A patient at Turners’ Speciality Dental Centre enjoys a movie on his glasses via the portable DVD player on his lap, even as Dr Ferzin Turner takes a look at his teeth. The Turners’ introduced these glasses in their clinic in 2008, and have been very happy with the results. ‘Nervous adults use these to help them relax, while kids absolutely love it,’says Turner. Pic/ Sayed Sameer Abedi
By: Anjana Vaswani Date:2011-06-26 Place: Mumbai
Soon, nightmares of drill machines that visit you as your root canal procedure date nears, will be a thing of the past. If virtual reality therapy, already being used by city doctors in different forms, makes its way into mainstream surgical procedures, you might soon be shooting snowballs in a video game without even noticing that your bandages are being changed
At DR Turners’ Speciality Dental Centre in Tardeo’s Gamadia Parsi Colony, a pair of glasses that look suspiciously similar to the ones you wear for a screening of a 3D film catches your attention. Except that this futuristic pair is worn by fidgety patients during treatment, to distract them from pain and discomfort. So, while Dr Ferzin Turner, who runs a combined practice here with her brother Ashdin and father Porus, fixes cavities and pulls out teeth, happy children sail through the pain thanks to these glasses that are connected to a portable DVD player and accompanied by headphones.
Ferzin’s 8-year-old son, Zane, slides onto the recliner and slips on the funky-looking pair to demonstrate the use of his favourite gizmo. ‘The glasses are connected to a portable DVD player, so you can watch any movie you like and ear-phones cut out the sound of the drill that people are frightened by,’ her husband Danesh Vazifdar, who runs a dental technology laboratory across the hallway explains. Ferzin adds, ‘As the glasses prevent you from seeing what’s going on and cut off the procedure’s sounds, we find they’re very effective to help people relax. Often, patients completely forget that they’re getting a dental treatment done.’
The Turners’ philosophy is in line with the research conducted by Hunter Hoffman, director, Virtual Reality Research Centre, University of Washington, and his colleagues. Called Virtual Reality Therapy (VRT), the idea of using video games to distract burn victims during medical procedures is now a reality at many places worldwide, including Randolph Hearst Burn Centre in New York, Copenhagen Burn Centre and Martini Ziekenhuis Groningen in Holland, among others.
Over email, Hoffman, who created SnowWorld, a virtual reality world, confirms, ‘Directing a patient’s attention onto something other than wound care can help reduce his or her suffering by as much as 35 to 50 per cent.’
Think about that the next time you have to get an injection.
An escape from suffering
Hoffman has no doubts about the effectiveness of virtual reality therapy. Explaining his research on ‘Immersive Virtual Reality Pain Distraction,’ he says, ‘Pain has a strong psychological component. This means that psychological interventions can be used, in addition to strong pain medications, to help reduce the pain levels experienced during wound care procedures.’
That explains why it would work with burn patients, who ‘cannot take their eyes off their wounds during routine treatments,’ says Hoffman. With no side effects and a one-time-cost, burn victims, Post Traumatic Stress Disorder (PTSD) sufferers and those whose lives are crippled by phobias may soon have access to these simple, even enjoyable, means of treatment.
‘We have also conducted another pilot study to see how virtual reality distraction can reduce the anxiety of patients with claustrophobia,’ Hoffman tells us.
Like him, Ferzin and Danesh are very enthusiastic about the research that has led to the recent use of VR therapy, because, as Ferzin says, ‘Typically a dental procedure could take up to 45 minutes, so if a game occupies our patients’ minds and makes their visits here more comfortable, we’d be all for trying it out.’
‘We were in Minneapolis for an American Dental Association conference about three years ago when we first came across these glasses,’ recalls Ferzin. They then purchased an additional pair (they cost under Rs 20,000) to keep their kids, Jeanine (6) and Zane occupied during their travels.
Today, anxious children and their parents flock to the centre for the promise of a less discomfiting dental procedure.
Addictive, difficult in practice
Not everyone is sold on the concept, though. Dr Bijoy Methil, consultant Cosmetic and Plastic Surgeon at Jaslok and Saifee Hospitals, cannot imagine how anything can be used to distract burn victims from the agony of their treatments. ‘Cleaning and bandaging is extremely painful because the patient’s skin is sensitive. It would be impossible to work without the use of anaesthetics or analgesics,’ he asserts, when we mention the use of virtual reality therapy to alleviate the pain of burn-victims overseas.
‘Besides, with intravenous lines in their hands, how would patients even manage to play a game?’
For Professor RSS Mani, Human Resource Management Educator and Career Mentor, it’s the addictive nature of video games, similar to the after-effects of alcohol, that makes him wary of VR therapy. ‘Precisely because of their distractive nature, video games are more destructive than constructive. If a child takes a video game break while studying, for instance, it’s practically impossible for him or her to regain focus after such a break.’
Although he lauds the research and believes that the ‘restrictive use of such games can be extremely enabling,’ he cautions, ‘Virtual reality games can draw children away from real games. The loss of exercise and social interaction is extremely detrimental to a child’s well being. So, the use of such games must be restricted.’
Less histrionics, perhaps
Varkha Chulani, clinical psychologist, Lilavati Hospital, believes that virtual reality therapy may work by creating ‘powerful distractions’ to shift focus from emotional pain that comes from ‘discomfort created by the mind.’
She explains that the device would be particularly effective with histrionic personality types, ‘in the case of people who tend to exaggerate a difficult situation. Pain management becomes an important facet of their lives and we typically try to change their attitude towards pain through cognitive re-structuring techniques.’
So, is it possible to use VR therapy to target areas of the brain and thereby treat psychological issues? Chulani doesn’t think so. ‘It’s difficult to earmark the areas of the brain that cause psychological disorders, so such a scenario would be unrealistic.’
But Hoffman disagrees. ‘When treating psychological disorders, virtual reality can be used to help patients confront the object, situation, or memories they are currently avoiding and to gradually help them become more comfortable in the presence of the thing they fear.’
Dr Dwarkadas Baheti, professor and head of the Department of Anaesthesia and Pain Management, Bombay Hospital Institute of Medical Sciences and Consultant Pain Physician of Lilavati, Shushrusha and Raheja Hospitals, is in agreement with Hoffman. ‘Distraction is a useful tool especially in the case of acute pain, as experienced by burn victims. It has also been seen to relieve depression,’ he says.
Cosmetic dermatologist and laser surgeon, Dr Apratim Goel is excited by the possibilities offered by VR therapy.
‘In the treatment of extremely painful conditions like Pemphigus, where blisters cover the body or genital Herpes where a change of dressing can be excruciating, VR games could be very helpful, because the sensations of itch and pain occupy the same pathway in the brain. As it would assist in providing pain-relief without causing side-effects, we would certainly opt for such a device when it becomes available here.’
And with Hoffman adding that the University of Washington along with him and his colleague Dave Patterson, are happy to share the SnowWorld software to clinics and hospitals in India if they’re ready to buy the VR helmets/goggles, it just might happen sooner than you think.
More breakthroughs in pain relief
- American company Renewal Technologies announced the issue of its ‘breakthrough pain-relief’ device in September last year. Dubbed, Laser Touch One, the FDA-approved design doesn’t require a prescription. It works by combining low-level-laser and micro-current electrical stimulation to promote the body’s natural healing process at a cellular level.
- Using a remote control worn like a wristwatch, the ReWalk received FDA approval in January. The $50,000 device that Amit Goffer, founder of Argo Medical Technologies, a quadriplegic himself, invented, is a set of mechanical legs attached to a backpack battery that allows paralysed people to walk again.
- Earlier this year, Dr J rg Gerlach and scientists at the University of Pittsburgh announced the development of a revolutionary ‘skin-spray-gun’ that could heal severe burns within days. The gun works by firing stem cells on to damaged skin, so where ordinarily the procedure would require sheets of skin to be grown in a laboratory over a month, stem cells are harvested from a patch of healthy skin, put into a solution and sprayed back on to the affected area in a process that only takes 90 minutes.
Joaquin Delgado a patient from Denver USA came to Dr .Turners Speciality Dental Centers in Mumbai, India, with severely ground down teeth due to Bruxism (involuntary nightgrinding).
A full mouth rehabilitation with All Ceramic (CAD-CAM ) EMAX ( IVOCLAR ) Mini Crowns with conservative preparations restored back not only his bite but also his zest to life. He smiles like never before and below here is his testimonialatient grati. Ptude and appreciation prod this team of “Dental artisans” as Joaquin puts it ,to further excel in their field.
A young girl age 20 years came to Dr. Turners Implant & Cosmetic Dental Center with a traumatic injury to her face.
She was on a university vacation when she slipped from the escalator at an airport in Europe and fell straight on her face which bore the entire impact!
Upon clinical and radiographical examination we found that her upper right central incisor was completely broken down upto the root.
Her upper right lateral also had a fracture of the crown and her upper left central was also fractured.
She was in severe pain when she arrived to our clinic.
The treatment plan we decided for her keeping longevity as our prime consideration due to her age was to extract the upper right central incisor and place an implant in that region.
An emergency root canal therapy treatment for upper right lateral incisor and the upper left central incisor was done.
After which we extracted the upper right central incisor atraumatically and on the same day placed an Ankylos CX (Dentsply GER) Implant in the region.
Solid, stable and reliable for over 25 years…The ANKYLOS c/x implant with its predictable, natural esthetics and top mechanical stability was chosen to rehabilitate this young girl.
Dr. Turner is the opinion leader on the Ankylos Implants and lectures all over the world on Implant dentistry, presenting cases with single tooth restorations, full mouth rehabiliatations with the Ankylos system.
The Inventor of the Ankylos implant system , Prof Hubert Nentwig , is a close friend of Prof Dr.Turner and they both share the same passion for implant dentistry and education.
As we achieved very good primary stability of the implant we decided to place a temporary crown on the implant on the same day.
The implant was allowed to heal for a time span of two and a half months.
Finally after two and a half months we restored her with a Implant supported LAVA (3M USA) Zirconia crown.
On the neighboring root canal treated teeth we placed Emax (Vivadent Ivoclar, Germany) Crowns.
The team at Dr. Turners Dental & Implant Centers not only restored the smile of this young girl but also her zest for a new life!….this is what Dr. Turners strive to achieve everyday – -undyingly & tirelessly .
Traumatic Injury to the Face- Smile View
Implant with Abutment Placement
A confident beaming Smile after restoration of the Implant Crowns and Veneers.
While images on digital screens in his clinics (Byculla, Tardeo and Bandra) show you what dental transformations he can achieve, cosmetically, Dr Ashdin Turner, Associate Professor, Department of Prosthodontics (dental prosthetics), MGM Dental College and Hospital, and co-author of Art and Science of Aesthetic Dentistry attributes his sparkling smile to good old-fashioned oral hygiene.
This father of two tells us that his entire family switched to battery-powered toothbrushes a few years ago, and he highly recommends that others do the same. Citing a study conducted in Iowa University, which was published in the Journal of the American Dental Association, Turner shares that though the gadget was initially devised for individuals with reduced motor skills, “this study established that using it, correctly achieved 67 per cent plaque reduction, as compared to a toothbrush.” Turner points out that changing toothbrushes doesn’t help.
“The brush needs to be held so that the spinning bristles are in contact with the scalloped margins. Let the bristles spin where the gums meet the teeth, on the inside of the tooth as well as outside, so that the teeth and the gums are treated.” Additionally, the Turner family gargles with Colgate Total Plax after every meal and before bedtime, “we brush using the battery-powered toothbrushes and then floss.”
This is the story of our lovely patient and now friend Ms. Reina Couture. Reina met Dr. Turner in Montreal Canada when he was on one of his lecture circuits in Canada.
She explained to him that from an early age of 11 she started with her dental problems and due to financial reasons she lost all her teeth one by one . Reina was a young beautiful exuberant girl and by the age of 20 was wearing dentures. As she told us “ I hated them and they were the reason that robbed me of my smile !” Reina had consulted a few dentists in Montreal who had suggested extensive bone grafts from the hip and reconstructive surgery and finally implants with ceramic teeth….the expenses of all this as she puts it would ve “ forced her to sell her home.”
Reina’s case was undoubtedly very challenging. With extensive bone loss due to wearing dentures for the last 40 years has melted the bone away. However Dr. Turner assured her that if she visited them at their Dental Implant Institute in Mumbai India they could make the impossible …possible!!
And sure they did! After extensive bone grafts and full mouth implant placements Reina got back her smile back she deserved….she threw her Dentures away which were the bane of her normal life. Today Reina has the most beautiful smile that you can ever imagine…with her confidence renewed .When she left for home the last time, she thanked us and said “You All saved my life”.
At the recently conducted European Association of Osseointegration EAO congress in 2013 Oct,Dublin,Dr.Turners actively participated in the scientific sessions and workshops. Infact there are ongoing studies and research done at their Dental Institute and Centers on how to grow bone around implants.How a dental implant interfaces with host bone in either optimal or suboptimal states in variable time spans.
At a recently held conference Dr.Turner addressed the rapt audience with the current scenario in the population in the world plagued with tooth loss …. ‘’ The loss of human teeth and the problems Concomitant have plagued mankind for many years now. Each year millions of people lose their teeth because of decay, disease, accidents, and even old age. About 55 million adult teeth are lost annually in the United States,and it is estimated that up to 30% of all adults have no natural teeth left. Thus, the problem is as real today as in antiquity.” Dental implants come just in time to meet the wants and needs of these patients who treat dental implants no longer as a luxury but a necessary part of their lifestyle. At Dr.Turners Institute dental implants are placed with scientific principles backed evidence in a sterile environment with the help of latest in 3D technology. This gives them an accurate placement ,time after time with no margin of error!
Whenever we talk of cosmetic dentistry the first thing that comes to our minds is either teeth whitening or Ceramic Veneers to brighten a dull smile.
A skilled, experienced cosmetic dentist can help to improve your appearance, your smile, even your self-esteem, and confidence. Today, Dr. Turner has stressed the fact that cosmetic dentistry has continued to evolve to where cosmetic dentists can address functional and esthetic patient concerns. At Dr.Turners Cosmetic Dental Centers in Mumbai they craft beautiful smiles with sound scientific principles and at affordable costs which put together can only spell a success.
At Dr.Turners Dental and Implant Institutes , we are passionate about our patients and uncompromising in our technology. We are uncompromising in their comfort and quality. Put together, it is what makes our patients smile. And it is what makes us even better professionals .Whether your dental needs are simple or as complex, Dr. Turners and their highly qualified, caring team are here to solve them. Come, and enjoy highest quality dental care in a hygienic , clean and sterile environment, unlike anything you have ever experienced!
Porcelain veneers make Dr. Turners patients smiles brighter, more youthful, and even stronger than before. Our team designs and completes head-turning smile makeovers for our patients, with greatly enhanced durability and life-like appearance. Your bright, new smile could be only two appointments away!
How can porcelain veneers in help you? These small porcelain covers are created layer by layer by an experienced dental laboratory ceramist, under the direction of a very qualified cosmetic dentist. Dr.Turners Dental Centers are perhaps the only Center in India that have their very own state of the at Dental technological laboratory . By creating various thicknesses, shades, opaqueness and translucency in each layer their highly qualified ceramists bake a porcelain veneer that actually mimics how our natural teeth are constructed. With new, stronger and thinner materials, Dr.Turners Dental Cosmetic Centers in Mumbai can now be even more conservative with the preparation –yet still experience the same coverage and dazzling, realistic results!
Implant Dentist Mumbai offering latest dental Implants
At a recently held meeting on” Dental Implants and the prosthetic outcomes” conducted by renowned Master technician and Ceramist ,Germany , Mr. Schalansky , Dr. Turners and their associates keenly contributed on the current trend s in implant dentistry in the world with their thoughts and ideas to make this meet a success!
If you are disheartened with the current state of affairs in your oral cavity, or if your dentures are not allowing you to eat, smile and function like a normal human being, then dental Implants are just the answer for you. At Dr.Turners Dental Implant & Restorative Center in India Mumbai we restore not only the natural tooth function and of course your smile but also your confidence and zest to a better quality of life.
A dental implant is a titanium peg, anchored directly in the place of the missing tooth and is the most ideal treatment option to replace a missing tooth. Dental implants are the only option that directly replaces the root of the tooth, not just the tooth itself. During the healing period of around 3 months the titanium implant and bone fuse together forming a very strong and stable bond. After the osseointegration i.e. the healing is complete Dr.Turner fixes a beautiful, natural looking crown on top of the implant , that feels , looks and functions just like your natural teeth!
Dental implants are preferred because they provide stability for the new tooth and minimizes further bone loss when a tooth is missing which Dr.Turners always believe in “If you don’t use bone, you lose bone”. So if you have one or more missing teeth, dental implants may be your best option to restore strength, function and beauty- all in one!
Dr.Turners, have procured their Masters degree in Oral Implantology from the prestigious and world renowned Goethe University in Frankfurt Germany. The talented and highly skilled team is now chosen as mentors for other dentists at the Goethe University In Frankfurt .