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Understanding stomatology home page

 

 

 




Understanding stomatology

 

 

 



Dental care. Understanding stomatology.

Your teeth

Most people know that the teeth are the hardest and strongest part of the body. There's more than meets the eye, though. Teeth are actually a living part of your body that has blood vessels and nerves. If you used to judge your teeth like a book by its cover, then you're in for one big surprise. Teeth anatomy is a lot more complicated than you ever thought.

Excellent crowns and bridges were made by the Etruscans in the 7th cent. B.C. At about that time, teeth were being extracted in Asia Minor as a cure for bodily ills and diseases. Skills achieved by the Etruscans, Phoenicians, Egyptians, Greeks, and Romans were largely lost during the Middle Ages, when barbers and roving bands of charlatans practiced unskilled dentistry at marketplaces and fairs. Abulcasis, a Spanish Moor, was one of the few in his time who studied dental surgery.

New developments include the implantation of artificial teeth or binding posts into the gums or jawbone; antibiotic fiber for periodontal disease; root canal surgery, a procedure that ameliorates pain while permitting teeth to remain in place; and nearly painless lasers to repair dental cavities, usually making local anesthesia unnecessary.




Tooth crowns

As we age, many of us find ourselves with teeth that are no longer structurally sound. Root canals, lost fillings, decay below a filling, chipping and cracking of the enamel are all things that can lead to large scale defects in a tooth's surface. When the entire surface of the tooth is a problem, but the root system is intact, a crown might be just what the dentist orders.

Your cosmetic dentist will usually be able to spot problem areas in your mouth that might lead to tooth damage and a need for crowns. Chewing patterns play a big role as well. By selectively grinding the tips of your middle and back teeth (called cusps) will alter your bite to reduce the stress on at-risk teeth.

Your cosmetic dentist will make an impression of the tooth and a dental laboratory will create the crown. You will typically leave the office with a temporary crown to wear while the permanent crown is being made - this takes about two weeks. The permanent crown is then cemented onto your tooth. Typically, only two visits are required for this part of the procedure. Often, a preliminary restoration of your tooth may be needed before a crown can be placed. To stabilize your tooth, a filling must first be put in place prior to placing a crown due to the loss of original tooth structure. Tooth crowns usually last ten to fifteen years.

Be sure to discuss with your cosmetic dentist that the cement color used for your permanent crown will be the same as used for your temporary crown. A try in paste is used for this purpose. The color of the cement does affect the overall color of a porcelain crown, so this needs to be discussed long before your temporary crown is placed.




Tooth veneers

This section of our cosmetic dentistry information site provides you with some background into dental veneers, both composite veneers and porcelain veneers. Dental veneers, sometimes called tooth veneers, can be used to correct both color and shape problems.

There are several corrections that you can make to the color of your teeth as well as the shape of your teeth! Some of the causes of tooth discoloration are staining, aging, chemical damage, disease, medication, and genetics. Dental Veneers (Tooth Veneers) are used to correct both the color and the shape of teeth.

Dental veneers (sometimes called porcelain veneers or dental porcelain laminates) are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth. These shells are bonded to the front of the teeth changing their color, shape, size or length and resulting in an improved appearance.




Dentures

Dentures are removable replacements for missing teeth typically made out of an acrylic resin which at times incorporate porcelain or metal for additional structural support.

The setting up dentures procedure begins with a wax bite impression of your mouth that will give your dentist exacting measurements. A try-on appointment will fine tunes color, shape, and custom-fit. After your final dentures are fabricated, they will be placed and informed of their required care.

The main component of dentures is acrylic resin molded over the top of various combinations and paterns of metal. In oreder to use dentures all of the teeth in the top or bottom or both top and bottom of the mouth are removed. It is recomended that after the removal of the necessary teeth that the patient wait at least a month to have the dentures fit to the mouth. The waiting period allows for proper healing in the mouth to take place.




Types of teeth whitening

While there is no medical need to whiten teeth, it is a procedure that can have a big impact on a person's self-esteem. Severely yellowed or discolored teeth can make a person self-conscious and reluctant to smile.

There are many different causes that lead to stained or discolored teeth. Some of the most common causes are everyday foods and drinks--coffee, tea, soda, and red wine all have a staining effect on tooth enamel. Smoking will also darken teeth. Some medications, if taken during early childhood, can result in teeth that are discolored.

Dentists are able to provide much more dramatic teeth whitening. Some patients opt for a take-home kit that provides results in a few days, while others choose a one-hour procedure that uses advanced technologies to immediately bleach teeth several shades lighter. Take-home kits usually involve custom-fit trays with a whitening gel of carbamide peroxide, to be worn for several hours at a time over some number of weeks as determined by the dentist. These kits are usually less expensive than the one-visit whitening procedures.

Some types of tooth discoloration are difficult to whiten and treat. Teeth that have been subjected to trauma may darken significantly, and resist any bleaching procedure. Some medications affect young children when their teeth are first forming and may also be nearly impossible to treat. Dentists will be able to tell what situations may result in bleach-resistant discoloration, and provide advice on how effective various treatments may be. In cases of extreme discoloration that cannot be subjected to common teeth whitening procedures, porcelain veneers applied to the teeth may be an alternative solution.




Teeth contouring and reshaping

Tooth reshaping, or contouring, is one of few instant treatments now available in cosmetic dentistry. Dental reshaping and contouring is a procedure to correct crooked teeth, chipped teeth, cracked teeth or even overlapping teeth in just one session.

You maybe candidate for tooth contouring and reshaping, if you want your teeth to appear less crowded, lack chips and fractures, have decreased overlaps or to be without pits or grooves in the enamel, this procedure should be discussed with your cosmetic dentist.

Tooth reshaping, or tooth sculpting, is a safe and conservative way to improve your smile. Teeth may become weaker if large amounts of enamel are removed, tooth reshaping should be limited to minor changes or combined with veneers or bonding for the best smile.

Dental reshaping and contouring is a procedure to correct crooked teeth, chipped teeth, cracked teeth or even overlapping teeth in just one session. This procedure is even a substitute for braces under certain circumstances. This is also a procedure of subtle changes. A few millimeters of reduction and a few millimeters of tooth-colored can create a beautiful smile when performed by a cosmetic dentist, with no discomfort to you. Tooth reshaping, or dental contouring, is commonly used to alter the length, shape or position of your teeth.




Teeth bridges

In areas of your mouth that are under less stress, such as your front teeth, a cantilever bridge may be used. Cantilever bridges are used when there are teeth on only one side of the open space. Bridges can reduce your risk of gum disease, help correct some bite issues and even improve your speech. Bridges require your commitment to serious oral hygiene, but will last as many ten years or more.

You maybe candidate for dental bridges, if you have missing teeth and have good oral hygiene practices, you should discuss this procedure with your cosmetic dentist. If spaces are left unfilled, they may cause the surrounding teeth to drift out of position. Additionally, spaces from missing teeth can cause your other teeth and your gums to become far more susceptible to tooth decay and gum disease.

The dentist will then make an impression, which will serve as the model from which the bridge, false tooth and crowns will be made by a dental laboratory. A temporary bridge will be placed for you to wear while your bridge is being made until your next visit. This temporary bridge will serve to protect your teeth and gums.




Tooth bonding

The dental bonding procedure utilizes a composite resin and is used for a variety of structural as well as cosmetic purposes. One can draw a parallel between dental bonding materials and a sculptor's clay. By using dental composite resin bonding your dentist can restore chipped or broken teeth, fill in gaps and reshape or recolor your smile.

A very mild etching solution is applied to your teeth to create very small crevices in the tooth's enamel structure. These small crevices provide a slightly rough surface permitting a durable resin to bond materials to your teeth. The resin is then placed on your tooth and high-intensity light cures the resins onto your tooth's surface - with each individual layer of resin hardening in just minutes. When the last coat has been applied to your tooth, the bonded material is then sculpted to fit your tooth and finely polished.




Are dental implants for you?

Implants are great for replacing missing teeth. It is important that you have enough bone in the area of the missing teeth for the implants to be attached to. Implants are not only used to replace one tooth, but rather people missing most, if not all, of their teeth benefit greatly as well. Implants are increasingly being used to replace certain types of bridges and removable partial dentures.

If you're missing one tooth or all of your teeth, implants may well be for you. So long as you have enough bone in the area of the missing tooth to facilitate the anchorage of the implants, this procedure can yield terrific results. If you don't have enough bone for this purpose, a bone graft may be necessary.

The implant procedure is a surgical placement of the implant or implants in your jaw bone which requires a three to six month healing period before the implant restoration to replace the missing tooth or teeth. During this healing time, the bone grows in and around the titanium implant creating a very strong support. Dental implants can be rejected. Usually they are replaced with another implant of a slightly larger size. The rejection or "failure" rate is minimal, only 1 to 2% of all implant procedures. You must go without wearing your dentures for one day to two weeks after an implant placement. After the implant has "taken" and you have sufficiently healed, a very natural crown is placed on the implant.




Tooth fillings

At some point or other in ours lives, most of us wind up with a cavity. In most cases, a cavity calls for your dentist to remove the decay and to fill in the tooth area that was removed. There have been a number of advances in the field over the past few years, so if you're one of the lucky ones and haven't had a cavity in a while, you should read up on what is available today so that you understand the choices available to you.

Composite resin dental fillings were created as an alternative to traditional metal dental fillings. Tooth fillings colored to look like a natural tooth are known as Composite Resin Dental Fillings,are made of a plastic dental resin. Composite Resin Dental Fillings are strong, durable, and make for a very natural looking smile. Many dental insurance plans cover their use.

There are no known health risks of receiving composite fillings. If such a filling is not going to be enough to protect your damaged tooth, or if your tooth enamel is thin and will easily fracture, or if your tooth has had a root canal that weakened your tooth condition, your tooth may require additional protection such as a crown.

If over half of your molar tooth's biting surface is decayed an inlay or onlay may be a better option than a filling. These options are basically for when more than a filling is needed but less than a crown will do. An inlay is placed in between the cusps of the tooth, whereas an only will cover one or more of the cusps. They can be made of a gold alloy, porcelain or tooth-colored resin and are cemented into place.




Methods of teeth straightening

The classic metal orthodontic braces are the most familiar method of teeth straightening. Consisting of a bracket glued to the front of each tooth and a metal wire connecting them, orthodontic braces usually require several years of wear for effective teeth straightening. They can be uncomfortable, expensive, and embarrassing for older patients. However, they are still the most effective method of teeth straightening and can correct overbites and underbites as well as individual teeth alignment.

Invisalign is one of the newest methods of teeth straightening and is extremely popular with adults. Consisting of a clear mold that is nearly invisible when worn, Invisalign uses a series of molds that gradually push the teeth into the desired shape. Invisalign does not cost significantly more than standard orthodontic braces, but cannot correct an overbite or underbite and is only a good choice for minor straightening. Invisalign is not as effective on major problems, which may require standard braces.

Some tenderness and soreness is to be expected with any method of teeth straightening, especially soon after an adjustment is made. The bone on one side of each tooth socket will be compressed, and the other side must be filled in with new bone as the tooth moves through the jaw. Standard orthodontic braces may cause superficial irritation to the interior of the mouth, a symptom that can be reduced with salt water gargles and a soft wax on the surface of the brackets. Severe side effects to teeth straightening are nearly unheard of, and the process is considered very safe.




Understanding stomatology. Dental care.






Definitions and terms on this page

Dental fillings


Dental implants


Dentures


Veneer


Anesthesia


Bridge


Dental cavities


Dental crown


Porcelain


Stomatology


Tooth bleaching


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Information in this document about Dental care named Understanding stomatology is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. The information is an educational aid only. It is not intended as medical advice for individual conditions or treatments of Dental care. Additionally, the manufacture and distribution of herbal substances are not regulated now in the United States, and no quality standards currently exist like brand name medicine and generic medicine. Talk about Dental care to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

© Copyright 2007 Service Organization of Brazilia, Dental care office.