Crowns and Bridges:
Crowns cover your teeth to restore your natural, youthful smile. They can improve your smile by changing the color, size, shape, and position of your teeth. Bridges replace lost or missing teeth by using the teeth on each side of the space for support giving you a beautiful, well-balanced smile and preventing shifting and damage to your bite.
Crown and bridge treatment will replace lost or missing teeth, support remaining teeth and help you maintain optimum dental heath. This long-term solution can help prevent the cycle of problems that can occur when just one tooth is missing, such as shifting of the remaining teeth, decay, periodontal disease and bone loss.
When the nerve has died or is dying, it sometimes gives off pain sensations to hot or cold stimuli, or sometimes will not cause any discomfort at all. Sometimes, a small ball or pimple on the side of the gum will form for the infection to drain into the oral cavity. This indicates that the nerve is infected and the tooth has abscessed. Things that can cause a nerve to die are: large decay that is left untreated, excessive biting or occlusal trauma/force, and large or multiple restorations in a tooth that insult the nerve. When the nerve dies, endodontic treatment, also referred to as a root canal, will need to be performed in order to save the tooth or the tooth will need to be extracted. During a root canal the dentist removes the nerve from the tooth and cleans, disinfects, and shapes the canal. The canal is then filled with a material that will seal the canal from bacteria. In the posterior teeth, after a root canal is done a crown will need to be put on the tooth to prevent it from breaking, since the tooth becomes brittle after removal of the nerve and subsequent blood supply.
When a nerve has died, and the patient does not want to save the tooth, it will need to be extracted from the mouth. Sometimes, a tooth can fracture or break to the point that it cannot be restored or saved and will need to be removed from the mouth. Doctors Mike and Tina Cox perform extractions regularly; however, in some cases such as impacted wisdom teeth, or if little tooth structure is left, the doctors will refer the patient to an oral surgeon to have the tooth removed.
An implant is a titanium screw that is implanted in the jaw bone in the place of a missing tooth and serves as the tooth root. It stays in the jaw bone under the gum surface anywhere from 3 to 6 months while the bone fuses to the implants surface. If the implant is in the esthetic zone, a removable temporary tooth will be made for the patient to wear during the healing period. When we get the OK from the surgeon who placed the implant, Dr. Mike or Dr. Tina will then place an abutment that screws into the top of the implant which serves as the tooth structure for a permanent crown to be cemented onto.
If a patient does not have enough bone to support an implant, a bone graft may need to be performed so that the implant has enough bone around it to become fully integrated into the jaw bone.
Implants are a wonderful, lifetime investment for your mouth, and although they can be costly initially, they do not decay and last a lifetime!
Dentures and Partial Dentures:
Complete Denture: A full or complete denture is made of acrylic and replaces all the teeth in the mouth. It sits on the bony ridge that is left in the mouth after the teeth have been removed. It is a good alternative for patients who have no teeth, but will need to be relined and or remade periodically since the bony ridge resorbs or shrinks over time due to the absence of teeth. Regular dental visits are still vital for denture patients in order to assess the gum tissue for disease or abnormalities. If a patient does not have enough bony ridge to support a denture, dental implants may be a good option for the denture to “snap into” and may provide a more stable denture for chewing food.
Immediate Complete Denture: A denture that is made from an impression taken while the patient still has teeth, and is then inserted at the same appointment the patient has the teeth removed. This allows the patient to not be without teeth; however, the immediate denture will become loose in 3 to 6 months and will need to be remade or relined in order to fit the new shape of the bony ridge after the swelling has subsided and the bone remodeled.
Partial Denture: A partial is made either out of acrylic only or both acrylic and metal and is a good restorative option for patients who are partially missing teeth.
Oral Conscious Sedation:
Dental fear is a hidden phobia—the monster in the closet that no one wants to talk about. Many people are embarrassed to admit their fears and even more afraid to confront them. Often times not even loved ones are aware of their apprehension. Worse yet, these people may have never known that oral sedation dentistry was an option. Click here to learn more.