Dental Care in Old Age

As we gracefully age, maintaining good health becomes a priority, and oral health is no exception. Geriatric dentistry, a specialized field catering to the unique dental needs of older adults, plays a pivotal role in ensuring a healthy and happy smile well into the golden years.

Challenges with aging:

  1. Tooth Decay and Cavities: Changes in saliva composition and diminished oral hygiene practices can lead to an increased risk of tooth decay and cavities.
  2. Gum Disease: Periodontal disease becomes more common with age, posing a threat to the foundation of our teeth. Regular check-ups and preventive measures are crucial in combating gum issues.
  3. Dry Mouth: Medications commonly prescribed to seniors often cause dry mouth, creating an environment conducive to dental issues. Hydration and tailored oral care are vital in managing this condition.
  4. Oral Cancer: The risk of oral cancer rises with age. Routine oral cancer screenings can aid in early detection and effective treatment.

The Role of Geriatric Dentists:

Geriatric dentists are trained to navigate the unique challenges of providing dental care for older adults. Their expertise goes beyond routine check-ups and cleanings; they understand the complex interplay between oral health and overall well-being. It includes:

  1. Comprehensive Oral Examinations: Thorough assessments to identify potential issues early on and create personalized treatment plans.
  2. Denture Care: For those with dentures, geriatric dentists ensure proper fit, comfort, and function, preventing issues like sore spots and difficulty chewing.
  3. Patient Education: Empowering seniors with the knowledge and tools to maintain good oral hygiene at home, including proper brushing, flossing, and the use of oral rinses.
  4. Sensitivity Management: Seniors may experience increased tooth sensitivity. Geriatric dentists can recommend desensitizing toothpaste, fluoride treatments, or other solutions to alleviate discomfort.
  5. Collaboration with Healthcare Providers: Geriatric dentists often work in tandem with other healthcare professionals to integrate dental care into the broader spectrum of a patient’s health management.
  6. Oral Cancer Screenings: Geriatric dentists perform routine oral cancer screenings to detect any signs of abnormal tissue growth early on. Early detection is the key for successful treatment outcomes.

At Teeth Care Centre, Dr. Pankti Patel, the best dentist in Ahmedabad, provides unbiased advice for old adults as well. She has been extensively trained in all the procedures required as per geriatric dentistry.  Patience is the key in geriatric dentistry. In the symphony of healthcare, geriatric dentistry plays a crucial melody, harmonizing the unique needs of older adults with the principles of oral health. By understanding and addressing the specific challenges faced by seniors, geriatric dentists contribute to the overall well-being of an aging population.

Bone Grafting

In the realm of dentistry, bone grafting stands out as a remarkable and transformative procedure, offering a lifeline to those grappling with insufficient bone structure. Whether caused by tooth loss, trauma, or congenital factors, a diminished bone foundation can pose significant challenges for dental procedures like implants.

What is a bone grafting?

Bone grafting is a surgical procedure that involves transplanting bone tissue to repair or rebuild bones that have been damaged or lost. In the context of dentistry, it plays a pivotal role in addressing various oral health issues, particularly those related to bone loss in the jaw.

Types of Bone Grafts:

  1. Autografts: Autografts involve harvesting bone from the patient’s own body, often from the hip, jaw, or tibia. Autografts are considered the gold standard due to their compatibility and reduced risk of rejection.
  2. Allografts: Allografts use bone tissue from a donor, which may be human or animal-derived. While allografts are more readily available and eliminate the need for a second surgical site, they may carry a slightly higher risk of rejection.
  3. Xenografts: Xenografts involve the use of bone tissue from animals, typically bovine or porcine sources. The graft material is specially treated to minimize the risk of rejection.
  4. Synthetic or Alloplastic Grafts: Synthetic grafts are composed of materials such as hydroxyapatite or other biocompatible substances. These grafts eliminate the need for harvesting bone from the patient or a donor but may lack the osteoinductive properties of natural bone.

Indications for Bone Grafting:

  1. Tooth Extractions: Bone grafts are often performed immediately following tooth extractions to prevent bone loss and preserve the surrounding structure.
  2. Dental Implants: In cases where the jawbone lacks the necessary density or volume to support dental implants, bone grafting is employed to fortify the site.
  3. Congenital Defects: Individuals born with craniofacial anomalies or defects may undergo bone grafting to enhance facial aesthetics and functionality.
  4. Trauma or Injury: Accidents or facial trauma can result in significant bone loss, necessitating grafting to restore both form and function.
  5. Treatment of Periodontal Disease: Severe periodontal disease can result in bone loss around teeth. Bone grafting facilitates the regeneration of lost bone, aiding in the treatment of periodontal issues.

Bone Grafting Procedures:

  1. Socket Preservation: After a tooth extraction, socket preservation involves placing bone graft material in the empty socket to prevent bone loss and maintain the jaw’s natural contours.
  2. Sinus Lift: This procedure is employed when there is insufficient bone height in the upper jaw for dental implants. The sinus membrane is lifted, and bone graft material is placed to augment the bone.
  3. Ridge Augmentation: Used to correct deformities in the jawbone, ridge augmentation involves adding bone graft material to a deficient ridge to enhance its size and shape.

Benefits and Considerations:

  1. Improved Aesthetics: Bone grafting enhances facial aesthetics by restoring natural contours and proportions.
  2. Enhanced Implant Success: Grafted bone provides a stable foundation for dental implants, increasing the success rate of implant procedures.
  3. Preservation of Facial Structure: Prevents the collapse of facial features that may occur due to bone loss, maintaining a youthful appearance.
  4. Versatility: Bone grafting techniques can be tailored to meet the specific needs of each patient, making it a versatile solution for various dental challenges.

At Teeth Care Centre, under the expert care of Dr. Pankti Patel, the chief dentist of TCC, our team of experienced maxillofacial surgeons perform bone grafting procedures, for the best outcome of the treatments. Bone grafting in dentistry represents a remarkable leap forward in the quest for effective solutions to address bone loss in the oral cavity. From ensuring the success of dental implants in Ahmedabad to preserving jaw structure and treating periodontal disease, this procedure has become an invaluable tool in the hands of dental professionals. As technology advances and research continues, the future holds even more promising developments in the field of bone grafting, paving the way for enhanced oral health and improved patient outcomes.

Do I need a Jaw Surgery?

Jaw surgery, also known as orthognathic surgery, is a transformative procedure designed to address a range of conditions related to the alignment of the jaw. Whether prompted by functional issues, aesthetic concerns, or a combination of both, jaw surgery can significantly improve oral health and enhance overall well-being.

Indications for Jaw Surgery:

  1. Severe Misalignment: Jaw surgery is often recommended for individuals with severe misalignments of the upper and lower jaws that cannot be fully corrected through orthodontic treatments alone.
  2. Bite Irregularities: Conditions like overbite, underbite, and crossbite that impact the functionality of the bite and overall oral health.
  3. TMJ Disorders: Temporomandibular Joint (TMJ) disorders causing chronic pain, jaw clicking, and limited jaw movement.
  4. Facial Asymmetry: Jaw surgery can address facial imbalances and asymmetry, creating a more harmonious appearance.
  5. Obstructive Sleep Apnea: In cases where sleep apnea is caused by structural issues in the jaw or airway, surgery may be recommended.

Types of Jaw Surgeries:

  1. Maxillary Osteotomy (Upper Jaw Surgery): This procedure involves repositioning the upper jaw (maxilla) to correct issues such as an open bite, overbite, or asymmetry. It can also address facial imbalances and improve the aesthetics of the mid-face.
  2. Mandibular Osteotomy (Lower Jaw Surgery): Mandibular osteotomy involves repositioning the lower jaw (mandible) to correct conditions like an underbite, crossbite, or asymmetry. This surgery can enhance jaw function and facial harmony.
  3. Genioplasty (Chin Surgery): Genioplasty focuses specifically on the chin. It may involve repositioning or reshaping the chin to improve facial balance and aesthetics. Genioplasty can be performed independently or in conjunction with other jaw surgeries.
  4. Bimaxillary Osteotomy (Two-Jaw Surgery): This comprehensive procedure involves repositioning both the upper and lower jaws simultaneously to address complex misalignments and achieve overall facial harmony. Bimaxillary osteotomy is often recommended for more severe cases.
  5. Orthognathic Surgery for Sleep Apnea: In cases where obstructive sleep apnea is related to jaw or airway issues, orthognathic surgery may be recommended to reposition the jaws and improve airflow, reducing or eliminating sleep apnea symptoms.
  6. TMJ Surgery (Temporomandibular Joint Surgery): For individuals with severe temporomandibular joint disorders, surgery may be considered to address structural issues within the joint. This can involve joint repositioning or other corrective measures.
  7. Distraction Osteogenesis: Distraction osteogenesis is a technique where the jawbone is gradually lengthened or widened over time. This can be used in both the upper and lower jaws to address certain congenital or acquired deformities.
  8. Revision Jaw Surgery: In some cases, individuals may require additional surgery to address issues that persist or develop after initial jaw surgery. This is known as revision jaw surgery.
  9. Cosmetic Jaw Surgery: Cosmetic jaw surgery may be performed primarily for aesthetic purposes, addressing facial asymmetry, proportionality, or other features that the individual wishes to enhance.
  10. Jaw Joint Replacement (Total Joint Replacement): In severe cases of temporomandibular joint dysfunction, where conservative treatments are ineffective, joint replacement surgery may be considered to replace the damaged joint with an artificial one.

The Jaw Surgery Process:

  1. Consultation and Evaluation: A thorough examination, including imaging and 3D modelling, to assess the extent of the jaw misalignment and plan the surgery.
  2. Orthodontic Preparation: Many patients undergo orthodontic treatment before surgery to align the teeth properly, making the surgical process more effective.
  3. Surgical Procedure: Jaw surgery is typically performed under general anaesthesia. Surgeons reposition the jawbones to achieve the desired alignment, using techniques tailored to the specific needs of the patient.
  4. Recovery and Post-Operative Care: Expect a recovery period of several weeks to months. Post-operative care includes managing pain, swelling, and adhering to dietary restrictions. Follow-up appointments are crucial for monitoring progress.

Life after Jaw Surgery:

  1. Improved Functionality: Enhanced ability to bite, chew, and speak properly, addressing functional issues caused by jaw misalignment.
  2. Aesthetic Enhancements: Improved facial symmetry and aesthetics, boosting self-confidence.
  3. Long-Term Oral Health Benefits: Correction of issues that could lead to long-term oral health problems if left unaddressed.

Considerations and Alternatives:

  1. Alternative Treatments: In some cases, alternative treatments such as orthodontics or non-surgical jaw correction may be considered.
  2. Consultation with Specialists: Collaboration with orthodontists, maxillofacial specialists, and other specialists is essential for a comprehensive evaluation and treatment plan.

At Teeth Care Centre, Dr. Nirav Patel, the best orthodontist in Ahmedabad, is the only orthodontist in Gujarat, who does Lateral Cephalometric Analysis before starting any case. Lateral Cephalometric analysis is a crucial step before starting any orthodontic treatment, and to know the growth of jaw bone. We also have a team of experienced oral and maxillofacial surgeons who along with Dr. Nirav Patel, guide you better in such cases. Deciding whether jaw surgery is necessary is a personal choice that involves careful consideration of the severity of your jaw misalignment, its impact on your life, and the available treatment options. If you’re considering jaw surgery, consult with a team of experienced professionals who can guide you through the process, assess your unique needs, and help you make an informed decision about this life-changing procedure.

Is toothpaste important to use?

In the realm of oral care, toothpaste takes centre stage as a daily companion in our quest for a radiant smile and optimal dental health. While its primary function may seem straightforward – to clean our teeth – there’s much more to toothpaste than meets the eye.

Toothpaste is more than just a pleasant-tasting substance; it’s a carefully crafted blend of ingredients designed to target specific oral health issues. The primary components include abrasives, detergents, humectants, binders, flavouring agents, and therapeutic agents. Abrasives, such as calcium carbonate or silica, help remove plaque and stains, while detergents like sodium lauryl sulphate create the foaming action that aids in spreading the toothpaste and reaching all surfaces of the teeth.

The Importance of Proper Brushing Technique:

Toothpaste is most effective when used in conjunction with proper brushing technique. Dentists recommend brushing for at least two minutes, twice a day, using a soft-bristled toothbrush. Applying the right amount of toothpaste (a pea-sized amount for adults and rice grain size amount for children) ensures optimal cleaning without unnecessary waste.

Common types of toothpaste:

  1. Fluoride Toothpaste: The most common type of toothpaste, fluoride toothpaste, contains fluoride as a key ingredient. Fluoride helps strengthen tooth enamel, preventing tooth decay and cavities. It is suitable for individuals of all ages, unless there are specific reasons to avoid fluoride.
  2. Whitening Toothpaste: Designed to remove surface stains and lighten the color of teeth. It contains abrasives and sometimes additional whitening agents. It is for those looking to enhance the whiteness of their teeth. It’s important to note that excessive use may lead to tooth sensitivity.
  3. Sensitive Teeth Toothpaste: Formulated to alleviate tooth sensitivity by desensitizing nerve endings. It contains ingredients like potassium nitrate or strontium chloride. Individuals with sensitive teeth who experience discomfort with hot, cold, or sweet stimuli can benefit from it.
  4. Gum Health Toothpaste: Geared towards preventing and reducing symptoms of gum disease. It may contain antibacterial agents and anti-inflammatory substances. Those with gingivitis or prone to gum issues use these toothpastes.
  5. Children’s Toothpaste: Typically has a milder flavor and lower fluoride content suitable for young children. It often features popular cartoon characters to make brushing more enjoyable. Children who are learning to brush their teeth; parents should supervise to prevent swallowing.
  6. Natural or Organic Toothpaste: Formulated with natural ingredients, avoiding artificial additives, sweeteners, and preservatives. The individuals seeking a more natural approach to oral care or those with sensitivities to certain chemicals should use these toothpastes.
  7. Tartar Control Toothpaste: Aimed at preventing the formation of tartar (hardened plaque) on teeth. Contains ingredients like pyrophosphates. Individuals prone to tartar build-up, which can contribute to gum disease might find it helpful.
  8. Herbal Toothpaste: Formulated with herbal extracts like eucalyptus or tea tree oil for their potential antimicrobial properties and natural flavors. Those individuals who prefer a more herbal or botanical approach to oral care can use it.
  9. Prescription Toothpaste: Some toothpaste formulations are available by prescription and may contain higher concentrations of certain ingredients for specific dental conditions. Individuals with advanced gum disease or other dental conditions requiring specialized care and thus might require these after consulting a dental professional.

At Teeth Care Centre, Dr. Pankti Patel, the best dentist in Ahmedabad, always suggests patients to brush twice a day to keep their oral health better and prevent tooth decay with fluoridated toothpastes, along with flossing and using mouthwash for the best results. Toothpaste is a daily essential that goes beyond mere oral hygiene. It’s a tailored solution to your unique dental needs, a defender against cavities, and a key player in maintaining a dazzling smile. The next time you squeeze that ribbon of toothpaste onto your toothbrush, remember that you’re not just cleaning your teeth – you’re embracing a personalized oral care routine that contributes to your overall well-being.

Invisalign Clear Aligner Clinic in Ahmedabad India

Nothing beats a sincere and honest smile. Throughout your day-to-day life an enhanced incredible smile can give you more confidence and enable you to feel happier along with making the best impression and also boost up your confidence.
What your smile could look like after aligner treatment?

Invisalign Free Scan ahmedabad



A new smile simulator tool will show you how you will look after having aligner treatment. Just Click Here for a complimentary 3D digital scan & smile simulation to see your new smile before starting treatment.

Are You A Candidate For Aligners?

INVISALIGN AHMEDABAD INVISIBLE BRACES ORTHODONTIST NIRAV PATEL

Do you want pain, painful ulcers, food restrictions, discomfort, every month visit to the orthodontist, long treatment duration, brushing after every meal, bad oral hygiene, white spots on teeth, cavities, swollen gums, and unaesthetic visible braces?

If your answer is ‘NO’, Invisible Aligner is the option for you.

What Are Invisible Aligners?
Invisible aligners are the optimum way to change your smile without affecting your lifestyle. Many people who want straight teeth never go through with treatment because they just don’t like the way braces look.

Invisible Aligners straightens patient’s teeth without the wires and brackets associated with metal braces, making it especially discreet. The process involves a series of computer-generated, clear, removable aligners worn to straighten the teeth. Each set of aligners gently guides the teeth into place and is worn for approximately 7 to 14 days before moving on to the next in the series.

What are the Advantages of Aligners over Braces?
While both braces and aligners can help straighten teeth. Take a look at the comparison chart below.

Braces (Fixed)VsAligners (removable)
Metal – silver
Ceramic – White
ColourClear/invisible
2XTreatment durationX
Every monthFollow up visits Not required
YesFood RestrictionsNo
YesPainNo
YesIrritate cheeks and gumsNo
DifficultBrushing / FlossingEasy
CompromisedOral health during treatmentHealthy
Local Braces:Rs. 35000 to 60000International Braces:Rs. 75000 to 200000CostRs. 60000 to 400000
invisalign ahmedabad dr nirav patel provider india teeth care centre pankti patel clear aligner gujarat top no1

What is Invisalign?
All clear aligners are not Invisalign®. Invisalign® is a brand by Align Technology, USA. Invisalign® is a brand of Invisible aligners that is used to straighten teeth instead of braces. Main reason that patients opt for Invisalign® is that they are invisible. Invisalign® treatment was introduced nearly 20 years ago and its name is almost synonymous with all clear aligners. These all other brands follow the same fundamental concept that is similar to Invisalign® in order to straighten teeth.

Why Invisalign® is the most advanced clear aligner system?
Invisalign® system is world’s best, comfortable and convenient orthodontic treatment. Over 8000000 people worldwide have already used this system.

  • Invisalign® treatment transforms smiles through pioneering research.
  • Only Invisalign® clear aligners are made of SmartTrack® material that fits snugly around teeth and also they are more comfortable and easier to put on and take off.
  • More predictable (75% more predictability) results based on years of R&D and intelligence from millions of patients.
  • SmartForce® Attachments apply the right amount of force in the right direction.

What is the difference between Invisalign® and other clear aligners?

InvisalignVsOther Aligners
22 HrsWear Time22 Hrs
SmartTrackAligner MaterialRegular Rigid
7 DaysDuration Per Tray14 Days
LessNumber Of TraysMore
Very HighComfortNot At All
YesAll Trays In One GoNo
LessLag PhaseMore
Upto 95%Treatment Prediction In Simple CaseUpto 45%
Upto 90%Treatment Prediction In Complex CaseUpto 30%
FeasibleComplex TreatmentNot Feasible
Child, Teen, AdultAge GroupAdult
YesControlled Tooth MovementNo
CanBone GrowthCan Not
YesFor Abroad PatientsNo
Yes3D Progress SimulationYes
HighCostLow

The Risks of At-Home DIY (Do It Yourself) Aligners
Orthodontist not only straightens smiles with clear aligners, but also focuses on other issues like teeth grinding or clenching, airway issues, prolapsed molars, and more – things at home DIY clear aligners without orthodontists don’t address all these issues. The American Dental Association (ADA), the American Association of Orthodontists (AAO) have all issued consumer warnings against at-home aligners. If you want to straighten your teeth, then talk to an orthodontist.

direct to customer aligner cons negative disadvantages ahmedabad teeth care centre dr nirav patel orthodontist invisalign satellite paldi
drawback of at home diy clear aligners health issues without orthodontist specialist dentist


How to find Right Invisalign specialist provider in Ahmedabad?
The best place to begin your search for an Invisalign provider in satellite is on the find a preferred provider page at Invisalign ® official site. Enter your city name, and you will get a list of results of Invisalign providers (orthodontists) in your area.

invisalign ahmedabad elite gold diamond itero silver platinum red black diamond providor india nirav patel

How much does Invisalign cost in India?
The typical price of Invisalign® braces is usually a bit higher than regular braces. The average cost, according to the manufacturer, is between INR 100000 to 400000. The factors that come into play are the extent of the alignment your teeth require and how many aligners you need throughout the treatment. Most insurance plans cover Invisalign just as they would regular braces.

CITYPRICE
Mumbai, Delhi, Bangalore180000 – 400000
Chennai, Pune, Hyderabad, Noida165000 – 375000
Kolkata, Chandigarh160000 – 350000
Ahmedabad – Other Clinics130000 – 320000
 Ahmedabad – Teeth Care Centre*Fixed Price As Below
Very Mild Case – 7 Trays – Invisalign ExpressDo Not Provide
 Mild Case – 14 Trays – Invisalign Lite150000
Moderate Case – 26 Trays – Invisalign Moderate220000
Complex Case – Unlimited Trays – Invisalign Comprehensive250000
Invisalign Essential (Old Material & Old Technology Aligners)Do Not Provide

*Teeth Care Centre rates includes all scans/impressions, all simulations, all scalings, refinement trays,  premolar extractions, follow up visits and 2 sets of retainers.

Most Economical:

Teeth care Centre®, leading provider of invisalign in India provides this treatment at very affordable rates. We get a huge benefit of costs from a company which is passed on directly to the patients, So don’t stay back in your town or country; travel to us and grab this opportunity to save a huge amount on your Invisalign® treatment. You just need 2 to 4 appointments. Patients from cities like Mumbai, Delhi, Ahmedabad, Chennai, Bengaluru, Rajkot, Noida, Vadodara, Pune, Surat, Hyderabad, Gandhidham; and Patients from Countries like USA, UK, Canada, Australia, New Zeland, Dubai, UAE also visit Teeth Care Centre® for aligner treatment just because its very economical [almost 30% less] as compared to home city/country and less visits required.

invisalign prefered provider ahmedabad silver gold diamond platinum bronze vip best top no1

Why Teeth Care Centre For Clear Aligners?
One of the main factors that one should consider when it comes to using aligners for orthodontic treatment is the skill level of the provider offering the treatment. Achieving a great outcome is directly tied to the provider’s understanding of the right technical aspects of clear braces / aligner treatment. We use aligners with BPA-FREE materials. 
Dr. Nirav Patel:
Dr. Nirav Patel (B.D.S., M.D.S., Ph.D., LL.B., F.O.I., F.P.F.A.) at Teeth Care Centre ® is an expert and pioneer [Among the first 10 aligners providers in India] invisible braces specialist, exclusive into invisible aligner practice. Dr. Nirav Patel is globally recognized as an excellent clinician with 20+ years of clinical experience.
Former Professor Dr. Nirav Patel is also a passionate teacher and clinical researcher with more than 10 years of teaching experience in dental college.

Dr. Nirav Patel is a certified Invisalign doctor in Ahmedabad
– First to start clear aligner orthodontics in Gujarat.
– Highest provider of clear aligners in Gujarat.
– Highest clear aligners provider in Ahmedabad, Surat, Vadodara, Rajkot.
– Certified ELITE provider with many international brands.
– Multi-Award winner ( Best orthodontist of Ahmedabad )

VISIT 1: Taking Orthodontic records which includes case history, oral pictures, impressions of your teeth and X-rays for doing analysis.

VISIT 2: Treatment plan discussion and 5D scanning of teeth.
– Video will be send to you showing your smile transformation.
VISIT 3: Invisalign® trays will be delivered.

Contact Us:

Teeth Care Centre, 2nd Floor, Pushpak66, Near Someshwar Jain Temple, 132ft Ring Road, Satellite, Ahmedabad 380015, India.
Call: +917878783384 | +919377783384
http://www.teethcarecentre.com/contact

clear aligner invisalign review testimonial orthodontist braces treatment
dr nirav patel satellite ahmedabad surat rajkot vadodara india provider clearcorrect
invisalign treatment ahmedabad dental clinic satellite paldi bopal thaltej navrangpura orthodontist aligner review testimonial dr nirav patel (31)
invisalign ahmedabad aligner dr nirav patel pankti patel orthodontist satellite paldi thaltej navrangpura review testimonial happy patient teeth care centre specialist
invisalign treatment ahmedabad dental clinic satellite paldi bopal thaltej navrangpura orthodontist aligner review testimonial dr nirav patel (2)
invisalign ahmedabad aligner dr nirav patel orthodontist satellite paldi thaltej navrangpura review testimonial happy patient specialist japan korea
rating
Invisalign Ahmedabad nirav patel orthodontist braces clear aligner cosmetic celebrity dentist teeth care centre
invisalign ahmedabad best orthodontist braces treatment top cental clinic dr nirav patel aligner clear tray economical top provider flash orthodontics clear correct (2)
invisalign ahmedabad best orthodontist braces treatment top cental clinic dr nirav patel aligner clear tray economical top provider flash orthodontics clear correct (3)
invisalign ahmedabad best orthodontist braces treatment top cental clinic dr nirav patel aligner clear tray economical top provider flash orthodontics clear correct (4)
invisalign ahmedabad satellite rajkot surat vadodara india dr nirav patel orthodontist clear aligners invisible braces teeth care centre
invisalign ahmedabad dr nirav patel provider clear aligner gujarat surat, vadodara rajkot flash clear correct invisible braces orthodontist kline