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Jyoti Dental Care

Ghaziabad, Uttar Pradesh
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Welcome to Jyoti Dental Care, the website for Dr. Goel's dental clinic, the Only Corporate providing Comprehensive Dental Care under 1 roof in Ghaziabad.
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Bone Grafting

Bone Grafting

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Dental Braces

Dental Braces

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Dental Implants

Dental Implants

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Bone Grafting
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Bone Grafting

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Bone grafting is a surgical procedure that replaces missing bone in order to repair bone fractures that are extremely complex, pose a significant health risk to the patient, or fail to heal properly.

Bone generally has the ability to regenerate completely but requires a very small fracture space or some sort of scaffold to do so. Bone grafts may be autologous (bone harvested from the patient’s own body, often from the iliac crest), allograft (cadaveric bone usually obtained from a bone bank), or synthetic (often made of hydroxyapatite or other naturally occurring and biocompatible substances) with similar mechanical properties to bone. Most bone grafts are expected to be reabsorbed and replaced as the natural bone heals over a few months’ time.

The principles involved in successful bone grafts include osteoconduction (guiding the reparative growth of the natural bone), osteoinduction (encouraging undifferentiated cells to become active osteoblasts), and osteogenesis (living bone cells in the graft material contribute to bone remodeling). Osteogenesis only occurs with autografts.

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Dental Braces
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Dental Braces

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These are devices used in the dentistry that help align and straighten teeth and help to position them with regard to a person’s bite, while also working to improve dental health.

They are often used to correct under bites, as well as, malocclusions, overbites, cross bites, open bites, deep bites, crooked teeth, and various other flaws of the teeth and jaw.

Braces can be either cosmetic or structural. Dental braces or orthodontic braces are often used in conjunction with other orthodontic appliances to help widen the palate or jaws and to otherwise assist in shaping the teeth and jaws. While they are mainly used on children and teenagers, adults are also big contributors to this type of market including people seen on television, such as actors, Tom Cruise, Katherine Heigl, and R&B singer Fantasia.

 

Why Get Braces?


Getting braces is a decision that is faced by most people at sometime in their life. While some are lucky enough to have straight teeth through genetics and luck, the rest of us will commit to modern orthodontics to get the smile we want. A good smile is important to many people along with the functionality of your teeth and bite. Your overall appearance can change too depending on the situation of your orthodontic needs. You can look at our before and after photo gallery to get an idea of facial improvements due to braces.

How braces work?
The application of braces moves the teeth as a result of force and pressure on the teeth. There are four basic elements that are needed in order to help move the teeth. In the case of traditional metal or wire braces, one uses brackets, bonding material, arch wire, and ligature elastic, also called an “O-ring” to help align the teeth. The teeth move when the arch wire puts pressure on the brackets and teeth. Sometimes springs or rubber bands are used to put more force in a specific direction. Braces have constant pressure, which over time, move teeth into their proper positions. Occasionally adults may need to wear headgear to keep certain teeth from moving. When braces put pressure on your teeth, the periodontal membrane stretches on one side and is compressed on the other. This movement needs to be done slowly otherwise the patient risks losing his or her teeth. This is why braces are commonly worn for approximately two and a half years and adjustments are only made every three or four weeks. This process loosens the tooth and then new bone grows in to support the tooth in its new position which is technically called bone remodeling. Bone remodeling is a biomechanical process responsible for making bones stronger in response to sustained load-bearing activity and weaker in the absence of carrying a load. A tooth will usually move about a millimeter per month during orthodontic movement, but there is high individual variability. Orthodontic mechanics can vary in efficiency, which partly explains the wide range of response to orthodontic treatment.

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Dental Implants
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Dental Implants

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A dental implant is an artificial tooth root that an Oral Implantologist places into your jaw to hold a replacement tooth or bridge. Dental implants are an ideal option for people in good general oral health who have lost a tooth or teeth due to periodontal disease, failure of endodontics, an injury, or some other reason. Dental implants are actually more tooth-saving than traditional bridgework, since implants do not rely on neighboring teeth for support.

 

What Dental Implants Can Do?

  • Replace one or more teeth without affecting adjacent teeth.
  • Support a bridge and eliminate the need for a removable partial denture.
  • Provide support for a denture, making it more secure and comfortable.

Advantages of Dental Implants Over Dentures or a Bridge
Every way you look at it, dental implants are a better solution to the problem of missing teeth.

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Gums Treatment
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Gums Treatment

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Gum disease refers to inflammation of the soft tissue (gingiva) and abnormal loss of bone that surrounds the teeth and holds them in place. Gum disease is the second most common cause of toothache. What causes gum disease?
Gum disease is caused by toxins secreted by bacteria in "plaque" that accumulate over time along the gum line. This plaque is a mixture of food, saliva, and bacteria.

What are symptoms of gum disease?
Early symptoms of gum disease include gum bleeding without pain. Pain is a symptom of more advanced gum disease as the loss of bone around the teeth leads to the formation of gum pockets. Bacteria in these pockets cause gum infection, swelling, pain, and further bone destruction. Advanced gum disease can cause loss of otherwise healthy teeth.

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Root Canal Treatment
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Root Canal Treatment

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Root canal treatment is the removal of the tooth's pulp, a small, thread-like tissue in the center of the tooth. Once the damaged, diseased or dead pulp is removed, the remaining space is cleaned, shaped and filled. This procedure seals off the root canal. Years ago, teeth with diseased or injured pulps were removed. Today, root canal treatment saves many teeth that would otherwise be lost.

The most common causes of pulp damage or death are:
  • A cracked tooth

  • A deep cavity

  • An injury to a tooth, such as a severe knock to the tooth, either recent or in the past.

Once the pulp is infected or dead, if left untreated, pus can build up at the root tip in the jawbone, forming an abscess. An abscess can destroy the bone surrounding the tooth and cause pain.

 

How is a Root Canal Done?
Root canal treatment consists of several steps that take place over several office visits, depending on the situation. These steps are:

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Smile Designing
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Smile Designing

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Smile design principles can first be divided into three main categories:
  1.White esthetics, i.e. dentition characteristics
  2.Pink esthetics, i.e. lips and gingival tissue characteristics.
  3.Black esthetics, i.e. missing teeth, buccal corridor collapse.

So in designing a smile we correct all the deficiencies to make a patient smile in a better way.

Getting that radiant smile may actually be a simple procedure requiring a number of non-aggressive smile design techniques to help create a dazzling, natural looking smile uniquely designed just for you. Smile design can often be completed in short dental visits. Using the latest state-of-the-art technology and computer imaging we can help you choose your ideal smile.


Your smile can be effectively improved using a number of dental procedures such as tooth contouring and shaping ,teeth whitening, porcelain veneers, dental implants, crowns or bridgework. After the smile design procedure is completed, your teeth will look beautiful even close-up.


Factors that influence smile design

The factors that mainly influence smile design include:
Your facial shape: For example, a long face may need to accentuate width to appear more oval. Someone with attractive features in the centre of the face may need bold central incisors to draw attention to that centre

Your image aspirations: How do you want to appear to others? A sophisticated smile gives the appearance of more intelligence, maturity and judgment. A beautiful smile gives the appearance of more warmth and energy.

Your age, or how old you want to appear: Longer central incisors make you appear younger. Also, whiter teeth make you appear younger. Conversely, a flatter smile or a more subdued color to the teeth make you appear more mature.

Along with the teeth, the gums, technically known as the gingiva also play a significant role. There is certain proportion of pink to white, which has to be maintained for the smile to be pleasing and beautiful. At times, the only difference between an excellent smile and a run of the mill smile can be heavily pigmented gums. If there is discrepancy in any of the above listed factors, the smile tends to get unaesthetic. It is not that if any one of the above conditions is not met, the looks will be totally hampered. Many a time, totally out of position teeth or disproportionate teeth may still exhibit a very pleasing smile. When the smile does get unaesthetic, the dentist can play a large role in correcting these discrepancies.

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Kids Dentistry
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Kids Dentistry

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It is one of important field in dentistry which is dealt with care, a child in different growth phase comes along with different mental state and acquires the learning process. Oral examination is a necessary procedure to check for any discrepancies including tooth and soft tissue. A proper speech, function and esthetic may be hampered by tongue tie, cleft lip or palate, irregular dentition or malaligned tooth. This is the age they should be examined for all these deformity. If these deformity are not corrected child suffers from psychological depression and feels inferiority complex. This is the age for foundation of belief and self confidence which is carried out through the life time. So bring them to doctor, he will counsel and correct any deformity to help them to be part of society in a better way.

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Teeth Whitening
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Teeth Whitening

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People turn to teeth whitening kits to brighten their smile and whiten their teeth for many reasons. The most obvious reason is that a person's smile is one of the first things that people notice when they meet someone. Yellowed teeth is a sign of aging, and as people age, their teeth naturally gets dull and yellowed. Whiter smiles by teeth whitening kits make people look younger, healthier, and more attractive, and that is something that people can pay a dentist to do or they can do it themselves at home when it is convenient for a mere fraction of what a dentist charges.

Technology in dentistry today has given us many great innovations and ways to take care of our teeth, and one of these is the home teeth whitening kit. There are many different types of kits. The one provided at our clinic uses peroxide and gel strips and takes 3 days per treatment with dental trays with gels. A home teeth whitening kit can be a very useful tool for people who wants to get their teeth whitened at the comfort of their home. The home teeth whitening kit is revolutionary in dental care treatment at its best, and it uses the latest techniques that are also used by professionals. In general, the teeth whitening kit that people use at home is designed to be quick and simple . The kit includes a special gel, the applicator to use with it, the dental tray that is specifically designed for the kit, and of course, instructions. Basically, you apply a small amount of gel inside the dental tray and insert it into your mouth.

The in-office kind of teeth whitening kit is one that uses a special light and a special gel that will whiten teeth several shades in minutes. These kits are becoming more and more popular every day. Such whitening systems that use advanced light can remove not only surface stains, but also the deep, embedded stains that have set in for years. The light used in a teeth whitening kit penetrates deep into the teeth to remove coffee stains, stains from drinking tea, ones from smoking, drinking red , fruit juice, and normal discolorations due to aging. In office bleaching, it is just as effective and offer the same advantages that laser whitening systems provide and there is no harm to your teeth, because nothing touches them but light.

 

There are two types of tooth stains:
INTRINSIC STAINS (Internal stains): This means the stain occurs from within the tooth. This type of stain cannot be removed by brushing and flossing and sometimes bleaching may not be effective. Some causes of intrinsic staining are injury to the tooth, certain medications (such as tetracycline) taken during tooth formation stage or an excess fluoride ingested during the formation of teeth.

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Teeth Replacement
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Teeth Replacement

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If something unfortunate happens to your teeth, it is important to consult your doctor to minimize the impact on your entire mouth. Missing teeth can allow the surrounding teeth to become displaced. Cracked or damaged teeth should be fixed to save as much of the tooth as possible.

By taking care of dental problems immediately, you minimize the risk of future problems.

  • Crowns fix and protect teeth that are so damaged or diseased that they need more support than a simple filling.

  • Bridges replace missing teeth and offer support for the surrounding teeth to help retain the integrity of the jaw and face structure.

Dental Crowns
Crowns, also known as caps, restore damaged teeth and mimics the shape, size and color of the surrounding teeth. Crowns are indicated for cracked teeth and teeth with deep cavities; to protect teeth that have been filled by root-canal treatment; to provide extra support for bridges; and to cover poorly shaped or discolored teeth. Crowns may be made of metal, porcelain, or newer restorative materials like metal free ceramics. They are custom-made and fitted for each patient in conformation with the size and length of the natural teeth. Crowns typically last five to eight years, but can last much longer with proper oral hygiene.

Crowns can be made of a variety of materials. They can be made of plastic, ceramic or metal alloys. A combination of metal and ceramic is also possible to maximize strength and simulate the appearance of natural teeth.

The teeth to be crowned are prepared which involves reduction of the tooth size (usually under local anesthesia) followed by an impression or mould of the prepared tooth. This trimming of the tooth is required to create space for the crown to be fitted. The mould taken is then sent to a laboratory where skilled technicians will fabricate the crown. In the meanwhile, a temporary crown is made and fitted onto the trimmed tooth.

Dental Bridges
A bridge stabilizes the bite of a patient who is missing one or more teeth. Bridges prevent the surrounding teeth from moving or shifting in the mouth. A missing tooth that is not replaced may cause surrounding teeth to become unstable and require removal, compromising oral health or change the shape of the face and diminish the beauty of a smile.

Unlike partial dentures, bridges are permanent; patients need not remove them. The missing tooth is replaced with an artificial tooth connected between two crowns (caps), which are permanently cemented or bonded on the adjacent teeth.

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Bone grafting is possible because bone tissue, unlike most other tissues, has the ability to regenerate completely if provided the space into which to grow. As native bone grows, it will generally replace the graft material completely, resulting in a fully integrated region of new bone. The biologic mechanisms that provide a rationale for bone grafting are osteoconduction, osteoinduction and osteogenesis.

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Osteoconduction occurs when the bone graft material serves as a scaffold for new bone growth that is perpetuated by the native bone. Osteoblasts from the margin of the defect that is being grafted utilize the bone graft material as a framework upon which to spread and generate new bone.[1] In the very least, a bone graft material should be osteoconductive.

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Osteoinduction involves the stimulation of osteoprogenitor cells to differentiate into osteoblasts that then begin new bone formation. The most widely studied type of osteoinductive cell mediators are bone morphogenetic proteins (BMPs). A bone graft material that is osteoconductive and osteoinductive will not only serve as a scaffold for currently existing osteoblasts but will also trigger the formation of new osteoblasts, theoretically promoting faster integration of the graft.

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Autologous (or autogenous) bone grafting involves utilizing bone obtained from the same individual receiving the graft. Bone can be harvested from non-essential bones, such as from the iliac crest, or more commonly in oral and maxillofacial surgery, from the mandibular symphysis (chin area) or anterior mandibular ramus (the coronoid process); this is particularly true for block grafts, in which a small block of bone is placed whole in the area being grafted. When a block graft will be performed, autogenous bone is the most preferred because there is less risk of the graft rejection because the graft originated from the patient's own body. As indicated in the chart above, such a graft would be osteoinductive and osteogenic, as well as osteoconductive. A negative aspect of autologous grafts is that an additional surgical site is required, in effect adding another potential location for post-operative pain and complications.

Autologous bone is typically harvested from intra-oral sources as the chin or extra-oral sources as the iliac crest, the fibula, the ribs, the mandible and even parts of the skull.

All bone requires a blood supply in the transplanted site. Depending on where the transplant site is and the size of the graft, an additional blood supply may be required. For these types of grafts, extraction of the part of the periosteum and accompanying blood vessels along with donor bone is required. This kind of graft is known as a vital bone graft.

An autograft may also be performed without a solid bony structure, for example using bone reamed from the anterior superior iliac spine. In this case there is an osteoinductive and osteogenic action, however there is no osteoconductive action, as there is no solid bony structure.

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Impacted Teeth Removal

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What is an impacted tooth?
Impacted teeth (third molars) are usually the last new teeth you get, normally when you are over 16. Often there is not enough room in your mouth for wisdom teeth, so they do not grow normally.


When this happens, your wisdom teeth are said to be ‘impacted’. Wisdom teeth are usually impacted forwards into the tooth in front or backwards into your jaw bone.

 

Why do I need this surgery?
An impacted wisdom tooth can cause a number of problems so it may be necessary to have it removed. The most common problems are:

  • Repeated infections in the gum surrounding your wisdom tooth. This causes pain and swelling.

  • Food packing, which causes decay in either your wisdom tooth or the tooth in front.

  • Cyst formation around your wisdom tooth. You get a cyst when fluid fills the sack that normally surrounds a developing wisdom tooth.

What happens before the surgery?
Your doctor or dentist will explain further what to expect during the operation and what the likely outcome will be. Before the surgery, you will be given an anaesthetic so you will
not feel any pain. You have a number of options:
1. Local anaesthetic - this is an injection into the gum surrounding the infected area. The injection takes a few minutes to numb your gum and means you will feel no pain during the procedure.

2. Local anaesthetic and intravenous sedation - in addition to a local anaesthetic injection you can have an injection in your arm. This makes you feel relaxed, sleepy and less aware of the procedure.
3. General anaesthetic - this involves being put to sleep completely. It is usually only given to patients who are having extremely difficult surgery. Although you will be put to sleep completely, you will be able to go home on the same day after your surgery.

 

What are the benefits of the surgery?
The main benefit of removing your impacted wisdom tooth is that it will get rid of any existing infection and prevent further infection in the future.


Where will it be carried out?
You impacted wisdom teeth will be removed in a clinic within the Oral Surgery Department in King’s College Hospital Dental Institute.

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Mobile Teeth Solution

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Injury to the teeth can affect supporting structures, which also get damaged. This can lead to mobility of the teeth. Such mobile teeth require splinting for a specified period of time till the supporting tissues heal and the tooth becomes stable.

What is Fiber Splinting?
It is a procedure where the teeth are supported in its position for a specific period of time. This is done to teeth that are injured or teeth whose supporting structures are affected by disease, which prevents them from supporting the teeth. Splinting involves binding a group of teeth together so that the biting forces are shared by a group of teeth instead of being borne by the affected tooth.

Maintenance after Splinting
After the teeth are splinted, they require preventive maintenance. Careful brushing is of the utmost importance, and a device called inter-dental brush (or other similar device) will be needed to clean between the teeth because floss will not be able to penetrate the splint. Regular dental visits, every six months, are required to maintain the splint and ensure proper dental care.

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Welcome to Jyoti Dental Care, the website for Dr. Goel's dental clinic, the Only Corporate providing Comprehensive Dental Care under 1 roof in Ghaziabad.

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Shop No. 14, 3/44, Sector 5, Aman Banquet Hall, Rajender Nagar, Sahibabad, Rajender Nagar,
Ghaziabad-201002, Uttar Pradesh, India

Saurabh Goel

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