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When a tooth is lost, the dental implant or dental crown would be the closest replacement both in terms of chewing efficiency and facial appearance.
Unlike a denture, the implant replaces not just the crown structure but also the root portion. This ensures that the tooth is replaced as it was prior to the loss. When clinically done properly and cared for appropriately, the dental implant can last for decades.
Why Is a Dental Crown Needed?
A dental crown may be needed in the following situations:
- To protect a weak tooth (for instance, from decay) from breaking or to hold together parts of a cracked tooth
- To restore an already broken tooth or a tooth that has been severely worn down
- To cover and support a tooth with a large filling when there isn't a lot of tooth left
- To hold a dental bridge in place
- To cover misshapened or severely discolored teeth
- To make a cosmetic modification
And, if you have gone for dental implants, keep the following in-check to maintain a good oral health after you the implant is done-
- Until the effect of the anesthetic wears off, do not eat or limit to drinking something cold. Avoid anything hot or spicy for the first day.
- Start using the mouthwash from the evening of surgery and continue through the entire week. It should be held in the surgical area for at least a minute, repeated 3 times daily, for the first week.
- The other teeth should be brushed from the evening of the surgery. The surgical area should not be touched for the first 3 to 4 days. After that, depending on the pain tolerance, gently brush this area with a soft toothbrush.
- Add a teaspoon of salt to a glass of warm water, keep it in the surgical site for a soothing effect. This can be repeated as many times as possible, after each meal or snack.
- Follow a soft diet and do not let the food go into the surgical site area.
- Do not disturb the surgical site with either tongue or finger.
- Smoking should be completely avoided until the wound completely heals. The negative pressure created during can dislodge the clot and lead to delayed healing and even complications like dry socket.
- Expect some swelling and/or bruising in the cheek and mouth area, which will increase for the first 2 to 3 days and then gradually subside. Swelling can be managed with ice packs or a cold towel that is applied for 10 minutes with half-hour breaks. From day 2 onwards, gentle heat can be used.
- Similarly, expect pain for the first couple of days which can be controlled with pain-killers. Take the first pain-killer before the anesthetic effect wears off.
- Continued pain and swelling after the first 4 to 5 days should prompt a visit to the dentist, as it might be an indication of underlying dental infection.
- If you have dentures over the surgical implant site, try using them to the least extent possible for the first week.
- Complete the entire antibiotics course after the surgery.
Appropriate post-operative care goes a long way in ensure the implant gets absorbed and lasts a lifetime. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.
I am 32 year old. One of my pre molar tooth just broke in bits and pieces leaving no crown for filling but roots deep within and strong. Is it necessary to get it extracted? dentist gave two options of implantation and bridging. Which one to opt for?
This is examination time. And we get loads of enquiries from parents that doc my child is suffering from toothache
A simple solution can do wonders
Make sure your child brushes at night and this should be followed by lukewarm water rinses.
I was advised for a laser dental cleaning procedure. I am 50 year old and a diabetic for more than 10 years. Two teeth requires extraction as suggested by Doctor. And also advised for re-shaping to smile for the front teeth. Is the laser cleaning be a safe procedure and adjusting the teeth by clipping advisable at this age. Please advise.
Possible causes include:
• Tooth decay (cavities)
• Fractured teeth
• Worn fillings
• Gum disease
• Worn tooth enamel
• Exposed tooth root
In healthy teeth, a layer of enamel protects the crowns (the part above the gum line )of your teeth. Under the gum line a layer called cementum protects the tooth root. Underneath both the enamel and the cementum is dentin.
Dentin is less dense than enamel and cementum and contains microscopic tubules (small hollow tubes or canals). When dentin loses its protective covering of enamel or cementum these tubules allow heat and cold or acidic or sticky foods to reach the nerves and cells inside the tooth. Dentin may also be exposed when gums recede. The result can be hypersensitivity.
Sensitive teeth can be treated. The type of treatment will depend on what is causing the sensitivity. Your dentist may suggest one of a variety of treatments:
• Desensitizing toothpaste. This contains compounds that help block transmission of sensation from the tooth surface to the nerve, and usually requires several applications before the sensitivity is reduced.
• Fluoride gel. An in-office technique which strengthens tooth enamel and reduces the transmission of sensations.
• A crown, inlay or bonding. These may be used to correct a flaw or decay that results in sensitivity.
• Surgical gum graft. If gum tissue has been lost from the root, this will protect the root and reduce sensitivity.
• Root canal. If sensitivity is severe and persistent and cannot be treated by other means, your dentist may recommend this treatment to eliminate the problem.
Proper oral hygiene is the key to preventing sensitive-tooth pain. Ask your dentist if you have any questions about your daily oral hygiene routine or concerns about tooth sensitivity.