Treatments

Dental Hygiene

Preventing dental disease starts at home with good oral hygiene and a balanced diet. It is continued in our dental office by the efforts of our Dentists as they promote, restore, and maintain your oral health. Regular dental exams, cleanings, and x-rays are all part of an effective prevention program. Other great preventive treatments include sealants and fluoride. Prevention helps avoid serious and costly dental problems and is the key to having a healthy, confident, and beautiful smile.

Fluoride Info

Dental decay is a common condition all over the world. One way to help prevent cavities from occurring is through the use of fluoride. Fluoride helps harden the tooth enamel and make it more resistant to tooth decay. A small cavity can be stopped and even reversed by the remineralization process enhanced by fluoride.

Fluoride can be delivered to the teeth in 2 ways:
  • Topically (direct contact on the teeth) : Via fluoridated tooth paste and Professional fluoride application
  • Systemically (enters the blood stream): Via food source and Water source

Dental Sealants

Sealants are thin plastic coatings applied in the dental office on the chewing surfaces of back teeth, which are prime spots for cavities. Sealants act as a barrier to prevent bacteria and food from collecting and sitting on the grooves and pits of teeth. Sealants are best suited for permanent first molars which erupt around the age of 6 and second molars that erupt around the age of 12. It is important to have the sealant applied as soon as the tooth has fully come in. They are also indicated on the pre-molars if there are deep pits and fissures present. Sealants are nearly 100% effective in preventing decay in the chewing surfaces of the back teeth. Fluoride helps fight decay on the smooth surfaces of the teeth.

Fillings and Restorations

After diagnosing the problem and devising a treatment plan, the next step to restore a tooth to health is to make you comfortable. We will give you a local anaesthetic so that you do not feel any discomfort. After the decay is removed, the tooth is ready to receive either a direct restoration or an indirect restoration.

A direct restoration means that the tooth can likely be restored in one visit and that there is sufficient tooth structure for the filling to go inside of the tooth. Examples of direct restorations are amalgam, which is silver-colored; and composite, which is tooth-colored. There have been more amalgam fillings placed worldwide than any other kind of filling, but tooth-colored fillings are being placed more frequently in recent years because they match the remaining teeth and look like the natural tooth.

An indirect filling means that the restoration is made outside of your mouth, either by a lab or by a milling machine. An indirect filling also needs to be cemented into place. Examples of indirect restorations are crowns, inlays, and onlays. A crown covers the entire tooth, an inlay fits inside the tooth and can replace a wall of the tooth, and an onlay replaces at least one cusp of the tooth.

Wisdom Teeth

Wisdom teeth get their name because they usually appear around age 18. They can erupt straight, crooked or not at all. Even if they come in straight, wisdom teeth might need to be extracted due to a lack of space and the ability to be cleaned and maintained.

Pericoronitis is a common problem that occurs around an erupting wisdom tooth that typically does not have enough room and it most commonly occurs on lower wisdom teeth. It literally means inflammation around the crown. A piece of gum tissue appears over the biting surface of the tooth, which is very difficult to clean. Debris collects under the flap and, when the debris is not removed, the gum becomes inflamed. The gum can also become inflamed if the top tooth catches the flap of tissue during chewing. In most cases Pericoronitis is treated with an antibiotic for a few days and when the infection has decreased, the wisdom tooth is removed.

Gum Disease/Bone Disease

Our mouths are full of bacteria. These bacteria, along with mucus and other particles, constantly form a sticky, colorless "plaque" on teeth. Brushing and flossing help get rid of plaque. Plaque that is not removed can harden and form bacteria-harboring "tartar" that brushing doesn't clean. Only a professional cleaning by a dentist or dental hygienist can remove tartar.

Gingivitis

The longer plaque and tartar are on teeth, the more harmful they become. The bacteria cause inflammation of the gums that is called "gingivitis." In gingivitis, the gums become red, swollen and can bleed easily. Gingivitis is a mild form of gum disease that can usually be reversed with daily brushing and flossing, and regular cleaning by a dentist or dental hygienist. This form of gum disease does not include any loss of bone and tissue that hold teeth in place.

Periodontitis

When gingivitis is not treated, it can advance to "periodontitis" (which means "inflammation around the tooth.") In periodontitis, gums pull away from the teeth and form "pockets" that are infected. The body's immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body's enzymes fighting the infection actually start to break down the bone and connective tissue that hold teeth in place. If not treated, the bones, gums, and connective tissue that support the teeth are destroyed. The teeth may eventually become loose and have to be removed.

The main goal of treatment is to control the infection. The number and types of treatment will vary, depending on the extent of the gum disease. Any type of treatment requires that the patient keep up good daily care at home. Additionally, modifying certain behaviours, such as quitting tobacco use, might also be suggested as a way to improve treatment outcome.

Tooth Extraction

Extraction is the painless removal of complete tooth or the tooth root with minimum damage to the adjoining structures. This is done by injecting a local anaesthetic solution around the tooth being extracted. This leads to numbness over the injected region leading to any absence of pain sensation. The numbness may stay for an hour to 2 hours after which it gradually recedes. During this time the extraction is carried out.

Teeth need to be extracted for the following reasons:
  • When the tooth becomes too loose (in case of severe gum / bone disease ).
  • Tooth with large cavity which cannot be filled.
  • Broken teeth.
  • Tooth with large periapical infection.
  • Over retained deciduous / milk teeth.
  • Prophylactic extraction in case of Orthodontic / Pedodontic treatment.
  • Impacted teeth.
  • Teeth involved in pathologies like cysts / tumors.

Crowns and Bridges

A crown is a restoration that covers the entire tooth like a cap. Crowns are used to restored teeth that are either discoloured or decayed or fractured. A bridge is a prosthetic appliance that replaces missing teeth deriving support from the adjacent natural teeth. The bridge is permanently cemented to the supporting teeth. They can be made of metal, metal fused to ceramic or full ceramic.

If missing teeth are not replaced, spaces left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in bad bite. The imbalance caused by missing teeth can also lead to gum and temporomandibular joint (TMJ) disorders.

Root Canal Therapy

If your tooth's nerve chamber becomes infected by decay, or damaged by trauma, root canal treatment is often the only way to save your tooth.

Inside the hard outer shell of each tooth is a specialized area called the pulp or nerve chamber. The pulp chamber contains a system of blood vessels, lymph vessels and nerves, the pulp, which enter from the bone through the root canals. This system provides nourishment for the cells within the tooth.

Deep tooth decay or other injury can cause damage to or infection of the tooth pulp. In a root canal or endodontic treatment, the dentist removes the damaged or infected pulp and replaces it with a special filler which helps maintain the remaining tooth structure.

Tooth with decay extending pulp
  • Step.1 After the tooth is anesthetized, an opening is made through the crown into the pulp chamber
  • Step.2 The length of the root canals is determined.
  • Step.3 Unhealthy pulp is removed. Canals are cleaned, enlarged and shaped.
  • Step.4 Canals are filled and sealed.
  • Step.5 Tooth is filled and restored with a crown.

Dentures

Complete or partial dentures can replace your missing teeth and give you the confidence to smile. Dentures can be used to replace teeth that have been lost due to trauma, decay, or gum disease. It is important to replace missing teeth, not only because teeth help with eating food, but because they help support the facial muscles and are critical for speech.

Full Dentures

There are two different types of removable full dentures; immediate and conventional. Immediate dentures are typically made when the patient's existing natural teeth are being removed and the new dentures are delivered on the day of the extractions.

Conventional dentures are typically made when existing dentures are being replaced.

Partial Denture

A partial denture is a removable dental appliance that replaces multiple missing teeth. It can be attached to the teeth with clasps, which are like small metal "c" clamps that hug nearby teeth, or may be attached to teeth with crowns with precision attachments (hidden clasps). Both types typically have a metal framework and plastic teeth and gum areas. A temporary partial dental may have a plastic base with no metal.

Implant Option

Implants are an option in some cases. There needs to be sufficient bone for an implant. If there is not enough bone present, we may be able to add more bone through grafting.

Click here for more information about the Implants.

[/sg_popup]

Stirling Dental

Book now

Kardinya Dental

Book now

Yanchep Dental

Book now

Bertram Dental

Book now

Claremont Dental

Book now

[/sg_popup]

Stirling Dental

Book now

Kardinya Dental

Book now

Yanchep Dental

Book now

Bertram Dental

Book now

Claremont Dental

Book now

Stirling Dental

(08) 9344 4719

Kardinya Dental

(08) 9337 1177

Yanchep Dental

(08) 9561 6451

Bertram Dental

(08) 9419 5417

Claremont Dental

(08) 9284 2781