Periodontal Disease - Dentistry Edson, Grande Cache, Hinton

Dentistry Edson, Grande Cache, Hinton


Dentistry Edson, Grande Cache, Hinton



The word periodontal means €around the tooth€.  Periodontal disease attacks the gums and the bone that support the teeth.  Plaque is a sticky film of food debris, bacteria, and saliva.  If plaque is not removed, it turns into calculus (tartar).  When plaque and calculus are not removed, they begin to destroy the gums and bone.  Periodontal disease is characterized by red, swollen, and bleeding gums.

Four out of five people have periodontal disease and don’t know it!  Most people are not aware of it because the disease is usually painless in the early stages.

Not only is it the number one reason for tooth loss, research suggests that there may be a link between periodontal disease and other diseases such as, stroke, bacterial pneumonia, diabetes, cardiovascular disease, and increased risk during pregnancy.  Researchers are determining if inflammation and bacteria associated with periodontal disease affects these systemic diseases and conditions.  Smoking also increases the risk of periodontal disease.

Good oral hygiene, a balanced diet, and regular dental visits can help reduce your risk of developing periodontal disease.

Signs and symptoms of periodontal disease:


  • Bleeding gums -€“ Gums should never bleed, even when you brush vigorously or use dental floss.

  • Loose teeth -€“ Also caused by bone loss or weakened periodontal fibers (fibers that support the tooth to the bone).

  • New spacing between teeth - Caused by bone loss.

  • Persistent bad breath -€“ Caused by bacteria in the mouth.

  • Pus around the teeth and gums -€“ Sign that there is an infection present.

  • Receding gums -€“ Loss of gum around a tooth.

  • Red and puffy gums -€“ Gums should never be red or swollen.

  • Tenderness or Discomfort -€“ Plaque, calculus, and bacteria irritate the gums and teeth.

Periodontal Disease - Dentistry Edson, Grande Cache, Hinton

What is Periodontal (Gum) Disease? - Hinton, Edson, Grande Cache Dentist


Hinton, Edson, Grande Cache Dentist

Hinton, Edson, Grande Cache Dentist


Periodontal disease is most often preceded by gingivitis which is a bacterial infection of the gum tissue.  A bacterial infection affects the gums when the toxins contained in plaque begin to irritate and inflame the gum tissues.  Once this bacterial infection colonizes in the gum pockets between the teeth, it becomes much more difficult to remove and treat.  Periodontal disease is a progressive condition that eventually leads to the destruction of the connective tissue and jawbone.  If left untreated, it can lead to shifting teeth, loose teeth and eventually tooth loss.

Periodontal disease is the leading cause of tooth loss among adults in the developed world and should always be promptly treated.

Types of Periodontal Disease

When left untreated, gingivitis (mild gum inflammation) can spread to below the gum line.  When the gums become irritated by the toxins contained in plaque, a chronic inflammatory response causes the body to break down and destroy its own bone and soft tissue.  There may be little or no symptoms as periodontal disease causes the teeth to separate from the infected gum tissue.  Deepening pockets between the gums and teeth are generally indicative that soft tissue and bone is being destroyed by periodontal disease.

Here are some of the most common types of periodontal disease:

  • Chronic periodontitis -€“ Inflammation within supporting tissues cause deep pockets and gum recession.  It may appear the teeth are lengthening, but in actuality, the gums (gingiva) are receding.  This is the most common form of periodontal disease and is characterized by progressive loss of attachment, interspersed with periods of rapid progression.

  • Aggressive periodontitis -€“ This form of gum disease occurs in an otherwise clinically healthy individual.  It is characterized by rapid loss of gum attachment, chronic bone destruction and familial aggregation.

  • Necrotizing periodontitis -€“ This form of periodontal disease most often occurs in individuals suffering from systemic conditions such as HIV, immunosuppression and malnutrition.  Necrosis (tissue death) occurs in the periodontal ligament, alveolar bone and gingival tissues.

  • Periodontitis caused by systemic disease -€“ This form of gum disease often begins at an early age.  Medical condition such as respiratory disease, diabetes and heart disease are common cofactors.
Treatment for Periodontal Disease

There are many surgical and nonsurgical treatments the periodontist may choose to perform, depending upon the exact condition of the teeth, gums and jawbone.  A complete periodontal exam of the mouth will be done before any treatment is performed or recommended.

Here are some of the more common treatments for periodontal disease:

  • Scaling and root planing -€“ In order to preserve the health of the gum tissue, the bacteria and calculus (tartar) which initially caused the infection, must be removed.  The gum pockets will be cleaned and treated with antibiotics as necessary to help alleviate the infection.  A prescription mouthwash may be incorporated into daily cleaning routines.

  • Tissue regeneration -€“ When the bone and gum tissues have been destroyed, regrowth can be actively encouraged using grafting procedures.  A membrane may be inserted into the affected areas to assist in the regeneration process.

  • Pocket elimination surgery -€“ Pocket elimination surgery (also known as flap surgery) is a surgical treatment which can be performed to reduce the pocket size between the teeth and gums. Surgery on the jawbone is another option which serves to eliminate indentations in the bone which foster the colonization of bacteria.

  • Dental implants -€“ When teeth have been lost due to periodontal disease, the aesthetics and functionality of the mouth can be restored by implanting prosthetic teeth into the jawbone.  Tissue regeneration procedures may be required prior to the placement of a dental implant in order to strengthen the bone.
Ask your dentist if you have questions or concerns about periodontal disease, periodontal treatment, or dental implants.




What is Periodontal (Gum) Disease? - Hinton, Edson, Grande Cache Dentist

UNDERSTANDING THE PROCESS OF DENTAL IMPLANTS - Alberta Implant Dentist


Alberta Implant Dentist

Alberta Implant Dentist



If you'€™ve been reviewing tooth replacement options, you probably already know the superior benefits of dental implants: their durability, functionality and life-like quality could provide you with years, even decades of satisfying service.

If you take this option, however, you should be prepared for a slightly longer process than a couple of office visits. From concept to permanent crown placement, it will require several months of preparation, expertise and teamwork. The more you know about this process, the better prepared you'€™ll be to handle it.

After careful preparation, which may include extracting the tooth being replaced, the process begins in earnest with the surgical placement of the implant'€™s titanium post into the jawbone. The surgeon uses a guide based on your bite and mouth structure to precisely implant the post in a pre-planned location: this ensures that the permanent crown will be affixed in the right location for best appearance and functionality.

While a temporary crown can sometimes be attached immediately after implantation, the permanent crown must wait until the bone grows and attaches around the titanium post (osseointegration). Once this has occurred, usually over several months, the implant can fully support the permanent crown and its function.

This last element, the permanent crown, is in many ways a work of art. Taking into consideration the patient'€™s facial features and shape, the type of tooth replaced and the tooth coloring natural to the patient which is transmitted this information to the dental technician who will manufacture the crown. The goal is to produce a life-like replica that will look natural and perform well.

It may seem quite involved, but all these stages are necessary for a successful outcome. Although dental implants take careful attention and time, the outcome is worth it. In the end you'€™ll not only recover lost function, you’ll also have a new, transformed smile.


UNDERSTANDING THE PROCESS OF DENTAL IMPLANTS - Alberta Implant Dentist

Causes of Periodontal Disease - Dentists Jasper, Edson, Grande Cache

Dentists Jasper, Edson, Grande Cache


Dentists Jasper, Edson, Grande Cache


Periodontal (gum) disease, which is also known as periodontal disease and periodontitis, is a progressive disease which if left untreated may result in tooth loss.  Gum disease begins with the inflammation and irritation of the gingival tissues which surround and support the teeth.  The cause of this inflammation is the toxins found in plaque which cause an ongoing bacterial infection.

The bacterial infection colonizes in the gingival tissue and deep pockets form between the teeth and the gums.  If treated promptly by a periodontist, the effects of mild inflammation (known as gingivitis) are completely reversible.  However, if the bacterial infection is allowed to progress, periodontal disease begins to destroy the gums and the underlying jawbone; promoting tooth loss.  In some cases, the bacteria from this infection can travel to other areas of the body via the bloodstream.

Common Causes of Gum Disease

There are genetic and environmental factors involved in the onset of gum disease, and in many cases the risk of developing periodontitis can be significantly lowered by taking preventative measures.

Here are some of the most common causes of gum disease:

  • Poor dental hygiene - Preventing dental disease starts at home with good oral hygiene and a balanced diet.  Prevention also includes regular dental visits which include exams, cleanings, and x-rays.  A combination of excellent home care and professional dental care will ensure and preserve the natural dentition and supporting bony structures.  When bacteria and calculus (tartar) are not removed, the gums and bone around the teeth become affected by bacteria toxins and can cause gingivitis or periodontitis, which can lead to tooth loss.

  • Tobacco use -€“ Research has indicated that smoking and tobacco use is one of the most significant factors in the development and progression of gum disease.  In addition to smokers experiencing a slower recovery and healing rate, smokers are far more likely to suffer from calculus (tartar) build up on teeth, deep pockets in the gingival tissue and significant bone loss.

  • Genetic predisposition -€“ Despite practicing rigorous oral hygiene routines, as much as 30% of the population may have a strong genetic predisposition to gum disease.  These individuals are six times more likely to develop periodontal disease than individuals with no genetic predisposition.  Genetic tests can be used to determine susceptibility and early intervention can be performed to keep the oral cavity healthy.

  • Pregnancy and menopause -€“ During pregnancy, regular brushing and flossing is critical. Hormonal changes experienced by the body can cause the gum tissue to become more sensitive, rendering them more susceptible to gum disease.

  • Chronic stress and poor diet -€“ Stress lowers the ability of the immune system to fight off disease, which means bacterial infections may possibly beat the body’s defense system.  Poor diet or malnutrition can also lower the body’s ability to fight periodontal infections, as well as negatively affecting the health of the gums.

  • Diabetes and underlying medical issues - Many medical conditions can intensify or accelerate the onset and progression of gum disease including respiratory disease, heart disease, arthritis and osteoporosis.  Diabetes hinders the body'€™s ability to utilize insulin which makes the bacterial infection in the gums more difficult to control and cure.

  • Grinding teeth -€“ The clenching or grinding of the teeth can significantly damage the supporting tissue surrounding the teeth.  Grinding one'€™s teeth is usually associated with a €œbad bite€ or the misalignment of the teeth.  When an individual is suffering from gum disease, the additional destruction of gingival tissue due to grinding can accelerate the progression of the disease.

  • Medication - Many drugs including oral contraceptive pills, heart medicines, anti-depressants and steroids affect the overall condition of teeth and gums; making them more susceptible to gum disease.  Steroid use promotes gingival overgrowth, which makes swelling more commonplace and allows bacteria to colonize more readily in the gum tissue.
Treatment of Gum Disease

Periodontists specialize in the treatment of gum disease and the placement of dental implants.  A periodontist can perform effective cleaning procedures in deep pockets such as scaling and root planing, and also prescribe antibiotic and antifungal medications to treat infection and halt the progression of the disease.

In the case of tooth loss, the periodontist is able to perform tissue grafts to promote natural tissue regeneration, and insert dental implants if a tooth or several teeth are missing.  Where gum recession causes a toothy looking smile, the periodontist can recontour the gingival tissue to create an even and aesthetically pleasing appearance.

Preventing periodontal disease is critical in preserving the natural dentition.  Addressing the causes of gum disease and discussing them with your dentist will help prevent the onset, progression, and recurrence of periodontal disease.

If you have any questions or concerns about the causes or treatments pertaining to gum disease, please ask your dentist.


Causes of Periodontal Disease - Dentists Jasper, Edson, Grande Cache

Dental Implant - Jasper, Edson, Grande Cache, Hinton Implant Dentists

Jasper, Edson, Grande Cache, Hinton Implant Dentists


Jasper, Edson, Grande Cache, Hinton Implant Dentists


 


Dental implants are a great way to replace missing teeth and also provide a fixed solution to having removable partial or complete dentures.  Implants provide excellent support and stability for these dental appliances.


Dental implants are artificial roots and teeth (usually titanium) that are surgically placed into the upper or lower jaw bone by a dentist or Periodontist – a specialist of the gums and supporting bone.  The teeth attached to implants are very natural looking and often enhance or restore a patient’s smile!


Dental implants are very strong, stable, and durable and will last many years, but on occasion, they will have to be re-tightened or replaced due to normal wear.


Jasper, Edson, Grande Cache, Hinton Implant Dentists


Reasons for dental implants:



  • Replace one or more missing teeth without affecting adjacent teeth.



  • Resolve joint pain or bite problems caused by teeth shifting into missing tooth space.



  • Restore a patient’s confident smile.



  • Restore chewing, speech, and digestion.



  • Restore or enhance facial tissues.



  • Support a bridge or denture, making them more secure and comfortable.


Jasper, Edson, Grande Cache, Hinton Implant Dentists


What does getting dental implants involve?


The process of getting implants requires a number of visits over several months.


Jasper, Edson, Grande Cache, Hinton Implant Dentists


X-rays and impressions (molds) are taken of the jaw and teeth to determine bone, gum tissue, and spacing available for an implant.  While the area is numb, the implant will be surgically placed into the bone and allowed to heal and integrate itself onto the bone for up to six months.  Depending on the type of implant, a second surgery may be required in order to place the “post” that will hold the artificial tooth in place.  With other implants the post and anchor are already attached and placed at the same time.


After several weeks of healing the artificial teeth are made and fitted to the post portion of the anchor.  Because several fittings may be required, this step may take one to two months to complete.  After a healing period, the artificial teeth are securely attached to the implant, providing excellent stability and comfort to the patient.


You will receive care instructions when your treatment is completed.  Good oral hygiene, eating habits, and regular dental visits will aid in the life of your new implant.



Dental Implant - Jasper, Edson, Grande Cache, Hinton Implant Dentists

Root Canal Therapy - Dental office Jasper, Hinton, Edson

Dental office Jasper, Hinton, Edson


Dental office Jasper, Hinton, Edson


 


Root canal therapy is needed when the nerve of a tooth is affected by decay or infection.  In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function.


Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed.  Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth.


Root canal treatment is highly successful and usually lasts a lifetime, although on occasion, a tooth will have to be retreated due to new infections.


Signs and symptoms for possible root canal therapy:



  • An abscess (or pimple) on the gums.



  • Sensitivity to hot and cold.



  • Severe toothache pain.



  • Sometimes no symptoms are present.



  • Swelling and/or tenderness.


Reasons for root canal therapy:



  • Decay has reached the tooth pulp (the living tissue inside the tooth).



  • Infection or abscess have developed inside the tooth or at the root tip.



  • Injury or trauma to the tooth.


What does root canal therapy involve?


A root canal procedure requires one or more appointments and can be performed by a dentist or endodontist (a root canal specialist).


While the tooth is numb, a rubber dam (a sheet of rubber) will be placed around the tooth to keep it dry and free of saliva.  An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue, and bacteria.  If tooth decay is present, it will also be removed with special dental instruments.


Once the tooth is thoroughly cleaned, it will be sealed with either a permanent filling or, if additional appointments are needed, a temporary filling will be placed.


At the next appointment, usually a week later, the roots and the inside cavity of the tooth will be filled and sealed with special dental materials.  A filling will be placed to cover the opening on top of the tooth.  In addition, all teeth that have root canal treatment should have a crown (cap) placed.  This will protect the tooth and prevent it from breaking, and restore it to its full function.


After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed.


You will be given care instructions after each appointment.  Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment.



Root Canal Therapy - Dental office Jasper, Hinton, Edson

Fixed Bridges - Edson, Grande Cache, Jasper Dental Practice

Edson, Grande Cache, Jasper Dental Practice


Edson, Grande Cache, Jasper Dental Practice


 


A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.


There are several types of bridges.  You and your dentist will discuss the best options for your particular case.  The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal.  This type of bridge consists to two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.


Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.


Reasons for a fixed bridge:



  • Fill space of missing teeth.



  • Maintain facial shape.



  • Prevent remaining teeth from drifting out of position.



  • Restore chewing and speaking ability.



  • Restore your smile.



  • Upgrade from a removable partial denture to a permanent dental appliance.


What does getting a fixed bridge involve?


Getting a bridge usually requires two or more visits.  While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown.  Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated.  In addition, a temporary bridge will be made and worn for several weeks until your next appointment.


At the second visit, you permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit.  Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge.  The new bridge will be permanently cemented at a later time.


You will receive care instructions at the conclusion of the procedure.  Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge.



Fixed Bridges - Edson, Grande Cache, Jasper Dental Practice

Dentures & Partial Dentures - Dental clinic Jasper, Edson, Grande Cache

Dental clinic Jasper, Edson, Grande Cache


Dental clinic Jasper, Edson, Grande Cache


 


A denture is a removable dental appliance replacement for missing teeth and surrounding tissue.  They are made to closely resemble your natural teeth and may even enhance your smile.


There are two types of dentures – complete and partial dentures.  Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain.  A Partial denture not only fills in the spaces created by missing teeth, it prevents other teeth from shifting.


A Complete denture may be either “conventional” or “immediate.”  A conventional type is made after the teeth have been removed and the gum tissue has healed, usually taking 4 to 6 weeks.  During this time the patient will go without teeth.  Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process.  Once the tissues shrink and heal, adjustments will have to be made.


Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear.


Reasons for dentures:



  • Complete Denture – Loss of all teeth in an arch.



  • Partial Denture – Loss of several teeth in an arch.



  • Enhancing smile and facial tissues.



  • Improving chewing, speech, and digestion.


What does getting dentures involve?


The process of getting dentures requires several appointments, usually over several weeks.  Highly accurate impressions (molds) and measurements are taken and used to create your custom denture.  Several “try-in” appointments may be necessary to ensure proper shape, color, and fit.  At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit.


It is normal to experience increased saliva flow, some soreness, and possible speech and chewing difficulty, however this will subside as your muscles and tissues get used to the new dentures.


You will be given care instructions for your new dentures.  Proper cleaning of your new dental appliance, good oral hygiene, and regular dental visits will aid in the life of your new dentures.



Dentures & Partial Dentures - Dental clinic Jasper, Edson, Grande Cache

Crowns (Caps) - Dentist Hinton, Grande Cache, Edson

Dentist Hinton, Grande Cache, Edson


Dentist Hinton, Grande Cache, Edson


 




A crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size.  A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations.


Although there are several types of crowns, porcelain (tooth colored crown) are the most popular.  They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced.  Porcelain crowns are made to match the shape, size, and color or your teeth giving you a natural, long-lasting beautiful smile.


Dentist Hinton, Grande Cache, Edson


Reasons for crowns:



  • Broken or fractured teeth.



  • Cosmetic enhancement.



  • Decayed teeth.



  • Fractured fillings.



  • Large fillings.



  • Tooth has a root canal.


What does getting a crown involve?


A crown procedure usually requires two appointments.  Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown.  A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.


While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown.  Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly.


At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.


You will be given care instructions and encouraged to have regular dental visits to check your new crown.





Crowns (Caps) - Dentist Hinton, Grande Cache, Edson

Composite Fillings - Jasper, Hinton, Edson, Grande Cache Dentist

Jasper, Hinton, Edson, Grande Cache Dentist


 


Jasper, Hinton, Edson, Grande Cache Dentist


A composite (tooth colored) filling is used to repair a tooth that is affected by decay, cracks, fractures, etc.  The decayed or affected portion of the tooth will be removed and then filled with a composite filling.


There are many types of filling materials available, each with their own advantages and disadvantages.  You and your dentist can discuss the best options for restoring your teeth. Composite fillings are the most widely used today.  Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or the more visible areas of the teeth.


As with most dental restorations, composite fillings are not permanent and may someday have to be replaced.  They are very durable, and will last many years, giving you a long lasting, beautiful smile.


Reasons for composite fillings:



  • Chipped teeth.



  • Closing space between two teeth.



  • Cracked or broken teeth.



  • Decayed teeth.




  • Worn teeth.



How are composite fillings placed?


Composite fillings are usually placed in one appointment.  While the tooth is numb, your dentist will remove decay as necessary.  The space will then be thoroughly cleaned and carefully prepared before the new filling is placed.  If the decay was near the nerve of the tooth, a special medication will be applied for added protection.  The composite filling will then be precisely placed, shaped, and polished, restoring your tooth to its original shape and function.

It is normal to experience sensitivity to hot and cold when composite fillings are first placed, however this will subside shortly after your tooth acclimates to the new filling.


You will be given care instructions at the conclusion of your treatment.  Good oral hygiene practices, eating habits, and regular dental visits will aid in the life of your new fillings.



Composite Fillings - Jasper, Hinton, Edson, Grande Cache Dentist

Onlay Restorations - Dentists Jasper, Hinton, Edson, Grande Cache

Dentists Jasper, Hinton, Edson, Grande Cache


An onlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain. An onlay is sometimes also referred to as a partial crown. It is made by a professional dental laboratory and is permanently cemented onto the tooth by your dentist. Onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma. Onlays are an ideal alternative to crowns (caps) because less tooth structure is removed in the preparation of onlays. Onlays are essentially identical to inlays with the exception that one or more of the chewing cusps have also been affected and need to be included in the restoration. As with most dental restorations, onlays are not always permanent and may someday require replacement. They are highly durable and will last many years, giving you a beautiful long lasting smile. Reasons for onlay restorations: Broken or fractured teeth. Cosmetic enhancement. Decayed teeth. Fractured fillings. Large fillings. What does getting an onlay involve? An onlay procedure usually requires two appointments. Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom onlay and a temporary restoration. While the tooth is numb, the dentist will remove any decay and/or old filling materials. The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an onlay restoration. A temporary filling will be applied to protect the tooth while your onlay is made by a dental laboratory. At your second appointment, your new onlay will be carefully and precisely cemented into place. A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable. You will receive care instruction at the conclusion of your treatment. Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new onlay.before


 


An onlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain. An onlay is sometimes also referred to as a partial crown. It is made by a professional dental laboratory and is permanently cemented onto the tooth by your dentist. Onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma. Onlays are an ideal alternative to crowns (caps) because less tooth structure is removed in the preparation of onlays. Onlays are essentially identical to inlays with the exception that one or more of the chewing cusps have also been affected and need to be included in the restoration. As with most dental restorations, onlays are not always permanent and may someday require replacement. They are highly durable and will last many years, giving you a beautiful long lasting smile. Reasons for onlay restorations: Broken or fractured teeth. Cosmetic enhancement. Decayed teeth. Fractured fillings. Large fillings. What does getting an onlay involve? An onlay procedure usually requires two appointments. Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom onlay and a temporary restoration. While the tooth is numb, the dentist will remove any decay and/or old filling materials. The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an onlay restoration. A temporary filling will be applied to protect the tooth while your onlay is made by a dental laboratory. At your second appointment, your new onlay will be carefully and precisely cemented into place. A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable. You will receive care instruction at the conclusion of your treatment. Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new onlay.after


An onlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain.  An onlay is sometimes also referred to as a partial crown.  It is made by a professional dental laboratory and is permanently cemented onto the tooth by your dentist.


Onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma.  Onlays are an ideal alternative to crowns (caps) because less tooth structure is removed in the preparation of onlays.  Onlays are essentially identical to inlays with the exception that one or more of the chewing cusps have also been affected and need to be included in the restoration.


As with most dental restorations, onlays are not always permanent and may someday require replacement.  They are highly durable and will last many years, giving you a beautiful long lasting smile.


Reasons for onlay restorations:



  • Broken or fractured teeth.



  • Cosmetic enhancement.



  • Decayed teeth.



  • Fractured fillings.



  • Large fillings.


What does getting an onlay involve?


An onlay procedure usually requires two appointments.  Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom onlay and a temporary restoration.


While the tooth is numb, the dentist will remove any decay and/or old filling materials.  The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an onlay restoration.  A temporary filling will be applied to protect the tooth while your onlay is made by a dental laboratory.


At your second appointment, your new onlay will be carefully and precisely cemented into place.  A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable.


You will receive care instruction at the conclusion of your treatment.  Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new onlay.



Onlay Restorations - Dentists Jasper, Hinton, Edson, Grande Cache

Restorations - Dental office Grande Cache, Edson, Japer Hinton

Dental office Grande Cache, Edson, Japer Hinton


Dental office Grande Cache, Edson, Japer Hinton


 


It’s great news that the incidence of tooth decay has significantly diminished over the years due to the use of fluorides and an increase in patient awareness.  However, teeth are still susceptible to decay, infection, and breakage and sometimes need to be restored back to health.  Through improved techniques and modern technology, we are now able to offer more options for restoring a tooth back to its normal shape, appearance and function.


Should your teeth ever require a restorative treatment, you can rest assured knowing we will always discuss with you the available options, and recommend what we believe to be the most comfortable and least invasive treatment.  Providing you with excellent care is our number one priority when creating your beautiful smile.


Reasons for restorative dentistry:


  • Enhance your smile.

  • Fill in unattractive spaces between teeth.

  • Improve or correct an improper bite.

  • Prevent the loss of a tooth.

  • Relieve dental pain.

  • Repair damaged and decayed teeth.

  • Replace missing teeth.

  • Replace old, unattractive dental treatments.

  • Restore normal eating and chewing.

At Foothills Dental we are truly a full service, one stop dental clinic that can provide comprehensive dental care for your entire family. Dr. Madej and Dr. Vu have taken extensive continuing education course in bonding, veneers, crowns and bridges, inlays and onlays, and dental implants. All procedures can be done under iv sedation for your complete comfort.

We understand that driving to Edmonton to see a specialist is time consuming. Therefore we try to do as much treatment procedures as possible right here in our dental office. This way you have continuity of care and don’t have to travel.


 


Remember to give your teeth the attention they need today!



Restorations - Dental office Grande Cache, Edson, Japer Hinton

Wisdom Teeth Extractions - Grande Cache, Hinton, Edson Dentists

Grande Cache, Hinton, Edson Dentists


Grande Cache, Edson, Jasper Dental clinic


Third molars, commonly referred to as wisdom teeth, are usually the last four of 32 teeth to erupt (surface) in the mouth, generally making their appearance between the ages of 17 to 25. They are located at the back of the mouth (top and bottom), near the entrance to the throat. The term “wisdom” stems from the idea that the molars surface at a time typically associated with increased maturity or “wisdom”.


In most cases, inadequate space in the mouth does not allow the wisdom teeth to erupt properly and become fully functional. When this happens, the tooth can become impacted (stuck) in an undesirable or potentially harmful position. If left untreated, impacted wisdom teeth can contribute to infection, damage to other teeth, and possibly cysts or tumors.


There are several types, or degrees, of impaction based on the actual depth of the teeth within the jaw:


Soft Tissue Impaction: The upper portion of the tooth (the crown) has penetrated through the bone, but the gingiva (gum) is covering part or all of the tooth’s crown and has not positioned properly around the tooth. Because it is difficult to keep the area clean, food can become trapped below the gum and cause an infection and/or tooth decay, resulting in pain and swelling.


Partial Bony Impaction: The tooth has partially erupted, but a portion of the crown remains submerged below the gum and surrounding jawbone. Again, because it is difficult to keep the area clean, infection will commonly occur.


Complete Bony Impaction: The tooth is completely encased by jawbone. This will require more complex removal techniques.


Reasons to remove wisdom teeth


While not all wisdom teeth require removal, wisdom teeth extractions are most often performed because of an active problem such as pain, swelling, decay or infection, or as a preventative measure to avoid serious problems in the future. If impaction of one or more wisdom teeth is present, and left untreated, a number of potentially harmful outcomes can occur, including:



  • Damage to nearby teeth: Second molars (the teeth directly in front of the wisdom teeth) can be adversely affected by impacted wisdom teeth, resulting in tooth decay (cavities), periodontal disease (gum disease) and possible bone loss.



  • Disease: Although uncommon, cysts and tumors can occur in the areas surrounding impacted wisdom teeth.



  • Infection: Bacteria and food can become trapped under the gum tissue, resulting in an infection. The infection can cause considerable pain and danger.



  • Tooth Crowding: It has been theorized that impacted wisdom teeth can put pressure on other teeth and cause them to become misaligned (crowded or twisted). This theory isn’t universally accepted by all dental professionals, and it has never been validated by any scientific studies.


Wisdom teeth examination


As with any dental procedure, your dentist will want to initially conduct a thorough examination of the wisdom and surrounding teeth. Panoramic or digital x-rays will be taken in order for your dentist to evaluate the position of the wisdom teeth and determine if a current problem exists, or the likelihood of any potential future problems. The x-rays can also expose additional risk factors, such as deterioration or decay of nearby teeth. Early evaluation and treatment (typically in the mid-teen years) is recommended in order to identify potential problems and to improve the results for patients requiring wisdom teeth extractions. Only after a thorough examination can your dentist provide you with the best options for your particular case.


What does the removal of wisdom teeth involve?


Wisdom teeth removal is a common procedure, generally performed under local anesthesia, intravenous (IV) sedation, or general anesthesia by a specially trained dentist in an office surgery suite. The surgery does not require an overnight stay, and you will be released with post-operative instructions and medication (if necessary), to help manage any swelling or discomfort.



Wisdom Teeth Extractions - Grande Cache, Hinton, Edson Dentists

TMJ (Tempro-Mandibular Joint Dysfunction) - Dental office Grande Cache, Edson, Hinton

Dental office Grande Cache, Edson, Hinton


Dental office Grande Cache, Edson, Hinton


 


Tempro-Mandibular Joint Dysfunction Syndrome (TMJ) is a common condition affecting a wide variety of people. TMJ is characterized by severe headaches, jaw pain of varying degrees, grinding teeth, and an intermittent ringing in the ears. The vast majority of TMJ sufferers are unaware that the root cause of these problems is something that a dentist can effectively treat.


The symptoms of TMJ are debilitating and can greatly interfere with every day life. The comfort and general well being of the patient is at the heart of the dental practice, so pain relief is the first consideration of the dentist. The dentist is able to test, diagnose, and devise an immediate plan to treat the underlying causes of the TMJ disorder.


Reasons for treating TMJ


TMJ sufferers report that their symptoms generally worsen during periods of prolonged or unexpected stress, and that intense outbreaks of the condition can lead to neck pain and dizziness.


The most common cause of TMJ is the misalignment of the teeth, often called “bad bite.” It is possible for the dentist to realign or adjust the teeth without the need for painful or expensive surgeries. The realignment/adjustment will stop the pounding headaches, the jaw pain, and the dizziness.


The grinding teeth symptom is particularly common and usually occurs at night. The grinding will eventually erode the structure of the teeth and lead to much more severe dental problems in the future. Untreated TMJ is one of the prime underlying factors in eroded jawbones and loose teeth.


It is important for anyone experiencing the symptoms of TMJ to visit the dentist for an exact diagnosis.


What does treating TMJ involve?


TMJ could be a result of several different problems. Bad bite is the most common, but an injury resulting from a blow to the meniscus cartilage is also a possibility. Initially, the dentist will thoroughly examine the jaw area, the patients bite, take x-rays, and review the patient’s history in order to make an accurate diagnosis and recommend necessary treatment.


Once a firm diagnosis is attained, there are several ways in which relief can be provided. A specially molded bite guard can be created to stop teeth grinding during the night. A bite relationship analysis may be recommended by the dentist. The dentist can also provide advice on relaxation techniques which will lessen the effects of stress. As a last alternative, the dentist is also able to prescribe muscle relaxants.


A better option is to change the shape of the teeth and get rid of the bad bite completely, often called “realignment.” This is especially useful because it alleviates TMJ symptoms and may improve the aesthetic appearance of the teeth as well. Realignment involves adjusting the relationship between how the upper teeth come together with the lower teeth. This may require new restorations and/or adjusting the natural teeth as well. It is not a painful procedure, and it is one the dentist has performed with great success numerous times. As with any procedure, the dentist will be happy to answer questions and discuss symptoms, options, and treatments.


If you are experiencing any symptoms of TMJ, we encourage you to contact our office today to schedule an appointment.



TMJ (Tempro-Mandibular Joint Dysfunction) - Dental office Grande Cache, Edson, Hinton

Sleep Apnea - Edson, Grande Cache, Jasper, Hinton Dentistry

Edson, Grande Cache, Jasper, Hinton Dentistry


Edson, Grande Cache, Jasper, Hinton Dentistry


Sleep apnea is a potentially life-threatening sleep disorder characterized by repeated pauses in breathing during sleep. The term sleep apnea is derived from the Greek etymology meaning “without breath”. Breathing pauses can last anywhere from several seconds to minutes, and happen as often as 30 times or more per hour. Ongoing disrupted breathing causes an imbalance between the carbon dioxide and oxygen levels in the bloodstream, as not enough carbon dioxide is exiting and not enough oxygen is entering the body.


Sensing this imbalance, the brain sends a message to the body, telling it to wake up to restart breathing the process. People with sleep apnea will partially awake as they struggle to breathe, and this is often accompanied by loud snoring or choking sensations. Because people with sleep apnea don’t always completely awake during the episodes, they are often unaware they have a sleeping disorder and it can remain undiagnosed.


There are two main types of this disorder; central sleep apnea which occurs when the brain fails to send important signals to the breathing muscles, and obstructive sleep apnea which occurs when air cannot flow through the nose or mouth even though the body is still trying to breathe. Obstructive sleep apnea is far more prevalent and easily treatable by the dentist.


Common signs of obstructive sleep apnea can include severe early morning headaches, sleepiness in the daytime, and insomnia. Fortunately, the dentist is equipped with the necessary technology and expertise to treat sleep apnea in several different ways.


Reason for treating sleep apnea


It is very important to seek medical attention if sleep apnea is suspected. A sufferer can completely stop numerous times per hour, and this can quickly turn into a deadly situation. Obstructive sleep apnea occurs when the soft tissue lying at the back of the patient’s throat collapses into the airway. The tongue then falls towards the back of the throat which tightens the blockage and prevents oxygen from entering the lungs.


The problem worsens when the chest region, diaphragm, and abdomen fight for air. The efforts they make to obtain vital oxygen only cause a further tightening of the blockage. The patient must arouse from deep sleep to tense the tongue and remove the soft tissue from the airway.


Because sleep apnea causes carbon dioxide levels to skyrocket in the blood and oxygen levels to decrease, the heart has to pump harder and faster to compensate for the lack of oxygen. Sleep apnea patients can technically “die” many times each night. Sleep apnea has been linked to a series of serious heart-related conditions, and should be investigated by the dentist at the earliest opportunity.


What does sleep apnea treatment involve?


Initially, the dentist will want to conduct tests in order to investigate, diagnose, and pinpoint a suitable treatment. The dentist can offer many different treatment options which depend largely on the exact diagnosis and the health of the patient. The dentist may advise the patient to halt some habits that aggravate sleep apnea such as smoking, alcohol consumption, and tranquilizer use.


Sleeping masks were traditionally used to keep the patient’s airways open while they slept, but nowadays there are some less intrusive options. Dental devices that gently tease the lower jaw forward are very effective in preventing the tongue from blocking the main air passage.  These dental devices are gentle, easy to wear, and often help patients avoid unwanted surgeries.


A more permanent solution is to have surgery that sections the lower jaw and helps pull the bone holding the tongue forward slightly. This surgery has an impressive success rate and is simple for the dentist or oral surgeon to perform. The dentist needs to formally make a diagnosis of each individual case before recommending the best course of action.


 



Sleep Apnea - Edson, Grande Cache, Jasper, Hinton Dentistry

Oral Pathology - Edson, Grande Cache, Jasper, Hinton Dental office

Edson, Grande Cache, Jasper, Hinton Dental office


Edson, Grande Cache, Jasper, Hinton Dental office


 


An oral exam is routinely performed by the dentist during the course of an initial comprehensive exam and regular check-ups. An oral cancer exam refers to the identification and management of diseases pertaining to the maxillofacial and oral regions.


The soft tissue of the mouth is normally lined with mucosa, which is special type of skin that should appear smooth in texture and pink in color. Any alteration of the color or texture of the mucosa may signal the beginning of a pathologic process. These changes may occur on the face, neck, and areas of the mouth (e.g., gums, tongue, lips, etc.). The most serious of these pathologic changes (which may or may not be painful) is oral cancer, but there are also many other common pathologic problems.


Geographic Tongue – Also known as Benign Migratory Glossitis or Erythema Migrans, is a condition where the tongue is missing papillae (small bumps) in different areas, and a map-like appearance can develop. This condition is usually seen as red well defined areas on or around the sides of the tongue. The red patches (which can look like an unsightly rash) may come and go from hours to months at a time and cause increased sensitivity to certain substances.


Median Palatal Cyst – This cyst is of developmental origin and is essentially a fluid filled skin sac. It usually appears in the middle of the palate and may cause substantial discomfort.


Hairy Tongue – An overgrowth of bacteria or a yeast infection in the mouth which can cause the tongue to appear hairy and black. This condition is usually a result of poor oral hygiene, chronic or extensive use of antibiotics, or radiation treatments to the head or neck. It is often also seen in HIV positive patients and those who are intravenous drug users. Hairy Tongue may or may not require treatment.


Treatment of Pathological Diseases


In the majority of cases, the pathological changes experienced in the oral region are uncomfortable and disfiguring, but not life threatening. However, oral cancer is on the rise (especially among men) and the chances of survival are around 80% if an immediate diagnosis is made.


Oral cancer is a general term used when referring to any type of cancer affecting the tongue, jaw, and lower cheek area. Since it is impossible for the dentist to decisively diagnose a pathological disease without taking a biopsy sample of the affected area, seeking immediate treatment when changes are first noticed might be a life and death decision. For less serious problems, there are several options available, such as:



  • Antibiotics – In the case of a bacterial infection or persistent soreness, the dentist may prescribe a dose of antibiotics to return the mucosa to its natural state. This will alleviate soreness and discomfort.



  • Diluted Hydrogen Peroxide – When poor oral hygiene is causing changes to the soft tissue, the dentist may prescribe a diluted hydrogen peroxide mouthwash. This will kill more bacteria than regular mouthwash and improve halitosis (bad breath).



  • Oral Surgery – If the patient has cysts or abnormal non-cancerous growths, the dentist may decide to completely remove them. This can improve comfort levels, alleviate breathing problems, and make speech substantially easier depending on the location of the cyst.


Oral Examinations


During the course of a regular check up, the dentist will thoroughly inspect the soft tissue of the mouth and take serious note of any changes. If there are cell changes present, the dentist will take a biopsy of the affected area and send it away to be analyzed by laboratory specialists. When definitive results are obtained, the dentist can decide on the best course of treatment.


Oral Cancer Screenings


An oral cancer screening is usually performed during a comprehensive or recall (check-up) exam. Screening is painless and only takes a few minutes. The dentist or hygienist will use a laser light to assess the soft tissue for cell changes that might be indicative of oral cancer. If such cell changes are present, a small biopsy will be taken and sent to a laboratory for review. If the biopsy indicates that oral cancer is present, an excision (removal) will generally be performed.


If you are experiencing any pain or symptoms that cause you concern, we encourage you to contact us today to schedule an appointment.



Oral Pathology - Edson, Grande Cache, Jasper, Hinton Dental office

Impacted Canines - Dental clinic Hinton, Edson, Jasper, Grande Cache

Dental clinic Hinton, Edson, Jasper, Grande Cache


Dental clinic Hinton, Edson, Jasper, Grande Cache


 




Humans have two upper (maxillary) canines and two lower (mandibular) canines. Canine teeth are sometimes referred to as cuspids, fangs, or “eye teeth” because of their direct positioning beneath the eyes. Canine teeth have thicker and more conical roots than incisors and thus have an especially firm connection to the jaw. Canine teeth often have the longest root of all teeth in the human mouth and the last to fully erupt and fall into place; often around age 13.


An impacted tooth essentially means that it is blocked, stuck, or unable to fully erupt and function properly. Third molars (wisdom teeth) most commonly fall victim to impaction, but the upper canine is the second most common tooth to become impacted. Wisdom teeth serve no important function in the mouth and are frequently removed; however, impacted canines are critical to the bite and require treatment for the following reasons:



  • Closing Gaps – Canines are the last of the front teeth to fall into place and therefore close any unsightly gaps between the other upper teeth.



  • First Touch – Canines play a vital role in the “biting” mechanism of the teeth. They touch first when the jaw closes, and guide the other teeth into position.



  • Proper Alignment & Function – Canine teeth are essential to the correct alignment and function of the other teeth on the dental arch. Missing or impacted canines can greatly affect the function and aesthetic appearance of the smile.


What causes canine teeth to become impacted?


There are several main causes for impacted canine teeth:


Extra Teeth – If extra teeth are present, the natural eruption of the canine teeth may be inhibited. The eruption progress of the canine may be directly blocked by an extra tooth or the subsequent overcrowding might leave no room on the dental arch for the canine.


Overcrowding – In some cases, poor alignment of the front teeth can lead to overcrowding. The existing teeth compete for space which means that the canines do not have sufficient room to become functional.


Unusual Growths – On rare occasions, unusual growths on the soft tissue of the gums can restrict the progress of canine teeth, which leads to later impaction.


Early and thorough examination of the teeth can pre-empt problems with impacted canines. It is important for the dentist to document the number teeth present when the patient is around 7 years of age in order to record the presence or absence of canine teeth. The older the patient becomes, the less likely it is that an impacted canine tooth will erupt naturally. If canine teeth are missing or very slow in fully erupting, the dentist can make recommendations for proper treatment.


Oral Examination


The dentist initially conducts a thorough visual examination of the teeth, accompanied by a panorex x-ray and/or individual x-rays. Once the cause of the impaction has been determined, there will be several treatment options available depending upon the age of the patient. The objective is to aid the eruption of the impacted canines, and this can be skillfully done by the dentist, an oral surgeon, or an orthodontist.


What does the treatment of impacted canines involve?


If your mouth is overcrowded for any reason, the dentist may recommend extraction of teeth. The extraction will generally be performed under local anesthetic by an oral surgeon. The un-erupted canine will then be exposed by lifting the gum, and guided into place using a special bracket.


In the case of younger patients, an orthodontic brace may be fitted to create a space on the dental arch for the impacted canine. Surgery for impacted canines usually does not require an overnight stay. Pain medication will be prescribed as necessary, and you’ll be given post treatment advice for your recovery.





Impacted Canines - Dental clinic Hinton, Edson, Jasper, Grande Cache

Dental Implants - Edson, Jasper, Grande Cache, Hinton Dentist

Edson, Jasper, Grande Cache, Hinton Dentist


Edson, Jasper, Grande Cache, Hinton Dentist


 


Dental implants are a great way to replace missing teeth and also provide a fixed solution to having removable partial or complete dentures.  Implants provide excellent support and stability for these dental appliances.


Dental implants are artificial roots and teeth (usually titanium) that are surgically placed into the upper or lower jaw bone by a dentist or Periodontist – a specialist of the gums and supporting bone.  The teeth attached to implants are very natural looking and often enhance or restore a patient’s smile!


Dental implants are very strong, stable, and durable and will last many years, but on occasion, they will have to be re-tightened or replaced due to normal wear.


Reasons for dental implants:



  • Replace one or more missing teeth without affecting adjacent teeth.



  • Resolve joint pain or bite problems caused by teeth shifting into missing tooth space.



  • Restore a patient’s confident smile.



  • Restore chewing, speech, and digestion.



  • Restore or enhance facial tissues.



  • Support a bridge or denture, making them more secure and comfortable.


What does getting dental implants involve?


The process of getting implants requires a number of visits over several months.


X-rays and impressions (molds) are taken of the jaw and teeth to determine bone, gum tissue, and spacing available for an implant.  While the area is numb, the implant will be surgically placed into the bone and allowed to heal and integrate itself onto the bone for up to six months.  Depending on the type of implant, a second surgery may be required in order to place the “post” that will hold the artificial tooth in place.  With other implants the post and anchor are already attached and placed at the same time.


After several weeks of healing the artificial teeth are made and fitted to the post portion of the anchor.  Because several fittings may be required, this step may take one to two months to complete.  After a healing period, the artificial teeth are securely attached to the implant, providing excellent stability and comfort to the patient.


You will receive care instructions when your treatment is completed.  Good oral hygiene, eating habits, and regular dental visits will aid in the life of your new implant.



Dental Implants - Edson, Jasper, Grande Cache, Hinton Dentist

Apicoectomy - Grande Cache, Edson, Hinton, Jasper Dentists

Grande Cache, Edson, Hinton, Jasper Dentists


Grande Cache, Edson, Hinton, Jasper Dentists


 


The teeth are held firmly in place by strong roots that extend into the jawbone. Molars and premolars tend to have several roots, whereas the front incisors only have a single root. The end or tip of each root is termed the apex. The apex is where the nerves and blood vessels enter the tooth, and aids in the delivery of blood to the crown (the part of the tooth you can see in your mouth).


A root canal treatment refers to the cleaning of the canals and the removal of infected and inflamed tissue within the root. When the inflammation or infection persists after the root canal treatment, an apicoectomy may be required. An apicoectomy is essentially the removal of the apex (or root tip), followed by a filling procedure to seal the root from further infection. When left untreated, infected roots can damage other teeth, spread infection, and cause regression of the jawbone.


Reasons for an apicoectomy


Infected and inflamed soft tissue around the root of a tooth can be exceptionally painful and debilitating to the patient. The purpose of an apicoectomy is to eliminate the infection in the tissue and to ultimately preserve the function of the tooth and save it from extraction. An apicoectomy will rarely be considered by the dentist unless a prior root canal treatment has failed.


There are several reasons why an apicoectomy may be necessary:



  • Small Adjoining Root Branches – Roots are extremely complex and can contain many tiny branches. If these tiny branches cannot be cleaned and sealed when the root canal treatment is performed, inflammation can persist.



  • Blocked Root Canal – In some cases, the dentist is unable to effectively clean a root canal because it is blocked by a fractured file left behind from prior root canal treatment. Infection and debris can quickly affect adjacent teeth.



  • Narrow or Curved Root Canals – When the root canal is poorly shaped, the endodontic files cannot reach the root tip. Continuing infection or re-infection can then occur.


What does getting an apicoectomy involve?


Prior to the surgery, the dentist will generally prescribe an antibiotic or anti-inflammatory medication to treat the underlying infection. Panoramic x-rays will then be taken to enable the dentist to plan the apicoectomy, which will be performed under local anesthesia.


The dentist will make a small incision in the gum and expose the root by lifting away the gum. In some cases, a tiny fraction of the jawbone may be removed to properly expose the root. The edge of the root tip and any infected connective tissue will be removed using ultrasonic instruments. The root will be sealed using a retrofill (filling material) and the dentist will suture the gum with several stitches.


This surgery does not require an overnight stay, and full aftercare instructions and pain medications will be provided as needed. After several days, the dentist will remove the stitches, and the connective tissues will fully heal several months after the procedure.



Apicoectomy - Grande Cache, Edson, Hinton, Jasper Dentists

Soft Tissue Grafting - Dental office Hinton, Edson, Grande Cache, Jasper

Dental office Hinton, Edson, Grande Cache, Jasper


Dental office Hinton, Edson, Grande Cache, Jasper


 


Soft tissue grafting is often necessary to combat gum recession.  Periodontal disease, trauma, aging, over brushing, and poor tooth positioning are the leading causes of gum recession which can lead to tooth-root exposure in severe cases.


When the roots of the teeth become exposed, eating hot and cold foods can be uncomfortable, decay is more prevalent and the aesthetic appearance of the smile is altered.  The main goal of soft tissue grafting is to either cover the exposed root or to thicken the existing gum tissue in order to halt further tissue loss.


The three different types of common soft tissue grafts include:



  • Free gingival graft – A strip of tissue is removed from the roof of the mouth and stitched to the grafting site in order to promote natural growth.  This type of graft is most commonly used for thickening existing tissue.



  • Connective tissue graft – For larger areas or root exposure, subepithelial tissue is needed to remedy the problem.  This subepithelial connective tissue is removed from a small flap in the mouth and sutured to the grafting site.  This is the most common treatment for root exposure.



  • Pedicle graft – This type of graft involves the “sharing” of soft tissue between the affected site and adjacent gum.  A flap of tissue is partially cut away and moved sideways to cover the root.  The results of this type of graft are excellent because the tissue that is moved to the adjacent area includes blood vessels that are left in place.


Reasons for soft tissue grafting


Soft tissue grafting is an extremely versatile procedure that has many uses.  Recent developments in dental technology have made soft tissue grafting more predictable and less intrusive.  Here are some of the main benefits associated with soft tissue grafting treatment:



  • Increased comfort – Root exposure can cause substantial pain and discomfort.  Eating hot, cold or even warm foods can cause severe discomfort. Soft tissue grafts cover the exposed root, decreases sensitivity and restore good health to the gum area.



  • Improved aesthetics – Gum recession due to periodontal disease can cause the smile to look “toothy” or the teeth to appear uneven in size.  Soft tissue grafting can be used as a cosmetic procedure to re-augment the gums, and make the smile appear more symmetrical.



  • Improved gum health – Periodontal disease is a progressive condition that can destroy soft tissue very rapidly.  When used in combination with deep cleaning procedures, soft tissue grafting can halt tissue and bone loss, and protect exposed roots from further complications.


What does soft tissue grafting treatment involve?


Initially, deep cleaning will be performed both above and below the gum line to clear the teeth and roots of calculus (tartar).  The grafting procedure itself will generally be performed under local anesthetic, but this will depend on the size of the areas receiving grafts.  A small incision will be made at the recipient site in order to create a small pocket.  A split thickness incision is made in this pocket and the donor tissue is placed between the two sections of this area.  The donor tissue strip is generally larger than the incision, so some excess will be apparent.


Platelet rich growth factors which stimulate natural tissue growth and promote good healing may be applied to the site before suturing.  In addition, tissue-stimulating proteins may be added to encourage quicker tissue growth.  Finally, the wound site will be sutured to prevent shifting, and surgical material will be placed to protect the sensitive area.  Gum uniformity and substantial healing will take place in the first six weeks after the procedure.



Soft Tissue Grafting - Dental office Hinton, Edson, Grande Cache, Jasper