Conservative dentistry

Conservative dentistry is involved with the preservation of natural teeth. It aims to preserve teeth that still have important aesthetic function. Restoration of damaged teeth typically made with a filling or an inlay.

Aesthetic Fillings

White fillings are highly aesthetic dental fillings made of tooth colored materials and are used to treat mild tooth decays and medium-seized cavities. Aesthetic fillings solidify under light and are immediately loadable.

Inlays are indirect restorations (fillings) consisting of a solid substance (as gold, advanced ceramics, porcelain, or even a type of composite resin) fitted to a cavity in a tooth and cemented into place. Onlays extend to replace a cusp. Inlays and onlays are constructed in our dental laboratory after an impression is taken of the teeth. While the restoration is custom-made for the patient, a temporary inlay or onlay is fabricated. When the permanent restorations are complete, the temporary ones are removed and the final inlays or onlays are cemented into place with a special glue.

The Advantages of Dental Inlays and Onlays:

• they blend perfectly with your adjacent teeth: both the color and the shape can match exactly
• they can be constructed so precisely that they leave no space between the prosthetic and the tooth
• allergy-free
• higly aesthetic replacement for amalgam fillings
• will not break or discolor over time
• long lasting

Sealment of pit and fissure: In some cases the pits and fissures on the surface of children’s premolars and molars are too deep and bacteria can build up causing cavities. One method of preventing this harmful process is to seal the pits and fissures off with a special varnish called a pit and fissure sealant, a liquid aesthetic filling material. The procedure is completely painless. It prevents and greatly decreases tooth decay in children.

Sealment of pit and fissure is recommended for children aged 6 or older.

Root canal treatment

Root canal treatment is a dental procedure to treat infection at the centre of a tooth. With the help of root canal treatment, we attempt to save the teeth which are damaged by decay or trauma (such as a fall) by removing the bacteria from the root canal system.

To understand endodontic treatment, it helps to know something about the anatomy of the tooth: A tooth is made up of two parts: The crown is the part of the tooth that is visible in the mouth. The root extends into the bone of the jaw, anchoring the tooth in position. The root canal system contains the dental pulp and extends from the crown of the tooth to the end of the root. Dental pulp is made up of soft tissue that includes nerves and blood vessels. A single tooth can have more than one root canal. In the situation that a tooth is considered so threatened (because of decay, cracking, etc.) that future infection is likely or inevitable, a pulpectomy, removal of the pulp tissue, is advisable to prevent such infection. To cure the infection and save the tooth, the dentist drills into the pulp chamber and removes the infected pulp and then drills the nerve out of the root canal(s) with long needle-shaped drills. After this is done, the dentist fills each of the root canals and the chamber with an inert material and seals up the opening. This procedure is known as root canal therapy. With the removal of nerves and blood supply from the tooth, it is best that the tooth be fitted with a crown. The procedure is performed using local anaesthetic, so it is totally painless.

The endodontist uses special tools to clean out all of the diseased pulp.

Using a machine driven root canal treatment instrument may provide an additional benefit in cleaning the root canals:

• the treatment is performed during a shorter interval of time
• less radiographs are necessary
• the root canal filling is more precise.

Endodontic treatment cannot be always performed in one visit. If the treatment is carried out over several visits, your dentist may put a small amount of medication in the cleaned canal in between visits to kill any remaining bacteria. The tooth will then be sealed using a temporary filling. At your next visit, the temporary filling and medication within the tooth will be removed and the root canal filling will be inserted. This, along with a well-fitting filling, will seal the tooth and prevent re-infection.

Root canal treatment is usually successful at saving the tooth and clearing the infection. Most endodontically treated teeth last as long as other natural teeth, however their loadability is not as high as of the natural ones. 

Root-filled teeth are more likely to break than healthy unrestored teeth, so your dentist may suggest placing a crown on the tooth to protect it.

Aesthetic dental solutions: composite filling (white filling), inlay, porcelain veneer

different restorations: dental post and crown, only crown or dental bridge

In some cases, a root-filled tooth may darken, particularly if it has died as a result of an injury, such as a knock to the tooth. There are several ways your dentist can treat discolouration, such as whitening the tooth using chemicals.
It is recommended to have annual check-ups and x-rays after endodontic treatment!

Occasionally, a tooth cannot be saved because the root canals are not accessible, the root is severely fractured, the tooth does not have adequate bone support, or the tooth cannot be restored. Those teeth that can cause inflammation in the body have to be removed. Nodules may cause jointand skin problems, hair loss, eyeand heart diease, or sinus infection.If root canal treatment is not done, an infected tooth may have to be extracted. This procedure is carried out by highly skilled specialists at Implantcenter, who restore and replace teeth using crowns, bridges, dentures and implants.

Composite bonding

The method consists in covering dental grooves. It is a preventive method to avoid caries. Despite good oral hygiene, risk of caries is higher at the moment of and after the appearance of the remaining teeth. Often, dental caries affect furrows and they remain invisible, this preventive method avoids caries.