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Dental Care

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Teeth are definitely one of the most important components of human body. They not only play a significant role in the digestive system, but also add much to the appearance of the face. The branch of science that deals with different dental problems is known as dentistry. It comprises of varied activities of dental treatments, diagnosis of disorders of the maxillofacial area, and the prevention oral tooth cavity.

In the recent years, dental tourism has become much more popular. People love to travel from one country to another to avail affordable dental treatments. The reason does not lie only in affordability or the availability of low cost dental facilities. If you, too, are looking for the most modern equipment and the best treatments with international quality standards and satisfaction, genuinely low cost dental care options abroad, explore Guanahealth and find what matches your needs.

Our dental services and dental treatments

If you could send us a recent panoral x-ray, and describe your dental problem, our dentists and dental surgeon can give you a treatment plan and a price quotation by e-mail within 24 hours. If you don't have a panoral x-ray, we ask you to visit the nearest dentist (or hospital) and ask for an x-ray or if possible ask for a treatment plan. Then you can send the x-ray to us by e-mail.

Our dental clinic offers a full range of dentistry from regular check ups to full mouth reconstructions and everything in between on the highest level, to keep your smile happy and healthy.

 Preliminary examination and consultation.

 Treatment plan and quotation (by e-mail).

  new patient exam.

 Annual check-up.

 Airport transfer (from Liberia and San Jose).


Benefits of Dental Procedures and Surgeries.

Both dental surgery and cosmetic dental care procedures help to instill greater self-confidence in those who have suffered from dental imperfections such as whiten yellow teeth, missing teeth, or dental tooth decay. Conditions such as tooth enamel erosion and mouth sores, as well as really bad toothaches that plague many people can be treated and improved through various dental procedures and best dental treatment. Anything from bad breath to the treatment of oral cancer mouth is the focus of a wide variety of dental specialist in the dental teeth and best orthodontics field.

Dentistry is a specialized field that involves many different dental care treatments and dental procedures as well as dental surgery. It may be cosmetic dental treatment or medical checkup, depending on condition. For example, people suffering from gum disease or advanced periodontal disease as well as dental tooth decay, tooth enamel erosion, really bad toothaches or chronic bad breath may find it necessary to visit a dentist doctor for a wide variety of treatments in dental oral care.

Specialities & Procedures

Root canal therapy is a treatment used to repair and save a tooth that is badly decayed or infected.

A root canal procedure is performed when the nerve of the tooth becomes infected or the pulp becomes damaged. During a root canal procedure, the nerve and pulp are removed, and the inside of the tooth is cleaned and sealed.

Root canal procedures have the reputation of being painful. Actually, most people report that the procedure itself is no more painful than having a filling placed. The discomfort experienced in the period leading up to seeking dental care is truly painful, not the root canal procedure itself.

Why is root canal treatment needed?

If the pulp becomes infected, the infection may spread through the root canal system of the tooth. This may eventually lead to an abscess. If root canal treatment (RCT) is not carried out, the infection will spread and the tooth may need to be taken out.

Does it hurt?

No. A local anaesthetic is used and it should feel no different to having an ordinary filling done.

What does it involve?

The aim of the treatment is to remove all infection from the root canal. The root is then cleaned and filled to prevent any further infection. Root canal treatment is a skilled and time-consuming procedure. Most courses of treatment will involve two or more visits to your dentist. At the first appointment, the infected pulp is removed. Any abscesses, which may be present, can also be drained at this time. The root canal is then cleaned and shaped ready for the filling. A temporary filling is put in and the tooth is left to settle. The tooth is checked at a later visit and when all the infection has cleared, the tooth is permanently filled.

What will my tooth look like after treatment?

In the past, a root filled tooth would often darken after treatment. However, with modern techniques this does not usually happen. If there is any discolouration, there are several treatments available to restore the natural appearance.

What Is Dental Pulp?

The pulp or pulp chamber is the soft area within the center of the tooth. The tooth's nerve lies within root canals, which lie within the roots or "legs" of the tooth. The root canals travel from the tip of the tooth's root into the pulp chamber, which also contains blood vessels and connective tissue that nourish the tooth.

A tooth's nerve is not vitally important to a tooth's health and function after the tooth has emerged through the gums. Its only function is sensory -- to provide the sensation of heat or cold. The presence or absence of a nerve will not affect the day-to-day functioning of the tooth.

Why Does the Pulp Need to Be Removed?

When nerve tissue or pulp is damaged, it breaks down, and bacteria begin to multiply within the pulp chamber. The bacteria and other decayed debris can cause an infection or abscessed tooth. An abscess is a pus-filled pocket that forms at the end of a tooth’s root. In addition to an abscess, an infection in the root canal of a tooth can cause:

1. Swelling that may spread to other areas of the face, neck, or head.
2. Bone loss around the tip of the root.
3. Drainage problems extending outward from the root. A hole can occur through the side of the tooth, with drainage into the gums or through the cheek into the skin.

What Damages a Tooth's Nerve and Pulp in the First Place?

A tooth's nerve and pulp can become irritated, inflamed, and infected due to deep decay, repeated dental procedures on a tooth, large fillings, a crack or chip in the tooth, or trauma to the face.

What Are the Signs That Root Canal Therapy Is Needed?

Signs you may need root canal therapy include:

1. Severe toothache pain upon chewing or application of pressure.
2. Prolonged sensitivity (pain) to hot or cold temperatures (after the heat or cold has been removed).
3. Discoloration (darkening) of the tooth.
4. Swelling and tenderness in nearby gums.
5. A persistent or recurring pimple on the gums.

Sometimes no symptoms are present.

A periodontist is a dentist who specializes in the prevention, diagnosis, and treatment of periodontal disease, and in the placement of dental implants. Periodontists are also experts in the treatment of oral inflammation. Periodontists receive extensive training in these areas, including three additional years of education beyond dental school. They are familiar with the latest techniques for diagnosing and treating periodontal disease, and are also trained in performing cosmetic periodontal procedures.

Periodontists often treat more problematic periodontal cases, such as those with severe gum disease or a complex medical history. Periodontists offer a wide range of 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. In addition, periodontists are specially trained in the placement and repair of dental implants.

Periodontal treatment is an investment in your health. Treating periodontal problems will help you achieve a healthy mouth and help prevent tooth loss. In fact, with prompt treatment, proper home care, and regular dental visits, a great majority of patients can keep their teeth for a lifetime. After evaluating your periodontal health, the Coco dental care will work with you to determine the treatment options that best meet your needs.

Periodontal treatment methods depend upon the type and severity of the disease. Dr. Patel will evaluate for periodontal disease and recommend the appropriate treatment. Periodontal disease progresses as the sulcus (pocket or space) between the tooth and gums gets filled with bacteria, plaque, and tartar, causing irritation to the surrounding tissues. When these irritants remain in the pocket space, they can cause damage to the gums and eventually, the bone that supports the teeth.

A special periodontal cleaning called scaling and root planing (deep cleaning) will be recommended. It is usually done one area of the mouth at a time and may require application of numbing gel. In this procedure, tartar, plaque, and toxins are removed from above and below the gumline (scaling) and rough spots on root surfaces are made smooth (planing). This procedure helps gum tissue to heal and pockets to shrink. Medications, special medicated mouth rinses, and an electric toothbrush may be recommended to help control infection and healing. If the pockets do not heal after scaling and root planing, periodontal surgery may be needed to reduce pocket depths, making teeth easier to clean. Dr. Patel may also recommend that you see a Periodontist (specialist of the gums and supporting bones).

What is Periodontal Disease or Gum Disease?

It hides in your mouth, destroying gum tissue and teeth, and it can lead to strokes, heart attacks, and pregnancy complications. Don’t think it’s your problem? Conservative estimates report that up to 80 percent of the population unknowingly has gum disease in some form.

Seventy percent of adult tooth loss is attributed to gum disease. Recent research shows a link between patients who have gum disease and those who suffer from strokes, heart attacks, or complications with diabetes or pregnancy. Gum disease is silent in that early symptoms may be painless and mild, like swollen gums or bleeding while brushing. Regular dental check ups are vital because a professional can detect, treat, and reverse gum disease in early stages before major problems arise.

Cause and Effect.

Several factors contribute to periodontal disease: plaque buildup, heredity, and lifestyle choices. By far, the most common and controllable factor is bacterial plaque, the sticky, colorless film produced by normal oral bacteria. Bacteria release toxins that break down the natural fibers that bond gums to teeth. When this occurs, pockets between the gums and teeth form, and more bacteria and toxins hide, flourish, and destroy your gums and teeth. Over time, this process can affect not only gums, teeth, and bone within the mouth, but also overall health. Bacteria in your mouth will be inadvertently ingested, and this can compromise your whole-body health.

Maintaining Good Periodontal Health.

Regular dental visits with Coco dental at least every six months allow us to keep a watchful eye on the health of your gums. You should also brush twice a day, floss once a day, and use good mouth rinses at home. We will recommend the products that will optimize your oral homecare, and we can also show you the best methods for brushing and flossing. If you have overcome periodontal disease, we will recommend frequent checkups to ensure your mouth stays healthy for a lifetime.

Orthodontic treatment focuses on teeth straightening, aligning tooth and jaw teeth function. Generally, teenagers benefit the most from such Orthodontic treatment at a time when self-image and peer acceptance is very important. Adults who may not have had the opportunity to enjoy such dental orthodontics benefits when they were younger also benefit from orthodontic treatment.

If you are looking for a Glenpool orthodontist for your child or teenager, braces may be the right option. This method works well for this age group since the teeth have not fully erupted into the mouth. The metal wire and bracket system uses bands that apply pressure to gradually reposition the teeth. Multi-colored bands, are a great way for your child to express their personality. On average, traditional braces will correct the alignment of teeth in approximately 18-24 months.

You’re not alone if you aren’t that excited about having to wear traditional metal braces. They take a long time and can be uncomfortable. Although, they are the best solution for individuals between the ages of 11 and 18, Invisalign invisible braces are a great option for adults.

Invisalign uses clear plastic aligners to straighten your teeth in about half the time of conventional braces. Not only are they more comfortable than braces, they are invisible. No one will be able to tell you are wearing them If you are considering orthodontics, we encourage you to schedule a complimentary consultation. During this time, the Coco Dental Care Drs. will sit down with you and help you to determine what is best for your specific case.

Dental Implants.

A dental implant is a "root" device, usually made of titanium, used in dentistry to support restorations that resemble a tooth or group of teeth to replace missing teeth. Virtually all dental implants placed today are root-form endosseous implants, i.e., they appear similar to an actual tooth root (and thus possess a "root-form") and are placed within the bone (endo- being the Greek prefix for "in" and osseous referring to "bone"). The bone of the jaw accepts and osseointegrates with the titanium post. Osseointegration refers to the fusion of the implant surface with the surrounding bone. Dental implants will fuse with bone, however they lack the periodontal ligament, so they will feel slightly different than natural teeth during chewing.

Prior to the advent of root-form endosseous implants, most implants were either blade endosseous implants, in that the shape of the metal piece placed within the bone resembled a flat blade, or subperiosteal implants, in which a framework was constructed to lie upon and was attached with screws to the exposed bone of the jaws.

Dental implants can be used to support a number of dental prostheses, including crowns, implant-supported bridges or dentures. They can also be used as anchorage for orthodontic tooth movement. The use of dental implants permits undirectional tooth movement without reciprocal action.

Extraction of wisdom teeth.

Adults can have up to 32 teeth. The wisdom teeth are the last to come through, right at the back. They usually appear when you are between 17 and 25, although sometimes they appear many years later. Nowadays people often have jaws that are too small for all 32 teeth – 28 is often the most we have room for. So if all the other teeth are present and healthy there may not be enough space for the wisdom teeth to come through properly.

Wisdom Teeth Extraction and Recovery processes.

The wisdom teeth can be troublesome if there is a persistent infection, gum problem, misalignment or deformity of the wisdom tooth. In any of such condition, it needs to be extracted.

The wisdom tooth is extracted by your dentist or maxillofacial surgeon at his or her office or clinic. If there are risks of complications it can be extracted at the hospital.

If there is an infection associated with the tooth, antibiotics are given to clear up the infection prior to the removal.

Wisdom teeth extraction procedure.

1. Before the wisdom teeth extraction, the dentist gives a local anesthetic to numb that area. If other teeth are to be removed, a general anesthetic may be used, which prevents pain in the entire body and will induce sleep throughout the procedure. It is usually recommended not to eat or drink after midnight (the night before surgery).

2. After the anesthetic comes in effect, the dentist opens the gum tissue covering the tooth to remove any bone covering the tooth. The tissue connected the tooth and bone is separated, and then the tooth is removed. The dentist might cut the tooth to smaller pieces for easy removal.

3. Stitches are carried out after it is removed. Some stitch types may dissolve with time, while others are needed to be removed by dentist in the next visits. To suppress bleeding, a folded cotton gauze pad is placed over the wound.

4. Painkillers or other medication are prescribed by the dentist or surgeon.

5. For women on birth control pills, they should plan the surgery for the end of their menstrual cycle.

Wisdom teeth recovery.

In general, the recovery is within a few days if there are no complications. Take the medications on time.

The following tips will benefit in the wisdom teeth recovery process:

• As anesthetics are administered, there would not be any pain and your mouth would be numb. Take care NOT to bite the inside of cheek, lip or tongue during this time.
• After the first day, rinse mouth with warm salt water gently several times a day to relieve pain and reduce swelling. To make salt water, mix 1 tsp. (about 5 g) salt in a medium-sized glass (about 240 mL) of warm water.
• Relax after surgery as physical activity might increase bleeding.
• Do not smoke for at least 24 hours after surgery.
• To prevent bleeding, do not lie flat. Support your head with pillows.
• Do not rub the area with tongue, and avoid touching it with your fingers.
• Special care needs when brushing your teeth.
• For the first 24 hour, applying an ice pack on the outside of your cheek. After that, for the next 2-3 days use moist heat. It can be done by soaking a towel cloth in warm water and wringing it out, then placing it over the cheeks.
• Eat thin soup or soft food. As the wound heals up, gradually add solid foods to diet.
• Avoid using straw for the first few days.

Why extract wisdom teeth.

As mentioned earlier, certain conditions can cause problems associated with the wisdom teeth.

• The wisdom teeth may break partially through the gums. This may cause a flap of gum tissue to gradually grow over the teeth. Food can get trapped under the flap which can cause germ build up causing the gums to become swollen, red and painful which are the generic signs of tooth infection.
• The wisdom teeth (or even any other tooth) can get misaligned.
• Your jaw may not properly accommodate the tooth properly.
• If any serious problem develops from the affected teeth, such as cyst, infection or damage to the tooth.

Benefits with wisdom teeth extraction.

After the wisdom teeth are removed, you will notice the benefits as:

• No red, swollen, and painful gums caused by a flap of skin.
• No "crowding" of the back teeth.
• Healing of any gum disease and/or tooth decay associated with the wisdom tooth.
• Easier to clean other teeth, if the wisdom tooth was causing obstruction.
• Stop breaking of the gums, if the wisdom tooth got stuck in the jaw (impacted).

Dental Procedures and Surgeries.

While a visit to the dentist doctor is not among the list of top 10 things that most people like to do, it is sometimes necessary for good dental oral health. Whether the reason for a visit to a dental surgeon is for cosmetic dental care or traditional dental health care procedures such as dental implants, dental cysts, crown lengthening procedure, dental bridges, or dental dentures, there are a lot of dental techniques and dental methods that offer a wide range of choices for dental needs.

Plaque that remains on teeth eventually hardens into tartar, which is virtually impossible to remove with brushing and flossing alone. Scaling is the deep-cleaning procedure your dentist at Coco Dental Care or the hygienist uses to scrape the tartar off your teeth at and below the gumline.

What is scaling?

Scaling is the deep-cleaning procedure your dentist at Coco Dental Care or a hygienist uses to scrape the tartar off your teeth at and below the gumline. It is important to remove tartar because tartar makes teeth even more susceptible to tooth decay. Tartar also causes gingivitis, inflammation of the gums. Scaling is the process of actually scraping the teeth with dental instruments, or the use of an ultrasonic machine that aids in the process. The scaling is usually followed by a process called planing, which smoothes any roughness from the surface of the tooth. After scaling and planing, teeth are more resistant to plaque, and gums can return to their normal pink, healthy state.

What’s the difference between cleaning and scaling?

Regular cleanings remove the sticky plaque above the gumline, while scaling removes the hardened plaque, or tartar, at and below the gumline.

What can I expect from a scaling procedure?

Coco Dental Care use an ultrasonic machine to assist in this process, but most likely, the dentist or a hygienist will use metal dental instruments to scrape the tartar off teeth under the gumline. In order to make you as comfortable as possible, your dentist will first make sure that your gums have been sufficiently numbed with anesthetics. For many people, the anesthetics are sufficient, but if you are particularly uncomfortable with this procedure, ask your dentist at Coco Dental Care if some type of sedation would be appropriate. The scaling is usually followed by a process called planing, which smoothes any roughness from the surface of the tooth. After scaling and planing, teeth are more resistant to plaque, and gums can return to their normal pink, healthy state. But, proper dental hygiene is important to keep the teeth and gums healthy, otherwise the tartar and gingivitis are likely to return.

Why would I need scaling?

Your dentist at Coco Dental Care and a hygienist observed tartar on your teeth and the condition of your gums during the exam or the cleaning. If you have bleeding gums or other signs of gum inflammation, or gingivitis, the most likely cause is tartar buildup at and below the gumline. Once the scaling and planing are finished, your gums will heal in against smooth teeth in an area that has been cleaned of bacteria, plaque and tartar. If the scaling is not done, the gingivitis could worsen into serious gum disease called periodontitis, and the tartar will contribute to tooth decay.

What are the benefits of scaling?

Removal of tartar, or calculus, will reduce tooth decay. Scaling can also reverse gingivitis before it becomes more serious gum disease. Once the scaling and planing are finished, your gums will heal in against smooth teeth in an area that has been cleaned of bacteria, plaque and tartar. If the scaling is not done, the gingivitis could worsen into serious gum disease called periodontitis. The benefits of scaling, however, only last as long as the calculus remains off the teeth. Some patients will need periodic scaling if they are prone to tartar buildup, or they don’t practice proper oral hygiene.

For those of us with dental work who like to talk, laugh or smile, a silver tooth fillingshows the world where we could have taken better care of our teeth. But what if there was a way to hide the fact that you even had any cavities in the first place?

Composite resin is a filling material designed for aesthetic dental restorations. Formulated to resemble the color of your natural tooth, composite resin is often used for filling dental cavities or for dental bonding front teeth.

Composite resin consists of glass or quartz filler added to a resin medium, which produces a tooth-colored filling. The invention of composite resin offers a substitute to the amalgam dental fillings we've grown so accustomed to. This plastic and glass mixture contains no metal and can be shaped to resemble a real tooth. Onlookers usually can't tell that a tooth has even been filled!

How It Works.

Composite fillings can be placed by a general or cosmetic dentist. The procedure for placing a composite resin dental filling is a bit more complicated than it is for an amalgam filling:

- The dentist isolates the tooth from saliva to keep it dry.
- A drill or air abrasion is used to remove the infected part of the tooth.
- The composite resin is placed in layers over the opening.
- A special light is used to harden each layer of composite resin material.
- After the tooth is filled, the composite resin is shaped to resemble a real tooth.

Placing composite resin restorations requires more time in the dental chair and more work on the dentist's part, but most patients are incredibly pleased with the results!

Putting It to the Test.

Dental porcelain can be sculpted to closely replicate the look of natural tooth enamel, while providing desirable strength and resilience. Porcelain crowns are an excellent choice when recreating the form and function of a damaged tooth, because a crown basically replaces the entire external portion of the tooth down to the gum level. Crowns are not limited to simply replacing the original tooth, but can be designed to create an even better esthetic appearance.

Cosmetic Inlays and Onlays.

Inlays and onlays are indirect restorations that can be used to help an otherwise healthy tooth with a large filling. Inlays are placed within the grooves between the cusps (points) of a tooth, whereas onlays are placed within the grooves and over the cusp tips. Your AACD member dentist can help determine which restoration is better for you. Inlays and onlays can be used to replace old filings, and are more esthetically pleasing because they can be made to match a tooth’s natural color. Aside from improving a tooth’s appearance, inlays and onlays can strengthen the structure of a tooth because of their durability and longevity.

Crown Consultation.

Crowns can be selected for necessity or cosmetic reasons. No matter what the case, the first step is to schedule an appointment with Coco Dental Care professional. The dentist will examine your teeth and in some cases will immediately see that a crown is the best option. In other situations where the problems aren’t so obvious, you may need to express your concerns and discuss your future smile goals so both you and your dentist have all the facts.

The Hows and Whys of Porcelain Crowns.

Porcelain crowns replace the exterior portion of a tooth to re-establish its original function and to create a natural appearance. Crowns are the treatment of choice in situations where tooth decay has destroyed most of the original tooth, when a traumatic event has caused damage, or in cases of severe enamel erosion. They are also an option for people who grind and clench their teeth so much that the original structure of their teeth has been compromised.

The great benefit to porcelain crowns is they can not only replicate the original tooth in function, but can be designed to look like the original--or even better. When patients select a porcelain veneer for cosmetic reasons, they’re usually covering up the front portion of the tooth that has some esthetic flaw. A porcelain crown is thicker than a veneer and, in some situations, this thickness is needed.

Crowns and veneers are situated and secured in the mouth in a similar fashion, using a light-sensitive resin placed between the original tooth and crown, and then hardening that resin with a special curing light.

Partial crowns, often referred to as onlays, are a type of restoration or filling that covers one or more cusps. An inlay is similar to a filling but the work resides completely within the cusps on a tooth’s chewing surface. These restorations are much more conservative than crowns, and can be imperceptible from your natural tooth.

Potential Crown Downsides.

Porcelain crowns do require some laboratory time to be created and times vary according to the laboratory and its distance from your dentist, so expect to be fitted with a temporary, or provisional, crown for a while.

Some patients may experience sensitivity to hot and cold temperatures after porcelain crowns are attached. It’s best to consult with your dentist for more information about your individual case.

While porcelain crowns are very durable, they do not have the flexibility of natural teeth, so avoiding certain foods may be necessary. Chronic tooth-grinders and jaw-clenchers will need to be fitted with a nighttime mouth guard to protect the porcelain from unnecessary and excessive pressure and use.

As you might imagine, patients often choose composite resin for aesthetic purposes. But dentists have other reasons to promote composite resin as a dental filling material. While amalgam fillings require a larger section of the tooth to be removed, dentists only need to drill away the diseased part of the tooth to place composite resin. This preserves the existing tooth structure for years to come.

Amalgam tends to expand and contract with heat, causing teeth to crack. Composite is actually bonded to the tooth, however, and can withstand the pressure from chewing rather well. Composite resin also supports the tooth structure, insulates it from extreme temperatures, and remains sturdy when used for small to medium dental fillings.

A great dentist can help you decide whether composite resin fillings are right for you. Composite resin does not only restore your teeth but can give you a natural-looking alternative to amalgam. And after all those years of having no other choices, don't you deserve a beautiful smile?

What are veneers?

Veneers are very thin shells that are attached to the front part of teeth. They are often made of porcelain or composite resin. Porcelain veneers are stronger than composite resin veneers and do not change colour or stain. Generally, porcelain veneers take at least 2 dental visits to apply and composite resin veneers can be done in 1 visit. Porcelain veneers generally last longer than composite resin veneers.

How composite resin veneers are done.

Much like bonding, your dentist puts a mild chemical on the front surface of the tooth to be veneered to make it a little rough. This helps the composite resin to stick to the enamel of the tooth. The composite resin that matches the colour of your natural teeth is chosen so that the veneer blends in with your teeth. Your dentist then puts the composite resin on your tooth in layers. A bright light is used to harden each layer of the composite resin. After the last layer of composite resin is hardened, your dentist shapes and polishes it to form your tooth. The finished tooth looks natural and smooth.

How porcelain veneers are done.

With porcelain veneers, your dentist may give you a local anesthetic (freezing). Your dentist then removes a thin layer of the enamel from your teeth to make room for the veneers. Then your dentist makes a mold of your teeth. This mold is used to custom-make your porcelain veneers. In the meantime, your dentist may place temporary veneers to replace the portion of the tooth that was removed. These are worn until your porcelain veneers are ready. The temporary veneers are very fragile and need to be treated gently during eating and cleaning as they come loose very easily

On your next visit, your dentist removes the temporary veneers and puts a mild chemical on your teeth to make them a little rough. This helps the porcelain veneers stick to your teeth better. The porcelain veneers are then glued to your teeth one by one, using composite resin cement.

Who can get veneers?

Not everyone is a good candidate for veneers. Here are some reasons why your dentist may suggest treatments other than veneers:

• If a tooth has decay or is in an area that has periodontal disease (gum disease). These problems must be treated first.
• If a tooth has little enamel left, a veneer will not stick to it properly.
• If too much of the tooth is missing, a crown may be another option.
• If a person grinds or clenches his or her teeth. This habit is called bruxism and can chip or break porcelain veneers.

A dental bridge is designed to replace one or more teeth that may create a gap between otherwise healthy teeth. Most dental bridges are attached by a cement-like mixture to surrounding teeth on either side of the gap. Anyone who has one or more missing teeth may be a candidate for a dental bridge procedure. There are several different types of dental bridges procedures and determination of which one is right for a patient depends on how many teeth are missing as well as the overall condition of surrounding teeth.


A zirconia bridge is considered a top quality type of bridge which is stronger, durable and visually appealing as compared to other types of bridges.

It is often preferred to metal ceramic bridges in that it causes less tooth sensitivity and with no sign of the dreaded grey line around the edge of the gums. For many people this is a downside of wearing a bridge.

But one way of avoiding that is to choose an all ceramic bridge or the highly rated zirconia bridge instead.


A dental bridge is a structure in which a false tooth and two crowns are attached to a metal base which acts as a replacement for missing teeth.

The false tooth sits in the gap and is flanked by the two crowns which fit over the natural teeth on each side of the gap. In other words, it ‘bridges’ the gap in your teeth.

A zirconia bridge is different in that it is produced from Zirconium oxide – a tough form of dental ceramic which is also compatible with the body. This means that the body will not reject or react in a negative way to the bridge.

This is a problem with metal based bridges as there are people who have an allergy to the metals used in the bridge.

A zirconia bridge has a translucent appearance and is an ideal match with the rest of your teeth.


The main advantages are a strong, stable and great looking bridge which blends in well with the rest of your teeth. Plus the material used to fabricate this bridge is ‘biocompatible’ which means that is kind to living tissue within your body and will not cause any ill effects, e.g. an allergic reaction.

Less preparation is needed which refers to the process you undergo before the crown is fitted. Your dentist reshapes the tooth, removing a tiny sliver which enables a better fit between crown and tooth. But minimal tooth reduction is required for a zirconia crown.

Plus there is no metal base within this bridge which means no ugly looking black line at the edge of the gums which is a common feature of metal ceramic bridges. This is good news from an aesthetic point of view as many people prefer to wear a bridge whose crowns closely match the colour of their natural teeth.


The process for this is the same as for any other type of bridge. Your dentist will assess the current state of your teeth before discussing the pros and cons of the treatment with you.

If you are considered a good candidate for a zirconia bridge then he/she will prepare your teeth for this bridge. The preparation stage is part of a two stage procedure which includes taking an impression of the affected teeth along with supporting x-rays.

It also includes what is known as ‘tooth reduction’ in which the dentist trims the affected teeth with a small drill so that it will enable the crowns to fit over the top.

These are all used in the fabrication of your zirconia bridge. They are sent to a dental laboratory that produces your bridge over a period of one to two weeks.

During this time you will be given a temporary bridge to wear. Once your new bridge has been made you will return for the fitting. Your dentist will fit the new bridge and check that it is a correct fit before cementing it in place.

He or she will then advise you about looking after your bridge.

A bridge replaces one or more teeth.

To put in a bridge, the dentist will prepare and shape the teeth on both sides of the missing tooth. The bridge consists of the replacement tooth and two crowns (caps) on each side. The crowns will fit over the prepared teeth to support the replacement tooth.

Dentures and prosthesis.

Dentures are worn to replace your natural teeth. They are usually made from lifelike resin teeth bonded to a plastic base. You will either have been fitted with a complete denture to replace all your teeth, or a partial denture. Partial dentures are usually held in place by clasps or metal clips, which fit around some of your remaining teeth.

Will anyone be able to tell I have dentures?

Not easily. With today’s technology dentures can be made to look so natural that people can’t tell who’s wearing them. Your dentist has custom made your dentures to fit your mouth, so they’ll take on the character of your original teeth, leaving your appearance the same as before. The colour of the teeth is carefully selected, either to match your remaining teeth, or simply to look as natural as possible.

Dental treatments like dental bonding and veneers are not only used to fix cavities or broken teeth but can also be used to improve the look of healthy teeth. Veneers are applied to the entire front surface of the tooth, whereas bonding is applied to a smaller portion of the tooth. Bonding and veneers make your teeth look better by changing their colour, shape, angle or spacing. Your dentist can fix teeth that are broken, chipped or cracked, that have spaces between them or that are discoloured. Cosmetic dental treatment can improve your smile and give you more confidence.

Bonding is a popular treatment option because it provides a successful attachment between the filling material and the tooth’s original enamel and dentin. It looks like the original tooth and functions like it as well.

Direct composite bonding is used to recreate a smile in an additive manner, where little or no tooth reduction is needed. Direct bonding, in the hands of a skilled operator, is less costly than porcelain veneers and crowns and can be long-lasting with proper maintenance.

The most common cosmetic dentistry procedures and cosmetic dental techniques enjoyed today is teeth whitening. Teeth whitening are an excellent option for people who have stained tooth or discolored teeth caused by smoking, drinking tea or coffee or tea, or as a result of poor oral hygiene. Your smile creates an immediate, subconscious, visual impact on people you meet. A brighter smile gives the impression of youth, vitality, radiant health, happiness, and warmth. A bright smile is perceived as a healthy smile. Be sure to consult with your cosmetic dentist to learn which whitening treatment is best for you. Teeth whitening remains one of the most economical ways to enhance your smile.

Smiles Are Valuable.

Statistics reveal that we place a high value on our smiles. According to an American Academy of Cosmetic Dentistry survey:

• Virtually all adults (99.7%) believe a smile is an important social asset. 96% of adults believe an attractive smile makes a person more appealing to members of the opposite sex.
• Three-quarters (74%) of adults feel an unattractive smile can hurt a person’s chance for career success.
• And when respondents were asked, “What would you like to improve most about your smile?” The most common response was: Whiter & brighter teeth. If you are not happy with your smile, teeth whitening may be a good first step.

Tooth Extraction.

Gum disease can loosen or severely damage a tooth. A tooth that is severely damaged may need to be removed. Your dentist or a surgeon who specializes in surgeries of the mouth (oral and maxillofacial surgeon) can remove a tooth.

Before removing your tooth, your dentist will give you a local anesthetic to numb the area where the tooth will be removed. A stronger, general anesthetic may be used, especially if several or all of your teeth need to be removed. General anesthetic prevents pain in the whole body and will make you sleep through the procedure.

After the tooth is removed, you may need stitches. You can gently bite down on a cotton gauze pad placed over the wound to help stop the bleeding. The removed tooth can be replaced with an implant, a denture, or a bridge. A bridge is a replacement for one or more (but not all) of the teeth and may be permanent or removable.

What To Expect After Surgery.

In most cases, the recovery period lasts only a few days. The following will help speed recovery:

• Take painkillers as prescribed by your dentist or oral surgeon. Apply an ice or cold pack to the outside of your mouth to help relieve pain and swelling.
• After 24 hours, rinse your mouth gently with warm salt water several times a day to reduce swelling and relieve pain. Make your own salt water by mixing 1 tsp (5 g) of salt in a medium-sized glass [8 fl oz (240 mL)] of warm water.
• Change gauze pads before they become soaked with blood.
• Relax after surgery. Physical activity may increase bleeding.
• Avoid smoking.
• Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as healing progresses.
• Do not lie flat. This may prolong bleeding. Prop up your head with pillows.
• Avoid rubbing the area with your tongue.
• Do not use sucking motions, such as when using a straw to drink.
• Continue to carefully brush your teeth and tongue.

After the tooth is removed, you may need stitches. Some stitches dissolve over time, and some have to be removed after a few days. Your dentist will tell you whether your stitches need to be removed.

Why It Is Done

Removing a tooth is necessary when decay or an abscessed tooth is so severe that no other treatment will cure the infection.

How Well It Works.

Removing the tooth can help keep infection from spreading to other areas of your mouth.

What To Think About

A tooth extraction should be done as soon as possible to avoid the spread of infection and more serious problems. In cases in which a root canal treatment might not save the tooth, your dentist may recommend that the tooth be removed and a bridge or implant installed.

Smoking or using spit tobacco delays healing and reduces your ability to fight infection in your gums. So to heal well after your surgery, it's best to stop all use of tobacco. If you do smoke, the sucking motion of inhaling may loosen or dislodge the blood clot that is important for healing. For more information, see the topic Quitting Smoking.