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Dental Exam:

Dental Exam Long Island

There are a few purposes for a regular Dental Exam:
-Prevention of teeth and gum diseases.
-Teeth cleaning
-Evaluation of your face, neck and mouth for abnormalities
-Evaluation of your diet and medical history
-You will have an opportunity to ask about dental procedures and discuss your treatment plan
Should be done at least every 6 months. Might include X-ray and other diagnostic procedures.

Prophy:

The American Dental Hygienists' Association takes the following positions regarding the oral prophylaxis:
"There is evidence that supragingival (above the gumline) scaling alone can be detrimental to the total health of an individual.
There is no evidence that supragingival scaling and coronal polishing have any therapeutic value. The oral prophylaxis
should consist of supragingival and subgingival (below the gumline) removal of plaque, calculus, and stain. Only a licensed
dental hygienist or dentist is qualified to determine the need for and perform the oral prophylaxis. The dental hygiene
process (assessment, diagnosis, planning, implementation, evaluation) should be employed when delivering the oral prophylaxis."


Oral cancer screening:

Dental Exam Long Island

What is screening?
Screening is looking for cancer before a person has any symptoms. This can help find cancer at an early stage.
When abnormal tissue or cancer is found early, it may be easier to treat. By the time symptoms appear, cancer may
have begun to spread. Scientists are trying to better understand which people are more likely to get certain types of cancer.
They also study the things we do and the things around us to see if they cause cancer. This information helps doctors recommend
who should be screened for cancer, which screening tests should be used, and how often the tests should be done.
It is important to remember that your doctor does not necessarily think you have cancer if he or she suggests a screening test.
Screening tests are given when you have no cancer symptoms. If a screening test result is abnormal, you may need to have more
tests done to find out if you have cancer. For more information please review the National Cancer Institute website here.

Periodontal disease:

Gingivitis is
-inflammation of the gums
-a form of periodontal disease
-is due to the long-term effects of plaque deposits

Risk factors:
-General illness
-Poor dental hygiene
-Pregnancy (hormonal changes increase the sensitivity of the gums)
-Uncontrolled diabetes
-Medications:birth control pills, phenytoin
-If not removed it turns into a hard deposit called tartar that becomes trapped at the base of the tooth.
-Plaque and tartar irritate and inflame the gums
-Bacteria and the toxins they produce cause the gums to become infected, swollen, and tender

Symptoms of gum disease include:
-Bad breath that won't go away
-Red or swollen gums
-Tender or bleeding gums
-Painful chewing
-Loose teeth
-Sensitive teeth
-Receding gums or longer appearing teeth

Periodontitis:

When gingivitis is not treated, it can advance to "periodontitis" (which means "inflammation around the tooth.")
In periodontitis, gums pull away from the teeth and form spaces (called "pockets") that become infected.The body's
immune system fights the bacteria as the plaque spreads and grows below the gum line. Bacterial toxins and the body's
natural response to infection start to break down the bone and connective tissue that hold teeth in place.
If not treated, the bones, gums, and tissue that support the teeth are destroyed. The teeth may eventually become
loose and have to be removed.

Treatment:
Deep cleaning - Scaling and Root Planing
Medications
Extraction of hopeless teeth
Flap surgery
Bone and Tissue graft

Can gum disease cause health problems beyond the mouth?
People with gum disease (when compared to people without gum disease) were more likely to develop heart disease or
have difficulty controlling blood sugar.
Other studies showed that women with gum disease were more likely than those with healthy gums to deliver preterm,
low birth weight babies. But so far, it is not been determined whether gum disease is the cause of these conditions.
it's a fact that controlling gum disease can save your teeth a very good reason to take care of your teeth and gums.

Restorative:

Fillings:
Direct- amalgam,composite(tooth colored)
Indirect-Cerec( CAD/CAM)
Fillings: The Basics

Crowns (caps):
A dental crown may be needed in the following situations:
-To protect a weak tooth from breaking( after Root canal treatment) or to hold together parts of a cracked tooth
-To restore an already broken tooth or a tooth that has been severely worn down
-To cover and support a tooth with a large filling when there isn't a lot of tooth left
-To cover misshapen or severely discolored teeth
-To cover a dental implant

Types of crowns:
1.Metal
2.Porcelain-fused-to-metal
3.All-resin
4.All-ceramic or all-porcelain
5.Temporary versus permanent

Bridges:
-Restore your smile
-Restore your ability to properly chew and speak
-Maintain the shape of your face
-Distribute the forces in your bite properly by replacing missing teeth
-Prevent remaining teeth from drifting out of position

Removable dentures:
A denture is a removable replacement for missing teeth and surrounding tissues.
Two types of dentures are available - complete and partial dentures.
Complete dentures are used when all the teeth are missing, while partial dentures are used when some natural teeth remain.

Conventional denture:
Made after the teeth have been removed and the gum tissue has begun to heal,
a conventional denture is ready for placement in the mouth about 8 to 12 weeks after the teeth have been removed.

Immediate denture:
Immediate dentures are made in advance and can be positioned as soon as the teeth are removed.
The wearer does not have to be without teeth during the healing period. However, bones and gums shrink over time.
Therefore a disadvantage of immediate dentures compared with conventional dentures is that they require
more adjustments to fit properly during the healing process and generally should only be considered a temporary solution until
conventional dentures can be made.

Partial dentures:
A removable partial denture or bridge usually consists of replacement teeth attached to a pink or gum-colored plastic base,
which is connected by metal framework that holds the denture in place in the mouth.

How are dentures made?
The denture development process takes about three weeks to 1.5 months and several appointments.
Once your dentist or prosthodontist (a dentist who specializes in the restoration and replacement of teeth) determines
what type of appliance is best for you, the general steps are to:

1. Make a series of impressions of your jaw and take measurements of how your jaws relate to one another
and how much space is between them.
2. Create models, wax forms, and/or plastic patterns in the exact shape and position of the denture to be made.
You will "try in" this model several times and the denture will be assessed for color, shape, and fit
before the final denture is cast.
3. Cast a final denture
Adjustments will be made as necessary.

Implants
Dental implants are replacement tooth roots.
Implants provide a strong foundation for fixed (permanent) or removable replacement teeth that are made to match your natural teeth.
Success rates of dental implants vary, depending on where in the jaw the implants are placed but, in general, dental implants have a
success rate of up to 98%. With proper care, implants can last a lifetime.
In most cases, anyone healthy enough to undergo a routine dental extraction or oral surgery can be considered for a dental implant.

Oral Surgery

PerioSurgery:
The purpose of this procedure to remove unhealthy gum tissue and reduce the pocket depths, which allows you to hygenically maintain it.
As a result, the bacteria will no longer have a suitable environment in which to grow, and your gums will hopefully return to a state of health.

Teeth extractions:
If we can not save your tooth, you will be asking to give us informed consent for tooth removal.
We are going to evaluate your medical history. Before removing your tooth, your dentist will give you
a local anesthetic to numb the area where the tooth will be removed. After the tooth is removed,
you may need stitches. The recovery period lasts only a few days. The following will help speed recovery:
-Take painkillers as prescribed by your dentist
-After 24 hours, rinse your mouth gently with warm salt water several times a day to reduce swelling and relieve pain.
-Relax after surgery. Physical activity may increase bleeding.
-Avoid smoking.
-Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as healing progresses.
-Do not lie flat. This may prolong bleeding. Prop up your head with pillows.
-Avoid rubbing the area with your tongue.
-Continue to carefully brush your teeth and tongue.

Root canal treatment involves removing damaged or dead nerves and blood vessels in the tooth root that have become infected
due to decay, cracks or trauma. The space left is then filled with a material that seals the tooth and keeps it functioning as before.
Re-treatment involves the removal of existing root filling material, recleaning the canals and placing new filling material.

Extraction site bone preservation:
Tooth extraction typically leads to loss of ridge width and height. Degree of bone loss varies among individual subjects and between
anatomic sites. 40% of alveolar height and 60 % of alveolar width may be lost in first 6 months after extraction.
Several techniques and variety of biomaterials may be used to prevent bone resorption - such as guided tissue regeneration.





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