Dental World Manila located in Unit 2218 Centuria Medical Makati, Century City, Kalayaan Ave. Corner, Salamanca St., Poblacion, Makati City manifest world-class expertise, fully-equipped facilities, quality procedures, excellent customer care, and low prices in all dental services that it offers. With competent and friendly professionals and staff ready to serve you at their best, you’re assured that you will get premium oral care while experiencing great customer service and paying up to 70% less compared to other clinics. It’s a win-win for your overall dental health and wallet!

What Dental Services Can You Get in Dental World Manila – Centuria Makati?

Dental World Manila offers an extensive line of dental services ranging from high-end permanent solutions to temporary cosmetic solutions. Whether you’re in need of oral health maintenance or wish for a full smile makeover, this clinic is guaranteed to meet your needs.

1. Oral and Cosmetic Surgery

From simple procedures such as tooth extractions to complex treatments like tissue removal, professionals in Dental World Manila are very gentle and reliable. Expect them to make you feel comfortable in every session while delivering your desired results.

  • Simple Extraction
  • Odontectomy (Wisdom Tooth Removal)
  • Apicoectomy
  • Alveolectomy/Alveoplasty (Removal or Trimming of Ridge)
  • Frenectomy
  • Torus Palatinus/Mandibularis

2. Dental Implants

Mount durable replacement teeth in your oral cavity! Dental implants are designed to provide you comfort, aid you in eating, drinking and speaking, and help you feel more confident for years!

  • Conventional Implants
  • Mini Dental Implants
  • Sinus Lifting Procedure
  • Bone Augmentation Procedure

3. Cosmetic Dentistry

Flash your best smile with these cosmetic dentistry procedures. Improve the aesthetics of your teeth while maintaining the integrity of your teeth surface as well as your overall oral health!

  • Teeth Whitening
  • Dental Veneers
  • Dental Bonding
  • Inlays and Onlays
  • Dental Crowns
  • Enamel Shaping and Contouring
  • Bridges

4. General Dental Services

Let Dental World Manila provide you preventative dental care. Maintain optimal oral health while avoiding potential complications!

  • Dental Cleaning
  • Fluoride Treatment
  • Tooth Filling

5. Pediatric Dentistry

With friendly and approachable professionals, your children will enjoy dental sessions instead of fearing it! Entrust your kids’ oral health to Dental World Manila!

  • Dental Check-up
  • Teeth Extraction
  • Root Canal Treatment
  • Wisdom Tooth Removal
  • Special Needs Dentistry

6. Orthodontics

Align malpositioned teeth and improve periodontal tissues, gum health and oral aesthetics with these dental procedures.

  • Braces
  • Retainers
  • Invisalign

How to schedule your appointment?

Contact us through the following numbers:

  • (632) 8287-8187
  • (632) 8998-9249
  • +63 925 778 7177 (SUN)

Or visit us at Unit 2218 Centuria Medical Makati, Century City, Kalayaan Ave. corner, Salamanca St., Poblacion, Makati City from Mondays to Saturdays, 10 AM – 7 PM. See you there!

4 Dental Implant Cleaning Tools

dental implant cleaning

Keeping your dental implants clean, fresh, and intact is easy when you know how to properly care for them and have the necessary tools to ensure long-term gum and implant health. As per dentists from the premium dental clinic in Makati, implants need similar care to natural teeth. A regular oral health routine comprised of brushing, flossing, and rinsing can already go a long way. However, this doesn’t mean that your implants don’t need special attention. Remember, although implants look like your pearly whites, they are not made of similar elements.

Dental implants are metal posts, screws, or frames that are surgically positioned into the jawbone beneath your gums. Once attached, the dentist mounts a replacement crown typically made of compounds such as zirconia and porcelain for restoring teeth. These materials can be scratched and these scratches may harbor bacteria and lead to infection. To prevent the attack of bacteria and maintain the quality of your prosthesis, we’ve rounded up several dental tools that you may add to your oral regime.

1. Tufted Toothbrush

Instead of the traditional toothbrush, dentists recommend tufted brushes for cleaning implants. Tufted brushes have angled neck to easily access hard-to-reach surfaces, soft bristles to gently clean the implants, and a slim brush head to focus on the implant abutments. Dentists in Makati usually have this type of brushes stored in their dental clinic for their patients. You may also order here.

2. Interdental Brush

Aside from using a tufted toothbrush, keeping a handy interdental brush is a wise move, too! Interdental brushes come in different sizes that effectively clean spaces between implants and teeth with no worries of scratching and bleeding. You can also add an antibacterial cleanser or toothpaste to the tip of the brush to aid in cleaning. Get yours here.

3. Implant Floss

There are flosses specifically made for implants. They are thicker, flexible, unwaxed and have stiff ends to avoid causing unexpected scratches and injuries in the gum tissue. However, it is important to note that you must only use them upon the direction of your dentist or when your implants are fully healed. Learn more here.

4. Oral Irrigator

If you’re not into flossing, a water pick or oral irrigator would better suit your dental implant flossing needs. It works by gently irrigating your prosthesis with jets of water to clean them thoroughly. It is proven to help fight bleeding gums, inflammation, gingivitis and infection. It also prevents plaque buildup around your implant and gums. Order yours here.

These are just a few of the dental tools that you may add to your regular oral health routine to ensure long-term success for your dental implants. For additional tips and maintenance treatments to keep your implants in their best shape, visit your trusted dental clinic in Makati today!

What Happens When You Don’t Regularly Brush Your Teeth

What Happens When You Don’t Regularly Brush Your Teeth | Dental World Manila

There are some nights when you are too drunk, tired, or lazy that you go to sleep without brushing your teeth. The next day, your oral cavity feels sticky and your morning breath is worse than usual. That’s because the remnants of what you ate are still lingering inside your mouth and different kinds of bacteria are feasting on it. For just missing one of the two daily recommended brushings, millions of bad bacteria can grow overnight. If this is how fast bacteria react, imagine what would happen if you missed brushing frequently or you stop brushing for a long time! Thus, dentists from top dental clinics in Makati continuously stresses the importance of regularly brushing your teeth to avoid the following dental issues:

1. Bad Breath

Halitosis is the most common consequence of not brushing your teeth. The smell of saliva, leftover food and bacteria stay in your mouth giving off bad breath. Though people use mouthwash to eliminate this odor, it doesn’t remove or brush away bacteria that lies in your teeth, gums and gaps completely.

2. Enamel Decay

If your teeth are not brushed properly and regularly, your enamel (the protective layer of the teeth) will be prone to stains due to sugary and/or acidic food and drinks. When this happens, bacteria will feed off the leftover food and will create dental plaque. The prolonged presence of this plaque will then cause the enamel coating to break down and subject your teeth to faster decay.

3. Gingivitis

Further plaque build-up will advance to super-plaque and produce tartar that will irritate the gums. As a result, your immune system will automatically perform its inflammatory response to fight off bacteria. This will then cause the gums to become inflamed and to easily bleed during brushing.

4. Periodontitis

Having gingivitis and not brushing your teeth will then put your oral cavity at risk of periodontitis. This disease will make your gum tissues too weak that it can’t hold your pearly whites anymore. If ignored, it will also create irreversible damage such as teeth, tissue and bone loss.

5. Serious Conditions

According to , consistent poor dental hygiene can ultimately contribute to infections and health conditions such as diabetes, heart disease, temporomandibular (TMJ) disorders, stroke and possibly cancer. This is because your mouth is home to many bacteria that may enter the bloodstream and affect your overall health.

To avoid these dental issues and other severe problems, dentists in Makati reminds people to regularly practice proper oral hygiene: flossing, brushing and rinsing, Here’s how:

Are you experiencing any of the dental issues stated above? Visit your dentist in Makati today!

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Cosmetic Dentistry

Dental Implants

Prosthodontics (Dentures)

Oral Surgery

Endodontics (Root Canal Therapy)

Orthodontics (Metal Braces / Invisalign)

TMJ Dysfunction Therapy

Restorative Dentistry / Tooth Bonding

Periodontics

Pediatric Dentistry

Oral Prophylaxis

Dental X-ray Services and Diagnostics

Dental Crowns, Bridges and Veneers

Bone Grafting

Teeth Whitening