Oasis is a quality dental clinic offering overall dental care in Elviria, Marbella

Direct restorations are fillings placed immediately into a prepared cavity in a single visit. This is usually done to remove dental decay and restore strength and function to the tooth or to improve appearance. They generally will last for many years if they are well maintained and preventative measures are followed to stop secondary decay occurring.

It might be necessary to place a filling because there is a new problem (e.g. decay) in the tooth or you may have an old filling which needs replacing. This is usually because it has worn or pulled away from the tooth leaving gaps at the filling edges providing an entry point for decay-causing bacteria.

In addition although they might be intact, many people wish to change existing old grey/silver amalgam fillings as they worry not just about the appearance but the effect they may be having on their general health.

From an overall health perspective amalgam fillings have been in use in dentistry for over 100 years and we do know that mercury leaks from these fillings over time. Although the risks are still being debated, many patients wish to remove these fillings and change to the modern alternatives – just in case! Of course as these newer fillings are also designed to match the natural colour of the teeth they are more aesthetically pleasing.

Oasis Dental Clinic is an amalgam free practice i.e. none of the materials we use to fill your teeth contain mercury and are all tooth colored. The newer "mercury free materials" are superior to the traditional amalgam fillings in many ways. Our practice offers you cutting edge techniques and equipment and highly trained and experienced staff to make sure that your fillings are correctly placed for long-term success.

We appreciate that deciding to have a tooth taken out and then going through the process may not be an easy task. All extractions carried out at the clinic are done under effective local anaesthesia with or without the adjunctive help of sedation medication if you feel this would make the process easier for you.

You will be given both verbal and written post-operative instructions so you know exactly what to do and not do and also what to expect as healing progresses. A review appointment may sometimes be scheduled just to ensure all is healing as planned.

It can be difficult to accurately estimate the length of time an extraction will take although a clinical examination and radiograph can usually be a good indication and it may vary from a few minutes to about half an hour. Similarly the difficulty of the extraction may vary and some cases may be surgical where some repositioning of the gum and bone removal may be necessary but in all instances we ensure that effective anaesthesia throughout makes the procedure pain free.

Afterwards, for difficult cases, you may be prescribed a short course of antibiotics and strong painkillers and a review appointment may be scheduled to check healing is progressing well.

What is gum disease?

Gum disease is also called periodontal disease. This is a chronic bacterial infection that affects the gums and bone supporting the teeth. Periodontal disease can affect one tooth or many teeth. Gingivitis is the mildest form of the disease and begins when the bacteria in plaque (the sticky film that constantly forms on your teeth) causes the gums to become inflamed.

Periodontitis occurs when the plaque and disease causing bacteria spread below the gumline. These bacteria produce toxins which attack the tissues and bones supporting the teeth. This causes the gums to separate from the teeth, forming pockets (spaces between the teeth and gums) that become infected and accumulate more plaque and calculus (mineralised plaque deposits which cannot be removed by the patient). As the disease progresses, the pockets deepen and more gum tissue and bone are destroyed until eventually the teeth become loose. Often, this process only has mild symptoms until the very late stages when teeth may be lost.

Some common symptoms that patients may notice include:

  • Gums that bleed easily
  • Red, swollen, tender gums 
  • Gums that have pulled away from the teeth 
  • Persistent bad breath or bad taste
  • Permanent teeth that are loose or separating 
  • Any change in the way your teeth fit together when you bite 
  • Any change in the fit of partial dentures.

Why is treatment important?

Some people still associate loose teeth and loss of these teeth with the natural process of ageing...fortunately we know now this to be completely incorrect! If your periodontal disease is diagnosed early and you work with your dentist/hygienist then it is possible to stabilise your gum disease, keep your gums healthy and you can keep your teeth for a lifetime!

Furthermore the identification, treatment and prevention of gum disease has more far-reaching implications than simply having a healthy set of teeth and gums for life; it may also influence how healthy your whole body is.

Periodontal disease has been known to impact negatively on many medical systemic conditions.

These include:

Diabetes: periodontal disease triggers the body's inflammatory response which can affect insulin sensitivity. This means that it is more difficult to maintain healthy blood sugar levels (glycemic control).

Heart disease: bacteria from the mouth can enter the bloodstream through the cellular lining of the gums. These same bacteria attach to fatty deposits in the heart blood vessels (coronary arteries) and can contribute to clot formation and blockages leading to heart attacks.

Adverse pregnancy outcomes: to sustain a normal pregnancy, it is necessary to balance the mother's nutritional, hormonal, and immunological systems. The presence of active gum disease will change that balance. One of the resultant adverse outcomes is that a mother may go into labour prematurely.

Osteoprosis: This condition reduces the density of the bone everywhere in the body including in the jaw and the loss of the support of the teeth may cause them to become loose. This effect is amplified if there is also bacteria and infection in the mouth.

Research is still continuing to clarify the nature of these associations and other variables which may affect them.

To read more about these associations please go to .....

www.perio.org

http://news.bbc.co.uk/2/hi/health/8063512.stm 

http://www.nidcr.nih.gov/Research/ResearchResults/InterviewsOHR/TIS072005

What treatments can be done for it?

The dentist or hygenist´s role when cleaning the mouth is focused on removing soft and hard deposits from the surfaces of the teeth which harbor the bacteria causing gum disease.

A routine scaling and polish visit will removing staining, superficial deposits around the gum line and freshen the mouth. However this session alone will not address many of the long term periodontal problems which patients may be unaware of. This may especially be the case where patients have not seen the dentist in a long time and a single session is unlikely to restore the gum condition to perfect health. Like everything, timely early intervention is always better than cure.

Here at the Oasis Dental Clinic therefore we consider it absolutely essential to first assess the gum health and diagnose the existing periodontal problems in order to offer the correct periodontal treatment. As stated before it is possible to have early periodontal disease and have no obvious warning signs.

Inside your tooth's hard outer shell of enamel is a nourishing pulp of blood vessels and nerves. Root canal treatment is a dental procedure that needs to be carried out when this blood and nerve supply of a tooth become infected by bacteria. Such infections usually occur as a result of a large amount of tooth decay or traumatic dental injury.

Bacterial Infections can spread throughout the root canal system of the tooth, which may ultimately result in destruction of the surrounding jaw bone. Very often this presents as a painful abscess or, in extreme cases, a facial swelling.

"Root canal treatment can prevent the spread of infection and save a tooth that would otherwise need to be extracted."

Depending on which tooth is affected, there will be a different number of root canals. Whilst root canal treatments generally takes between one to three visits our specialist endodontist´ normally completes the treatment in one single visit.

Following the root canal treatment a filling material is placed to provide a seal against any further re-infection and a crown may be needed to restore the strength and appearance of the damaged tooth.

  • Jaw Joint Problems
  • Teeth Grinding

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