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In the past, cavities could only be treated with unsightly metal fillings that are alloys for silver and mercury. These fillings, especially when close to the front of the mouth, are highly noticeable and unaesthetic. Sometimes, the filling is so large that it causes discoloration of the entire tooth. These fillings (or restorations) often weaken teeth due to the large amount of the original tooth that has to be removed. Also there is a risk of Mercury poisoning that is used in the filling. Modern dentistry has increasingly turned to Tooth colored or composite fillings as a strong, safe and more natural looking alternative. Composite fillings utilize a soft white plastic substance that is hardened with a blue light.
When a tooth is fractured, has a large old filling, or is severely damaged by decay, your dentist may recommend the placement of a crown. Crowns strengthen and protect the remaining tooth structure and can improve the appearance of your smile.
Types of crowns include the full porcelain crown, the porcelain-fused-to-metal crown (precious & non-precious) and the all-metal crown.
Fitting a crown requires at least two visits to the dentist's office. Initially, the Dentist removes decay and shapes the tooth; makes an impression and fits a temporary or transitional crown of plastic or metal. In a subsequent visit, the dentist removes the temporary crown, fits and adjusts the final crown and cements the crown into place.
BRIDGES: Few incidents have greater impact on dental health and personal appearance than tooth loss. When one or more teeth are missing, the remaining teeth can drift out of position, which can lead to a change in the bite, the loss of additional teeth, decay and gum disease. When tooth loss occurs, your dentist may recommend the placement of a bridge. A bridge is one or more replacement teeth anchored by one or more crowns on each side.
It is a field of dentistry that treats the root canal system. When decay extends to the pulp or the nerve inside the tooth, the person almost always experiences spontaneous throbbing pain. The pain increases at night and is aggravated with cold & sweet foods. The Dentist relieves the pain and pressure symptoms by treating the root canal system which houses the tooth nerve or pulp.
Treatment begins with profound anesthesia. The tooth nerve is accessed by drilling into the tooth, the infected nerve is removed, canals are cleaned and filled with a bio-inert material.
Following a root canal treatment, the tooth is fragile due to insults from decay and mechanical instrumentation and is prone to fracture. Overtime color changes are also observed. To protect the tooth from fracture your dentist will advise a crown. Sometimes depending upon the amount of tooth structure that is lost, a post ( a metal or a glass fiber pin ) will need to be placed for added retention of the crown. To learn more please call our office today.
When we lose a tooth several changes occur that profoundly affect the sorrounding teeth and bones. The neighboring and opposing teeth drift toward the space of tooth loss. This causes uneven distribution of chewing force that are no longer along the long axis of the involved teeth. Also there is food lodgment causing decay of the teeth and gums. All these changes can be prevented from timely replacement of the lost tooth either by implants or by bridges.
Implants are the standard of choice since they are very much like our natural teeth. There is no trimming of the neighboring teeth and may last you for a lifetime. It involves placing a titanium post in the bone and allowing it to integrate with the surrounding bone. Your dentist will have to place bone grafts if there is insufficient healthy bone to support the implant. Once the integration is complete the crown is fabricated and cemented onto the implant.
Implants can also be used in conjunction with dentures to reduce movement of dentures and facilitate chewing.
Over time, people's teeth tend to naturally deteriorate. When a tooth has deteriorated substantially, it often needs to be extracted; and when multiple teeth are extracted, dentures may be the most appropriate solution. Dentures can create a natural and healthy looking set of teeth. In addition, a properly fitting set of dentures can greatly enhance your smile and sense of self-esteem.
Complete and Partial Dentures
Complete dentures are used when few original teeth remain. The dentist begins by removing any remaining teeth so the dentures can be fitted. He or she then makes a mold of the gums and sends it to a dental lab where customized dentures are constructed. Partial dentures are prepared in much the same way as a complete set and are utilized when only a few teeth are missing.
These Dentures allows patients to have their Dentures on the same day their teeth are removed. This prevents the embarrassment of being without teeth. As the extraction sites heal & the bone remodels, the denture will require adjustments & relining to make it fit better. At the end of a year when the healing is complete your dentist may advise you to get a new denture.
If the roots of a patient's remaining teeth are strong, the dentist may suggest over-dentures. Over- dentures fit on top of the remaining natural teeth in the mouth. With over-dentures, the remaining teeth are re-sculpted and covered with metal caps to stop future decay. The advantage of over-dentures is that they do not have to be relined as frequently as a complete set of dentures because they cause less recession of the jawbone and gums. In addition, over- dentures create less occlusion (bite) problems than complete dentures.
Once Your Dentures Have Been Placed
At first, your dentures will feel uncomfortable because the gums and tissue are not accustomed to being in contact with man-made relining material. Once placed, dentures should be worn continually for the first few days to reduce the amount of swelling that may occur in the mouth. This swelling typically subsides in two to three days. Until patients adjust to their new set of teeth, the dentures may feel loose and awkward while chewing food. Eating soft food may be necessary for the first few days. Reading aloud helps to overcome any speech impediments that may occur from the new dentures. Typically, lower dentures take longer to get used to than upper dentures. The underlying jawbone may take several months to completely heal and become accustomed to the dentures. Once this occurs, the dentist removes the dentures and creates a permanent lining for your teeth (a denture lining is the soft material that cushions the contact between the denture and the gum tissues).
The Life of your Dentures
Although dentures typically last about five years, they can last longer with proper care and cleaning. Dentures should be cleaned daily with a normal or specially-made denture toothpaste. Once the swelling has reduced, it is advisable to leave one or both dentures out at night to allow the gum tissues to breathe. In order to prevent dentures from warping, they should be left in water overnight. Over time, the lining of the dentures may change, owing to the wear and tear of daily use. In the case of tissue/bone shrinkage, worn down teeth, or breakage, dentures may come loose and need to be remade.