Wednesday, July 28, 2010

DENTAL CROWNS

Source: http://www.doctorspiller.com/crowns.htm

Which teeth need crowns?
If this were an ideal world, no one would would ever need an artificial crown placed on any tooth.  Unfortunately, people use sugar (especially as children) and get decay.  Or they break their teeth due to bruxing (grinding) or trauma.  Or sometimes the teeth are naturally crooked, discolored, or malformed.  All these situations might call for a crown instead of a filling.  Here is a list of situations in which placing a crown is the best, and sometimes the only solution:
  • All back teeth that have had root canals should have crowns placed to prevent breakage of the tooth.  These teeth have lost their natural hydrating mechanism and tend to be brittle.  Even if it is adequately filled, the tooth surrounding the filling is likely to break sooner or later.  When the tooth breaks, since there is no nerve in the tooth, it frequently does not hurt, and is easily ignored by the patient.  But the broken tooth is subject to increased decay, and in a year or two, it may have rotted away to the point where it is not restorable.  
  • Teeth that are more than half filling material should be crowned.  Remember that fillings are supposed to be surrounded by tooth structure.  As the filling gets larger, the tooth structure that supports the filling gets smaller, weaker and more brittle.  While the filling material is tough stuff, the tooth around it keeps breaking off over the years necessitating ever larger fillings until, sooner or later,  there is nothing left to fill.  By that time, there is little tooth left upon which to place a crown, and the dentist may need to perform a root canal so he can place a post and core inside what is left of the tooth above gum line in order to retain a crown.  
  • Teeth that have "circumferential gingival decay" should be crowned.  This means that the decay is at the gum line and surrounds the tooth so that it "turns the corner" between the surface that faces the lips or cheeks to encompass the surfaces between the teeth.  Circumferential decay is nearly impossible to repair properly using standard filling techniques.
  • Teeth with bad esthetics (poor appearance) generally benefit from well made crowns.  Many times, a patient's front teeth are heavily filled, misshapen, crowded, twisted,  and poorly colored.  This is an ideal situation for esthetic crowns on the top front teeth. These cases are quite rewarding for both the dentist and the patient because the patient walks away with a beautiful new smile.  Instant teeth! (Well almost instant anyways.)
  • Patients who wear their teeth down because of bruxing can benefit from placing crowns (with metal substructures) on all their teeth.  This is an expensive option, but frequently is the only way to restore the original esthetics and function the patient had before the damage took place.

TOOTH FILLINGS

http://hcd2.bupa.co.uk/fact_sheets/html/teeth_restoring.html
http://www.asharedjourney.com/magazine/ma_02summer/ma_02su_columns/dental/dentist.htm

DENTAL BLEACHING

Source: http://en.wikipedia.org/wiki/Tooth_bleaching

Tooth Whitener for Home Use (Brush for Application)


Dental bleaching, also known as tooth whitening, is a common procedure in general dentistry but most especially in the field of cosmetic dentistry. A child's deciduous teeth are generally whiter than the adult teeth that follow. As a person ages the adult teeth often become darker due to changes in the mineral structure of the tooth, as the enamel becomes less porous[citation needed]. Teeth can also become stained by bacterial pigments, foodstuffs and tobacco. Certain antibiotic medications (like tetracycline) can also lead to teeth stains or a reduction in the brilliance of the enamel...

...The side effects that occur most often are a temporary increase in tooth sensitivity and mild irritation of the soft tissues of the mouth, particularly the gums.[15] Tooth sensitivity often occurs during early stages of the bleaching treatment. Tissue irritation most commonly results from an ill-fitting mouthpiece tray rather than the tooth-bleaching agent. Both of these conditions usually are temporary and disappear within 1 to 3 days of stopping or completing treatment.