ADVANCED PROCEDURES

CROWNS


Crowns are full coverage restorations that are used to cover a tooth that is likely to break, or is too broken down to be restored with a filling. Crowns are most commonly done after root canal treatment, or when a large filling wears out. The larger the hole made by a cavity that has to be treated, the more likely a crown will be needed. Even after a filling is put in a large cavity, a tooth is more likely to break. Keep in mind that the jaw muscles are the strongest in the human body. Teeth are subjected to tremendous pressures. Crowns ride over the weakened tooth, providing strength and protecting the tooth against breakage. A broken or cracked tooth is a far more serious matter and much more difficult to treat. Crowns help to prevent this, as well as making for a nice smile.

It typically takes two appointments to restore a tooth with a crown. During the first appointment, any decay is removed from the tooth and it is shaped to accept the crown. Then, an impression is taken of the tooth for use in fabricating a crown. Between the two visits the crown is sent to the lab for fabrication, usually of high-strength porcelain over gold alloy, all ceramic material. During this time a temporary crown is worn. In the second visit this temporary is removed. Then the permanent crown is adjusted if needed and then cemented in place.

DENTURES

There are different types of dentures, but they share their common function. They replace teeth that have become loose or been lost due to bone loss or other reasons. When bone loss around the roots of teeth is great enough to loosen them or let them fall out, you may want to consider dentures.

The entire mouth is examined and a determination is made as to which teeth will require extraction, and which will remain.  Dentures are custom made to go over or around whatever teeth remain in the mouth, depending on the type. There may be an adjustment period after dentures are placed in the mouth. 

IMPLANTS


A dental implant is an option to replace a missing tooth or several teeth. In this procedure, a small titanium shaft is surgically implanted into the bone and allowed to integrate with the surrounding bone. The bone grows around it forming a tight connection, which additionally slows or stops the bone loss that occurs when the root of a natural tooth is missing. Once the implant is firmly set in the mouth, the dentist then works to attach the replacement tooth onto the top of the shaft.

Implants can also be used to support an implant bridge or to stabilize dentures. This is a fixed  alternative to partial or complete dentures.  

ROOT CANAL TREATMENT

Root canal treatment (or endodontic therapy) is necessary when a cavity grows large enough to reach all the way to the pulp or nerve of a tooth.  Though regular cleanings and checkups help to prevent and detect problems early, sometimes deep restorations or trauma to a tooth may cause the nerve to be damaged to the point that it requires root canal therapy. Once this occurs, the pulp becomes infected, and can even extend through the root tip and begin to eat away at the surrounding bone, thus creating an abscess. An abscess will not heal on it's on  and must be treated by root canal therapy or extraction.  Symptoms may include sensitivity to hot, cold or sweets, pain, swelling, pain to biting or pressure, and a bad taste in the mouth. Sometimes, however, no symptoms are apparent and the person is unaware of any problem until a checkup.

Root canal therapy is performed in order to clean out the infected tooth pulp, and disinfect the canals of the tooth. Once the infection is resolved, the canal(s) are filled in to prevent any further infection. Usually, a core build-up and crown is recommended for restoring a tooth that has had root canal therapy.

BRIDGES


This is an option for filling the space created by a missing tooth. The neighboring teeth are used for support.  A bridge replaces the missing tooth, both functionally and cosmetically.

It is important that a missing tooth be replaced as soon as possible to prevent the surrounding teeth from shifting inward or into the space of the missing tooth.  

TMJ TREATMENTS

TMJ stands for temporo-mandibular joint. Temporal, as in temple area of skull; mandibular as in mandible, or lower jaw; joint as in it's where the head and jaw meet. Problems in this joint may be caused by a misalignment of the teeth, trauma, or excess muscle tension. Aside from the two bones that meet there, cartilage buffers them and muscles are involved in the area.

Problems in this area can cause:

  • Headaches
  • Earaches
  • Trouble/soreness in opening and closing the mouth
  • Clicking or popping of the jaw
  • Pain in the jaw muscles
  • Soreness in the area, sometimes extending to the face

Dental treatments for the condition can include replacing missing teeth, moving teeth, adjusting the bite, filling gaps between teeth, etc. Typically, a plastic mouthguard is used to prevent clenching or grinding that is contributing to the problem. In extreme cases,  surgery may be required to repair a damaged joint.

 


 

NJ Cosmetic Dentistry Associates, LLC
Luciana S. Daniels, DDS
33 Overlook Road | Suite 403
MAC 1 Building | Summit, NJ 07901 
O:  908.219.4118 | F:  908.598.8388

 

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