If you have a cracked or broken tooth, don’t let the problem get worse. Brookview Dental Clinic provides restorative dentistry including bridges, extractions, implants, and crowns in Edmonton. Our dental services will help restore your smile so you can feel more confident and comfortable. We have many different treatments depending on the condition of your damaged tooth so please speak with one of our dentists or hygienists about your options. We will help you decide on the best course of action for your particular situation and develop a treatment plan. Call us today to schedule your consultation.
For a quick solution to a damaged tooth, a crown may be applied. Try this quick and convenient treatment to your tooth problems.
Treatment: On average your new crown can be installed in two visits. Below is just one of many options for treatment. Please consult with one of our dentists to learn what solution is best for you.
The new crown will blend in with your natural ones. Be sure to take care of it as you would your natural teeth with regular flossing and brushing with routine visits to our Edmonton office for cleanings.
Porcelain Fused to Metal: Traditional core crowns are still available. It is an established and well-known alternative still commonly used. Its function, installation, and often price are equal to that of ceramic crowns. Be sure to discuss your options with our dentists to get the full range of benefits of both ceramic and metal crowns.
To combat tooth loss, a bridge is often installed. A bridge attaches artificial teeth to adjacent natural teeth to replace the missing teeth. Bridges can be permanent, also called fixed, or removable. A fixed bridge, involves crowns placed on the adjacent teeth or bonding the artificial teeth directly to the adjacent teeth. A fixed bridge can only be removed by a dental professional. On the other hand, removable bridges are only attached with metal clasps or precision attachments.
With a fixed or removable bridge, you can replace missing teeth and improve your overall oral health.
The attachment procedure usually takes two or three appointments to complete. At the first appointment, Dr. Patricia Irving, Dr. Allan Hone, or Dr. Alexis Desrosiers will prepare the teeth on either side of the gap by removing a portion of the enamel and dentin.
Impressions are taken of the teeth and sent to the lab for construction. A bridge must be fabricated with precision to ensure a correct bite. So, the impression stage of bridge making is vital.
For those opting for a fixed bridge, the device is cemented to the natural teeth next to the empty tooth space. A false tooth will replace the one lost while a crown will then be cemented to the natural teeth for support of the bridge.
Gold alloys, non-precious alloys, porcelain, or a combination of material may be used in bridge construction. Porcelain is often bonded to a variety of metals.
Brushing and flossing is a must for proper hygiene and care. Keeping your bridge in good condition will also affect the surrounding natural teeth that are needed for the bridge’s support.
Your dentist may determine that you need a tooth extraction for any number of reasons: severe decay, advanced periodontal disease, or an irreparable crack. An extraction may also be needed if teeth are poorly positioned or if you need preparation for orthodontic treatment. Loss of a tooth can lead to chewing problems, jaw joint issues, or shifting teeth that can impact your overall dental health. We will discuss alternatives to extractions first, and, if extractions are necessary, provide options for replacing your missing teeth.
First, we numb the tooth and the jawbone and gums surrounding the tooth to be extracted with a local anesthetic. The tooth is rocked side-to-side to widen the socket to ease tooth removal. You will feel pressure at this point, but no pain. If pain is felt, please let us know immediately so that we can remedy the issue by adding more local anesthetic to the area. The tooth is then removed after the socket is widened sufficiently.
Some teeth are so well anchored in their socket or have roots that are so curved or broken that the socket can’t expand enough for removal. In such a scenario, sectioning may be required. Your dentist cuts the tooth into sections and then removes each section one at a time, sometimes removing a small amount of gum or bone around the tooth as well.
Recovery & Aftercare Treatment
After any dental surgery, home care is important. Here we have listed several tips on how to take care of the healing area while at home:
If bleeding occurs, place moist gauze over empty socket and bite down firmly for 20-30 minutes, changing the gauze as needed. You may also bite down on a damp teabag (any kind of black tea) to stop the bleeding as there are ingredients in tea that help clotting.
Blood Clots in Empty Socket
Be careful not to dislodge clots. They help the healing process, so be sure to avoid:
If swelling occurs (and it often doesn’t for straightforward extractions) you may place ice or even a bag of frozen vegetables on your face for 10 minutes and off for 20 minutes. Repeat as necessary for 24 hours.
Pain & Medications
For mild to moderate pain, we recommend using non-prescription pain relief medications like ibuprofen (Advil or Motrin) or acetaminophen (Tylenol). Ibuprofen and acetaminophen can be used together for optimal pain relief (i.e. taking 600mg of Ibuprofen every 4-6 hours and then 500mg of acetaminophen every 4-6 hours). As these medications work on different pain pathways, you will not overdose if you take them both at the same time.
Eating & Drinking
Chew on the opposite side of the extraction area. Avoid alcohol and carbonated beverages for 24 hours. A soft diet avoiding foods like chips and nuts that can get stuck in the tooth socket is advised.
Brushing & Cleaning
Do not brush teeth near extraction area for one day; afterwards you can resume gentle tooth brushing. Avoid commercial mouth rinses as they often contain alcohol that can irritate the extraction site. Begin gently rinsing with salt water (1/2 teaspoon in a cup of water) 12 hours after the tooth extraction. Rinse after meals and before bed.
When a blood clot fails to form in the empty socket or the clot has been dislodged, a dry socket forms and delays the healing process. Following our aftercare instructions can reduce the chances of a dry socket. Dry sockets create a dull throbbing pain and don’t appear until three or four days after extraction. Pain can be moderate to severe, radiating from the extraction site. A dry socket can also cause bad taste or bad breath while the extraction site appears dry. If you think you have a dry socket, please call our office and your dentist will apply a medicated dressing to the dry socket to soothe the pain.
A hole is left in the jawbone once a tooth has been extracted. It will become covered over with gum tissue over the next few weeks and then it will fill in with bone over several months.
You may find you would like to replace an extracted tooth or teeth for functional or aesthetic reasons, or both. Some options for tooth replacement include an implant, a bridge, or a partial or complete denture. As every patient is unique, your individualized options for tooth replacement will be explained to you by one of our dentists prior to any tooth extractions.
If you are experiencing any serious problems following an extraction please contact our office immediately at 780-430-8118. An after-hours phone number is available on our answering machine for emergencies.
If the tooth and root have been damaged, a dental implant may be needed in combination with a ceramic crown as a permanent replacement. If this procedure is needed, our dentists will often use a one-piece implant. A one-piece implant contains all the components (implant and ceramic crown) and is installed as a single unit. This offers an immediate, full-functioning tooth with shorter treatment time and minimized pain. This implant provides not only an aesthetically pleasing result, but a stable and long-lasting solution to missing teeth.
Treatment: On average, the implant procedure requires four visits to our dental office. Recovery time is short. You should also be able to return to work the day after the implant is installed.
Here is one of several options offered when it comes to dental implants. In general, implant installation includes:
With your new tooth perform your usual dental hygiene routine, keeping tooth and gums well cleaned. Your implant should function and fit just as any natural tooth.
If you don’t opt for the ceramic crown on an implant, then Brookview Dental Clinic can provide several different alternatives including:
Tooth-Supported Fixed Bridge: A bridge offers a stable, aesthetic, and functional solution with easy installation. It involves grinding down adjacent teeth for support of the bridge. Disadvantages, however, include bone resorption and sacrificing of healthy teeth for the bridge.
Removable Partial Denture: Although not a permanent solution to lost teeth, removable partial dentures do not affect adjacent teeth, are cheap, and are fairly easy and quick to install. However, this alternative is not as comfortable or aesthetically pleasing as a ceramic crown.
Resin-Bonded Bridge: Resin-bonded bridges are quick to install and provide function and an aesthetic result. They won’t affect your natural healthy teeth, but the solution isn’t permanent. In a few years, this type of bridge will come off and need reinstalling.