Root Canal Treatment (Endodontic Therapy)

Each tooth has in its core a pulp space that contains the nerve and blood vessels required for tooth vitality. When pulp tissue is affected by tooth decay or fracture, the pulp becomes infected and inflamed and later degenerates and dies (necrosis). This process is very painful and can lead to swelling and infection spread to bone and soft tissue. Since, strictly speaking, the tooth does not need its pulp (nerve) for function, the root canal therapy is recommended to save the tooth. The procedure is rather simple that the tooth is anaesthetised and an access opening is cut into the tooth to access the infected pulp, which is then removed . The canal(s) is/are cleaned and shaped, then dried and filled with special root canal filling material. The access opening is then restored following the removal of any decay present. Medications such as antibiotics and pain killers may be prescribed if indicated.

 

Restorations (White Fillings)

When the tooth has a cavity (decay or caries) or fractured, the dentist will anaesthetise it then remove the decay, or prepare the fracture margin, then restore the tooth to its original shape using bonded white filling (composite restoration). These restorations are tooth-colored, strong and provide pleasing aesthetics. Early detection of tooth decay is paramount to keeping your teeth healthy, strong and functional. If decay progresses it will cause sensitivity (specially to sweets and cold), and may invade the pulp of the tooth leading to constant toothache and possible swelling and infection requiring more extensive treatment.
Composite restorations can also be used to close gaps between teeth and to build worn-out teeth.

Crowns and Bridges

Crowns and bridges are fixed prosthetic restorations the cover the entire tooth surface (crown) or replace missing teeth by utilising adjacent teeth as crown anchors (retainers). A crown is  indicated when a tooth loses a large part of its structure due to decay and fracture and the filling cannot be adequately retained. It is also indicated  following root canal treatment to reduce the chances of future tooth fracture. A bridge is indicated as a fixed (non-removable) replacement of a missing tooth. The adjacent teeth (front and back of the missing tooth space) are used as retainers for the bridge structure. Crowns and bridges are made of porcelain, porcelain fused to metal or base/gold metal alloy, and permanently cemented in place. The dentist will advise you if such restoration type is recommended.

Wisdom Tooth Extraction

 

Wisdom teeth are the last molars to erupt behind the second molars in the four quadrants of the dental arches. They are commonly found impacted and unable to fully erupt because of shortage of jaw space . Due to poor access for brushing and flossing, impacted wisdom teeth can lead to gum infection, swelling and pain (pericoronitis), as well as tooth decay. They may also be associated with front teeth crowding, bad breath and cheek biting. If wisdom teeth are impacted or malposed (crooked) and there has been a history of symptoms they are indicated for extraction. Properly erupted teeth that can be cleaned reasonably well may be retained by the patient.The use of oral hygiene aid such as sulcabrush is highly recommended for cleaning around wisdom teeth. We will give you our expert opinion as to which course of action to take for your wisdom teeth. If it is the time for wisdom teeth ( one or more) to be extracted we will provide you with the best care before, during, and after the extraction procedure is performed. Following the procedure, post-operative instructions will be explained and prescription medications ordered. A follow-up visit will also be scheduled 3 to 5 days afterwards to ensure the healing process goes smoothly.

Composite and Porcelain Veneers

Veneers are a thin layer of either lab-processed porcelain (Indirect) or bonded composite restoration applied chairside (Direct). They cover the face side of teeth and used mainly for the aesthetic enhancement of front teeth. Veneers can be used to cover a severely discolored teeth, those with malformations, are short or crooked. Veneers can also be applied to enhance the appearance of upper teeth and create a beautiful and attractive smile.