Services
What is a Tooth Decay?
Although tooth decay has declined among young children as a group, it can still be a problem for individual children, and even teens and adults. That's because plaque, a sticky film of bacteria, constantly forms on your teeth. When you eat or drink foods containing sugars or starches, the bacteria in plaque produce acids that attach tooth enamel. The stickiness of the plaque keeps these acids in contact with your teeth and after many such attacks, the enamel can break down and a cavity forms.
What are the benefits of fluoride (self-applied and professionally-applied)?
Fluoride is effective in preventing and reversing the early signs of dental caries (tooth decay). Researchers have shown that there are several ways through which fluoride achieves its decay-preventive effects. It makes the tooth structure stronger, so teeth are more resistant to acid attacks. Acid is formed when the bacteria in plaque break down sugars and carbohydrates from the diet. Repeated acid attacks break down the tooth, which causes cavities. Fluoride also acts to repair, or remineralize, areas in which acid attacks have already begun. The remineralization effect of fluoride is important because it reverses the early decay process as well as creating a tooth surface that is more resistant to decay.As a child, most insurance do cover this cost up to the age of 13 but as an adult or children over the age of 13, this is not the case. We understand the minimal additional cost involved but know that the benefits of fluoride outweighs the fact that most insurance companies will not cover this benefit.
Is there a filling material that matches tooth color?
Yes. Composite resins are tooth-colored, plastic materials (made of glass and resin) that are used both as fillings and to repair defects in the teeth. Because they are tooth-colored, it is difficult to distinguish them from natural teeth. Composites are often used on the front teeth where a natural appearance is important. They can be used on the back teeth as well depending on the location and extent of the tooth decay. Composite resins are usually more costly than amalgam fillings. For this reason, most insurance do not cpver the additional cost of this choice of filling material.
What is a crown?
A crown is a restoration made by a specialized laboratory that completely covers the prepared tooth. These are primarily used when the teeth have large fillings or cavities in them, or their position needs to be "altered" to give the illusion of straightness or symmetry. It can be used to attach a bridge, protect a weak tooth from breaking or restore one that's already broken. A crown is a good way to cover teeth that are discolored or badly shaped. It's also used to cover a dental implant by attaching to the abutment of the implant.
What is a bridge?
If you're missing one or more teeth, you may notice a difference in chewing and speaking. There are options to help restore your smile. Bridges help maintain the shape of your face, as well as alleviating the stress in your bite by replacing missing teeth. Sometimes called a fixed partial denture, a bridge replaces missing teeth with artificial teeth, looks great, and literally bridges the gap where one or more teeth may have been. The restoration can be made from gold, alloys, porcelain or a combination of these materials and is bonded onto surrounding teeth for support. Unlike a removable bridge, which you can take out and clean, a fixed bridge can only be removed by a dentist An implant bridge attaches artificial teeth directly to the jaw or under the gum tissue. Depending on which type of bridge your dentist recommends, its success depends on its foundation. So it's very important to keep your remaining teeth healthy and strong.
What is periodontal disease (gum disease)?
Periodontal disease is an infection of the tissues that support your teeth. Your gum tissue is not attached to the teeth as high as it may seem. There is a very shallow v-shaped crevice called a sulcus between the tooth and gums. Periodontal diseases attack just below the gum line in the sulcus, where they cause the attachment of the tooth and its supporting tissues to break down. As the tissues are damaged, the sulcus develops into a pocket: generally, the more severe the disease, the greater the depth of the pocket.Periodontal diseases are classified according to the severity of the disease. The two major stages are gingivitis and periodontitis. Gingivitis is a milder and reversible form of periodontal disease that only affects the gums. Gingivitis may lead to more serious, destructive forms of periodontal disease called periodontitis.It is possible to have periodontal disease and have no warning signs. That is one reason why regular dental checkups and periodontal examinations are very important. Treatment methods depend upon the type of disease and how far the condition has progressed. Good oral hygiene at home is essential to help keep periodontal disease from becoming more serious or recurring. You don't have to lose teeth to periodontal disease. Brush, clean between your teeth, eat a balanced diet, and schedule regular dental visits for a lifetime of healthy smiles.
What is root canal treatment?
Your dentist uses root canal treatment to find the cause and then treat problems of the tooth's soft core (the dental pulp). The pulp is the soft tissue that contains nerves, blood vessels and connective tissue. It lies within the tooth and extends from the crown of the tooth to the tip of the root in the bone of the jaws.An abscessed (infected) tooth caused by tooth decay. When the pulp is diseased or injured and can't repair itself, it dies. The most common cause of pulp death is a cracked tooth or a deep cavity. Both of these problems can let germs (bacteria) enter the pulp. Germs can cause an infection inside the tooth. Left without treatment, pus builds up at the root tip, in the jawbone, forming a "pus-pocket" called an abscess. An abscess can cause damage to the bone around the teeth.Treatment often involves from one to three visits. During treatment, your general dentist or endodontist (a dentist who specializes in problems of the pulp) removes the diseased pulp. The pulp chamber and root canal(s) of the tooth are then cleaned and sealed.Here's how your tooth is saved through treatment:
- First, an opening is made through the crown of the tooth.
- An opening is made through the crown of the tooth into the pulp chamber.
- The pulp is then removed. The root canal(s) is cleaned and shaped to a form that can be filled.
- The pulp is removed, and the root canals are cleaned, enlarged and shaped.
- Medications may be put in the pulp chamber and root canal(s) to help get rid of germs and prevent infection.
- A temporary filling will be placed in the crown opening to protect the tooth between dental visits. Your dentist may leave the tooth open for a few days to drain. You might also be given medicine to help control infection that may have spread beyond the tooth.
- The pulp chamber and root canals are filled and sealed.
- The temporary filling is removed and the pulp chamber and root canal(s) are cleaned and filled.
- In the final step, a gold or porcelain crown is usually placed over the tooth. If an endodontist performs the treatment, he or she will recommend that you return to your family dentist for this final step.
- The crown of the tooth is then restored.
If we were unable to answer your questions with the information above, please feel free to contact us at your convenience and speak to one of our friendly staff members. We will do our best in providing you with the best information possible!! Thank you for visiting our website and we look forward to meeting you in at the office of Dr. Andy Chang.Part of the information provided to you above was done as a courtesy of the American Dental Association (www.ada.org).
Ronald C. McConnell, DDS, MSD • Board Certified in Pediatric
Comprehensive Cosmetic, General, Family & Specialty Dentistry • Implant Dentistry
Invisalign Certified