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In the general context of regular check ups, cleansing is one of the most important dental procedures because it prevents dental caries and periodontal problems. With cleansing we remove bacteria plaque and tartar from the teeth.
Plaque is a thin, viscosity layer of bacteria accumulated in the surface and if not removed in time, and interacts with various components ( salinity from the saliva, acids produced by bacteria etc) and gradually hardens forming plaque. Plaque, in turn, favours bacteria growth that can gradually cause dental caries, inflammation of the gums, and gum recession
Plaque and Tartar may be found over as well as below the gum line. When they are accumulated on the visible surface of the teeth , then a simple cleansing suffices to remove all the deposits and to smoothen the surface so that there is no favourable environment for bacteria concentration.. When plaque penetrates below the gum line , having already caused gum inflammation, a deeper cleansing is required to restore gum health and prevent the development of periodontal disease.
Apart from preventive, a cleaning can also be therapeutical in cases of advanced periodontitis.. This procedure includes also the surface of the root which need to be cleaned, disinfected and smoothened in order to help the tooth reattach itself on the gums.
Endo treatment (which is called “root canal treatment”) is a dental act performed in the inner part of the tooth and more particularly in the pulp cavity. The pulp of the tooth consists of nerves, vessels and connecting tissue and in case of a microbe infection, we proceed to endo treatment.
The inflammation or the infection of the pulp may be down to various factors such as extensive caricature, repeated dental interventions, bad restorations or tooth fracture. Among the causes is a tooth injury that may allow germs to penetrate the pulp cavity. We occasionally may need endo treatment even if there is no infection or inflammation of the pulp or the nerves. This happens when we are about to place prosthetics like crowns or bridges , but teeth have sustained extensive damage and cannot support them.
The aim of endo treatment is to remove the infected or dead pulp, to disinfect the area and the root canals and finally fill the tooth so that germs won’t grow in the inner part of the tooth.
If the endo treatment isn’t performed in time, the tooth sustains such extensive damage that the only available solution is extraction. There is additional chance the surrounding bone may be affected while neighbouring teeth may also be infected.
The Inlays – Onlays have a similar role to fillings, since they replace the partial tooth loss. They are used in cases when the damage is extensive enough to be replaced with a common filing but not big enough to make us use a crown. Contrary to common fillings, Inlays – Onlays are produced in a dental lab with a highly aesthetic and resistant ceramic material.
They are placed on the masticatory surfaces of the back teeth. The Inlays cover the centre of the teeth surface, while Onlays cover a bigger surface and may extend outside the top of the tooth.
Inlays – Onlays offer greater protection to the tooth since more extensive resin fillings reduce its solidity to masticatory forces and may eventually break. At the same time we avoid the extraction of a healthy tooth tissue which we would do in case we chose a crown.
Wisdom teeth are the last teeth to erupt in the mouth (at the age of 17-18). But since by that time all other teeth have already fully grown, in most occasions there is not enough space for the wisdom teeth to rise without any problems. Therefore a tooth may stay impacted in the bone or partly erupted.
An impacted wisdom tooth remaining under the gum puts constant pressure on the root of the adjacent tooth and can eventually destroy it. In fact very often the Impacted tooth lies in a lateral position and may destroy the jawbone supporting the adjacent molar. At the same time , because of their position, it is harder to clean them by brushing and therefore they become a favourable environment for the accumulation of microbe plaque that can cause caries and periodontal problems. In cases of partial impacted wisdom teeth, we very often have a painful inflammation called peristefanitis and grows around the tooth due to food residue accumulation
When an impacted or a partial impacted wisdom tooth has started causing problems or is expected to cause, then the best solution is extraction. The procedure is performed surgically with local anesthesia and is painfree. For the next days we will give you instructions so that the healing period is uneventful and the shortest possible.
