A tooth fracture can occur in both the front and back teeth, but the causes differ for each region. The front teeth most often become fractured due to sports trauma or some other external event, and may show signs of mobility due to underlying bone or tissue damage or exhibit damage to the vital tissue known as the pulp.
Posterior teeth often crack or fraction off due to active termination or improperly placed restorations. Although these fractures may not present as urgent an aesthetic problem as those bound to the front teeth, serious damage to both the tooth and supporting structures and tissue can occur without prompt treatment. This article looks at the various type of tooth cracks and how treatment is approached for each.
Superficial Cracks in the Front Teeth
Cracks that occur on the front teeth can be privileged or implicate deeper layers of the tooth. They can occur due to external trauma or natural causes. Tooth structure on either side of the crack is still structurally secure but its integrity can disintegrate with time, evolving into a complete fraction (the sides can break off with little force).
"Craze" lines are an example of a naturally-occurring crack that is restricted to the outer enamel layer. Tooth enamel protects the interior layers of the teeth, but can be successfully restored with composite bonding or refinishing of the enamel surface. The same can be said for traumatic injuries to just the enamel.
During composite bonding, the dentist simply etches the tooth and applications a white filling-like material to the crack.
Deeper Cracks in the Front Teeth
Deeper cracks can introduce complications to treatment. If the crack extends into the second layer, known as the dentin, it can still be successfully repaired with composite bonding or an indirect restoration (veneers). The goal of treatment is to achieve aesthetic correction but to also keep the crack from propagating deeper into the tooth structure.
Cracks that have extended into or near the pulp present a cause for concern. The pulp constituents of vital tissues that facilitate the growth and regenerative processes of the tooth. A crack that exposes the pulp to the oral environment can introduce bacteria into the pulp chamber, where it can cause infection and consequent death of the tooth. Depending on the age of the patient and the amount of damage already done to the pulp, two main options exist.
The pulp or dentin immediately surrounding the pulp can be medicated after active decay is removed to stimulate new dentin growth. The tooth can then be restored with composite bonding or through other restoration methods and re-examined in several months to confirm pulpal health. This approach is ideal for immature teeth with developing roots. In instances where the pulp and / or supporting tooth structures have become infected, a root canal is recommended.
A root fraction threatens the structural integrity of the tooth and can affect both the dentin and pulp. Teeth that have received prior endodontic treatment are typically at higher risk for root fraction. Treatment may initially include stabilization of the tooth and observation of crack progress and pulpal health. If complications develop root canal therapy, partial root removal, or tooth extraction may be recommended.
Over time, bacteria and plaque can cause decay in our teeth. If left untreated, that decay can cause gum disease, bad breath, and other serious health concerns in and outside our mouths. This occurrence is known as a cavity, and your dentist will be able to assess and treat all types of cavities with something called a filling. Different types of dental fillings are also used to repair cracked and broken teeth that may have become worn down over the years.
The tooth is first numbered, and then your dentist will drill into the tooth to remove all signs of decay. After which, the cavity left open from decay removal will be filled. There are many different types of dental fillings, suitable for different situations. There are two types of indirect fillings. The first type, inlays, feature dental work within the cusps of the surface of the tooth. On the other hand, onlays cover more than one cusp, involve much more extensive work, and are often considered partial crowns.
Many practices offer cast gold fillings. While these are expensive, they are very long lasting, and can protect the cavity of a tooth for up to 15 years (sometimes longer). Gold is a very strong metal, and can withstand a lot of chewing and other types of wear and tear. Some people also prefer the look of gold to silver colored metals offered. Keep in mind, these types of fillings are expensive, and may require more than one dental visit to properly fill the cavity. Silver is also widely used because it is long lasting and very strong. On the other hand, silver does not match the natural color of teeth, and a small percentage of patients experience an allergic reaction to this type of metal.
Dentists currently use composites to fill cavities, mostly because they are available in natural tooth-colored varieties. Composites provide a nice bond to the tooth that can support the tooth for long lasting use. Composites can also be used to repair cracked or broken teeth, but some dentists feel that they lack the durability of other types of dental fillings. Chipping can occur with this type, and many cost up to twice as much as other filling alternatives.
Ceramic is broadly used by dentists because they are the most stain-resistant, natural looking, and longest lasting. Keep in mind, this type of filling can cost as much as gold. Glass, or acrylic, may be offered to you if your filling falls below the gum line. This type of filling is also recommended for young children, because it releases fluoride into the gum line that can further strengthen and protect teeth and gums. Acrylic does not last as long as other options, however, and my need to be replaced or repaired after as little as five years.
Discuss your options with your dentist before deciding on a filling. All of the filling options may not be available at your dentist's practice, and some of the options may not be the best fit for you. Choose the most practical and natural looking filling for your cavity to maintain a healthy and beautiful smile.[Top]
Hiding your smile because of the discomfort caused by your missing tooth? These days there are dental restoration processes that can make your smiles look flawless. Dental bridges are meant to correct dental issues such as tooth replacement. Virtually indistinguishable from natural teeth, they offer both aesthetic and functional benefits.
The type of dental bridges applied by dental clinics depends on the unique requirements of the patient. Before choosing which type is best for you, your dentist will check the issue that the restoration process needs to address. Your comfort and convenience as well is considered.
Dental bridges are distinguished from each other through these two factors:
- The dental issue they are meant to correct
- The technology or method of application
The different types of dental bridges
First is the traditional dental bridge. This dental restoration uses two crowns which are placed on top of your adjacent teeth. Your dentist needs to reshape nearby teeth to make sure that there is sufficient space to attach the crowns.
Next is the cantilever bridge. As opposed to the traditional type, this uses a single crown to support the entire restoration. Usually this is not advisable to use on your back teeth as your molars have the most pressure when you bite. This bridge can easily collapse and it would just be a waste of money if it gets damaged. This bridge is still present as option for patients who want to preserve the original structure of their tooth. However, it is no longer recommended by most dentists.
Third is the bonded bridge. Minimal alteration of your surrounding teeth is involved here. But there are two small wings that will be attached to your adjacent teeth. To apply this type, your dentist has to create a durable bond for the restoration and micro-etch the two supporting teeth. Usually this is used to replace a single missing tooth. But in some cases, it can support up to three teeth.
Fourth is the removable bridge. While most bridges are permanently applied, this type can be removed just like dentures. Some special patients prefer this to address their oral health issues.
The last type is the implant bridge. This type is the most common alternative these days. With an abutment piece, dental implants are permanent and more durable. Your dentist will screw a titanium piece directly into your jawbone and this implant will secure a fabricated new tooth. This dental restoration process is much longer and not everyone who desires to have it qualifies to undergo this type of dental bridges.[Top]
In the general and cosmetic dentistry, dental bridges are the bastion, and it is quite surprising to note that there are only a few options, which are available for people when choosing the top dental appliances. Any person who does not have one or more teeth is a potential candidate for having the dental bridge. Therefore, it is important to understand the distinct types present and the styles which are good for different specific conditions.
The viaduct is typically a series of fake teeth, which are utilized in the place of ordinary teeth. The end part, generally referred to as the abutments, is put firmly on the patient's original teeth in order to hold the bridge at its required place. The bogus teeth in the center or the pontics are created to blend with the size and texture of the missing tooth with metal, ceramic or a crossbreed of these two.
They come in three different categories. There are the removable, implanted and fixed. Normally, the detachable types were the usual selection since dental knowledge had not developed in such a way that you could have a semi-permanent or lasting way out. They were more like dentures, which can be separated every night in order to clean them. The modern tech used provides options for either long-term or temporary solutions for individuals who have been missing teeth.
The fixed bridge is not invasive like the implanted ones. Once you have fitted them, they have their own advantages and issues. They are not expensive compared to the others; they are reliable for the adjacent teeth and chin. After you have lost one or more teeth, the ones which are left start to droop inside. This in turn causes damage to your gum and jaw. The purpose of the fixed bridge is to offer cover so that it can safeguard them from any plague plus also keeping the teeth straight. Even though they are tough, they can be replaced easily in case they are damaged.
The highly superior and permanent type of bridge utilizes dental implants to protect and fasten them. The embeds are placed in surgically, which are attached to the jaw. The normally last for a very long time so they do not depend on the intensity or well-being of the teeth surrounding in order to hold up the bridge.
The bad news are that not all persons are applicants for having dental bridges. The entire treatment needs full surgery, which involves the gums and jaw. People with serious diseases on the jawbone can not receive the implants. Dentists usually advise smokers to quite the habit if they desire to have them.
Dental bridges provide a valuable and healthy technique to improve your looks and the overall safety of your mouth. Therefore, if you wish to have a complete smile and have good oral well being, modern cosmetic surgery will give you the options you require.[Top]
One of the most popular cosmetic dental works available is veneer. Dental veneer is a layer of tooth-colored material attached to and covering surface of a tooth structure. Among the many purposes of veneer are to cover visible spaces in between teeth (diastemas), repair minor imperfections like chipped or slightly crooked tooth, straighten and lengthen teeth, and treat discolored fillings or conceal stained teeth. For some, veneers are also their last resort to whiten their teeth and improve its appearance. Veneers are permanent, custom-shaped, stain proof, natural in appearance, and highly resilient and maybe these are the reasons why even several television shows like reality programs and talk shows promote this dental solution.
There are two types of dental veneers. The first is the more common type called porcelain veneer. Coming for the name itself, porcelain veneer is made of pure porcelain and it tend to last for about 10 to 15 years although porcelain is inherently brittle because once it is bonded in tooth surface, the tooth becomes strong and durable. It is also known as dental porcelain laminates. This type of veneer resists stain and mimics the light reflecting properties of teeth better compared to other type of veneer.
The second type is resin composite veneer. It is made up of two different types of material and generally, the cost to get composite veneers is cheaper because it can be fabricated inside your mouth and does not require complex manufacturing process.
Both types of veneers require your teeth to be prepared before the procedure. The preparation part is the shaping of teeth by removing some of the natural part of it to create space before bonding the material. This will cause you to lose the natural enamel or the protective layer of teeth. If ever you have to remove the veneers, it is expected that your teeth are weak and are more prone to deceay away from the fact that your teeth will never look the same.
As mentioned, dental veneers fall under cosmetic dentistry category as they provide bright "Hollywood" smile with white and beautifully aligned teeth. What's more, latest technology in veneer promises translucent ceramic quality providing a more natural look. Also, this new alternative to traditional veneers is much thinner (as thin as contact lens) and it does not require reshaping the teeth. This kind of veneer is often known as lumineers. With lumineers, the natural enamel of tooth is not lost as it covers the original structure of tooth although it may feel bulkier compared to porcelain or composite veneers. Unlike traditional veneers, they can be removed if desired. However, lumineers are ideal only for minor cosmetic adjustments like changing of teeth color, repairing chipped or damaged tooth, or extending small tooth.
In order to learn the best way to achieve that perfect set of teeth and complete oral health, it is always advisable to get a professional opinion with your dentist. Whether traditional veneers or lumineers are suitable for your teeth, it is for your dentist to find out.[Top]
The dentists play a major role in maintaining good oral health for their patients. Apart from regular teeth cleaning, bonding and cavity filling procedures, they offer other complex procedures. That includes the root canal, wisdom tooth extracts, and dental crowns. The dental crowns are made in many forms. They offer a good alternative for people with missing or weak teac. The following are the functions the crowns serve.
The dental crowns are also known as the cap. A crown is a prosthetic object. The dentists cement it on the tooth. After being placed on the teeth, it can only be removed by the dentist. The cap is used by the dentists to cover a damaged tooth. The covering improves the appearance of the tooth and strengthens it. Here, it aligns with the damaged tooth on the jawbone.
Crowns are made on demand. The dentist must ensure that its color resembles the natural teeth of the patient. That is very important since it prevails people from detecting if the patient has crowns. The size of the damaged tooth is reduced to enable the crown to fit on it properly. After that, an impression of that tooth is taken to create a crown. The dentist can place a temporary crown while making a permanent one.
Types of dental crowns
There are four types of dental crowns. They include:
Ceramic crown -The ceramics are perfect for restoring missing or damaged front teeth. They are a perfect choice since they can easily blend with the natural tooth color. The particular crown is made from porcelain.
Porcelain fused to the metal crown -This crown has a stronger bond than the regular porcelain. That is because it has been connected to a metal structure. The metal makes this crown more durable.
Gold alloys -This crown is a mixture of copper, gold, and other metals. The crown offers a very strong bond to the tooth. It does not fracture or wear the tooth. That is why it is very durable. The golden color makes it stylish too.
Base metal alloys -It consist of metals that make up a very strong crown. These metals are highly resistant to corrosion. Before fitting the crown, the least healthy tooth is bought to be removed.
Differences between the crown types
· The filling materials and strength of the tooth affect the sealing capacity of the porcelain crowns. The other three crown types provide a better seal against damages.
· The gold and metal alloys crowns are highly durable compared to porcelain crowns that are less strong. They may damage the tooth when grinding the teeth. However, the porcelain that is fixed with metal is more durable.
The crowns may get loose and fall out sometimes. However, if they are properly maintained, they can last for a very long time. Practicing good oral hygiene advances their durability.[Top]
Whether you have cavities or know someone who does, you know that they are treated with dental fillings.
Dental fillings, or inlays are made of a variety of substances that "fill in" and cover holes in the tooth from where the tooth decay was extracted.
With advances in dental technology over the years, new, additional filling materials are now available including porcelain, tooth-colored and composite resin dental inlays.
Whatever your current ones are getting worn and are ready to be replaced or you're curious about what your other cavity treatment options are dental out there, here are the pros and cons of each type of dental filling:
The location and amount of the decay, cost of the material, your insurance coverage, and your dentist's recommendation can assist you in determining the type that is best for you.
Cast Gold Fillings
Long-Lasting. These options do not corrode and can last more than 10 years.
Strong. Gold fills can easily withstand the pressure of constant chewing.
Cost. Gold inlays cost more than other types.
Multiple Office Visits. These fillings require a minimum of two dental office visits to properly place.
Galvanic Shock. In rare instances, patients getting a gold filling next to an amalgam (silver) filling may experience the sharp, sudden pain of galvanic shock between the two metals.
Aesthetically Unappealing Look. These inlays stand out from the rest of the patient's teeth, making them easily visible.
Silver Fillings (Amalgams)
Long-Lasting. These can last a minimum of 10 years.
Strong. Amalgam fillings can easily withstand the wear, tear and pressure of everyday chewing and biting.
Cheap. They are less expensive than gold or composite options.
Poor Aesthetics. Like gold, silver amalgam fillings stand out from the rest of the patient's teeth, making them easily noticeable.
More Tooth is Lost. Much of the tooth will need to be removed to make room for amalgam inlays.
Risk of Discoloration. A blueish, grayish hue on the tooth can occur.
Risk of Cracks and Fractures. Amalgam fillings tend to expand and contract more than other filling materials when in contact with cold and heat, causing cracks and fractures of the teeth.
Possible Allergic Reactions. The mercury found in these tooth inlays can cause allergic reactions for some patients.
Aesthetically Pleasing. Composite fillings can be made to match the color of the rest of the tooth, blending in to the rest of the patient's teeth.
Secure Bonding to the Tooth. The chemical bonding of composite provide additional structure and support to the tooth.
Versatility. The tooth-colored composite material can also be used to treat chipped, worn or broken teeth.
More Tooth. Less of the tooth is removed to place these inlays than what is needed for amalgam fillings.
Not as Durable. These composite fillings do not last as long as other types and are less resistant to the pressure of chewing.
Longer to Get Place. Composite inlays require patients to stay in the dental chair longer to have them properly placed.
Multiple Office Visits. If a patient is getting the composite stuffing for inlays and / or onlays, multiple dental office visits.
Risk of Chipping. Composite fills can chip off the tooth.
Expense. These can cost significantly more than other types.
Other Filling Types
There are other types of tooth stuffing treatments. These include porcelain ceramic fillings and glass ionomer fillings. Porcelain ceramic options are very durable, lasting 15 years or more and are resistant to staining. However, they are more abrasive and can cost the same as gold ones.
Glass ionomer fillings are made of a certain type of glass material and acrylic. These options are less expensive and release fluoride that offers more protection to teeth. Glass fills, however, do not last long and are more susceptible to teeth fracture and wear.
Over the years, there has been concern with silver amalgam restorations and the mercury contained in them. Some holistic dentists favor tooth-colored composite ones instead and offer affordable, safe amalgam removal.
Your dentist will be able to examine and diagnose what is happening in your mouth and be able to recommend the right inlay option for you.
The right type of filling for you will depend on many factors including your dental insurance coverage, the location of the filling and personal preferences.[Top]
Unlike other types of braces Damon braces work with unique clips. This is different from other braces in that they work at a greater rate and are much more comfortable than other types of braces. Here is a look at what makes these braces different from others.
The first thing to note about Damon braces is that of how they are built. These braces work in that instead of using elastic bands to hold wires small clips are used for handling these wires. These clips are ones that are made partly of metal and can handle the wires without putting too much pressure on the user's teeth.
Damon brace can be used to help with improving not only the straightness of the teeth but also the width of the back teeth. These braces are noted for being to work with the back and side teeth to get them to be expanded so that wider smiles can be created.
These clips are also must smaller than that of other bands that have been used in the past for other types of braces. While they may not be fully invisible they are not as easy to see or notice as other types of braces are.
Damon braces can work at a faster rate than other types of braces. This is because with Damon braces there is a reduced amount of friction that occurs between the brackets and the wires. Thanks to this lack of friction it will be easier for the teeth to move into place properly. They will also cause a substantially lower amount of pain than that of traditional types of braces.
In fact the rate that these braces work at can be especially quick. Thanks to the lack of friction Damon braces can work four months faster than that of other types of braces.
Because of the lower amount of materials used on these braces there are fewer standard adjustment visits needed for Damon braces than that of other braces. For Damon braces a typical patient will need to visit with an orthodontist every ten weeks instead of every six to eight weeks.
The last of the differences that these braces feature is that they are easier to clean than other types of braces. With a smaller appearance food will not be as likely to get cooked in one's braces as other materials. The lack of elastic bands in these braces is also very convenient.
Damon braces are very different from other orthodontic options for a variety of reasons. These braces are less visible and will not work with as much friction. As a result they are easier to handle and can take less time to work than other options can.[Top]
Types of dental insurance plans for employees
A dental insurance is an insurance that will provide the person having dental insurance protection with required financial assistance for normal dental care and damage occurred to teeth from accidents, this can be under an individual or group insurance plan. Dental insurance was once a neglected area, but the awareness about the importance of dental insurance is increasing alarmingly. In the past dental insurance was treated only as a perquisite provided by the company to its employees, studies (Human Resource Management Survey-1999) show that 83% of the small business provides dental insurance to its employees.
It's advisable for every one to go for dental insurance. Dental insurance is more affordable and cheap when compared to other medical insurance. In fact dental insurance costs less than 10% of the cost of the medical coverage. Like every other type of insurance dental insurance also offers a number of plans that you can select from. The major types of dental insurance for employees are discussed below:
Direct reimbursements plan
This plan works on the amount that the company set aside specifically for this purpose. In this plan the employees are reimbursed the money that they have spent for dental care. The most positive aspect of this pan is that it is straight forward and not involved any complex calculations. This plan is highly recommended by American Dental Association. Direct reimbursements plan is considered as most expensive for the employers. Certain small business finds it difficult to go in tune with this plan because of the cost factor involved.
These plans are more feasible. Under this plan the amount of premium is paid to the insurance company and the company in turn pays the amount to the dentists for their treatment. Under this plan the insurance company generally uses UCR (usual, customary, and reasonable) for making payment to dentists. In case if the UCR rate used to pay dentists falls short of dentist's rate, the patient has to make up the shortfall. The insurance coverage under this plan is 100% for preventive measures like cleanings, 80% for basic work like a crown or cap, and 50% for major procedures like oral surgery.
Managed care plans
These plans are valued as the least expensive. These plans include some cost control measures and are best suited for small business. This plan wants the patients to pay a certain amount as co-payment and the co-payments vary according to the procedure. Preventive procedures are normally performed without a co-payment and advanced procedures are carried out with a higher co-payment.
The managed care programs are of two types, they are:
a. Preferred Provider Organization (PRO) Program
Preferred provider organization program consistors of a network of dentists. The dentists who fall under this plan have reduced their charges with a view to participate in this plan. The employees can select the dentist from this pool, if the employees have to go to a dentist not in this pool they have to pay penalties.
b. Dental Health Maintenance Organization (DHMO) Plan
In this plan also the employees have the right to choose the dentist from the pool, but in this plan instead of discounting the fees the dentists provide certain treatments free of cost. The dentists are paid a fixed amount as fees per individual even if the patient never ever receives the payment.
The above stated are the various plans of dental insurance provided by the employer to the employees. It is possible for the employees to select the best suited plan after analyzing the advantages and disadvantages of the available options. By selecting a proper http://www.dentalinsurancehelper.com "> dental insurance it is possible for the employees to insure the health and safety of their teeth.
dentalinsurancehelper.com is an easy and exact way to find the http://www.dentalinsurancehelper.com "> complete dental insurance for individual, family and group. of insurance for the right people.[Top]
A dental implant is a titanium device that is imbedded in the maxilla or mandible (lower) tooth beds that supports a protruding stud to which a porcelain crown, dentures, or an implanted support bridge may be attached.
Titanium is used as it has a natural ability to promote oseointegration, which means it integrates directly into the body and allows allows the bone to grow around it and adhere, or fuse to it, making for a very durable, stable, and permanent platform for attachment. Although the bone will adhere, or fuse to the titanium implant, the implant lacks a periodontal ligament that your natural teeth have, so they will feel slightly different than your natural teeth when you chew.
Practically all implants used today are root-form endosseous implants, that is, the implant has a "root" similar to a natural tooth. Before these types of implants were used, dentists used either an implant that had a kind of "blade" that was imbedded in to the tooth bed, or a sub periosteal implant, in which a framework was constructed to lie upon the exposed bone of the mandible or maxilla and was attached to the bone with screws.
Other than for crowns or bridges, dental implants are sometimes used for braces as they can be used as anchorage for orthodontic tooth movement. The ADA has no specialty title or certification for dental implants.
Implant surgery may be performed as an outpatient under general anesthesia, oral conscious sedation, nitrous oxide sedation, intravenous sedation or under local anesthesia by trained and certified clinicians including general dentists, endodontists, oral surgeons, periodontitis, and prosthodontics.
Prior to implant surgery, your dentist will use x-ray information to "map" the way they will drill the bone to ensure that no vital nerves are damaged during the procedure. Once the implant has been placed, the surgery site will usually need to be allowed to heal before the crown is placed.
Sometimes an implant will be placed at the same time as an extraction to minimize the drilling necessary to place the implant, sometimes when an implant is placed in this manner, the crown may be placed at the same time, reducing the need for more office visits . Healing time for this procedure may take from two, to six months. This is only a very brief overview of this procedure, talk to your dentist about implants and if this procedure is right for you. Your dentist will explain the procedure fully to you.[Top]