June 22, 2016
You will see my post from several years ago about teeth and white spots. Some white spots are due to acid damage and a period of reduced brushing effectiveness or higher sugar diet. This can be common after braces because it is harder to clean around the wires.
Other white spots are more natural occurring as a hypomineralised layer of the tooth surface that appears frosty. Some of these are very superficial and and be removed in less than 5 minutes with a mild acid that we use for tooth bonding, followed by a fine mineral particle that helps clog the porosity and allow the tooth to regain it’s transluceny. Here is another case we did last week.
October 30, 2011
This fellow’s tooth was wacked when he was young. Wear a mouthguard when playing sport please guys! The existing filling was leaking and broken and the tooth had gone dark. The blood in teeth stains when the nerve dies, and also the medicaments used in root fillings may stain the tooth. Ideally the tooth would be bleached as a conservative option. The filling was failing so the next best option would be a crown. Unfortunately this tooth is on its way out – it is so hollowed an weak it wont hold a crown but we had to do something because the current filling is failing.
We built him a new tooth using a carbon fibre post into the root, and bonding dental composite resin over the top. It is much cheaper than a crown, and if the tooth fails he is looking at a gap, denture, or implant. Hopefully we have delayed these options for some time to come and given back a smile.
July 10, 2010
I’ve shown this young guy before. We are just picking away at it a bit at a time. The most rewarding thing is this patient has listened to everything about home care and prevention and is looking after things beautifully. See how the gums are pink and healthy and the remaining decay is so clearly visible. Without good home care, nothing will last.
This was the first day we met.
The front 2 right teeth we managed to avoid exposing the nerve in the centre of the tooth despite severe decay. They have temporary fillings to keep things stable until we sort out the remaining teeth. The 2 teeth further back have permanent composite resin restorations placed.
This was today before we started to tackle the upper eye tooth and tooth behind. So far this has been four visits at about $300 a trip. We are just going at a rate our patient can afford. I’ll keep future updates as I get time.
Here is the latest.
April 5, 2010
Just a patient I saw this week. The second back tooth was chipped and needs more extensive repair. We placed an interim repair in the chipped area. The back tooth was decayed around the existing metal filling. The most important thing is to take the time to get a smooth, well sealed, and anatomic shape to the filling so it doesn’t catch food or leak and increase the risk of further decay or damage. I am loving the challenge of creating beautiful work that stands the test of time.
April 5, 2010
Gum disease is painless and progressive in the majority of the population. Minerals in your saliva are released to neutralise damaging acids in food and bacteria that rot your teeth. Unfortunately these build-up on your teeth as a hard scale (tartar or calculus) and it can’t be brushed off. The build-up creates a scaffold for more bacteria to live permanently, resulting in inflammation and infection of your gums. Over many years this inflammation results in damage – initally bleeding, then peeling away of the gums from the teeth, and eventually bone loss, loose teeth, and lost teeth. You have heard of the phrase ‘ long in the tooth’.
This process is usually painless, so many people don’t go to the dentist to have their teeth professionally cleaned because they don’t knoe they have a problem. Once gum disease has caused damage, it can’t be fixed. Some people don’t go to a dentist for many years and notice no problems, only to find their teeth are suddenly loose and beyond saving, with no bone left. I would urge everyone to have their teeth cleaned every six months, and in severe cases see a gum specialist (periodontist). Gum disease is also linked to heart disease and general health.
March 10, 2010
Just a quick post to show people the general principle of a filling. Bacteria enter a small entry point but may eat away a significant amount of tooth on the inside. Your toothbrushing keeps the surface of the tooth looking and feeling solid. This is a case I did today which is a comparatively small cavity. See how much tooth can be damaged by a small hole causing no pain or symptoms whatsoever. That is why we say to have 6 month checks and cleans at the dentist. This tooth actually has two fillings. Which of the two do you think will be better for the tooth?
Note the discolouration
Soft dark decay seen after removing surface enamel
- All softened damaged tissue removed. Residual stain stable.
Protective liner placed
As always, remember dental decay is a progressive disease. Early damage is reversible, moderate needs a filling, severe needs a crown with or without root canal treatment, and extensive decay means an extraction. Prevention and early detection rules!
February 1, 2010
This case came in today. The front tooth has had a filling more many years and the metallic filling on the left had leaked and caused cracking of the tooth.
We replaced both fillings with tooth coloured composite resin in a single appointment. The metal had stained the back tooth severely and some shadow remains. The tooth is weak and may ultimately need a crown but this filling is much more conservative. The front tooth was easily corrected to get a more cosmetic colour match.
My own tooth needs a crown due to being on the losing end of an olive pit so I will have some new interesting posts in a couple of weeks when it is done. 🙂