Periodontology (Gum Disease)
In cases where oral care is inadequate, a bacterial plaque that is a rich, soft, sticky layer of microorganisms on the tooth surface accumulates. This layer causes gingivitis with tooth decay. Healthy gums are pale pink in color, with orange peel appearance and hardness. When the gums lose their health they are swollen, red, bleeding and moving. If the treatment is delayed, the tooth stones accumulate causing the bone surrounding the tooth to erase. The gums start to pull out. This condition is both sensitive to heat changes and causes aesthetic problems as well as oral odor and even dental inflammation in very advanced conditions. If they go further, tooth loss starts. Gum disease also occurs in the case of inadequate oral care, hormonal changes, genetic factors, drug use, some systemic diseases; If there is a problem already existing, it progresses rapidly.
There is a gap between the tooth and the gum called pocket which we can not see with eyes. It should be treated when it reaches a certain depth. In the first phase of gingivitis, a vibrating device called cavitron will suffice for professional dental cleaning and good oral care treatment. However, if the treatment is delayed, the bone around the tooth also goes into the phase of periodontitis, which begins to be affected. In this phase, a deeper cleaning is first performed with special hand tools under local anesthesia called curettage. The goal is to flatten the root surfaces of the tooth stones in areas that can not be reached by the nation, which causes the inflamed tissues to be cleaned and dental caries to cling excessively.
In the cases of advanced periodontitis, gingiva, which is called flap operation under local anesthesia, is gently opened and cleaned and closed with suture.
Although some people do not have inflammation, the position of the muscles, brushing the wrong tooth may cause gum removal. If necessary, treatment with various periodontal surgical techniques can be performed.
Lamine Teeth (Porcelain Lamine) Treatment
When planning is done, it is decided how to prepare the teeth by checking the position of the teeth and the relation with the other teeth. In most cases, there is a pre-work called mock-up. It is a study aiming to give information about how to look about the work to be done and it is applied to the teeth in the mouth with a temporary material which can be removed easily. The patient and the doctor decide together and start the treatment process. It is an aesthetic work with some cases where direct measurement can be taken without preparation, and some preparations may be necessary for the teeth as well as in the gums.
Porcelain laminate (Lamine tooth) is prepared in a laboratory environment by working very sensitively with a special technique and special material. Lamine is glued to this job with special bonding materials. Since only porcelain is used, it is like a natural tooth in terms of light transmittance. For this reason, it gives a very aesthetic result.
Lamine Dental (Porcelain Lamine)
Porcelain laminates, which hold an important place in the aesthetics of the front teeth, are preferred because they are more protective than the other prosthetic options. In conventional coatings, the laminates are applied without any abrasion or with a grinding of 0.3 – 0.5 mm, whilst the tooth is eroded all around. As a result, tooth integrity is greatly preserved.
The tongue is extremely sensitive to even the slightest change in the mouth. In this method, there is no change in the palate side, so acceptability is higher in the mouth.
In which situations is the Lamine tooth preferred?
Lamine teeth; the irregularities in the front teeth region, the surface abrasions of various reasons, the color problem of the teeth, the integrity of color and shape that can not be achieved due to the large filling, and the lack of aesthetic appearance of the tooth/gum view at the laughing line.
Tooth Decay and Duct Treatment
Inadequate oral care to accumulate a rich, soft and sticky layer of microorganisms on the tooth surface called bacterial plaque; it causes the deterioration of the structure of the tooth mines over time and the formation of tooth decay. If tooth decay treatment is delayed, root canal treatment may have to be applied.
If tooth decay is detected in oral examinations or in initial stages in radiological examinations, it can only be treated with a filler. The tooth parts can be cleaned and the missing parts can be filled with filling. Fillings can be made with single seanstant filling materials as well as by taking measurements and bonding them to the teeth in the laboratory environment.
However, if the treatment is delayed, caries continuing to progress through the tooth affect the dental nerve. It may cause severe sensitivities and pain. In such a case, root canal treatment is necessary. First, the affected nerve tissue is removed from the canal and the canal is cleaned and shaped. Fill with appropriate channel filler materials. Then the part of the tooth in the mouth is filled with a filling or covering.
Root Canal Treatment
Serious inflammation may develop around and around the root when the decay treatment is delayed further. In such a case, duct treatment is performed to improve the inflammation of the root of the tooth.
It is always the first purpose to keep the tooth alive without treatment. Sometimes, however, even if very advanced bruises are tried to be treated with fillings, there may be irreversible damage to the femoral nerve and still require duct treatment afterward. Reducing the thread for the coating can also result in the need for duct treatment to result in a strong impact on the tooth or squeezing / grinding teeth.
In cases where the desired healing cannot be achieved, it may be necessary to replace the canal treatment. The most important factor here is the difference in the anatomical structure of the tooth. Failure to use appropriate materials, inadequate shaping and inadequate filling are also factors of failure. In this case, it is necessary to clean the existing channel filler and refill it.
A tooth with root canal treatment is not lost, but canal therapy is a treatment to keep the tooth in the mouth.