Crowns And Bridges
Q. If you have a root canal, do you need a crown?
A. Yes. Root canals are done when there has already been significant damage to the tooth. As a result the tooth structure is weakened. While the filling material used in replacing the root helps it often cannot withstand the grinding pressures we put our teeth through. A crown covers the tooth and is designed to strengthen it.
Q. I've seen crowns on front teeth and they have a metal edge showing along the top edge, can that be fixed?
A. Newer crowns show less than they did in the past, but if they are made with metal, there will always be some showing. There are non-metal crowns available now that look completely natural. They are not as strong as a metal crown but many prefer them for their front teeth.
Q. What is a Bridge?
A. A bridge is a false tooth held in place by attaching it to crowns on either side of the missing tooth. A bridge can replace one, two and sometimes three teeth.
Q. Is a Bridge necessary?
A. Bridges are recommended for optimum dental health. It can restore and help maintain the natural bite, it prevents unnatural stress on adjacent teeth and it helps discourage further dental decay and periodontal problems.
Q. If you have a bridge do you have to watch what you eat?
A. In general no, but it is strongly recommend that you avoid eating sticky foods like gum, caramels and taffy. You should also avoid hard candy and definitely not chew ice
Whitening In Our Clinique
Q1: What is Zoom! tooth whitening?
A1: Zoom! is a bleaching process that lightens discoloration of enamel and dentin. You may have seen the Zoom! process used by me on ABCís Extreme Makeover.
Q2: How long does Zoom! Chairside Whitening take?
A2: The complete procedure takes less than an hour. The procedure begins with a preparation period followed as little as by 45 minutes of bleaching. (A cleaning is recommended prior to the actual Zoom! whitening session.)
Q3: How does the Zoom! In-off ice system work?
A3: The Zoom! light activated whitening gel's active ingredient is Hydrogen Peroxide. As the Hydrogen Peroxide is broken down, oxygen enters the enamel and dentin, bleaching colored substances while the structure of the tooth is unchanged. The Zoom! light aids in activating the hydrogen peroxide and helps it penetrate the surface of the tooth. A study has shown that use of the Zoom! lamp increases the effectiveness of the Zoom! gel by 26% or more, giving an average improvement of up to eight shades.
Q4: What will I experience during the Zoom! In-Office Procedure?
A4: During the procedure, patients may comfortably watch television or listen to music. Individuals with a strong gag reflex or anxiety may have difficulty undergoing the entire procedure.
Q5: How long do the results last?
A5: By following some simple post whitening care instructions, your teeth will always be lighter than they were before. To keep your teeth looking their best, we recommend flossing, brushing twice daily, and occasional touch-ups with Zoom! Weekender or Nite White gel. These are professional formula products designed specifically to keep your teeth their brightest. They are available only through your dental professional.
Q6: Are there any side effects?
A6: Sensitivity during the treatment may occur with some patients. The Zoom! light generates minimal heat which is the usual source of discomfort. On rare occasions, minor tingling sensations are experienced immediately after the procedure, but always dissipate. You can also ask your dentist to supply you with anti-sensitivity toothpaste for use prior to treatment.
Q7: What causes tooth discoloration?
A7: There are many causes. The most common include aging and consumption of staining substances such as coffee, tea, colas, tobacco, red wine, etc. During tooth formation, consumption of tetracycline, certain antibiotics or excessive fluoride may also cause tooth discoloration.
Q8: Do many people whiten their teeth?
A8: More people than you might imagine. A bright sparkling smile can make a big difference for everyone. The Zoom! Chairside Whitening System makes it easier and faster than ever before.
Q9: Who may benefit from tooth whitening?
A9: Almost anyone. However, treatment may not be as effective for some as it is for others. Your dental professional can determine if you are a viable candidate for this procedure through a thorough oral exam, including a shade assessment.
Q10: Is whitening safe?
A10: Yes. Extensive research and clinical studies indicate that Zoom whitening teeth under the supervision of a dentist is safe. In fact, many dentists consider whitening the safest cosmetic dental procedure available. As with any tooth whitening product, Zoom! is not recommended for children under 13 years of age and pregnant or lactating women.
Q. Will it hurt?
A. No. During the procedure you should experience no discomfort. The area is frozen (we do it painlessly) and other than having to open your mouth for a period of time, there is no pain involved. After the first visit a patient can experience a slight degree of discomfort, but nothing that couldn't be handled with Aspirin or Tylenol.. Of all the cosmetic treatments a person can undergo, this is the least uncomfortable and results are immediate.
Q. How long does it take?
A. It takes just two visits for the entire procedure. The visits are lengthy, several hours each. Patients find the experience relaxing and generally enjoyable.
Q. How will my teeth look between the two visits?
A. In the first visit we do the necessary preparatory work and create a provisional or temporary installation that comes as close as possible to the look we will be working to achieve. Your smile always looks better after the first visit and after the second visit it will look great.
Q. How many teeth do I need done?
A. That varies from patient to patient. If you look in a mirror when you smile, see how many teeth actually show. You should keep in mind that people often smile wider when they have no concerns about the look of their teeth. For many patients it may be six teeth, for some eight and for others more.
Q. Are there any risks to tooth structure?
A. Generally no, the procedure is not reversible and approximately one half of a millimeter or less is removed from the tooth to make room for the veneer. The porcelain veneer that replaces the removed surface is incredibly strong.It bonds tightly to the tooth and protects the treated area. The amount of tooth removed is significantly less than the amount removed for any ordinary cap or crown. There is always risk in any procedure, but this treatment method has been proven to be extremely reliable.
Q. How long will a veneer last?
A. The official guarantee is fifteen years. That is the same time given for how long a crown will last, however we have many patients with crowns that are decades old.
Braces are one of the things you can do for your kids to insure their health throughout their lifetime. Surveys have indicated that people who have had braces look better and feel better about themselves.
What is orthodontics?
Orthodontics is the branch of dentistry that specializes in the prevention and treatment of dental and facial irregularities. Braces are appliances or devices used to make these corrections.
Why should I have my teeth straightened?
Orthodontic treatment improves your smile and your health. Your smile is the most striking part of your face. Wonít you be more attractive with an appealing smile? Orthodontic treatment will make your smile look fabulous. The fabulous smile can last for the rest of your life.
Are braces uncomfortable?
Each person finds braces quite different. Placing braces takes a long time (about an hour). However, it is a relatively painless procedure. The following couple of days the teeth may be uncomfortable however they soon settle down and you get used to the new feeling. Patients generally adjust very quickly to the braces and before you know it is it just another part of everyday life.
Can you be too old for braces?
No. If the bone and gum tissue around the teeth are healthy, age is not a factor. About 20% of orthodontic patients are adults.
The benefits of orthodontic treatment go beyond making your face look wonderful.
You will be able to chew your food easier.
You will avoid dental problems such as cavities and gum problems.
You may avoid developing a breathing problem .
What are periodontal diseases?
The word periodontal literally means "around the tooth." Periodontal diseases are serious bacterial infections that destroy the attachment fibers and supporting bone that hold your teeth in your mouth. Left untreated, these diseases can lead to tooth loss.
The main cause of periodontal disease is bacteria in the form of a sticky, colorless plaque that constantly forms on your teeth
Periodontal disease can affect one tooth or many teeth. It begins when the bacteria in plaque (the sticky, colorless film that constantly forms on your teeth) causes the gums to become inflamed.
In the mildest form of the disease, the gums redden, swell and bleed easily. There is usually little or no discomfort. This is often caused by inadequate oral hygiene. This disease is reversible with professional treatment and good oral home care.
What is my risk of having or developing periodontal disease?
Millions of people have periodontal disease and donít know it. Studies have shown that tobacco use may be one of the most significant risk factors in the development and progression of periodontal disease. Smokers are much more likely than non-smokers to have calculus form on their teeth, have deeper pockets between the teeth and gums and lose more of the bone and tissue that support the teeth. There are also other factors such as poor nutrition, diabetes, genetics and stress.
Non surgical treatments: including scaling and root planing (a careful cleaning of the root surfaces to remove plaque and calculus [tartar] from deep periodontal pockets and to smooth the tooth root to remove bacterial toxins), followed by adjunctive therapy such as local delivery antimicrobials and host modulation, as needed on a case-by-case basis.
What is an implant?
An implant is a replacement for natural teeth which allows the person to return to fixed teeth.. There are several categories of dental implants, which will be selected by the doctor depending on your specific needs and general dental condition.
You would require an x-ray to evaluate the amount of bone remaining, models of your mouth to determine space available and a thorough examination to decide which type of implant can help you the most.
How will I know if implants can be done in my case?
The implant exam and consultation will evaluate your mouth with a clinical exam and an x-ray exam in order to determine your potential for implants. The x-ray exam will be able to show how much bone is present in the locations where you will need implants placed.
How long does it take?
To complete treatment can take from 4 to 9 months and in some cases, longer. It should be understood that this procedure is advanced and can be a longer process than usual to assure it's success. We do, however, provide patients with temporary teeth during this time frame.
How long can implants last?
Different long term research studies have shown that implants which have been placed in good bone can last for a patient's lifetime. However, few implants can fail if there was too much bite stress.
Is there any pain when the implants are surgically placed?
There should be no pain when the implants are placed. In most cases, a local anesthetic is all that is needed.
How will I clean around the implants?
The cleaning demands vary depending on the type of implant reconstruction that you had. You definitely need to clean daily around the implants. Brushing with a toothbrush, as as well as flossing are important. There may be the need for a prescription mouthrinse which can further help you keep your implants healthy. Other cleaning aids may be recommended where the specific needs of your case require them.