Endodontic treatment (or root canal therapy) is performed to
save the natural tooth. In spite of the many advanced
restorations available, most dentists agree that there is no
substitute for healthy, natural teeth
are some of the main causes of inner tooth damage:.
Oral bacteria is the most common cause of endodontic problems.
Bacteria invade the tooth pulp through tiny fissures in the
teeth caused by tooth decay or injury. The resulting
inflammation and bacterial infection jeopardize the affected
tooth and may cause an abscess to form.
Fractures and chips
When a large part of the surface or crown of the tooth has
become completely detached, root canal therapy may be
required. The removal of the crown portion leaves the pulp
exposed, which can be debilitating painful and problematic.
Injuries to the teeth can be caused by a direct or indirect
blow to the mouth area. Some injuries cause a tooth to become
luxated, or dislodged from its socket. Root canal therapy is
often needed after the dentist has successfully stabilized the
If a tooth has been knocked clean out of the socket, it is
important place it back into the socket as quickly as possible!
If this is impossible, place the tooth in special dental
solution (available at pharmacies) or in milk. These steps will
keep the inner mechanisms of the tooth moist and alive while
emergency dental treatment is sought. The tooth will be affixed
in its socket using a special splint, and the dentist will then
perform root canal therapy to save the tooth.
What does an Endodontic procedure involve?
Root canal therapy
usually takes between one and three visits to complete.
Complete X-rays of the teeth will be taken and examined before
the treatment begins.
Initially, a local anesthetic
will be administered, and a dental dam (protective sheet) will
be placed to ensure that the surgical area remains free of
saliva during the treatment. An opening will be created in the
surface of the tooth, and the pulp will be completely removed
using small handheld instruments.
The space will now
be shaped, cleaned and filled with gutta-percha. Gutta-percha
is a biocompatible material that is somewhat similar to
rubber. Cement will be applied on top to ensure that the root
canals are completely sealed off. Usually, a temporary filling
will be placed to restore functionality to the tooth prior to
the permanent restoration procedure. During the final visit, a
permanent restoration or crown will be placed.
you have questions or concerns about endodontic procedures,
please ask your dentist.
Prosthodontics is the specialized field of dentistry concerned
with diagnosing, planning and executing restorative and
cosmetic treatments. Dentists who choose to specialize in
prosthodontics must complete three or four more years of
dedicated training following dental school.
prosthodontist is in essence an architect, who formulates a
comprehensive treatment plan and informs the patient as to what
is possible. Missing or defective teeth can be extremely
detrimental to self-esteem and self-confidence. Using the
latest technology, a prosthodontist is able to fill these gaps
with functional, natural-looking teeth that boost confidence
and enhance the smile.
There are many reasons why a prosthodontist may be consulted,
including (but not limited to):
- Creation of partial
or full sets of dentures.
- Desire to whiten
the teeth or improve the aesthetics of the smile.
- Filling gaps
created by one or more missing teeth.
- Interest in dental
There are an ever-increasing number of Hi-tech
prosthodontic treatments available including the following:
Implants are designed to replace the natural teeth in the best
possible way. Titanium roots are implanted in the jawbone in
the same way as natural tooth roots. Implants look and feel the
same as natural teeth.
Veneers are porcelain/ceramic covers that are bonded to the
natural teeth. Veneers can instantly solve problems like uneven
teeth, stained teeth, and chips and damage caused by general
wear and tear.
Prosthetic crowns are generally made from porcelain, metal or a
combination of the two. They have been designed to mimic the
natural crown (surface of the tooth) and can last for up to a
decade, and possibly longer.
Conventional and cantilever bridges are used to support a
prosthetic tooth. The natural teeth can support the bridge if
they are in good condition, or dental implants may be used as
A complete set of dentures can be created for people who have
no teeth due to gum disease or trauma. Complete dentures
restore functionality to the mouth and make chewing and
Where many teeth have been lost, removable or fixed partial
dentures can prove to be an excellent option. They enhance the
aesthetics of the smile in addition to improving chewing
Our dentists perform tooth extractions when necessary (i.e. a
non-restorable tooth, an impacted tooth, in preparation for
orthodontics/braces). We make every effort to help ensure your
comfort during and after the procedure through appropriate use
of anesthetics and pain medications. Teeth may need to be
removed because they are blocked from coming in, the tooth is
severely damaged/decayed or the tooth is impacted/partially
erupted. Teeth can be removed simply or surgically. Dentists
perform a simple extraction when they can see the tooth and it
is removed after applying a pain reducing medication. A
surgical extraction is performed when the tooth is broken down
or not exposed. After applying a pain reducing medication an
incision is made into the gum or the tooth is divided. The
tooth is then removed in sections or intact. If
you have questions or concerns about Oral surgery procedures,
please ask your dentist.