ENDODONTIC &
CONSERVATIVE
DENTISTRY

dental fillings in bapu nagar

Dental Filling

A dental filling is a type of restorative dentistry treatment used to repair minimal tooth fractures, tooth decay or otherwise damaged surfaces of the teeth. Dental filling materials, which include composite, porcelain and silver amalgam, may be used to even out tooth surfaces for better biting or chewing.
Enamel loss is a common component of tooth decay and may result in tooth sensitivity. In many cases, tooth sensitivity caused by enamel loss will be significantly improved or completely eliminated once an appropriate dental filling material is placed. But in some cases, depending on the extent of tooth decay or damage, the affected tooth may require additional or alternative procedures, including:

Dental Crowns
Implants and bridges
RCT

Dental Crowns: Teeth requiring more support than offered by a traditional filling may require a dental crown.

Dental Implants and Dental Bridges: Irreparable tooth damage requiring tooth extraction may require an implant or bridge.

Root Canals (perhaps along with antibiotic treatment): Infected, abscessed or nerve damaged teeth may require a root canal procedure.

How is the dental filling treatment planned?

One of the most common oral health issues discovered during scheduled cleanings is decay. We will examine the suspected tooth using a dental probe, as well as take an X-ray to determine the extent and exact location of the cavity and decay.
Once it is determined that a filling is needed, your dentist will advise you about your options for filling and sealing the cavity to prevent further decay and damage to the tooth. Based on your medical history, the location of the cavity, esthetic needs, biting force, durability, cost, number of visits necessary and your preference, your dentist will decide which filling option is your best option. These options include direct composite bonding, amalgam (silver), gold or inlays/onlays created in a dental laboratory, or using in-office CAD/CAM equipment.
Depending on what your best option is, your dentist may be able to complete your filling immediately. In preparation for treatment, the area surrounding the affected tooth will be anesthetized (numbed) using a local anesthetic.

What is the procedure for dental fillings?

The dentist begins the dental filling procedure by preparing the tooth and necessary surrounding areas in order to restore the damaged area. The decay or damage is removed with a dental hand-piece or laser, and the area is cleansed to remove bacteria or debris before the restoration is completed.
The first step in performing a composite filling procedure involves isolation of the tooth. Tooth isolation is critical in a composite restoration because it prevents moisture from interfering with the bonding process. The bonding procedure requires the placement of various adhesives followed by the composite material, which is then hardened with a special bonding light. The completed composite restoration is both functional and natural looking.

How to take care of the filling after procedure?

After the cavity has been filled, your dentist will discuss steps you can take to prevent decay from forming under or around the filling, or in other teeth.
Brushing twice a day with fluoride toothpaste and flossing with dental floss or an interdental cleaner once a day is advised. Keep appointments with your dentist and hygienist for routine check-ups and teeth cleanings. Depending on your risk for caries, your dentist also may suggest sealants that can be placed over your molars to prevent the build-up of plaque and decay, as well as the use of fluoride mouth rinses as an additional preventive measure.
Also, since diet and nutrition affect oral health, it will be important to maintain a balanced diet and limit your intake of sugary foods and drinks, and between meal snacks.

Root Canal Treatment

A root canal is a treatment to repair and save a badly damaged or infected tooth. The procedure involves removing the damaged area of the tooth (the pulp), cleaning and disinfecting it and then filling and sealing it. The term “root canal” comes from cleaning of the canals inside the tooth’s root.

How is it examined?

We will take your dental history, examine your teeth and gums, and x-ray your teeth to examine the underlying roots and bone. After your history is taken, we will examine your teeth – looking for cavities, assessing the condition of any fillings you already have, will check to see if your teeth are sensitive to hot or cold, check for loose teeth, tap on your teeth to check for pain, and evaluate the condition of your gums. X-rays allow us to see the inside of your teeth and the surrounding bone. With an x-ray, we can detect any unhealthy changes in your teeth or bone, irrespective of whether they are causing any symptoms or not.

How does problems relating to root canal occur?

Bacteria can invade your tooth through a loose filling, a cavity, or a crack. Your pulp becomes infected as it is attacked by bacteria. Eventually, the bacteria may destroy the pulp. The inflammation and infection spread down the root canal, often causing sensitivity to hot or cold foods, throbbing, aching, or pain when you chew. This may lead to the bone getting infected as the bacteria escape through the root openings. The bone breaks down, and your ligament surrounding the root may swell and loosen the tooth.

How is root canal treatment done?

The goal of root canal therapy is to improve the health of your damaged tooth. During treatment, the pulp is removed from your root canals through a small opening in the crown. Then the canals are cleaned and disinfected. The adjoining diagram shows an instrument being used to clean the canal.

Treatment may take one or more visits. The tooth is first numbed. An opening is made in your tooth and any existing fillings or decay is removed. Then your dentist removes unhealthy pulp with tiny, flexible files. Using delicate, up-and-down motions, your dentist gently cleans and smooths your canals to disinfect them and prepares them for filling.

The canals are then sealed with an inert material that occupies the space vacated by the removal of the pulp.

After the inside of your tooth has been treated, the outside will be restored to protect your tooth’s underlying structures and to bring the tooth back into function. Your dentist will usually cover the tooth with a ceramic or metal crown. After root canal therapy, your tooth continues to be nourished by the surrounding gums and bone.

How to take care of treated tooth?

After root canal treatment your tooth should function and feel like your other teeth. Take care of your treated tooth the same way you would your other teeth. Brush after every meal, and floss before going to bed. Also, have regular dental checkups, cleanings, and any other dental work you may need so that your teeth last long.

root canal treatment in bapu nagar
inlay or onlay in bapu nagar

Inlays and Onlays

Dental inlays and onlays are restorations used to repair rear teeth with mild to moderate decay or cracked and fractured teeth that are not sufficiently damaged to need a crown.

Benefits of inlays and onlays compared to metal fillings

  • Inlays and Onlays are durable — they’re made from tough, hard-wearing materials which last up to 30 years.
  • They help to strengthen teeth by up to 75 percent, unlike traditional metal fillings which can actually reduce the strength of the teeth by up to 50 percent.
  • Inlays and Onlays prolong tooth life and prevent the need for more dental treatment in the future.

Dental inlays and onlays are used when old fillings need to be removed or replaced. A dental inlay is similar to a filling and fits inside the cusp tips (top edges) of the tooth. A dental onlay is more extensive and extends over the cusps of the treated tooth.

How is inlay or onlay done?

During treatment, we remove the old fillings under local anesthesia and take an impression of the tooth, which is sent to the dental laboratory. The new inlay or onlay is made from this mold in porcelain, gold or composite resin material. The inlay or onlay is then cemented into place at the next appointment. The inlay or onlay blend successfully with the treated tooth and the rest of the teeth to achieve a natural, uniform appearance.

Post & Core

Teeth sometimes have large portions missing due to decay, fracture, the loss of a filling or the creation of an access cavity (the hole through which root canal work is performed).

Core placement refers to a procedure where a dentist replaces the bulk of a tooth’s missing structure in preparation for making a new dental crown. Doing so creates the optimal shape and foundation for the new restoration.

The difference between a dental core and a post and core is that with the latter, a dental post is placed that helps to anchor the core to the tooth.

While a dental core can be created for any tooth, a post and core can only be made for a tooth that has had root canal treatment.

The Dental Core Procedure

  • The dentist will apply dental restorative (meaning filling material, such as dental amalgam or bonding) to the tooth, not unlike when a regular filling is placed.
  • As a part of the process, they may also screw tiny “pins” into the tooth. As the restorative is packed around them, they help to anchor the core in place.

Shaping the core.
The overall goal is to place enough dental restorative that once the tooth has been prepared (trimmed) for its new crown, the resulting tooth and core combination is generally the same size and shape as it would have been if no original tooth structure had been lost.

The post and core procedure.

  • The dentist will first use their drill to create a “post space.” This space will generally lie within one of the root canals that was filled during the sealing portion of the tooth’s endodontic treatment.
  • A post, having specific dimensions matched to the post space that’s been drilled, is then cemented or bonded into place.
  • Once the post has been secured, dental restorative is packed over and around the post’s exposed end so to create the core.
    Ultimately, the core is anchored in place both by the post and adjacent tooth structure.
post and core in bapu nagar
apicoectomy in bapu nagar

Apicoectomy

Each individual tooth in your mouth is anchored into your jawbone by roots. The roots have an area called the apex located at the end. Sometimes, these root canals can become infected or inflamed and require RCT. Sometimes RCT can fail to remove the infection if it is lodged in smaller nerve branches as opposed to just the main ones that’s when apicoectomy is needed. In the apicoectomy procedure, either the root tip is removed or the apex is. This area is then substituted with a filling to ensure that the root end is completely coated and sealed.

How is apicoectomy procedure performed?

Prior to the procedure, number of X-rays are taken of the tooth that requires treatment as well as the bone and tissue that surrounds it. After this, we will provide you with an antibacterial mouthwash, antibiotics as well as certain medications that can limit the amount of inflammation. During the actual apicectomy procedure, we will remove the gum that surrounds the tooth. This is done so the roots can be accessed with ease. This allows us to be able to extract any infected tissue. This process involves the root canals being cleaned using ultrasonic instruments very accurately due to the use of a specialized microscope. Then we will cut off the tip of the root – this is usually just a couple of millimeters – and the tissue is stitched back into position as seen by the X-rays.

Laminates & Veneers

What are laminates & veneers?

There is a very subtle difference between these two words as far as dentistry is concerned and could be used interchangeably with some liberty. These are basically shells of tooth-coloured materials that are bonded to the front surfaces usually to make them look beautiful.

What is the difference between a laminate and a crown?

A crown covers the whole of the tooth whereas a laminate generally covers only the front surface of the tooth. Therefore it may be considered to be a more conservative treatment as it tends to preserve a lot of healthy tooth structure that might have been sacrificed if a crown were to be fabricated.

What are direct and indirect laminates?

Direct laminates are the ones that are made directly inside the patient’s mouth. Whereas, indirect laminates are made in the laboratory on a replica of the patient’s teeth acquired by making the impression of the teeth.

Do they look natural?

Newer tooth-coloured materials have improved so much that, it may be extremely difficult for a lay man to make out anything artificial having been done on your teeth if the laminates are properly made. Only a trained eye like a dentist’s may be able to make out any treatment. That too sometimes, is difficult.

What are laminates made from?

There are various materials from which laminates or veneers can be fabricated as is the case with metal-free crowns. Some of them are :

  • Ceramics
  • Zirconia
  • Composite resin
laminates in bapu nagar
Before
veneers in bapu nagar
After

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