General Dentistry
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What is general dentistry?:
General dentists are primary dental healthcare th providers for patients of all age groups, undertaking clinical examination, diagnosis, investigations, treatment and management of dental ailments. In the account that the clinical condition requires specialized treatment, consultants from various specializations of dentistry work in conjunction with the general dentist to provide quality dental care. General dentists offer treatments such as restoration of teeth with cavitated carious lesions with suitable restorative materials, prophylactic therapy involving the removal of plaque and debris from the cervical portions of the tooth which are causative factors for gingival and periodontal diseases, esthetic and cosmetic dental procedures aimed at improving the appearance of the patient, replacement of missing teeth by the means of fixed partial dentures by tooth preparation and dental impressions of the prepared teeth and diagnosis and treatment of various other dental problems.
What are the materials used by general dentists?
Materials used frequently in general dentistry may be grouped as follows • Restoratives • Preventive • Bonding Agents • Crown & Bridge • Dental Cements • Esthetic & Cosmetic • Impression Materials • X-Rays
RESTORATIVES:
Restorative dentistry involves removal of the carious tooth structure and preparation of a cavity in the tooth so as to receive a suitable restoration. Various materials have been used in restorative dentistry since its beginning. Amalgams, composite resins, glass ionomer cements, compomers are a the most frequently used restorative materials in dentistry. Dental amalgams have been in use in restorative dentistry since the 19th century. The formulation of amalgam by G.V. Black is unchanged even today. Amalgams are known for their high strength and ability to withstand occlusal forces. But reasons such as the use of mercury and the fact that it does not match the color of the teeth lead to the invention of other restorative materials that aim to improve the color matching, strength and bonding to tooth structure Silicate cements were formulated to overcome the problem of color matching. Glass ionomer cements introduced by Wilson and Kent, consist of a powder and liquid component of fluoroaluminosilicate glass and a polyalkenoic acid. The unique characteristic of GIC is its ability to form a chemical bond with the tooth structure, enhancing the bond between the tooth and restoration interface. Dental composite resins were invented to serve as a response to the shortcomings of silicate cements. They are composed of methacrylate resins and filler substances and exhibit excellent shade matching characteristics. The ability of dental composites to replicate the shade of the tooth have made them one of the most preferred restorative materials by dentists and patients. Dental composites adhere to the tooth by the formation of a micromechanical bond and are available in light cure and chemically cured variants. Materials such as zinc phosphate cements, zinc policarboxylate cements, GIC type 3, copal resins and others are used as cavity bases, liners and varnishes, as a form of pulp protection. They protect the pulp from the thermal, chemical and mechanical agents, that act as irritants. Finishing and polishing materials are of great importance in restorative dentistry. Restorations with well finished and polished surfaces and margins, hinder the accumulation of plaque, which may serve as a precursor for dental diseases.
PREVENTIVE:
Prevention of dental caries is an important aspect of preventive dentistry. It involves the measures taken by the dentist, in the susceptible teeth to prevent the onset of caries. This is achieved by physically altering the morphology of the tooth and also by application of fluoride which reinforces the crystalline structure of the tooth making it stronger. Pits and fissures in the teeth serve as a zone for bacterial accumulation and consecutively dissolution of the calcium hydroxyapatite crystals. Pit and fissure sealants are materials with very low viscosity that are used to fill these areas, which eliminates them as a risk factor for caries formation. Fluoride and its benefits in dentistry have been known since the beginning of the 20th century. Fluoride makes the tooth structure stronger by reacting with the calcium hydroxyapatite crystals forming fluorapatite which is far less soluble even under acidic conditions. Hence topical fluoride applications are one of the most important aspects of preventive dentistry. Fluoride can be administered topically in the forms of varnishes, foams or gels. The risk of caries can be assessed with the invention of materials and devices that aid in detection and control of dental caries. Devices to assess the amount of Streptococcus mutans bacteria and the saliva have been highly useful in foreseeing the risk of dental decay. Caries detectors help aid the dentist in identifying the lesions at a incipient stage and arrest their progression.
DENTAL BONDING AGENTS::
The challenge with composite resin restorations was the inability to create a sustainable strong interface between the hydrophobic resin and the hydrophilic tooth structure. This problem was overcome when Buonocore introduced the technique of etching the tooth surface to create micro porosities and the application of bonding agents to enhance the tooth-restoration interface. This invention by Dr. Michael Buonocore marks the beginning of ‘Adhesive Dentistry’ and changed restorative dentistry from a branch that merely drills, fills and bills. The two major systems in dentin/enamel bonding are the total etch and self etch adhesive systems. The total etch adhesive system consists of etching of the tooth surface with 37% orthophosporic acid which creates minute pores, followed by rinsing and drying of the etched surface. This is followed by the application of a primer, usually a silane coupling agent, and an adhesive to form ‘resin tags’ to which the composite resin adheres to, after polymerization. The shortcoming of the total etch system is the step associated with rinsing and drying, which was very technique sensitive. As a remedy, self etch adhesives were developed to eliminate the rinsing step. The etchant was incorporated with the primer, keeping the adhesive in a separate bottle. This was the two bottle system. With further research, all three components were included in a single bottle, the one bottle system.
CROWN & BRIDGE:
In clinical conditions associated with missing teeth, fixed partial dentures have been known to be a quite popular treatment options. Tooth preparation burs such as the flat end tapering fissure bur, wheel bur, flat end cutting bur and others have been used by the dentist to aid in tooth preparation and defining the finish line. After the tooth is prepared, the impression is made and followed by fabrication of the indirect restoration. Temporisation materials are used to fabricate provisional restorations to serve as intermediaries until the final prosthesis has been made. The provisional and permanent restorations are fixed to the prepared teeth using temporary and permanent luting materials. Primers and adhesives are available to further enhance the longevity of the prosthesis
DENTAL CEMENTS::
Cements have varied uses in general dentistry. Different formulations and changes in particle size have resulted in different kinds of dental cements used for luting of indirect restorations, direct filling of cavities, lining and base materials for pulp protection and in orthodontic therapy as well. The types of dental cements available include zinc phosphate, zinc polycarboxylate, glass ionomer cement and modifications, resin cements and zinc oxide eugenol cement. Type 2 Glass ionomer cements are frequently used for restorations of cavitated teeth and also teeth affected by abrasion.
ESTHETIC & COSMETIC:::
Esthetics have become a highly important criterion for dental treatment. The number of people seeking dental treatment for cosmetic purposes has improved drastically over the years. Tooth whitening has been advocated to improve the appearance of teeth with intrinsic stains and discolored teeth. Bleaching techniques have been designed to suit different clinical scenarios. Home whitening kits have also been made available to make the process easier for patients. Prophylaxis pastes are composed of minute abrasive particles and they are used in conjunction with prophy cups to polish teeth. Tooth polishing procedures are important especially before orthodontic treatment.
DENTAL IMPRESSION MATERIALS::
Impression materials are important auxiliary dental materials used to create a negative replica of the features of the dentition and associated structures. Impression materials can be classified under various heads such as composition, mode of setting, elasticity and rigidity. Impression compounds are reversible thermally setting impression materials that are used to make impressions of edentulous dental arches. Alginates, irreversible hydrocolloids are frequently used to make preliminary impressions. The advent of elastomeric impression compounds enhanced the whole impression making process, providing fine details. Elastomeric impression materials are made available in different consistencies such as very light, light, medium, heavy and putty consistency. Impression materials are also used during the process of bite registration. Tissue retraction pastes and cords have been designed as accessories to impression making, as they expose the cervical margins of the tooth and help achieve hemostasis.
DENTAL X-RAYS:
X rays have been used frequently in dentistry to aid in diagnosis, treatment planning and in gauging prognosis of treatment. Radiographs help the dentist in identifying dental problems at an early stage, and subsequently dictate the measures to be taken to seize the progression of the disease. Some might worry about the exposure to radiation associated with X rays, but modern technology has reduced the amount of radiation to miniscule amounts. Intra oral peri apical (IOPA) radiographs are the most frequently used in dentistry. Occlusal radiographs, bitewing radiographs, OPG, lateral cephalometry are other forms of radiographs advocated.
What are the brands offering general dentistry materials online in india ?
3M ESPE, Ammdent, Anabond Stedman, Angelus, Ardent Sweden, Carestream, Dentsply, DMG Germany, Ivoclar Vivadent, Kuraray, Prevest Denpro, Pulpdent are few of the many brands that offer general dentistry materials on the website. Ultradent, Septodont and others have more than 20 products used in general dentistry.
Why buy general dentistry materials online at PinkBlue.in?
There are over 80 brands that sell general dentistry materials online at PinkBlue.in. This includes both premium and economical variants of materials to suit the needs of various dentists. The materials sold online on the website are of standard quality. Swift delivery of products is ensured to improve the whole process of material management in dental clinics. The best prices for dental materials are found on PinkBlue making it the most preferred online dental material supply service. The products sold are genuine and are acquired from the leading importers and manufacturers of dental supplies in the country. Payment can be made using any of the available methods such as Debit cards, Credit cards, Net Banking and Cash on Delivery.