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Do You Also Suffer From Bleeding Gums?

Bleeding gums are one of the most common problems and most common symptoms of gum disease. One of the common causes of bleeding gums is Gingivitis. Gingivitis Gingivitis means inflammation of the gums. It commonly occurs because a sticky film of plaque on which bacteria multiplies, accumulates on the teeth. Brushing your teeth removes plaque […]

Latest Advancements in RCT

WHEN DO YOU NEED AN RCT?

Root Canal Treatment is a process of removing the infected and inflamed dental pulp, form within   the tooth.

  • When your tooth is sensitive to touch or when you eat food, it could indicate severe tooth decay or nerve damage
  • You might not feel any pain at an early stage of the pulp infection. But when left untreated, the infection will progress enough to cause you pain and discomfort.

Not all types of teeth pain or dental caries are indicated for a Root Canal Treatment.

But, there are a number of signs you must look for that include:

  1. Severe pain or discomfort on the site of infection while chewing food, which persists even after you’ve stop eating.
  2. Sensitivity to Hot/Cold food items, that lingers even after the removal of hot/cold stimuli.
  3. Minimum pressure on the area/tooth causes severe pain.
  4. Red, warm or swollen tissue around the area of infection.
  5. Tenderness or discomfort in the swollen gum tissue.
  6. A small pimple-like bump, on the gums or swelling on the jaw or the face.
  7. Deep Dental Caries if not treated soon enough can lead to severe root canal infection.
  8. When your tooth undergoes repeated dental procedures, like removal of dental brackets can weaken you’re your enamel.
  9. A Dental Abscess is the collection of pus at the tip of the root, which causes pain and swelling in the affected area.
  • An abscess can cause difficulties in opening the mouth or swallowing the food.
  1. Severe pain during the night time. This happens due to the increase in Pulpal Blood pressure while lying down, due to gravitational effects.

 

Sometimes tooth that needs an RCT, have no signs or symptoms, they include:

  1. Large old Dental Fillings.
  2. Cracked or chipped tooth.
  3. Discoloration from within the tooth.
  4. A bad taste from your mouth or a bad smell all the time due to the continuous pus discharge.
  5. Traumatic fracture of the tooth.

WHY DO WE NEED ROOT CANAL TREATMENT?

  • The Dental Pulp is a soft connective tissue that resides within the centre of the tooth.
  • Dental pulp is composed of soft connective tissue, blood vessels and numerous free nerve endings.
  • The free nerve endings are responsible for transmission of pain and sensitivity.
  • In a healthy tooth, the layers of enamel and dentin protect the pulp from infection.
  • Any injury to the tooth like Deep Dental Caries, Tooth Fracture or Gum Diseases allows the bacteria to enter the healthy pulp.
  • But when Dental Caries, attrition, or trauma to the teeth is left unattended for a long period of time, these protective layers are compromised which results in Inflammation of Dental Pulp, called as PULPITIS.
  • The Dental Pulp is surrounded by rigid walls, therefore due to infection, when the pressure of Dental Pulp increases, it contributes to swelling and pain in the tooth or its surrounding region.
  • The defense mechanism of the dental pulp shuts down, whenever a healthy pulp is compromised.

 

If the Pulpal inflammation or infection is not treated at an appropriate time, it may lead to a severe pain and an Abscess (Pus formation at the tip of the root).

 

So, to treat the inflamed and infected dental pulp we perform the Root Canal Treatment.

 

What is Root Canal Treatment (RCT)?

 

A Root Canal Treatment is, when the Endodonist removes the infected Dental Pulp and  Free Nerve Endings in the root of the tooth, cleans and shapes the inside of the root canal, then fills the space with an obturation material and seals the space.

 

Afterwards you are provided with a crown on the tooth to protect it and also to restore its original functions.

 

There are a number of reasons why you may need an RCT:

 

  1. First of all saving a natural tooth is a wise choice.
  2. Deep decay reaching to the pulp.
  3. Repeated dental procedures on the tooth.
  4. Faulty old crown.
  5. A crack or chip in the tooth.
  6. An Endodontic treatment helps you maintain your natural smile, you can continue eating the foods you love and it limits the need for ongoing dental work.

 

 

With proper care most Root Canal Treated teeth can last for a long time.

WHICH DENTAL CROWN IS BEST FOR YOU?

Dental crowns are caps for a damaged tooth. It can be made from a variety of materials, including porcelain, zirconia, ceramic, metals like gold, chromium or combination of metals.

A natural appearance that doesn’t detract from your smile may also be a priority for you. Read below the various options and figure out what best meets your needs.

TYPES OF DENTAL CROWNS

  1. ZIRCONIA

These dental crowns are made up of an artificial stone, called Zirconium. They are excellent in hardness and have the best durability to withstand any kind of chewing or biting forces.

 

They are mostly used on molars and premolars because of the large amount of forces and pressure exerted by the opposite arch. There is no chance of breaking or cracking of the zirconia crown.

 

Zirconia crowns are excellent in biocompatibility which means, their placement does not cause any pain and inflammation of the gums. They are easily adapted to your oral environment, as it is an unreactive material.

 

One potential disadvantage of a zirconia crown is its opaque appearance, which can make it look less than natural. Although it may be less of an issue for the teeth in back of your mouth.

 

  1. E-MAX CROWNS

It is made up of Lithium Disilicate Glass material. It is the most desirable material for the crown/veeners because of its translucency. This is allows the most amount of light pass through the crown and make it look more natural. Hence, it is mostly used for the front teeth or canines. They provide excellent aesthetics.

 

They are likely the most durable material. The crown is usually shaped from a single block of ceramic, which makes it very tough and durable. E-max crowns are less likely to crack or fracture during clinical usage. They are less likely to chip when compared to zirconia crowns.

 

E-max crowns possess excellent strength and fracture resistance; these crowns can be prepared in very thin sections. This not only ensures optimal esthetics but also requires minimal removal of natural tooth structure during preparation. When you have more tooth structure, your tooth stands stronger.

 

The only disadvantage of this crown is its high price compared to other dental crowns.

 

 

 

  1. METAL CROWNS

These are made of alloys of gold or base metals like chromium, nickel. Out of all dental crown materials, metal crowns are the strongest and the most resistant to chipping, breaking, and wear.

 

However, the visible metallic color make them non – appealing and hence, metal crowns are not commonly used in dentistry today.

 

Metal crowns exhibit excellent strengths in withstanding any biting or chewing forces. They cause minimal wearing off of the surrounding teeth as compared to other materials.

It is bio-compatible in nature and needs very little trimming of the natural tooth.

 

It might cause metal allergies in some cases.

 

 

  1. POCELAIN FUSED METAL CROWNS(PFM)

 

Metal crowns are sometimes prepared with porcelain fused to them and are referred to as porcelain fused to metal crowns (PFM).

They have a strong metal core inside and then a layer of porcelain is fused on it. They are as strong as a metal crown but because of the porcelain fusing, they look a lot more natural. It is still widely used, but nowadays ceramic crowns are more preferred.

Unlike the all-metal crowns, PFM crowns can be easily used on a tooth that is visible. The quality of these crowns is very durable and superior as they have metal in their core-shell. They have enough strength, are highly durable, and can easily bear strong chewing forces.

But there are a number of disadvantages related to PFM.

The porcelain crowns can cause wear and tear of the surrounding teeth causing pain, infections and inflammation of the gums. They are more vulnerable to breaking and chipping than all-metal crowns.

Since the porcelain covering is translucent, it sometimes makes the underlying metal visible which can be embarrassing for the patient. In case the gums recede, problems at the gum line of the crown may arise.

PFM has the highest failure rate as compared to other dental crowns.

 

 

 

 

 

 

  1. TITANIUM ALLOY CROWNS

Titanium porcelain crowns, as the name suggests, are made of titanium. This metal is extremely lightweight, yet extremely sturdy. It has a smooth surface and it is abrasion resistance.

It is best suited for people having any metal allergies. Dentists usually recommend titanium crowns as a replacement for chewing teeth rather than front teeth to ensure the best cosmetic results.

They are highly bio-compatible and also hypo allergic in nature. It neither gets stained nor causes bleeding and discolored gum lines.

But they also have their own drawbacks.They are unnatural in color and provides with no aesthetic solution.

BLEACHING v/s DENTAL VEENERS

Yellow or discolored teeth can make us self-conscious, and that can affect our confidence, our personal relationships, and the first impressions that we make when meeting someone new. Ethical Dental Care offers two great teeth whitening methods:

IN-OFFICE TEETH WHITENING

This painless procedure takes about an hour in our office. The dentist applies a bleaching agent to your teeth and then activates it with a special light while you relax. A concentrated Hydrogen Peroxide gel is applied for 15 minutes and this process is repeated 3 times depending on what shade you want.

AT-HOME TEETH WHITENIG KIT

This is a 2 visit process.

On the first visit, an impression for your custom mould trays will be done. On the second visit you will be provided with the tray and the whitening kit. You’ll use a custom-fit bleaching tray on your teeth in the comfort of your own home. The process takes longer than our in-office process but can last for more than a year with good dental hygiene habits.

With bleaching as an option, you must know that your teeth will stain at the normal rate. Tea, coffee, dark colored beverages like wine, and food rich in turmeric causes external stains on your teeth. You may need to visit your dentist in a few months for whitening again.

While these are two great options, they might not be right for everyone. Factors like the condition of your teeth could mean that neither at-home nor in-office teeth whitening is an option.

It is not an option for patients having extensive tooth decay, gum diseases, cracked tooth, and tooth abscess. Pregnant ladies and children under the age of 16 are not candidates for teeth whitening.

 

Another option for you to get a beautiful smile is, PORCELAIN VEENERS.

 

A veneer is a hard coating that completely covers the front of an individual tooth. Veneers are purely cosmetic; they are used only on the front teeth as they are most visible

Veneers are made of either porcelain bonded directly to the tooth’s surface. With porcelain veneers, the dentist will make impressions of the teeth and the veneers are custom made for each tooth. Veneers provide you with a natural-looking, custom-made “shell” that covers each tooth.

It is essential that you have healthy teeth and enamel before considering veneers. Removing some of the enamel from a tooth that is already compromised can be problematic.

For porcelain veneers, impressions are made after the enamel is removed. The impressions go to a lab where the veneers are made. Because this takes some time, you may get temporary veneers until your next appointment. At that visit, the dentist will bond the veneers to the teeth, and polish and fine-tune their shape for a natural feel and look.

 

Veneers can last for upwards of 15 years. But, they can chip or come loose if you grind your teeth or chew on hard items like ice or even your fingernails.

Potential patients need to realize, however, that since some of the enamel is removed, and getting veneers is not something that can be undone. If they come off or are damaged, they should be replaced.

Veneers are costly but last a long time. They also can resolve a number of dental issues at once like chipped teeth, uneven spacing, and discoloration. But having them put on will permanently change the teeth’s enamel. There’s no going back.

 

Professional tooth whitening is routine, safe and effective. The risks are minimal and the cost is reasonable. But, sometimes it might not work. The procedure won’t address issues like crooked teeth or gaps. And you may have to have it done every few years.

 

Any cosmetic decision is best made by weighing the factors that are most important to you. Deciding on teeth whitening vs. veneers is no different. Discussing your options with your dentist will help you decide what makes the most sense for you.

RCT v/s DENTAL IMPLANT

When your tooth gives you pain or has extensive decay, it may be recommend that you get a root canal or dental implant to fix the issue.

Read to compare both of these options and find out which one you prefer.

In RCT, your dentist can save your tooth by removing the infected pulp and filling it with a replacement material.

On the other hand, when a tooth cannot be saved, Dental Implant is also an option. An Implant requires removing your original tooth and installing a metal post in your jawbone.

 

In both the cases, your dentist provides you with an artificial crown to restore the normal functions.

 

Both Dental Implant and RCT are technique sensitive procedures. But, RCT requires less chair side time and sittings than installing an Implant.

 

Saving a natural tooth is the first priority in any dental treatment. In RCT, your natural tooth retained in your mouth and only the infected part is removed and restored with a filling material. The tooth is surrounded by the connective tissues and periodontal ligament and hence, it provides a better support to the jawbone and other surrounding structures.

 

Whereas, when a tooth can’t be saved, extraction is the last resort. The teeth next to the space left by the extracted or missing tooth will shift toward each other and try to fill the space. To stop other teeth from doing this a metal Implant is installed in the jaw bone. This metal post is not integrated with the surrounding periodontal ligaments and thus provides less support to the jaw bone than a natural tooth.

 

Both, RCT and Dental Implants are painless procedures due the advancements in technology. But, because of extraction in Implant procedure, recovery time is longer than an RCT.

 

Due to several reasons like requirement of enough bone material and health issues, everyone is not eligible for a Dental Implant. Whereas, anyone can get an RCT done.

 

It better to have your tooth saved any day rather than an artificial metal post installed in your jaw bone.

Dental Implants might mimic your original teeth but they are not.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             

DO YOU ALSO SUFFER FROM BLEEDING GUMS?

Bleeding gums are one of the most common problems and most common symptom of gum disease.

One of the common causes of bleeding gums is Gingivitis.

GINGIVITIS

Gingivitis means inflammation of the gums. It commonly occurs because a sticky film of plaque on which bacteria multiplies, accumulates on the teeth.

Brushing your teeth removes plaque and can prevent you from developing dental caries. But plaque may stay on your gum line, if you don’t brush and floss properly. If plaque isn’t removed it can harden into tartar (calculus), which will increase bleeding. The accumulation of plaque near your gums can also cause gingivitis.

The tartar (calculus) takes up the space between the teeth and gums and causes inflammation, sensitivity and it is a breeding ground for pathogenic (disease causing bacteria).

Gingivitis is a non-destructive type of periodontal disease, but untreated gingivitis can progress to Periodontitis (severe form of Gingivitis). This is more serious and can eventually lead to loss of teeth.

Other causes and risk factors include:

Hormonal changes: puberty, menopause or pregnancy. The gingiva might become more sensitive, raising the risk of inflammation.

Diseases, like Cancer, diabetes, and HIV are linked to a higher risk of gingivitis.

Medications: Oral health may be affected by some medications, especially if saliva flow is reduced. Anticonvulsant and some anti-angina medications can cause abnormal growth of gum tissue.

Smoking: Regular smokers more commonly develop gingivitis, compared with non-smokers.

Age: The risk of gingivitis increases with age.

Poor diet: A vitamin-C deficiency, for example, is linked to gum disease.

Family history: Those whose parent or parents have had gingivitis have a higher risk of developing it too. This is thought to be due to the type of bacteria we acquire during our early life.

Signs and Symptoms include:

  • Bright red or purple gums
  • Tender gums that may be painful to the touch
  • Bleeding from the gums when brushing or flossing
  • Halitosis or bad breath
  • Inflammation or swollen gums
  • Receding gums
  • Soft gums

 

Treatment

If diagnosis happens early, and if treatment is prompt and proper, gingivitis can be successfully reversed.

Treatment involves care by a dental professional, and follow-up procedures carried out by the patient at home.

Professional Dental Care

Visit your dentist twice per year for professional cleaning.

Plaque and tartar are removed using an Ultrasonic Scaler, this is known as Scaling.

Ultrasonic Scaler and tips are used to remove calculus rapidly from the tooth surface. The tip vibrates a t a high frequency and removes the calculus from the surface of teeth and from between the gums and teeth also.

The Ultrasonic Scalers also create shock waves that disrupt biofilm on your teeth so that the plaque bacteria and calculus can be therapeutically flushed from the teeth by a small jet of water or antibacterial mouthwash which is emitted from near the top of the scaler.

Scaling removes the sub-gingival calculus, meaning they can remove calculus deposits from just below the gum line, cleaning the surfaces of tooth roots without damaging them.

Follow-up appointments may be recommended, with more frequent cleanings if necessary.

Some dental problems, such as crooked teeth, badly fitted crowns or bridges, may make it harder to properly remove plaque and tartar. They may also irritate the gums.

 

 

Care at home

People are advised to:

  • Brush teeth at least twice a day, with soft bristles toothbrush.
  • Floss teeth at least once a day, before you brush your teeth
  • Regularly rinse mouth with an antiseptic mouthwash, which is also alcohol free.

 

What’s better: A Dental Implant or a Bridge?

  • When you lose a tooth, it’s essential to get a proper replacement to keep the rest of your teeth aligned.
  • Replacement of teeth can also help you maintain your facial shape and avoid difficulties with eating or speaking.
  • Two of the most common options are Dental bridges and Dental Implants.

 

DENTAL BRIDGES

They are false teeth held in place by the teeth around your missing tooth.

They’re usually made from materials like porcelain to match your natural tooth color. They can cover one or several missing teeth.

 

Pros of Dental Bridge

  • They do not require any invasive surgery or bone grafting.
  • Usually require one or two sittings after the RCT is done on your affected tooth.
  • The installation procedure is painless.
  • They are one of the most cost – effective methods of replacing the missing teeth.

Cons

  • Dental bridges place greater strain on surrounding structures, especially the two teeth which are attached to the device
  • Hence, they are not expected to last for a lifetime.
  • The bridge can crack or break due to any extra pressure on them, even while eating.
  • If the stress is not distributed uniformly, the dental bridges often cause problems like,
  • Bone resorption.
  • Affects the neighboring teeth
  • If cleaning is not done properly, more cavities and tooth decay in surrounding teeth can occur.
  • Loses natural appearance with time.

 

DENTAL IMPLANTS

 

Dental Implants are artificial tooth, with roots usually made from titanium. They’re mounted into your jawbone with screws to hold a crown or bridge in place.

 

Pros of Dental Implants

 

  • They last for a longer duration, than any other replacement option.
  • They retain natural-looking appearance longer than bridges.
  • They don’t damage the healthy teeth around the implant.
  • Dental Implants are easier to maintain and keep clean.
  • They also prevent bone loss, by providing a support to the bone.

 

Cons of Dental Implants

  • Dental Implants need a surgery to be installed.
  • The installation procedure and healing takes longer because extraction is involved.
  • Installing an Implant is a technique sensitive procedure .Hence, it is is expensive than dental bridges.
  • Not everyone is eligible for a Dental Implant.
  • You need to be in a perfect health to avoid any injuries or any complications during the surgery.
  • You need to have enough bone material for the placement of the implant.
  • Dental Implants might mimic your original teeth but they are not.

LATEST ADVANCEMENTS IN RCT

The development of new tools and technologies for Endodontic Therapy has contributed to more predictable outcomes.

At Ethical Dental Care, we provide an improved Root Canal Treatment with advanced Endodontic Instruments and enhanced Visualization for an improved diagnosis and treatment.

ROTARY ENDODONTICS

  1. Advanced Nickel-Titanium instruments: These are the files used for the removal of infected pulp.
  • These files are flexible, elastic and fracture resistant combined with unique blade and taper designs.
  • They provide improved shaping of root canal system while minimizing procedural errors.
  • They are capable of cleaning the infected root canal more smoothly and consistently.
  1. APEX LOCATOR: The position of apical constriction is determined electronically and we are less likely to damage it by over-enlargement.
  • They overcome the problems with radiographs, because the apex locator is more accurate than radiographs.
  1. ENDOMOTOR: Dental Endomotor is equipment intended to make the endodontic process simpler, as they enable mechanically driven files to be used.
  • The Endo motor allows the Endodontist to prepare the root canals with better speed and convenience.
  1. ULTRASONIC IRRIGATION: Irrigation is a key part of successful root canal treatment.
  • The most important of which are to dissolve tissue and to have an antimicrobial effect.
  • The use of Ultrasonic Irrigation during the procedure results in improved canal cleanliness, better irrigant transfer to the canal system, soft tissue debridement, and removal of smear layer and bacteria.
  1. HIGH-DEFINITION MIRRORS:
  • They reflect light on the areas of mouth that are difficult to access during treatment.
  • Mirrors help prevent injury to the tongue and cheek during retraction.
  • Non-metal handles provide Anti-bacterial protection.

 

MAGINIFICATION IN RCT

The application of magnification devices in Endodontics is mainly meant for visual enhancement and improved efficiency.

At Ethical Dental Care we perform Microscopic Endodontics to enhance visualization,  to provide better and accurate results during the procedure.