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FAQ

Teeth Whitening

Veneers

Amalgam: Facts versus Fiction

Dentures

Root canal treatment

Alternatives for dentures

Teeth Whitening

What is bleaching?

Fading or brightening the teeth is a prominent corrective dentistry method that helps patients with stained or obscured teeth to have whiter, brighter grins. Bleaching is an easy solution to whiten your teeth. You can either try in home or visit a dentist. The bleaching process became popular in 1990s though it existed from 1980s. There is a wide range of peroxide available in the market and the best one is to use a gel, and a standout amongst the most generally utilized is a gel. It is vital for a patient to be analyzed by a dental specialist who can figure out whether bleaching is required or not.

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Is bleaching effective?

Bleaching takes away a few protein components from the enamel and brightens the teeth. Much of the time, a bleaching process is fruitful as one can see instant results. People with yellowish teeth will have preferable outcomes over patients whose teeth are dim or blue in shading. Bleaching is not recommended to everyone. People with porcelain fillings or crowns shouldn’t prefer bleaching as it is less effective on man-made items.

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Why do teeth become discolored?

Teeth might stain due to poor oral hygiene, excessive tobacco usage, inherited factors, systemic ailments, drugs and substances found in espresso or tea. The individuals who granulate the teeth may likewise have stained teeth. The shade of teeth along the gum line is mostly yellow and dull, but, is lighter at the edges. The lighter edges will wear away if people grind their teeth frequently. Certain medications might discolor the teeth or leave white spots on the enamel.

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What types of bleaching methods are available?

The bleaching system can be carried out in two ways. The power bleaching is finished by the dental specialist in the workplace whereas the home bleaching system can be carried out at home by the individuals’.

In either case, a Dentist must regulate the procedure. In the case of bleaching, the dental practitioner and the patient must choose the framework that would work the best.  The dentists can use a shade guide to find out the desired color.

Have a look at both the methods:

Power bleaching:

This process usually takes two to three hours and can be finished in a single visit. The teeth are dyed in one session utilizing a high convergence of peroxide. The dental specialist will apply an elastic dam or wax to the gums to secure them. The bleaching chemical is then applied on the teeth and a strong light is used to quicken the procedure. This framework is for those patients who need quick outcomes and wouldn't like to do it at home. Higher convergences of peroxide are used in this process which might lead to sensitivity of the teeth. The dentist will use a fluoride solution to decrease the sensitivity or slow down the process.  

Home bleaching is a process that a patient can carry out at home, usually in the night. The dental practitioner makes extraordinary plate that fit over the teeth to hold the arrangement on the teeth. The patient places peroxide in the extraordinary plate and wears them for up to eight hours on end. The greater part of the brightening happens in the initial two hours, but the bleaching process continues till the patient wears the plate. The whole procedure may take two to six weeks. The drawback of this framework is that it takes a longer time and the patients must be disciplined to carry it at home.

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Are over-the-counter fading items powerful?

The Australian dental Association prescribes that people who want to change the color of their teeth must book an appointment with the dentist. The bleaching systems over-the-counter is not considered safe as it might cause you harm due to the lack of supervision. Toothpastes with whiteners are not compelling as they do not have efficient chemicals to give that effect. It is better not to opt for tooth polishes which might affect the health.

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How long will the whitening effect last?

The effect of the Whitening treatment depends on the original shade of your teeth. The effect can last up to 1 to 3 years depending upon your diet.  You will have to top up post that. The whitening treatment will take an hour, post which the client will be given an introductory kit. It includes home whitening gel, custom tray, and desensitizing gel which will help you to maintain the whitening effect. This kit is absolutely free of cost. Many people find their teeth to be extra sensitive after the treatment. However, the sensitivity will wear-off gradually.

Our current Teeth Whitening charges are $750 including the home bleach kit. We also provide free assessment. We are proud to introduce the Zoom! Advanced Power (Zoom 3) Whitening System. This is a powerful technology and only a few clinics offer this service in Australia.  It is always wise to carry out whitening treatment under the supervision of a dentist. It is safe and you will not be stressed about carrying the treatment all by yourself.

Zoom is considered a safe teeth whitening treatment as per the clinical study carried out by Loma Linda University. The study revealed that Zoom does not harm the microhardness and surface morphology of human enamel. There was another study carried out by Discus Dental to evaluate the efficiency of the Zoom system. It also proved that Zoom is safe. The participants experienced minimal sensitivity during the study and a few of them had zero sensitivity issues.

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Veneers

 

What are the reasons that make people opt for Veneers?

There are a couple of reasons as to why people opt for Veneers, they are as stated below:

1.    Veneers shadow the imperfections when you smile by acting as a cover on the front surface of your teeth. These imperfections range from disproportioned teeth (due to wear in the due course of time, injuries, born/self-developed cavities and mounds, etc.), stains (majorly from drugs like tetracycline etc.) and loss/change of color due to root canal treatment.

2.       Veneers help to fill gaps between adjacent teeth.

3.       Veneers mask misalignments, if any, while acting as a cover.

However, Veneers are permanent, and hence, patients should make a well-informed and well-researched decision, after proper consultation with their dentists. Also, ‘Bondings’ and ‘Crowns’ are some alternatives they might want to know about and take into consideration, while talking to their dentist.

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Who can opt for veneers?

Not everyone should get veneers, there are some factors that should be taken into consideration before getting them. Firstly, the teeth of the patient should be healthy enough, not suffering from active periodontal disease and decay, to get veneers. This is because if the teeth are already weaker because of fractures, large fillings and decay, they might not be able to hold the veneer. Also, another factor to be considered is that if the person in question, the patient, is in a habit of clenching or grinding the teeth, he/she should consider other options because such actions might chip or crack the veneers.

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What are the materials (components) used to make veneers?

There are mainly 2 materials used, either resin composite material or porcelain. Although it is better for patients to discuss, which veneer to go for, with their dentists so as to get the best results, however, both these materials have their own set of distinguished advantages. If the patient opts for resin veneer, less amount of the actual tooth surface would have to be removed because resin veneers are thinner. Whereas, the porcelain veneers have an upper hand at resisting stains and reflecting light to mimic properties of your real teeth. The common factor, though, between the veneers is that both the types can be customized with respect to color to blend in with your teeth and keep your smile from looking unnatural.

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What are the steps to be followed for getting veneers?

It starts with an initial consultation with the operating dentist, who, post that, would remove a thin layer of enamel from the front surface of your teeth and would also make a mould of your teeth. While these would be used, by the lab, to make you a permanent set of veneers, during this time however, the dentist might adjust a set of temporary veneers in your mouth.

The next visit will begin with the dentist examining the veneers in terms of colour and fit before he can set them in your mouth. The veneers might need a little trimming or reshaping for an improved fit in your mouth. After this comes cleaning, polishing and scoring of your teeth in order to better the cement fix. After the veneer is set, a blue curing light, which quickens cement bonding, might be used.

A final visit, though not always necessary, might be required just to examine the veneers’ fit and check whether your gums are responding well or not.

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What is the method to take care of the veneers, once placed?

The first step is to follow the basic regime of dental hygiene you do with natural teeth, i.e., to brush, to floss and to get check-ups, regularly.

.The next step could be, as the dentist may suggest you, to stop consuming foods that usually leave a stain (examples being coffee, tea, tamarind food etc.), and this is the same with both the type of veneers, in spite of the porcelain ones resisting stains.

The normal lifetime of veneers lie somewhere between 5 and 10 years. However, if the veneer gets damaged (if there is a crack or if it breaks), the patient is strongly advised to visit the dentist, because in the process of setting the veneer, the dentist extracts enamel from your teeth and the veneer being damaged just make the teeth underneath prone to damage. To minimize damage, however, it is recommended that the patients refrain from biting their nails or chew on hard objects like ice, pencil etc.

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What are the positives of getting veneers?

The following are the upsides of dental veneers:

  • The appearance of the tooth remains natural
  • The shade (of color) of the teeth can be moved towards the whiter side by choosing the correct color of porcelain veneers
  • The tissues of the gum are quite tolerable of porcelain
  • As mentioned above, porcelain veneers resist stains.
  • Shape Veneers, as compared to crowns, do not need as shaping prior to procedure and provides a neater and sturdier bond.
  • For changing a tooth's color, veneers provide a conservative approach.

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What are the negatives of getting veneers?

The following are the downsides (and risks) of dental veneers:

    • Your teeth, because of the removal of enamel, might become more sensitized towards hot and/or cold food and/or beverages
    • Veneers do not obliterate the possibility of tooth decay, and if it happens, the patient might be pushed towards taking a crown to cover the whole of the tooth
    • Veneers are expensive and often irreparable after chipping or breaking

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Amalgam: Facts versus Fiction

The compiled information, from the American Dental Association, given below busts much of the stories floating around about amalgam, and gives the correct information about these silver colored fillings.

 

Fiction: Health problems are being caused by these amalgams.

Fact: Public health organizations like the WHO, the US Public Health Service, the National Institutes of Health and, the Food and Drug Administration have declared these dental amalgam fillings safe, repeatedly. Thus, you can, rather you should feel completely secure about the fact that these are safe.

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Fiction: Through the Seal of Acceptance program, the ADA earns monetary payments from Amalgam manufacturers and thus promotes the use of dental amalgam, in spite of the availability of better materials..

Fact: Neither does the ADA promote the use of dental amalgams in any way nor does it earn anything from it., rest assured. The finances of maintaining the aforementioned ‘ADA seal program’ are met by the dues of the member dentists of ADA.

The ADA, however, promotes the idea of the patients making well-informed decisions after thorough discussions with their dentists. The dentist and patient mutually decide the filling material, depending upon the patient specific requirements of size of cavity, its location, cosmetic concern and costs, patient’s history etc.

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Fiction: The basis on which the ADA reasons the use of amalgam is that the filling is being used from the past 150 years.

Fact: Dentists, while suggesting any measures or treatments, only depend upon their own professional experience and the best scientific measures and technology available. Since amalgam has been used for about 150 years, its constant study has rendered scientists much knowledgeable about its safety, durability and reliability. Amalgam has proven itself through time and is still one of the most reliable option for patients, much like aspirin.

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Fiction: Diseases, a few of them at least, are cured by removing amalgam.

Fact: To make people rely on the word that a grave illness can be cured through useless dental operations/treatments is completely immoral. Such assertions and inferences have been, in fact, nullified by the top health organizations and medical experts.

As for example, the National Multiple Sclerosis Society issued a statement denying links between neurological diseases and Mercury-containing dental fillings. It stated, "There is no scientific evidence to connect the development of MS or other neurological diseases with dental fillings containing mercury".

The American Academy of Paediatrics stated, "There is no scientific evidence of any measurable clinical toxic effects [of dental amalgam]."

The Alzheimer’s Association clearly issued a statement rejecting any ideas of links between silver dental fillings and Alzheimer’s. It stated, "According to the best available scientific evidence there is no relationship between silver dental fillings and Alzheimer's".

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Fiction: Mercury vapors, considered harmful for the body, are released by Dental amalgam

Fact: There is no scientific evidence that supports the assertion of mercury vapors being harmful at low levels of exposure, and amalgam releases, under the pressure of chewing and grinding, only 1-3 micrograms* of mercury vapors per day.

Experts in the field of dental health have gone as far as saying that 500 amalgams fillings is the minimum requirement, for the most sensitive of people, to  fall minutest of symptoms.

* 1 microgram equals to 35.2 billionths of an ounce.

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Fiction: Dentists find themselves unable to state the fact that mercury is present in amalgam.

Fact: Truthfully stating, the dentists are encouraged by the ADA to thoroughly confer about the full spectrum of available filling options so as to choose the most suitable treatment with their patients.

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Dentures:

Sometimes, due to an accident, injury or improper and insufficient dental care people have some or no healthy teeth left. In such a situation, dentures come into the frame. Dentures are synthesized removable alternatives for your teeth. They, in terms of color and shape, are imitations of your natural teeth and can help you regain your ability to chew food and can also get you your smile back. They can be used to replace a few or all of your teeth.

 

What are the reasons that make people opt for dentures?

Reasons for getting dentures can range from physical to emotional, or both.

·         You get nutrition (important for the well-being of your body) from food. You need to chew your food properly and for that you need teeth.

·         Missing teeth can cause dental misalignments by allowing shifting of other teeth which can be responsible for tissue damage inside your mouth.

·         Misaligned teeth are also more prone to gum and tooth decay and diseases because of the difficulty and lack of cleaning.

·         Finally, your facial features will dull gradually because of sagging of facial muscles caused by lack of support from teeth (missing teeth!).

Your conversing and orating abilities, an integral part of your public image, also depend upon your teeth. Having teeth makes it appear more ‘normal’ and with dentures, though it will require some work, it will be fine over time.

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Does aging compulsorily point towards a time with dentures?

No, consistent dental care, which includes brushing, flossing getting dental check-ups, regularly helps people retain their natural teeth till death.

Inconsistent and poor dental hygiene causes dental decay and gum diseases which in turn act as the cause for loss of teeth in many people.

But apart from these two factors, there are other causes as well. Drug therapies for other diseases, self-care hampering diseases like Alzheimer’s and arthritis, dry mouth or xerostomia and diabetes can also damage teeth. Dentists should be informed of any regular or prolonged medications by their patients.

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What are the various kinds of dentures?

Dentures are available to patients in three different kinds, each being suitable for different conditions:

      1. Complete Dentures: Consisting of artificial teeth and gums. These are used when the patient has no teeth remaining.  They rest on the patient's’ natural gums.
      2. Partial Dentures: If there are a few remaining teeth, artificial teeth and gums attached to the natural teeth via metal links are used.
      3. Over dentures: In this case, artificial teeth are used over the natural teeth, when the latter remains in small numbers. The natural teeth, for the denture to fit, might be reshaped, but provides stability to the latter.

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How does the mouth accommodate the dentures?

There are two methods through which this can be accomplished, they are:

      1. Conventional dentures: These require a minimum of two months, post teeth removal, for fitting. The dentist will then create an imitation of your mouth for the making of well-fitting dentures. However, during this time period (after removal of teeth and before completion of dentures) you won’t be able to showcase any teeth, the reason being that there are no artificial dentures.
      2. Immediate dentures: As named, these are fitted immediately after the removal of natural teeth. Molds of your jaw would be made weeks before your teeth are actually removed, so that the day your teeth are removed, your dentures can be fitted. However, follow-ups with the dentist would be a necessity as due to shrinkage of gums and jaw post teeth removal, denture adjustments would be required.

While misaligned and ill-fitting dentures can cause irritation, pain and soreness; any attempts made to adjust the dentures without a dentist can end up in major and expensive damage to the piece.

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How to care for dentures?

·         With the use of a brush (or a soft-bristled toothbrush) and mild, non-abrasive cleaning agents (hand soap or dish soap), dentures should be cleaned daily, just like our natural teeth. Before using any toothpaste, consulting a dentist would be good because some of them might be too abrasive on the dentures.

·         If there are no natural teeth at all, even then daily cleaning is required for gums, tongue and roof of the mouth, for removal of plaque and other bacteria.

·         How regularly should professional cleaning be done (for prolonged maintenance of the dentures) is something to be pondered over by the patient and the dentist together.

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Are any substitutes available for dentures?

Though bridges and implants are capable of substituting for dentures, one must consult his/her dentist for the best suited solution.

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Root canal treatment

 

What is involved in this treatment?

The treatment involves removal of diseased pulp by an Endodontist (a dentist specializing in the problems of pulp) or a regular dentist and is usually spread over 1-3 visits. The process involves the removal, cleaning and sealing of the pulp chamber and root canal treatment.

The following steps are involved in the root canal process:

      1. Through the crown of the tooth, an opening is made.
      2. Another opening is made through the crown into the pulp chamber.
      3. This is followed by the removal of pulp which, in turn, is followed by cleaning and shaping of root canal(s), to a form that can be filled.
      4. Cleaning, enlargement and shaping of the root canal is done post removal of pulp.
      5. In order to eliminate germs and prevent infection, pulp chambers might be invested with medicines.
      6. In order to guard the tooth in the middle of dental visits, the crown might be stuffed with temporary filling. Some medication might be provided for controlling infection that might have spread beyond your tooth and the dentist might leave it open to drain, for a couple of days.
      7. Filling and sealing of pulp chamber and root canal(s) take place.
      8. Post this, removal of temporary filling takes place followed by cleaning and filling of pulp chambers and root canal(s).
      9. The final step consists of placement of a gold or porcelain crown over the tooth. The family dentist is usually recommended by endodontist (if one is involved in the treatment that is) for this particular step.
      10. Finally, restoration of the crown takes place.

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What would be the life of the restored tooth?

If you take consistent and regular care of your gums and teeth, the restored tooth could last a whole lifetime. The nourishment to the root(s) of the treated tooth is provided by the tissues in the vicinity. In spite of this, regular check-ups are necessary.

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How do dentures fit into your mouth?

There are two methods to fit the dentures into your mouth:

      1. Conventional dentures: Once your teeth are removed, conventional dentures can be carried out after 2 months.  An impression of your teeth will be made to ensure that the dentures fit-in correctly onto your gums.  You will be toothless till these dentures are set onto your gums as there aren’t any temporary dentures.
      2. Immediate dentures: These dentures can be fit as soon as your natural teeth are taken off. Before your teeth are removed, the dentist will make your jaw molds to fabricate your dentures. Once your teeth are removed, the new dentures will be set in your mouth. There are high chances that your gums and jaw will shrink once your natural teeth are removed.  It is better to follow up with the dentist to adjust the dentures.

Do not try to adjust your dentures yourself as it can harm them. Ill-fitted dentures can lead to pain, irritation and soreness. Let your dentist assist you!

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What care is required for dentures?

Dentures must be cleaned on regular basis. It is better to use a brush that is exclusively meant for dentures. Opt for a soft-bristled toothbrush. You can use mild products to clean your dentures. Stay away from the usage of high chemicals. You can ask your dentist to suggest you the right products.

You must take extra care of your mouth even though your teeth have been replaced by the dentures. Ensure that you brush the roof of your mouth, tongue, and gums before you insert your dentures. This will prevent the plaque formation and will keep the bacteria away.  

Check with your dentist regarding the professional cleanings and do get complete information about the maintenance of your dentures.

Alternatives for dentures:

You can try implants and bridges as a substitute for dentures. It is better to discuss with the dentist regarding the method that would suit you.

Root canal treatment

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What does treatment involve?

You might have to visit your dentist twice or thrice. The diseased pulp would be removed by endodontist who is specialized in removing the pulp. The pulp chamber and root canal(s) of the tooth will be cleaned and sealed later on. Here is the Root Canal Treatment Process:

1.An opening will be made through the crown of the tooth.

2.Another opening will be made through the crown of the tooth into the pulp chamber.

3.The pulp will then be removed. The root canal will be cleaned and shaped to a form that can be filled.

4.To prevent the infections, medications will be used in the root canal and the chambers.

5.A temporary filling will be used and the tooth might be left open to drain. Medicines will be given to prevent the infection that might spread beyond the teeth.

6.The pulp chamber and the root canals will be filled and sealed once the temporary filling is removed.

7.A gold or porcelain crown will be placed over the tooth and the crown will then be restored.

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How long will the restored tooth last?

Your restored tooth might last for a lifetime if proper care is taken. However, regular checkups are mandatory irrespective of the status of the tooth.

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