Even if patients can’t wait for the braces to come off, in most of the cases we need an extra period of time in which the teeth are kept in the final position. We can say that an orthodontic treatment has two stages. The first is the active one, in which we move the teeth with the help of braces and other orthodontic accessories and, the second stage, the passive one, in which we keep the result with the help of passive orthodontic devices.
A diagnosis wax-up can be compared to the project we use for building a house, before any actual work is done. In the case of dental treatments, a wax-up is basically wax representation on the study casts of the way the teeth will look like in the mouth after all the treatments are finished from an esthetic and functional point of view. Wax is added on the casts, which modifies the shape, size, and the way the teeth touch each other, in order to simulate how they will be like at the end. (Figure 1 A, B).
1. The third molar or the wisdom tooth is one of the last teeth to come out between the age of 17 and 25. It has to integrate in the space left and if some people have small jaws, the space won’t be enough and the teeth won’t be able to come out.
Dental caries are a degenerative disease of the hard dental tissues – enamel and dentin. The evolution of caries leads to the destruction of the teeth if they are not treated in a proper way. Caries appear especially in proximal areas (between teeth) or in fossas and pits where it is difficult to have access with the toothbrush. That is why, it is very important to use dental floss in order to remove food remains from between the teeth.
A lot of patients associate orthodontic treatments (treatments which involve wearing braces) with the straightening of the teeth. However, besides a beautiful smile, the orthodontic treatment wants to achieve other goals which are vital for preserving the health of the teeth and the tissues as long as possible.
Modern dentistry allows us to restore teeth through different methods, which make the teeth regain their lost esthetics and functionality with minimum dental sacrifice, either with direct composite restorations, or with ceramic adhesive ones (veneers, onlays, crowns etc.). However, as dentists, we often face the situation that the prosthetic restoration needs to be in the form of a dental crown. These are recommended usually in the anterior area for teeth which have a large area affected by caries and which have also an endodontic treatment, or in the case of teeth with old crowns which need to be retreated. One of the most often used restorations are dental crowns.
The endodontic treatment (root canal treatment) or, more commonly known as taking out the nerve of the tooth has as main aim preserving the patient’s tooth. The situations in which this is necessary are very clear and without doubt, no other treatment option being possible.
Dental implants are screws made out of titanium alloy which are inserted under the gums, in the jawbone in order to replace a missing tooth. On this basis we can make two types of prosthetic restorations (crowns):
Periodontal infections (infections which affect the supportive tissues of the tooth – periodontitis) which are not treated on time have as a side effect the loss of alveolar bone support. This means that in almost all cases of non-treated periodontitis, the patient loses slowly the bone in which the root is anchored and, in the end, the tooth itself. Most of the time, untreated infections lead to the extraction of the tooth.
When you have a dental treatment, in many cases, the doctor will use dental dam isolation. Dental dam is made out of latex or nitrile and it is used to isolate the working area. It was invented at the end of the 1800s in the USA and the necesity of using this system appeared because the mouth is full of bacteria and it is a very wet area, two factors that need to be controlled and kept away from the area which is treated.
Nowadays, dentistry is in a continuous and rapid growth, one of the main reasons being the ongoing development of new materials and technology.
These techniques give us the possibility to offer patients less invasive treatment alternatives, which allow us to keep as much dental substance as possible (enamel and dentin). This aspect is very important for the longevity of the tooth!
We can find everywhere information about dental hygiene; there are commercials everywhere, calls to action about different solutions to have healthy and beautiful teeth, so you are probably wondering – why another article on this subject?
Despite the access to information and the daily message and image bombarding, after consulting tens of patients daily, we can see that the majority of the population is not aware of essential information regarding dental hygiene, oral health or, if they know them, they do not apply any of it.
There are many situations in which patients come to the dentist for the replacement of a missing tooth. This can be done either by placing a dental implant, either by making a fix prosthetic restoration (a dental bridge). However, most of the time, the space where a tooth used to be, is reduced over time. After we lose a tooth, that space leads to the inclining of the posterior teeth and the egression (a vertical movement towards the space) of the opposing teeth. On the long term, these teeth migrations can lead to alterations of the occlusion, to the worn down of the teeth in the esthetic areas, and also to periodontal problems (problems of the support system of the teeth).