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17/Nov/2018

Dental Crowns

What is a dental crown?

 

Your dentist may recommend placing a dental crown to cover your tooth to protect and strengthen it, restore the tooth’s shape, size, and/or improve its appearance. Dental crowns are used for various purposes, including:

  • Protecting and restoring a broken or decayed tooth with a large filling
  • Restoring a tooth after a root canal
  • Covering misshapen or severely discolored teeth for cosmetic purposes

What types of crowns are there?

Temporary crowns are made in your dentist’s office, and are used as a temporary restoration while your permanent crown is constructed by a lab.

 

Stainless steel crowns are often used as a temporary measure. Prefabricated stainless steel dental crowns are sometimes used to cover baby teeth that are badly decayed, and can also be used preventatively to protect the teeth of a child at high risk for tooth decay.

 

Metal crowns tolerate chewing forces well and rarely chip or break. Metal crowns may be fabricated with gold alloy, other alloys or a base ­metal alloy such as chromium or nickel. Compared with other types of dental crowns, when preparing the tooth, less tooth structure is removed, and wear to the crown and opposing teeth is minimal. Metal dental crowns are a good choice for rear molars, as they are a noticeable metallic gold or silver in color.

 

Porcelain ­fused ­to ­metal crowns are made of metal alloys and coated with porcelain. They are color-matched to your existing teeth but may show a dark sliver of color at the gumline. This type of dental crown can be used for either front or back teeth.

All­-ceramic dental crowns provide a better natural color match than any other crown type and are more suitable for people with metal allergies. Although they are not as strong as porcelain-­fused ­to ­metal crowns and can wear down opposing teeth a little more than other types of crowns, they are often used for cosmetic purposes, and are an aesthetically pleasing choice for front teeth.

 

All-­resin crowns are less expensive, but wear down over time and are more prone to breakage and fractures than other types of dental crowns.

 

Milled crowns require no impression and are digitally constructed in dental offices that have the software and hardware to produce them. They are commonly fabricated and inserted in one visit.


17/Nov/2018

5 Common Signs You May Need a Root Canal (and Signs You Probably Don’t)

Sometimes tooth pain can be so severe that you may think you need a root canal. But did you know that your tooth pain can also indicate a problem that requires a different type of dental treatment?

Only your skilled dentist will be able to tell for sure if you do or do not need root canal therapy, but the following common symptoms should prompt you to pay a visit to your dentist so he or she can decide if you need a root canal, or something else.

Do You Need a Root Canal? Common Signs & Symptoms

If you are experiencing one or more of the following symptoms due to dental decay, a cracked or broken tooth, a tooth injury or severe infection, you may need a root canal (endodontic therapy). Contact your dentist right away if:

  • You have severe tooth pain – especially when you chew or put any sort of pressure on a certain area of your tooth.
  • You notice tender or swollen gums near the painful tooth.
  • Your painful tooth appears darker or discolored.
  • You see a tiny bump (sort of like a pimple) on your gums where you are experiencing tooth pain.
  • You experience pain in your tooth when it is exposed to hot or cold temperatures, and the pain and sensitivity lingers long after being exposed to these elements.

Signs You Probably Don’t Need a Root Canal (But Maybe Something Else)

The following common signs and symptoms may indicate other dental issues, some of which may require alternate dental treatments.

  • You experience mild tooth pain when you eat or drink something that is hot or cold. The pain is not prolonged.
    • If you had a dental procedure recently (a tooth filling or a dental crown), you may experience this type of tooth pain. However, if it doesn’t go away after six weeks, or becomes severe, you may need root canal therapy.
    • Additionally, your teeth just may be more sensitive to hot or cold foods and liquids. If the pain goes away within a few seconds of being exposed to one of these elements, there probably isn’t a real dental issue here.
  • You feel sharp pain in your tooth when you bite in a certain way.
    • You may have a cracked tooth. If so, your dentist will want to see if you need a dental crown to prevent more cracking. You may need a root canal in this tooth eventually, but probably not right away.
  • Your tooth pain sets in when you eat something sweet and sugary, but the pain goes away quickly.
    • You may actually have a cavity, a filling that is broken or loose, or even receding gums that may expose your tooth’s root. Check with your dentist to see what he or she recommends in this case.
  • You notice that your tooth is only sensitive to touch, and that your gums are swollen around this tooth.
    • If you don’t experience this pain when drinking liquids that are hot or cold, but the pain is severe and goes away when you brush, then you may have a periodontal abscess. Your dentist may wish to take an x-ray and perform other tests to figure out what is wrong.
  • The pain you feel in your tooth is “electric” in nature. It’s sharp and shooting.
    • This may be due to metal fillings. If your painful tooth continues to give you problems constantly, your dentist may recommend swapping out the metal with a tooth filling made of composite resin or other non-metal materials.
  • A group of teeth have become painful, but are non-specific. The pain is also worsened when you are working out, walking down sets of stairs or jumping.
    • You may have sinusitis. In this case, a root canal will not be required. Contact your family physician.
  • You have pain in your cheeks or increased pain in your mouth in the morning.
    • You could be grinding or clenching your teeth at night. Contact your dentist to see if you have bruxism. If so, he or she may recommend dental Botox therapy.

Remember: The above information points are to be used as general guidelines and you SHOULD NOT use this information to diagnose yourself. If you think you need a root canal, contact our NW DENTAL Office so we can give you an expert diagnosis, and put you on an endodontic treatment plan that fits your specific dental needs. 

 


17/Nov/2018

Antimicrobial Mouth Rinse

Antimicrobial mouth rinses are much more powerful than over-the-counter mouthwashes, reducing certain bacteria that cause gum disease to an almost undetectable level. The most commonly prescribed is Chlorhexidine, and your dentist can recommend how to use it as part of your treatment regimen.

What is an Antimicrobial Mouth Rinse?

Your everyday over-the-counter mouthwashes are the mildest form of antimicrobials, meaning that they can reduce the number of microbes or bacteria in the mouth. Certain bacteria are contributing factors for both tooth decay and gum disease. Chlorhexidine is the most often prescribed oral mouth rinse, used to reduce the number of bacteria in the mouth. Used as directed by your dentist, Chlorhexidine can reduce certain gum disease-causing bacteria to an almost undetectable level. And in some cases your dentist may also prescribe an oral antibiotic or locally applied chemotherapeutic to help further reduce other bacteria causing your gum disease. Studies have shown that combinations of antibiotics, chemotherapeutics, and Chlorhexidine can reduce the need for periodontal surgery by upwards of 80%.

Why is an Antimicrobial Mouth Rinse Beneficial?

If you have had a deep cleaning recently, or been diagnosed with early, moderate, or advanced periodontal disease, then an antimicrobial mouth rinse might be beneficial for you. An antimicrobial mouth rinse like Chlorhexidine is recommended to help control plaque and kill the bacteria that contribute to gum disease.

How Do I Use the Antimicrobial Mouth Rinse?

Different regimens may be suggested by your dentist based upon your level of gum disease and your ability to control the factors causing the disease. As with all medications, it is important to follow your doctor’s recommendations which may include more frequent brushing and flossing in addition to the mouth rinse and certain antibiotics. Chlorhexidine has proven most effective when left in contact with your gums overnight. Your dentist may recommend that you do not eat, drink, or brush after rinsing with Chlorhexidine.

Who Should Get an Antimicrobial Mouth Rinse?

If your dentist diagnoses moderate to severe periodontal disease and performs a scaling and root planing (a deep cleaning), then you may benefit from Chlorhexidine. Check with your dentist to see if Chlorhexidine antimicrobial mouth rinse may be right for you.

 

(ADA Code : D4921)


17/Nov/2018

 

Pulp capping prevents damage to the tooth pulp and the eventual need for a root canal.

What is Pulp Capping?

Pulp capping is an alternative to root canal treatment. Endodontists use this technique to keep dental pulp, and subsequently your actual tooth, from dying. You may be surprised to know that a toothache is often a signal that a cavity has reach your tooth’s pulp and the throbbing is alerting you to the fact that your tooth is dying. Pulp capping saves your tooth by isolating cavities from your tooth’s pulp.

Why Pulp Capping is So Essential

Most people associate endodontics with the area of dentistry responsible for doing the root canal. But endodontic treatment is actually about treating diseases that affect the pulp of your tooth. In essence, endodontists are charged with the responsibility of saving dying teeth.

Endodontists use several techniques to save teeth. One technique is pulp capping, which they use to keep tooth decay from attacking the tooth’s pulp chamber. If the pulp becomes infected and the tooth dies, a root canal will be needed to save the tooth from tooth extraction.

If the tooth’s nerve is still alive, you endodontist can use pulp capping to keep the tooth decay (or tooth disease is probably more accurate way to think of this) from infiltrating the pulp chamber. Pulp capping is also used as a preventive measure to keep a large tooth filling from getting too close to the nerve.

There are several reasons why you and your dentist might choose pulp capping over a root canal. Pulp capping:

  • Saves the nerve and preserves the tooth
  • Is less invasive than a root canal or extraction
  • Requires a shorter recovery time
  • Brings about less sensitivity following the procedure
  • Costs less than a root canal
  • Can use a dental filling instead of a dental crown to restore the tooth 

How the Pulp Capping Works

The procedure for pulp capping is done in several steps. First, your endodontist drills the dental cavity to reach the pulp. Then, your dentist will clean the area and cover the pulp with medicine to protect it from becoming infected and stimulate the pulp to create reparative dentin, a hard material that protects the pulp.

Once the pulp is capped, the dentist will place a temporary or permanent dental filling in the tooth. If it works, dentin should regenerate over the pulp cap in 1 to 3 months. The procedure usually requires a follow-up visit after several weeks to see if the dentin is developing as expected.

There are two types of pulp capping: direct and indirect. Direct pulp capping is used when the pulp is exposed after drilling. In some cases, the dentist may not need to expose the pulp, and will cap the soft layer of dentin that covers the pulp chamber. This is known as indirect pulp capping.

When to Perform Pulp Capping

There is a very small window in which pulp capping can be performed. For pulp capping to be successful, your dental situation must meet these four criteria:

  1. The nerve has to have been exposed recently
  2. There should be minimal, if any, exposure of the pulp
  3. The nerve needs to be alive — pulp capping will not work on a dead tooth
  4. There cannot be any signs of infection or dental abscess

Whether or not a dentist can perform a pulp cap as a dental treatment depends on our situation meeting the four criteria above. Your dentist may need to administer some tests to determine if the tooth is healthy enough to withstand pulp capping. As you can guess, pulp capping is much less common than root canals, given all the restrictions surrounding this procedure.

Why Choose Pulp Capping

Some may choose pulp capping because they fear the idea of a root canal. But modern root canals are not painful like they were a few decades ago. Although the success rate of pulp capping varies from case to case, the success rate is much lower than the success rate of root canals.

If a pulp cap fails, as approximately 40 percent of them do, the tooth will require a root canal or extraction. That means more money spent and more time in the dental chair. This won’t just end up costing you more financially, but it will lead to even more time in the dental chair.

In addition to the four criteria listed above, pulp capping treatment also depends on the patient’s age and health status, the amount of damage to the tooth, and what type of pulp cap is needed. For example, direct pulp capping isn’t usually recommended for young children due to a low success rate in baby teeth.

Pulp capping is used to save a diseased tooth from extraction. But the longer you wait to have the treatment done, the more likely you are to end up having a root canal instead.


17/Nov/2018

With today’s economy people want to understand their dental treatment plan and know TOTAL REAL cost. NWDENTAL has experience of volunteering our dental knowledge and services to our community with no hidden agenda.  We offer quality dental services and we proudly stand behind our work.  Our fees are up front with no hidden fees.  Our staff are there with you to guide you through your treatment plan stages. It is a pleasure to serve our patients and it is such a rewarding experience to give our patients the gift of a beautiful, long lasting  Smile.  Check out of Smile Gallery page.


17/Nov/2018

NWDENTAL finds that the best way to keep patients at ease in the office, and satisfied after their treatment, is to make sure that they are well informed. The more you know about the procedures that you will undergo, the more comfortable you are with them. This is why we use advanced patient education technology such as an intra-oral camera, which lets you see the condition of your teeth and gums, and lets us show you the areas we’ll be working on.


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