The visible part of a tooth, otherwise known as the crown, is only a small portion of the living system. The crown is made up of enamel, the hardest substance found within the body. It is bone that has been enriched with large percentages of calcium. That's why people who drink lots of milk or take calcium supplements have strong bones and teeth. The enamel is thickest at the crown, and thinnest near the roots of the teeth.

Throughout your life you end up having 2 completely different sets of teeth. The initial set is the baby teeth (deciduous teeth) that eventually fall out. They are whiter, softer, and less sturdy than adult teeth. Hence, they tend to wear out much faster than permanent teeth, but they also fall out to make room for them. Making sure that there's enough space in the vacancy caused by a lost baby tooth is important for healthy adult teeth.

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.

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.

When missing one tooth, your cosmetic dentist may use a Flipper to fill the space. A Flipper is a false tooth to temporarily take the place of a missing tooth before the permanent crown is placed on the implant. A Flipper can be attached via either a wire or a plastic piece that fits in the roof of your mouth. Flippers are meant to be a temporary solution while awaiting the permanent crown to be placed on your implant(s).

Dentures, also known as false teeth, are the primary topic in this section of our site. Here, you can learn how the procedure is performed, what dentures cost and the advantages and disadvantages of having them.

This procedure should be thoroughly discussed with your dentist as there are several personal and medical factors to take into consideration. You may instead be a candidate for dental bridges and dental implants as optional procedures.

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.

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.

A special dental material is then used to open up the pores of your tooth's dentin and roughens up the surface of the exposed enamel. This achieves better and stronger bond. The bond resin is applied to stick the composite to your tooth. This material is made of the same dental resin as the composite however it is much more fluid. This layer is then hardened and cured with a very bright light.

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.

Teeth whitening can be accomplished many different ways. Considered a cosmetic procedure, teeth whitening has become very popular in recent years with the development of various methods that range from drugstore products to dental visits.

For individuals who are looking for a fast way to achieve dramatic teeth whitening results, in-office whitening is the way to go. Protective gel is applied to the gums, lips and other tissue around the teeth, and then a bleaching solution is applied to the tooth enamel. A high intensity laser or other type of light catalyzes the bleach, and the teeth are treated for one to two hours.

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.

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.

Basically, bonding will cover any natural flaws applying a thin coating of a plastic material on the front surface of your teeth. After this, your cosmetic dentist will apply a bonding material and sculpt, color and shape it to provide a pleasing result. A high-intensity light then hardens the plastic, and the surface is finely polished.

The resin comes in many shades so that we can match it to your natural teeth. Due to the layers involved, this procedure will take slightly longer than traditional silver fillings because multiple layers of the bonding material are applied. Typically bonding takes an hour to two hours depending on your particular case.

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.

Veneers provide a durable solution to the color and shape problems that are common to so many people. Veneers are applied to fronts or visible areas of the teeth. The enamel (outside layer of the tooth) is ground down or reduced by just fractions of a milimeter in order to allow for the thin (contact lense thickness) veneer to be permanently attached to the tooth.

While no alternative to veneers will create the exact same effect, there are some popular procedures that may seem worthwhile. Crowns, while more expensive, also act to cover the tooth with a protective coating. For individuals who simply want to brighten their teeth, many clinics now offer tooth bleaching, though this is a much less permanent procedure.

A dental bridge is a false tooth, known as a pontic, which is fused between two porcelain crowns to fill in the area left by a missing tooth. The two crowns holding it in place that are attached onto your teeth on each side of the false tooth. This is known as a fixed bridge. This procedure is used to replace one or more missing teeth. Fixed bridges cannot be taken out of your mouth as you might do with removable partial dentures.

Your cosmetic dentist will prepare your teeth on either side of the space for the false tooth. You will be given a mild anesthetic to numb the area, and the cosmetic dentist will remove the an area of each abutment (teeth on either side of the space) to accommodate for the thickness of the crown. When these teeth already have fillings, part of the filling may be left in place to help as a foundation for the crown.

Your cosmetic dentist may have you use a Flipper appliance. A Flipper is a false tooth to temporarily take the place of a missing tooth before the permanent bridge is placed. A Flipper can be attached via either a wire or a plastic piece that fits in the roof of your mouth. Flippers are meant to be a temporary solution while awaiting the permanent bridge.

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.

The cosmetic dentist will mark your teeth with a pencil prior to performing the procedure. This helps the cosmetic dentist in their sculpting process. As your cosmetic dentist sculpts the tooth, imperfections are artfully eliminating or minimized. A sanding drill or laser may be used to remove small amounts of surface enamel gradually. Abrasive strips are then moved back and forth between your teeth to shape the actual sides of your teeth. Then the teeth are smoothed and polished. Usually anesthetic is not needed. Teeth contouring and reshaping usually takes one to three visits.

Contouring teeth may also help correct small problems with bite. It is common for bonding to be combined with tooth reshaping to achieve a beautiful smile. There are actually several ways to change the appearance of your teeth. Many times these various procedures are combined in different ways to deliver that smile of your dreams.

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.

The most common method of teeth straightening remains standard orthodontic braces. Archwires, springs, and rubberbands apply pressure to the individual teeth by means of brackets that are glued onto their surface. Regular visits are required to the orthodontist in order to tighten wires as needed and make other adjustments. At each visit, the wires will be tightened slightly to renew pressure and push them toward their intended position. Additional wires, rubberbands, and headgear may be prescribed to help move the teeth into their ideal position as quickly as possible. When the teeth have all been repositioned, the brackets will be removed and a retainer must be worn to prevent relapse for some period of time.

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.

Grinding your teeth, an improper bite, age, fillings and tooth decay can all be contributing factors in the wearing down, cracking or breakage of your teeth. Dental crowns cover the entire visible surface of your affected tooth and add strength, durability and tooth stability.

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.

Terms interpreting

Dental fillings

• Dental fillings are inserted as restorations in the treatment of dental cavities, after drilling out the cavities.

Dental implants

• Dental implants are surgically fixed substitutes for roots of missing teeth. Embedded in the jawbone, they act as anchors for a replacement tooth, also known as a crown, or a full set of replacement teeth.

Dentures

• Removable complete dentures are full-mouth false teeth, which are used when a patient has no teeth left on either the mandibular arch, the maxillary arch, or both.

Veneer

• A layer of tooth-colored material, usually porcelain or acrylic resin, attached to and covering the surface of a metal crown or natural tooth structure.

Anesthesia

• Total or partial loss of sensation, especially tactile sensibility, induced by disease, injury, acupuncture, or an anesthetic, such as chloroform or nitrous oxide.


• Local or general insensibility to pain with or without the loss of consciousness, induced by an anesthetic.


• A drug, administered for medical or surgical purposes, that induces partial or total loss of sensation and may be topical, local, regional, or general, depending on the method of administration and area of the body affected.

Bridge

• A dental bridge is a prosthesis used in place of missing teeth and may be removable or permanently attached.

Dental cavities

• The formation of cavities in the teeth by the action of bacteria; tooth decay.


• Also known colloquially as tooth decay.

Dental crown

• Full-coverage restoration (sometimes incorrectly called a cap) is a prosthetic tooth designed by a dentist and usually created by a lab technician.

Porcelain

• A hard, white, translucent ceramic made by firing a pure clay and then glazing it with variously colored fusible materials.

Stomatology

• The medical study of the mouth and its diseases.

Tooth bleaching

• Also known as tooth whitening.

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