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Treatment & Management of Braces
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Tooth loss occurs due to various reasons decay and infection, fracture, accidents, gum disease, to name a few. Tooth loss has a negative impact on various aspects facial appearance, chewing efficiency, and overall nutrition. The attempts to restore the lost tooth have led to various advancements from removable dentures to cast partial dentures to fixed dentures to implants.
Listed below are features (covering advantages and disadvantages) of both dentures (fixed and removable) and implants. While dentures can be complete or partial, implants are more often partial, of course can be used to replace multiple teeth. A detailed discussion with your dentist along with oral and radiographic examination will help in making a decision.
Replaces tooth but more for cosmetic reasons than function.
Poor chewing efficiency.
Useful when multiple teeth are to be replaced, especially when no adjacent teeth are available for support.
If good bone support is not available, retention is an issue.
Not very healthy for the underlying jaw bone and adjacent gums.
Requires daily and routine maintenance.
Also called as bridges, as the artificial replaced tooth is a bridge between two natural teeth.
Requires removal of sound tooth structure as abutment (support). This is the major disadvantage with fixed dentures, which promoted further work from the dentists, ending up with discovery of implants.
Promotes tooth decay in the adjacent teeth.
Good support, so retention is not an issue.
Not as harmful to the underlying jaw bone as removable denture.
Requires maintenance but not like the removable denture.
Expensive compared to removable dentures.
Replacing a bridge also means the adjacent healthy teeth are affected.
Very good replacement alternative, replaces not just the crown structure but also the root structure.
An excellent option when the jaw bones and gums are extremely in good condition.
Almost natural restoration of both chewing efficiency and facial appearance, the person can eat almost anything.
Not as harmful on the gums like dentures.
Does not cause bone loss like dentures.
Can be used to replace single or multiple teeth, where multiple implants are placed and a bridge is placed over them.
The titanium screws that are used fuse with the jaw bone over a period of time.
The titanium is also biocompatible, thereby reducing chances of allergy.
Implants are expensive, and many insurance companies may not cover them.
If properly fabricated and maintained well, then it can last for decades.
The decision to go for a denture or for an implant should be decided based on a detailed evaluation of overall health and if required radiographic examination. Both dentures and implants have advantages and disadvantages, and the dentist will help make the right choice. If you wish to discuss about any specific dental problem, you can consult a specilized dentist and ask a free question.
I have fluorosis from birth. I had gap in right molar teeth, So I did filling before 6 months. For the past 3 days I am getting heavy pain in the filling side, Dentist said the filling is broken and by X-Ray it's seen Filling is very near to pulp, So you have to do Root Canal Treatment and put Ceramic Cap. Can I directly remove this filling and put Ceramic Cap or I must undergo RCT and then only should put Cap? Dentist said after RCT, Cap is must since teeth is brittle, for that I can directly put the Cap which prevents physical contact to the teeth na? Please give your elaborate clear answers. Thank you.
Hello from last two days i am feeling imense pain in my lower right jaw because of by half broken wisdom tooth what should i do ?
I have yellowish teeth since teenage it is may be due to my raising in rajasthan where ground water contain flourine I want to get rid of them but I am afraid to go to a dentist please tell me some home remedy to naturally whiten my teeth.
My mouth not open properly because I take supari many years ago I suffer theeth problem also so please give me some advice
Second thing you can do is go to dentist for saying him/her hello and get your teeth clinically examined at least twice in a year.
The above tips are time tested and reliable.
If you can do that much, you are sure to stay out of that dental chair majority of times.
Dear Doctor I feel pain in my teethes whenever i drink tea, water, cold drink. Also i keep brushing quite often but still my mouth smell. Please suggest something.
I have a problem in my teeth about cavity so please tell me the solution about this. Is there any medical treatment for this.
Sir I have trouble to bad breath since 3 year I have found cavities in my mouth I concern many doctor but still that are failed to stopped my bad breath.
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.