The basic repair of the mouth is called Restorative Dentistry. From teeth restoration with bonded tooth-coloured white fillings, porcelain dental crowns and aesthetic inlays or onlays. Missing teeth can be replaced with fixed bridges, removable or complete dentures, or a dental implant. Broken down and infected teeth can also be treated with root canal therapy and crowned.
Prosthodontics refer to the branch of dentistry which specializes in dental implants, crowns and bridges, porcelain veneers, inlays, onlays, complete and removable complete and partial dentures. These are simply ways to replace or repair missing parts of teeth, bone, gums or facial structures to restore optimal function and aesthetics to your smile.
Even traumatic injuries to the mouth’s structures and/or teeth, temporomandibular joint (TMJ) disorders, snoring and sleep disorders, oral cancer reconstruction and continuing care fall under this category.
Cerec 3 D CAD-CAM
Cerec 3 D CAD-CAM is the world’s most popular system for all ceramic dental restorations in one office visit. With CEREC, you can be in and out of the dental office in a single visit with permanent, all ceramic dental crowns, inlay, onlay or veneers. This means fewer injections, no temporary fillings and less time out of your hectic schedule for dental care.
Have a missing tooth? A dental implant is a more conservative tooth replacement technique that looks, feels and functions like natural teeth. A dental implant consists of 3 components: A Titanium screw, an abutment and a crown. A high-grade titanium screw bonds to the jawbone and replaces the natural tooth’s root as an anchor. It is unlike a conventional bridge where the supporting teeth need to be “shaved”. Typically, a titanium screw is surgically placed in the bone by the Oral Surgeon and restored by a Prosthodontist 3 months later with an abutment and crown. A bone graft can be done prior to the placement of the implant if there is insufficient bone. When an implant is placed in the bone, the rate of bone resorption actually decreases. It is therefore advisable to replace missing teeth with an implant immediately to 3 months after extraction (depending on the location of extraction)
Dental crowns are a tooth-like protective “cap” that is placed over a badly decayed, damaged or cracked tooth. They can also be used to support a bridge and cover discoloured or malformed teeth. Dental crowns can be made of different materials, such as porcelain fused to metal, all metallic crown or all ceramic depending on the location, functional and aesthetic requirements of the tooth.
A dental bridge can replace or fill a gap created by a single or multiple missing teeth. A conventional bridge is made up of two dental crowns for the teeth on either side of the gap and false tooth / teeth in between. A dental bridge can also be supported by 2 implants.
Dentures are removable appliances to replace missing teeth in the mouth. They are the cheapest alternative to implants and bridges. They are made of either plastic or metal with hooks attached to anchor to your natural teeth. Some patients who have lost all their upper and lower teeth will require full upper and lower dentures. They are not very retentive and stable as compared to implants or bridges. Food also often get stucked under the dentures. You need to remove your dentures every night before sleeping. As our bone continues to resorb as we age, the dentures will become more loose and unstable, rubbing our gums and causing ulcers. Therefore it is advisable to replace dentures every 3 years.
Night guard/mouth guard
Night guard/mouth guard are plastic appliances which are worn during sleep when patients are diagnosed with Bruxism. Bruxism refers to the grinding and clenching of teeth in the day or night time. It occurs in about 30% of population and 80% of bruxers are unaware of this habit.
According to Mayo Clinic, those who suffer from bruxism typically clench their teeth during the day or grind them at night when they sleep – also known as sleep bruxism.
Signs and Symptoms
- Diminished tooth enamel and increased tooth sensitivity.
- Jaw soreness or tight jaw muscles.
- Grinding of the teeth loud enough to wake up your partner.
- Flat, loose or chipped teeth.
- A headache that begins at your temples, especially in the morning
- Frequent dislodgement or breakage of dental fillings
The aetiology of bruxism is multi-factorial, but both physical and psychological causes are often linked to teeth-grinding. Sleep issues are some of the most common. Snoring, sleep talking and even a sleep disorder such as sleep apnea can play a role in developing sleep bruxism. Sleep apnea is a unique condition that affects the breathing process and this can be confirmed with a sleep test.
Anger, anxiety, frustration and stress are four major reasons a person may grind their teeth as a coping method. Although professional counseling can make it easier for you to deal with a stressor, there are personal ways to manage it as well. Exercise releases endorphins that provide tremendous stress relief, whereas certain relaxation methods – such as listening to music, taking walks and even a warm bath – are similarly helpful. Work-related issues are frequently to blame, so be mindful of your workplace atmosphere and how you approach the tough aspects of your career.
Bite and alignment issues with the upper or lower jaw are another common cause of grinding. Something as simple as braces or as extreme as jaw reconstruction are potential fixes. It is advisable that you seek consultation with an Orthodontist to ensure you take the right course of action to correct any malocclusions.
Habits such as tobacco use, alcohol consumption and even too much caffeine can increase your risk of bruxism. Your medical professional can even recommend a friendly form of addiction treatment if need be. Keep in mind that age is also a factor, as bruxism is more common in children before they’re teenagers.
Medications and Disorders
Bruxism causes have also been linked to side-effects from psychiatric medications and antidepressants, along with neurological conditions like Huntington’s Disease and Parkinson’s Disease. Consult your doctor in these cases.
Prevention and Treatment
If you suspect you suffer from bruxism, start listing any symptoms and call attention to them at your next dental appointment. Our dentists will perform a full exam to confirm any symptoms or signs for sure, and then determine the reasons they have occurred. In the interim, we may prescribe a mouth guard to relieve any damage already done from grinding, or perform a dental procedure to correct any problems related to tooth alignment. Discussing stress reduction methods is another option if you haven’t undertaken them.
NTI-TSS and migraine
NTI-TSS stands for Nociceptive trigeminal inhibition tension suppression system. It is a small transparent plastic device which is, in its most widely used form, worn over the front four teeth, of either arch, at night, and intended to prevent contact of the canines and molars. It is normally fitted by a dentist trained in the technique and constructed chairside.
NTI-TSS is a type of occlusal splint that can prevent headache and migraine without the side effects of drugs by reducing sleep bruxism (night-time tooth clenching and grinding). The objective of the NTI-TSS is to relax the muscles involved in clenching and bruxing, thus diminishing the chances for migraines and tension headaches to develop through the reduction in nociceptive stimulation normally caused by parafunctional activity. It is also sometimes used for the treatment of temporomandibular joint dysfunction (TMD).
Endodontics (root canal therapy)
Endodontics (root canal treatment) refers to the branch of dentistry which specialises in saving teeth with infected pulp tissue caused by decay, gum disease or trauma which otherwise. In the old days, the tooth would have been extracted. This treatment removes infected nerves and tissues in the canal, is cleansed and disinfected. The tooth is then filled and sealed. A post-crown is then recommended for protection and long term use of the tooth.