Periodontics

Periodontics

 

Is a dental specialty dedicated to the health of gums and the surrounding tissues.

The periodontium refers to the structures that support the teeth that being the periodontal ligament bone and gums. Healthy gums that surround the teeth allow the mouth to do is function. Completely healthy gums are characterized by being coral pink in color, covers completely the root of the tooth, and does not bleed with brushing.

 

Inflamed gums or painful gums can indicate the presence of gum disease such as gingivitis or periodontitis. Both are caused by the accumulation of bacterial plaque in the area where the gum meets the tooth.

 

Bacterial plaque is formed when bacteria accumulates due to a poor brushing technique. With time, bacteria and saliva form deposits or calculus. Bacterial plaque is the principal cause of the gum disease. Other factors include tobacco, genes, heart disease, arthritis, Diabetes, Stress, Certain medicines, Poor nutrition and obesity.

Beautiful wide smile of young fresh woman with great healthy white teeth. Isolated over white background
Healthy woman teeth and a dentist mouth mirror

In order to determine the diagnosis of periodontal disease it is necessary to perform an exhaustive evaluation of each case. We recommend exploring a series of parameters in order to establish a precise diagnosis.

 

Periodontal treatment has various phases:

Oral hygiene instruction in which the patient learns to correctly brush and care for their teeth. Using a correct brushing technique, patients are able to control the accumulation of bacterial plaque.

 

Scaling and root planning by quadrants. It consists of the mechanical removal of bacterial plaque and deposits. The objective of quadrant root planning and scaling is to reduce gingival inflammation. It is done in various sessions.

 

Periodontal surgery or gum surgery. Its objective is to reduce the amount of bacterial plaque, to improve hygiene and to regenerate supporting tissues using biomaterials.

Prosthetics

Crowns / Bridges 

 

Teeth that have been damaged, worn, or suffered major decay can be totally restored to their original beauty and functionality with a crown. Crowns, known also as ‘caps’, are ideal not only for enhancing the appearance of a damaged tooth, but for protecting the remaining root and tooth soft tissue as well. Crowns are made of porcelain or precious metals, or a combination of these materials. Crowns are also used to cover discolored fillings and to add strength to a weakened tooth.

 

A crown or a bridge is a cap that is placed over a tooth and held in place by dental adhesive or dental cement to treat problems of decay, fractured teeth and malocclusion, as well as to protect teeth which have undergone root canal treatment or large fillings. They can also be used to change tooth color and shape.

 

Crowns are used for severs reasons:

 

  • Gives protection for badly decayed or fractured teeth
  • As a permanent restoration for teeth with large fillings
  • To correct minor problems in natural teeth like spacing, irregular shape or severe discoloration
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Illustration of a dental bridge

Procedure

 

A normal process for a full crown restoration needs 2-3 appointments. Although the majority of crowning treatments are completed in two visits, there is sometimes a need for a third visit, to ensure that it is properly fit.

 

On the first visit, the tooth will be reshaped by filing down the tooth so that the crown can be placed over it. You will be given a local anesthetic before this part of the procedure so that no discomfort is experienced. Next, a mold will be taken of that tooth and of the surrounding teeth to be sent to the lab for the crown fitting. A temporary crown will be placed until the permanent one is ready.

 

The second visit sees the placement of the final restoration and the permanent crown will be fitted comfortably into the mouth. Every effort will be made to ensure that the new tooth feels exactly like one of your natural teeth before going to the final step, which is to cement the crown into your mouth.

Bridges

 

A bridge (also known as a fixed partial denture) is planned when one or more teeth are missing and there are healthy teeth on both sides of the open space.

 

Porcelan fused to metal  (PFM)

 

Porcelain fused to metal (PFM) is a tooth-colored bridge with high strength. Unlike an all-ceramic bridge, the metal core of the PFM makes it stronger. Tooth-colored porcelain of the highest quality is baked on the outside of the metal core. But because there is metal under the porcelain, it blocks natural tooth translucency and is not as pretty (aesthetically) as an all-ceramic bridge.

 

There are many different marginal configurations (the area where the bridge meets the tooth) of a PFM. How well the margin of the bridge fits, affects the health of the gums and ultimately the longevity of the bridge. We choose to do a porcelain butt margin, which is the most aesthetic (also the most challenging for the dentist and the laboratory technicians to perform well). A porcelain butt joint, when done well, is aesthetic, healthy for the gums, and durable.

 

All-ceramic bridge

 

An all-ceramic bridge (or porcelain with ceramic substrate) is the most aesthetically pleasing among all the bridges. There is no metal, so translucency is usually excellent (depending on the type of materials used for the all-ceramic bridge). These bridges are usually indicated on front teeth or teeth that are highly visible. We use only the best materials (a combination of beauty, biocompatibility, and strength) for our all-ceramic bridges

Beautiful ceramic teeth made in the dentist 's office on mirror surface.

Dentures

Whether it is from old age, malnutrition, disease or even accidents, sometimes it is necessary to extract some or all of a person’s teeth. While this may sound upsetting, dentures can be one of the solutions to have that perfect smile again. A denture, commonly called ‘false teeth,’ is a removable prosthesis used to replace missing teeth. Usually made of acrylic or a combination of acrylic and metal, dentures provide support for the cheeks and lips and help you eat, speak, and function.

 

How long does it take to make dentures?

 

The duration of the treatment varies on a case-to-case basis. The process starts on an examination and diagnosis, then subsequent visits will include taking impressions of the mouth, bite registration, try-in of the denture, issues and review.

 

 What to expect?

 

Depending on the person, it will take several days or weeks before you get accustomed to the new dentures.
Here are some useful suggestions to help you adapt to the new dentures and experience its optimum function:

 

  • Increased salivary flow – This is a natural response of the salivary glands when the dentures are first inserted. Swallowing more often will help in this situation, although everything will be back to normal after a few weeks.
  • Speech –Pronouncing certain words may be difficult as you are adjusting to the new dentures, but you can speed up the adaptation process by reading out loud and repeating troublesome words. This problem rarely persists beyond two weeks.
  • Sore spots – Minor irritation caused by surface irregularities or pressure spots on the denture-bearing areas are quite common. However, seek dentist consultation if the discomfort is persistent or if the irritation becomes very painful.
dental technician working on false teeth. table with dental tools.
Metallic dentist tools with acrylic denture (False teeth) close up on a dentist chair in Dentist Clinic (blue tone)

Taking care of your dentures

 

Like natural teeth, dentures can accumulate plaque and food debris, particularly in areas where the denture is in contact with your gums and remaining teeth. In addition to the usual brushing, dentures should be cleaned regularly to avoid staining and a bad odor.

 

If possible, dentures should be removed and cleaned after every meal. When cleaning, remember the following:

 

  • Use a soft hand brush or a special denture brush.
  • Avoid very hot water as it may distort the denture.
  • Use a mild detergent to clean dentures. Avoid using abrasive cleaners that can roughen the polished surface of the denture. Do not use bleach as this may whiten the pink acrylic.
  • Hold the denture firmly while cleaning. Accidentally dropping the denture may result in chipped or broken dentures. Always wash your denture over a basin of water.
  • Soak the dentures in denture cleanser once a week to remove stains and always rinse them thoroughly before using the dentures again.
  • When you are not wearing the dentures, store them in water. Dentures may lose their shape if left to dry out.

How long should you wear your dentures? 

 

During the first few days, you will be advised to wear them most of the time except when sleeping. Always remove the dentures before going to bed to allow your gum tissues to rest and promote oral health. Gentle massaging of the gums with a soft toothbrush is encouraged.

 

The next denture review 

 

Your jawbones and gums naturally shrink over time and this can cause the dentures to fit less securely. Ill-fitting dentures can give rise to chewing difficulties, soreness, infections and changes in facial support. It is important that you visit your dentist to have your dentures and oral tissues evaluated yearly.

 

Your dentures may need to be adjusted, relieved or even relined from time to time to ensure an optimal fit. Do not attempt to adjust the denture yourself – seek professional help.
With time and practice you will soon learn to eat, talk and smile with your dentures as you would with your natural teeth.

Single orthodontic dentures mold falling into clear glass of water with splash over white background next to copy space on side

Orthodontics

Orthodontic

 

Treatment helps straighten your teeth in order to have a better aesthetic look and function in the mouth. ‘’Braces’’ are used to gently realign your teeth in the proper positioning.

 

Why you may need ‘‘Braces’’? 

 

The positioning of your teeth and jaw can have a strong effect on your bite. The bite consists of the top and bottom teeth coming together. When the bite doesn’t align properly, this is called ‘’malocclusion’’ or a bad bite. This can make it hard to chew some food and may cause some teeth to wear down over time. Your exposed teeth are more susceptible to getting chipped or broken.

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Dental implants

Dental

 

Implants are the most realistic tooth replacement therapy available. Comprised of a tiny titanium screw and a custom-made replacement tooth, dental implants replace your original tooth in functionality and appearance.

 

The small titanium screw (or post) is implanted in the bone beneath the missing tooth’s socket. The replacement tooth is attached to this screw creating a bond to your jaw bone that is as strong as your original tooth and root.

 

Dental implants are often the preferred tooth replacement therapy and only a lack of solid bone under the tooth socket can cause this treatment choice to be rejected.

 

Your dental implant will look and function like your original tooth – except that it will be impervious to decay.

Dental implants on a beautiful blue background

Whitening/Bleaching

What is teeth whitening?

 

 Teeth whitening is the most common cosmetic dental procedure sought by people primarily to remove the accumulated stains on the teeth. These stains can be removed quickly, safely and with minimal discomfort utilizing In-Office whitening systems or custom home trays. Your dentist or will be able to determine which treatment or combination of treatments is the best for you after a thorough examination.

 

Is whitening safe?

 

Teeth Whitening has proven to be a safe and effective way of achieving a more youthful and healthy looking smile. The safety and effectiveness of this procedure is directly related to the dosage given, the frequency and duration of treatment, the concentration and type of the material used, and the type of tray or system utilized.

 

How long does the whitening last before I have to do it again? 

 

With good oral care, the procedure’s results may last over two years. Of course, those patients who smoke, drink dark teas and coffee are more likely to relapse sooner and require additional whitening sessions. These patients can benefit more from the At-Home system which provides steadier results.

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CEREC ceramic

Cerec

 

Is a state of the art system that allows your dentist to produce life-like restorations of your teeth in a single visit, freeing you of the weeks of repeat visits necessary with traditional restoration techniques.

 

Backed by 20 years of development, the Cerec system brings dental restoration into the 21st century with digitized imaging. Cerec creates a computer designed, 3-dimensional virtual model of your tooth that can be milled in minutes from high quality ceramic blocs to create crowns, inlays, onlays and veneers for permanent restorations.

 

This instant restoration also removes the need for annoying temporary fillings, which often fall out, and reduces post operative sensitivity, all done in 1 easy visit.

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Aesthetic Inlays/Onlays

Aesthetic inlays / onlays

 

Are the common preference now over traditional amalgam filling. Many people are choosing to replace their fillings with natural-colored inlays and onlays for aesthetic reasons.

 

What are aesthetic inlays and onlays? 

 

An inlay or onlay is a type of material which is placed inside or over the surface of a decayed or damaged tooth and are seen as a good alternative to a crown. Placed to cover the top surface of the tooth, they are made from a variety of materials which resembles the natural color of your own teeth to make it more visually attractive.

 

 

Advantages of aesthetic inlays and onlays. 

 

The main benefit is that they fit in very well with the rest of your teeth. The material used is ‘tooth colored’ and has a realistic appearance, which is good news from a cosmetic point of view.

This procedure is often part of an overall ‘smile makeover, in which various procedures are performed to enhance the appearance of teeth and provide a huge confidence boost.

There is no risk of the inlays and onlays becoming discolored over time. They are also easy to clean as part of a daily dental routine and provide extra support for a tooth.

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Endodontics

In the event that the pulp becomes inflamed or infected because of either deep decay or repeated dental procedures on the tooth, endodontics treatment has to be performed. If left untreated, pulp inflammation can result in abscess (infection).

 

To understand this procedure, it helps to know about the anatomy of the tooth. A soft tissue known as the pulp is found under the white enamel and a hard layer that is our dentin. It contains blood vessels, nerves and connective tissue that help in the root growth of your tooth during development. The pulp becomes unnecessary once the tooth is fully developed as the tooth is nourished by the surrounding tissue.

 

How does endodontic treatment save the tooth?

 

 During a root canal treatment, the inflamed or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, and then filled and sealed with a rubber-like material called gutta-percha. Afterwards, the tooth is filled for protection and then crowned. After restoration, the tooth will continue to function normally.

 

Contrary to jokes about the matter, modern root canal treatment is very similar to having a routine filling and usually can be completed in one or two appointments; depending on the condition of your tooth and your personal circumstances. You can expect a comfortable experience during and after your appointment.

 

Saving the natural tooth with a rot canal treatment has many advantages:

 

  • Efficient chewing
  • Normal biting force and sensation
  • Natural appearance
  • Protects other teeth from excessive wear or strain

Endodontic treatment helps you maintain your natural smile and limits the need for ongoing dental work. With proper care, most teeth that have had a root canal treatment can last as long as other natural teeth; often for a complete lifetime.

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