General Dentistry

We offer a variety of general dentistry services which include the following:

  • Annual check up and an evaluation to make sure you are taking maximum care of those pearly white teeth
  • Routine dental X-ray to monitor possible new cavities
  • Endodontics (also known as root canal treatment) for a tooth that has severe pain and causes discomfort
  • Fissure sealants and fluoride treatment
  • Mouth guards for professional and amateur athletes
  • Night Guard/ Bite plate for patients with grinding and clenching habits
  • Scaling polishing and oral hygiene to remove debris,plaque and calculus
  • Treatment of bleeding gums and bad breath

When the pulp of a tooth becomes infected or dies, root canal treatment is necessary to save the tooth. It is generally a comfortable treatment that can save your tooth and keep your mouth healthy.

Symptoms of infection

You may realize that you have an infected tooth when:

  • the tooth is sensitive to hot or cold.
  • the tooth hurts with biting or pressure.
  • there is throbbing, severe tooth pain.
  • the area is swollen.
  • you have a bad taste in your mouth.

Causes of infection

The pulp becomes infected when bacteria invades the inner layers of the tooth. The tooth pulp is a soft tissue made up of nerves and blood vessels. It is contained in the pulp chamber that extends from the middle of the tooth down through the tooth roots.

Infection occurs most commonly through a deep cavity that allows bacteria through the enamel and dentin layers and into the pulp. Sometimes the pulp simply dies due to a fracture or a blow to the tooth.

Diagnosis and treatment

To determine if your tooth has an infected pulp, we do a thorough examination. The exam often includes x-rays and sometimes includes checking the health of the pulp with a pulp tester. We may also apply heat or cold, tap lightly on the tooth to see if it is sensitive, look for changes in the tooth’s color, or press gently on the gums next to the tooth to check for pain.

If we determine that you have an infected tooth, Dr Amod will discuss your case personally with you and motivate her reasons for a root canal therapy in order to save the tooth. It is important to treat an infected tooth in order to prevent the infection from traveling through the root tips and causing a painful abscess in the jawbone.

Root canal treatment is a skilled and time-consuming procedure. Most courses of treatment will involve two or more visits.

Sleep should occupy about 1/3 of our lives but most people don’t get the sleep that they need, either because they themselves or someone around them suffers from a sleep disorder. The most common of these disorders are snoring and obstructive sleep apnoea.

Snoring is caused by the vibration of the uvula and soft palate due to an obstructed airway. The conditions occur when the mouth is open and the tongue and soft tissue relax and collapse into the throat. Loud snoring while we sleep may be a sign of apnoea, a common and potentially serious disorder in which breathing repeatedly pauses for about 10-20seconds throughout the night. As a result, sleep is disturbed as you spend more time in light sleep and less time in deep sleep, leaving you exhausted the next day.

Major signs of apnoea

Loud and chronic snoring
Choking, snorting, or gasping during sleep
Long pauses in breathing
Daytime sleepiness, no matter how much time you spend in bed

Treatment

An anti-snoring device is an affordable, custom-made device, which is flexible, thin and comfortable in the mouth. Not only does it aid in a good nights sleep, it exhibits documented clinical success for the prevention of annoying and unhealthy snoring and treatment of sleep apnoea

How it works?

This Anti-snoring device consists of a transparent splint, one each for the upper and lower jaw. The lower jaw is held in a predetermined position by two connectors that are fixed to the splint causing a space and preventing the tongue and throat tissues from collapsing and obstructing the airway. Breathing is also improved and more oxygen is supplied improving tissue perfusion and mental alertness.

Clinical test revealed wearing this simple device reduces snoring by up to 90% and may reduce the apnea index up to 50%.

Conscious sedation is a light form of anaesthesia where the patient does not lose consciousness. Sedative drugs are used in very low doses so that the patient is free of any discomfort throughout the entire procedure.

In this sedated state a large amount of work can be done in adults and children with minimal anxiety in the dental surgery reducing the risks and cost associated with general anaesthesia.

We work with a specialized anaesthesiologist who has extensive experience in dental sedation procedures. For more information on the fees please contact us.

Conscious sedation is a light form of anaesthesia where the patient does not lose consciousness. Sedative drugs are used in very low doses so that the patient is free of any discomfort throughout the entire procedure.

In this sedated state a large amount of work can be done in adults and children with minimal anxiety in the dental surgery reducing the risks and cost associated with general anaesthesia.

We work with a specialized anaesthesiologist who has extensive experience in dental sedation procedures. For more information on the fees please contact us.

When is an extraction necessary

When a tooth is severely decayed and cannot be saved, extracting it can be the best choice for relieving pain and preventing the spread of infection.

Most decayed teeth can be saved

Most decayed teeth can be treated successfully with a filling or crown. But for these treatments to work, there must be enough healthy tooth structure above the jawbone to support the restoration.

For example, a crown is often used to cover, protect, and restore a tooth that’s been damaged by decay. The crown attaches to the part of the tooth that’s above the bone, so an adequate amount of tooth structure must remain to hold the crown securely.

Some teeth cannot be saved

If too much of your tooth has been severely damaged by decay, there isn’t enough healthy tooth structure left to hold a restoration. In this case, we may have no choice but to remove what remains of the tooth.

Diagnosis and treatment

To determine if an extraction is right for your situation, we’ll perform a thorough exam, which typically includes x-rays.

If the tooth cannot be saved, it’s important to extract it as soon as possible to prevent infection in the tooth and jawbone. With modern dental techniques, the procedure should be a comfortable one for you. In many cases, we also recommend replacing an extracted tooth to preserve the jawbone and stabilize your bite, so we’ll talk with you about your replacement options.

Tooth loss may result from a number of reasons, including periodontal disease, tooth decay, or traumatic injury. The ill effects of not replacing missing teeth can be:Dentures are removable solution for replacement teeth. Complete (or full) dentures are used to replace missing teeth for people with no remaining teeth. Partial dentures (or overdentures) replace just some missing teeth. Dentures are made primarily from acrylic resin.

  • Shift in remaining teeth
  • Inability to bite and chew properly
  • Sagging facial appearance or a sunken look (which makes one appear older than they are)
  • Inability to pronounce words properly

Types of Dentures

Conventional Complete or Full Dentures: Conventional full dentures are removable teeth replacements that are made and placed after the remaining teeth have been removed and the gum tissues have healed. The healing process usually take from six weeks to several months, during which the patient may be without teeth or can use a temporary “immediate” denture.

Partial Dentures: When only some teeth are missing, a partial denture serves the purpose. The healthy teeth that remain act as anchors for the partial denture, using metal attachments.

Overdentures: Overdentures are conventional dentures with one or more of your natural teeth as anchors. Overdentures require preparation of the remaining teeth to provide support for the appliance, with the denture designed to fit right over them, resulting in a stable fit that makes eating easier and more comfortable.

Immediate Dentures: During the period between the removal of your remaining teeth and the final placement of your permanent conventional dentures, your dentist would put in place what is called an “immediate denture”. This saves you from going without teeth as your mouth tissues heal and the bone stabilizes. Once in place, immediate dentures help reduce the initial swelling from the teeth removal. During the healing process, you may be required to make several visits to have the immediate dentures relined to adjust their fit. After the healing process is complete, permanent conventional dentures can replace the immediate dentures.

Denture After Care

Complete dentures, overdentures, and removable partial dentures must be removed at night while you sleep. This enables the patient’s gums to be bathed by saliva, which aids in maintaining a healthy mouth and has important properties for controlling the naturally occurring flora found in the oral cavity. It also is extremely important to practice healthy dental hygiene when wearing dentures. There’s a risk of developing a more serious medical condition should irritation result from improper denture hygiene. These conditions include, but are not limited to:

  • Periodontal disease (gum disease),
  • Leukoplakia (thickened white, potentially precancerous patches on the mucous membranes, (also called smoker’s tongue)
  • Fungal (denture stomatitis) infections

The gums, tongue and palate should be brushed with a soft bristle brush every evening when the dentures are removed, and each day before you insert the dentures to stimulate the gums and remove plaque accumulation. When removing dentures at night, brush the dentures carefully to remove any loose debris and plaque then soak them in a cleansing solution. Some patients keep their dentures in an ultrasonic cleaner, but keep in mind that an ultrasonic cleaner doesn’t replace brushing. When cleaning your dentures, place a towel beneath the denture or clean them over a sink filled with water to avoid breakage.

In addition to adjusting to the feel of new dentures, it will also take some practice learning to chew with them. Begin by slowly chewing on very small pieces of soft food, using both sides of the mouth simultaneously. As your comfort and confidence increase you can progress to larger pieces of soft food and then proceed to harder foods.

Speaking may also require practice. It may be difficult to pronounce certain words. Usually, this problem is overcome within a couple of weeks.New denture wearers can adjust more quickly to their new prosthesis by practicing reading aloud.

With a well fitting denture and practice, denture adhesives may not be necessary. Denture wearers should expect the lower denture to fit somewhat loosely. They may need to learn how to use the muscles of the cheeks and tongue to keep the denture in place. Although this might sound bothersome, with practice, it becomes second nature.

Denture Readjustment or Replacement

If your dentures fit poorly, cause persistent mouth irritation, chip, crack, or break, it is important to see your dentist. Although most gum remodeling occurs within the first year, changes in gums and bone continue throughout one’s lifetime. Over time this may result in ill-fitting or loose dentures and may compromise comfort and facial appearance. In addition, movement of the dentures on the gums may cause significant irritation. For this reason, it is recommended that complete dentures be remade or at least relined every five to seven years.

Dental sealants are a preventive measure used to protect tooth surfaces that are susceptible to decay. In the molar region of a patient’s mouth (molars are the “back teeth” where most of our chewing takes place) the portion of the tooth used for chewing is relatively rough and filled with pits and fissures. Food and other debris get caught in these irregularities and when combined with the bacteria in your mouth this starts the decay process.

Dental sealant placement is a quick and painless procedure. After the target tooth is cleaned, a gel is applied to the chewing surface and then washed off. The tooth is then dried completely and the plastic sealant material is “painted” on the tooth surface making sure that the material flows into the grooves of the tooth. It takes about a minute for the material to harden with the help of a light cure. The “occlusal” surface of your tooth is the portion used for chewing your food. Applying the dental sealant to these areas does not diminish the chewing effectiveness of the tooth, but it does make these surfaces far easier to clean during your regular brushings and helps prevent decay from developing in these areas.

We know that fluoride helps prevent decay and helps protect our enamel from possible decay. Dental sealants go one step further. They provide extra protection for the teeth by covering the pits and fissures and therefor stopping food from getting lodged in these grooves. Dental sealants have proven to be a safe and cost-effective dental procedure for patients prone to cavities. Children and teenagers are prime candidates for this treatment because their brushing habits are frequently not up to par. Adults that are susceptible to decay or have very deep grooves in their teeth will also benefit greatly from dental sealant placement.

Dental sealants can last as long as 5 – 10 years and should be checked routinely during your regular dental check-up. They are a covered benefit by most medical aids, but it is always a good idea to check your specific dental plan prior to treatment. If you are looking for a minimally invasive, safe and effective way to prevent or reduce tooth decay, dental sealants should be considered.