Root Treatment
A filled or decayed tooth with an abscess.
The filling is removed to access the cavity.
The root canals are reamed to remove the tooth nerves.
Gutta-perchas rubbers are inserted to fill the root. These are then cut-off, sealed and the tooth filled.
The abscess will reduce. A dead tooth becomes a brittle tooth and a crown may be necessary later.
Root Treatment (multi)
Root treatments on back teeth can be more complicated because they have a number of curved roots.
The root canals are exposed.
All roots then need to be cleaned and disinfected making sure that the entire tooth nerve is removed.
The cavity is then filled with rubber and the tooth then filled.
Posterior Crown
The tooth is prepared.
A crown is made and fitted to the tooth.
Bonded Crown
The damaged tooth is prepared.
A crown with a metal base and porcelain coating is made.
The crown is fixed in place.
Under certain lighting, the metal core can sometimes be seen.
Anterior Crown
The tooth is prepared and an impression taken.
A crown is made from the impression and fitted to the tooth.
Sometimes teeth are lost.
The adjacent teeth are prepared.
A Bridge is made which exactly matchs the space and fits across the gap.
A gap in the front teeth (Diastema) can appear unsightly.
Plastic covers are placed over the two teeth and filled with Composite material.
This builds up the teeth, closing the gap
The material is hardened with a bright light.
Discoloured, chipped or cracked teeth can benefit from a veneer or bleaching.
A thin layer of the tooth surface is shaved off.
A veneer is made to fit perfectly, protecting the tooth underneath.
Missing Tooth Options
When a tooth is missing there are usually a number of solutions available.
You could have a false tooth made and fitted to a plate.
Alternatively a Bridge can be fitted to an adjacent tooth.
Or you could have an Implant which doesn't affect the adjacent teeth.
Chipped Tooth Options
If you have a chipped tooth, or maybe other damage or white fillings there are a number of ways of solving this problem.
The chipped area could be repaired with bonding material.
The tooth could be prepared and a Crown made.
Or a veneer could be made which is fixed to the front of the tooth and looks very natural.
Missing Teeth Options
When a number of teeth are missing, there are various options available.
You may choose to have a denture.
But over time, your gums will recede and the denture may not fit as well.
You could choose to have Implants to secure the denture.
One way is a small number of Implants with a bar and magnets to hold the denture another is a small number of Implants to which the denture is secured or a greater number of Implants onto which a set of teeth and permanently fitted.
Gum Disease
A healthy tooth.
Plaque builds up gum and bone may begin to recede.
Sometimes the gum recedes with the bone and sometimes it doesn't.
Either way the tooth may become mobile.
The effects of gum disease can lower the gumline
This will in turn expose the dentine of the root which contains the tubules leading directly to the nerve.
Hot, cold & sometimes sweet foods can cause pain.
A special paste is available that can be applied to provide some relief from this condition.
A missing front tooth.
A hole is prepared in the jaw bone in stages.
An Implant is fitted and a healing cap inserted.
When the Implant has healed, the healing cap is exposed and an abutment inserted.
A crown is then fited to the abutment.
Use small circular movements with the brush held at 45 degrees to the tooth.
Move systematically around the mouth.
Remember to clean the inside surfaces and the biting surfaces.
Dont forget behind the top and bottom teeth.
A good technique will take 2 minutes.
Interdental Brushing
The TePe interdental brush is used to clean in between teeth.
Turning the brush on insertion will help access.
Used daily, it removes plaque and food debris where your usual brush cannot reach.
For spaces at the back of the mouth, bend the brush in a slight curve but never at right angles this will help you access the more difficult-to-reach areas.
A choice of 8 colour-coded sizes is available to help clean different sized spaces.
Tooth Whitening
One of the methods for whitening teeth uses a 'tray'.
First of all, impressions are taken from which a study model is made.
This is painted with a special material which increases the thickness of the tooth area.
When the tray is prepared, a small void is produced.
The whitening gel occupies this void ensuring that it only comes into contact with the required surfaces and that no damage is done to the soft gums.
Dry Socket
After a damaged tooth is extracted the 'socket' naturally produces a blood clot.
Over time the gum will heal over the clot, and gum tissue is restored.
However, after the tooth is removed if the clot is lost by premature rinsing/smoking for example the bone can be exposed to the air, get infected and be very painful.
An anti-bacterial swab can be inserted and slowly the gum will heal from below until the gum tissue is restored.
Occlusal Splint
When teeth are ground from side to side particularly during sleep this can wear down the front teeth and the molar cusps can be chipped and damaged.
Clenching also tenses the jaw muscles and creates impact within the skull.
This may cause pain and headaches.
An Occlusal Splint can be used to protect the teeth and prevent contact.
Decay - Interproximal
Teeth have a hard enamel surface.
But poor oral hygiene can lead to a build-up of plaque which can lead to decay.
If decay is left untreated the nerve of the tooth may become infected and die.
This may cause an abscess.
Fissure Sealants
Small grooves can be present on back teeth .
Food particles can often become lodged making dissolving the protective enamel.
After the fissure is cleaned Fissure sealant is applied in droplet form.
The sealant is hardened using a bright light protecting against tooth decay.