Dental services
Dental services in Trichy
From root canal treatment and children’s dentistry to zygomatic implants and Invisalign® clear aligners – what each treatment is for and what it involves. Your dentist will recommend what is right for you after an examination.
Implants · Invisalign® · Surgery
Zygomatic Dental Implants
Longer implants anchored in the cheekbone to support fixed upper teeth when the upper jaw has too little bone for regular implants.
Provided by: Dr. Arun M (Zygoma Implant Specialist)
Many people lose teeth through gum disease, ageing, injury or other dental problems. Over time the bone that supported those teeth can shrink, making it difficult to place ordinary dental implants. Zygomatic implants are special, longer implants used to replace missing upper teeth when there is not enough bone in the upper jaw. Instead of being placed only in the jawbone, they are anchored in the cheekbone (zygoma), which can provide support even when the upper jaw has lost a significant amount of bone.
When patients consider it
- Severe bone loss in the upper jaw, with too little bone for conventional implants
- Long-term missing upper teeth, where the jawbone has gradually shrunk
- Standard implants are not suitable because of the amount or quality of bone
- Previous bone grafting has failed or is not a suitable option
- As an alternative to extensive bone grafting, when the clinical situation makes it appropriate
Potential advantages
- May avoid extensive bone grafting procedures to build up the upper jaw
- Can support a fixed set of replacement upper teeth, depending on the treatment plan
- An option for patients who are not suitable for conventional dental implants
- May shorten overall treatment time – selected patients can receive temporary fixed teeth soon after surgery
What the treatment involves
- Detailed clinical examination and a three-dimensional CBCT scan of the jaws
- Treatment planning with the implant surgeon to decide whether zygomatic implants are the most suitable option
- Placement of the zygomatic implants, usually alongside other implants in the front of the jaw
- Temporary fixed teeth soon after surgery in selected cases, if clinical conditions permit
- Final fixed set of upper teeth and regular reviews
Not everyone with missing teeth needs zygomatic implants. Benefits, risks and treatment duration vary from patient to patient and are explained in detail after examination and a CBCT scan.
Zygomatic Dental Implants: common questions
What is the difference between zygomatic and regular dental implants?
Regular implants are placed in the jawbone. Zygomatic implants are longer and are anchored in the cheekbone, so they can be used when the upper jaw does not have enough bone for regular implants.
Who can have zygomatic implants?
They are considered for carefully selected adults with severe upper jaw bone loss. A clinical examination and a 3D CBCT scan are needed to decide whether they are suitable.
Can dentists refer patients for zygomatic implants?
Yes. Dentists seeking advanced implant rehabilitation options for their patients can contact the clinic for assessment and referral enquiries.
Dental Implants
A fixed way to replace missing teeth, using a titanium post placed in the jawbone to support a crown, bridge or denture.
Provided by: Dr. Arun M (Zygoma Implant Specialist), Dr. C Narasimman (Oral & Maxillofacial Surgeon)
A dental implant is a small screw-shaped post, usually made of titanium, that is placed in the jawbone where a tooth is missing. Once it has bonded with the bone it acts as an artificial root and supports a crown, a bridge or a denture.
When patients consider it
- One or more teeth are missing or need to be removed
- A removable denture feels loose or uncomfortable
- You would prefer not to have neighbouring teeth trimmed for a bridge
What the treatment involves
- Examination and X-rays or a scan to check the bone and plan the implant position
- Placement of the implant under local anaesthesia
- A healing period, often a few months, while the implant bonds with the bone
- Fixing the final crown, bridge or denture on the implant
Not everyone is suitable straight away - bone volume, gum health and some medical conditions affect planning. The dentist will explain options, timelines and costs after assessment.
Dental Implants: common questions
Is implant placement painful?
The procedure is done under local anaesthesia, so you should feel pressure rather than pain. Some soreness and swelling for a few days afterwards is common, and the dentist will advise on pain relief and aftercare.
How long does implant treatment take?
It depends on your bone and the type of restoration. Many cases need a few months between placing the implant and fixing the final tooth. Your timeline will be explained at consultation.
What if I have been told I do not have enough bone for implants?
Options may still exist, such as bone grafting or, for the upper jaw in selected cases, zygomatic implants anchored in the cheekbone. A 3D scan and assessment show what is possible.
Root Canal Treatment
Treatment for an infected or inflamed tooth nerve, aimed at relieving pain and keeping your natural tooth.
Inside every tooth is soft tissue called the pulp. Deep decay, a crack or an injury can let bacteria reach it, causing inflammation or infection. Root canal treatment cleans and seals the inside of the tooth so it can be kept instead of extracted.
When patients consider it
- Lingering sensitivity to hot or cold
- Toothache, especially at night or when biting
- Swelling or a small boil on the gum near a tooth
- A tooth that has darkened after an injury
What the treatment involves
- Examination and X-ray to confirm the diagnosis
- Under local anaesthesia, the infected pulp is removed and the canals are cleaned and shaped
- The canals are filled and sealed
- A crown is often advised afterwards to protect the tooth, especially back teeth
The number of visits depends on the tooth and how much infection is present.
Root Canal Treatment: common questions
Is root canal treatment painful?
It is carried out under local anaesthesia. Most patients find it similar to having a filling. The tooth may feel tender for a few days afterwards.
Will I need a crown after a root canal?
Often, yes - particularly for molars and premolars, which take heavy biting forces. The dentist will advise based on how much tooth structure remains.
Paediatric Dentistry
Gentle dental care for babies, children and teenagers – check-ups, prevention, fillings and treatment of milk and permanent teeth.
Provided by: Dr. Raja Rajeshwari (Pediatric and Preventive Dentistry)
Children's teeth need regular care from an early age. Milk teeth hold space for the permanent teeth and help children chew and speak, so decay in them still matters. Regular visits catch problems early and help children feel comfortable at the dentist.
When patients consider it
- A child's first dental visit, or a routine check-up
- Tooth decay, toothache or a broken tooth in a child
- Advice on brushing, diet, thumb-sucking or teething
- Checking that teeth and jaws are developing as expected
What the treatment involves
- A friendly examination, explained in a way the child can understand
- Preventive care such as cleaning, fluoride application or sealants where suitable
- Fillings or treatment of decayed milk and permanent teeth
- Guidance for parents on home care and when to return
A parent or guardian should accompany children to every visit.
Paediatric Dentistry: common questions
When should my child first see a dentist?
Many dentists suggest a first visit when the first teeth appear or by the first birthday, and regular check-ups after that.
Do decayed milk teeth need treatment if they will fall out anyway?
Often, yes. Decay in milk teeth can cause pain and infection and can affect the permanent teeth underneath. The dentist will advise what is needed for your child.
Orthodontic Treatment
Straightening crooked, crowded or gapped teeth and correcting bite problems with braces or Invisalign® clear aligners, for children and adults.
Provided by: Dr. Gopinath Kandhan (Orthodontist | Diamond Invisalign Provider)
Orthodontic treatment gradually moves teeth into better positions using appliances such as fixed braces or clear aligners. It can improve how the teeth fit together, make them easier to clean and change the appearance of the smile.
When patients consider it
- Crowded, crooked or spaced teeth
- Upper teeth that stick out, or teeth that do not meet properly
- Difficulty biting or chewing comfortably
- A child's teeth or jaws appear to be developing unevenly
What the treatment involves
- Examination, photographs, X-rays and impressions or scans
- A treatment plan explaining the appliance, the expected duration and the cost
- Regular adjustment visits while the teeth move
- Retainers afterwards to help keep the teeth in their new position
Treatment length varies from person to person. Results depend on the case and on wearing appliances and retainers as advised.
Invisalign® Clear Aligners
Invisalign clear aligners are a series of removable, nearly invisible trays that move teeth step by step. Treatment is planned digitally and the aligners are changed at set intervals.
At V Dent, Invisalign treatment is planned and supervised by Dr. Gopinath Kandhan, orthodontist and Diamond Invisalign Provider (2024). Invisalign First is a version designed for children whose milk and permanent teeth are still changing.
- Removable for eating, brushing and flossing
- Clear trays that are hard to notice in everyday life
- Usually worn about 20–22 hours a day
- Suitability depends on the case – some bites are better treated with fixed braces
Invisalign and Invisalign First are trademarks of Align Technology, Inc.
Orthodontic Treatment: common questions
Am I too old for braces?
Adults can have orthodontic treatment as long as their teeth and gums are healthy. An assessment will show what is possible.
How long does orthodontic treatment take?
It commonly takes many months to a couple of years, depending on how much the teeth need to move. You will get an estimate after assessment.
Can I choose Invisalign instead of braces?
Many people can, but not every case is suitable for aligners. After an examination, the orthodontist will explain whether Invisalign, fixed braces or a combination is the better option for you.
Wisdom Tooth Removal
Assessment and removal of wisdom teeth that are impacted, decayed or causing repeated pain and swelling.
Provided by: Dr. C Narasimman (Oral & Maxillofacial Surgeon)
Wisdom teeth are the last molars at the back of the mouth. When there is not enough room they can come in at an angle or stay partly under the gum, which can trap food and lead to infection, decay or pain.
When patients consider it
- Pain, swelling or a bad taste around a back tooth
- Repeated gum infection over a partly erupted wisdom tooth
- Decay in the wisdom tooth or the tooth in front of it
- An X-ray showing an impacted wisdom tooth
What the treatment involves
- Clinical examination and an X-ray to see the position of the tooth and nearby structures
- Removal under local anaesthesia; impacted teeth may need a minor surgical procedure
- Written aftercare instructions and a review if required
Not every wisdom tooth needs to be removed. The decision depends on symptoms and what the X-ray shows.
Wisdom Tooth Removal: common questions
Do all wisdom teeth need to come out?
No. Wisdom teeth that have come in fully, are healthy and can be cleaned properly can often be left alone. Removal is usually advised when they cause problems or are likely to.
How long does recovery take?
Most people feel better within a few days to a week. Swelling and stiffness are common at first. Following the aftercare instructions helps healing.
Dental Crowns (Crown Fixation)
Caps that cover and protect a weak, broken or root-canal-treated tooth, made to match your bite.
A crown is a tooth-shaped cap fixed over a prepared tooth or a dental implant. It restores the tooth's shape and strength and helps protect it from further damage.
When patients consider it
- After root canal treatment
- A large filling or a cracked or broken tooth
- A worn tooth that needs its shape restored
- To complete a dental implant
What the treatment involves
- The tooth is examined and shaped under local anaesthesia
- An impression or scan is taken and a temporary crown may be placed
- The final crown is checked for fit, bite and colour, then cemented in place
Crown materials (for example metal-ceramic or all-ceramic) differ in appearance, strength and cost. The dentist will explain what suits your tooth.
Dental Crowns (Crown Fixation): common questions
How long do crowns last?
Many crowns last for years with good care, but this varies with the material, your bite and oral hygiene. Regular check-ups help spot problems early.
How many visits does a crown need?
Usually two: one to prepare the tooth and take an impression, and one to fix the final crown.
Full Mouth Rehabilitation
A planned combination of treatments to restore many damaged, worn or missing teeth and a comfortable bite.
Full mouth rehabilitation brings together several treatments - such as fillings, root canal treatment, crowns, bridges, implants or dentures - in a single step-by-step plan to rebuild function and appearance when many teeth are affected.
When patients consider it
- Many teeth are broken, decayed or heavily worn
- Several teeth are missing
- Chewing is difficult or the bite feels uncomfortable
- Old dental work in many areas needs replacing
What the treatment involves
- A detailed examination with X-rays, photographs and models or scans
- A phased plan that sets out the order of treatment, the number of visits and the cost
- Treatment carried out in stages, with reviews along the way
Because each plan is individual, timelines and costs are discussed only after a full examination.
Full Mouth Rehabilitation: common questions
Can full mouth treatment be done in stages?
Yes. It is usually planned in phases so urgent problems are treated first and the remaining work can be spread over a convenient period.
How do I know if I need full mouth rehabilitation?
If many teeth are affected, a consultation will show whether a combined plan or simpler individual treatments are more suitable.
Fluorosis Teeth Management
Cosmetic and protective options for teeth with white, yellow or brown fluorosis stains and pitting.
Dental fluorosis happens when children take in too much fluoride - often from drinking water - while their teeth are forming. It can leave white streaks, yellow or brown patches, or pitting on the enamel. It is common in several parts of Tamil Nadu.
When patients consider it
- White, yellow or brown spots or bands on the teeth
- Rough or pitted enamel
- Being self-conscious about the appearance of stained teeth
What the treatment involves
- Examination to assess how severe the fluorosis is
- Depending on severity, options may include enamel micro-abrasion, bleaching, tooth-coloured bonding, veneers or crowns
- Advice on drinking water and fluoride use for children in the family
The right option depends on how deep the staining is. The dentist will explain what improvement can realistically be expected.
Fluorosis Teeth Management: common questions
Can fluorosis stains be removed?
Mild staining can often be improved with conservative treatments, while deeper staining may need bonding, veneers or crowns. The dentist will recommend the least invasive suitable option.
Is fluorosis harmful to my teeth?
Mild fluorosis is mainly a cosmetic concern. Severe forms can leave enamel weaker and pitted, so an assessment is worthwhile.
Jaw Surgery
Surgical correction of jaw position and bite problems that braces alone cannot fix, planned by an oral and maxillofacial surgeon.
Provided by: Dr. C Narasimman (Oral & Maxillofacial Surgeon)
Jaw surgery, also called orthognathic surgery, repositions the upper jaw, lower jaw or both. It is usually combined with orthodontic treatment to correct significant bite and facial balance problems.
When patients consider it
- A large overbite, underbite or open bite
- Difficulty chewing, biting or speaking because of jaw position
- Facial imbalance related to jaw growth
- An orthodontist has advised that braces alone cannot correct the bite
What the treatment involves
- Detailed assessment with the oral and maxillofacial surgeon, including X-rays and records
- Orthodontic preparation before surgery, in most cases
- Surgery carried out in a hospital setting under general anaesthesia
- Recovery, follow-up visits and final orthodontic adjustments
Jaw surgery is a major procedure. Benefits, risks, recovery time and costs are explained in detail before any decision is made.
Jaw Surgery: common questions
Who needs jaw surgery?
People whose jaws are significantly out of position, causing bite or functional problems that cannot be corrected with orthodontic treatment alone.
Where is jaw surgery performed?
Surgery of this kind is carried out in a hospital under general anaesthesia. Consultation and planning begin at the clinic.
Facial Bone Trauma Care
Assessment and treatment of injuries to the jaws, cheekbones, teeth and face by an oral and maxillofacial surgeon.
Provided by: Dr. C Narasimman (Oral & Maxillofacial Surgeon)
Road accidents, falls and sports injuries can fracture the jaws, cheekbones or the bones around the eyes and nose, and can damage teeth. Oral and maxillofacial surgeons are trained to treat these injuries.
When patients consider it
- A jaw, cheek or face injury after an accident or fall
- Teeth that no longer meet properly after an injury
- Knocked-out, loosened or broken teeth
- Pain, swelling or numbness of the face following trauma
What the treatment involves
- Assessment with clinical examination and imaging
- Treatment ranging from splinting loose teeth to surgical fixation of fractures, depending on the injury
- Follow-up to monitor healing and bite
In an emergency - heavy bleeding, breathing difficulty, loss of consciousness or a head injury - go to the nearest hospital emergency department first.
Facial Bone Trauma Care: common questions
What should I do if a tooth is knocked out?
Hold it by the crown, not the root. If it is dirty, rinse it briefly in milk or clean water, keep it moist in milk or saliva, and seek dental care as quickly as possible. Call the clinic before you travel.
Can facial fractures be treated at the clinic?
Assessment and minor injuries can be managed at the clinic. Fractures that need surgery are treated in a hospital setting.
This page gives general information only. It is not medical advice and cannot replace an examination. Results and treatment times vary from person to person. Treatment images are illustrations and do not show V Dent patients.
Not sure which treatment you need?
Book a consultation. The dentist will examine your teeth, explain what they find and talk you through your options.