Dental
Crowns

TMJ

Implants

Teeth
Whitening


Dental Crowns

Crown restorations are similar to veneers, because they too are attached to individual teeth. Crowns completely cover the tooth on all sides, helping to correct any problems that you might have with alignment. Crowns are used to repair teeth that have undergone root canals, have severe erosion, or extreme malposition. The use of crowns is essential in any situation that requires greater strength and aesthetics. Crowns are fabricated from ceramic or ceramic and metal, and are indistinguishable from adjacent teeth.

Having crowns applied takes two or three appointments so that your teeth can be prepared and impressions can be made. The impressions are used to fashion a porcelain crown that fits into the contour of the remaining teeth. While your permanent crowns are being created in a laboratory, you'll wear temporary crowns that maintain your appearance and ability to function. Often crowns are added to existing teeth to create better connecting surfaces for attachment of fixed bridges and partial dentures. As with all treatments, crown restorations require meticulous oral hygiene; proper brushing and flossing techniques are effective in eliminating plaque and bacteria. Crowns or caps can last the longest compared to other treatments depending on placement and forces placed on them.

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Bondings

Composite bonding is the most versatile and effective way to aesthetically restore your smile. Composite materials are used to replace old unattractive fillings, change the color of your teeth, or reshape and recontour a less than ideal smile. Composite resin is a tooth-colored plastic mixture filled with glass (silicon dioxide). Composite fillings have a slightly higher rate of wear than your traditional silver fillings.

Most procedures take as little as 10 to 15 minutes per tooth, depending on how complicated your particular treatment may be. At your actual bonding appointment, the dentist will use a mild acid to condition the surface of the tooth so the composite will adhere to it. Next, the dentist applies several layers of the bonding material onto the tooth, then uses a light source to set the material. The last step is shaping, smoothing, and polishing the surfaces. Daily hygiene may require more detailed flossing to clean edges at the gum line. As with your natural teeth, cosmetically bonded teeth may chip or stain. A bonded restoration should last 5 to 10 years or more before requiring a touch-up or replacement. The procedure is painless and quick enough to be completed in one visit

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Bridges

Bridges are useful as corrective measures after an accident or serious dental decay. These restorations-generally made of porcelain or a composite material- are used to replace missing teeth Bridges are a method by which to restore your bite and create a pleasant smile. It also takes a great deal of time to both prepare the area and affix the bridge once it comes back from the lab. Fixed bridges are placed on the neighboring teeth, so they span the site of the missing tooth. The bridge is fitted with ceramic teeth to replicate the missing teeth, to restore function, and aesthetics.

Removable bridges (full or partial) are recommended in complex dental situations to restore support and proper function. These bridges are constructed of ceramic and metal and require creation of a study model made from impressions. The bridge is also fitted with ceramic teeth to replicate the missing teeth and combined with metal that is shaped to fit the inside contours of the mouth. Multiple visits are required for adjustments to the bite and fit of the appliance. Fixed bridges require meticulous cleaning usually with a threading floss. Removable bridgework requires meticulous cleaning after meals and soaking in a solution to remove plaque and bacteria.

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Dental Implants

During the last 20 years dental implants have become a great alternative to other methods of replacing missing teeth. Excellent success rates and a variety of available options give dentists many new ways to treat and replace lost teeth.

Your dentist will be able to evaluate your case and tell you if you are a candidate for dental implants. Basically, a dental implant is a Titanium based cylinder that replaces the missing tooth root. After a period of time and when the implant is taken other parts will be placed on the implant that enables your dentist to eventually place a crown (cap) on the implant.

Implants also can be used to support full or partial dentures. They dramatically improve the denture retention and stability.

Most patients with enough amount of bone can have implants, although individual decisions are made between you and your dentist. Usually an x-ray and a CT-scan is done to determine if you have enough bone to place the implant and also to determine the size and kind of the implant that should be placed.

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Veneers & Laminates

Veneers are ultra-thin sculpted pieces of tooth-shaped porcelain that fit over the front of your teeth. They are wonderful for fixing teeth that are significantly discolored, chipped, pitted, malformed, or crooked, or if you have unwanted spaces. In certain situations, a change in upper lip fullness and balance can be obtained by placing porcelain laminate veneers on your four front teeth.

Unlike crowns or caps, porcelain laminate veneers don't require the removal of much tooth structure. Veneers are usually created in a dental laboratory from an impression taken in the dental office. During the first visit, the color is matched using a shade guide then the teeth are filed down a bit. Then the teeth are fitted with temporaries while the veneers are being created at the lab. Then the veneers are cemented directly onto your teeth and polished to a natural, aesthetic smile. Veneers are stronger and have a longer life than bonding, but the process requires more time. Veneers typically cost less than crowns and won't stain, making them a popular means of improving your smile. Treatment may take two or more office visits to complete and will last for up to 15 years.

  

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Root Canal Treatment

Every tooth consists of three different layers. From the outside, first there is Enamel (the outer layer of the teeth which is the hardest part of the body). The second layer is Dentin (the inside hard layer) and then we have the Pulp (which is an empty space where the live tissue and nerve of each tooth is located)

If for any reason the pulp space is exposed to the outside, the tissue becomes contaminated and eventually infected. The exposure of pulp happens in many circumstances for example when you have a large cavity, or a fractured tooth. Your dentist can explain the exact reason for damage to this tissue. Regardless of the reason for this contamination or damage to pulp tissue, the treatment is usually Root canal treatment.

Root canal treatment is the process of going inside the pulp space and removing the infected and dead tissue. Then the space is disinfected and sealed with special materials.

Now-a-days, root canal treatments are performed with advanced techniques and material and are more comfortable and faster. After root canal treatment is done your restorative dentist will usually place a crown on you tooth to protect it against fracture.

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Root Canal Re-treatment

When a root canal treatment fails, the first course of action that is usually taken is trying to re-do the root canal treatment. It is usually done by an Endodontist (root canal specialist) or an experienced general dentist

The process is very similar to Root canal Treatment, the difference is that besides taking any remaining infected tissue out, the doctor has to take old filling material, any posts and crowns or any other obstacle in the pulp space out to be able to successfully disinfect and seal the area of the root canal.

After the root canal treatment is done your restorative dentist will place a crown to protect the tooth against fractures.

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Inlays & Onlays

Inlays and onlays are used to replace your silver fillings. These restorations are usually made from composite resin material, porcelain, or gold. Once placed, they are virtually undetectable in the mouth, and they conserve much of your natural tooth structure.

For an inlay to be successful, it is best if the cavity involves only the occlusal surface (chewing surface) and one proximal surface (surface in between the teeth). The other proximal surface should be free of decay. An onlay, which is similar to an inlay, covers the entire proximal surface and protects the cusps from fracture. Treatment involves isolation of the tooth and removal of the old fillings under local anesthesia. Once your dentist makes an impression, the inlay/onlay is created from porcelain, gold, or composite resin material. The inlay/onlay is then cemented securely into place. Inlays and onlays usually take 2 to 3 appointments to complete. The onlay is the best alternative for covering larger surface restorations. An inlay/onlay looks exactly like the rest of the tooth, and is so durable that it doesn't need to be replaced for years.
 

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TMD

People who suffer from symptoms such as headaches, earaches, tenderness of the jaw muscles, or dull, aching facial pain may suffer from TMD-temporomandibular joint disorders. The muscles and joints may not function properly, resulting in cycles of pain and spasms. These disorders can have a variety of causes and, can be treated. You may also have a damaged jaw joint due to injury or disease.

Since TMD symptoms (eg, tooth clenching or grinding, headaches, jaw pain or discomfort, clicking, grating, difficulty in closing your jaw) can lead to more serious conditions, early detection and treatment are important. Should you have any of these signs or symptoms, Dr. Ura will need to examine you in order to diagnose the problem and work with you to resolve it.

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Teeth Sealants

Sealants are thin layers of resin that are placed on the pits and fissures and grooves of (usually) molars to prevent decay on these surfaces

Majority of decays on back teeth starts on grooves and pits of chewing surfaces, especially during the first few years after their eruption. Sealing these surfaces with composite resins prevents these kinds of decay.

Sealants are one of the most effective methods of preventing decays on the surfaces where they are places. Although it is still a possibility that decay may happen on surfaces in between the teeth, sealants significantly reduce the overall chance of having cavities.

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Stephen C. Ura, Center for Dental Excellence, Nashua Dentist, New Hampshire, Cosmetic Dentistry, Teeth Whitening, Filling,
Crowns, Dental Implant, Veneers, Cerec 3d, Zoom Teeth Whitening