- Restorative Dentistry
- Crowns | Bridges | Veneers | Fillings
- Scalling | Fluoride | Root Canal
- Pediatric Dentistry
- Teeth Extractions
Restorative Dentistry - Reclaiming a Healthy Smile
Everyone wants the bright smile and the health benefits that come from oral hygiene. Sadly many people whether through neglect or injury find themselves with less than perfect teeth. This is unfortunate as other than the embarrassment of an imperfect smile, teeth problems can also lead to a host of serious health conditions.
The good news is that modern dentistry offers an array of fast and effective options to deal with any problem with your teeth. If your natural teeth have been damaged, decayed or lost, restorative dentistry can bring back most if not all of their functionality and looks.
Restorative Dentistry, also known as prosthodontics, is the practice of remaking tooth function through the use of such procedures as crowns, bridges, veneers and fillings.
Let's take a look at each in turn.
If you have individual teeth that are damaged, your best option may be a crown. A crown is a porcelain or ceramic shell that covers an unsound tooth. Also known as caps, dental crowns can give a new lease of life to badly damaged or decayed teeth.
The procedure involves shaping the existing tooth to accept the crown. This is done under local anesthetic. Then an impression is made and send to a laboratory for the crown to be made. The crown is matched to the color of existing teeth so that it looks natural.
It can take several weeks for the technicians to create the crown. In the meantime you will be fitted with a temporary crown to allow you to eat as normal.
You then return to the dentist to have your new crown bonded in to place.
A crown procedure takes two to three office visits.
Crowns are not cheap but they typically last for 10 to 15 years or more which means they represent excellent value.
If you have missing teeth and there are sound teeth on either side of the gap, then the best solution is probably a bridge. A bridge is a section of false teeth (known as pontics) bonded to the adjacent teeth with cement. Unlike dentures, bridges are not removed for cleaning.
The procedure involves shaping and crowning adjacent teeth so that the bridge can be fixed to them.
Your pontics will be color matched so as be indistinguishable from your natural teeth.
Bridges include conventional, cantilever and resin bonded. Resin-bonding requires less work done on the adjacent teeth.
Missing teeth can severely impact your appearance as well as the functionality. A gap of just one tooth can affect your occlusion (bite) and lead to complications such as temporomandibular joint disorder (TMJ). Other risks include increased risks of tooth decay and various periodontal problems.
Fortunately, your dentist has many solutions to deal with such problems. However, it's crucial that your deal with the matter as quickly as possible as over time your teeth can shift in your mouth leading to increased problems and making the solution more difficult.
If your teeth are sound and you want the dazzling smile of Hollywood star, veneers could well be for you. They offer a fast and cost effective way to deal with dull, stained or crooked teeth.
A dental veneer is simply a shell that's affixed to the outside of a tooth to mask defects in the underlying teeth. Typical materials for veneers are ceramic, porcelain or composite resin.
Veneers take two main forms - direct, formed directly on your teeth by the dentist, or indirect, created at a dental laboratory. Direct veneers are minimally invasive and best suited for teeth with minor problems
The procedure involves removing part of the existing tooth to accommodate the veneer. Initially your dentist will accurately measure the necessary teeth to ensure a perfect fit. The surface is then prepared and the veneer glued into place
The procedure is generally takes two visits to the dentist. Temporary veneers are applied to protect the tooth between visits.
Another big plus for veneers is that they can eliminate the need for more expensive dental treatment.
Care must be taken not to abuse veneers because the thin porcelain shells or composite layers can be damaged or break.
If the tooth is badly damaged then a crown may be the preferred solution.
Fillings repair and seal damaged or decayed teeth with materials such as porcelain, silver amalgam or gold. Another technique is the use of direct composite bonding using tooth-colored composites to produce a natural finish.
Other than sealing cracks and cavities, fillings can be to smooth and even out the surfaces of the tooth for better appearance and functionality. It can also be an effective treatment so sensitive teeth.
Filling is carried out under local anesthetic. First unwanted areas such as decayed areas are removed using tools or laser. Then the area is prepped to receive the filling. Then a layer of adhesive is applied followed by the filling material itself. Light-cured filling materials are hardened with a blue dental light.
At our London Ontario dental practice we mainly composite resin restorations (white fillings). These are not only more attractive but also healthier.
So if you have any problem with your teeth or gums, do come and see us at our London, ON dental clinic. The days when dentists were primarily tooth pullers are long gone. Nowadays, we only extract teeth as a last resort when any form of restorative dentistry is impossible dues to severe decay, infection or chronic conditions such as periodontitis
Reclaiming a perfect smile can be a extremely positive, even life-changing moment. If you feel you could benefit from the services of a caring and professional London Ontario dentist, please get in touch today.
Periodontics - Healthy Looking Teeth Is Everything
Did you know that the leading cause of tooth loss after the age of 30 is not decay but periodontal disease? What's worse is that up to 80% of the population are believed to suffer from it in some form. That's why the field of periodontics is so important.
So what is it exactly?
Also known as periodontology, periodontics deals with the health of the area around the teeth. This mainly covers the gums but also includes related bone and connecting tissue.
The fact is that real oral health concerns more than just the teeth. The surrounding tissues, especially the gums, play a key role in keeping the teeth healthy and strong.
The major diseases are gingivitis and periodontitis meaning inflammation of the gums and surrounding tissues respectively. Both can have severe consequences but the good news is that both are preventable.
One insidious feature of periodontal disease is that it builds up gradually so many sufferers don't know they have it until it's too late. Tell-tale signs include bleeding around the gum line, bad breath, abscesses and root canal infections. In an advanced state, the teeth can loosen and fall out.
Periodontics is a priority here at our London Ontario dental clinic both in terms of treatment as well as methods to maintain gum health such as scaling and polishing.
The major cause of both caries and periodontal disease is plaque - an invisible film comprising bacteria and food particles that stick to the surface of the tooth. These organisms feed on sugars and produce acids and other harmful by-products which attack the teeth and gums.
Neglected plaque hardens into tartar (calculus) in as little as 12 hours.
Tartar is hard to remove with a toothbrush and floss so a more rigorous procedure known as scaling is required.
Scaling not only removes plaque and tartar but also smoothes the surface of the teeth making it harder for the bacteria to get a foothold. Plus it makes your teeth feel wonderfully smooth and clean.
Scaling is a multistage process. It usually starts of with the use of an ultrasonic device which uses vibration to dislodge the plaque both above and below the gum line. The loosened debris is continually washed away.
Ultrasonics is then followed by manual cleaning with scalers and curettes to remove any remaining deposits. The procedure is followed by a polishing to make the teeth shine.
Here at our London Ontario dental practice we recommend scaling and polishing every six months along with your regular check up.
Fluoride has long played a major role in improving dental health. As an additive to drinking water and a toothpaste ingredient, it has helped protect generations of users against caries.
In addition, topical application of fluoride by your dentist directly to the surface of the teeth helps to strengthen the surface of the teeth and make it more resistant to acid.
Topical fluoride usually comes in the form of foam or gel in a mouth tray which is placed over the teeth and held in place for a few minutes by biting down.
Modern fluoride treatments come in many tantalizing flavors such as such as cherry cheesecake, lemon lime, strawberry kiwi, chocolate vanilla which help make the procedure fun for children.
You need to be careful not to swallow any as it can be toxic in large doses.
Plus you should avoiding consuming anything for an hour or so after treatment.
ROOT CANAL TREATMENT
Root canal is a capillary of tissues that run from the root of the tooth to the middle of the crown. Root canal contains a network of blood and nerve cells that bring life to the tooth. These nerves get damaged due to cavities in the tooth and cavities infected with bacteria. As a result root canal gets inflamed and causes pain. Some of the other reasons that damage the teeth are infection from gums reaching the base of root canal. There are two treatments to cure these infections.
1. Root canal therapy.
2. Pull the tooth, clean the gum below and replace the tooth with bridge or artificial crown.
Root canal therapy has to be done quickly because the bacteria will infect the root canal and spread to the jawbone that may weaken the structure that holds our teeth. The second treatment is done in very rare cases.
The common symptoms that require root canal treatment are
1. Swelling around the teeth.
2. Severe tooth pain
3. Tooth sensitivity on consuming sweets.
4. More pain when eating cold items.
5. Pain may spread even to head and ears.
TYPES OF ROOT CANAL TREATMENT
There are two types of root canal treatment done
1. Surgical root canal treatment
2. Non-surgical root canal treatment
SURGICAL ROOT CANAL TREATMENT:
Surgical root canal treatment is a minor procedure performed under local anesthesia. The doctor identifies the pathological (i.e.) infected portion of gums and performs “curettage”. Curettage means removing the diseased tissue around the root followed by apicoectomy. Apicoectomy is a procedure to remove the infected portion and small filling is placed around the remaining portion of root for some days. Surgical root canal treatment is a good long term prognosis if the infections are removed effectively.
NON SURGICAL ROOT CANAL TREATMENT:
Non surgical root canal treatment is a procedure to save the endodontically failing tooth. Endodontics means diagnosis, prevention and treatment of diseases inside the tooth. In this procedure the patient’s artificial crown is removed and access opening is created to give non surgical access to the root canal space. After the opening is done non surgical treatment requires
1. Locating previously missed canals.
2. Removing and filling old root canal space.
3. Repairing pathological perforations in root.
4. Removing the broken crowns and replacing them.
After these procedures are done, root canal system is disinfected, reshaped and cleaned giving healthy teeth.
ALTERNATIVES TO ROOT CANAL TREATMENT:
The only possible alternative to root canal treatment is extraction of problematic tooth. After tooth extraction the following treatments are done.
1. Restored dental implant.
2. Fixed bridge
3. Removable partial denture.
4. Not replacing the extended tooth.
Childhood is an especially important time for dental health. For one thing, children's teeth have concerns of their own. Plus, most importantly, it gives dental professionals the ideal opportunity to instill a regard for dental hygiene that will last a lifetime.
Oral hygiene is vital for young people for both being able to chew and eat effectively, as well as to look good, a major concern for young people.
Dentistry for Children should focus on prevention with special importance in preventing tooth decay.
As a London Ontario dentist, I consider pediatric dentistry to be a cornerstone of my practice. By reassuring and educating my young patients and putting them at ease, I help them attain a positive attitude towards oral health care which leads to a lifetime of happy smiles.
Are you having problems with your teeth but do not know if they could be removed? If that is so, try to consider the information below for you to be guided.
Candidates of teeth extractions include the following:
• Damaged teeth as a result of cavities or decay. If infection is present the dentist is going to treat the infection first before extracting the teeth involved. This is to avoid spread of infection to other parts of the body.
• If the tooth is blocking other teeth from coming out, that tooth should be removed. This condition could be rare to other people but it could happen. The dentist is going to extract teeth occluding teeth to give way to new growth.
• Individuals with braces are also candidates for teeth extractions to give space for the teeth to fit into place.
Now that you have known if you are a candidate for teeth extractions, you need to know how it is done. Sometimes limited knowledge on the procedure hinders one for submitting himself for tooth extraction. This is because he fears the pain and the procedure itself. It cannot be denied that the mere noise the dentist tools creates make us already fearful. Knowing the procedure avoids these situations.
Although, practices in preparation of teeth extractions vary from country to country, the procedure itself is the same. Generally, if the teeth have no other problems except for it to be removed, the dentist is going to do simple extraction using a local anesthesia. She is going to loosen the tooth back and forth with her forcep when the anesthesia has set in. The tooth is then pulled without pain felt.
In some instance where the position or condition of the teeth provides some difficulties, x ray is done to guide the dentist to come up with the best plan for teeth extractions.