General dentistry

General
1. White fillings

Many types of filling materials are available for restoring decayed, chipped, worn, and cracked teeth, as well as spaces between teeth. The most widely used is a white composite resin that can be closely matched to the color of your existing teeth. As with all dental restorations, composite fillings will last for many years but are not permanent.

2. Porcelain crowns

A crown is a long-lasting restoration that covers or replaces most of a tooth, restoring it to its original size and shape. Crowns protect and restore strength to broken, heavily filled, and cracked teeth.

At our office, we can provide single-visit crowns using Cerec. This is a technology that utilizes 3D digital imaging and computer assisted design and fabrication to create and individualized, custom-made tooth colored ceramic restoration.

3. Porcelain fixed bridges

A dental bridge is a non-removable appliance that is used to replace missing teeth. It can be made of porcelain or porcelain overlying a gold alloy substructure. Bridges provide excellent aesthetics, prevent unwanted tooth movement, and restore chewing and speaking ability.

4. Dentures and partial dentures

A denture is a removable dental appliance that replaces missing teeth and the surrounding tissue. Complete dentures are used when all of the teeth are missing and rest and adhere to the gums. Partial dentures are used when some natural teeth remain. Partial dentures use small clasps to attach to some of the remaining teeth to achieve stability.

5. Root Canals Therapy

Root canal therapy is needed when the pulp, the living tissue inside a tooth, is irreversibly damaged or infected. The pulp can become infected by a deep cavity, a large restoration, or trauma to the tooth. In order to save the tooth, the pulp and any bacteria are removed, and the resulting space is filled with a
restorative material to prevent re-infection. General dentists do most root canals, but certain cases require a root canal specialist, an endodontist, to complete the therapy. Dr. Caruk will assess your tooth to determine who is best able to restore your tooth.

The only alternative to root canal therapy is to extract the tooth. Although extraction is cheaper and quicker in the short term, subsequent problems to the adjacent teeth may result in the need for significant treatment.

Many people associate root canals with pain. The truth is that most root canal therapy is relatively painless and highly successful. Dental pain diminishes quickly once treatment is initiated. The procedure itself will often cause no different sensations than a filling appointment. Remember that a good root canal
makes a bad story. No one wants to hear that your root canal went great; but that is what happens 95% of the time.

6.Orthodontics

Regardless of your age, straightening your teeth can help you achieve a beautiful, healthy smile. Modern, patient-friendly treatments make the experience comfortable and rewarding. Straight teeth not only look better, they are also easier to keep clean and can decrease the incidence of tooth decay, gum disease, and abnormal tooth wear.

Orthodontics can be done at any age. If you are unhappy with the appearance of your teeth, ask us about a referral to a certified orthodontic specialist. For children, Dr. Caruk recommends seeing an orthodontist between the ages of 7 and 8 to determine the most effective treatment for your child. Some appliances
can be used at a young age to avoid or shorten the time needed for straightening teeth later.

7.Extractions

When restorative procedures such as root canal therapy, crowns, or fillings are not enough to save a tooth, it may need to be pulled, or extracted. Tooth extraction procedures today are less painful than before, with many patients experiencing little discomfort and only minor bleeding. Many extractions can be
completed in our office. However, difficult cases, such as wisdom teeth or badly broken teeth, may require referral to an office that can provide sedation.

Instructions following an extraction:-
1.Pain relief. Most patients require only over the counter pain medications. Ibuprofen (Advil or Motrin) is especially effective. Tylenol can also be used. In certain circumstances, a prescription medication is necessary. Take the medicine before the procedure and before the anesthetic wears off. Taking the painkillers at regular times will increase their effectiveness. You may need to

take medications for up to one week. If the extraction site feels like it is healing and then becomes markedly worse a couple of days later, you should call to have the area assessed. An infection may be recurring at the site and require further treatment.

2.Bleeding. Bleeding is normal after extractions. You should bite on a gauze for about one half hour to stop the bleeding.

3.Swelling. If swelling occurs, you can apply an ice bag to your cheek for ten minutes on and ten minutes off for the first few hours.

4.Food. Soft, easy to chew food is recommended for the first day or two. Do not eat or drink until the freezing wears off. Do not drink through a straw for the first few days to allow the area to heal properly. Spicy or acidic foods may irritate the area.

5.Activity. Take time to rest and relax following an extraction. Some children, however, will be able to resume normal sporting activities within a few hours.

6.Smoking. Smoking decreases the blood flow to your mouth and can affect healing. Stopping or at smoking less for a day or two will help your extraction site to heal faster.

7.Antibiotics. If antibiotics are prescribed, continue to take them until they are gone. This will help to prevent re-infection of the area.

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