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RESTORATIVE

Restorative dental work comprises prosthodontics, endodontics and periodontics, all of which work to restore, rehabilitate and maintain teeth complications from disease or damage.

 

Prosthodontics

This refers to all dental work associated with missing or deficient teeth and/or oral tissues, perhaps due to head or mouth trauma, aging, tooth decay and cavities. Prosthodontists may often work with cosmetic dentists in their use of artificial prosthetics to improve one’s set of teeth and smile.

 

For example, tooth decay refers to damage from acid (caused by bacteria in your mouth) that eat away at a tooth. It can lead to a hole in the tooth, called a cavity. If early signs of tooth decay is detected, through a toothache, sore gums or black spots that signal a cavity forming, you may be able to stop it with fluoride topical treatments to eradicate the bacteria and re-strengthen the tooth. If the decay too far gone, a dentist would have to fill the cavity, replace the crown of the tooth or remove the tooth

completely.

 

Endodontics

This is common as it refers to the study and treatment of the dental pulp, which concerns the root and nerves of a tooth. Endodontic work usually refers to root canal surgeries to save a damaged tooth, its surrounding gum, and the subsequent filling of the tooth.

 

A standard root canal procedure involves numbing the jaw and drilling into the tooth to remove the pulp, bacteria, denatured nerve endings and pus from the canal. The dentist will then fill the inside part of the tooth with medicines, temporary filling materials, and a final root canal filling. After the root canal, a permanent filling or crown (cap) is often needed. If a crown is needed, the dentist removes the decay and then makes an impression of the tooth.

 

Periodontology

Astudy of the supporting structures of teeth, as well as diseases and conditions that affect them. Other than the teeth, periodontic work is also associated with the gums, alveolar bones that contain tooth sockets, the root of the tooth and connective fibre tissues. Periodontists offer a wide range of both surgical and non-surgical treatments, such as scaling and root planing (in which the infected surface of the root is cleaned) or root surface debridement (in which damaged tissue is removed). They can also treat patients with severe gum problems using a range of surgical procedures.

 

A simple scaling procedure for instance, does not require anaesthetics. The dentist uses either manual scraping instruments or an ultrasonic tool (tiny, vibrating wand) to remove built-up plaque below the gum line. This may be coupled with a polishing paste, which contains fluoride, and you will need to regularly gargle regularly during a scale and polish session. During root planing, the dentist would gently sand down your teeth, removing plaque and rough spots on the tooth surfaces and roots, which tend to harbor bacteria.

DR GOH

SENG CHEONG

© Dr Goh Seng Cheong's Personal Website 2014

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