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1. Dental Procedures


What is a root canal treatment?
A long time ago, if you had a tooth with a diseased nerve, you'd probably lose that tooth. Today, with a special dental procedure called a root canal therapy you may save that tooth. A (this diseased nerve affects the dental pulp). A root canal; is a dental procedure in which the diseased or damaged pulp (core) of a tooth is removed and the inside areas (the pulp chamber and root canals) are filled and sealed.

What is the dental pulp?
The pulp of the tooth is its soft living center tissue. This tissue is essential to the tooth’s nerve and contains nerve fibers, arteries, veins, and lymph vessels. The pulp allows the tooth to feel hot and cold sensations. Although dental pulp may not seem to serve an essential function, it can cause a great amount of pain when infected.

Why is root canal therapy necessary?
Because, if a tooth becomes diseased or injured, bacteria build up inside the pulp, spreading infection from the natural crown of the tooth to the root tips in the jawbone. Pus accumulates at the ends of the roots, forming a painful abscess which can damage the bone supporting the teeth.

Why do wisdom teeth cause problems?
The wisdom teeth are described as impacted when there is not enough space for them at the back of the mouth. Impacted wisdom teeth can cause pain, swelling, infection or damage to the teeth next to them. If the gum around the wisdom tooth is swollen the jaw may become stiff and sore. Infection at the back of the mouth can cause bad breath and a bad taste. Also the wisdom teeth can cause problems such as infection, cysts or tumors, tooth decay, or gum disease around a wisdom tooth.

Do they always need to be removed?
Is not always necessary to be removed., Tthe removaled of athe wisdom tooeeth is recommended when it is only partially erupted and this leaves an opening for bacteria to enter around the tooth and cause an infection (Pain, swelling, jaw stiffness and general illness can result). There is a chance that poorly aligned wisdom teeth will damage adjacent teeth, when the jaw isn't large enough to accommodate wisdom teeth .

What is gingivitis?
Gingivitis is an inflammation of the gums surrounding the teeth. Gingivitis is one of many periodontal diseases that affect the health of the periodontium (those tissues that surround the teeth and include the gums, soft tissues, and bone). This inflammation may be accompanied by pain and/or bleeding. Bacteria can cause inflammation of the gums. When you don’t brush correctly your teeth, plaque must accumulate in the areas between the teeth. This plaque contains large numbers of bacteria thought to be responsible for gingivitis. Other factors can contribute to gingivitis like diabetes, smoking, aging, genetic predisposition, systemic diseases and conditions, stress, inadequate nutrition, puberty, hormonal fluctuations, pregnancy, substance abuse, HIV infection, and certain medication use.

What is a Periodontal Disease?

When gingivitis is not treated, it can advance to periodontal disease (periodontitis). Periodontal disease is inflammation of some or all of the tooth’s support structures (gingiva, cementum, periodontal ligament, and alveolar bone). When compared to gingivitis, periodontitis indicates bone loss. Smoke and a poor brush can cause the beginning of this disease (other factors too). Plaque that is not removed can harden and form bacteria-harboring "tartar" that brushing doesn't clean. If the periodontitis not treated, the bones, gums, and connective tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.

 
2. Cosmetic Dentistry


What are porcelain veneers?

A porcelain veneer (dental veneer, dental porcelain laminate, tooth veneer) is a thin layer of porcelain made to fit over the front surface of a tooth. Porcelain veneers are shells of ceramic material that can be chemically bonded to tooth structure. Porcelain veneers are a rapid, aesthetic, and safe way to correct unattractive front teeth. Porcelain veneers correct heavy permanent stains, teeth that are crooked, disproportionate, small (with spaces), and structurally damaged also can be used to lighten discolored teeth, straighten squint teeth and to close spaces between front teeth. Porcelain veneers are the primary treatment modality for the popular extreme makeovers.

What is a dental bleaching?
Although teeth seem very hard, the enamel has microscopic pores that discolor over time as we age, from smoking, and from staining substances that we eat and drink. In some cases, enamel discoloration occurs during early tooth formation from antibiotic and fluoride consumption. Bleaching simply removes stains from the enamel of your
teeth. Almost anyone can benefit from teeth whitening, and bleaching is ideal for patients who have healthy teeth and would like to have a brighter, more attractive smile. Bleaching will not change the shade of existing bonding, veneers or crowns.

Why do some crowns reflect a black line between them and the gums?
This is caused by the underlying metal lining of the crown which makes the tooth look artificial and fake. Contemporary cosmetic dentistry affords us to completely avoid this unsightly problem. When it is absolutely unavoidable to use crowns we prefer to use all porcelain crowns. The strength of this crown is similar to the metal lined porcelain crowns and some even suppress surpass that. All porcelain crowns allow light to pass through just like the enamel on teeth does. When the porcelain is artistically layered to fabricate a crown it will look natural and no one can tell a cap was placed over the tooth. When the tooth is prepared properly and the correct ceramic is used for the all porcelain crown, teeth will not only look real, they can actually look better than the original shape and color.

 
3. General Prosthetic Treatment


What is a fixed bridge?
A bridge is a dental appliance that replaces one or more natural missing teeth, there by "bridging" the space between two teeth. Fixed bridges are cemented into place next to the "abutment" teeth- -the surrounding teeth on either side of the space, or "span." Unlike removable partial dentures, fixed bridges cannot be taken out of the mouth by the patient. A fixed bridge is a device that typically consists of three units; a pontic (a false tooth) fused between two crowns that are cemented onto the abutment teeth.

Is there another way I can have a tooth replaced other than a bridge?
Yes. Dental implants can provide artificial teeth that look natural and feel secure. Dental implants can also be used to attach full or partial dentures. Implants, however, are not an option for everyone. Because implants require surgery, patients must be in good health, have healthy gums, have adequate bone to support the implant and be committed to meticulous oral hygiene and regular dental visits. If you are considering implants, a thorough evaluation by your dentist will help determine if you would be a good candidate.

What is a dental implant?
Crowns and conventional bridges or dentures may not be your only options when replacing missing teeth. For some people, dental implants offer a smile that looks and feels very natural. Surgically placed below the gums over a series of appointments, implants fuse to the jawbone and serve as a base for individual replacement teeth, bridges or a denture. Implants offer stability because they fuse to your bone. Integration of the implants into your jaw also helps your replacement teeth feel more natural and some people also find the secure fit more comfortable than conventional substitutes. Candidates for dental implants need to have healthy gums and adequate bone to support the implant. A thorough evaluation by your dentist will help determine whether you are a good candidate for dental implants.

Can anybody receive a Dental Implant?
No. In certain cases a dental implant is not possible.
For example, the following people can not receive a dental implant.
- Developing children
- People with serious cardiac conditions
- People with high blood pressure
- People with bone disease
- People with drug or alcohol addiction
Patients with diabetes may receive a dental implant if their blood sugar is well adjusted and controlled to a greater extent during treatment periods. In this case, close contact is needed
with the family doctor.
As with natural teeth, thorough dental and oral care is very important in order to keep the dental implant for a long time. Unsatisfactory dental and oral care may sooner or later
result in loss of the implant. Therefore, if the patient's dental care is poor the dentist cannot suggest a dental implant.

 
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