We will inform you of the apparent best type of restoration for your posterior teeth, and we will discuss your situation relative to the nature of the restorations.
This information is provided to assist you in making choices about restorations for your posterior teeth (bicuspids and molars).
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Whitening takes from 30 minutes to one hour per visit. It is virtually pain free and requires no anesthetic. To protect the mouth, a gel-like substance is applied to the gums and a rubber “shield” is placed around the necks of the teeth. A chemical solution is then ‘painted’ on the teeth. A special light, focused on the teeth for 20 to 30 minutes (at five minute intervals) helps activate the solution.
Advantages of Whitening
The advantages of tooth whitening over other procedures that whiten teeth are that it doesn’t require any tooth structure be removed and it is the most economical. Even teeth that have had root canals can easily be whitened. Whitening, which has been practiced for more than 15 years, has virtually no side effects.
To get the best results, whiten your teeth a shade lighter than you desire, since they will tend to darken slightly with time. Anywhere from 2 to 10 visits may be required to complete the process.
You should avoid stain-causing beverages such as coffee and tea for several days after the procedure, because your teeth may more readily absorb stain at that time. Daily brushing and flossing and regular professional cleanings–along with occasional touchups keep your teeth white so that you can again feel confident in exercising your smile.
There are also home bleaching kits available in our office which allows you to bleach your teeth at your convenience. Please ask Dr. Tully about this option if it best suits your needs.
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Cracked Tooth Syndrome – You may have a very commonly occurring problem in one of your teeth. Teeth may crack when subjected to stress of chewing hard foods or ice, or by biting on an unexpected hard object. Teeth with or without restorations may exhibit this problem, but teeth restored with typical silver alloy restorations are most susceptible.
Symptoms And Signs:
Treatment of Cracked Teeth
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Natural teeth are meant to last a lifetime. Even if one of your teeth should become critically injured or diseased, it can often times be saved through a specialized dental procedure known as endodontic treatment (root canal therapy). To help you understand when and why such a procedure might be needed and how a damaged tooth can be saved, we have answered some of the most frequently asked questions about endodontic treatment.
What is Endodontics?
Endodontics is the area of dentistry concerned with the prevention, diagnosis and treatment of disorders of the dental pulp (the tooth’s soft core). Years ago, teeth with diseased or injured pulp were extracted. Today, endodontic treatment gives dentists a safe and effective means of saving teeth.
What is Dental Pulp?
The pulp is a soft tissue that contains the nerves, arteries, veins and lymph vessels of a tooth. It lies within the dentin, the bone-like tissue that supports the enamel. Within the dentin, the pulp extends from the pulp chamber in the crown (the portion of the tooth that is visible above the gums) down to the tip of the root by way of the root canal. All teeth have only one pulp chamber, but teeth with more than one root will have more than one canal.
What happens to the damaged pulp?
When the pulp is diseased or injured and unable to repair itself, the pulp dies. The most common cause of pulp death is a tooth fracture or a deep cavity that exposes the pulp to saliva. The bacteria found in saliva causes infection inside the tooth. Left untreated, the infection eventually causes the pulp to die. Pus can build up at the root tip, forming an abcess that can destroy the supporting bone that surrounds the tooth.
Why does the pulp need to be removed?
If the damaged or diseased pulp is not removed, the tooth and surrounding tissues become infected. Pain and swelling may accompany the infection. Even in the absence of pain, certain by-products of a diseased pulp can injure the bone that anchors your tooth in the jaw. Without endodontic treatment, your tooth will eventually have to be removed.
What does Endodontic treatment involve?
Treatment usually requires from one to three appointments. During these treatments, the diseased pulp is removed. The pulp chamber and root canal(s) of the tooth are then cleaned, shaped, filled and sealed to prevent recontamination of the root canal system. Root canal therapy usually is a relatively painless procedure. In the final step, a gold or porcelain crown is usually placed over the tooth to restore structure, function and appearance.
*This information was provided by the American Dental Association
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Periodontal disease is a bacterial infection of the gums and bone caused by dental plaque, which is the soft, sticky substance that forms on the teeth. It is estimated to affect 4 out of every 5 people. If the plaque is allowed to remain and grow on the teeth, an inflammation of the gums called Gingivitis occurs. As the disease progresses, the pockets of bacteria deepen, destroying the bone which holds the teeth in the mouth. This results in teeth loss. Periodontal disease progresses silently, often without pain or overt symptoms that would alert you to its presence. It may develop slowly or progress very rapidly. With this in mind, please be aware of the following signs and symptoms:
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Removable partial dentures can be a great help to people who have lost some of their natural teeth. Some partial dentures are attached to the adjoining teeth by metal clasps. Others are fitted into adjoining teeth with precision attachments. We will help you select the type that is best for you.
IF YOU HAVE A REMOVABLE PARTIAL DENTURE, OR ARE ABOUT TO GET ONE, YOU’VE TAKEN A NECESSARY AND IMPORTANT STEP TOWARD MAINTAINING YOUR ORAL HEALTH.
Adjusting Partial Dentures
Your partial denture was made to fit precisely, but your mouth is constantly changing. In time, your gums and the bone supporting your partial denture may shrink, causing it to become loose or rock. If your appliance becomes loose, contact our office as soon as possible. Only a dentist can determine how your mouth has changed and what should be done to refit your partial dentures.
Repairing Partial Dentures
If your partial denture breaks, cracks or chips, or if a denture tooth becomes loose, contact our office immediately. Do not try to mend it yourself. Using a do-it-yourself repair kit can damage the denture and make it impossible to repair. Over-the-counter glues often contain chemicals that can damage the plastic denture material and harm oral tissues. However, we can usually repair a broken denture, often on the same day.
It is especially important to contact us if your partial denture breaks while you are eating. This sometimes indicates that there has been a change in the fit of the dentures because the underlying tissue has changed. When we repair your denture, we will also examine your mouth and check whether your partial denture needs adjustment.
Regular Dental Visits
Even if your partial denture is undamaged and feels comfortable, you should see us at least once a year to protect your oral health. During these visits, you will receive a complete oral examination. We will check for signs of oral cancer and examine your gum ridges, tongue and the joints of your jaw. If you suffer from dry mouth (xerostomia) an artificial saliva may be prescribed. We will also look for signs of general diseases, including diabetes, that can show up in the mouth. When necessary, your natural teeth will be cleaned and your partial denture will be refitted.
Most people can wear a removable partial denture successfully-it just takes a bit of time to become adjusted. And with a little effort spent on regular oral hygiene, all remaining natural teeth can last a lifetime.
Cleaning The Dentures And Your Mouth
Your dentures can be cleaned easily with a denture brush and a mild toothpaste or mild hand soap. Use special care to clean any part of the partial that comes in contact with any natural teeth. Both the partial denture and the natural teeth must be kept very clean on a daily basis to reduce the chance of new dental decay starting. Use toothpaste containing fluoride. Denture soaks are also useful for the denture. Brush your gums twice a day with regular toothbrush to toughen and clean them. Leave the dentures out of your mouth at night. While they are out leave them soaking in water.
*This information was provided by the American Dental Association.
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Originated in Sweden in the 1960’s, this type of system has now had over 30 years of successful use. Upper or lower implants can replace single teeth or an entire arch of teeth and have shown approximately 90% success over 30 years. Lower implants have been more successful than uppers and are currently the most widely used implants.
Dental Implants Solve Problems Associated With Removable Dentures.
While conventional dentistry enables some people to wear dentures comfortably, research has shown 85% of the estimated 32 million people with dentures experience some discomfort and difficulty due to their false teeth. Dental implants eliminate the discomfort and embarrassment often associated with dentures. Where some teeth are missing, dental implants may be used to eliminate the need for a removable partial denture by providing the support necessary for attachment of a fixed bridge. Patients with implants have reported their confidence has been restored and their quality of life improved. Dental implants help prevent the premature loss of remaining teeth and are a good investment in oral health.
What are implants?
Implants, made from biocompatible materials, can become directly attached to the jaw bone. In dental terms, this is called “osseointegration”. The implant then performs a function similar to a healthy natural tooth.
What procedures are used to insert implants?
The insertion of implants is a surgical procedure performed in a single office visit. The implant is designed to be submerged under the gum tissue, allowing time for the implant to attach directly to the bone. After a healing period of three to six months, a brief second procedure is needed to expose the top of the implant. An appropriate post is then attached to the implant to support a bridge or denture.
What restorations are possible with implants?
Am I a candidate for implants?
Generally, anyone who is healthy enough to have a routine extraction can be considered for dental implants. The main limitation is the amount of available bone which can usually be determined by a clinical and radiographic examination.
What inconvenience will I experience?
Most patients report only minor discomfort similar to that associated with simple tooth extraction. When the patient wears a partial or full denture prior to the surgery, the denture can often be modified with a soft lining. This surgery provides little disruption of normal business or social activities.
How long will my implants last?
Research has indicated that implants offer long-term predictability once osseointegration has taken place. Studies have shown that implants achieve osseointegration on a highly consistent basis. The success of implants depends on a number of variables including individual patient health, oral hygiene, anatomical variations and restoration design.
Before And After Gallery
Above are examples of the many cosmetic ways that Tully Dental can improve your smile. If you would like to discuss other options on how to correct or improve your teeth please call us at 717-338-9905.
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Tooth decay often occurs in the chewing surface of back teeth. To prevent the chance of cavities forming in these areas, sealants are applied.
What is a sealant?
A sealant is a clear shaded plastic material that is applied to the chewing surfaces of the back teeth (premolars and molars), where tooth decay occurs most often. Sealants act as a barrier, protecting the decay-prone areas of the teeth from plaque and acid.
Fact: Even a single tooth brush bristle is too large to reach inside the pits and fissures of the molars.
How are sealants applied?
Each tooth takes only a few minutes to seal. First, the teeth that will be sealed are cleaned. The chewing surfaces are then etched (roughened) with a weak acidic solution to help the sealant adhere to the tooth surface. Finally the sealant is brushed on and and allowed to harden. Some sealants need a special curing light to help them harden; others do not.
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Types of X-rays:
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