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PEDODONTICS

Create Date | 7 July, 2019 817 Views

Pedodontics

Pediatric, or pedodontic, dentists offer a number of important services for your child. These dentists are trained to provide quality dental services that improve your child’s dental health.

These dentists offer a variety of services, including

  • Education: Caring for a child’s teeth is different than caring for your own. Your child’s dentist can advise you on childhood dental health care practices like brushing, flossing, and proper nutrition.
  • Preventing long term problems: Your child’s dentist can advise you on potential long term problems, including early diagnosis of cavities and potential orthodontic issues which may require braces.
  • Preventative treatments: Regular cleanings and fluoride treatments can prevent problems often found in children’s teeth, like cavities and gum disease.
  • Repairing damaged teeth: Sometimes, your child’s teeth may get chipped, knocked out, or damaged. A pediatric dentist can help correct these problems.
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OCCLUSION DENTISTRY

Create Date | 7 July, 2019 930 Views

Occlusion Dentistry

Occlusion in dentistry is the field which aims to treat malocclusion which affects masticatory muscles and temporomandibular joint. Most common problem found is Bruxism.

Bruxism is the excessive grinding of teeth while sleeping. Patients may experience jaw pain, joint or cheek muscle fatigue in the morning. People who share the same bedroom might hear the grinding sound at night. However, patients might not aware of his own condition.

Biting force when sleep is stronger than when we are awake. Several symptoms could be found in the oral cavity of bruxism, such as attrition, tooth fracture,sensitive teeth. This parafunction might lead to problem of masticatory muscle and the joint.

Abnormality of masticatory muscles and temporomandibular joint

Temporomandibular joints are located next to the ears. They are synovial joints articulating between condyles, which are part of mandibular, and temporal bone of the skull. Articulate discs at the joints helping smooth the movement. There are also ligaments and muscles attached to the joints for border movements. These organs are the main components of what so called “Temporomandibular joint (TMJ)”.

Disorders of these joints are called “Temporomandibular Joint Disorder (TMD)”.

Symptoms of TMD

  • Pain of the joints (next to the ears) and/or pain of the jaw, cheek and temporal
  • Limitation of mouth opening, pain when opening the mouth
  • History of jaw lock
  • Clicking sound when opening and closing the mouth
  • Deviation of jaw when opening, pain when chewing
  • Some patients experience pain in the ear cavity, headache or migraines

Causation of TMD

The causation is unclear. However, TMD might be cause from multiple factors

  • Malocclusion
  • Disharmonization of occlusion. For instance, removal of molar which cause tooth tipping to the space and lead to malocclusion.
  • accident to the joint
  • Unbalanced function of the muscles due to chewing on one side
  • Chewing hard sticky food or chewing bubble gum frequently
  • Bruxism
  • Stress

In normal joint movement, condyles normally move with articulate discs. However, in disorder condition, articular disc displaced to the front while condyle displaces backwards. In mouth opening, condyle slips over the disc making “click” sound. When mouth closing, condyle get back to former position making another “click”. Without proper treatment, this condition might get worse.

If those symptoms occur, patients should seek professional advice. The treatment mainly uses occlusal splint or night-guard.

Patient self-care before seeing the doctor

  1. Refrain from eating hard, sticky or crunchy food. Avoid chewing gum. Take soft diet. Limit mouth opening. Do not bite on big chunk food.
  2. If waking up with muscle pain causing limited mouth opening (1-2 fingers width),use three fingers( index, middle and ring fingers) to massage and press down on the muscle for 15-30 minutes. After, apply hot compress with towel soaked in lukewarm water for another 15-20 minutes. These treatments will release pain and increase mouth opening.

Why is dental occlusion important?

Occlusion is very important to the actual dentistry in terms of providing patients with a stable occlusion so they do not have too much force on any particular teeth, which could damage the teeth in the short or long term. 

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DENTAL FILLING

Create Date | 7 July, 2019 1073 Views

Dental filling

A dental restoration or dental filling is a treatment to restore the function, integrity, and morphology of missing tooth structure resulting from caries or external trauma as well as to the replacement of such structure supported by dental implants.

Here are some common dental filling options :

  • Composite resins, or tooth-colored fillings, are a mixture of glass or quartz filler that provide good durability and resistance to fracture in small- to midsize fillings that need to withstand moderate pressure from chewing. They can be used on either front or back teeth. 
  • Dental amalgam, sometimes described as “silver-colored” fillings, is made from a combination of metals that include mercury, silver, tin, and copper. Dental amalgam has been used for generations by dentists. Amalgam is very durable and more affordable than tooth-colored or gold fillings; however tooth-colored materials are more natural looking. 
  • Gold fillings, also called inlays or on-lays, are composed of an alloy of gold, copper and other metals. Gold has been used in dentistry for more than 1,000 years due to its durability; however, gold is more costly than amalgam and not natural looking like tooth-colored fillings.

Causes of Tooth Pain After Fillings

Fillings are used to replace the decayed area of the tooth, reducing the pain associated with the cavity itself. But tooth pain after filling a tooth is not unusual. Some common reasons for tooth pain after a filling include:

  • Tooth sensitivity: A tooth that has just had a filling placed will be more sensitive to hot foods and cold foods, air temperature, and the pressure of biting. This type of tooth pain after filling a cavity should resolve within a few weeks. If not, contact your dentist.
  • Cracked or loose tooth fillings: Tooth pain after filling a cavity can occur if the filling is not fitting properly to the tooth, or if it develops cracks. If you suspect that your tooth pain is caused by a cracked or ill-fitting filling, contact your dentist.
  • Allergic reaction to tooth fillings: Some people have allergic reactions to the material used for their fillings, such as silver. To help avoid tooth pain after filling a cavity, be sure to tell your dentist about any allergies when discussing your filling choices.

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TEETH CLEANING & SCALING

Create Date | 7 July, 2019 1204 Views

Teeth cleaning ( Dental Scaling and Polishing )

Oral plaque (oral biofilm) is the colonization of bacteria on top of film attached to the teeth. It develops naturally on the teeth which can be seen as pale yellow film. If it is not removed properly by tooth brushing, it will transform into tartar which cannot be removed by patients. If left untreated, it will cause gingivitis

Tartar can cause the following problems:

  1. Halitosis
  2. Gum recession which can lead to sensitivity
  3. Gum swelling and redness which can cause bleeding when tooth brushing
  4. Esthetic problem
  5. If left untreated, gingivitis can develop into periodontitis. Patients will experience toothache, teeth

Treatment time

Duration of scaling and polishing is up to the amount of tartar. Normally it will take around 30 minutes to one hour.

The Ivory Dental Clinic determines to provide prompt services so every patient gets the fast response and efficient treatment.

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X-RAY 3D SCAN

Create Date | 7 July, 2019 817 Views

X-RAY and CT Scan

A dental 3D scan allows clinicians to view dental anatomy from different angles. 3D scan can help gain a better view of bone structures, such as adjacent root positions, in order to locate canals and root fractures, as well as provide the ability to more accurately measure anatomical structures

Will a CT scan show a tooth infection?

An X-ray of the aching tooth can help identify an abscess. Your dentist may also use X-rays to determine whether the infection has spread, causing abscesses in other areas. Recommend a CT scan. If the infection has spread to other areas within the neck, a CT scan may be used to assess the extent of the infection.

Are dental CT scans safe?

It is safe due to digital technology, patient will get less X-RAY radiation than conventional one.

Do you need a CT scan for dental implants?

Getting a CT Scan is a key element before proceeding with orthodontic or implant dental care. Before you even sit down to get dental implants, you’ll need this scan. This is to your benefit as the technology allows for a more accurate reading of your teeth’s condition

How long does a dental CT scan take?

The positioning takes a few minutes, but each scan takes less than a minute to perform. You may need more than one scan depending on the reason for your examination.

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ORAL CHECK UP

Create Date | 7 July, 2019 922 Views

Oral examination

At each check-up, your dentist should: Examine your teeth, gums and mouth. Ask about your general health and any problems you’ve had with your teeth, mouth or gums since your last visit. Ask about, and give you advice on your diet, smoking and alcohol use, and teeth-cleaning habits. Discuss a date for your next visit.

What you should do between each dental visit

Be sure to take care of your teeth and gums between regular dental visits. Plaque is always forming on your teeth, but you can manage it by brushing and flossing regularly. Here are some tips for good oral care at home.

  • Brush your teeth at least twice a day. Be sure to use a toothpaste that contains fluoride.
  • Floss daily.
  • Use a mouthwash to help control plaque bacteria. This will also help to keep your breath fresh.

Quick facts about a regular dental check up

  • Regular dental visits are important because they help to keep your teeth and gums healthy.
  • There are two parts to a regular dental visit:
    – The check up
    – The cleaning
  • During the dental check up, your dental professional will check your overall oral health for any trouble areas.
  • During the cleaning, your dental professional will remove any plaque and tartar buildup and may polish your teeth.
  • You should have a regular dental visit at least twice a year or as recommended by your dental professional.

A regular dental check up is important because they help keep your teeth and gums healthy. You should have a regular dental visits at least every 6 months or as recommended by your dental professional.

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GUM SURGERY

Create Date | 7 July, 2019 956 Views

Gum Surgery

CROWN LENGTHENING

Crown lengthening is a surgical procedure performed to increase crown length by removing gum and bone for the purpose of restoring the tooth. It is performed when the remaining tooth structure cannot give enough retention for prosthesis (crown or bridge).

It is also performed in gummy smile patient to increase crown length for esthetic.

Crown lengthening can be necessary if there isn’t enough of the tooth in place to hold the crown on its own. Teeth that are broken or affected by tooth decay may prohibit a crown from firmly attaching.

Gingivectomy & Gingivoplasty

Gingivectomy is a surgical removal of the gum margin to reduce pocket depth. The purpose is to ease cleaning for the patients.

Gingivoplasty is a surgical reshaping of the gum to correct deformities and for esthetic purpose.

Gingival Graft

Gingival graft is a surgical procedure to cover exposed root surfaces for aesthetic reasons. However, the success rates vary.

The recovery process

The recovery time for this procedure is approximately three months. However, you’ll be able to resume normal functions as your gums heal. You only need to avoid strenuous activity for the first two to three days. A physically demanding job, heavy lifting, and heavy exertion could inhibit your healing and cause more bleeding.

Talk to your surgeon about the specifics of your recovery. In general, follow these guidelines:

Use an ice pack: Using a pack on your face for the first few hours after the procedure can reduce swelling. Alternate use of the ice pack, following 20 minutes on and 20 minutes off. You may switch to moist heat a couple days after surgery.

Avoid hot foods for the first 24 hours: Also, don’t rinse your mouth. Both can make the bleeding last longer. If bleeding continues, use a moistened tea bag or moistened gauze to apply slight pressure to the area for 20 to 30 minutes.

Leave dressings in for 7 to 14 days: The doctor may replace the dressing once or twice during this period.

Brush carefully: Gently brush only your biting surfaces where the dressing has been applied. Brush and floss normally in other areas. Chew on the opposite side of your mouth from the dressing.

Wear your stent or denture: If wearing a clear stent or upper denture was included in your instructions, don’t remove it for 24 hours. If your mouth pools with blood, rinse with lukewarm saltwater or Chlorhexidine rinse, without removing the stent or denture. After 24 hours, you may wear it as desired.

Eat a soft food diet: Avoid the surgical area when you eat. Also, don’t eat anything hard, brittle, acidic, spicy, sticky, or highly seasoned. Avoid nuts and small seeds. Drink plenty of fluids.

Avoid alcohol: Refrain from drinking until after your post-op appointment.

Avoid smoking: Refrain from smoking for the first 7 to 10 days or longer.

Avoid prodding the area: Avoid using straws and playing with the surgical site with your tongue or finger. Don’t pull down your lip to check the site, as the pressure can cause damage.

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ROOT PLANING

Create Date | 7 July, 2019 857 Views

Root Planing

The root planing is necessary when patients cannot perform efficient teeth cleaning. The dental plaque that adheres to the teeth gradually transforms to tartar with plaque on top. Plaque and tartar are the main predisposing factors of periodontal disease. When periodontitis developed, periodontal tissues are destroyed and periodontal pocket deepen. Plaque and tartar can adhere down along root surfaces which make it impossible for patients to clean.

The doctor will perform root planning to remove plaque, tartar and infected soft tissue from the pocket. This procedure might be done under local anesthesia and require many visits.

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ORTHOGNATHIC SURGERY

Create Date | 7 July, 2019 871 Views

ORTHOGNATHIC (JAW) SURGERY

Orthognathic surgery refers to “straightening of the jaw(s) using surgery” [ortho – straight, gnathic – jaw(s)]. Whereas orthodontic treatment corrects the position of the teeth, orthognathic surgery positions the bones of the jaws (maxilla/mandible). One or both jaws may be surgically repositioned during one operation. This involves making cuts (osteotomies) in the bones and moving the cut segments into their predetermined position under a general anaesthetic. The surgery is normally preceded by a period of orthodontic treatment so that postoperatively both the teeth and the bones will be in their correct position. Finally, a short period of orthodontic treatment is then usually required to complete the alignment of the teeth.

Advantages of jaw sugery

  1. Improve facial profile which cannot be done by orthodontic treatment alone
  2. Correct malocclusion
  3. Reduce snoring in lower jaw discrepancy patient
  4. Correct lip incompetent
  5. Improve patient self confidence

Who performs orthognathic surgery?

Corrective Jaw Surgery. Corrective jaw surgery – also called orthognathic surgery – is performed by an oral and maxillofacial surgeon (OMS) to correct a wide range of minor and major skeletal and dental irregularities, including the misalignment of jaws and teeth. Surgery can improve chewing, speaking and breathing.

How dangerous is jaw surgery?

With orthognathic surgery, the major risks include bleeding; poor blood supply to the osteotomized jaw segments; infection; unfavourable bone cuts/splits; permanent numbness/tingling to lips, cheeks, and/or teeth; incorrect positioning of the jaws/segments; jaw joint problems; and damage to teeth.

Is orthognathic surgery painful?

During the surgery, you shouldn’t feel anything. After the surgery, some patients say it’s about as bad as getting your wisdom teeth taken out, except the swelling is a bit more. You likely will be sore and take prescription pain medication

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SINUS LIFT

Create Date | 7 July, 2019 1015 Views

SINUS LIFT

Maxillary Sinus Lift

Maxillary sinus floor augmentation is a surgical procedure which aims to increase the amount of bone in the posterior maxilla, in the area of the premolar and molar teeth, by lifting the lower Schneiderian membrane and placing a bone graft. When a tooth is lost the alveolar process begins to remodel.

When is the sinus lift needed?

After losing teeth in the upper jaw, sinus floor gradually become lower in posterior region (premolars and molars area). When this incident occurs, it is not possible to place implants to replace missing teeth in those areas. Sinus lift will be done to increase bone height by elevating sinus floor and bone grafting to fill in the space.

A sinus lift is done when there is not enough bone height in the upper jaw, or the sinuses are too close to the jaw, for dental implants to be placed. There are several reasons for this:

  • Many people who have lost teeth in their upper jaw — particularly the back teeth, or molars — do not have enough bone for implants to be placed. Because of the anatomy of the skull, the back of the upper jaw has less bone than the lower jaw.
  • Bone may have been lost because of periodontal (gum) disease.
  • Tooth loss may have led to a loss of bone as well. Once teeth are gone, bone begins to be resorbed (absorbed back into the body). If teeth have been missing for a long time, there often is not enough bone left to place implants.
  • Tooth loss may have led to a loss of bone as well. Once teeth are gone, bone begins to be resorbed (absorbed back into the body). If teeth have been missing for a long time, there often is not enough bone left to place implants.
  • The maxillary sinus may be too close to the upper jaw for implants to be placed. The shape and the size of this sinus varies from person to person. The sinus also can get larger as you age.

Sinus lifts have become common during the last 15 years as more people get dental implants to replace missing teeth.

Preparation

The bone used in a sinus lift may come from your own body (autogenous bone), from a cadaver (allogeneic bone) or from cow bone (xenograft).

Type of Maxillary sinus lift

  1. Osteotome technique : This technique elevate sinus through crestal ridge. It can be done with implant surgery. It can only be done when there is a minimum of 5 millimeters bone from crestal ridge to sinus floor.
  2. Lateral window technique: This technique elevate sinus floor from lateral bone. It is done when the bone from crestal bone to sinus floor is less than 5 millimeters. Implant can be placed 6-9 months after surgery.

Why would you need a sinus lift?

A sinus lift is a surgical procedure which is performed in order to increase the amount of bone in the upper jaw and may be required before getting dental implants on the upper jaw. … Placing an implant with little bone support increases the risk of implant failure, but can also cause a perforation of the sinus membrane

Can a sinus lift and implant be done at the same time?

A sinus lift is usually done by a specialist. This could be either an oral and maxillofacial surgeon or a periodontist. A sinus lift is done when there is not enough bone height in the upper jaw, or the sinuses are too close to the jaw, for dental implants to be placed.

When To Call a Professional

After a sinus lift, contact your surgeon if:

  • Any swelling or pain gets worse over time. (It should decrease after the first two days or so.)
  • The bleeding does not stop after one to two days.
  • Bleeding is bright red and continuous. (Normal bleeding after this procedure oozes slowly and is dark red with possible clots.)
  • You think the bony material may have been dislodged after sneezing or blowing your nose.
  • Pain does not decrease over time.
  • You develop a fever.
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