Broadway Family Dentistry
709 S Broadway
Edmond, OK 73034
(405) 341-4040

 

Advanced Procedures


CROWNS
Crowns are full coverage restorations that are used to cover a tooth that is likely to break, or is too broken down to be restored with a filling. They are most commonly done after root canal treatment, or when a large filling wears out. The larger the hole made by a cavity that has to be treated, the more likely a crown will be needed. Even after a filling is put in a large cavity, a tooth is more likely to break. Keep in mind that the jaw muscles are the strongest in the human body. Teeth are subjected to tremendous pressures. Crowns ride over the weakened tooth, providing strength and protecting the tooth against breakage. A broken or cracked tooth is a far more serious matter and much more difficult to treat. Crowns help prevent this, as well as making for a nice smile.

Crowns are full coverage restorations that are used to cover a tooth that is likely to break, or is too broken down to be restored with a filling. They are most commonly done after root canal treatment, or when a large filling wears out. The larger the hole made by a cavity that has to be treated, the more likely a crown will be needed. Even after a filling is put in a large cavity, a tooth is more likely to break. Keep in mind that the jaw muscles are the strongest in the human body. Teeth are subjected to tremendous pressures. Crowns are fabricated to fit over the weakened tooth, providing strength and protecting the tooth against breakage. A broken or cracked tooth is a far more serious matter and much more difficult to treat. Crowns help prevent this, as well as making for a nice smile.

It takes two appointments to restore a tooth with a crown. In the first any decay and or fractures are removed from the tooth and it is shaped to accept the crown. Then an impression is made of the tooth for use in fabricating a crown. Between the two visits the crown is made, usually of high-strength porcelain over gold alloy, all ceramic material, or gold. Dr. Strange will choose the material of the crown based on the characteristics of the tooth that is being treated.  During this time a temporary crown is worn. In the second visit this temporary is removed. Then the permanent crown is adjusted as needed and then cemented in place.

DENTURES
There are different types of dentures, but they share their common function. They replace teeth that have become loose or been lost due to bone loss. When bone loss around the roots of teeth is great enough to loosen them or let them fall out, it's time for dentures. Relax. No one enjoys losing their natural teeth, but you can still eat and talk acceptably.

The entire mouth is examined and a determination is made as to which teeth will have to be removed, and which will remain. The loose teeth are then extracted. Dentures are fit to go over or around whatever teeth remain in the mouth, depending on the type. There is an adjustment period after dentures are placed in the mouth, and it can take some getting used to. But once accustomed to the dentures, normal functionality and appearance return and one just carries on as usual. It's important to understand that dentures do not function the exact same way as natural teeth but the restoration they provide is a sound and  acceptable option.  Dentures still require maintainence and cleaning every so often and will require adjustment and or repair from time to time.  Often implants can used to further stabilize the dentures. Implants for denture retention are an excellent option for most people and can be placed at any time the patient is ready.

IMPLANTS
A dental implant is an option to replace a missing tooth. In this procedure, a small titanium shaft is surgically implanted into the bone and allowed to set. The bone grows around it forming a tight connection, which additionally slows or stops the bone loss that occurs when the root of a natural tooth is missing. Once the implant is firmly set in the mouth, the dentist then works to attach the replacement tooth onto the top of the shaft. This permanent solution has the advantages over bridge work that it does not stress the surrounding teeth for support, and, should the tooth wear out, another can simply be replaced on the shaft.

Implants have been used as part of a small variety of replacement options.  However, in Dr. Strange's office they are usually used only for single tooth replacement.  And in some (very few) cases part of the treatment may need to be done with the oral surgeon. 

ROOT CANAL TREATMENT
Root canal treatment (also referred to as root canal therapy or endodontic therapy) is made necessary when a cavity is allowed, through neglect, to reach all the way to the pulp where the nerve is located. (Regular cleanings and checkups prevent and detect problems early) In some cases, deep restorations or trauma to a tooth may cause the nerve to be damaged to the point it needs root canal therapy. Once the nerve has been affected, the pulp becomes could likely become infected, and can even extend through the root tip and begin to eat away at the surrounding bone (this is an abscess). By the time the pulp is infected it must be treated, it cannot heal on its own and it cannot be treated only with antibiotics. It can even weaken the entire immune system. This is dangerous, not to mention very painful. Symptoms that the pulp has become infected may include sensitivity to hot/cold or sweets, pain, swelling, pain to biting or pressure, and a bad taste in the mouth. Sometimes, however, no symptoms are apparent and the person is unaware of any problem until a checkup.

A root canal is then performed to clean out the infected tooth pulp, and disinfect the canals of the tooth, a filling is placed through the entire tooth starting from the root tip(s), and then the crown of the tooth is re-built. The only other treatment would be to extract the tooth. Once a tooth has been root canal treated the patient will then need to get a crown. 

BRIDGES
This is an option for filling the space created by a missing tooth. It is formed to look like the missing tooth, and it takes its place in the mouth. The sides of a bridge use the two surrounding teeth for support, hence the name. A bridge replaces the missing tooth, both functionally and cosmetically. Bridge work is as much an art as it is an exact science. The materials used may be gold alloys, porcelain bonded to metal alloy, or all ceramic material. The choice of material depends on requirements for strength, wear, and/or esthetics. Also note, bridge is permanently attached to abutment teeth and it is important to know that the retention teeth must modified or made smaller to fit the retention crowns. (We can show videos and models to demonstrate this description

It is important that a missing tooth be replaced as soon as possible for several reasons. If not treated the teeth surrounding the gap begin to shift inward, creating a whole chain reaction of bad things. Teeth use their neighbors for support, and, with one missing, they start to "fall." As this worsens the bite changes in response to the pressure. This can eventually result in problems with the entire jaw, e.g. TMJ. The surrounding teeth deteriorate and it is just a matter of time before they, too, are lost. Gum disease becomes a serious problem, with the difficulty of treatment increasing as the neglect continues.

TMJ TREATMENTS
TMJ stands for temporal-mandibular joint. Temporal, as in temple area of skull; mandibular as in mandible, or lower jaw; joint as in it's where the head and jaw meet. Problems in this joint may be caused by a misalignment of the teeth, trauma, or excess muscle tension. Aside from the two bones that meet there, cartilage buffers them and five muscles are involved in the area. If something goes wrong a good deal of trouble can result.

Problems in this area can cause:

  • Headaches
  • Earaches
  • Trouble/soreness in opening and closing the mouth
  • Clicking or popping of the jaw
  • Pain in the jaw muscles
  • Soreness in the area, sometimes extending to the face

Dental treatments for the condition can include replacing missing teeth, moving teeth, adjusting the bite, filling gaps between teeth, night guards, etc. Other recomendations could include massage and stress management as will as regular fintess/excerise routines, etc.  There is no one solution that is right for all cases. Sometimes a plastic mouthpiece (night guard) is used to prevent clenching or grinding that is contributing to the problem. If untreated and taken to extremes, surgery and or other treatments or therapies may be required to repair a badly damaged joint. A lot of TMJ issues are handled by a specialist.  Edmond has an excellent TMJ specialist and Dr. Strange will refer you if necessary. 

709 S Broadway
Edmond, OK 73034
(405) 341-4040

 

© Images contained in this website are protected by copyright and may not be downloaded, republished, retransmitted, reproduced or otherwise used as a stand-alone file.