Welcome to Magadh oro dental - implant orthodontic & laser clinic, the home of Dr. Abhishek Kumar, the best oral surgeon in Patna. With over 18 years of experience and a commitment to providing top-notch dental care services, Dr. Abhishek Kumar is highly regarded by his patients and the dental community alike. Dr. Abhishek Kumar's loyal patient base is a testament to his ability to deliver outstanding results. Patients rely on him as the go-to dentist in Patna because of his unwavering dedication to their oral health.

When you choose Magadh oro dental clinic, you're choosing a dentist who not only provides exceptional care but also values your overall experience. From the moment you step into Magadh oro dental clinic, you can expect personalized attention and a warm, inviting atmosphere. Whether you are in need of a routine dental check-up, a simple tooth extraction procedure, or a complex surgical dental treatment, Dr. Abhishek Kumar and his team are here to cater to your needs. At Magadh oro dental clinic, patient satisfaction is our top priority.

Dr. Abhishek Kumar takes the time to listen to his patients, understand their concerns, and develop personalized treatment plans to address their specific needs. With a gentle and compassionate approach, Dr. Abhishek Kumar ensures that his patients feel comfortable and at ease throughout their dental journey.

While modern dentistry focuses on patients maintaining their dentition for as long as possible, dental extractions are still commonly performed by our Oral surgeon Dr. Abhishek Kumar at Magadh oro dental clinic. Dr. Abhishek Kumar is aware of the basic principles of dental extractions to perform these procedures safely and effectively.

12 Commen indications where dental extraction is preffered by us

1. Dental caries

When dental caries have progressed significantly, there is often not enough sound tooth tissue to allow for a restoration, leaving extraction as the only viable treatment option.

Video - decayed tooth removal of 80 year old lady by Dr. Abhishek Kumar at Magadh oro dental clinic

2. Pulpal/Apical pathology

Tooth with pulpal or periapical pathology that cannot be resolved with root canal treatment or that would not be restorable following the endodontic treatment is clear indication of dental extraction.  In some cases, we perform dental extraction if patient doesn't agree for endodontic treatment.

Video - painless extraction of tooth with apical pathology by Dr. Abhishek Kumar at Magadh oro dental clinic

3. Severe Periodontal disease

Severe periodontal disease leads to the destruction of bone in the maxilla or mandible. Once a tooth has lost most of its bony support, it will become mobile and often irritate to patients, extraction is only option for these types of cases. 

4. Fractured teeth

Fractured teeth that cannot be appropriately restored or retained will require extraction.

5. Retained dental roots

Retained dental roots can have the potential to cause infection and pain and are thus commonly advised for removal.

6. Impacted teeth

Impacted teeth are those that cannot erupt due to a physical barrier. Teeth that are impacted against other teeth or within the jaw are often considered for removal, If left impacted within the jaw, impacted teeth follicles have the potential for cystic change.

Picture - Horizontal impacted wisdom tooth need surgical removal

Impacted tooth extraction is a surgical procedure to remove a tooth that is trapped beneath the bone. The procedure usually takes between 30 minutes to an hour by our oral surgeons at Magadh oro dental clinic.

Video - impacted wisdom tooth removal at best dental clinic in Patna - Magadh oro dental by Dr. Ritesh Vatsa

7. Wisdom tooth removal

Most of the time it’s been observed that, There is always an insufficient space in our mouth for wisdom tooth to erupt completely. Some time it comes out in wrong direction or in half way or in improper alignment as compare to rest all teeth present in the oral cavity. Because of inaccessibility for cleaning, recurrent food lodgement around wisdom teeth it tends to get infected soon. So it’s a wise decision to take it out the wisdom tooth when it starts troubling you.

Video - Maxillary wisdom teeth removed by elevator at Magadh oro dental clinic, Patna by Dr. Abhishek Kumar

Video - Wisdom tooth extraction by Dr. Abhishek Kumar at best dental clinic in Patna - Magadh oro dental

8. Supernumerary teeth

A supernumerary tooth is defined as a tooth that is additional to the normal series. Supernumeraries can cause a range of clinical issues, including failure of eruption or displacement of a permanent tooth, dental crowding, and pathology, supernumerary tooth is must be removed.

Picture - Impacted extra premolars on both side of mandible need surgical extraction

9. Orthodontic extractions

We at Magadh oro dental often extract 1st or 2ed premolars to create space in the dental arch for orthodontic treatment.

10. Tooth in a fracture line

If the fracture line is seen to pass through a tooth considered a potential source of infection,  such tooth / piece removed at the time of surgery for the fixation of the jaw fracture.

11. Teeth with associated pathology

Teeth associated with pathologies, such as cysts of the jaws or malignancies, may be recommended for removal.

Video - lingually erupted tooth extraction by 18 years experianced dentist in Patna - Dr. Abhishek Kumar

12. Prior to radiotherapy

dental extractions in the irradiated patient carry a risk of osteoradionecrosis of the jaws, which should be avoided by extracting all the tooth with potential infection before going to radiotherapy
 

4 Uncontrolled medical conditions which impact dental extractions

1. Neurological conditions

Uncontrolled epilepsy, Patients with a history of hypertension or cerebrovascular disease are at a higher risk of stroke.

2. Cardiovascular conditions

Ischemic heart disease, infective endocarditis, hypertension, dysrhythmias and Infective endocarditis

3. Renal impairment

Patient with Renal Impairment often at risk of increased bleeding and contracting infections

4. Immunocompromised patients

Immunocompromised patients are at risk of developing systemic infections following dental extractions.

5 Medical factors affecting dental extractions

1. Antiresorptive agents

2. Use of steroid

Long term use of steroids impair healing after dental extraction

3. Anticoagulants and antiplatelet drugs

Patient taking an anticoagulant or antiplatelet, local hemostatic measures include the use of oxidized cellulose materials in extraction sockets and the use of sutures to help minimize post-operative bleeding.

4. Radiotherapy

Patients undergoing radiotherapy in the head and neck region, are at risk of developing osteoradionecrosis

5. Tooth-specific Factors - Proximity to Vital Structures

How to prepare for a tooth extraction at Magadh Oro Dental

First, local anesthesia is given to numb your affected tooth and surrounding gum tissue. Using specialized dental instruments, Dr. Abhishek Kumar will gently loosen your tooth and carefully lift it from its socket. Sometimes, Dr. Kumar might need to make incisions in your gums to access your tooth — especially if your tooth is badly decayed or has broken off at the gum line. Once your tooth is removed, the socket is cleaned and disinfected. In some cases, Dr. Abhishek Kumar may also place a dental bone graft, which helps prevent bone loss in your jaw. Finally, stitches may be placed to help promote healing.

Simple tooth  extraction 

A simple extraction is done when the tooth is visible, above the surface of the gum

Surgical tooth extraction

involves the removal of teeth that are not easily accessible inside the mouth.This may be because they have not erupted through the gum completely or they have been fractured under the gum line.

Video - surgical extraction of maxillary third molar with Nerve Block by Dr. Abhishek Kumar

Common complication of dental extraction 

Like any surgical procedure, tooth extraction carries a small risk of complications. Some common risks include:

1. Pain, swelling, and bruising: These normal side effects will subside over time and can be managed with anti-inflammatory and analgesic medications

2. Bleeding: Postoperative bleeding can be a complication of surgical procedures

Video - How to stop bleeding after tooth extraction? Tranexamic Acid to achieve hemostasis by Dr Abhishek Kr

3. Infection: Post-surgical infection is a risk

4. Delayed healing: This can be a complication of surgical procedure

5. Nerve injury

6. Dry socket - Usually after a tooth extraction, a blood clot naturally forms in the socket, the hole in the bone where the tooth has been extracted. However, if the blood clot does not form or dislodges, the bone inside the socket can be exposed referred to as “dry socket.” If this happens, our oral surgeon Dr. Abhishek Kumar will protect the area by putting a sedative dressing over it for a few days. During this time, a new clot will form.

Our Oral surgeon Dr. Abhishek Kumar's instructions after tooth extraction

Rest and relax for the first 24 hours
Don't use a straw for the first 24 hours
Don't smoke, vape, or consume alcohol during recovery
Eat soft foods, such as yogurt, pudding, and applesauce, the day after the procedure
Brush and floss your teeth like normal, but avoid the extraction site
Keep your head propped up when lying down
Be careful with any stitches

Commonly performed soft tissue surgeries at Magadh Oro Dental Clinic

A tongue-tie frenectomy

It is a surgical procedure that corrects tongue-tie or ankyloglossia by cutting the lingual frenulum. Now we are using soft tissue laser for these type of surgery. Tongue-tie is a congenital condition that can limit tongue movement and cause speech problems and oral hygiene concerns. During the procedure, Dr. Abhishek Kumar holds the tongue up toward the roof of the mouth to tighten the frenulum and then cuts the tissue with sterile scissors or B P blade or fiber-optic tips of lasers. The procedure is usually quick and can be done under local anesthesia, as the lingual frenulum has few nerve endings and blood vessels.

Picture - Tongue-tie frenectomy by Dr. Abhishek Kumar

Picture - Frenectomy to release high frenal attachment in treatment of Midline diestema by Dr. Abhishek Kumar

Treatment of TMJ Disorder at Magadh oro dental clinic by our Maxillofacial surgeon Dr. Ritesh Vatsa

Temporo Mandibular (Jaw) Joint -  It is the small joint located directly in front of the ear. This joint allows for movement of the lower jaw during opening and closing. TMJ disorders, dysfunction, and TMD are terms that describe a malfunction or problem related to this joint and its associated components, mainly its muscles and ligaments. Ankylosis is fusion of the joint due to injuries or infection usually occurring in childhood leading to inability to open the mouth with distorted face growth (crooked face). Treatment of TMJ Issue at Magadh Oro Dental in a multistage manner to open the mouth and cosmetically reconstruct the jaws and face

TMJ disorders can be treated with a variety of methods, including:

1. Pain relievers and anti-inflammatories

Nonsteroidal anti-inflammatory drugs like ibuprofen, muscle relaxants, acetaminophen, benzodiazepines, or antidepressants can help relieve pain

2. Oral appliances

Custom-made mouthguards or splints can help realign the jaw and reduce teeth grinding or clenching

3. Laser therapy for TMD

Laser therapy is a non-invasive treatment that can help with TMJ pain by reducing inflammation, swelling, and pain in the jaw and surrounding muscles. It uses a low-level laser to stimulate cellular activity and promote healing in the affected area.

4. At-home remedies

Changing posture, reducing stress, exercising the jaw, and using hot or cold compresses can help manage symptoms without surgery Includes exercises to strengthen and stretch jaw muscles, as well as other treatments like ultrasound, moist heat, and ice

5. Surgical options

Inter Maxillery Fixation (Elastic), Arthrocentesis, Arthroscopic surgery, or open-joint surgery may be used in more severe cases

Inter maxillery elastic fixation to relief from TMJ clicking sound and pain at Magadh oro dental clinic

Picture - Inter Maxillery Elastic Fixation to relief from TMJ Pain at Magadh oro dental clinic

Picture - Inter Maxillery Elastic Fixation to relief from TMJ Pain at Magadh oro dental clinic

Video -Relieve TMJ Pain by IMF at best dental clinic in patna - Magadh oro dental clinic by Dr. Ritesh Vatsa

TMJ arthrocentesis at Magadh Oro Dental by our Maxillofacial Surgeon Dr. Ritesh Vatsa

TMJ arthrocentesis also known as TMJ washout, is a minimally invasive procedure that can help relieve pain in the temporomandibular joint (TMJ)
Dr. Ritesh Vatsa inserts two sterile needles into the joint space and flushes it with a sterile solution under pressure. The fluid can be saline or lactated Ringers solution. The procedure can also involve injecting intra-articular medicines or protein rich plasma from your blood to reduce inflammation. The fluid is then allowed to flow back out, taking with it loose material and inflammatory mediators. The pressure of the fluid can also stretch the joint.
Anesthesia - The procedure is usually performed under local anesthesia or IV sedation.
Conditions - TMJ arthrocentesis can be used to treat conditions such as chronic TMJ pain associated with osteoarthritis, acute closed lock, inability to open the mouth, and TMJ click associated with pain.
Post-procedure - It's normal to experience increased discomfort or soreness near the surgical site and in the temple region, as well as limited movement and clicking in the jaw joint.

Video - Arthrocentesis to relief TMJ pain at best dental clinic in Patna - Magadh oro dental clinic by Dr. Ritesh Vatsa

Video - Injection and Arthrocentesis to relief TMJ pain at best dental clinic in Patna - Magadh oro dental clinic

Picture - Enucliation of Oral Cyst by Oral surgeon Dr. Abhishek Kumar & Maxillofacial surgeon Dr. Ritesh Vatsa

The Surgical options for jaw tumors and cysts vary, depending on the type of growth or lesion you have, the stage of growth, and your symptoms. Our Oral maxillofacial surgeon Dr. Ritesh Vatsa treat jaw tumor or cyst usually by surgery, however in some cases, by medical therapy or a combination of surgery and medical therapy.  Growths in the oral cavity are typically benign in nature or malignant lesion, all suspicious lesions should be biopsied.

Most biopsies are performed in the Magadh Oro Dental - Implant & Orthodontic Clinic under local anaesthetic. Following removal of the lesion, the biopsied specimen is sent to an oral pathologist for a final diagnosis. The diagnosis would dictate the need for possible further treatment. Further treatment would include simple excision of the disease alone to removal of the affected parts of jaw and face followed by reconstruction with a microvascular free flap.

Picture - Large Dental cyst in Mandible - treated at Magadh oro dental clinic

The Most Common Cyst And Tumors we operate at Magadh oro dental clinic is :

Ameloblastoma

This is a relatively common, slow-growing, usually noncancerous (benign) tumor. It develops most often in the jaw near the molars and can invade local structures such as bone and soft tissue. This tumor can recur after treatment; however, aggressive surgical treatments will typically reduce the chance of recurrence.

Dentigerous cyst

This cyst originates from tissue that surrounds a tooth before it erupts into the mouth. This is the most common form of cyst that affects the jaws. Most often these cysts will occur around wisdom teeth that are not fully erupted, but they can also involve other teeth.

Picture - Large Dentigerous cyst in Mandible - treated at Magadh oro dental clinic

Odontogenic keratocyst.

Also referred to as keratocystic odontogenic tumor because of its tumor like tendency to recur after surgical treatment, this slow-growing, benign cyst can be destructive to local structures. Most often the cyst develops in the lower jaw near the third molars. These cysts may also be found in people with an inherited condition called nevoid basal cell carcinoma syndrome.

During surgery, we at Magadh Oro Dental removes your jaw tumor or cyst, which may include removing nearby teeth, tissue and jawbone, and sends it to the lab for examination. A pathologist examines the removed tissue and reports a diagnosis during the procedure so that the surgeon can act on this information immediately.

Other treatments may include:

Reconstruction of the jawbone or other structures

Medical therapy for certain types of jaw tumors and cysts

Supportive care to help maintain your quality of life, including assisting with nutrition, speech and swallowing, and replacements for missing teeth

Long-term follow-up exams after treatment can address any recurrence of jaw tumors and cysts. Identifying recurrence early is important so they can be treated appropriately.

Treatment options for jaw tumors and cysts vary, depending on the type of lesion you have, the lesion's stage of growth and your symptoms. Your treatment team also considers your treatment goals and your personal preferences when making a treatment recommendation. Treatment of jaw tumors and cysts generally involves surgical care. In some cases, treatment may be medical therapy or a combination of surgery and medical therapy.

Manegement of Fracture of jaw at Magadh oro dental clinic

Mandible fractures are treated either closed (maxillomandibular fixation, splinting, modified diet) or open (plates and screws, interosseous wiring, lag screws).The technique chosen depends on a number of variables including, dental status, fracture characteristics (open, closed, favorable, unfavorable, comminution, bone lose, mechanism of injury, contamination or frank infection etc.), fracture location, associated injuries, patient mental status and patient desires. The most important considerations are the dental status, fracture characteristics and fracture location.

Closed techniques involve the relative fixation of mandibular fragments allowing indirect bone healing, which progresses through granulation, fibrosis, cartilage and eventually bone deposition and remodeling. Closed techniques are best used in cases with favorable, closed fractures and in patients with full dentition. Mandible fractures in children heal quite rapidly and because mixed dentition often precludes the placement of screws in the mandible, closed techniques using some form of maxillomandibular fixation are preferred in many pediatric mandible fractures. Condylar neck fractures have traditionally been managed in a closed fashion with a short course of intermaxillary fixation and soft diet. Despite the nonanatomic reduction of the condylar head remodeling occurs over a period of months. Maxillomandibular fixation may be supplemented with interosseous wiring of bone fragments ensuring adequate bone contact and a stable reduction.

Open reduction - There are a number of different techniques used to internally fixate mandible fractures. Simple interosseous wiring to supplement intermaxillary fixation is a form of open reduction and internal fixation. There are a variety of plate and screw systems available for the repair of mandible fractures. Compression plating of mandibles has become popular over the last 10 years. Compression plate fixation allows direct bone healing and in most cases eliminates the need for 4 to 6 weeks of maxillomandibular fixation needed with closed reduction techniques. Compression plates used on the inferior cortex must always be used with some form of tension band as discussed above. A special type of compression plate called an eccentric dynamic compression plate can be used without a tension band. This plate has sliding ramp holes which allow compression of the fracture not only in the area of the plate but also at the tension side of the mandible. In general the application of compression plates requires that the angle of the fracture be no more than 30 degrees from a line perpendicular to the long axis of the plate. If an angle greater than this exists the compression plate will cause the fragments to slide against one another rendering the reduction nonanatomic and not in compression.

Dental Implants & Implants related Surgery - Sinus lifting, Ridge augmentation

Treatment of oral cutaneous fistula

It is a rare extraoral path of infection that communicates the oral cavity and the skin. Chronic dental infections, trauma, dental implant complications, salivary gland lesions, and neoplasms are the most common causes of oral cutaneous fistulas

Picture - Surgery of Oral cutaneous fistula at Magadh oro dental clinic

Oro Facial Pain 

Oro Facial Pain is an unpleasant sensory and emotional experience that motivates an individual far more than any other life experience. Orofacial pain is a general term covering any pain, which is felt in the mouth, jaws and the face. Different individuals sensing identical noxious stimulation feel pain in different ways and react at different

Treatment of neuropathic orofacial pain at Magadh oro dental clinic

At Magadh Oro Dental We treat Neuropathic orofacial pain with a variety of medications and other therapies:
Local anesthetics and steroid injections: Can help if the pain comes from a nerve near the teeth or gums
Medicinal creams: Can also help relieve pain
Systemic drugs: Such as antiepileptic medications like pregabalin, antidepressants like duloxetine, and tricyclic antidepressants like amitriptyline
Other therapies: Such as anticonvulsants like gabapentin, capsaicin, and oxycodone

Treatment of trigeminal neuralgia at Magadh oro dental clinic

In cases of trigeminal neuralgia, centrally acting medications are often the first line of treatment. Carbamazepine is one such medication that can provide predictable results, but it can also have serious side effects. For refractory cases, surgical options may be used, such as microvascular decompression (MVD), which can provide initial pain relief in 88% of patients.
In addition to medications and other therapies, you can also try these over-the-counter remedies to ease neuropathic orofacial pain:
Take an over-the-counter pain reliever like acetaminophen or ibuprofen
Use a cold compress, like an ice pack or cold damp cloth, to numb the area and reduce swelling
Swish salt water or peroxide to reduce inflammation