Our GOAL is to make sure you leave with a SMILE on your FACE!

  • We strive to offer the best possible dental care to our patients in the most ethical way.
  • We strive to offer the best possible dental care to our patients in the most ethical way.
  • We strive to maintain the highest ethical, personal and professional standards as possible.
  • We will build relationships with our patients on empathy, honesty, trust, and comfort.
  • We believe in educating our patients so they are empowered to make knowledgeable decisions concerning their oral health and treatment options.
  • We will strive to build and nurture enthusiastic and dedicated team members and motivate them to be empathetic and friendly to all our patients.
  • We will dedicate ourselves towards fostering a friendly, positive, professional, supportive, educational, stimulating and family oriented dental office environment.
  • To provide affordable dental treatments with use of latest technologies, techniques and materials.

Welcome to Dr Aphale’s ‘Dental Concepts’, a Dental and an Orthodontic Clinic.

We are located in the heart of Nashik (Nasik) at Mahatma Nagar. We are specialists in braces and we use all kinds of the latest and the best braces available today which are in sync with the latest technologies in dentistry. We provide a full range of dental treatments including general, cosmetic and implant dentistry as well as facial aesthetic treatments in a warm and friendly environment at our dental clinic.

Why choose Dr Aphale’s Dental Concepts?

We pride ourselves in being the foremost and leading dental care providers in Nashik. Here’s some of the reasons why our patients love us:-

  • Easily accessible! We have a state-of-the-art dental clinic in a prime locality (Mahatma Nagar/ Parijat Nagar) in Nashik with ample parking area.
  • Prompt service! We are just a phone call away. Well if you could also directly book our appointment online on your chosen day and time.
  • Best in braces! We specialize and pride ourselves in being the foremost dental clinic in Nashik that provide the best and the most advanced braces to our patients. We are one of the only few clinics in the country that use ultra-modern world class braces, invisible braces, power braces and over ten to fifteen different types of braces from which our patients can choose.
  • Best dental care! We are committed to provide the most ethical and the best dental care possible in order to improve the patient’s facial aesthetics and function.
  • Friendly staff! We have staff friendly and staff caring policies. Hence you would instantly find a friend from amongst our staff, reflecting our clinic culture and work ethic.
  • Affordable treatment! We provide best dental treatments at an affordable cost with convenient installment scheduling. We will work with you to offer payment options to spread the cost of treatment and to suit your budget.- Best in dental skills! All our doctors are highly qualified, trained and regularly updated in the latest skills and techniques in dentistry and orthodontics.
  • Patient centric care! Dental care provided at our dental clinic is patient centric in every sense. Right from appointment scheduling to meeting special patient requirements, we do it all for our patients.

Our Services

Common Orthodontic Corrections in Adults and Children

Orthodontics is the specialty of dentistry focused on the diagnosis and treatment of dental and associated facial irregularities. The results of orthodontic treatment can be dramatic — beautiful smiles, improved dental health and an enhanced quality of life for many people of all ages. Orthodontic problems, which can result from genetic and environmental factors, must be diagnosed before treatment begins. Proper diagnosis involves taking photographs, x-rays, and dental impressions, which enable our practice to make informative decisions about the form of treatment necessary.

Treatment typically lasts from 6 to 30 months, depending on age and the severity of the orthodontic problem. Outstanding results are also dependent on maximizing the coordination of care between you and our practice. We are committed to delivering the best possible service in order for you to achieve your orthodontic objectives.

 

Orthodontic Treatment Timing

Dr. Aphale provides orthodontic treatment for adults, adolescents and children. We follow the guidelines established by the American Association of Orthodontists by recommending that an orthodontic evaluation take place at age 7 for all children. This early evaluation can help to determine the best time to begin any necessary treatment.

Many progressive treatments are now available for patients 7 to 11 years of age that provide significant benefits, especially when jaw irregularities are present. These treatments may also prevent certain conditions from worsening. Treating children with these types of problems during their growth stages allows our practice to achieve results that may not be possible when face and jaw bones have fully developed. This early treatment can simplify or eliminate additional treatment for the child.

child_dentistryPedodontics, also spelled Paedodontics, dental specialty that deals with the care of children’s teeth. The pedodontist is extensively concerned with prevention, which includes instruction in proper diet, use of fluoride, and practice of oral hygiene. The pedodontist’s routine practice deals basically with caries (tooth decay) but includes influencing tooth alignment. Lengthy treatment may be required to correct incipient abnormalities in tooth position. Braces or other correctional devices may be used. The pedodontist needs patience and a basic knowledge of children’s behavioral patterns, as well as a knowledge of the effects on the mouth of physical and mental diseases

crowns_and_bridgesA dental crown is a tooth-shaped “cap” that is placed over a tooth — to cover the tooth to restore its shape and size, strength, and improve its appearance.

The crowns, when cemented into place, fully encase the entire visible portion of a tooth that lies at and above the gum line.

See Before and After Pictures of Cosmetic Dentistry
Why Is a Dental Crown Needed?

A dental crown may be needed in the following situations:

To protect a weak tooth (for instance, from decay) from breaking or to hold together parts of a cracked tooth
To restore an already broken tooth or a tooth that has been severely worn down
To cover and support a tooth with a large filling when there isn’t a lot of tooth left
To hold a dental bridge in place
To cover misshapened or severely discolored teeth
To cover a dental implant
To make a cosmetic modification
For children, a crown may be used on primary (baby) teeth in order to:

Save a tooth that has been so damaged by decay that it can’t support a filling.
Protect the teeth of a child at high risk for tooth decay, especially when a child has difficulty keeping up with daily oral hygiene.
Decrease the frequency of sedation and general anesthesia for children unable because of age, behavior, or medical history to fully cooperate with the requirements of proper dental care.
In such cases, a pediatric dentist is likely to recommend a stainless steel crown.

What Types of Crowns Are Available?

Permanent crowns can be made from stainless steel, all metal (such as gold or another alloy), porcelain-fused-to-metal, all resin, or all ceramic.

Stainless steel crowns are prefabricated crowns that are used on permanent teeth primarily as a temporary measure. The crown protects the tooth or filling while a permanent crown is made from another material. For children, a stainless steel crown is commonly used to fit over a primary tooth that’s been prepared to fit it. The crown covers the entire tooth and protects it from further decay. When the primary tooth comes out to make room for the permanent tooth, the crown comes out naturally with it. In general, stainless steel crowns are used for children’s teeth because they don’t require multiple dental visits to put in place and so are more cost- effective than custom-made crowns and prophylactic dental care needed to protect a tooth without a crown.
Metals used in crowns include gold alloy, other alloys (for example, palladium), or a base-metal alloy (for example, nickel or chromium). Compared with other crown types, less tooth structure needs to be removed with metal crowns, and tooth wear to opposing teeth is kept to a minimum. Metal crowns withstand biting and chewing forces well and probably last the longest in terms of wear down. Also, metal crowns rarely chip or break. The metallic color is the main drawback. Metal crowns are a good choice for out-of-sight molars.
Porcelain-fused-to-metal dental crowns can be color matched to your adjacent teeth (unlike the metallic crowns). However, more wearing to the opposing teeth occurs with this crown type compared with metal or resin crowns. The crown’s porcelain portion can also chip or break off. Next to all-ceramic crowns, porcelain-fused-to-metal crowns look most like normal teeth. However, sometimes the metal underlying the crown’s porcelain can show through as a dark line, especially at the gum line and even more so if your gums recede. These crowns can be a good choice for front or back teeth.
All-resin dental crowns are less expensive than other crown types. However, they wear down over time and are more prone to fractures than porcelain-fused-to-metal crowns.
All-ceramic or all-porcelain dental crowns provide better natural color match than any other crown type and may be more suitable for people with metal allergies. However, they are not as strong as porcelain-fused-to-metal crowns and they wear down opposing teeth a little more than metal or resin crowns. All-ceramic crowns are a good choice for front teeth

DentalfillingTo treat a cavity your dentist will remove the decayed portion of the tooth and then “fill” the area on the tooth where the decayed material was removed.

Fillings are also used to repair cracked or broken teeth and teeth that have been worn down from misuse (such as from nail-biting or tooth grinding).

Cosmetic Dentistry: See Before and After Pictures
What Steps Are Involved in Filling a Tooth?

First, the dentist will use a local anesthetic to numb the area around the tooth to be filled. Next, a drill, air abrasion instrument, or laser will be used to remove the decayed area. The choice of instrument depends on the individual dentist’s comfort level, training, and investment in the particular piece of equipment as well as location and extent of the decay.

Next, your dentist will probe or test the area to determine if all the decay has been removed. Once the decay has been removed, the dentist will prepare the space for the filling by cleaning the cavity of bacteria and debris. If the decay is near the root, your dentist may first put in a liner made of glass ionomer, composite resin, or other material to protect the nerve. Generally, after the filling is in, your dentist will finish and polish it.

Several additional steps are required for tooth-colored fillings and are as follows. After your dentist has removed the decay and cleaned the area, the tooth-colored material is applied in layers. Next, a special light that “cures” or hardens each layer is applied. When the multilayering process is completed, the dentist will shape the composite material to the desired result, trim off any excess material, and polish the final restoration.

What Types of Filling Materials Are Available?

Today, several dental filling materials are available. Teeth can be filled with gold; porcelain; silver amalgam (which consists of mercury mixed with silver, tin, zinc, and copper); or tooth-colored, plastic, and glass materials called composite resin fillings. The location and extent of the decay, cost of filling material, patients’ insurance coverage, and your dentist’s recommendation assist in determining the type of filling best for you.

extractionA dental extraction (also referred to as tooth extraction, exodontia, or historically, tooth pulling) is the removal of teeth from the mouth. Extractions are performed for a wide variety of reasons, but most commonly to remove teeth which have become unrestorable through tooth decay, periodontal disease or dental trauma; especially when they are associated with toothache. Sometimes wisdom teeth are impacted (stuck and unable to grow normally into the mouth) and may cause recurrent infections of the gum (pericoronitis). In orthodontics if the teeth are crowded, sound teeth may be extracted (often bicuspids) to create space so the rest of the teeth can be straightened.

Tooth extraction is usually relatively straightforward, and the vast majority can be usually performed quickly while the individual is awake by using local anesthetic injections to eliminate painful sensations. Local anesthetic blocks pain, but mechanical forces are still vaguely felt. Some teeth are more difficult to remove for several reasons, especially related to the tooth’s position, the shape of the tooth roots and the integrity of the tooth. Dental phobia is an issue for some individuals, and tooth extraction tends to be feared more than other dental treatments like fillings. If a tooth is buried in the bone, a surgical or trans alveolar approach may be required, which involves cutting the gum away and removal of the bone which is holding the tooth in with a surgical drill. After the tooth is removed, stitches are used to replace the gum into the normal position.

Immediately after the tooth is removed, a bite pack is used to apply pressure to the tooth socket and stop the bleeding. After a tooth extraction, dentists usually give advice which revolves around not disturbing the blood clot in the socket by not touching the area with a finger or the tongue, by avoiding vigorous rinsing of the mouth and avoiding strenuous activity. If the blood clot is dislodged, bleeding can restart, or alveolar osteitis (“dry socket”) can develop, which can be very painful and lead to delayed healing of the socket. Smoking is avoided for at least 24 hours as it impairs wound healing and makes dry socket significantly more likely. Most advise hot salt water mouth baths which start 24 hours after the extraction.

OrthondonticTreatmentMalocclusion and Orthodontics – Treatment Overview
Orthodontic treatment uses appliances, tooth removal, or surgery to fix the way teeth and jaws are aligned. There are many ways to treat poor bite (malocclusion). Expert opinions differ about when to start treatment. Your dentist or orthodontist may give you a choice between early or later treatment or may prefer one specific approach.

The general categories of orthodontic devices (appliances) are functional and fixed.

Functional appliances use the muscle action from speaking, eating, and swallowing to create forces that move teeth and align the jaws. See a picture of a functional appliance .

Some functional appliances are removable, while others are bonded to the teeth.
A functional appliance may fit between the upper and lower teeth (a splint) or may span across the mouth between the molars, pressing the bone outward.
Fixed orthodontic appliances are sets of wires and brackets cemented to the teeth. These are commonly called braces . Over a period of about 24 to 28 months, the wires are tightened and adjusted, gradually applying enough force to move the teeth (bone movement).

Retainers are removable appliances made of molded plastic and wire. They hold the teeth in place after braces are taken off. If the teeth start to move back out of position, the orthodontist may bond a short retaining wire to the back of some teeth. This wire will hold the teeth in place.

Child and teen treatment

The aim of treatment in the childhood and teen years is to move permanent teeth into place. The orthodontist will time the treatments to match your child’s natural growth spurts.

Treatment for crowding, the most common malocclusion problem, may mean removing (extracting) some permanent teeth. But orthodontists avoid removing permanent teeth when they can.

The malocclusion treatments for children and adolescents are:

Extraction (serial removal). Removing some baby teeth may ease severe crowding.
Growth modification. This involves wearing fixed or functional appliances during the day and night to move the jaw into a better position.
Fixed appliances (braces) gradually move the teeth. For children and teens, this treatment phase usually lasts about 24 months; for adults, about 28 months.
Retainers. Retainers hold the teeth in place after orthodontic treatment. Some orthodontists recommend that retainers be worn for many years, because teeth have a natural tendency to drift out of place.
Space maintainers, made of metal or plastic. Spacers keep the surrounding teeth from moving (drifting) into open spaces created when teeth are pulled or lost in an accident.
Adult treatment

Orthodontic treatment for malocclusion is a popular option for adults, due in part to better technology. In the past, wide silver bands held braces in place. Today they are less obvious. Instead of the wide bands, a small metal or ceramic fastener is bonded to each tooth, and a narrow wire passes through the fasteners.

rootAn Overview of Root Canals
A root canal is a treatment used to repair and save a tooth that is badly decayed or becomes infected.

Root canal procedures are performed when the nerve of the tooth becomes infected or the pulp becomes damaged. During a root canal procedure, the nerve and pulp is removed and the inside of the tooth is cleaned and sealed.

Root canal procedures have the reputation of being painful. Actually, most people report that the procedure itself is no more painful than having a filling placed. The discomfort experienced in the period leading up to a seeking of dental care is truly the painful period of time, not the root canal procedure itself.

See Before and After Pictures of Crowns and Other Dental Procedures
What Is Dental Pulp?

The pulp or pulp chamber is the soft area within the center of the tooth. The tooth’s nerve lies within root canals, which lie within the roots or “legs” of the tooth. The root canals travel from the tip of the tooth’s root into the pulp chamber, which also contains blood vessels and connective tissue that nourish the tooth.

A tooth’s nerve is not vitally important to a tooth’s health and function after the tooth has emerged through the gums. Its only function is sensory — to provide the sensation of hot or cold. The presence or absence of a nerve will not affect the day-to-day functioning of the tooth.

Why Does the Pulp Need to Be Removed?

When nerve tissue or pulp is damaged, it breaks down and bacteria begin to multiply within the pulp chamber. The bacteria and other decayed debris can cause an infection or abscessed tooth. An abscess is a pus-filled pocket that forms at the end of the roots of the tooth. An abscess occurs when the infection spreads all the way past the ends of the roots of the tooth. In addition to an abscess, an infection in the root canal of a tooth can cause:

Swelling that may spread to other areas of the face, neck, or head
Bone loss around the tip of the root
Drainage problems extending outward from the root. A hole can occur through the side of the tooth with drainage into the gums or through the cheek with drainage into the skin.
What Damages a Tooth’s Nerve and Pulp in the First Place?

A tooth’s nerve and pulp can become irritated, inflamed, and infected due to deep decay, repeated dental procedures on a tooth and/or large fillings, a crack or chip in the tooth, or trauma to the face.

What Are the Signs That a Root Canal Is Needed?

Signs you may need a root canal include:

Severe toothache pain upon chewing or application of pressure
Prolonged sensitivity/pain to heat or cold temperatures (after the hot or cold has been removed)
Discoloration (a darkening) of the tooth
Swelling and tenderness in the nearby gums
A persistent or recurring pimple on the gums
Sometimes no symptoms are present

scallingRoot Planing and Scaling for Gum Disease
Root planing and scaling is one of the most effective ways to treat gum disease before it becomes severe. Root planing and scaling cleans between the gums and the teeth down to the roots. Your dentist may need to use a local anesthetic to numb your gums and the roots of your teeth.

Some dentists and dental hygienists will use an ultrasonic tool for the planing and scaling. This tool is not as uncomfortable as a standard scraping tool, but not all cleanings require this type of tool.
Your dentist may place antibiotic fibers into the pockets between your teeth and gums. The antibiotic will help speed healing and prevent infection. The dentist will remove the fibers about 1 week after the procedure.

What To Expect After Treatment

If anesthesia is used, your lips and gums may remain numb for a few hours. Planing and scaling causes little or no discomfort.

Why It Is Done

Root planing and scaling is done when gums have either started to pull away from the teeth or the roots of the teeth have hard mineral deposits (tartar) on them.

How Well It Works

If you maintain good dental care after the procedure, the progression of gum disease should stop. And your gums will heal and become firm and pink again.

tooth_whitningTOOTH JEWELLERY is the latest thing to add a sparkle to your dazzling whites, you can now have a sparkling crystal glass design or something in gold or a twinkle of ruby or maybe an aquamarine blue diamond shining on your tooth. These tiny tooth accessories are great fun and add a zing to your pearlies!!!!

The tooth jewellery used and the procedure for applying it are absolutely safe! The application is a very simple 15 minute procedure. Just like an orthodontic bracket, the design is bonded on to your tooth structure.You can have it removed at any time, or simply replace it with another one. Since there is no drilling involved (it is directly bonded to the tooth surface), it does’nt harm your teeth and is absolutely painfree!

Want a brighter smile? When it comes to tooth-whitening, you’ve got two options: in-office-based teeth bleaching, or at-home care.

Both tooth-whitening options use peroxide-based bleaching agents. At-home systems contain from 3% to 20% peroxide (carbamide or hydrogen peroxides). In-office systems contain from 15% to 43% peroxide.

Generally, the longer you keep a stronger solution on your teeth, the whiter your teeth become. However, the higher the percentage of peroxide in the whitening solution, the shorter it should be applied to the teeth. Keeping the gel on longer will dehydrate the tooth and increase tooth sensitivity.

There are pros and cons to each option, but before you try at-home tooth-bleaching kits, be sure to talk to your dentist. Not everyone will see good results. Bleaching will not whiten porcelain crowns or composite tooth-colored bondings.

In-Office Tooth Whitening

Teeth whitening done by your dentist can get teeth brighter faster. The bleaching solution is usually much stronger than at-home kits. Also, heat, light, or a combination of the two may be used to speed and intensify the whitening process.

The most dramatic results — teeth generally get three to eight shades brighter — usually take several 30- to 60-minute in-office visits. Some dentists use techniques that can be done in a single 2-hour appointment (e.g. the Zoom system). The cost of in-office tooth whitening varies, but can range from $500 to $1,000.

At-Home Teeth Bleaching Options

There are many choices for bleaching teeth at home, the most common include:

Tooth whitening strips and gels. Applied directly to the teeth with a brush or a thin strip, these peroxide-based tooth bleaching products usually need to be applied once or twice a day for 10 to 14 days. Results last four or more months and may cost from $10 to $55.
Tray-based tooth bleaching systems. With this teeth whitening option, a mouth guard-like tray is filled with a peroxide-based bleaching gel or paste and placed over the teeth for one to several hours a day for up to four weeks. You can buy tray-based tooth whitening systems over-the-counter or have one custom-fitted by your dentist. The cost can range from $150 to $600.
Tooth whitening toothpastes. Because they’re mildly abrasive, every toothpaste helps remove stains from teeth. Whitening toothpastes, however, also contain chemicals or polishing agents that help scrub stains from teeth without the aid of a bleaching agent. Tooth-whitening toothpastes are relatively inexpensive and brighten teeth by about one shade. Some whitening toothpastes contain peroxides, but they aren’t left on the teeth long enough to have a whitening benefit.

Tooth Bleaching: Keeping Teeth White

Whether you use an at-home tooth-whitening system, or have your teeth bleached by a dentist, you can help maintain the results by flossing and brushing daily. Also, avoid acidic and tannin-rich foods and beverages such as:

Black teas and coffee
White and red wine
Sports drinks
Carbonated beverages (dark and light-colored sodas)
Berries and other strongly-colored foods
Sauces (soy, tomato, curries)

Teeth Whitening: Why You Should Talk to Your Dentist

Tooth bleaching can make teeth temporarily sensitive — or be uncomfortable for people who already have sensitive teeth. When used incorrectly, home kits can also lead to burned — even temporarily bleached — gums.

Tooth-whitening works best for people with yellow teeth and is less effective for people with brown teeth. If your teeth are gray or purple, tooth bleaching probably won’t work at all.

To be sure tooth-whitening is worth your time and money, talk to your dentist before you use an over-the-counter tooth whitening kit.

Dental veneers (sometimes called porcelain veneers or dental porcelain laminates) are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your appearance. These shells are bonded to the front of the teeth changing their color, shape, size, or length.

Dental veneers can be made from porcelain or from resin composite materials. Porcelain veneers resist stains better than resin veneers and better mimic the light reflecting properties of natural teeth. Resin veneers are thinner and require removal of less of the tooth surface before placement. You will need to discuss the best choice of veneer material for you with your dentist.

What Types of Problems Do Dental Veneers Fix?

Veneers are routinely used to fix:

Teeth that are discolored — either because of root canal treatment; stains from tetracycline or other drugs, excessive fluoride or other causes; or the presence of large resin fillings that have discolored the tooth
Teeth that are worn down
Teeth that are chipped or broken
Teeth that are misaligned, uneven, or irregularly shaped (for example, have craters or bulges in them)
Teeth with gaps between them (to close the space between these teeth)
What’s the Procedure for Getting a Dental Veneer?

Getting a dental veneer usually requires three trips to the dentist – one for a consultation and two to make and apply the veneers. One tooth or many teeth can simultaneously undergo the veneering process described below.

Diagnosis and treatment planning. This first step involves your active participation. Explain to your dentist the result that you are trying to achieve. During this appointment, your dentist will examine your teeth to make sure dental veneers are appropriate for you and discuss what the procedure will involve and some of its limitations. He or she also may take X-rays and possibly make impressions of your mouth and teeth.
Preparation. To prepare a tooth for a veneer, your dentist will remove about 1/2 millimeter of enamel from the tooth surface, which is an amount nearly equal to the thickness of the veneer to be added to the tooth surface. Before trimming off the enamel, you and your dentist will decide the need for a local anesthetic to numb the area. Next, your dentist will make a model or impression of your tooth. This model is sent out to a dental laboratory, which in turn constructs your veneer. It usually takes 1-2 weeks for your dentist to receive the veneers back from the laboratory. For very unsightly teeth, temporary dental veneers can be placed for an additional cost.
Bonding. Before the dental veneer is permanently cemented to your tooth, your dentist will temporarily place it on your tooth to examine its fit and color. He or she will repeatedly remove and trim the veneer as needed to achieve the proper fit; the veneer color can be adjusted with the shade of cement to be used. Next, to prepare your tooth to receive the veneer, your tooth will be cleaned, polished, and etched — which roughens the tooth to allow for a strong bonding process. A special cement is applied to the veneer and the veneer is then placed on your tooth. Once properly position on the tooth, your dentist will apply a special light beam to the dental veneer, which activates chemicals in the cement, causing it to harden or cure very quickly. The final steps involve removing any excess cement, evaluating your bite and making any final adjustments in the veneer as necessary. Your dentist may ask you to return for a follow-up visit in a couple of weeks to check how your gums are responding to the presence of your veneer and to once again examine the veneer’s placement.

Orthodontics

There is no age limit for braces treatment. All of us know that we have two sets of teeth in a life time. Milk teeth in the early years and permanent teeth in later years. The transition from milk teeth to permanent teeth takes place over a period of 5 to 13 years of age. Dental problems developed during this period ranging from simple tooth decay to a complex one.
Conditions requiring braces treatment can be prevented to some extent by some procedures. This is called preventive orthodontics.
Conditions which have appeared can be intercepted during the transition period and the severity can be reduced. This is called interceptive orthodontics.
Age is not a guiding factor. The most important is the nature and discrepancy of the problem, onset of the problem and management. So it is always better to consult a specialist (Orthodontist) when in doubt.

1. CROWDED TEETH IN ANTERIOR AND POSTERIOR DENTAL AREA
2. SPACES BETWEEN THE TEETH
3. FORWARDLY PLACED TEETH
4. ANTERIOR CROSSBITE
5. POSTERIOR CROSSBITE
6. DEEP BITE
7. OPEN BITE DUE TO ADVERSE HABITS
8. SKELETAL OPEN BITE
9. HIGHLY PLACED TEETH
10. CLASS II MALOCCLUSION
11. CLASS III MALOCCLUSION
12. UNERUPTED PERMANENT TEETH
13. UNFAVOURABLE ERUPTION
14. MULTIPLE LOSS OF PERMANENT TEETH
15. CLEFT LIP AND PALATE
16. FACIAL ASYMMETRY

Comprise of teeth in the bone supported by means of heavy fibrous band, termed the periodontal ligament (PDL).These supporting fibrous band run at different directions and are best suited to resist the displacement of the tooth expected during normal function like chewing, biting shearing / tearing etc. It is nature’s shock absorber. But for this beautiful mechanism, either the teeth will break or the bone will fracture. These same fibrous bands play a major role in changing the malaligned / malpositioned teeth into a favorable / desirable position when an orthodontic force is applied. Without these fibrous bands, teeth cannot be moved at all. Teeth are arranged in the form of an arch. The upper and lower teeth are arranged in a natural curvature allowing for the best fit between the neighbors.It is not uncommon to see a malpositioned / malaligned tooth. When teeth are haphazardly arranged it can lead to facial disfigurement, difficulty to brush, diseases of gum, impairment in speech, and mobility of teeth finally leading to permanent loss of teeth. In fact, well aligned teeth increase the longevity of dental apparatus. A misconception that treatment with braces will loosen the teeth and weaken the dental apparatus is wrong.

We offer complete dental solution under one roof.

Our services include:

1. Orthodontics: commonly known as ‘braces treatment’.
2. Functional Jaw Orthopedics: to improve the growth and development of the jaws.
3. Invisible Orthodontics: Lingual Braces and Clear Aligners.
4. Endodontics: Root canal treatment.
5. Prosthodontics: Complete dentures, bridges, implants, removable partial dentures, flexible dentures.
6. Conservative dentistry: Tooth coloured fillings, laminates, veneers.
7. Pedodontics: Dentistry for kids.
8. Oral Surgery: Tooth extractions along with minor oral surgical procedures.
9. Periodontics: Gum procedures ranging from scaling, polishing to gum surgeries, bone grafting and tissue regeneration.
10. Teeth care counselling: A complete know how about taking care of your teeth from cradle to tomb.

Orthodontic Diagnosis

Diagnosis in orthodontics, as in other disciplines of dentistry and medicine, requires proper collection of information and recognizing the patients need and demand, and formulating a specific treatment that would provide maximum benefit for that particular patient.

1. Observation
2. Non Extraction Treatment
3. Extraction Treatment
4. Extraction and Genioplasty
5. Non Extraction and Functional Appliance Mode of Treatment
6. Extraction and Functional Appliance Mode of Treatment
7. Non Extraction and Surgical Mode of Treatment
8. Extraction and Surgical Mode of Treatment

ligualLingual Braces : The lady in the picture got married with braces!! Yet you  won’t be able to see them as they are 100% invisible! This is possible due to the magic of ‘lingual orthodontics’. These are braces that are put form inside of your teeth i.e. on the side of the tongue or palate. Just like her everybody can now put the lingual braces and smile more confidently as the entire treatment would be totally invisible. Most of the professionals, doctors, lawyers, architects, teachers and even college students are now favoring these clips over the ‘visible’ ones! Dr Hrushikesh Aphale has taken training exclusively in this technique, after his masters, from the best teachers in the world.

ceramicCeramic Braces : Ceramic braces are tooth coloured braces, which camouflage them over the tooth surface. This makes the treatment partially invisible! Its an wonderful alternative for metal braces, especially for people who are slightly conscious of the ‘metallic smile’. These ceramic braces are available either as ‘polycrystalline’ and ‘monocrystalline’, the latter masks the treatment to a greater degree.

selfligualSelf Ligating Braces : These are the ‘latest and the best’ braces available today! Dr Hrushikesh Aphale uses the self ligating braces from the numero uno companies in the world, for instance the Empower from American Orthodontics, Damon Clear from Damon, USA. These claim to facilitate a faster and more efficient treatment mechanics to the patient. Also maintenance of oral hygiene is greatly enhanced with these. All the patients report that the special advantage that they feel with these clips is of reduction in the overall treatment time and increased comfort. ‘I really do not feel that any treatment is going on as these braces are so comfortable, albeit the results are fascinating and so fast !!’ is the usual comment that we hear with self ligating braces. At Enamel Dent Care, increasing percentile of patients are today opting for self ligating braces ! We offer these braces both in the metal as well as in the ceramic variant.

OLYMPUS DIGITAL CAMERAMetal Braces : These are normal stainless steel clips that we are most familiar with. But the exciting thing about them is that now we do offer them in various colors. This adds vibrancy to the routine orthodontic treatment. Many of our patients match the color of their braces with the color of their dress for special occasions like birthdays, send offs, farewells, reunions, etc.

clearClear Aligners : Aligners are tooth fitting trays made of high grade plastic material, which offers pure transparency. The patient has to wear such trays one on his upper and one on his lower teeth. This treatment is assisted with state-of-the-art technology and can virtually tell you how your teeth would appear after the treatment. We boast of being one of the first in the city to use this treatment. We also cater to international patients with this technology. Dr Aphale is a certified aligner practitioner.

Braces are precisely fabricated attachments made of metal, plastic or ceramic material, which can be bonded to a tooth or welded to a band. It is natural for everyone to desire to have a beautiful arrangement of teeth and a perfect smile. This adds to the personality and symbolizes an overall progress in the society. These objectives can be accomplished by a skilled clinician with the use of quality orthodontic appliances.

What our Patients say

Case studies

Begg’s mechanotherapy
  • 24 year old female
  • Incompetent lips
  • Cl I bimaxillary protrusion

 

Treatment plan

All four first premolar extraction, alignment & retraction of anteriors.

PRE-TREATMENT EXTRAORAL PHOTOGRAPHS

PRE-TREATMENT INTRAORAL PHOTOGRAPHS

END OF STAGE – 1

END OF STAGE – 2

STAGE -3 INTRA-ORAL PHOTOGRAPHS

POST-TREATMENT EXTRAORAL PHOTOGRAPHS

POST TREATMENT INTRA-ORAL PHOTOGRAPHS

POST TREATMENT

Pre adjusted edgewise mechanotherapy (straight wire)
  • 18 year old girl
  • Crossbite of 12 wrt 42, 43
  • Highly placed 13, anterior proclination.
  • Distal end on moral relation
TREATMENT PLAN

Extraction of all first premolars and alignment and retraction of anteriors and correction of molar relation.

PRE-TREATMENT EXTRAORAL PHOTOGRAPHS

PRE-TREATMENT INTRAORAL PHOTOGRAPHS

END OF LEVELING & ALIGNMENT

END OF SPACE CLOSURE

POST-TREATMENT EXTRAORAL PHOTOGRAPHS

POST TREATMENT INTRAORAL PHOTOGRAPHS

Deep bite correction
  • 19 year old girl
  • Closed bite, retroclination of upper anteriors
  • Severe crowding of upper and lower anteriors
  • Deep curve of Spee.
Treatment plan

Intrusion of anteriors and opening of the bite. Proclination of incisors to relieve crowding.

PRE-TREATMENT EXTRAORAL PHOTOGRAPHS

PRE-TREATMENT INTRAORAL PHOTOGRAPHS

END OF STAGE – 1

END OF STAGE – 2

POST-TREATMENT INTRAORAL PHOTOGRAPHS

POST-TREATMENT EXTRAORAL PHOTOGRAPHS

Open bite correction (adult orthodontics)
  • 27 year old boy
  • Skeletal open bite with upper and lower anterior crowding
  • Premolar to premolar open bite
  • Tongue thrusting seen
Treatment plan

Levelling and alignment of upper and lower  anteriors.Intrusion of molars by use of posterior bite blocks Extrusion of anteriors by open bite elastics.

PRE-TREATMENT

PRE-TREATMENT EXTRAORAL PHOTOGRAPHS

PRE-TREATMENT INTRAORAL PHOTOGRAPHS

END OF LEVELING & ALIGNMENT

MOLAR INTRUSION MECHANICS

SETTLING OF OCCLUSION

POST-TREATMENT INTRAORAL PHOTOGRAPHS

POST-TREATMENT EXTRAORAL PHOTOGRAPHS

POST-TREATMENT

Self ligating brackets
  • 14 year old girl
  • Bimaxillary  protrusion
  • Congenitally missing lower incisor
  • Crowding in upper and lower anterior region
TREATMENT PLAN

Extraction of upper first and lower second premolars and alignment and retraction of the anteriors.Treatment duration 11 months.Self ligating brackets used. 3M brackets Smart Clip used.

PRE-TREATMENT

PRE-TREATMENT EXTRAORAL PHOTOGRAPHS

PRE-TREATMENT INTRAORAL PHOTOGRAPHS

END OF LEVELLING & ALIGNMENT

END OF SPACE CLOSURE

POST-TREATMENT INTRAORAL PHOTOGRAPHS

POST-TREATMENT EXTRAORAI PHOTOGRAPHS

POST-TREATMENT

Removable functional appliance
  • 12 year old male
  • Retrognathic mandible, normal maxilla
  • Convex profile
  • Incompetent lips
  • Cl II molar relation
  • Increased overjet & overbite
TREATMENT PLAN

Growth modulation therapy for mandibular advancement with twin block appliance.

PRE-TREATMENT

PRE-TREATMENT EXTRAORAL PHOTOGRAPHS

PRE-TREATMENT INTRAORAL PHOTOGRAPHS

WITH TWIN BLOCK APPLIANCE

MID-TREATMENT EXTRAORAl PHOTOGRAPHS

POST-TREATMENT EXTRAORAL PHOTOGRAPHS

POST-TREATMENT INTRAORAL PHOTOGRAPHS

POST-TREATMENT

Fixed functional appliance
  • 13 year old girl
  • Cl II skeletal and dental relation
  • Distal end on molar relation
  • Increased overjet
  • Deep curve of Spee
TREATMENT PLAN

Alignment of upper & lower anteriors and growth modulation by fixed functional appliance (Forsus, 3M).

PRE-TREATMENT

PRE-TREATMENT EXTRAORAL PHOTOGRAPHS

PRE-TREATMENT INTRAORAL PHOTOGRAPHS

END OF LEVELLING & ALIGNMENT

ON INSERTION OF FIXED FUNCTIONAL APPLIANCE

ON REMOVAL OF FIXED FUNCTIONAL APPLIANCE

SETTLING PHASE

POST-TREATMENT INTRAORAL PHOTOGRAPHS

POST-TREATMENT EXTRAORAL PHOTOGRAPHS

Lingual orthodontics
PRE-TREATMENT

PRE-TREATMENT EXTRAORAL PHOTOGRAPHS

PRE-TREATMENT INTRAORAL PHOTOGRAPHS

7th GENERATION ORMCO BRACKETS

POST-TREATMENT

Cleft palate treatment expansion appliance
PRE-TREATMENT

PRE-TREATMENT EXTRAORAL PHOTOGRAPHS

PRE-TREATMENT INTRAORAL PHOTOGRAPHS

EXPANSION APPLIANCE

EXPANSION APPLIANCE IN PLACE

RETENTION PHASE

POST-TREATMENT EXTRAORAL PHOTOGRAPHS

POST-TREATMENT

Orthognathic surgery
  • 24 year old male
  • Skeletal Class III and Dental Class III
  • With Prognathic Mandible and deficient alar base region.
TREATMENT PLAN

BSSO Mandibular set back & alar base augmentation was done.

PRE TREATMENT

PRE-TREATMENT EXTRAORAL PHOTOGRAPHS

PRE-TREATMENT INTRAORAL PHOTOGRAPHS

PRETREATMENT LATERAL CEPHALOGRAM

PRESURGICAL ORTHODONTICS

MOCK SURGERY

WITH OCCLUSAL SPLINT

POST SURGICAL EXTRAORAL PHOTOGRAPHS

POST SURGICAL INTRAORAL PHOTOGRAPHS

FAQ

Myth 1: Braces are only for children and teens.

Fact : There is no age for looking beautiful and having a radiant smile! Braces can be put irrespective of the age of the patient. The only prerequisite is healthy bone and gums surrounding the teeth. At Enamel Dent Care, we have patients for whom we have put braces and who are ‘young’ even at 60 years. Today it is hearting to see that many mothers and daughters are undergoing orthodontic treatment together.

Myth 2: Teeth always need to be removed for putting braces.

Fact : Sometimes when there is less of space for proper alignment of your teeth, some of your teeth need to be extracted. But extractions are not mandatory for all cases. With our use of micro-implants, we do many cases without sacrificing any of your teeth. But the final decision of extracting or not extracting is dependent on the merit of each case.

Myth 3: Extraction of teeth leads to problems related of eyesight.

Fact : There is no correlation of teeth extraction and eyesight. This is a very wrong assumption surviving many generations, prevailing in our society. But the truth is that eyesight and dental extractions are not at all related.

Myth 4: Braces can never be ‘Invisible’!

Fact : Special ‘invisible braces’ are available with us at Enamel Dent Care. These form a part of a world class technique called ‘lingual orthodontics’ which means that these braces are put from the backside/palate side of your teeth to make them invisible!

Myth 5: Braces will affect my speech/ eating/ studies…

Fact : The type and manner in which orthodontic treatment is done at Enamel Dent Care, there is no hindrance noted in your normal lifestyle. You may eat, speak, study, play, work, and socialize exactly in the way you used to do before starting your treatment. One may take time to adapt to the ‘new’ feeling of braces but that should not be more than 2-3 days.

Myth 6: Brushing and cleaning teeth is difficult with braces.

Fact : We have designed special orthodontic brushes for our patients. Patients report far better and easier cleaning and brushing as compared to other commercially available brushes. We also provide specially designed spiral brushes for better cleaning around the braces.

Myth 7: Braces hurt!

Fact : At Enamel Dent Care, we take all the precautions to see to it that your braces don’t hurt. We provide special relief wax for each patient which provides ease in adaptation time and also ensures home emergency care. We also provide special ‘brace protector’, for all our patients who are active in various sports. This ensures total protection to them and prevents them from getting hurt while playing.

Myth 8: Faster orthodontic treatment is not possible.

Fact : We offer you different types of braces and techniques which can lead to hastening of your treatment and saving your time. Make sure you ask us about them in your next visit.

Myth 9: Straight teeth are only essential for a good smile.

Fact : Yes proper teeth alignment gives you a great smile but that’s not all! Perfect positioning of your teeth is also mandatory for having a healthy oral cavity, healthy gums and long life to your teeth.Crooked teeth make it more difficult and tedious for you to clean, inviting number of problems like cavities, gum problems, bad breath, and decline in bone level supporting the teeth. Plus more serious problems can arise like joint dysfunction, collapsing of bite, etc. Hence orthodontic treatment not only enhances your beauty it also ensures the wellbeing and proper functioning of your entire oral system.

Find us on the map

Call us, email us or stop by the clinic, we're always here for you!

Visit our Office

Enamel Dent Care Clinic
1st floor, Kadam Mansion, Opp. Police Commissioner Bungalow,
Mahatma Nagar, Nashik.

Office Hours

Mon - Sat :11:00am to 1:30pm
6:30pm to 9:00pm
Sun :Closed

Give us a Shout

hrushiaphale@gmail.com
P: 0253-6623807

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