Endodontics is the branch of dentistry that deals with diseases of the tooth’s pulp. The pulp is
found in the center of the tooth and in canals (called root canals) inside the root of each tooth. A
single tooth can have more than one root canal. Pulp includes connective tissue, nerves and
blood vessels. Pulp nourishes the tooth when it first emerges through the gum. Once the tooth
matures, the pulp can be removed without destroying the tooth. That’s because each tooth also
is nourished by a blood supply in the gums.
Removing the pulp is called endodontic treatment, but it is often referred to as root
canal treatment or root canal therapy.
Root canal treatment is needed for two main reasons. The first is infection.
The infection is caused by bacteria that live in the mouth and invade the tooth when:
If bacteria infect the pulp, it will begin to die. After this, the bacteria can increase in number. The
bacteria and the substances they release will eventually pass out of the end of the root canal
through the small hole where the blood vessels and nerves enter.
This process continues as there is nothing to stop more bacteria passing down the root canal,
which causes the tissues around the end of the tooth to become red and swollen. This can cause
your tooth to become painful and, in extreme circumstances, your face may become swollen
(dental abscess). caused by the infection reduces the blood supply to the tooth. The reduced
blood supply also keeps the pulp from healing. Antibiotics can’t get to infections inside teeth.
When the pulp is inflamed but not infected, it may heal on its own. Your dentist may want to see
if this will happen before doing root canal treatment.
To treat the infection in the root canal, the bacteria need to be removed.
In root canal treatment, the bacteria are removed from inside the root canal system, the root
canal is filled and the tooth is sealed with a filling or crown. In most cases, the inflamed tissue at
the end of the tooth will heal naturally.
The only alternative to a root canal prOCedure is having the tooth extracted and replaced with a
bridge, implant, or removable partial denture to restore chewing function and prevent adjacent
teeth from shifting.
Having root canal treatment on a tooth does not mean that the tooth will need to be pulled out
in a few years. Once a tooth is treated, it almost always will last the rest.
if you have an infection of the pulp, you may not feel any pain at first. But if it is not treatedghe
infection will cause pain and swelling. In some cases, an abscess will form.
Your tooth might need a root canal if:
It hurts when you bite down on it, touch it or push on it
-it is sensitive to heat
-It is sensitive to cold for more than a couple of seconds
-There is swelling near the tooth
-It is discolored (whether it hurts or not)
-It is broken
Treatment can be done in two or more visits. it depends on the difficulty of the situation. if you
have an infection, you will visit the dentist several times so that he or she can make sure that the
infection is gone.
Dental inlays and onlays are a medium between dental crowns and fillings implicated on teeth at the back of the mouth that has suffered a moderate level of decay. They can be made of composite material, gold, or tooth—colored porcelain. This type of dental product is bonded into place around the cusps. Onlays are used to cover one cusp or more, whereas dental in|ays tend to be used more as a filling between the cusps An onlay is sometimes also referred to as a partial crown.
Inlays and onlays are applied in at least two dental visits. At the first visit, the old filling, or decayed tooth tissue is removed, and the tooth is prepared for the inlay/ onlay. The dentist will then make an impressian of the tooth, and send this impression to a dental laboratory. This impression will be used by the laboratory to construct a custom—made composite, porcelain, or gold inlay / onlay. At this time the dentist will place a temporary sealant on your tooth and schedule a second appointment.
Your following appointment will involve the actual application of the inlay or onlay onto thenecessary teeth. The inlay or onlay is carefully positioned so it matches the exact shape of the tooth.
Once in position, your dentist will then work on permanently binding the inlay or onlay onto the tooth. This inlay/onlay is then polished
As the procedure of obtaining a dental inlay or onlay requires the removal of tooth as well as dental shaping, there is bound to be some degree of pain. However, your dentist is able to minimise this by injecting a local anaesthetic.
Dental inlays and onlays can potentially last for decades, but their lifetime depend on a number of factors such as how forceful chewing is as well as choice of food, the level of Care that is taken by the patient for the inlays or onlays as well as the oral hygiene routine of the patient. It is also important that the dentist is visited regularly to make sure that the inlays and onlays are intact.
Our clinic offers GC Gradia for composite, and Emax Press for porcelain inlays/onlays.
Dentures and partials are removable prosthetic devices that can be taken out of the mouth. They are constructed to replace many teeth. They support themselves partly on the gum and underlying bone, and in part on the remaining teeth if there are any.
Zoom is a bleaching process widely used throughout the country and around the world to lighten discoloration of enamel and dentin. Tooth discoloration may result from drinking coffee, tea, cola and red wine; or from smoking. The aging process also can stain and darken your teeth. The Zoom in-office tooth whitening procedure uses the Zoom Advanced Power Chairside Lamp – said to accelerate the bleaching process – to activate the 25 percent hydrogen peroxide whitening. As the hydrogen peroxide is broken down, oxygen enters the enamel and dentin to bleach the stained substances, leaving the structure of the tooth unchanged.
Before deciding whether Zoom in-office teeth whitening is right for you, your dentist will conduct a comprehensive examination of your teeth and gums to ensure proper health, as well as talk with you about your oral hygiene and lifestyle habits to determine if you will benefit from whitening. This will help you and your dentist agree on the whitening product or technique that’s best for you.
Your dentist also may require you to undergo whitening if you are planning other cosmetic dental procedures, such as veneers or composite bonding, in order to ensure a better match between the restoration and your natural dentition, or after the removal of braces. Depending on the condition of your teeth and your goals for changing the look of your smile, whitening may not be your best option.
During your consultation and evaluation, your dentist also will note existing dental work, such as crowns and veneers, which will not respond to conventional whitening agents.
The complete procedure takes less than an hour, but a regular teeth cleaning is recommended prior to the actual Zoom teeth whitening session. The procedure begins with a short preparation to cover the lips and gums, leaving the teeth exposed. The dentist or dental assistant then applies the Zoom hydrogen peroxide whitening gel, which works together with the Zoom light to penetrate the teeth and break up the stains and discoloration. The gel remains in place for 15 minutes while the light is activated. During this time, you can relax, watch TV or listen to music.
The gel is applied for three 15-minute sessions of light activation, for a total treatment time of 45 minutes. Individuals with a strong gag reflex or anxiety may have difficulty undergoing the entire procedure. Immediately afterwards, a sensitivity-reducing fluoride paste-gel is applied to the teeth.
Dental implant surgery is a procedure that replaces tooth roots with metal, screwlike posts and replaces damaged or missing teeth with artificial teeth that look and function much like real ones. Dental implant surgery can offer a welcome alternative to dentures or bridgework that doesn't fit well and can offer an option when a lack of natural teeth roots don't allow building denture or bridgework tooth replacements.
Aesthetic dentistry is where science and art combine in dental treatment. Rather than being a specific discipline or type of treatment, it embraces all the dental treatment disciplines with the aim of creating the best outcome for the patient, from an aesthetic, functional and biological perspective.