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Treatment & Management of Braces
Treatment of Tetracycline Stains
Root Canal Treatment
Management of Dental Hygiene
Artificial Teeth Treatment
Braces Treatment for Adults and Teens
Ceramic Braces Treatment
Teeth Scaling & Polishing
Dental Extractions Procedure
Orthosis Fitting Procedure
Fixed Partial Denture Procedure
Those who have experienced it would vouch for the fact that toothache is one of the worst pains. There could be times when the attack happens out of nowhere and you are crying for relief.
The tooth has 2 parts - the visible part called the crown and the invisible part called the root which is embedded in the jaw bone and covered by the gums.
Both the crown and the root have 3 layers from inside out. The crown has enamel, dentin, and pulp. The enamel is the mineralized part of the tooth, dentin has fine sensory dentinal tubules, and the pulp receives nerve and blood supply to the tooth through a small orifice at the end of the tooth called the apex. On the root surface, instead of enamel, there is a softer substance called cementum. The dentin and the pulp continue through the tooth, but are thinner in the root portion of the tooth.
The mouth has the largest amount of bacteria in the body. These act on the food deposits on the tooth and produce acid which leads to breakdown of the enamel. The only symptom when enamel breakdown happens is food lodgment, and it continues till treatment ensues. Once the breakdown reaches the dentin, sensitivity sets in, and most people go for treatment then. If not, the next layer is the pulp, when there is severe pain. This acute pulpitis causes pain in spurts and can be unbearable.
On the root surface, if there is periodontal disease and the gum line goes down, then cementum gets worn off (far more easily than enamel) and decay reaches the dentin and pulp (again faster than in the crown).
Whatever the case, the treatment would be the same:
- Dental examination, clinical testing, and x-rays would be diagnostic. Tapping the tooth would reproduce the same pain and that is indicative of acute pulpitis
- Antibiotics and pain killers would be given to control the pain
- Once the infection subsides, root canal therapy is initiated. Using the decayed portion to gain access to the root, thin instruments called reamers and files are used to clean out the pulp space completely. They are then shaped to accommodate an inert substance called gutta percha which ensures infection does not seep into the tooth again.
- With RCT, the tooth is weakened, and therefore a crown needs to be placed. This could either be a ceramic crown or a full metal crown based on economic and esthetic reasons.
The best way to avoid this is regular visits to a dentist so that decay is identified in the early stages and treated with the minimal cost and maximum natural tooth preservation.
Dental Malpractice occurs when the treatment provided by dental health care professionals falls below the acceptable standard of care causing serious personal injuries. such type of malpractice are:
Failure to inform the patient of all available treatment options and the associated risks and benefits related to each
Failure to refer to a specialist
Negligence in failing to properly diagnose oral cancer or periodontal (gum) disease
Causing nerve damage by improperly placing dental implants
Damaging the Lingual nerve or Inferior Alveolar nerve while administering anesthesia or when removing wisdom teeth or molars
Incorrect use of dental anesthesia resulting in complication or even death
Improper procedures which result in injury and damage
Malalignment of teeth or bite malocclusion resulting from substandard dental procedures
Failed dental procedures
Faulty root canals, crowns, implants, veneers, or dental bridges resulting in injury and infections to the jaw, face and gums
Tooth loss due to faulty restorations
Injury to the temporomandibular joint (TMJ) after orthodontic treatment or restorative dentistry procedures
Failure to perform a complete and thorough oral exam
Not properly administering antibiotics prior to a dental surgical procedure
Failing to diagnose or control an infection
Use of faulty materials or products
Dear doctor. I have a 3 years old kid (boy) he have a tooth decay problem .all of the teeth is damage and crown of all the teeth had finished and remain teeth become black. Many doctor told me permanent teeth will damage if I will not treat my kid teeth and doctor suggest me treatment through anesthesia but I am very afraid and worry about my kid please suggest me the genuine guidance which is suitable to my child.
I am having teeth gum problem. Maximum gum has become black visible when fold the lips for brushing. While brushing they give pain & maximum times they bleed. What to do in this case? I do not smoke & drink.
I took tobacco since last 20. Years , so my teeth got dark brown. Now what should I do to became natural white teeth.
I have tooth pain and I have consumed about 10 combiflam tablets in the last 2 days will iy cause any health problem.
I am having a tooth decay problem and need a root canal. How much time does it to recover with which I am having?
I'm Chandu. My age is 23. My problem is extra new teeth coming at lower back side. But it is cut the gums. No pain but bad smell coming.
Some doctor says my teeth was suffering from pyria? Can scaling is better for my teeth otherwise please you give me suggestion for being my healthy teeth?
Cavities are more common among children, but changes that occur with aging make cavities an adult problem, too. Recession of the gums away from the teeth, combined with an increased incidence of gum disease, can expose tooth roots to plaque. Tooth roots are covered with cementum, a softer tissue than enamel. They are susceptible to decay and are more sensitive to touch and to hot and cold. It’s common for people over age 50 to have tooth-root decay.
Decay around the edges, or a margin, of fillings is also common for older adults. Because many older adults lacked benefits of fluoride and modern preventive dental care when they were growing up, they often have a number of dental fillings. Over the years, these fillings may weaken and tend to fracture and leak around the edges. Bacteria accumulate in these tiny crevices causing acid to build up which leads to decay.
You can help prevent tooth decay by following these tips:
Brush twice a day with a fluoride toothpaste.
Clean between your teeth daily with floss or interdental cleaner.
Eat nutritious and balanced meals and limit snacking.
Check with your dentist about the use of supplemental fluoride, which strengthens your teeth, and about use of dental sealants (a plastic protective coating) applied to the chewing surfaces of the back teeth (where decay often starts) to protect them from decay.
Visit your dentist regularly for professional cleanings and oral examination.