Types of Dental Crowns

There is a wide variety of materials from which dental crowns are made. Each of the type of dental crown has its own pros and cons.

Here’s the list of materials used for dental crowns:

  • Porcelain or ceramic – These crowns can give a great cosmetic result, by best reproducing the natural look of a tooth. There are many types of crown that fit into this category. In the back of the mouth where substantial chewing forces are routinely generated, placing an all-ceramic might not make the best choice due to strength. They are commonly used in for front teeth.
  • Porcelain fused to metal – Such crowns, also known as porcelain-bonded crowns, are very common. They combine the strength of a metal base with a cosmetic covering of tooth-colored porcelain. They have a proven track record of success. They can make a good choice for either front or back teeth. However, over time, the metal may show through at the gum-line (as a visible dark line). These crowns may therefore not be the ideal choice where aesthetics are of prime importance.
  • Metal – Usually made from gold or “white” (silver-colored) dental alloy. They’re known for their strength and durability. The precious alloys that are used to make gold dental crowns have a wear rate that’s similar to tooth enamel. That means the crown won’t create excessive wear on the teeth that oppose it (the teeth that it bites against).

If you are considering dental crowns for restorative or cosmetic dental purposes, it is best to discuss your options. We, at Expressions Dental will help you choose the dental crown material that best fits your needs.

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How Long Do Dental Crowns Last?

The material crowns are made of can affect how long the crown lasts. Some dental crowns will be more durable than others, and whether you clench or grind your teeth can play a role in the life of your crown.

Taking care of a dental crown:

How long dental crowns will last depends on many other factors in addition to the material they are made of. Practicing good dental hygiene by brushing and flossing twice a day will increase the life of your crowns. You can also increase crown life by limiting consumption of hard or crunchy foods. If you tend to clench or grind your teeth, your crowns may not last longer. Habitual teeth-grinding is called bruxism, and many people do it while they’re sleeping and don’t even realize it. A dentist can determine if you are a nighttime grinder, and explain how that may affect your crowns.

Dental crown needs to be replaced, if it cracked or broken or in case of excessive wear.
If you have additional questions about dental crowns, or if you would like to schedule an appointment, please contact Expressions Dental.

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Diabetes and Periodontitis

Diabetes and Oral Hygiene

When you have diabetes, high blood sugar can take a toll on your entire body — including your teeth and gums. Whether you have type 1 diabetes or type 2 diabetes, managing your blood sugar level is key. The higher your blood sugar level, the higher your risk of following dental problems:

  • Tooth decay (cavities) – Your mouth naturally contains many types of bacteria. When starches and sugars in food and beverages interact with these bacteria, a sticky film known as plaque forms on your teeth. The acids in plaque attack the surfaces of your teeth (enamel and dentin). This can lead to cavities. The higher your blood sugar level, the greater the supply of sugars and starches and the more acid wearing away at your teeth.
  • Gum disease – Diabetes reduces your ability to fight bacteria. If you don’t remove plaque with regular brushing and flossing, it will harden under your gum line into a substance called tartar. The longer plaque and tartar remain on your teeth, the more they irritate the part of your gums around the base of your teeth. In time, your gums become swollen and bleed easily. This is gingivitis.
  • Advanced gum disease (periodontitis) – Left untreated, gingivitis can lead to a more serious infection called periodontitis, which destroys the soft tissue and bone that support your teeth. Eventually, periodontitis causes your gums and jawbone to pull away from your teeth, which in turn causes your teeth to loosen and possibly fall out. Periodontitis tends to be more severe among people who have diabetes because diabetes lowers the ability to resist infection and slows healing. An infection such as periodontitis may also cause your blood sugar level to rise, which in turn makes your diabetes more difficult to control. Preventing and treating periodontitis can help improve blood sugar control.

To help prevent damage to your teeth and gums, take diabetes and dental care seriously:

  • Make a commitment to manage your diabetes.
  • Brush your teeth at least twice a day.
  • Floss your teeth at least once a day.
  • Schedule regular dental visits.
  • Make sure your dentist knows you have diabetes.
  • Look for early signs of gum disease.
  • Don’t smoke.

Ref: American Diabetes Association, Diabetic Forecast Mar 2016

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Emergency Dental Care In Calgary NW
http://www.expressionsdental.ca
Call: +1 (403) 252 7733

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Bad Breath Causes, Treatment

Our Dental hygienist Mel, explains bad breath causes and treatments.

Bad breath is a common condition caused by sulphur-producing bacteria that live within the surface of the tongue and in the throat. Its treatment will depend on the underlying cause. Smoking, dry mouth, dental infections and nasal or sinus infections can cause bad breath. Good oral hygiene, including brushing flossing and tongue cleaning, is important. Other treatments may include mouthwashes, nasal spray or antibiotics.
Oral malodor (bad breath) can be divided into two distinctive catego­ries—transitory and chronic. Transitory refers to food-related malodor that can last as long as 72 hours. Virtually everyone suffers from this condition at one time or another. The second category, chronic, is generally related to oral or general medical problems.

There is no one treatment for bad breath. The treatment will depend on what is causing the problem. Avoiding dehydration and good oral hygiene, including brushing and flossing, are important. Some mouthwashes, lozenges and toothpastes can assist in fighting bad breath.

Gentle but effective tongue cleaning may also be required. A variety of tongue brushes and scrapers have been produced in recent years. The tongue should be brushed in a gentle but thorough manner, from the back towards the front of the tongue, keeping in mind that the hardest to reach back portion smells the worst.

Just as important to oral health and fresh breath is oral health care delivered by a qualified professional. Regular oral health care appointments, which include teeth cleaning above and below the gum line is essential to maintaining good oral health and fresh breath, so visit your dental hygienist every six months, or as often as recommended.
For more information about proper oral health care, as well as brushing and flossing instructions, please talk to your dental hygienist.

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Emergency Dental Care in Calgary NW
http://www.expressionsdental.ca
Call: +1 (403) 252 7733

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Fractured Tooth

Even though our teeth are extraordinarily strong, they might chip, or break. Biting something very hard, being hit or punched on the mouth or face or falling are some of the causes of fractured teeth.

When your teeth chip or break, it doesn’t hurt. You might not even perceive the damage caused. Minor fractures of the tooth might not cause any pain, but if a larger piece of tooth chips off, it can be very painful. This is because the underlying nerve is damaged and if this is exposed to cold or hot drinks or foods, air and saliva, it can cause extreme discomfort. Pain caused by a cracked or a broken tooth can either be constant or it might be periodic. Some people feel this pain while chewing something as it exerts pressure on the teeth.

What Can You Do?

  • Fractured or cracked tooth – A fractured or a cracked tooth cannot be treated at home. You’ll have to seek your dentist’s help. A tooth might only hurt while you eat or there’s a change in the temperature of your mouth (after drinking something cold or hot). If you are experiencing a continuous pain, it can be a case of damaged blood vessels or nerves.
  • Broken tooth – In case of broken teeth, visit your dentist immediately. Your dentist will be able to understand the cause of the breakage, whether it is caused due to cavities and if the nerve is injured.

Treatment:

Different tests are performed in the mouth to determine if a tooth fracture is present. In some instances, dental X-rays can help to diagnose, locate, and measure the extent of tooth fractures.

A serious fracture is one that exposes both the dentin and the pulp tissue and should be treated promptly. Serious injuries may make the tooth displaced and loose, and cause the gums to bleed. To prevent the loose tooth from falling out completely, the dentist can splint the loose tooth by bonding it to the adjacent teeth to help stabilize it while the underlying bone and gums heal. Because of the high risk of pulp infection after the exposure of the pulp to the oral environment, a root canal procedure may need to be performed during the first visit.

Alternatively, the dentist may elect to only apply a sedative dressing on the splinted tooth to help calm the tooth pain. The tooth will then be reevaluated in two to four weeks to determine if a root canal procedure is necessary. If the tooth appears to have recovered and is stable in the mouth, the splint is removed at that time and a filling or crown is placed to restore the fractured tooth.

The most serious injuries involve vertical, diagonal, or horizontal fractures of the tooth roots. In most instances, a fracture of the tooth root leaves the injured tooth very loose and unable to be restored with dental work, thus necessitating tooth extraction.

If you experience injury to your tooth, contact Expressions Dental. Our general dentist can examine your tooth and recommend various treatments depending on the location and extent of the break.

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What to do if Tooth is pushed out of Position?

If your tooth is loosened and pushed out of position, call your dentist right away for an emergency dental appointment. In the meantime, you can follow these steps to prevent further damage:

  • Attempt to reposition the tooth to its normal alignment using very light finger pressure, but do not force the tooth.
  • Bite down to keep the tooth from moving.
  • Bite gently on gauze to keep tooth in place, and/or prepare soft orthodontic wax molded over several teeth to temporarily stabilize teeth.
  • Eat soft food and avoid disturbing the tooth while eating.
  • Your dentist may splint the tooth in place to the two healthy teeth next to the loose tooth.

If the tooth has come out and you can’t place it back into socket then save it carefully. Do not touch the root of the tooth. To protect the tooth, keep it in moist condition by immersing it in saline solution or milk. Do not try to clean the tooth by rubbing of it.

Once your tooth has been repositioned, you need to take special care to brush your teeth gently for a few weeks. You also need to make sure that you take medications as prescribed by your dentist in order to prevent infection. Try to avoid chewing with the tooth and, watch for signs of infection such as swelling or redness.

What to do when a baby tooth is pushed out of position

For a baby tooth that has been moved out of its normal position, the dentist will possibly has to remove the tooth to prevent further damage to the developing adult tooth that is forming underneath it

Your dentist may recommend a children’s pain killer to relieve pain. Keep your child on a soft diet for 2 weeks to prevent further damage. Contact us at Expressions Dental if you have any other questions or if symptoms get worse.

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How to Handle Dental Emergencies?

After a tooth accident or trauma, it may take time to reach your dental provider’s office in an emergency. Here are some tips that could possibly save your teeth in the meantime, and at the very least, could help prevent further damage.

  • Cracks or fracture – Gently rinse your mouth and protect the area. Do not apply topical pain killers. Avoid eating or drinking cold foods and beverages until the tooth has been repaired by your dentist.
  • Knocked out tooth – Do not touch the root. Pick it up by crown and rinse it. If possible, insert the tooth back into the socket and bite down to hold it in place.
  • Loose tooth – If your tooth is loosened and pushed out of position, attempt to reposition it to its normal alignment using very light finger pressure, but don’t force it.
  • Toothaches – Rinse the mouth with warm water to clean it out. Gently use dental floss to remove any food caught between the teeth. Do not put pain killer on the aching tooth or gum tissues. For objects stuck in the mouth, try to gently remove with floss but do not try to remove it with sharp or pointed instruments.
  • Injured mouth – Injuries inside the mouth include tears or cuts, puncture wounds, and lacerations to the cheek, lips, or tongue. The wound should be cleaned immediately with warm salt water. If bleeding, apply pressure with a moist gauze or tea bag for 15-20 minutes.
  • Soft tissue trauma – Apply a cold compress to the traumatized area to reduce swelling.
  • Jaw fracture – If you can’t open your jaws properly or your teeth do not come together normally you should be screened at the hospital emergency department for a possible jaw fracture.
  • Lost fillings or crowns – When a crown has fallen out and there is some pain, take a cotton swab and some clove oil and apply it on the sensitive area.
  • Broken braces – If a wire of your brace sticks out or even breaks, you can use a soft object to return it to its original position. If that’s difficult, you can cover the end with either some orthodontic wax, a piece of gauze or a cotton ball before you rush to your orthodontist. Never attempt to cut the wire because that may lead to swallowing the pieces or inhaling the broken pieces to your lungs.

Contact emergency dentist in Calgary for help.

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Alternatives to Dental Veneers

If you are thinking of veneers as a possible way to make your teeth look better, it is good to first consider all the available options.

Here are some basic choices for the patients looking for brighter smile:

  • Tooth whitening – This is a conservative way to remove tooth discolorations. The basic structure of your teeth remains unchanged. Not all stains can be whitened with this approach. This approach will only provide a color change for your teeth, so if their alignment or shape isn’t already pleasing, it’s not the right solution.
  • Micro abrasion – It is a process where a thin outer layer of tooth enamel that contains blemishes is abraded and eroded away. It involves the use of a coarse polishing compound mixed with 5 to 10% hydrochloric acid.
  • Reshaping – Some patients choose to have their teeth actually reshaped in order to improve the look of their mouths. This is generally not effective for changing discolored teeth, but it is a similar service that some patients consider as opposed to filling in gaps with porcelain veneers.
  • Porcelain crowns – These are a good solution for teeth that are damaged, misshapen or decayed. Crowns can be used alone or with dental bridges and dental implants. A crown will improve a tooth’s size, shape, strength and appearance.

If any of these procedures sounds like something that could help you improve your smile, talk to our general dentists at Expressions Dental about these dental treatments and the risks and benefits.

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Tips To Take Care of Dental Veneers?

Dental veneers do not require any special care. But you can take good care of them with proper oral hygiene, flossing and routine cleanings.

Home care:

Porcelain is stain resistant, however, the resin composite cement used to bond to the teeth can be susceptible to stain. Alcoholic beverages soften the surface of the resin, increasing the likelihood of staining and wear. Aggressive tooth brushing can wear away the glaze on the veneer. Avoid frequent carbohydrate intake and increase home flossing to maintain your veneers in good condition. Also avoid highly abrasive toothpastes, as you may lose the shiny lustre of the veneer.

During visit to a dentist’s clinic:

Your hygienist will be conservative with power polishing equipment. It can remove the glaze layer put on veneer. Once the glaze layer is removed, it cannot be reapplied. With the glaze intact, porcelain is resistant to stain.

If you have any questions about porcelain veneers, contact Expressions Dental.

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