If you are considering dental implants in London and are wondering what to expect when it comes to caring for your new teeth, Moor Park Dental is here to shed some light on how to properly care for your dental implants.
The good news is that caring for your dental implants in London is not much different than caring for your natural teeth. If a single tooth is being placed over your implanted post, the result is not much different from having a dental crown. If, on the other hand, the implant is being used to support a span of multiple missing teeth, the replacement device will be more like a dental bridge or denture that is permanently attached to the mouth and this may require a different oral hygiene routine.
Routine oral habits
After your dental implants in London, twice daily brushing is recommended, as well as daily flossing, for starters. Your dentist at Moor Park Dental may recommend a particular type of toothbrush, floss or other appliance for keeping teeth and gums healthy and getting in small spaces left between the replacement teeth and the gum line.
Other than that, there is not usually much else you have to do that is much different to caring for your original teeth. Of course, we recommend you should stick to a schedule of regular preventative care appointments; during which, your dentist will ensure that your oral health remains high.
Professional cleanings and x-rays will typically take place at these appointments, as well as a general check-up by the dentist that all is as it should be. This will help to detect small problems before they become more major issues and should not be avoided.
Since replacement teeth used for your dental implants in London are made of a material that is different than the natural tooth structure, they are not subject to the same bacteria that can harm natural teeth and lead to tooth decay. However, care still needs to be taken to ensure that the surrounding natural teeth remain healthy, as well as the underlying gums and bone. Proper oral hygiene and routine dental visits to Moor Park Dental will help to ensure that your dental implants in London last for a long time, potentially for a lifetime.
OPTION 1:
Indirect pulp capping:
Involves the removal of all the caries except that which could expose the pulp if removed. A protective lining such as calcium hydroxide may be placed and the tooth is restored. Biodentine is an excellent restorative material over the pulp. A long lasting intact seal is necessary. A pre-formed metal crown is an ideal restorative technique that ensures the desirable intact seal in the long term. The technique will be successful if the pulp of the tooth is vital or with reversible inflammation. It is an acceptable alternative for pre-cooperative children and during stabilisation of the mouth.
OPTION 2:
Direct pulp capping:
Involves the placement of a protective lining on to an exposed pulp. It is contraindicated for primary teeth as it will usually lead to pulp necrosis or internal resorption.
OPTION 3:
Pulpotomy:
Involves the partial removal of inflamed but vital pulp tissue with an attempt to maintain the rest vital and functioning. This is followed by the placement of a medicament to stimulate the repair of the vital radicular pulp. The most commonly used medicament is Ferric Sulphate with a success rate of 74-99%. Pulpotomy is indicated when the pulp is minimally and/or reversibly inflamed, where the marginal ridge is lost especially in first primary molars and when, on the radiographs, caries extend more than two thirds into dentine.
OPTION 4:
Pulpectomy:
Involves the removal of both the coronal and the radicular pulp tissue followed by a placement of a medicament within the root canals; this can be either pure ZincOxide /Eugenol or Calcium Hydroxide & Iodoform Paste (premixed, Vitapex®NEODENTAL INTL). Pulpectomy is indicated when there is evidence of pulp necrosis, abscess or mobility, hyperhaemic pulp, spontaneous pain, radiographic evidence of bifurcation involvement.
Despite all the advances in dentistry, for the foreseeable future, the problem of pain will remain. Most patients referred for Endodontic treatment will be suffering from acute pain; this is a warning sign serving a protective role. It is time limited and resolves with treatment of the causative factors. Importantly, the nervous system remains intact.
Chronic pain, on the other hand, has no purpose and refers to pain lasting longer than 3 months. It responds poorly to medication and is harder to manage. In addition, changes will have taken place in the nervous system (peripheral and central sensitisation). Therefore, it is imperative that we do everything to prevent chronic pain from developing. Predisposing factors that lead to chronic orofacial pain include a history of previous painful treatment in the orofacial region, and the duration and intensity of pre-operative pain.
It is also important to know when to stop dental treatment, as this can exacerbate the symptoms associated with a chronic pain condition. When given the chance, we have to be certain that any dental cause of the patient’s pain has been completely eliminated to ensure they remain pain-free!
The temporomandibular joint (TMJ) is a unique joint of the body between the lower jaw and the skull base. Disorders of the TMJ are one of the most common causes of pain in the face and mouth after tooth pain. There are many causes of TMJ dysfunction but dental changes are a common cause. Following changes to the mouth due to trauma or loss of teeth there is a large change in mechanics to the TMJ. This can increase stress on the joint itself as well as the muscles and other soft tissue structures around the face and head causing pain.
Physiotherapy can help to reduce the stress to the joint and soft tissue structures using a range of different treatment approaches including soft tissue massage, education, relaxation, exercises, manual therapy and acupuncture.
What are the symptoms of Temporomandibular Joint Disorders?
* Pain and tenderness over the jaw and face
* Headaches and ear pain
* Neck and shoulder pain
* Jaw joint clicking, grating noises
* Clenching of the jaw
* Grinding of teeth (Bruxism)
* Reduced mouth opening
* Locking of the jaw
It is widely regarded that the best modality of treatment is neuro-muscular reprogramming and muscle relaxation. The ideal team for such a management therefore includes a restorative dentist working alongside a craniofacial physiotherapist.
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