What is dental contouring. How does tooth reshaping work. Who is a good candidate for enameloplasty. What are the benefits of tooth contouring. How to maintain healthy teeth after the procedure. What are the limitations of dental contouring. When should you consider alternative cosmetic dental treatments.

Understanding Dental Contouring: An Overview of Tooth Reshaping

Dental contouring, also known as enameloplasty or tooth reshaping, is a cosmetic dental procedure designed to address minor imperfections in tooth shape, size, and length. This minimally invasive technique can significantly enhance your smile by making subtle adjustments to your teeth’s appearance.

Is dental contouring right for you. The procedure is best suited for individuals with healthy teeth and sufficient enamel thickness. It’s particularly effective for correcting minor cosmetic issues such as slightly misshapen or overly long teeth, small chips along the tooth edge, and minor crowding or positioning problems.

The Dental Contouring Process: What to Expect During Your Appointment

During a tooth contouring procedure, your dentist will use specialized tools to carefully remove small amounts of enamel, reshaping your teeth to achieve the desired aesthetic result. Here’s what you can expect:

1. Examination and planning: Your dentist will assess your teeth and discuss your goals.
2. Enamel removal: Using drills or lasers, the dentist will carefully remove small amounts of enamel.
3. Shaping and contouring: The teeth are sculpted to the desired shape, size, and length.
4. Polishing: The reshaped teeth are polished for a natural-looking shine.

How long does dental contouring take. One of the major advantages of this procedure is its efficiency. In most cases, tooth contouring can be completed in a single appointment, often taking an hour or less.

Benefits of Dental Contouring: Why Consider This Cosmetic Procedure

Tooth contouring offers several advantages for those looking to improve their smile:

• Minimally invasive: Unlike some other cosmetic dental procedures, contouring doesn’t require extensive alterations to your teeth.
• Quick results: You can see immediate improvements in your smile after just one appointment.
• Painless: There are no nerves in the enamel, so the procedure is typically pain-free.
• Permanent: The results of tooth contouring are long-lasting, requiring no additional treatments.
• Cost-effective: Compared to other cosmetic dental procedures, contouring is often more affordable.

Can dental contouring improve your overall oral health. While primarily a cosmetic procedure, tooth reshaping can have some functional benefits. By smoothing out minor imperfections, it can make teeth easier to clean and potentially reduce the risk of plaque buildup in certain areas.

Ideal Candidates for Tooth Contouring: Are You Suitable for the Procedure?

Not everyone is an ideal candidate for dental contouring. To determine if you’re suitable for the procedure, consider the following factors:

• Overall dental health: Your teeth should be free from decay and gum disease.
• Enamel thickness: Sufficient enamel is crucial to ensure your teeth remain strong after the procedure.
• Extent of cosmetic issues: Tooth contouring is best for minor imperfections, not major structural or alignment problems.
• Tooth sensitivity: If you already experience significant sensitivity to hot and cold, contouring might exacerbate this issue.

Do you need more extensive cosmetic work. If you have more severe dental issues such as significant misalignment, severe discoloration, or extensive damage, your dentist might recommend alternative treatments like veneers, bonding, or orthodontics.

When to Consider Alternative Cosmetic Dental Treatments

While dental contouring is effective for minor imperfections, there are situations where other cosmetic dental procedures might be more appropriate:

• Severe misalignment: Invisalign® or traditional braces may be necessary for significant tooth alignment issues.
• Major chips or cracks: Dental bonding or veneers might be better options for more extensive damage.
• Significant discoloration: Professional teeth whitening or veneers could be more effective for addressing severe staining.
• Extensive decay: Fillings, crowns, or other restorative procedures may be required to address tooth decay.

Maintaining Healthy Teeth After Contouring: Essential Aftercare Tips

After undergoing tooth contouring, it’s crucial to maintain good oral hygiene and protect your reshaped teeth. Here are some essential aftercare tips:

• Practice gentle brushing: Use a soft-bristled toothbrush and avoid applying excessive pressure.
• Choose non-abrasive toothpaste: Consult your dentist for recommendations on suitable toothpaste options.
• Avoid sugary foods and drinks: Limit your intake of sugar to protect your enamel.
• Consider calcium supplements: With your doctor’s approval, you might benefit from additional calcium intake.
• Prevent teeth grinding: If you grind your teeth, consider using a night guard to protect your enamel.
• Attend regular check-ups: Maintain routine dental visits to monitor your oral health.

How can you reduce tooth sensitivity after contouring. Some patients may experience increased sensitivity following the procedure. Using desensitizing toothpaste and avoiding extremely hot or cold foods and beverages can help manage this temporary side effect.

Potential Risks and Limitations of Dental Contouring

While dental contouring is generally safe and effective, it’s important to be aware of potential risks and limitations:

• Increased tooth sensitivity: Removing enamel can make teeth more sensitive to temperature changes.
• Enamel weakening: Excessive contouring can potentially weaken teeth if too much enamel is removed.
• Limited scope: Contouring can only address minor cosmetic issues and isn’t suitable for major dental problems.
• Irreversibility: Once enamel is removed, it cannot be replaced naturally.

Can dental contouring affect your bite. In most cases, when performed by a skilled dentist, contouring shouldn’t significantly impact your bite. However, it’s crucial to discuss any concerns about bite changes with your dentist before the procedure.

Combining Dental Contouring with Other Cosmetic Procedures

For comprehensive smile makeovers, dental contouring can be combined with other cosmetic dental procedures to achieve optimal results. Some common combinations include:

• Contouring and teeth whitening: Reshape and brighten your smile for a dramatic transformation.
• Contouring and bonding: Address both minor shape issues and small gaps or chips.
• Contouring and veneers: Use contouring to refine the shape of teeth not covered by veneers for a cohesive look.

How can you determine the best combination of treatments for your smile. Consult with an experienced cosmetic dentist who can assess your unique dental situation and recommend a personalized treatment plan to achieve your desired results.

The Cost of Dental Contouring: Factors to Consider

The cost of dental contouring can vary depending on several factors:

• Number of teeth being treated
• Extent of reshaping required
• Dentist’s experience and location
• Additional procedures combined with contouring

Is dental contouring covered by insurance. As it’s primarily a cosmetic procedure, most dental insurance plans do not cover tooth contouring. However, if the procedure is deemed necessary for oral health reasons, partial coverage may be possible. It’s best to check with your insurance provider for specific details.

Financing Options for Dental Contouring

If you’re concerned about the cost of dental contouring, consider exploring these financing options:

• Dental payment plans: Many dentists offer in-house financing or payment plans.
• Healthcare credit cards: Specialized credit cards for medical and dental procedures often offer promotional interest rates.
• Personal loans: A personal loan can help cover the cost of your dental work.
• Flexible Spending Accounts (FSA) or Health Savings Accounts (HSA): If you have these accounts, you may be able to use them for dental contouring.

Choosing the Right Dentist for Your Dental Contouring Procedure

Selecting a skilled and experienced dentist is crucial for achieving the best results from your dental contouring procedure. Here are some factors to consider when choosing a dentist:

• Qualifications and experience in cosmetic dentistry
• Before and after photos of previous contouring patients
• Patient reviews and testimonials
• Use of modern technology and techniques
• Comfort level and communication style

What questions should you ask during your consultation. Prepare a list of questions to ask your potential dentist, such as:

• How many contouring procedures have you performed?
• What results can I realistically expect?
• Are there any risks specific to my case?
• How long will the results last?
• What alternatives might be suitable for my situation?

The Importance of a Comprehensive Dental Examination

Before proceeding with dental contouring, your dentist should conduct a thorough examination of your oral health. This typically includes:

• Visual inspection of teeth and gums
• Dental X-rays to assess enamel thickness and tooth structure
• Evaluation of your bite and jaw alignment
• Discussion of your cosmetic goals and expectations

Why is this examination crucial. A comprehensive assessment helps ensure that dental contouring is the most appropriate treatment for your needs and that the procedure can be performed safely without compromising your oral health.

Long-Term Results and Maintenance of Dental Contouring

Dental contouring provides permanent results, as the removed enamel does not grow back. However, maintaining good oral hygiene and regular dental check-ups are essential for preserving the results of your procedure. Here are some long-term considerations:

• Continued oral care: Brush twice daily, floss regularly, and use mouthwash to maintain oral health.
• Regular dental visits: Schedule bi-annual check-ups and cleanings with your dentist.
• Avoid harmful habits: Refrain from using your teeth as tools or chewing on hard objects.
• Protect your teeth: Consider wearing a mouthguard during sports or if you grind your teeth at night.
• Address changes promptly: If you notice any changes in your reshaped teeth, consult your dentist immediately.

Can the results of dental contouring change over time. While the reshaping itself is permanent, natural wear and tear on your teeth can potentially affect the appearance of your smile over many years. Maintaining good oral hygiene and regular dental check-ups can help preserve your results for as long as possible.

Combining Dental Contouring with a Comprehensive Smile Makeover Plan

For those seeking more extensive smile improvements, dental contouring can be part of a broader smile makeover plan. This might include:

• Initial contouring to refine tooth shapes
• Teeth whitening to brighten your smile
• Orthodontic treatment for alignment issues
• Veneers or bonding for more significant cosmetic changes
• Regular maintenance and touch-ups as needed

How can you develop a personalized smile makeover plan. Work closely with your cosmetic dentist to create a tailored treatment plan that addresses all aspects of your smile and achieves your desired outcome over time.

Technological Advancements in Dental Contouring

The field of cosmetic dentistry is continuously evolving, with new technologies enhancing the precision and outcomes of procedures like dental contouring. Some recent advancements include:

• 3D imaging and planning software for more accurate treatment planning
• Advanced laser systems for more precise enamel removal
• Digital smile design tools to preview potential results
• Improved polishing techniques for a more natural finish

How do these technological advancements benefit patients. These innovations can lead to more predictable results, shorter treatment times, and improved overall patient experience during dental contouring procedures.

The Future of Dental Contouring

As dental technology continues to advance, we can expect to see further improvements in dental contouring techniques. Potential future developments may include:

• Even more precise micro-abrasion techniques
• Biocompatible enamel replacement materials
• Advanced AI-assisted treatment planning
• Improved methods for managing post-procedure sensitivity

These ongoing advancements underscore the importance of choosing a dentist who stays current with the latest techniques and technologies in cosmetic dentistry.

Patient Experiences and Testimonials: Real-Life Dental Contouring Stories

Understanding the experiences of others who have undergone dental contouring can provide valuable insights for those considering the procedure. Here are some common themes from patient testimonials:

• Improved confidence in their smile
• Surprise at the significant difference made by subtle changes
• Appreciation for the quick and painless nature of the procedure
• Satisfaction with the natural-looking results
• Increased motivation to maintain good oral hygiene

What can prospective patients learn from these experiences. Real-life stories can help set realistic expectations and provide reassurance about the procedure. However, it’s important to remember that each person’s experience and results may vary.

Addressing Common Concerns and Misconceptions

Despite its many benefits, some individuals may have concerns or misconceptions about dental contouring. Let’s address some common ones:

• Myth: Contouring always leads to increased sensitivity.
• Fact: While some patients may experience temporary sensitivity, many do not notice any change.
• Myth: The procedure is painful.
• Fact: Most patients report little to no discomfort during or after the procedure.
• Myth: Contouring can fix all cosmetic dental issues.
• Fact: Contouring is best for minor imperfections and may need to be combined with other treatments for more significant issues.
• Myth: The results look unnatural.
• Fact: When performed by a skilled dentist, contouring results in subtle, natural-looking improvements.

By addressing these concerns and providing accurate information, dentists can help patients make informed decisions about whether dental contouring is right for them.

5 Things To Know About Tooth Contouring

By Shauna Duty on January 15th, 2019 in Cosmetic Dentistry

The shape and size of your teeth may not be uniform or proportional, which can make you reluctant to smile. However, there is a procedure called enameloplasty or tooth contouring (or tooth reshaping)
that can help. It is designed to fix minor imperfections and misshapen teeth. At Celebrity Dental in Franklin Square, NY, Dr. Steven Novick specializes in advanced cosmetic dental procedures that can help you achieve a beautiful smile, such as teeth contouring. Contact the office at (516) 481-1446 to set up an appointment.

What does the procedure entail and how can it help? Here are 5 things to know about tooth contouring.

1. How Tooth Contouring Works

During tooth contouring, the dentist will use drills and lasers to remove some of your enamel until your teeth are the desired size, shape and length. After the contouring is complete, your teeth will be polished for a natural-looking shine.

2. Benefits of Tooth Contouring

Tooth contouring is a less invasive cosmetic dental procedure that still produces “beautiful” results. It is also one of the fastest ways to reshape your teeth.

The benefits of tooth contouring include:

• Only requires one appointment
• Your teeth can be reshaped in an hour or less
• There are no nerves in the enamel so you should not experience any pain
• It is permanent and you should not need any other procedures

3. Ways Tooth Contouring Can Help

Tooth contouring is only designed to fix minor cosmetic issues with your teeth, including slightly misshapen or overly long teeth. Your enamel is only 2.28mm thick and some needs to be left in order to ensure your teeth remain healthy and stable for a long time, and to protect your overall dental health.

Tooth contouring is good for addressing:

• Minor chips along the edge of the teeth
• Minor crowding or positioning problems

4. Keeping Healthy Teeth After Contouring

The main concern with tooth recontouring is that it will leave your teeth slightly thinner, which can make you more sensitive to hot and cold sensations. You also need to protect your teeth against abrasive substances and remember to brush gently so you don’t damage the remaining enamel.

Tips for keeping healthy teeth after contouring:

• Avoid sugar-filled drinks or foods.
• Consider adding extra calcium to your diet or take a supplement. (Consult your doctor first, of course!)
• Brush your teeth gently.
• Use non-abrasive toothpaste. (Ask your dentist for a recommendation.)
• Avoid grinding your teeth or clenching your jaw.
• Maintain good dental hygiene and get regular dental checkups.

5. Who is a Good Candidate for Tooth Contouring?

First, your teeth must be healthy overall. Your enamel needs to be thick enough to remain strong even after some of it is removed. If your teeth are too thin, the procedure could get too close to the interior pulp and the nerves, causing permanent damage. Plus, if you already have sensitivity to cold and hot temperatures, contouring could make the problem worse.

If you have more serious issues such as cracked, damaged, decayed, discolored or misaligned teeth, you may need more comprehensive cosmetic procedures such as Invisalign®, veneers, dental bonding or teeth whitening.

Let Celebrity Dental Give You a Perfect Smile

If you want to correct minor imperfections with tooth contouring, Dr. Steven Novick and Celebrity Dental in Franklin Square, NYcan help you obtain a smile that will make you shine. Contact us today or call (516) 481-1446 to schedule an appointment.

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Dedicated Dental Blog | What is Dental Contouring?

Having a chipped, discolored, pitted, or decayed tooth can ruin your otherwise brilliant smile. But not to worry – there is an effective and affordable solution known as dental bonding.

Bonding is a process where a tooth-colored resin is applied to the tooth to conceal imperfections such as small gaps, minor chips, pitting, or yellowing. Not only is dental bonding used for cosmetic purposes, but it can also fill cavities and protect the root of a tooth exposed by receding gums.

Best of all, the process is relatively simple: It only takes about 30-60 minutes, it can be performed in a regular dental office, and it doesn’t require anesthesia unless it involves repairing a decayed tooth.

How Does Dental Bonding Work?

Your dentist will refer to a tooth-shade guide to create a composite resin that matches the color of your tooth. Then the surface of the tooth is coarsened, and a conditioning liquid is applied. This is done to ensure that the bonding material will adhere to the tooth.

Next, the resin is applied, molded, and rounded to the preferred shape. The dentist then uses an ultraviolet light or laser to help harden the resin, and the dentist trims and shapes the bonding so it looks natural.

Finally, the dental bonding is polished so that it matches the rest of the tooth surface.

Are Porcelain Veneers Better?

You may be wondering how dental bonding differs from porcelain veneers, which is designed to achieve a similar restorative result. Whereas a veneer is a custom-made, laboratory-created layer of thin material that is placed over the surface of a tooth to protect its damaged surface or improve its appearance, dental bonding is a simpler, quicker, and less expensive alternative.

Although a veneer can last longer than a dental bond (10-25 years for a veneer, compared to 5-10 years for bonding), the process of dental bonding is much less invasive. Another benefit of dental bonding compared to veneers and crowns is that it requires little if any removal of tooth enamel before placement.

The only potential drawback to dental bonding is that the material used is not as strong as your real teeth (nor as strong as porcelain veneers), so biting down on hard objects or chewing sticky foods could hasten the need for replacement after a few years.

Consult with your dentist to determine whether your teeth are suitable for dental bonding, or if you need a more invasive procedure.

How to Maintain Dental Bonding

If you do undergo dental bonding, you’ll need to maintain the same good oral hygiene as with your natural teeth. That means brushing at least twice per day and flossing daily. Routine dental checkups are also advised. That way, your dentist can keep tabs on the condition of your dental bonds.

Also, you should avoid hard food and using your teeth as tools – such as hard candies, chewing ice, biting your fingernails, and chewing on pens – to prevent chipping. If you do inadvertently chip a bonded tooth, visit your dentist promptly to correct the problem.

Cosmetic Dentistry in Las Vegas

Dedicated Dental in Henderson, Nevada, specializes in all aspects of family dentistry – including diagnosing and treating dental conditions, and fixing flaws in your teeth.

To find out if dental bonding is right for you, contact us today to schedule an appointment by calling (702) 566-5509, or fill out our appointment request form. Together, we’ll provide you with a lifetime of optimal oral health – and a dazzling smile.

Cost of Tooth Contouring – 2021 Healthcare Costs

What is Teeth Reshaping? – Westermeier Martin Dental Care

Teeth reshaping is one of the most convenient, cost-effective options for fixing chipped, uneven or poorly aligned teeth to create a more attractive smile. Dentists often combine shaping or contouring teeth with a treatment called bonding, which involves applying resin to improve the overall appearance of the teeth. The front teeth are the best candidates for reshaping and bonding. We take a look into what teeth reshaping is and how it is done.

What is tooth reshaping?

Tooth reshaping, also called dental contouring, is a cosmetic dentistry technique that removes small amounts of tooth enamel (the outer covering of the tooth) in order to change the shape, length, or surface of one or more teeth. The procedure is usually done to correct crooked teeth, chipped teeth, cracked teeth or even overlapping teeth. This procedure is even a substitute for braces under certain circumstances. This is also a procedure of subtle changes. A few millimeters of reduction and a few millimeters of tooth-colored laminate can create a beautiful smile when performed by a cosmetic dentist, with no discomfort to you.

Who is a candidate for tooth contouring and reshaping?

If you want your teeth to be free of chips and fractures, appear less crowded, and have decreased overlaps or to be without pits or grooves in the enamel, this procedure should be discussed with your cosmetic dentist. With a little dental contouring, you can make a huge difference in the way you feel about your smile. Tooth contouring by a cosmetic dentist does require that you have normal, healthy teeth. Teeth may become weaker if large amounts of enamel are removed, which is why tooth reshaping should be limited to minor changes or combined with veneers or bonding for the best smile.

How is teeth contouring done?

To reshape or contour teeth, a dentist gently removes tooth enamel with a laser or drill. Before starting the treatment, the dentist X-rays the teeth to evaluate the size and location of the pulp of each tooth to ensure that there’s enough bone between the teeth to support them. Next, they trim misshapen areas, shortening excessively long teeth or altering badly shaped teeth to even them out for proper bite and alignment. The teeth are then smoothed and polished. Reshaping may require just one 30-minute appointment with the dentist, depending on the extent of the work you need.

What is bonding and why is done with teeth reshaping?

Combining bonding with reshaping can fill in chips and gaps between teeth, add shape and improve tooth color. Bonding involves applying a puttylike resin, which adheres to the teeth and hardens. The resin is colored to provide the best result, either to match or improve the natural tooth color. Before applying the resin, the dentist etches the tooth surface with a Dremel-like tool so that the resin adheres well. This can cause some sensitivity, so the dentist may numb the tooth area. He or she may also paint the teeth with a conditioning liquid, which also helps the resin stick to the teeth. After applying the resin and shaping it, a light is shined against it for hardening. Bonding takes 30 minutes to an hour, and if more than one tooth is being treated, the patient may need several appointments.

How do I care for my teeth after?

Reshaped and bonded teeth require aftercare to maintain their attractive appearance. Of all dental restorations, bonded teeth are the most at risk of chipping and staining. Patients should avoid chewing their fingernails, biting on pens, eating hard foods and opening things with their teeth to reduce the risks of chipping. Make sure to brush with a toothpaste twice a day to help keep teeth white and stain-free well after treatment. Smoke, coffee, tea and red wine are some substances that can stain the resin, so these should be avoided as well. Teeth reshaping can provide a major confidence boost by correcting noticeably uneven teeth. Compared to braces and other orthodontic work, tooth contouring and bonding are among the least time-consuming and cheapest cosmetic dentistry options. A dentist can give you a breakdown of the treatment options and costs based on your needs.

Do you have any questions teeth reshaping? Call Westermeier Martin Dental care to schedule an appointment with your dentist 716-508-4547.

Let Your Dentist Contour Your Teeth Into Shape

Posted December 8, 2015by 7 Day Dental Center

Dental bonding is an easy, fast, and affordable way to mask minor tooth imperfections such as craze lines, discoloring, cracks, chips, and more. Another quick, easy, and affordable procedure is dental contouring. Dental contouring alters the shape and/or size of your teeth. Bonding and contouring are often combined to create just the right smile. If you have minor imperfections that you are ready to take care of before the holidays, you may be interested in trying bonding and contouring. Have your dentist contour your teeth into shape.

Opposite of Bonding

While dental bonding involves adding composite resin to your teeth to cover stains, fill in gaps, spaces, chipped areas, and conceal cracks, fractures, or craze lines, contouring involves removing the slightest bit of tooth enamel to reshape your teeth. This is done easily and painlessly using a buffing tool. This type of treatment can be used for the following:

• Adjusting the length of teeth
• Correcting overlapping teeth
• Smoothing out chipped teeth
• Rounding pointed “vampire” teeth
• Correcting bite problems
• Smoothing pits and fissures

Are You A Candidate For Contouring?

While in most cases contouring can help improve your smile, there are some reasons that may prevent you from undergoing dental contouring. They include:

• Decayed teeth
• Unhealthy gums
• Not enough tooth between the enamel and inner tooth pulp

The Good News

The good news when it comes to dental bonding and contouring is that both are painless and do not require anesthesia. They are fast–contouring only takes 30 to 60 minutes depending on how many teeth are treated–and affordable. Reshaping a tooth generally runs about $50 to $300 depending on the extent of the procedure.

filed under: Patient Education, Restorative Dentistry

Tooth Contour – Dentist Inglewood

Ultimately, not every concern with a smile involves oral health. A tooth can be healthy, but still stained, chipped, or even broken. Tooth contouring allows us to restore and repair teeth easily. A New Image Dental dentist can use this cosmetic dental procedure to improve his patient’s smile with little to no anesthesia at all. Patients feel minimal to no pain at all during this procedure.

This quick-fix can be done in just one visit to a dental office. Dental bonding and contouring can treat many issues that cause smile concerns for patients including chips, cracks, breaks, stains, or misshapen teeth.

How it works

When you have minor flaws in your smile that you want to conceal, tooth contouring is the answer. Composite resin (the same material used for tooth-colored fillings) is applied to the tooth or teeth being treated. A special UV light is used to harden the material so that it lasts.

Layers of this resin are applied until the patient is satisfied with the results. This resin can help to mask gaps in the teeth as well as stains. It also can reshape a tooth or even lengthen it. Tooth contouring is great for patients with minor cosmetic issues and who don’t need any alignment changes that Invisalign or veneers would be better suited for.

How to care for contoured teeth

Once this resin is applied, avoid food or beverages that can stain the teeth including coffee, tea, or red wine for at least 48 hours after treatment. The bonding material can chip or stain, so avoid chewing on any hard objects. An efficient at-home oral hygiene routine allows your teeth to keep looking and feeling their best.

Regular dental exams and routine dental cleanings are important to maintain your oral health. During a regular exam, our cosmetic dentist can determine whether tooth contouring would benefit your oral health situation.

FAQs

1. How long do my results last? You can expect your contouring results to last from three to 10 years. This will depend on your oral hygiene routine as your contoured or bonded teeth should be cared for with daily brushing and flossing.
2. Does contouring take more than one visit? Tooth contouring can be done in just one visit.
3. Is contouring good for your teeth? Contouring does not damage your teeth as it reshapes your teeth and removes any grooves or pits on the surface of the teeth.
4. Will insurance cover my contouring? If it is deemed medically necessary and can improve your oral health, then your insurance provider may cover tooth contouring.

Ultimately, tooth contouring is a great way to enhance your smile. There are no nerves in the enamel of your tooth so this procedure is pain-free.

Dental Contouring in Madison | Aesthetic Dentistry Dane County | Cosmetic Teeth Contouring by Dentists

Wisconsin Cosmetic Dentist for Aesthetic Teeth Contouring

Our Madison cosmetic dental clinic provides full aesthetic contouring services, also known as tooth reshaping (enameloplasty). Along with our cosmetic services ranging from teeth whitening to porcelain veneers, tooth reshaping is just one of many ways to improve the appearance of your smile. We utilize years of experience providing aesthetic tooth contouring for those who want to straighten crooked teeth without using braces. Never feel ashamed to smile again when you receive a dental reshaping service from our Madison cosmetic dentists.

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How Does Dental Contouring Work?

Aesthetic contouring involves redefining both the teeth and gums to more pleasing shapes and levels. Our excellent teeth reshaping occurs by removing millimeters of surface enamel on your teeth. These subtle changes result in teeth shaped the way you want.

Tooth contouring is painlessly performed with an ultra-fine diamond-impregnated bur and disc polishing instrument, while a diode soft tissue laser is used to perform gum contouring. We may use dental X-rays to determine exactly how much enamel is present and highlight the areas to makeover.

Straighten Uneven Teeth and Gum Lines

Aesthetic tooth and gum contouring is a quick, simple, and conservative way to enhance your smile in one dental appointment! The procedure can be performed on a single tooth or numerous teeth and is great for people who have slightly uneven edges, are unhappy with the shape of their teeth, or have asymmetrical gum levels. Overbites and arched, crowded or crooked teeth are all perfect candidates for Invisalign. You may dislike your smile now, but we will completely transform it and have you beaming from ear to ear.

Many people feel nervous before dental procedures, but our Madison cosmetic dentists make the process fast, pain-free, and rewarding. We will walk you through the steps both before and during the procedure so you always know what is happening. Aesthetic contouring is a simple procedure that can be performed in a single appointment, either independently or as part of a complete smile makeover after Invisalign treatment.

Painless Aesthetic Contouring in Just One Dental Appointment

No anesthetic is needed for tooth contouring and laser gum contouring typically requires only a strong topical anesthetic. The end result is instantly even teeth, balanced gum lines, and a more attractive smile. Our professional Madison cosmetic dentists recommend opting for teeth whitening or porcelain veneers if you’re looking for a more drastic change. Don’t stress about your teeth any longer, choose our cosmetic dental specialists to fix that tooth (or teeth) you’ve been meaning to restore.

If you think aesthetic contouring might be for you, schedule a complimentary cosmetic dentistry consultation at our Madison dental office. This low-cost procedure is easily affordable and may even be covered by dental insurance in some situations. We even offer dental financing plans to help our patients get the treatment they want.

What Are the Risks of Enameloplasty?

Compared to other dental procedures, contouring is very subtle in terms of results. Enamel doesn’t grow back, so removing it means it is gone for good. Removing too much could weaken the tooth or cause sensitivity over time.

Before receiving contouring, our dentists will examine your mouth and use X-rays to be sure your teeth and gums are healthy enough for this procedure. You might need some restorative work done before contouring can begin.

Post-Contouring Care

After teeth filing, you won’t have as much enamel on your teeth. You’ll need to be extra diligent about preventative dental care to keep your teeth healthy. You might need to switch to a softer toothbrush when brushing to reduce damage to your enamel.

Common Questions About Dental Contouring

Q: How much does teeth contouring cost?

A: Teeth contouring, also known as teeth reshaping will range between $50 and $300 per tooth. This is before insurance as it is uncertain if it will be covered. Visit our payment options tab to see how to get your beautiful smile.

Q: Are there any side effects to teeth contouring?

A: Generally, this type of procedure isn’t considered to be very risky as it is generally considered to be a conservative procedure. This could be risky if preformed on an already fragile or damaged tooth as this takes a bit more materials.

Q: How do I know if I need tooth contouring?

A: If you are looking for minor adjustments to your smile, teeth contouring is for you. If you have a tooth that is slightly crooked or too pointy, teeth reshaping is a fast and easy way to change your smile.

Affordable Dental Contouring in Madison

If you have a crooked tooth that has been bugging you for years, our cosmetic dentists provide exceptional tooth straightening treatment. Our experienced Madison cosmetic dentists are your number one source for a beautiful mouth and smile. Whether you want a minor teeth whitening procedure or teeth reshaping, we are here for you. Schedule an appointment for a free consultation to learn more about how dental contouring can transform your smile into the one you’ve always wanted.

Contact our Madison dental clinic for a dental contouring appointment at 608-274-1911 or request a dental appointment online! online!

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Tooth crown elongation

Most patients in dental clinics want not only a healthy, but also an attractive smile.Unfortunately, not everyone can boast of this.

Back in 1984, some components were identified that are necessarily inherent in a “beautiful smile”:

• A smile should expose almost 100% of the coronal part of the tooth and gingival papillae, while the gum itself should not be visible (otherwise, when the gums are exposed, we speak of a “gummy smile”).
• The gingival contour should be symmetrical, smooth, the edges of the gums at the central incisors and canines should be at the same level, and at the second incisors – 1-2 mm lower.
• The length of the crown of the tooth should not be less than 11 mm, and the width should correspond to the “golden ratio”.
• The gum contour should be in harmony with the smile line.

If the patient’s smile does not fit into these standards, then it can be significantly improved by resorting to changing the edge of the gingival contour and increasing the length of the dental crown.

What is the lengthening of the clinical crown of the tooth.

Crown lengthening of the tooth is a tooth-preserving dental intervention, as a result of which the required amount of subgingival tooth tissues are exposed and a new gingival contour is formed.

A cardinal alternative to this manipulation is the removal of the problem tooth and the installation of an implant of the required length in its place with the formation of the most aesthetic gum contour. But do not forget that none of the most beautiful artificial teeth can compare in functionality with your real teeth, therefore, it is worth resorting to such a radical method in exceptional cases.

When is the lengthening of the clinical crown of the tooth necessary?

The lengthening of the clinical crown of the tooth can be prescribed to the patient for the reasons:

1. Aesthetic

• “Gum” smile.
• Violation of the contour of the gums of one or more teeth.
• Too short natural crowns of teeth – after eruption the gum did not rise and remained “lowered” on the tooth.
• Undercutting of one or more teeth in the dentition.
• To improve dental hygiene.

• The need to restore the length of the teeth, which was lost as a result of pathological abrasion (this can lead to bruxism, increased tone of the chewing muscles).
• The presence of caries in the subgingival part of the tooth, i.e. below the gum contour.
• The need to carry out and maintain a high-quality restoration of the tooth by any of the methods, because in order to maintain the health of the periodontium, such a restoration should not go below the level of the gums.
• For high-quality prosthetics, with complete destruction of the crown of the tooth, for a reliable “complete” capture of the hard tissues of the tooth and to prevent further possible problems with the crown.

Methods of lengthening the clinical crown of a tooth in modern dentistry

In modern dentistry, there are 4 methods of lengthening the clinical crown of a tooth:

1. Orthodontic – involves “pulling” a tooth from the bone using a bracket system, which can be installed on several teeth or on the entire jaw.This method is used in the presence of free space between the teeth – antagonists, mainly to lengthen the crown of one “undercut” tooth, the length of which differs from the rest. The disadvantage of this method is the need to wear braces, a long treatment time – 2-3 years, the presence of a retention period.
2. Surgical – is an operation to remove part of the gum and / or bone and reshape the gingival contour. The main types of surgery are gingivectomy or gingivoplasty, as well as bone resection.

This technique is used to “raise” the level of the gums when correcting the gingival smile, and before the treatment of caries and restorations that must be performed below the natural level of the gums.

3. Orthopedic – involves augmenting the crown of the tooth with the help of orthopedic structures – veneers / lumineers or dental crowns, due to the installation of which, the bite is raised, i.e. the tooth is lengthened from the side of the incisal edge, without involving the gingival area. This method of lengthening dental crowns is used in the presence of a worn incisal edge and in the restoration of significant defects in decayed and chipped teeth.Also, the doctor will choose this technique if the patient has short teeth, but at the same time an ideal gingival contour.
4. The therapeutic method is a composite incisal augmentation. Effective for minor chipping and chipping on single teeth.

What does the patient need to know about lengthening the clinical crown of a tooth?

In order for the procedure of lengthening the crown of the tooth to be successful, it must be carefully and comprehensively planned – this applies to all methods of its implementation.Several specialists will take part in the planning of such treatment, depending on the chosen procedure for the intervention – a periodontist, a dentist-surgeon and / or an orthodontist, a dentist-therapist and / or a dentist-orthopedist.

When planning to determine the scope and type of intervention, take into account:

• Present and future state of periodontal tissue health.
• The proportions of the tooth itself, aesthetics of the patient’s smile.
• The structure of the roots of the tooth and the ratio of the length of the root and crown.It is IMPORTANT that its root part is no less visible.
• Condition of the jaw bone.
• Biological width is the distance from the bottom of the gingival sulcus to the crest of the tooth-bearing bone, and in order for the tooth to be subsequently stable, its value must be at least 3 mm.

Therefore, the lengthening of the clinical crown of the tooth requires a very careful diagnosis, because the procedure should not disturb the stability of the teeth on which it will be carried out.

The diagnosis before lengthening the crown of the tooth includes:

One of the obligatory studies in the diagnosis will be a 3D CT scan – a computed tomogram to determine the length, location of the tooth root and the state of the jaw bone tissue.

What awaits the patient undergoing clinical crown lengthening

Read about the orthodontic, orthopedic and therapeutic method of lengthening the crowns of teeth in the relevant sections – on orthodontics (installation of braces), prosthetics with crowns and veneers and restoration.In this article, we will focus on the surgical lengthening of the crown of one, and more often several anterior teeth.

Basically, in this case, they resort to gingivoplasty – a surgical operation during which a part of the gum is removed along the gingival contour, often this intervention also requires the removal of a part of the bone.

This manipulation is performed by a dentist-surgeon in a surgical room, on an outpatient basis, under local anesthesia and, sometimes, sedation.

Such an operation is prescribed after a thorough diagnosis, in most cases – as a stage of complex treatment and the formation of an aesthetic smile.

1. Before any surgical intervention, professional oral hygiene and sanitation are performed to reduce infection in the oral cavity and speed up healing.
2. The patient is being anesthetized.
3. After that, if resection (removal) of a part of the bone is required, the muco-periosteal flap is exfoliated and an osteotomy is performed. A new gingival contour is formed, which is located above the previous one.
4. The wound is closed and a gum bandage is applied.
5. In the postoperative period, for a speedy recovery, the patient is prescribed antiseptic rinses and pain relievers, a course of antibiotics can be prescribed. It is necessary to limit physical and chewing activity.
6. Stitches are removed after about 7-10 days.
7. Immediately after the wound has healed, a temporary restoration or prosthetics is performed, and after a few months, the temporary restorations are replaced with permanent ones.
8. Complete restoration of the new natural gingival margin occurs in 1-3 years.

Contraindications to lengthening the clinical crown of the tooth

In some cases, after weighing all the pros and cons, the dentist may refuse the patient to lengthen the crowns of the teeth.

The reason for this may be the following reasons:

• After the lengthening of the tooth crown, the appearance and health of the adjacent teeth will deteriorate.
• Regardless of the elongation, the restoration of this tooth is still not possible.
• Insufficient biological width.
• A tooth with a short crown has a short root.
• In orthodontic lengthening, there is no room between the tooth to be lengthened and the antagonist tooth.
• The ratio of the effort required to lengthen the crown of a tooth and its value is not in favor of preserving the tooth.
• The patient is unable to maintain the required level of periodontal health.

Examples of clinical crown lengthening in our patients

Restoration of teeth in Petrozavodsk, extension, restoration of teeth

Restoration of tooth is a repetition of the normal structure of a natural tooth by imitating dental tissue with various artificial materials.You may only need to perform cosmetic contouring – a gentle procedure that, thanks to minor changes in the contours of the teeth, will improve your smile. Also possible are reconstruction of tooth (changing the shape of the tooth) and transformation of tooth (used when it is necessary to use restoration methods to transform a canine into a lateral incisor or a premolar into a canine).

It is important to know that the technique of artistic restoration of teeth is used as an alternative or addition to orthodontic treatment (treatment using various devices, such as braces, etc.).in cases where the shape of the dentition or the position of the teeth relative to each other changes. When choosing a method of dental treatment, you need the help of a professional – your doctor, who will help you deal with a specific situation, taking into account your wishes and financial capabilities.

It is important that in a large number of cases, thanks to the restoration of teeth, there is no need to replace damaged teeth with crowns. This means that the tissues of the teeth are affected less, since the work usually takes place at the enamel level.In addition, the restoration of teeth, even several, can be carried out in one visit to the dentist. And in terms of service life, restoration materials are practically not inferior to ceramic prostheses at a significantly lower cost.

After completing any restoration, the patient is advised to thoroughly care for the oral cavity with the observance of all hygienic rules. Follow-up (control) visits to the doctor are also necessary, since the features of the materials require periodic polishing to maintain the aesthetic effect.

So, applying dental restoration, the doctor can change:

• The shape of the tooth and dentition (change in shape can include lengthening or shortening of the tooth, narrowing or widening of the tooth, changing its thickness, etc.)
• The position of the tooth in the dentition (push teeth too inclined backward or, on the contrary, put a tooth too protruding from the dentition in line with the rest of the teeth).
• Tooth shade. You can make a tooth indistinguishable in color from neighboring teeth or change the color of several teeth.
• Close the gaps between the teeth.

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Implantation, implant, implant, on Argunovskaya | DENTAL “NUANCE”

Implantation is a branch of modern dentistry that deals with the restoration of a missing tooth by installing an artificial base or “root” of the tooth. Implants are available in titanium or zirconium. They function as a support on which crowns or dentures are attached.
Constructions with implant (titanium or zirconium) consist of two parts: the implant itself and the “abutment”, the element that connects the dental implant with the selected prosthetic design.

It is impossible to start installing a prosthesis or other design on implant until the gum is completely healed.In this case, a special role is given to the gingival shaper, which is responsible for maintaining the natural gingival contour. The service life of implant is at least 15 years.

How does the implant placement process take place?

Installation of an implant actually provides the replacement of an old tooth with a new one, which should be guaranteed to serve you for more than a decade and a half. To carry out such an operation, a professional approach to treatment is required, which includes several stages.

1. Planning the implantation surgery

We examine the condition of the patient’s teeth and the jaw bone tissue, study its anatomy, analyze general health indicators in order to predict the results of the operation as accurately as possible and avoid complications. If necessary, we treat gums and eliminate defects in the dentition. For example, additional procedures cannot be dispensed with if, in the absence of a tooth, the bone has become significantly thinner due to the uneven load on the jaw.For the safe installation of implant , the bone tissue defect is first compensated for and operations on its augmentation are performed, and only then implantation is started. One-stage implantation with extension is also possible.

2. Operation to install a dental implant

Our specialists with many years of experience in implantology carry out painless operations, minimizing tissue trauma during surgery.You will hardly feel anything. Meanwhile, the operation itself takes place in several stages: preparing the “bed” for the implant, “screwing” it into the hole using a special device, installing a plug, which guarantees that the healing process will take place correctly and will not cause inconvenience to the patient. The implant usually takes root in the oral cavity within 3-6 months (depending on the structure of the bone tissue and the complexity of the manipulation). This time is enough to prove to the body that implant is not worse than a lost tooth.As soon as the gum is completely healed, the implant is integrated and engrafted, the third stage begins.

3. Installing the former

Instead of a plug, a gingiva former is first placed, and then, two to three weeks later, it is replaced with an abutment – a transitional element from an artificial root-implant to a prosthesis or other similar design. The abutment is the connecting link of the implant, which should not protrude from under the gum and the crown of the tooth located above it.

After placing the abutment, special care should be taken to ensure oral hygiene. Cleaning with a soft toothbrush is possible already a few days after this micro-operation. Patients are advised to be attentive to the reactions of their body, to monitor the healing process. If swelling, persistent pain, or other bothersome symptoms persist, always consult your doctor.

4. Final stage – orthopedic

It consists in the installation of the crown part of the tooth, removable or fixed prosthesis and its attachment to the implant .Our experts will select and install a convenient and aesthetic design using the most modern equipment. The load on the bone tissue will be evenly distributed, and the prosthesis will be selected taking into account the individual anatomical features of the oral cavity.

Caution will not hurt

If you decide that you need implant , be sure to consult your doctor first. Installation of implant is a surgical procedure that is carried out taking into account the requirements for the patient’s state of health.Such treatment is not suitable for those who suffer from heart disease, blood diseases, cancer, serious nervous disorders and other diseases. It is desirable that direct or indirect contraindications are determined by the implantologist – it is better to entrust the decision to carry out the operation to a specialist.

We will help you!

At the initial free consultation, we draw up an individual treatment plan, each point of which is discussed with the patient. You will always receive detailed answers to your questions.We care about your health and strive to find a treatment option that will relieve you of discomfort, fear of the dentist’s office and help you solve aesthetic and physiological problems with your teeth, whether it be an ugly smile or discomfort while eating. For a successful outcome of the operation, it is necessary to ensure the correct integration of the implant so that it takes root, and the type of construction with the biomechanics that suits you – the prosthesis or other construction must be comfortable and completely replace the lost tooth in its properties.

Removable flexible dentures

What are removable dentures?

A removable denture is a design that replaces lost or missing teeth so that the patient can eat right, chew food, and smile with confidence. Removable is a prosthesis that you can remove yourself, without the help of a doctor, and put it on again. Removable dentures are usually removed for maintenance.

What is a complete removable denture?

A complete removable denture is a design that replaces all natural teeth in the upper or lower jaw.In other words, it is installed in case of complete absence of teeth, edentulousness.

What is a Removable Partial Denture?

A partial removable denture fills in certain gaps in the place of missing or missing teeth, provided that the rest of the teeth in the jaw are preserved. Such a prosthesis is attached to natural teeth with metal clasps or special locks called attachments.

Why are removable dentures installed?

Replacing removed, missing or not grown teeth has a positive effect on the human body.The design not only replaces lost teeth, but also supports the patient’s cheeks and lips. Without such support, a person’s appearance would be different. Sagging facial muscles can make a person look older. Lost teeth often have a negative effect on a person’s diction and make it difficult to eat.

Modern removable dentures are able to restore chewing function. Thanks to wearing prostheses, the patient will be able to eat normally, which is extremely important for the health of the gastrointestinal tract.Replacing lost teeth, prostheses improve the contour of the face. With them, you will smile without constraint.

Flexible dentures

Recently, they began to make and actively use high-tech flexible nylon prostheses. These modern designs are soft and lightweight, comfortable to wear, almost invisible in the mouth.

How does a flexible denture work?

A removable denture consists of a plate made of plastic or metal.Artificial teeth are attached to the plate, matching in shade with natural teeth. As a result, your smile becomes attractive and natural.

What are the advantages of a removable denture?

Advantages of removable prostheses with locking fixation:

• Thanks to the locks, the denture is better attached. Until the locks are open, the prosthesis will not be removed.
• The fastening with locks looks aesthetically pleasing. The locks are hidden inside the prosthesis, and are not visible when smiling.

How long will a removable denture last?

Over the years, due to natural changes that occur in the oral cavity, dentures will in any case need to be relined or re-fabricated.

What changes is it related to?

The fact is that bone tissue and gums can decrease in size. This will change the contours of the jaws.As a result, the fixation of the prosthesis will deteriorate. Discomfort may occur. In some cases, a person may even get trauma to the gums. Speech and chewing will be difficult again. To prevent this, it is important to replace or correct removable dentures on time. If you have removable dentures, you should visit your dentist regularly.

How to Maintain Oral Health?

To maintain a healthy oral cavity, regular check-ups of dentures and professional teeth cleaning are required.It is recommended to perform them at least every 6 months. For those with full dentures, the frequency and frequency of visits will be determined by the attending physician. In each case, the frequency of visits to the dentist should be agreed with the doctor himself. An individual approach is of the utmost importance.

With regular professional care, you will wear dentures with a smile and not experience discomfort and stiffness.

Is there an alternative to removable dentures?

An alternative to removable dental prosthetics is implantation.It is the implantation of artificial titanium roots into the jawbone and the installation of prostheses (crowns) on them.

Upper dentition: anterior bridge. On the lateral areas – removable dentures with locks. Lower dentition: complete removable denture. As you can see, this combined dental prosthetics looks very aesthetically pleasing from the side. And most importantly – you can talk, eat, smile, communicate!

Treatment of tooth canals with periodontitis of the tooth root price

Periodontitis is an inflammatory process around the tooth root in the area of ​​the connective fibers.The disease is diagnosed in adults in 45-50% of cases of dental problems and requires surgical intervention. Failure to properly treat periodontitis results in loosening and tooth loss.

Why periodontitis occurs

The development of the disease is provoked by:

• neglected caries;
• infection that has spread to the root tissues from the dental canals;
• inflammatory lesions and pulp necrosis;
• Injury, impact, excessive load on the teeth when biting nutshells, etc.;
• malocclusion due to an erroneously formed filling or an incorrectly installed crown;
• the effect of medicinal preparations on the basal connective tissues in the process of fragmentary or complete removal of the pulp;
• damage to the periodontal at the time of the exit of the filling composition outside the tooth root during filling.

If one or more of the described symptoms are found, it is advisable to visit a dental clinic and stop the disease in the bud.

Forms of dental disease

Doctors define two options for the development of periodontitis:

• acute – with severe symptoms.
• chronic – with indolent manifestations or without vivid symptoms.

The rate of the disease is influenced by the patient’s immunity and age, the condition of the affected tooth and the level of aggressiveness of the attack on adjacent tissues.

Characteristics of Acute Inflammation

The acute phase is accompanied by specific external and internal symptoms.The tooth aches and hurts. At the moment of biting, negative sensations intensify. In the affected area, the gum swells, swelling appears on the cheek and adjacent facial tissue. In some cases, the body temperature rises to 37.7 ° C and the size of the lymph nodes increases.

Without treatment for periodontitis, the aching pain turns into pulsating with rare intervals of calm. The patient develops weakness and sleep disturbances.

On a preliminary examination, the doctor notices carious manifestations and uncharacteristic tooth mobility in the problem area.The gum looks red and swollen. The touch causes unpleasant emotions and pain.

X-ray at this stage does not show pronounced changes. Only the primary expansion of the periodontal gap is visible.

How does the disease develop

Treatment of acute periodontitis involves two stages of development:

• serous – pain periodically arises and goes away, the tooth remains motionless;
• purulent – pain sensations intensify, accumulated pus comes out through the fistulous opening of the gums, the tooth loses its clear position and begins to stagger.

Surgical treatment of periodontitis of the serous phase suppresses inflammation at an early stage and helps to eliminate the focus of connective tissue infection. Leveling the problem leads to the transition of the disease into a purulent form.

How does chronic periodontitis proceed

The condition passes without symptoms or with minimal manifestations. The tooth reacts to hot food and drinks. Negative sensations arise at the time of biting on the affected root or in case of an accidental blow to the enamel with cutlery.The pain is uncomfortable but does not pierce the cheek as it does during the acute phase.

A fistulous opening periodically appears on the gum. Through it, accumulated pus comes out in small quantities.

X-ray or CBCT help to make an accurate diagnosis. In chronic course, the picture shows the beginning of bone destruction at the top of the root.

Having carefully studied the X-ray picture, the doctor determines the form in which the disease proceeds.Medicine defines three areas:

• fibrous;
• granulating;
• granulomatous.

With fibrous periodontitis, pain is minimal. The tooth sometimes reacts to pressure and takes on an uncharacteristic gray color. On x-rays, the problem is depicted as an expansion of the periodontal gap.

The granulating form of periodontitis causes destruction of bone tissue around the root apex of the tooth.Fistulous passages with purulent sections appear on the gums. In the picture, it looks like a candle flame without clear outlines of the spot. A blurred picture in the affected area indicates the absence of a membrane near the focus of inflammation.

In the case of the granulomatous variant, the X-ray captures a pronounced darkening with clear streamlined edges. The focus of inflammation is classified by size:

• up to 5 mm – granuloma;
• 5 – 10 mm – cystogranuloma;
• 1 cm and above – radicular cyst.

The formations have a similar structure and a dense outer shell. The hollow space inside fills with pus.

How is the disease diagnosed in the clinic

During the initial checkup, the physician visually examines the patient’s facial tissue and oral cavity. To draw up a complete clinical picture, an instrumental examination is carried out. It includes:

• tapping (percussion) of the tooth in order to detect pain;
• bite assessment;
• Probing of the dental canal for the presence of pus.

For 100% confirmation of the diagnosis, computed cone-beam tomography (a progressive version of X-ray examination) is done. The snapshot makes it possible:

• to clarify the area of ​​development of the inflammatory process inside the dentary;
• Recognize abnormal intramandibular reactions;
• to identify the cause of the pathology.

Based on the information collected, the doctor makes a diagnosis and determines a treatment plan for periodontitis.

Methods for dealing with the acute form of periodontitis

In acute periodontitis, the primary task of the dentist is to promptly relieve the patient of excruciating pain. In the area of ​​inflammation, the doctor performs local anesthesia, opens the cavity of the problem tooth with a spherical bur and opens access to the root canals with the help of special instruments. The method of work depends on the causes of the disease:

• if periodontitis provokes caries, tissues affected by carious destruction are prepared;
• when the problem lies in untreated pulpitis, necrotic pulp is removed;
• If the inflammatory process is caused by an incorrectly installed filling, the filling material is drilled out.

The accumulated purulent exudate comes out through the freed root canals. Acute pain is dulled and the patient’s well-being improves. The cavity in the tooth remains open. After 3-4 days, when the discharge stops, the dentist examines the canals from the apex to the mouth and checks that there are no irritants and pathogens left inside.

The further process consists of the following activities:

• treatment of root canals with a disinfectant solution;
• filling the cleaned cavities with anti-inflammatory, medicinal and disinfecting drugs;
• Installation of a temporary filling on the open part of the tooth.

To relieve the intoxication of the body, the doctor prescribes antihistamines to the patient and, in parallel, prescribes medicines that stop inflammation.

The date of the next visit is assigned individually, taking into account a specific clinical case. During the procedure, the dentist removes the temporary filling and takes an x-ray of the affected area. If there are no abnormalities in the picture, the doctor once again rinses the hollow canals with an antiseptic solution and carries out a final filling.

Treatment of chronic periodontitis

In chronic periodontitis, “purulent sacs” form on the tops of the tooth roots. Sharp pain and inflammatory symptoms are felt to a minimum. The duration of periodontitis treatment depends on the size and type of the problematic lesion.

Chronic periodontitis of the fibrous type refers to mild dental diseases. At the apexes of the dental roots, critical changes do not appear, and long-term therapy based on calcium hydroxide is not required.For a complete cure, 2 sessions are enough within one week:

• on the first channel are subjected to mechanical and antiseptic treatment;
• on the second, finishing filling is carried out.

The treatment of granulating and granulomatous periodontitis takes 3-5 months. The duration of the course is due to specific therapy.

At the first visit, the doctor opens and cleans the affected dental canals, fills with an antiseptic and closes with a temporary filling.If the patient does not complain of pain and swelling of the gums, the second stage is carried out after 2-3 days.

The doctor removes medications and filling material. Washes the canals with an antiseptic solution, injects an anti-inflammatory material based on calcium hydroxide and puts a temporary filling. The medicine localizes the foci of inflammation at the root tips and starts the process of bone tissue repair, but it acts slowly and takes time to achieve the effect.

The third session is carried out after 2-3 months.In the process, the doctor takes a picture of the problem area and evaluates the result of the treatment measures taken. If the x-ray records a decrease in the area of ​​destruction of bone tissue at the apex of the tooth root, the doctor decides on a permanent filling.

The canals, cleared of temporary filling materials, are treated by the dentist with an antiseptic solution and filled with gutta-percha to the apex of the root. During the fourth session, the doctor places a permanent filling on the treated area.

When the diagnosis reveals cyst formations measuring 1.5-4.5 cm, a conservative treatment is not suitable.In such a situation, drastic measures are required. At the stage of filling the canals, the dentist makes an incision, cuts off the upper part of the root from the tooth and pulls it out together with the cyst.

The resulting wound is treated with an antiseptic and sutured. The stitches are removed after 8-10 days.

Conclusion

Dentists have a policy of preserving patients’ molars when treating periodontitis. Removal (extraction) of a tooth is performed only when other treatment methods have failed.

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