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FAQs
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4. WHAT ARE THE ALTERNATIVES TO BRIDGES?A custom dental bridge is a great choice for restoring both aesthetics and function. However, in situations involving missing teeth, our specialists may propose dental implants as an alternative. Dental implants offer a notable advantage in that they eliminate the need for any preparation or alteration of neighboring healthy teeth when replacing the missing tooth or teeth. Moreover, dental implants allow for unrestricted eating, speaking, and oral hygiene practices. They provide stable and fixed restorations, typically demanding less maintenance compared to bridges.
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2. HOW LONG DOES IT TAKE TO FABRICATE CROWNS AND BRIDGES?Preparing for a crown or bridge usually requires 2 visits: First visit - Once a diagnosis and treatment plan have been established for crown placement, the prosthodontist will administer local anaesthesia if needed. The targeted tooth is then carefully shaped to create adequate space for the crown. Utilizing top-quality impression materials, the fine details of the tooth preparation are recorded. These records, along with the selected natural shade, are sent to the dental laboratory for the fabrication process. In the meantime, a temporary crown is placed to ensure the patient's comfort during subsequent visits. Second visit - Typically, this follow-up visit takes place within 3-4 days after the initial appointment. During this visit, the prosthodontist removes the temporary crown and carefully assesses the fit, contour, and color of the permanent crown. If deemed satisfactory, the new crown or bridge is securely bonded or cemented in its designated position.
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1. WHAT ARE THE TYPES OF CROWNS AND BRIDGES AVAILABLE?Crowns and bridges can be fabricated from different materials, such as all-ceramic, metal-ceramic, and all-metal options. All-ceramic crowns are highly recommended due to their exceptional qualities. They not only offer the best natural color match for both front and back teeth but also exhibit remarkable strength and durability. Metal-ceramic crowns, also known as porcelain fused to metal crowns, can provide aesthetic appeal. However, there is a risk of the underlying dark metal becoming visible, especially at the gum line. This can be particularly unattractive, especially in cases of gum recession. Metal crowns, on the other hand, are infrequently used nowadays. This is primarily due to their non-aesthetic metallic color and the fact that they do not offer any advantages over all-ceramic crowns in terms of strength and longevity.
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3. WILL HAVING A CROWN OR BRIDGE FEEL DIFFERENT?It's common for anything new to feel unfamiliar and different. However, within a few days, you will become accustomed to the crown or bridge, and any initial discomfort will diminish. As your bite adjusts, this sensation will fade completely. If you experience any issues with your bite or occlusion, our prosthodontist is available to assist you and ensure your bite feels comfortable and natural.
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5. HOW LONG DO CROWNS AND BRIDGES LAST?On average, the lifespan of crowns ranges from 5 to 15 years, which is influenced by the level of wear and tear they endure. The durability of crowns, like any fabricated prosthesis, is reliant on proper oral care and personal habits (such as teeth grinding or clenching, diet, etc.). To extend the longevity of your crown, it is essential to maintain good oral hygiene practices and schedule regular check-ups and cleanings with our dental team. These preventive measures play a vital role in preserving the integrity and lifespan of your crown.
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3. IS GUM THERAPY PAINFUL?Gum therapy is generally not painful. The procedure is performed using local anaesthesia and numbing gel to ensure your comfort during the treatment. While you may experience some mild sensitivity or discomfort afterward, it is typically manageable and temporary. The goal of gum therapy is to treat gum disease and improve your oral health. Our experienced dental team will take all necessary measures to ensure your comfort throughout the procedure and provide post-treatment instructions to promote a smooth and pain-free recovery.
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2. WHAT IS LASER GUM THERAPY?The laser gum therapy utilizes a specialized soft tissue laser for deep cleaning, gently eliminating diseased tissue and promoting healing. This approach offers numerous advantages, such as minimal or no bleeding during the procedure, reduced swelling, and the absence of drill noise or vibration. Post-operative sensitivity is greatly reduced, and the recovery time is faster. Additionally, the high-energy light beam of the laser acts as a sterilizer, minimizing the risk of bacterial infection. As a result, the stress and anxiety commonly associated with dental procedures are eliminated due to the quick, effective, and essentially pain-free nature of this technique.
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1. WHAT IS PERIODONTAL THERAPY/SCALING AND ROOT PLANING?Simply put, deep cleaning, also known as scaling and root planing, is a procedure designed for individuals experiencing gum inflammation caused by plaque buildup and gum disease. It involves the use of an ultrasonic device that employs sonic vibrations to dislodge plaque, bacteria, and calculus, combined with manual instruments for removing bacterial buildup. This procedure targets the tooth's root below the gum line, aiming to reverse the damage caused by persistent tartar accumulation. At Summit Dental, we provide laser therapy as an alternative for treating advanced stages of gum infection, offering several benefits compared to traditional manual instrument techniques.
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5. WHY DO GUMS BLEED?There are various factors that can contribute to irritated and bleeding gums, including certain medical conditions, medications, tobacco use, lifestyle and dietary habits, as well as hormonal changes during pregnancy. To determine the underlying cause of bleeding gums and provide timely treatment, a comprehensive medical history and detailed clinical examination are essential. These assessments allow us to identify the specific reason for the gum bleeding and formulate an appropriate plan to restore gum health.
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4. HOW LONG DOES A DEEP CLEANING TAKE?The duration of a deep cleaning procedure can vary based on factors such as the extent of gum disease and the number of areas that need treatment. On average, it typically takes about one to two visits to complete. The periodontist will assess the severity of inflammation and plaque buildup during the initial examination to determine the treatment required. The time spent on the procedure depends on the number of quadrants or areas that need attention, with each quadrant taking about 45 minutes to an hour. The periodontist's priority is to ensure thoroughness in removing plaque and bacteria below the gum line and promoting gum healing. The specific duration of the deep cleaning procedure will be determined by your oral health condition, and the periodontist will provide you with an estimate during the treatment planning process.
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2. WHY SHOULD I GET MY WISDOM TOOTH REMOVED?Wisdom teeth, typically erupting between the ages of 18 to 25, often face challenges due to limited space in the mouth. As a result, they may not fully erupt, change their position, or become angulated. In such cases, extraction of the wisdom tooth is recommended. The extraction is advised to address existing issues such as pain, food lodgement, gum swelling, or the potential for decay in neighbouring teeth. It can also prevent future problems that may arise as a result of the impacted or misaligned wisdom tooth. By removing the problematic wisdom tooth, dental professionals aim to alleviate discomfort, improve oral health, and prevent potential complications. It is essential to consult with a dental provider who will evaluate your specific situation and recommend the appropriate course of action regarding wisdom tooth extraction.
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4. WILL REMOVING MY TOOTH AFFECT MY EYES?No, this is a common misconception. The nerves that supply the teeth and eyes are not interconnected, so dental procedures such as tooth extraction cannot directly impact your eyesight. Dental work is focused on the oral cavity and does not have any direct effect on the eyes or vision. It is important to separate facts from myths when it comes to dental procedures and their potential impact on other areas of the body. You can rest assured that tooth extraction or any other dental treatment will not affect your eyesight.
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1. WHAT IS TOOTH EXTRACTION/ TOOTH REMOVAL AND WILL IT HURT?Tooth extraction is a relatively straightforward and efficient procedure that involves the removal of a problematic tooth under anaesthesia. The oral surgeon will begin by applying a numbing gel and administering local anaesthesia to ensure your comfort during the process. Specialized tools are then used to gently extract the tooth with back-and-forth rocking movements. While you may experience some pressure during the procedure, pain is typically minimal or non-existent. After the tooth is removed, the extraction site is carefully cleaned, and stitches (sutures) may be applied to close the area, if necessary. Following the extraction, the oral surgeon will provide you with detailed post-operative instructions to promote smooth healing and a comfortable recovery. These instructions will guide you on proper aftercare and help ensure the best possible healing outcome.
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3. WHAT IS THE RECOVERY TIME FOLLOWING TOOTH EXTRACTION?The duration of recovery after a tooth extraction can vary based on factors such as the specific tooth being removed and your overall health. While you can typically return to work following the procedure, it is recommended to take the day off to relax and facilitate healing. During the initial 1-3 days after the extraction, it is important to avoid strenuous activities, exercise, and heavy lifting. These activities can disrupt the formation of the blood clot and delay the healing process. In the case of wisdom tooth removal, slight swelling may occur, which could temporarily alter your appearance and make speaking more challenging. We will give you specific after-care instructions and medications which you should follow for the best possible recovery outcomes.
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3. WHAT IS THE FIXED OPTION TO REPLACE ALL MISSING TEETH?Implant-secured dentures, often referred to as "All On Four," have gained popularity. This technique involves the strategic placement of smaller dental implants, allowing for the attachment of a hybrid denture that provides a secure and permanent smile. The entire process, from implant placement to denture attachment, can often be completed in just one day. With implant-secured dentures, individuals can enjoy the benefits of a stable and long-lasting tooth replacement option, eliminating the inconvenience associated with removable prostheses.
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2. WHAT TYPES OF DENTURES ARE THERE?Dentures are a suitable option for replacing missing teeth and providing support to the cheeks and lips. When all teeth are missing, complete dentures are utilized, while partial dentures are used when only some teeth are missing. Dental implants can enhance the stability and retention of both types of dentures. In cases where teeth are extracted, immediate dentures can be fabricated and placed immediately afterward. This allows the denture to support the healing tissues during the recovery process. Our dental team will ensure that the denture fits properly and provides optimal comfort as the tissues heal underneath.
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5. I HAVE HAD DENTURES FOR A WHILE AND NOW THEY HAVE DARK STAINS ON THEM. CAN I ‘WHITEN’ MY DENTURES?It is not recommended to attempt to whiten dentures in the same way as natural teeth, as they are composed of porcelain and acrylic and do not respond to traditional whitening methods. To minimize staining, it is important to clean your dentures thoroughly on a daily basis to remove food particles and plaque. Regular brushing helps prevent permanent staining and maintains oral health. It is advisable to use a soft to medium bristle brush to avoid scratching the acrylic and causing dullness to the teeth. Dentures can also be soaked in a denture-cleansing solution (unless they have a soft-lining layer). For detailed instructions on how to clean your denture, we recommend scheduling a visit with our denture specialist. We will provide you with step-by-step guidance and address any specific concerns you may have.
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6. I JUST GOT NEW DENTURES TWO WEEKS BACK BUT MY MOUTH FEELS SORE AND MY DENTURES ARE UNCOMFORTABLE. IS THIS GOING TO IMPROVE?It is common to experience some discomfort and unfamiliarity when first fitted with new dentures. Minor irritation and soreness are normal during the initial adjustment period, which can vary among individuals. If you have previously worn dentures and are now using a new set, it may take some time to adapt. Similarly, if you have recently had teeth extracted and immediate dentures placed, you may experience discomfort in the extraction areas for a few weeks. During the initial period, it is recommended to consume soft foods that require minimal chewing. As you become more accustomed to your dentures and learn to adjust your tongue to help hold them in place, you can gradually reintroduce other foods and return to your normal diet. It is advisable to chew using the back teeth on both sides of your mouth. Regular visits to our denture specialist (prosthodontist) are necessary for adjustments as you progress through the healing process. They will ensure your dentures fit properly and provide the necessary support and guidance during your denture-wearing journey.
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1. WHAT TO EXPECT?The journey of restoring missing teeth starts with a comprehensive clinical examination and consultation with our prosthodontist. During this examination, we will discuss your functional and cosmetic goals to ensure the best possible outcome. Once the treatment plan has been established, dental impressions will be taken to capture the unique characteristics of your mouth. These impressions serve as the foundation for the fabrication of your removable denture, which is a multi-step process. Our skilled team will meticulously craft your denture, taking into account factors such as the shape and size of your jaw, as well as your desired appearance. We strive to create a comfortable and natural-looking denture that restores your ability to eat, speak, and smile with confidence. Throughout the process, we maintain open communication with you to ensure that your expectations are met. Our goal is to provide you with a high-quality removable denture that fits securely and enhances your oral function and appearance.
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4. I HAVE LOST MULTIPLE TEETH AND DO NOT WANT TO GRIND MY REMAINING HEALTHY TEETH. WHAT ARE MY OPTIONS FOR A FIXED REPLACEMENT?A comprehensive examination is necessary to determine the most suitable treatment options for your specific needs. Dental implants are an excellent solution for replacing multiple missing teeth, providing long-lasting results and enhancing your overall oral health. An implant-supported bridge offers a secure and natural-looking outcome, functioning just like your natural teeth. With proper care, it can last a lifetime. The benefits of an implant-supported bridge include: 1. Preservation of Healthy Teeth: Adjacent healthy teeth remain untouched, as the bridge is supported by the dental implants. This helps maintain the integrity of your natural teeth. 2. Stability and Functionality: An implant-supported bridge is a fixed and stable option that allows for normal chewing and speech. It provides a comfortable and reliable solution. 3. Preservation of Bone: Dental implants help stabilize the jawbone and reduce the risk of jaw shrinkage. This aids in preserving the bone structure and supporting overall oral health. If you require a denture, dental implants can also be used to support and secure it. This eliminates the need for daily maintenance and prevents the denture from becoming loose over time. The implants stabilize the jawbone, minimizing changes in the fit and bite of your dental prosthesis. Our dental team will conduct a thorough assessment and discuss personalized treatment options with you.
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7. I NEED TO GET TWO MISSING NEIGHBORING TEETH REPLACED. CAN I HAVE JUST ONE IMPLANT AND ATTACH IT TO ONE OF MY NATURAL TEETH AND MAKE A BRIDGE?Numerous studies have indicated that it is generally not recommended to attach dental implants to natural teeth. The reason behind this is the difference in load-bearing capacity between implants and natural teeth, leading to unequal stress distribution. However, attaching implants to each other can enhance strength and functionality. In cases like this, although the cost may be higher for two implants instead of one, the long-term success rate is significantly improved. It is always advisable to consult with our dental professionals to determine the best treatment option based on your specific needs.
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6. HOW DO I KNOW IF I AM QUALIFIED TO GET A DENTAL IMPLANT?Our implant specialist will thoroughly examine your oral condition and review your medical history to determine if dental implants are suitable for you. 3-D x-rays will be used to plan the treatment. Most individuals are eligible for dental implant procedures, but some may require additional procedures like bone grafting and tissue regeneration if there is inadequate bone support. Rest assured, our specialist will discuss all available options and create a personalized treatment plan to ensure the best outcome for your dental implant procedure.
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4. HOW LONG DOES IT TAKE?The duration of the dental implant procedure varies depending on various factors, including your overall health and specific circumstances. The general guideline for bone integration is approximately three months for lower teeth and around six months for upper teeth. However, the treatment length can be influenced by factors such as bone density, blood supply, the need for bone grafting, and the specific location of the implant. Our dental team will assess your individual situation and provide you with a more accurate timeline for your treatment.
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5. WHY SHOULD I CHOOSE DENTAL IMPLANTS?In cases of missing teeth, whether it's a single tooth or multiple teeth, dental implants offer several advantages over fixed bridges and removable dentures: 1. Improved aesthetics: Implants are placed in the gum in a way that closely mimics a natural tooth, resulting in a more realistic and natural appearance. 2. Reduction in bone loss: When a tooth is lost, the underlying supporting bone tends to gradually recede. By placing an implant in the empty space, the rate of bone loss is significantly reduced, providing stability and preserving the jawbone structure. 3. Fixed and stable option: Unlike removable dentures, dental implants offer a secure and stable solution. They do not require adhesives and eliminate the challenges of keeping dentures in place, providing greater confidence and comfort. 4. Preservation of natural tooth structure: Dental implants are independent units and do not rely on adjacent teeth for support. This means that the neighboring natural teeth are not negatively impacted or altered in any way during the implant placement process. These advantages make dental implants a highly preferred option for tooth replacement, offering improved aesthetics, long-term stability, and the preservation of overall oral health. Our dental team can provide a thorough evaluation and discuss whether dental implants are the right solution for your specific needs.
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2. HOW ARE DENTAL IMPLANTS PLACED?Dental implants serve as durable metal anchors that provide support for artificial teeth. The implant placement typically involves two surgical procedures. Initially, the implant is placed into the jawbone, allowing it to bond with the bone over a period of three to six months. During this time, a temporary denture can be worn, and a soft diet is recommended. In the second phase, the implant is uncovered, and a healing collar is attached. Our crown specialist will concurrently begin the process of creating your new teeth. This involves taking an impression, connecting posts or attachments to the implants, and fabricating replacement teeth over them. The entire process usually spans six to eight months, with minimal disruption to your daily life. Throughout the procedure, our team will ensure your comfort and provide necessary guidance for a successful implant journey.
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3. DOES IT HURT?No, dental implant procedures are performed under local anaesthesia, ensuring that you are completely numb and comfortable throughout the process. You may experience only mild pressure during the procedure, but it is generally not painful. In terms of post-operative soreness, dental implants typically cause minimal discomfort. If you feel anxious about the procedure, our dental team can provide options such as oral medication to help calm your nerves and ensure a more relaxed experience.
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1. WHAT ARE DENTAL IMPLANTS?Dental implants are a remarkable tooth replacement option that closely mimics the natural tooth structure. They consist of titanium posts that are surgically placed into the jawbone, acting as artificial tooth roots. These posts bond with the bone, providing a sturdy foundation for the attachment of prosthetic teeth. The ceramic crown, which is custom-made to match the appearance of your natural teeth, is securely placed onto the implant, resulting in a restoration that looks, feels, and functions like a real tooth. Dental implants can be used to replace a single missing tooth, multiple teeth, or even an entire quadrant of missing teeth. Whether you are missing one tooth or several, dental implants offer a reliable and long-lasting solution that enhances both your oral health and your smile.
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2. HOW LONG DO TEETH REMAIN WHITE?The effectiveness of the bleaching process varies depending on an individual's lifestyle and dietary habits. It's important to note that no whitening technique provides permanent results, and the duration of the effect can range from six months to two years. To sustain the brightness, regular touch-ups may be necessary.
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1. WHAT IS TEETH BLEACHING?Bleaching procedures can be carried out either at a clinic or in the comfort of your own home. For optimal results, in-office whitening is recommended, as it leads to visibly brighter teeth in just one day. The process begins with an aesthetic specialist employing a personalized shade guide to document the current tooth shade. Subsequently, teeth cleaning and polishing are performed to eliminate plaque and surface stains. Safeguarding the gums and soft tissues comes next, followed by the application of the bleaching agent onto the teeth. To activate the whitening agent, a laser light or curing light is used, triggering a bubbling action that facilitates the whitening process. Typically, the entire procedure takes approximately 30-60 minutes, occasionally requiring re-application to achieve the desired shade. Some individuals might need multiple visits to attain their desired final tooth shade.
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3. DOES TOOTH BLEACHING CAUSE PERMANENT TOOTH SENSITIVITY?Post-whitening sensitivity is typically temporary and tends to subside within one to two days after the procedure. Our dental team is dedicated to ensuring your comfort throughout this period, and they will provide you with comprehensive post-care instructions. If necessary, they may also prescribe medications to further alleviate any discomfort you may experience. Rest assured, we prioritize your well-being during the entire process.
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4. IS TEETH BLEACHING SAFE?Absolutely! Numerous long-term studies have conclusively demonstrated that tooth whitening is a safe procedure that does not cause any permanent damage to the enamel or other parts of the underlying tooth. Before undergoing the teeth bleaching process, our experienced aesthetic specialist will provide you with a detailed explanation of the procedure, as well as any potential consequences. Your safety and understanding are paramount to us, and we are committed to ensuring that you are well-informed before proceeding with the treatment.
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5. DOES TOOTH WHITENING WORK ON ALL TEETH?It is important to note that not all teeth and types of stains can be effectively treated through bleaching. If the discoloration is a result of specific medications or tooth injuries, bleaching may not yield the desired results. Similarly, pre-existing fillings, veneers, and crowns cannot be bleached, as the whitening process is only effective on natural tooth surfaces. However, the good news is that there are alternative treatment options available for such cases. Depending on your specific situation, our skilled aesthetic specialist will conduct a comprehensive clinical examination and recommend the most suitable method to achieve a whiter and brighter smile. Options such as veneers, cosmetic bonding/fillings, and crowns can be explored to attain the desired aesthetic outcome. Rest assured, we are committed to helping you achieve your smile goals with the best possible approach for your individual needs.
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3. HOW CAN YOU TREAT TMJ DISORDERS?Once a joint disorder has been diagnosed, our specialist will thoroughly discuss the available treatment options designed to recalibrate your occlusal system. Some of the treatment modalities include: 1. Night guard: This involves custom splint therapy to prevent teeth grinding, which is a primary cause of TMJ disorder symptoms. By wearing a night guard during sleep, the excessive force on the jaw joints due to grinding can be reduced, offering relief from discomfort. 2. Restorations: Bite equilibration can be achieved using restorative techniques such as fillings, onlays, and crowns. This is particularly beneficial when teeth are worn out, damaged, or not making proper contact with each other. The restorations help to create a more balanced bite, alleviating strain on the TMJ. 3. Orthodontic treatment: Orthodontic interventions are employed to relieve jaw tension and address biting problems. Properly aligning your teeth through orthodontic treatment can significantly improve the harmony of your bite and reduce pressure on the jaw joints. By discussing these treatment options with our specialist, you can determine the most suitable approach to manage and alleviate the symptoms of your TMJ disorder. Each treatment plan will be personalized to your specific needs, ensuring the best possible outcome for your comfort and oral health.
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2. WHY DO THESE JOINT (TMJ) PROBLEMS OCCUR?TMJ disorders can stem from various factors, making an accurate diagnosis crucial. To determine the problem and its underlying cause, a comprehensive clinical examination, along with digital x-rays and a detailed medical history, is necessary. Often, these disorders are linked to teeth grinding and jaw clenching, which can be conscious or unconscious responses to stress. Moreover, bite issues may arise due to trauma, malocclusion (misalignment of the teeth), or, quite commonly, due to arthritis and degeneration of other joint-related tissues. Identifying the specific cause is essential in order to develop an effective treatment plan that addresses the root of the problem and provides relief from the symptoms. If you suspect you have a TMJ disorder, seeking professional dental evaluation is vital for proper diagnosis and personalized care.
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1. WHAT ARE THE COMMON SIGNS AND SYMPTOMS FOR TMJ DISORDERS?Here are the symptoms associated with the condition: · Pain and tenderness experienced on the side of your face, jaw, joint area, neck, shoulders, and in or around your ears, especially when you chew, speak, or open your mouth. · Clicking, popping, or grating sounds during mouth opening, closing, or chewing. These sounds may or may not be painful. · Swelling on the side of your face. · Jaws that become locked or stuck in either the open or closed mouth position. · Frequent jaw clenching and teeth grinding. · Difficulties when opening your mouth too wide. · Trouble with chewing or experiencing an uncomfortable bite, where your upper and lower teeth do not fit together properly. · Unexplained broken fillings or crowns in your teeth. · Tooth sensitivity. · Teeth shifting out of their original positions. · Worn out or chipped teeth. If you experience any of these symptoms, it is important to seek professional dental evaluation and treatment to address the underlying issue and alleviate discomfort.
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1. HOW ARE INLAYS AND ONLAYS PLACED?Inlays and onlays are restorative procedures that typically require two appointments. During the initial visit, the decayed portion of the tooth is removed, and the tooth is prepared to receive the restoration. To ensure a precise fit and alignment with your bite, our skilled restorative specialist will take an impression of the prepared tooth or use 3-D scanning technology to create a digital model that will be sent to the dental laboratory for fabrication. While the permanent inlay or onlay is being custom-made in the lab, a temporary restoration will be placed over the prepared tooth to protect it and maintain its function. Once the final restoration is ready, you will return for the second appointment. At this visit, the temporary restoration will be removed, and the permanent inlay or onlay will be carefully bonded to the tooth using a strong resin cement. This bonding process ensures a secure and long-lasting attachment of the restoration to the tooth. By following this two-appointment procedure, we aim to provide you with a well-fitting, durable, and aesthetically pleasing inlay or onlay that restores the function and appearance of your damaged tooth effectively.
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2. WHY IS STRAIGHTENING MY TEETH IMPORTANT?Mal-aligned teeth are not only unsightly but also make cleaning your teeth and gums difficult. This can result in tooth and gum infection. Braces and Invisalign can prevent- tooth decay gum disease tooth loss speech difficulties difficulty in chewing and eating abnormal enamel wear jaw problems
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5. WHAT SHOULD I EXPECT WHEN GETTING BRACES?The braces specialist (orthodontist) will first asses your bite, alignment and obtain photos and X-rays to determine which treatment option is the best for you. Once the course of action is discusses, the orthodontist will take an impression of your teeth so that a custom orthodontic appliance can be made. At the next appointment, the appliance will be fitted and you will be provided with proper care instructions. Initially you may experience some minor pain, discomfort and speech difficulty. However this will subside and disappear after two weeks. You will then need to come for regular follow-up appointments till the desired result is achieved.
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3. HOW LONG DO I HAVE TO WEAR BRACES?On average most people wear braces for 1-3 years depending on growth and severity of mal-alignment . It also is affected by your cooperation including maintaining good oral hygiene, the right diet and regular follow-up appointments.
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4. CAN ADULTS WEAR BRACES?It is natural for teeth to shift position as we age, when we lose or wear down our teeth, or if gum problems develop. Sometimes that means people who have had orthodontic treatment as a child and haven’t worn their retainers as instructed may require further orthodontic treatment as an adult. Braces and Invisalign are extremely effective for adults with alignment issues. In fact, 20% of people with braces are over the ages of 18.
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1. WHAT ARE THE DIFFERENT TYPES OF BRACES?The traditional type of braces are the metallic ones where the wire is shaped into the ideal position and then threaded between metallic brackets which are cemented to the front of the teeth. Over time, the wire will return to the original, ideal position, moving the teeth along with it to achieve the desired result. The newer types of braces that are being preferred by teenagers and adults alike are theceramic braces/ tooth coloured which reduce the unsightly appearance of metallic brackets since the ceramic closely matches the color of the teeth. They are just as strong as metallic braces and don’t stain. These brackets are complimented by white metal or clear plastic ties to further create the impression of clear or less visible braces. It is also possible to completely hide the braces by fitting the brackets on the inside surfaces of teeth and these are called lingual braces. Apart from the obvious appeal that these braces are not seen, they also do not rub against the lips. However they can cause considerable discomfort to the tongue and make speech and cleaning difficult.
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6. HOW DOES INVISALIGN WORK?Invisalign uses clear removable aligners to straighten your teeth without wires and brackets. We fabricate the aligners through a combination of technical knowledge and 3-D computer imaging technology. These aligners are clear so that no one can tell that you are straightening your teeth. You should wear each set of aligners for about two weeks and 22 hours per day, removing them only to eat, drink, brush and floss. You can brush and floss your teeth like normal and there are no dietary restrictions not to mention there is reduced risk of tooth decay and staining. As we replace each aligner with the next in series, your teeth will move-little by little, week by week- until they have straightened into the final desired position. You will have to visit out specialist every 6 weeks to ensure that the treatment is progressing as planned. The total treatment time averages between 9-15 months , but this varies from case to case.
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4. SHOULD I DO PORCELAIN VENEERS OR INVISALIGN?Both these techniques have their own benefits and the answer lies in what you want your final result and smile to look like. Our aesthetic specialist and orthodontist (braces specialist) will conduct a thorough oral examination and will then be able to advice you on the right treatment. Some things to consider are: porcelain veneers can be done within a week while Invisalign can take upto 6 months. So if time is an issue- then porcelain veneers is your choice. Invisalign does not change the colour and shape of your teeth, just the position and alignment. If you are interested in changing the shade and contour- then porcelain veneers are your choice. If do not want even minimal grinding of your teeth then Invisalign is your choice.
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3. WILL YOU GRIND MY TEETH BEFORE PLACING PORCELAIN VENEERS?Porcelain veneers require good healthy enamel for bonding hence only the superficial 0.5mm of tooth structure needs to be removed to make space for the veneer. Minimal preparation/ roughening of the tooth surface is required- with a maximum reduction of 0.7mm being necessary. Some areas may not be ground at all, depending on tooth position. Thanks to newer type of ceramics available, this grinding is very small and we can maintain most of the natural tooth structure.
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2. HOW LONG WILL PORCELAIN VENEERS LAST?With proper care, porcelain veneers will brighten your smile for well over a decade. These veneers are crafted with the highest quality porcelains and are bonded with the most advanced materials available resulting in a beautiful smile for many years to come.
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1. WILL THEY LOOK LIKE NORMAL TEETH?When bonded to the teeth, these ultra-thin porcelain veneers are virtually undetectable and highly resistant to coffee, tea and lifestyle stains. Once placed they reflect natural light and provide many years of wear and stain resistance. In terms of strength and appearance, their resemblance to healthy white tooth enamel is unsurpassed by any other restorative options.
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7. HOW LONG DO COMPOSITE RESTORATIONS LAST?Studies have shown that composite restorations last 5-7 years, however, there are a myriad of factors which influence the life of a composite resin filling. This includes- oral hygiene: insufficient brushing and flossing can result in plaque and debris accumulation around the fillings. These deposits will gradually weaken the margins and create cracks around the restoration which leads to early failure of fillings. para-functional habits: these include clenching and teeth grinding (bruxism) which can be voluntary or involuntary. Such prolonged, repetitive, forceful contact of teeth with abnormal jaw movements can result in greater than normal forces acting on the filling which can cause adverse effects on the tooth and restoration. technique sensitive: composite resin materials have different protocols that have to be followed precisely to achieve the best results. Only a restorative specialist is trained in the exact technique to be used while placing such restorations. unhealthy diet: frequent consumption of starchy food and soda will have detrimental effects on your filling. The acidity of your mouth increases to above-normal level which corrodes the filling as well as the natural tooth structure. faulty case selection: not all decayed cavities can be restored with a composite filling. Large and extensive surfaces are not supported by enough healthy tooth structure and hence the filling will eventually fracture. In such situations, we recommend the use of ceramic inlays, onlays and sometimes even crowns as an alternative to fillings.
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2. HOW LONG DOES IT TAKE TO PLACE A COMPOSITE FILLING?Composite restorations usually just take one sitting- during your first visit we will discuss the exact time and additional appointments (depending on extent of decay) required, if any. It takes about 10-20 minutes longer to place a composite filling than a silver filling owing to the meticulous bonding procedure followed. Final placement time depends on the size and location of the cavity.
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4. WHAT HAPPENS IF I DO NOT GET A CAVITY FILLED?Once a decay is diagnosed, it is imperative that you get it treated and filled immediately. If you neglect the cavity at this stage, it will only grow deeper and bigger removing more natural healthy tooth structure. Before long, the decay will reach the nerve which may or may not cause sensitivity or pain. At this stage, your only treatment option to save the tooth would be a less conservative and longer root canal treatment procedure followed by a ceramic crown.
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1. HOW ARE CAVITIES DIAGNOSED AND TREATED?Once a cavity has been suspected/ discovered, the first step is to evaluate the extent of the decay. This is done through detailed clinical examination and digital X-rays (if required). The next step is to carefully and thoroughly remove only the decayed portion of the tooth to obtain a clean surface for the filling material. We then follow a systematic and precise bonding procedure using strong tooth colored composite resins to fill the cavity. We will then check to make sure your bite (occlusion) is normal and comfortable with no high points on chewing. Finally we finish and polish the restoration to make the surface smooth and the filling aesthetic.
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5. HOW CAN I PREVENT CAVITIES?Dental decay is dangerous in the fact that it often does not cause pain or sensitivity which leads you to believe that your teeth are perfectly fine until it is too late.. Only regular dental visits along with a good home care regimen of brushing twice a day and flossing at least once a day prevents cavities from forming and progressing. Diet plays a very important role- avoid food that is bad for your teeth. While the occasional candy/ sweet treat is fine, rinsing with water or brushing after will prevent them from sticking to your teeth
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3. DOES IT HURT TO GET A FILLING DONE?Many people are scared about dental procedures, especially because they think that it will hurt. During this procedure you are unlikely to feel a thing since a filling is not placed in areas of your tooth which are close to the nerve. Of course, some people have more sensitive teeth or require deeper fillings which is closer to the nerve and may cause discomfort during the initial stages of decay removal. At iSmile Denta Care, our restorative specialist will place a numbing gel followed by local anesthetic to ensure that you do not feel any pain or sensitivity during the filling procedure.
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6. WHAT ARE THE ADVANTAGES OF COMPOSITE RESINS ?Tooth coloured composite resins are the material of choice in today’s dentistry for many of the benefits that they offer. These are mercury- free materials which eliminates the very real risk of mercury contamination. Being tooth coloured, they are virtually invisible and natural-looking. Composites do not weaken the healthy tooth structure like metal fillings and also offer the advantage of superior bonding which makes them the ideal filling material for small to mid-sized cavities.
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3. CAN TEETH CLEANING CAUSE SENSITIVITY?Most people who are regular with their cleaning appointments have no post-operative sensitivity- in fact their mouth feels clean and refreshed! Sometimes your teeth may feel more sensitive because the plaque and calculus that covered areas of your teeth are now removed and exposes these areas to hot, cold, liquids and solids. In cases where there was a lot of deposit accumulation on your teeth, has been a while since you got your teeth cleaned or have pre-existing sensitivity, you may have discomfort for a few days. Following your cleaning, the gum specialist (periodontist) will tell you what to expect in terms of post-cleaning discomfort, if any, and what you can do to minimise sensitivity. There should be no surprises after your cleaning, if you are kept well informed.
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4. DOES TEETH CLEANING HURT?Teeth cleaning is not painful. The gum specialist (periodontist) always applies a numbing (anesthetic) gel before cleaning to minimise your discomfort. However, cleaning does involve small tooth vibrations and little amounts of pressure. If these sensations make you feel uncomfortable or you are anxious about your procedure, our dental team will be more than happy to do whatever we can to make you feel comfortable and safe.
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7. THERE ARE SO MANY TOOTHPASTES TO CHOOSE FROM; HOW DO I KNOW WHICH ONE TO USE?First when purchasing toothpaste, select one that contains fluoride since fluoride- containing toothpastes have been shown to prevent cavities and help in remineralising tooth structure. However, use only a small amount for children under the age of 6 (pea size/ fingernail size amount). Next, consider the other properties of toothpaste- de-sensitising, whitening, gum- care, tartar- control etc.- our dental team will recommend the toothpaste you need depending on your current oral health and greatest concern at the time. Finally, some degree of personal preference comes into play. Choose the toothpaste that tastes and feels best- gel or paste, spearmint all work alike. If you find that certain ingredients are irritating to your teeth, gums, cheeks or lips- try changing your toothpaste. If the problem continues, schedule an appointment with our dental team at the earliest.
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5. HOW DO I KEEP MY TEETH CLEAN AFTER MY APPOINTMENT?In order to maintain cleanliness, you should brush your teeth twice a day and floss at least once a day. It is recommended to brush your teeth after every meal but since that is not practically possible, rinse your mouth with water after you eat to prevent deposits from sticking to your teeth. Use of fluoride mouthwash also helps to reduce the bacterial count in your mouth.
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6. DO I REALLY NEED TO FLOSS?Yes, yes and yes! Flossing helps to remove the food/ deposits stuck between your teeth. These food particles are the primary source of nutrition for harmful oral bacteria that cause tooth decay and gum disease. Flossing is the only way to prevent cavities (decay) between teeth since the bristles of your toothbrush (electric and manual) are not fine and long enough to clean these inaccessible areas. No matter how often you brush, what toothbrush and tooth paste you use- flossing is the only method to remove deposits between teeth and under your gums. Flossing may be hard to master initially and it is of course very boring but it will eventually only take you a few minutes of trouble that can help you far in the long run to have a healthy mouth and functional smile.
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8. WHICH IS BETTER- MANUAL OR ELECTRIC TOOTHBRUSHES?Research shows that both manual and powered/electric brushes are equally effective when used correctly. Electric brushes are ideal for people who are short on time, elderly people with dexterity issues, in case of arthritis and even for children, especially if they have braces. They offer the added advantage of pressure indicating lights which will let you know if you are brushing too hard and possibly damaging your gums and teeth. Theoretically, the brushing technique is more important and you can do very good brushing with regular hand brush, but the movements of a powered brush makes the task easier and more effective. Our dental team will recommend the toothbrush you should use depending on your oral needs.
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1. WHAT HAPPENS DURING A TEETH CLEANING APPOINTMENT?Teeth cleaning involves the removal of plaque (soft, sticky bacterial film) and tartar/calculus deposited that have built up on the teeth over time. During a cleaning procedure, we use special tools and polishing pastes designed specifically to clean teeth, making sure to pay attention to those areas and surfaces of teeth that are difficult to see and access; including the tight spaces between teeth and along/ just below the gum line. We remove the larger pieces of tartar using specialised ultrasonic instruments and then we switch to finer hand tools ( curettes) to remove smaller deposits and smoothen the tooth surface. Once this is done, we will polish your teeth using a slow-speed handpiece with a prophylaxis paste which makes the teeth shiny and smooth. As the cleaning progresses, we take note of what you might be missing with your at-home care routine. At the end of your cleaning appointment, you will be provided with advice as well as tips that can help address these areas more effectively to help keep your teeth and gums as healthy as possible between dental office visits.
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2. CAN TEETH CLEANING HARM TEETH/ REMOVE ENAMEL OR CAUSE GAPS IN TEETH?This is the most common ‘myth’ when it comes to teeth cleaning and the answer is NO! Some of the reasons why people might believe that is because: after a dental cleaning, your teeth might feel different, as if something is missing- Your teeth feel different because plaque and calculus have been removed, making your tongue feel like ‘something is missing’. Indeed, something is missing but it is not your enamel. During the cleaning procedure you heard ‘scraping’ sounds and maybe felt small pieces coming off- this scraping sound is the gum specialist (periodontist ) using an instrument to remove the plaque and calculus from your teeth. The pieces coming off are large deposits of calculus which had hardened and adhered to your teeth over time and not the enamel of teeth. Enamel is the hardest substance in the human body and cannot be removed/ damaged using the instruments used to clean teeth. Your gum specialist (periodontist) is highly trained and skilled at using these instruments so as to not damage your teeth or mouth in any way.
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3. WILL ROOT CANAL TREATMENT HURT?No. Root canal treatment does not cause pain, it relieves it. People are often worried about the prospects of pain during root canal therapy and the key to a painless procedure is definitive local anesthesia. We use a combination of numbing gel and local anesthetic agent to completely numb the area with the latest techniques and the anesthesia will be confirmed before beginning the procedure. They strongly believe that that painless root canal treatment / endodontic therapy is possible with today’s technology and with the understanding of the anatomy and physiology of the oral neurovasculature.
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6. I AM WORRIED ABOUT X-RAYS. SHOULD I BE?No. While x-rays are necessary during your microscope root canal treatment. We use advanced digital radiographic systems which minimizes the radiation levels up to 80-90% lower than that of conventional dental X-ray machinery (approximately 9 digital radiographs equals 1 film radiograph!). These digital images can be e-mailed to you so that you can keep a record of the treatment done as well as a reference to compare the healing of the tooth and bone. We are extremely particular about patient and doctor safety in our dental clinic and provide you with a lead apron as well as thyroid collar while taking the X-rays. Please inform our dental staff at the time of the consultation if you are pregnant.
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2. SHOULD I SAVE MY TOOTH?Root canal therapy is an attempt to save a damaged tooth which would otherwise be extracted. If a tooth is removed, the replacement which would be an implant or bridge has a success and failure rate, with their own set of challenges. Also placing an implant or bridge will require significantly more time and may require additional procedures to neighboring teeth and supporting tissues. No replacement, no matter how well fabricated, is as good as your natural tooth. Should a reasonable success rate be expected with the microscope root canal, it is always best to try and save your tooth. The alternatives will still be available if the tooth does not respond to the root canal but not the other way around. It is always better to save the tooth with RCT since modern endodontic techniques have made the procedure virtually painless and comfortable.
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1. WHAT IS ROOT CANAL TREATMENT?Endodontic/ root canal therapy (RCT) is a procedure that is performed by a root canal specialist (endodontist) in cases where the nerve of the tooth is affected and the only way to save the tooth is by removing the affected nerve and replacing it with a filling. Your tooth is made up of three primary layers- the outer hard white enamel, the middle yellow dentine and the innermost nerve called the pulp. The pulp is essentially a collection of blood vessels that help to build the surrounding tooth. Infection to the pulp can be caused by deep decay, trauma, cracks/tooth fracture, old amalgam fillings and even repeated dental procedures. This can result in visible injury or swelling of the tooth, pain, sensitivity to water or temperature, gum pain, food lodgement and sometimes even no symptoms at all. In some situations you may have transient symptoms which when ignored results in progression of the infection which finally results in such severe damage to the tooth that RCT will be your only option to save the tooth. Once a diagnosis has been made and a root canal treatment is advised- our root canal specialist (endodontist) will first completely numb the tooth to be treated. The decay is removed using specialized tools and the tooth is completely cleaned using a combination of aseptic techniques and irrigating solutions under rubber dam (for isolation). The tooth is then filled with a biocompatible material and is then ready to receive a crown. The entire process is performed under a microscope since microscope root canal treatment has been proven to be more precise, effective and free of any operator errors. A root canal treated tooth should always be three dimensionally sealed and protected with a crown (cap) so as to prevent reinfection and so that you can resume normal eating on the tooth.
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7. WHAT NEW TECHNOLOGIES ARE BEING USED?We are constantly updating themselves with the latest from the field of endodontics and cosmetic dentistry: Operating microscope- In addition to digital radiographs which reduce the x-ray exposure, we also utilize operating microscopes (Carl Zeiss OPMI pico) which magnifies our field of view up to 30 times and illuminates our field with Xenon fiber optic illumination. This combination allows for exceptional diagnostic technical ability to treat the tiny root canal spaces inside your tooth. Such microsurgical techniques have revolutionized endodontic care within the last ten years and allows for a far superior quality of care today than ever before. Today, problems such as cracks, root fractures and calcified canals can be better visualized and therefore treated. Also a video camera on the operating microscope can record images of your tooth to further document our findings. It is our belief that RCT should only be performed under these microscopes for the highest quality of care to be rendered. Apex locators- these machines allow for the electronic and accurate measurement of the root length to precisely verify the radiographic findings. They improve the quality of care and allow for more precision based endodontics. Sonic activation- electronic instruments are now available which create sonic vibrations, which clean the root canals more effectively and efficiently. These instruments increase the quality of care and allow for success in situations that were previously hopeless. Nickle Titanium instrumentation- Today, the cleaning and shaping of root canals is no longer a brute procedure done with hand files. The job is now down with mechanized, engine driven rotary files that have made the procedure more efficient, predictable, quieter and far more comfortable than ever before.
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4. HOW LONG WILL THE PROCEDURE TAKE?Although each tooth is unique and the time required to complete the treatment is dependent on the level of decay in the tooth, you should plan on spending about an hour and a half at our office during your root canal treatment appointment. Most microscope root canal procedures are completed in one sitting, unless there is severe infection, procedural difficulties or in cases of re-root canal treatments. We understand that your time is valuable and we will do our best to render treatment as expeditiously as possible without compromising on the quality of your care. We also try our best to minimize your waiting time at our clinic and we appreciate your understanding and patience when we try to do everything we can to accommodate you and your needs.
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5. WHAT HAPPENS AFTER A MICROSCOPE ROOT CANAL PROCEDURE?When your root canal therapy has been completed, you will experience some discomfort for 2-3 days following the procedure- this is normal and is just the healing process of the tooth. This discomfort can be minimized with painkillers which will give you immediate relief. You can drive back and resume work following your procedure. The next step will be shaping the tooth and taking an impression or scan to receive a crown. Our dental team will explain the different crowns available, the benefits and disadvantages of each material and the price range for each type of crown. Failure to properly restore and protect the tooth with a crown or filling may result in re-infection or fracture of the treated tooth. Once a crown has been cemented or bonded, you can resume normal chewing, brushing and flossing on the root canal treated tooth. It is rare for people to experience complications after routine endodontic treatment but can occur if you do not follow our precise instructions. To prevent further decay, continue to practice good dental hygiene.
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