X-rays can show decay that may not normally be seen directly in the mouth, for example: under a filling, or between teeth.
They can show whether you have an infection in the root of your tooth and how severe the infection is.
In children an x-ray can show any teeth which haven’t come through yet, and let the dentist see whether there is enough space for the teeth to come through.
It can show any impacted wisdom teeth in adults that may need to be removed, before they cause any problems.
Remember : You should always tell your dentist if you are pregnant. They will take extra care and will probably not use X-rays unless they really have to, particularly during the first three months.
Nowadays fillings can be natural looking. Many people don’t want silver fillings that show when they laugh or smile because they are more conscious about the way they look.
1) A white composite light cure filling is the most commonly used type of filling these days as it looks very natural and bonds to the remaining tooth tissue very well. A composite white filling can be provided for patients in a single visit.
2) Glass ionomer: Glass ionomer fillings form a chemical bond with the tooth. They may also release fluoride, which helps prevent further tooth decay. This type of filling is fairly weak. Because of this, they are usually used on baby teeth and non-biting surfaces, such as around the neck of the tooth. Little preparation is needed as the filling bonds directly to the tooth
Root canal treatment (also called endodontics) is needed when the blood or nerve supply of the tooth (known as the pulp) is infected through decay or injury. You may not feel any pain in the early stages of the infection.
In some cases, your tooth could darken in colour, which may mean that the nerve of the tooth has died (or is dying). This would need root canal treatment.
Root canal treatment is required when you have following signs and symptoms :
1) A broken tooth
2) Pain in teeth while chewing
3) Discoloured teeth
4) Intense sensitivity to heat, cold or sweet food/drinks
5) Swelling in gums
6) All of the above are symptoms of tooth infection and if it reaches the nerve, one of the ways to treat it is Root Canal Treatment.
7) Root canal therapy is a way of removing dead or dying tissue from the tooth. This stops infection and prevents it from spreading further.
Facts about the treatment!!!
1) A root canal therapy is intended to stop the spread of infection while preserving the natural tooth.
2) Your tooth and roots are not removed. The canals are cleaned and shaped on the inside only.
3) Root canal procedure is not painful
4) Root canal treatment is safe and usually very successful
1) What will my tooth look like after treatment?
In the past, a root-filled tooth would often darken after treatment. However, with modern techniques this does not usually happen. If there is any discolouration, there are several treatments available to restore the natural appearance.
2) What if it happens again?
Root canal treatment is usually very successful. However, if the infection comes back, the treatment can sometimes be repeated.
3) What if I don’t have the treatment?
The alternative is to have the tooth out. Once the pulp is destroyed it can’t heal, and it is not recommended to leave an infected tooth in the mouth.
Although some people would prefer to have the tooth out, it is usually best to keep as many natural teeth as possible.
4) Will the tooth be safe after treatment?
Yes. However, as a dead tooth is more brittle, it may be necessary to restore the tooth with a crown to provide extra support and strength to the tooth.
A dental extraction (also referred to as tooth extraction, tooth pulling) is the removal of teeth from the dental alveolus (socket) in the alveolar bone. Tooth extraction is usually relatively straightforward, and the vast majority can be usually performed quickly while the individual is awake by using local anesthetic injections to eliminate painful sensations.
Extractions can be of two types :
1) Simple extractions where, extractions are performed on teeth that are usually visible in the mouth and they can be extracted using local anesthesia.
2) Surgical extractions involve the removal of teeth that cannot be easily accessed, either because they have broken under the gum line or because they have not erupted fully. Surgical extractions almost always require an incision.
Extractions are performed for a wide variety of reasons :
1) teeth which have become unrestorable through tooth decay, trauma and especially when they are associated with toothache.
2) Severe infection
3) Supernumerary teeth which are blocking other teeth from coming in.
4) Severe gum disease
5) In preparation for orthodontic treatment (braces)
6) Teeth in the fracture line
7) Teeth which cannot be restored endodontically
8) Fractured teeth
9) Sometimeswisdom teeth are impacted (stuck and unable to grow normally into the mouth) and may cause recurrent infections of the gum (pericoronitis).
10) Cosmetic; teeth of poor appearance, unsuitable for restoration
11) Receiving radiation therapy to the head and neck area may require extraction of teeth in the field of radiation.
Complications which might occur after extraction :
1) Complications can arise post extraction. A list of which is as follows :
3) Prolonged bleeding
6) Sinus exposure
7) Trismus( incomplete mouth opening)
8) Nerve injury
9) Dry socket.
Both crowns and most bridges are fixed prosthetic devices. Unlike removable devices such as dentures, which you can take out and clean daily, crowns and bridges are cemented onto existing teeth or implants, and can only be removed by a dentist.
A crown is used to entirely cover or "cap" a damaged tooth. Besides strengthening a damaged tooth, a crown can be used to improve its appearance, shape or alignment. A crown can also be placed on top of an implant to provide a tooth-like shape and structure for function. Porcelain or ceramic crowns can be matched to the color of your natural teeth. Other materials include gold and metal alloys, acrylic and ceramic. These alloys are generally stronger than porcelain and may be recommended for back teeth. Porcelain bonded to a metal shell is often used because it is both strong and attractive.
A bridge may be recommended if you're missing one or more teeth. Gaps left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in a bad bite. The imbalance caused by missing teeth can also lead to gum disease and temporomandibular joint (TMJ) disorders.
Complete dentures can be either "conventional" or "immediate." Made after the teeth have been removed and the gum tissue has begun to heal, a conventional denture is ready for placement in the mouth about eight to 12 weeks after the teeth have been removed.
A removable partial denture or bridge usually consists of replacement teeth attached to a pink or gum-colored plastic base, which is sometimes connected by metal framework that holds the denture in place in the mouth. Partial dentures are used when one or more natural teeth remain in the upper or lower jaw. A fixed bridge replaces one or more teeth by placing crowns on the teeth on either side of the space and attaching artificial teeth to them. This "bridge" is then cemented into place.
Dental hypersensitivity is the excessive sensitivity of teeth to normal stimuli.Usually this presents as pain on stimulation i.e. hot, cold, sweet or pressure.
Sensitivity to hot, cold and sweet things is usually caused exposed dentine.
Sometimes this is in a cavity It is particularly common in the autumn and winter as the weather starts to get colder.
Cyclists and runners are particularly prone to the effects as the cold wind impacts on the necks of the teeth as they breathe hard, drying the surface of the teeth as well.
Certain types of tooth paste and mouthwash can make the exposed dentine more susceptible to sensitivity by over cleaning the teeth and removing the surface layer.
Excessive brushing can have the same effect by mechanically removing the same layer.
Acidic drinks and food dissolve the layer away and cause the same problem.
Today’s orthodontics offer more kinds of braces than ever before. Check out your options :
Metal braces/Traditional braces
These are the metal brackets and wires that are used to align the teeth.
The new heat-activated archwires use your body heat to help teeth move more quickly and less painfully than in the past.
Advantage : Least expensive type; colored bands give kids a chance to express themselves
Disadvantage : Most noticeable type of braces
Ceramic Braces :
Ceramic braces are the same size and shape as metal braces, except that they have tooth-colored or clear brackets that blend in to teeth. Some even use tooth-colored wires to be even less noticeable.
Advantage: Less noticeable than metal braces; move teeth much faster than clear plastic aligners (Invisalign)
Disadvantage: More expensive than metal braces; Brackets can stain easily if patients don’t care for them well More expensive than metal braces; Brackets can stain easily if patients don’t care for them well
Lingual Braces :
Lingual braces are the same as traditional metal braces, except that the brackets and wires are placed on the inside of teeth.
Advantage: Invisible from outside
Disadvantage: Difficult to clean; more expensive; not appropriate for severe cases; can be more uncomfortable at first; regular adjustments take longer and are more difficult than with traditional braces
Invisalign : Invisalign consists of a series of 18 to 30 custom-made, mouth guard-like clear plastic aligners. The aligners are removable and are replaced every 2 weeks.
Advantage: Almost invisible; Patients can eat and drink whatever they want
Disadvantage: Will not work for serious dental problems; only available for adults and teens, not children; more expensive option; can be easily lost and costly to replace; treatment may potentially take longer9
Gum disease: A Bigger Problem
Also sometimes termed as pyorrea.
Gum disease can wreak havoc on your mouth, but it can also cause other health concerns.
Research has linked gum disease to problems such as heart disease, osteoporosis, stroke, and complications with diabetes.
Because the symptoms are initially mild, many people don’t realize they have gum disease, which can allow the condition to worsen.
You may have an increased risk for gum disease if you smoke, have diabetes, take certain medications, endure excessive stress, or don’t eat properly.
What to Look For :
Bleeding from gums while brushing or flossing
Loose or separating teeth
Presence of pus between the gum and tooth
Chronic halitosis (bad breath)
If caught in the early stages, your dentist can reverse gum disease.
To begin, the dentist will scale the teeth to remove plaque and calculus, and plane the roots to smooth them.
Advanced cases may require your dentist to surgically trim the gums, disinfect the tissue, remove the hardened plaque build-up, and re-contour the damaged bone.
Prevention : The best prevention is taking proper care of your teeth and gums. Good brushing habits, regular flossing, and routine dental visits will go a long way to avoiding periodontal disease.
Office Cleaning/Topical Flouride Application For Caries Prevention for caries prevention.
Tooth Colored Filling
Appling Dental Sealants
Pulp Treatment for Painful Teeth (pediatric root canal treatment)
Space Maintainers : to prevent drifting of teeth
Preventing tooth decay : We advise parents to avoid the consumption of milk when falling asleep. Babies who require the use of a bottle for comfort before bed time should be given a dummy or water as a protective alternative.
Is a healthy diet important?
Encouraging children to eat healthy foods is vital in the prevention of emerging problems with teeth and gums. A child should ideally see a dentist for a routine check-up once every 6-12 months as regular dental visits are very important in running an effective preventative programme.
Dentists use sealants to help prevent tooth decay. Sealants are made of clear material and are applied to the chewing surface area of the tooth. Some teeth tend to have depressions and grooves which are difficult for the child to clean.
quick, painless, and can be effective for many years if your child practices good oral hygiene and avoids biting hard objects.
Modern Replacements for Missing Teeth :
1) we provide dental implant treatment for people who have lost a tooth as a result of decay or an accident.
2) Dental implants are titanium metal rods that are placed into the jawbone as a replacement for a missing tooth. The installations can be used to support one or more false teeth and have been proven to remain in place on a long-term basis.
3) Patients who have undergone the procedure may feel slight discomfort at first, but are then able to eat and drink as normal while regaining the ability to speak without difficulty.
4) Dental implants can replace missing teeth and allow patients to lead the full, active lives they deserve.
5) Bone grafts often needed when there is not enough bone available to install an implant. This process is an ongoing issue for people who have dentures as a result of the changing shape of the jaw when a patient loses their natural teeth.
6) During this procedure, the bone grafting material provides a stimulus for the existing bone to grow onto, which will eventually provide an environment suitable for the placement of dental implants.
7) A similar treatment that adds bone to the upper jaw is a Sinus lift.
8) As part of this process, patients will undergo surgery to separate the maxillary sinus lining from the jaw by gently pushing the two tissues apart.
9) Following this, granules of bone-graft material will be packed into the place where the sinus was previously located and then closed with stitches. After the operation, patients usually need six to nine months to heal before a dental implant can be placed.
10) Overdentures are attached and supported by dental implants when a patient does not have any teeth remaining in the jaw. The removable nature of this type of denture means it is extremely convenient to clean efficiently.
11) During this process, two to four dental implants are placed in the bone at the front of the mouth in order to provide as much support as possible for the overdenture using either bar-retained or ball-retained methods.
12) Overall, the procedure takes a few months but it could take up to a year, particularly if bone grafting or any alternative preliminary treatments are required.
Overdentures are attached and supported by dental implants when a patient does not have any teeth remaining in the jaw. The removable nature of this type of denture means it is extremely convenient to clean efficiently.
During this process, two to four dental implants are placed in the bone at the front of the mouth in order to provide as much support as possible for the overdenture using either bar-retained or ball-retained methods.
Overall, the procedure takes a few months but it could take up to a year, particularly if bone grafting or any alternative preliminary treatments are required.
Temporo-mandibuar joint (TMJ) headaches are a common sign of teeth grinding and are usually treatable with:
the replacement of missing teeth,
the adoption of relaxation techniques,
wearing an anti-grinding appliance
or using prescribed medication..
1) At our Dental Clinic we are able to investigate this issue and provide a soft or hard night guard to prevent the patient from grinding their teeth during the night.
s 2) It may also be necessary for some individuals to change the technique they use to brush their teeth, with some tooth wear caused by the use of an incorrect brush. This issue, which is referred to as abrasion, can cause the gums to recede and make the teeth more sensitive to cold air.
s 3) In abrasion cases, we can cover the exposed root surface using a composite resin filling, which is effective in reducing the tooth sensitivity and providing relief for patients.
s 4) Alternatively, individuals who grind their teeth could benefit from the use of a device, which is a clear plastic fixture that fits over the top two front teeth. By wearing this installation during the night, clenching becomes virtually impossible, thus reducing the damage caused to teeth.
s 5) Wearing this solution, which is available from our Clinic, can result in the suppression of the clenching reflex and can completely eradicate morning headaches, neck pain and jaw ache associated with teeth grinding and clenching.