It will be a good idea to always have the contact details of a good 77027 dentist close to hand as you never know when you will need it. Toothache can start at any time and there is a myriad of other conditions that may require a quick appointment to be made. Check-ups and some fillings can wait, but when there is an emergency, you want to be treated as a matter of urgency. If you have a damaged tooth you will need an emergency appointment and it is vital that your dentist can arrange that. It is not good having the best dentist in the world if you can’t get to see them when you need to.
The sorts of condition that may need extra appointments include crowns, braces and many other pain- relieving procedures. Root canal treatment can be harrowing and even when it is finished there may be additional procedures that need to be undertaken. Once you think that you are out of the woods and you suddenly notice that there are chips on your teeth. It is time to consider a crown. You may have decided that you need a crown, but you know need to choose the type of crown you are going to have.
Another name for the crown is a cap so if you see either term used you will know that it means the same thing. It is a protective covering that is cemented onto a tooth to either protect it or to make it look better. It may seem a little worrying and you could be concerned that it will fall off, but once it is put it on, it will have to be a dentist who removes it. Having the crown made can be a little stressful, but once it is done, you will notice a world of difference.
The dentist will take an impression of the tooth and the ones around it. The tooth to be covered will have to be filed down a little, so that the crown will not be too small to cover it. If the crown was made bigger, it would not fit in with the rest of the teeth. As the tooth may then look a little unusual, a temporary crown can be used to cover it and protect it until the proper one is ready to be fitted.
Choosing the type of crown you want can be quite difficult. There are four different types of dental crown and they are: –
- Ceramic – these will be most useful when fixing the front teeth as they are the easiest to match with the teeth’s natural colour. It is constructed out of a porcelain-based material and will be comfortable and bright. Once you have them, professional cleaning will not work on them and even laser dentistry will not make any difference.
- Porcelain attached to metal – this is the one to choose if you want the crown to be very strong. As a result, it will last a lot longer than other types and it will be very hard to wear it down.
- Gold alloys – although gold in color, there are other metals involved as well. The crown id made from gold, copper and others. It is another strong crown and once in place, will not move. It is not going to be damaged by any external forces and despite being so resilient, will not cause any damage to the tooth it covers
- Base metal alloys – The non- noble metals are used in this crown and an advantage is that they are all able to combat erosion. There is also no need to remove as much of the original tooth as there would be for others.
Differences between types of crown
The American Dental Association has carried out research to see if there is a great deal of difference between the four types of crowns. The all-porcelain crown is the one that raised some concerns as it is deemed to be less likely to produce a good seal against any leaks that may occur. The others are good at sealing and will not give any cause from concern.
If you are looking for crowns that will be durable, then the best one will be the mixture of gold and metal alloy. Porcelain again loses out as this is the least stable and will be the easiest to damage. There does not even have to be a great deal of pressure put on them for them to become weakened. It could be as simple as biting down on something that is not meant to be bitten, or even just grinding your teeth when you are asleep. If the porcelain is fused to metal than there is a different result and they are a lot more durable. They however are far from perfect as they can cause issues for the teeth opposite them in the same way that the ones made just from porcelain can.
You can expect to have crowns all your life as once they have been glued in, it will take a lot for them to be forced out. They can work their way loose, but this is normally because of them not being properly looked after. With correct oral hygiene, they should look as good as new. For most people there should not be a reason why they cannot clean and floss them properly a couple of times a day and if decent toothbrushes and paste are used the effects should be good. Just to be on the safe side, make dental appointments even when there is nothing wrong, as your dentist in uptown will be able to see if there are likely to be problems in the future.
Knocking out a Tooth
When you knock out a tooth there is nothing to panic too much but do remember that you will need to see an uptown dentist as soon as you can. If the person losing a tooth is an adult, they can try putting it back in and see if it will stay until the visit to the dentist is made. If it is a child and it is a baby tooth that has come out, then this should not be tried.
If the adult tooth will not stay in place, then it should be placed in milk. Hopefully you will get an emergency appointment, but if you don’t, they may suggest that you look elsewhere. If you have been lucky and the impact chipped the tooth rather than knocked it out completely, you should still make an appointment to visit the dentist, although clearly this will not be as important. Don’t worry about paying for emergency treatment – a normal appointment will be just fine.
If You Knock Out a Tooth
As previously mentioned if knocked out, an adult tooth may be reinserted. It is not just a matter of sticking it back in the hole and hoping for the best, but if you do things correctly, it may settle in the gum again.
- As soon as the tooth comes out, locate it
- Try not to touch the bottom of it but just handle it by the part that sticks out of the gum – the crown.
- Lick all around it if it fell somewhere clean, or if it did not, clean it with water.
- Slot it back into the gum – remember this should only be for an adult tooth and never a baby one.
- Bit hard onto a piece of fabric so that the tooth stays in place.
- Contact the dentist and explain what has happened. They will agree that it is an emergency and do all they can to help you out.
There will be times when it is not possible to get the tooth to stay in your mouth, so if this is the case, soak the tooth in some milk while you contact the dentist. The sooner that the tooth is back in the gum, the more likely it is that it will embed in and be saved.
The reason for not trying to put back a baby tooth is simple. All children lose teeth and it will not look strange for the child to have done so. If an attempt is made to put it back it could do more harm than good because there is an adult tooth in the gum. This will be damaged and if this needed to be removed there would be nothing left. An appointment should be made, and the dentist will check that it was a clean break, and nothing is left in the gum. If there is it will be removed so that it will not impede the growing adult tooth or cut the child’s tongue.
If you have successfully put the tooth back yourself, it does not mean that this is the end of the incident. An x-ray should show if it is in the correct position and then they will need to settle it. It will mean that a splint must be put in place for a couple of weeks. This is going to attach the tooth to the gum as well as keep it stable, allowing it to bed in properly.
If the option was to place the tooth in milk, when you get there, the dentist will have to follow a different route. The mouth will be numbed, and the dentist will place the tooth back into the gap. An x-ray will check that they have placed it correctly and then they will have to splint it.
The big issue will be around what happens if you are not able to find the tooth. Clearly there will not be the chance to reset, but there are ways of filling the gap. A bridge can be fitted, and this is a false tooth that will be permanently attached to the teeth on either side of it. It can be a lot to go through, and if the tooth is at the back, or the gap does not bother you, it can be left as it is.
This can come about as the result of a broken tooth. If it is a large chip, the piece may be found and could be reset. If it is smaller or can’t be found – there is a chance that some pieces will be swallowed – the dentist can replace the part that is missing. If you don’t feel that the dentist has matched the color correctly you could go a stage further and have a crown put over the tooth. If the nerves have been exposed, it is likely that root canal treatment will have to happen before the tooth can be covered. The nerve will be removed, and it could lead to the death of the tooth.
Follow -Up Treatment
Once you have teeth that are firmly set, it can be tempting to want to improve the teeth even more. If they are not straight, braces will be the obvious way to look after them. You won’t want to replace a damage tooth with a brace that is going to be noticed by all, and the good news is that there is an alternative. Invisalign braces are clear and once put in your mouth will be very hard to see. They will be changed as your teeth are moving and it is for this reason that you should be very careful about having this treatment if you have had a tooth reset.
You will have gone through a long procedure to have the tooth put back in place and now you are going to try and move it. Unfortunate as it may seem, your dentist may not want you to take the risk of dislodging is again and that you will be better off having slightly crooked teeth rather than a big gap where there should not be one. As ever you should take your dentists advice, but make sure that what it being suggested is in your best interest. This is what a reputable dentist will always do.