On first meeting with the doctor will give a consultation to a patient. During which a doctor will evaluate the overall condition of the dentition and carry out the necessary examinations. During the consultation, the patient’s individual risk of caries and gingivitis is evaluated and recommendations for disease prevention are given also. If necessary, an individual treatment plan is devised during the check-up.
During the first visit, the doctor should be informed of allergies, oral diseases, medications, traumas and of pregnancy. Then, the following appointments are agreed considering the logical order of treatment. During the consultation the dentist will evaluate the indicative cost and duration of needed dental treatment.
One should take personal identity card, which is needed if doctor writes a prescription.
During complete diagnostic process, the complete oral examination is held. It determines the state of the oral cavity and further examinations are carried out according to the need. These are:
- X-ray diagnostics. Easy and quick procedure that helps to find early stages of tooth decay, root tip or any other infections and other dental diseases. Moreover, the digital X-ray helps to check previous treatments, their quality and and to detect leaking seals.
- Dental photo taking. Teeth pictures are taken to help assess their condition and evaluate appropriate methods of treatment.
- Diagnostics models of the teeth.
- Making an individual treatment plan. If necessary, it is possible to have a written treatment plan. It will list diseases, treatment methods and planned outcome.
The patient are presented to the need for treatment and to agree on future action plan. Treatment plans, The doctor explains the patient’s oral cavity problems, treatment options, expected results, the patient’s contribution to the success of treatment, and the risks that may occur during treatment. Duration and costs are explained also.
Treatment of dental caries
Dental caries is the most common dental disease, which is diagnosed either visually or by X-rays. The aim of treatment is to prevent dental caries and resulting complications of the disease. Visiting dentist on time makes dental caries easily treatable. The treatment consists of removal of caries of infected teeth, filling of defective teeth with filling material and then shaping of the tooth to restore its chewing function.
Usually people are infected by caries since the first teeth erupt. For example, a child may get disease-causing bacteria from close relatives. There are two types of dental caries. The first one does not need any treatment, because in early stage of dental caries, the teeth have self-healing capacity. It means that at this stage dental caries, the tooth does not require treatment, but monitoring by the dentist. On other cases, the teeth need immediate treatment. Untreated dental caries can cause painful inflammation of the dental nerve, and it is not exception to remove infected teeth.
Periodontal treatment or gum disease treatment, рrofessional oral hygiene
Periodontal diseases are second most common dental disease after caries. Periodontal diseases are mostly chronic diseases caused by bacteria, although sometimes these diseases may also manifest in acute inflammation of supportive tissues surrounding teeth. Gum diseases are caused by smoking, diabetes, hormonal changes and blood diseases.
The symptoms of gingivitis are red swollen gums that bleed by slightly touching. The treatment is extremely important, otherwise the infection might expand deeper under the gum till the bone. The result is an exposed and infected tooth roots.
To prevent the disease is important to improve daily oral hygiene means. If dentist has removed the microbes, the patient should pay more attention to oral hygiene. The outcome of the treatment depends on the motivation of the patient.
The duration of the treatment depends on number of teeth and the level of the infection. The regular check-ups should be held in every six months. This helps to maintain the health of the gums and teeth.
Regular removal dental plague gives a beautiful smile, a lighter shade of teeth, fresher breath and prevents gum bleeding.
Endodontic treatment or Root canal treatment
Root canal treatment is required when a cavity has got so large that it has reached the nerve of a tooth. In this case, the tooth may ache, but may also be totally asymptomatic. It is hard to determine the timescale of root canal treatment because it depends on many factors. Root canal treatment, depending on the complexity, it can take from few weeks to half a year.
The root canal treatment begins with consultation of a dentist, which helps assess the situation of the tooth. Usually it is needed to do dental x-ray at the dental office to evaluate the possibilities of the root canal treatment. This treatment includes removal of the infected nerve tissue, cleaning and shaping the root canal and filling the cleaned canal with appropriate filling in order to avoid re-infection.
Dental implants are used to replace lost teeth or teeth with a hopeless prognosis. Implants can replace single lost teeth, also they are used as a support to a bridge. They help to restore the entire fixed occlusion of an upper or lower jaw and support an overdenture.
To install the implants, the first step is a complete examination of teeth and mouth. The dentist will assess condition of the jawbone considering the specifics of the operation. Then, X-rays and other diagnostic measures are used to explore jawbone quality and to determine the location of the implant. After that, the models and individual operation templates are prepared to place the implant exactly to the right place in the jawbone.
Implantation is a surgical procedure, which is generally done on an outpatient and with local anaesthesia. A screw is placed into the jawbone and after osseointegration it will replace the root of a missing tooth. A special attachment element called abutment is placed on the implant. This will link the screw attached to the bone and the tooth crown in the oral cavity.
The dentist will explain how to take care of the teeth properly. This will provide the longevity of the implants. If any kind of concerns occur, it is necessary to visit a dentist.
The purpose of dental prosthetics is to replace dental tissues or teeth that have been destroyed. The aim of the treatment is to restore function and aesthetics of teeth and mouth. Prosthetics allows to correct smaller orthodontic defects, for instance, slightly crooked teeth can be disguised with laminates, as well as major problems.
Usually there are four dentist appointments. During the meeting the dentist and the patient will find suitable way for the treatment. Prosthetic treatment starts with a consultation. During the first visit, impressions for diagnostic models are taken, photos and X-rays made, and the primary status fixed. Based on the acquired information, the doctor devises a primary prosthetic treatment plan. The dentures are tried on fes times to be sure they are suitable and fit well, before they are placed perminately.
During the meetings it will be decided which dentures are used – either fixed (laboratory fillings, laminate veneers, lumineers, crowns or bridges), removable (removable dentures, bugel dentures, total dentures or flex-part dentures) or combined dentures. Also the material will be decided – ceramic materials, metal alloys, plastics or composites.
The teeth might change colour over time due to consumed food and drinks. For example red wine, coffee, tea and smoking can drastically change the colour of the teeth.
The whitening procedure of the teeth is carried out by special bleaching products, which bleaches the tooth enamel to change its colour. It is possible to whiten only original teeth and it is necessary to fix all cavities before the whitening procedure. The teeth may become sensitive during whitening, but these symptoms will pass after the end of the whitening procedure.
Whitening in the dental office
The first procedure is cleaning of the teeth. Then the dentist puts a special protective seal on the gums around the teeth that needs whitening and then places the whitening gel onto the teeth. The whitening gel will be attached for 10-15 minutes. In the end of the procedure both of the gels will be removed and teeth will be brushed with special toothpaste. The results are visible immediately. However, depending on the patient, one-time whitening may not be sufficient.
Whitening at home
It is possible to whiten teeth at home as well. The procedure requires making special whitening trays for the patient. The dentist obtains a mould of the patient’s teeth and the laboratory will prepare the trays for the patient. The dentist explains how to do the whitening at home and provides a set of whitening gels together with the whitening trays. Usually it takes 1-2 weeks for the procedure and the whitening procedure does not affect the tooth structure.
The first visit to the dentist
The first visit to the dentist should occur after the appearance of the first teeth. During the visit the dentist will evaluate the situation of the teeth, the bite and will give recommendations for parents how to avoid dental caries.
It is recommended to visit a dentist once every six months, even when there is no apparent problems. It helps to discover early caries which are common for children that are 2-3 years old. Routine inspections would help to ensure normal teeth condition for children.