Inlays and Onlayss
Links of Interest
After Crowns / Bridges
After Dental Implants
After Tooth Extraction
After Tooth Extraction
After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. If the bleeding or oozing still persists, place another gauze pad over the wound and bite firmly for another 30 minutes. You may have to do this several times. If bleeding still persists, dampen a tea bag and place it over the wound and keep it in place for about 20 minutes and it should stop the bleeding.
After the blood clot forms, it is important not to disturb or dislodge the clot as it aids in healing. Do not rinse vigorously, suck on straws, smoke, drink alcohol, or brush teeth next to the extraction site for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the first 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.
After the tooth is extracted you may feel some pain and experience some swelling. An ice pack applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.
Use the pain medication as directed. Call the office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.
After Dental Implants
Do not disturb the wound following your dental implant surgery. Avoid rinsing, spitting, or touching the wound on the day of surgery. There will be a metal healing abutment protruding through the gingival (gum) tissue.
Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues, please call for further instructions.
Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag, or a plastic bag, or towel filled with ice on the cheek in the area of surgery. Apply the ice continuously, as often as possible, for the first 36 hours.
Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.
You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, one to two Tylenol or Extra Strength Tylenol may be taken every three to four hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen, bought over the counter comes in 200 mg tablets. Two to three tablets may be taken every three to four hours as needed for pain. For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic, or have been instructed by your doctor not to take it.
Be sure to take the prescribed antibiotics as directed to help prevent infection.
Good oral hygiene is essential to good healing. The night of surgery, use the prescribed Peridex Oral Rinse before bed. The day after surgery, the Peridex should be used twice daily, after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out. Warm salt-water rinses (one teaspoon of salt in a cup of warm water) should be used at least four to five times a day, as well, especially after meals. Brushing your teeth with the healing abutments is not a problem. Be gentle initially when brushing the surgical areas.
Keep physical activities to a minimum immediately following surgery. If you are considering exercise, remember that throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.
Wearing Your Prosthesis
Partial dentures, flippers, or full dentures should not be used immediately after surgery and for at least ten days. This was discussed in the preoperative consultation.
After Crowns / Bridges / Veneers / Inlays & Onlays
Crowns / Bridges
Usually take two or three appointments to complete. In the first visit, the teeth are prepared and molds of the mouth are taken. Temporary crowns or bridges are placed to protect the teeth while the custom restoration is being made. Since the teeth will be anesthetized, the tongue, lips, and roof of the mouth may be numb. Please refrain from eating and drinking hot beverages until the numbness has completely worn off. It is also possible to bite your cheek or tongue while you are numb, which creates discomfort for you.
Occasionally a temporary crown may come off. Call us if this happens and bring the temporary crown with you so we can re-cement it. It is very important for the temporary to stay in place, as it will prevent other teeth from moving and compromising the fit of your final restoration. If the temporary is lost over a weekend, get a tube of denture adhesive from the drug store and put a small portion in the temporary crown and place it back on the tooth. This interim measure will get you through until we can recement it for you.
To keep your temporary crown in place, avoid eating sticky foods (gum), hard foods, and if possible, chew on the opposite side of your mouth. It is important to brush normally, but floss carefully and don’t pull up on the floss which may dislodge the temporary, but pull the floss out from the side of the temporary crown.
It is normal to experience some temperature and pressure sensitivity after each appointment. The sensitivity should subside a few weeks after the placement of the final restoration. Mild pain medications may also be used as directed by our office.
If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please call our office at (407) 855-7380.
After Cosmetic Dental Reconstruction
Remember that it will take time to adjust to the feel of your new bite. When the bite is altered or the position of the teeth is changed it takes several days for the brain to recognize the new position of your teeth or their thickness. If you continue to detect any high spots or problems with your bite, call our office so we can schedule an adjustment appointment.
It is normal to experience some hot and cold sensitivity. The teeth require some time to heal after removal of tooth structure and will be sensitive in the interim. Your gums may also be sore for a few days. Warm salt water rinses (one teaspoon of salt in a cup of warm water) three times a day will reduce pain and swelling. A mild pain medication (one tablet of Tylenol or Ibuprofen (Motrin) every three to four hours) should ease any residual discomfort.
Don’t be concerned if your speech is affected for the first few days. You’ll quickly adapt and be speaking normally. You may notice increased salivation. This is because your brain is responding to the new size and shape of your teeth. This should subside in about a week.
Daily brushing and flossing are a must for your new dental work. Daily plaque removal is critical for the long-term success of your new teeth, as are regular cleaning appointments.
Any food that can crack, chip, or damage a natural tooth can do the same to your new teeth.
- Avoid hard foods and substances such as beer nuts, peanut brittle, ice, fingernails, pencils, and/or sticky candies
- Smoking will stain your new teeth
- Minimize or avoid foods that stain such as coffee, red wine, tea, and berries
- If you engage in sports, let us know so we can make a custom mouthguard
- If you grind your teeth at night, wear the nightguard we have provided for you
Adjusting to the look and feel of your new smile will take time. If you have any problems or concerns, please let us know. We always welcome your questions.
Bio Compatible Dentistry
Links of Interest
The following websites are provided as a resource for our referring doctors. This page contains hyperlinks to World Wide Web sites that are created and maintained by other organizations. We have included these links because we think that our referring doctors may find them of interest. Keep in mind that Dr. Ward does not necessarily endorse the views expressed on these websites. Also, we do not guarantee the accuracy or completeness of any information presented on these sites.
Bio Compatible Dentistry
Advanced Dental Technologies
Many patients, especially younger patients, are very familiar with the latest technology and are more comfortable with the high-tech practice. Computers and TV screens are their primary method of information processing.
Dr. Ward utilizes intraoral camera technology that helps enhance your understanding of your diagnosis. An intraoral camera is a very small camera. In some cases, an intraoral camera is just a few millimeters long. An intraoral camera allows our practice to view clear, precise images of your mouth, teeth, and gums, in order for us to accurately make a diagnosis. With clear, defined, enlarged images, you see details that may be missed by standard mirror examinations. This can mean faster diagnosis with less chair-time for you!
Intraoral cameras also enable our practice to save your images in our office computer to provide a permanent record of treatments. These treatments can be printed as needed for you, other specialists, and your lab or insurance companies.
Dr. Ward chooses carefully which and when radiographs are taken. There are many guidelines that we follow. Radiographs allow us to see everything we cannot see with our own eyes. Radiographs enable us to detect cavities in between your teeth, determine bone level, and health of bone. We can also examine the roots and nerves of teeth, diagnose lesions such as cysts or tumors, as well as assess damage when trauma occurs.
Dental radiographs are invaluable aids in diagnosing, treating, and maintaining dental health. Exposure time for dental radiographs is extremely minimal. Dr. Ward utilizes digital imaging technologies within the office. With digital imaging, exposure time is about 50 percent less when compared to traditional radiographs. Digital imaging can also help us retrieve valuable diagnostic information.
The advantages of digital imaging enables us to not only store patient images, but also enables us to quickly transfer them to appropriate specialists or insurance companies.
Digital x-rays offer more precision since we view the image on a computer monitor, instead of holding up a 35mm film up to the light. Digital x-rays result in one-sixth the radiation exposure to you compared to standard x-rays.
Bio Compatible Dentistry
Health Care Practitioners
Dr. Ward believes in a total health approach to your treatment. He prefers to specialize in your mouth health, while working closely with a healthcare practitioner that would specialize in your body health. Dr. Ward has found the combination to work the best for the patient, with the most favorable outcome.
Although Dr. Ward will work with any healthcare practitioner, here is a list of practitioners that he works with on a regular basis (in alphabetical order):
Don Colbert, MD
1908 Boothe Circle
Longwood, Florida 32750
Peter Holyk, MD
600 Schumann Drive
Sebastian, Florida 32958
Donna Johnston, DOM, AP
683 Douglas Avenue, Suite 101
Altamonte Springs, Florida 32714
Kirti Kalidas, MD
6651 Vineland Road, Suite 150
Orlando, Florida 32819
Carmen Lilly, AP
Inner Balance Wellness Center
4521 Edgewater Drive, Suite 4
Orlando, Florida 32804
Joya Schoen, MD
The Lee World Center
1850 Lee Road, Suite 240
Winter Park, Florida 32789
Jack Young, MD
Tri-Health Alternative Medicine
2260 Old West Highway 441
Mount Dora, Florida 32757
Bio Compatible Dentistry
Dr. Ward prefers and highly recommends that patients have biocompatibility materials testing done before starting treatment. The company that Dr. Ward uses, Clifford Consulting & Research. The Clifford Test or Clifford Material Reactivity Testing (CMRT) is a comprehensive clinical blood test that screens for individual systemic sensitivity to bio-materials through antibody detection. The blood test will give Dr. Ward a listing of all the dental materials that are “safe” for use in your mouth.
We have the test kits at our office. You will have to take it back to your healthcare provider to have the blood drawn. The kit will be overnighted to Clifford Consulting & Research. Within two weeks our office will receive two copies of your test results, one for our office and one for you.
For further details, please visit the website for Clifford Consulting & Research at: www.ccrlab.com
Bio Compatible Dentistry
Safe Amalgam Removal
Dr. Ward is a member of the International Academy of Oral Medicine and Toxicology. He has done much research and completed many courses offered on amalgam removal. Dr. Ward follows a strict protocol in the removal of amalgam filings, in return minimizing the mercury exposure to the patient, himself, and staff members. The following is the protocol that is provided by the IAOMT and that is followed by Dr. Ward and his staff. We invite you to read through the steps, so that you are familiar with the process of removing amalgam at your appointment.
Cut and Chunk, Keep it Cool
If you remove and old amalgam by slicing across it and dislodging big chunks, you will aerosolize less of the contents than if you grind it all away. If you keep it under a constant water spray while cutting, you will keep the temperature down, and reduce the vapor pressure within the mercury. Dr. Ward uses a slow speed hand piece with a water attachment; this reduces the temperature of the amalgam and minimalizes the mercury vapors.
The best tool for removing mercury vapor and amalgam particulates from the operating field is the high volume evacuation (HVE). By keeping it right next to the patient’s tooth until we are finished with the removal and clean-up process, it dramatically reduces the spatter of particles, directing the amalgam efficiently into the suction tube.
Rubber Dam or No Rubber Dam?
Dr. Ward prefers to use a rubber dam whenever possible. A rubber dam helps contain the majority of the debris of amalgam grinding.
However, mercury vapor will diffuse right through the rubber dam, and some of the particulates will often sneak past it. So:
1. Dr. Ward always uses a saliva ejector behind the rubber dam to evacuate air that may contain mercury vapor.
2. Dr. Ward also rinses the rubber dam during the procedure to reduce the amalgam particulates.
3. Upon completion of removing the amalgam filling. Dr. Ward will remove the rubber dam and rinse your mouth. This will remove the mercury vapors and particulates that may have escaped into the mouth.
If the situation arises that Dr. Ward cannot use a rubber dam, the “Clean-Up” suction tip is attached to the HVE hose. The “Clean-Up” suction tip has an enclosure at the end that surrounds the tooth. It also dramatically reduces the splatter or particles and vapor. As with the rubber dam, upon removal and clean-up of the amalgam the mouth is rinsed.
Cover the Skin
Covering your face with a barrier will prevent spattered amalgam particles from landing on the skin, or the eyes. Dr. Ward uses a fresh towel to cover the patient from platter. Dr. Ward does prefer to use protective eyewear to cover the patient’s eyes. He finds that patients become uncomfortable under the rubber dam and a towel over their face.
Dr. Ward’s staff provides the patient with piped-in air, so they don’t have to breathe the air directly over the mouth during the amalgam removal. A nasal cannula is placed on the patient to provide pure medical grade oxygen directly to the patient, greatly reducing the mercury vapors the patient breathes.
Controlling the Breathing Space
Although the HVE that we use is very efficient, the air surrounding the operative filed will fill up with a mercury vapor and amalgam particulate aerosol. It is a priority to Dr. Ward that the patient, staff and himself are free of contamination. Dr. Ward has installed a negative ion generator to enhance the removal of the metallic vapors and sub-micron floating particles. This system removes the vapor and particulates in the operatory air and the rest of the office.
Respirators for the Staff
Dr. Ward and staff will wear a respirator. Although this might look strange to the patient, Dr. Ward believes in protecting himself and staff from mercury vapors. It has been found that the paper mask has no benefit for removing either amalgam particulates or mercury vapor from the air we breathe.
Bio Compatible Dentistry
Bio Compatible Dentistry
Dr. Ward has a truly unique practice that combines extensive experience in many fields of dentistry with biocompatible materials. This type of practice enables him to help patients focus on their total health needs, with him paying special attention to the individual needs of each patient. Dr. Ward has a number of health care practitioners that he works closely with to help his patients obtain not only a healthy, beautiful mouth, but also a healthy body. He firmly believes that the mouth and body work closely together. Dr. Ward believes that by combining treatment of the two areas, one can achieve relief from many health related ailments. Dr. Ward encourages each patient to invest in their health by completing biocompatible materials testing. This will enable Dr. Ward to customize your dentistry to your individual needs by using materials that are best suited for your body.
We invite you to use this section of our site to help answer any questions you may have about Dr. Ward’s views on Bio Compatible Dentistry. We have also provided outlets for you to do your own research so that you may form your own opinion. There is a lot of information concerning Bio Compatible Dentistry available, so it may become overwhelming, but please try to find out as much as you can so you may have your own beliefs, which we can customize your treatment plan around.
On Site Laboratory Technician
Even a subtle change in your smile helps you to project an image of self-confidence and high personal esteem. When you feel good about yourself, it shows in your appearance. Today's advanced dental techniques and dental materials can make a real difference. The skill, experience, and commitment of our practice — using a unique combination of science and artistry — can literally redesign your smile.
We are very fortunate to have an experienced dental laboratory technical on site. Ed Leach has been a part of our practice for over 20 years. His dedication to quality and esthetic beauty is unsurpassed. You will be pleased with his efforts in your behalf.
Porcelain veneers are thin shells of ceramic that bond directly to the front and top surfaces of the teeth. They are an ideal choice for improving your smile and have become increasingly popular due to their simplicity and versatility. With veneers as an alternative, there is no reason to put up with gaps between your teeth, teeth that are stained, badly shaped, or crooked. A veneer placed on top of your teeth can correct these maladies, simply and quickly and help you achieve a beautiful smile!
Will They Look Like Normal Teeth?
When bonded to the teeth, the ultra-thin porcelain veneers are virtually undetectable and highly resistant to coffee, tea, or even cigarette stains. For strength and appearance, their resemblance to healthy, white tooth enamel is unsurpassed by other restorative options. Because they are thin, light can shine through them and they take on the natural color of the underlying tooth.
For home care and maintenance of your veneers, see our Dental Home Care Section.
Bridgesp>All of your teeth play an important role in speaking, chewing, and maintaining proper alignment of other teeth. Tooth loss doesn't necessarily have to occur as you age. But if you do lose teeth, they must be replaced to maintain proper function of your mouth. Fortunately, there are options for correcting tooth loss. If you're missing one or more teeth, you may be aware of their importance to your appearance and dental health. Your teeth work together for many daily functions from eating to speaking. With missing teeth, it's difficult to do these things. Missing teeth can and should be replaced. Fixed bridges are a great way to restore your dental health and appearance. A bridge is a device that fills the gap where teeth are absent. Fixed bridges are bonded into place and can only be removed by a dental professional. Fixed bridges offer more stability than their removable counterparts.
How Is A Bridge Attached?
The attachment procedure usually takes two or three appointments to complete. At the first appointment, Dr. Ward will prepare the teeth on either side of the gap by removing a portion of the enamel and dentin. Since the bridge must be fabricated very precisely to ensure correct bite and to match the opposing tooth, impressions of the teeth are taken and our experienced laboratory technician will fabricate the bridge. Fixed bridges are typically cemented to the natural teeth next to the space left by the missing tooth. A pontic (false tooth) replaces the lost tooth. Crowns, which are cemented onto the natural teeth, provide support for the bridge.
For home care after a procedure for a dental bridge, see our Dental Home Care Section.
Where damage to a person's teeth is extreme and beyond repair, we can use porcelain, porcelain bonded to gold, or porcelain bonded to zirconium crowns to make the smile appear "as new". This is an extremely reliable technique for repairing the most severe dental problems, even permanently replacing missing teeth to offer a complete smile and a functional bite. We are renowned for the quality of our work and the fantastic changes we make for people using this technology. These treatments are used for a long-lasting correction of major dental problems. It is usual for these treatments to last for 20 to 30 years, which is as close to permanent as dental treatment can get.
How Long Does It Take?
Fitting a crown requires at least two office visits. Initially, we will remove decay, shape the tooth, and fit it with a temporary crown of specially designed composite material. On the subsequent visit, we will remove the temporary crown, and then fit and adjust the final crown. Finally, we will cement the crown into place and you have a new beautiful looking tooth.
For home care following a procedure for a crown, see our Dental Home Care Section.
The removal of a single tooth can lead to problems related to your chewing ability, problems with your jaw joint, and shifting teeth, which can have a major impact on your dental health.
To avoid these complications, Dr. Ward will discuss alternatives to extractions as well replacement of the extracted tooth.
The Extraction Process
At the time of extraction, Dr. Ward will need to numb your tooth, jawbone, and gums that surround the area with a local anesthetic.
During the extraction process you will feel a lot of pressure. This is from the process of firmly rocking the tooth in order to widen the socket for removal.
You feel the pressure without pain as the anesthetic has numbed the nerves stopping the transference of pain, yet the nerves that transmit pressure are not profoundly affected.
If you do feel pain at any time during the extraction, please let us know right away.
Sectioning A Tooth
Some teeth require sectioning. This is a very common procedure done when a tooth is so firmly anchored in its socket or the root is curved and the socket can't expand enough to remove it. Dr. Ward simply cuts the tooth into sections then removes each section one at a time.
After Tooth Extraction
After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the flow of blood.
After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.
After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.
Use pain medication as directed. Call our office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.
It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.
After a few days you should feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.
We use small cameras about the size of a pen, called intraoral cameras, to help clearly see the condition of your teeth and gums.
With this advanced technology we can zoom in on small diseased areas, cracks, chips and worn metal fillings with extreme precision. The full-color images taken with the intraoral camera are sent to a computer screen so we can clearly see and diagnose dental problems much earlier than with traditional dental technology. Because images are displayed on our screens, patients will also be able to see areas being worked on and are able to gain a better understanding of dental procedures being performed. If you would like a print to show a spouse to decide your options let us know!
In only a day or two your custom bleach tray will be ready for you. We provide you with a special bleaching agent that you put into the clear, nearly invisible tray. With an hour of wear per day, our special bleaching agent bubbles stains right out of your enamel in a very short time without altering tooth structure or existing dental work in any way. When your teeth reach the brightness you want, only occasional treatment is needed to maintain your new smile. We recommend that you “touch up” the whitening process after you have your teeth cleaned for a couple of days to keep the color you have achieved. We keep a stock of the whitening gel in the office for your convenience.
Dental bleaching can be used to correct many tooth discolorations. These discolorations may have been caused by staining, aging, or chemical damage to teeth. Using the latest in bleaching technology, we can offer a safe method for creating a beautiful, "brilliant" smile. In cases of extreme tooth discoloration, crowns, or veneers may be the only choice. However, because of the low cost of bleaching treatments, bleaching is nearly always worth a try.
- Corrects brown, yellow, and mottled tooth staining
- Works on people of all ages.
- Is a near permanent solution for a "dull" smile, restoring brightness, and bringing a smile alive.
How Is It Done?
An impression is taken to make a specialized "mouthguard" or tray to hold the bleach against the teeth. The material is used each night for about an hour for a week or two, after which significant whitening will occur. In some cases, the change is nothing short of brilliant. For confidence in appearance, bleaching technology offers improvements in yellowing, aging, or stained teeth. For very severely stained teeth, crowns, or veneers may be more appropriate.
Over-the-counter bleaching agents are available at drug stores and pharmacies; however, since these products can harm the gums and teeth, it’s better to use products that our practice recommends.
Dental Implant Presentation
To provide you with a better understanding of dental implants, we have provided the following multimedia presentation. Many common questions pertaining to dental implants are discussed.
Having trouble? Please make sure you have version 7 of the Flash browser plugin in order to correctly view this presentation. This software is available as a free download.
Dental implants are designed to provide a foundation for replacement teeth that look, feel, and function like natural teeth. The person who has lost teeth regains the ability to eat virtually anything and can smile with confidence, knowing that their teeth appear natural and that their facial contours will be preserved. The implants themselves are tiny titanium posts that are placed into the jawbone where teeth are missing. The bone bonds with the titanium, creating a strong foundation for artificial teeth. In addition, implants can help preserve facial structure, preventing the bone deterioration that occurs when teeth are missing.
Dental implants are changing the way people live! With dental implants, people are rediscovering the comfort and confidence to eat, speak, laugh, and enjoy life.
For home care and maintenance of your dental implant surgery, see our Dental Home Care Section.
Post Op Instructions
After an extraction-
The first goal after an extraction is to form a blood clot at the site. Usually a moist gauze is placed for 5-15 minutes. We will make sure your initial clot is in place before you leave.
Keeping the clot in place allows healing and covers the sensitive bone. Avoid hard foods, heavy lifting for a couple days and the use of straws to avoid suction that dislodges the clot.
After two days, begin gently brushing the area as tolerated. Pain medication will be individually prescribed for you. In the case of a previous infection or compromised health an antibiotic may be prescribed. The socket area will heal from the bottom and sides of the socket and is best left alone for optimal healing.
After your Root Canal-
Predicting pain after a root canal most often depends on the state of the tooth at treatment.
If you arrive at our office in pain expect two to three days after opening (starting) or completing a root canal. Pain medications most often take care of the pain to tolerable levels.
Signs of infection are, more than slight swelling or that gets larger over time, fever and tiredness. Report these symptoms early so we can place you on antibiotics. A root canal completion about 50% of the time there is minimal discomfort after treatment. About 45% of the time moderate discomfort occurs because some of the canal debris gees out the root end and must be cleaned up by your body. Usually a moderate pain medication like Advil can get your through. Less than 5% of patients have infection or extreme pain. When this happens coordinate your care personally with myself or staff.
Three things to keep in mind:
- Clean your teeth well with an electric brush five minutes a day to remove plaque. Plaque causes gum disease and decay as well as bulging gums around brackets.
- Eat carefully to avoid breaking brackets. Avoid sugar and starch filled foods and you will be happy with little or no decay in you teeth at the end of treatment.
- Keep them straight with retainers. The simple rule is muscles always win when pushing against teeth. Other sleep habits like clenching, grinding, mouth breathing, tongue thrusts and sleep positions all can move teeth. The solution is great night time retainer wear possibly for a lifetime.
After restorative; crowns, fillings & bridges
All dental restorative stresses the tooth to some degree. We try to minimize this stress by using lasers, careful decay removal, magnification and experience.
Generally if the pulpal tissue inside the chamber of the tooth is healthy then the tooth is comfortable after restoration. An irritated pulp tissue that will probably get better over a few weeks time has sensitivity to ice for three seconds or less once the cold is removed. If this gradually improves your tooth healed itself because of its good blood supply. Teeth that have had more stress placed on the pulp (from cracks, deep decay, fractures etc) causes the pulp to lay down for dentin inside the root. This narrows the canal pinching off the tooth’s blood supply causing the tissue to die. These teeth often need root canal treatment or removal for your comfort.
We are a mercury-free practice. However, many people still have silver/mercury fillings in their mouths from years past. These fillings are not particularly pleasing to the eye, and we know that by design, silver/mercury fillings ultimately result in weaker tooth structure. Porcelain inlays, gold inlays and (onlays) create restorations that are not only beautiful (or unnoticeable), but also add strength to weakened teeth. These restorations are aesthetically pleasing and very strong thanks to new bonding technologies. There are many advantages to tooth-colored restorations. Resin fillings are bonded to the teeth creating a tight, superior fit to the natural tooth. The tooth remains intact and stronger.
The result is a beautiful smile!
For home care and maintenance of your fillings, see our Dental Home Care Section.
Inlays and Onlays
Inlays and onlays can be made of porcelain or gold. These pieces are bonded to the damaged area of the tooth. An inlay (which is similar to a filling) is used inside the cusp tips of the tooth. An onlay is a more substantial reconstruction, similar to the inlay, but extending out over one or more of the cusps of the tooth. Traditionally, gold has been the material of choice for inlays and onlays. In recent years, however, porcelain has become increasingly popular due to its color. Gold is still the standard for strength and durability, and can usually be designed to be invisible. Dr. Ward will discuss your conditions and make recommendations as to what material will best serve your needs.
For home care and maintenance of your inlay or onlay, see our Dental Home Care Section.