A comprehensive dental exam will be performed by your dentist at your initial dental visit. At regular check-up exams, your dentist will include the following:
Examination of diagnostic x-rays (radiographs): Essential for detection of decay, tumors, cysts, and bone loss. X-rays also help determine tooth and root positions.
Gum disease evaluation: Check the gums and bone around the teeth for any signs of periodontal disease.
Examination of tooth decay: All tooth surfaces will be checked for decay with special dental instruments.
Examination of existing restorations: Check current fillings, crowns, etc
Professional dental cleanings (dental prophylaxis) appointment will include a dental exam and the following::
Removal of calculus (tartar): Calculus is hardened plaque that has been left on the tooth for some time and is now firmly attached to the tooth surface. Calculus forms above and below the gum line and can only be removed with special dental instruments.
Removal of plaque: Plaque is a sticky, almost invisible film that forms on the teeth. It is a growing colony of living bacteria, food debris, and saliva. The bacteria produce toxins (poisons) that inflame the gums. This inflammation is the start of periodontal disease!
Teeth polishing: Remove stain and plaque that is not otherwise removed during tooth brushing and scaling.
A dental restoration (or ‘filling’) is the process of repairing the function and structural integrity of damaged tooth structure, using a dental restorative material.
Causes of damaged tooth structure include: tooth decay, trauma, fracture or wear.
There are two types of restorative materials used depending on the size of the restoration required: composite resin or ceramic (porcelain). Both of these materials are matched to your natural tooth colour.
There are two types of dental restoration procedures:
Direct Restorations: Used for smaller restorations, a composite resin filling material is placed into the prepared tooth cavity.
Indirect Restorations: Used for larger restorations, they require a custom made ceramic (porcelain) tooth replacement filling. These are called inlays and onlays.
An inlay is a filling applied to the inside of a tooth. An onlay is a filling applied both in and over the cusp (outer edge) of the tooth.
Many patients are confused or concerned about dental crowns and bridges. We’ve outlined below some of the more common applications. If you’d like further information please don’t hesitate to contact us.
A dental crown is a tooth-shaped cap that encases a tooth to restore the tooth to its original shape, size, and strength as well as to improve the overall appearance.
One or more missing teeth in the mouth can be restored to natural form, color and function with a Bridge or Fixed Partial Denture (FPD). A bridge is made up of two crowns for the teeth on either side of the gap — these two anchoring teeth are called abutment teeth — and a false tooth/teeth in between. These false teeth are called pontics and are made from highly resilient, tissue friendly metal-ceramic or zirconia all ceramic (porcelain). Dental bridges are supported by natural teeth or implants.
They are designed to adequately distribute the biting, chewing or grinding forces and restore your teeth to their natural ability, form and appearance. The Crown and Bridge in the front teeth can replace one or more missing teeth with fixed replacements and restore your natural smile beautifully.
Bridges can:
Restore your smile
Restore the ability to properly chew and speak
Maintain the shape of your face
Distribute the forces in your bite properly by replacing missing teeth
Prevent remaining teeth from drifting out of position
Root canal treatment
Root canal treatment is the removal of the tooth’s pulp, a small, thread-like tissue in the center of the tooth. Once the damaged, diseased or dead pulp is removed, the remaining space is cleaned, shaped and filled. This procedure seals off the root canal.
The most common causes of pulp damage or death are:
A cracked tooth
A deep cavity
An injury to a tooth, such as a severe knock to the tooth, either recent or in the past
Once the pulp is infected or dead, if left untreated, pus can build up at the root tip in the jawbone, forming an abscess. An abscess can destroy the bone surrounding the tooth and cause pain.
Root canal treatment consists of several steps that take place over several office visits, depending on the situation. These steps are:
First, an opening is made through the back of a front tooth or the crown of a molar or premolar.
After the diseased pulp is removed, the pulp chamber and root canals are cleaned, enlarged and shaped in preparation for being filled.
If more than one visit is needed, a temporary filling is placed in the crown opening to protect the tooth between dental visits.
The temporary filling is removed and the pulp chamber and root canal permanently filled. A tapered, rubbery material called gutta-percha is inserted into each of the canals and is often sealed into place with cement. Sometimes a metal or plastic rod is placed in the canal for structural support.
In the final step, a crown is usually placed over the tooth to restore its natural shape and appearance. If the tooth is very broken down, a post may be required to build it up prior to placing a crown.
Periodontal (gum) treatment
The primary cause of gum inflammation that starts gum disease is plaque – the sticky colorless coating that constantly forms on your teeth and contains bacteria.
The primary cause of gum inflammation that starts gum disease is plaque – the sticky colorless coating that constantly forms on your teeth and contains bacteria.
1. Before Periodontal Gum Disease – Gums are healthy and bone structure is firmly in place before periodontal disease occurs.
2. Gingivitis – In this mild stage of periodontal gum disease, the plaque and bacteria has started to irritate and inflame the gums.
3. Periodontitis – Gum recession and tartar build-up is the result of untreated periodontal disease.
4. Advanced Periodontitis – As the condition develops even further, the gums start to recede to a point where the bones start to break down. The bone structure will also begin to crumble.
Our practice specializes in the prevention, diagnosis and treatment of periodontal disease. Members of our team have had extensive periodontics training and use the latest techniques for diagnosing and treating periodontal disease.
The least invasive and most cost-effective periodontal treatment is a non-surgical procedure called scaling and root planing (SRP). During this procedure, a careful cleaning of the teeth and root surface is performed to remove plaque and tartar from the teeth surfaces. Sometimes, SRP may be followed by local antibiotic treatments, and most patients will need ongoing therapy to maintain oral health.
Sometimes, non-surgical therapy is not enough to achieve periodontal health, and in these cases we may recommend surgery to restore teeth and gums damaged by periodontal disease.
Pocket reduction and regenerative procedures
Crown lengthening
Soft tissue grafts