Comprehensive Check Up
We recommend that our patients come once a year to do a comprehensive oral examination in order to provide preventative treatment, follow up on existing long-term cases and to discover problem areas.
This appointment typically take 30-45 minutes and includes the following:
- A thorough examination and diagnosis of all the teeth, gums, tongue, cheeks, temporomandibular joints, and extra oral tissue.
- Digital Panoramic x-ray
- Comprehensive treatment plan and cost estimate
This allows us to give patients various solutions at different cost points to allow for better decision making.
White fillings can be done with porcelain or resin material. The colour matches your existing teeth so they blend in well with the affected tooth and the surrounding teeth. The CSD Team create aesthetically pleasing fillings that mimic natural teeth.
RESIN WHITE FILLINGS (COMPOSITE)
White fillings are made from a composite or resin material. This is a soft material that is moulded into the cavity and cured with a curing light, which hardens it.
Composite resins, or tooth-colored fillings, provide good durability and resistance to fracturing in small- to mid-size fillings that need to withstand moderate pressure from the constant stress of chewing. They can be used on either front or back teeth and are a good choice for people who prefer a more natural look to their fillings.
Composite fillings have an average lifespan of 5 to 10 years. This is highly dependent on oral hygiene and care taken after the filling was placed.
Composite fillings have several advantages:
They are bonded to the tooth. This process ensures maximum retention and seals off the teeth on the margin where the filling is placed. The bonding techniques and materials have evolved incredibly in the past decade. The correct bonding process will result in a durable, natural looking filling with little to no post-operative sensitivity.
CERAMIC OR PORCELAIN WHITE FILLINGS
Ceramic fillings are often called inlays or overlays. It is either fabricated by a dental laboratory or with CEREC cadcam. Ceramic fillings are made from a ceramic compound, and are almost as strong as natural teeth.
Crowns and Bridges
We use crowns to restore teeth with extensive decay, fractures or wear. Crowns are made out of various materials and cover the whole tooth.
Difference between pmf, E-Max and Zirconia Crowns:
PORCELAIN FUSED TO METAL DENTAL CROWN (PMF)
A pmf crown consists of a metal structure covering the tooth, with porcelain fused onto it. The metal can cause a black line that is visible on the tooth, as well as darkening of the gums.
At CSD, the indication for pmf crowns are very small, and we use metal free options wherever possible.
The E-Max dental crown is considered to be the best inclusion in dental crown technology. It is an all-ceramic crown which provides the best appearance by complimenting with the natural teeth. It has an appealing translucent colour and is highly durable with extra strength, so it lasts longer. E-max crowns are generally constructed by 4 techniques: Pressed, milled Yttrium Zirconia, pressed to Zirconia, and a milled aesthetic glass.
Zirconia is a strong, biocompatible material, which is also used in medical applications like artificial joints. It’s all ceramic and known for improving the appearance of teeth that have previously been stained for an extended period of time.
Bridges are inserted when one or more natural teeth are missing. These are artificial teeth which are joined to the existing natural teeth to mimic the appearance and function of a full set of natural teeth.
Root Canal Treatment
ROOT CANAL TREATMENT
Inside your tooth, beneath the white enamel and a hard layer called dentin, is a soft tissue called pulp. This tissue contains blood vessels, nerves and connective tissue, which help grow the root of your tooth during its development. A fully developed tooth can survive without the pulp because the tooth continues to be nourished by the tissues surrounding it.
Root canal treatment is designed to eliminate bacteria from an infected root canal, prevent reinfection of the tooth and save the natural tooth. When one undergoes a root canal, the inflamed or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed.
WHAT HAPPENS DURING ROOT CANAL TREATMENT?
A modern root canal treatment is similar to that of a routine filling and can usually be completed in 1-2 appointments, depending on the condition of your tooth. Getting a root canal treatment is relatively painless and extremely effective. You’ll soon be smiling, biting and chewing with ease in no time.
ADVANTAGES OF SAVING THE NATURAL TOOTH:
- Efficient chewing
- Normal biting force and sensation
- Natural appearance
- Protects other teeth from excessive wear or strain
HOW DO YOU KNOW IF YOU NEED A ROOT CANAL?
Root canals are needed for a cracked tooth from injury or genetics, a deep cavity, or issues from a previous filling. Patients generally need a root canal when they notice their teeth are sensitive, particularly to hot and cold sensations.
Symptoms that mean you might need a root canal:
- Extreme pain while chewing or biting
- A chipped or cracked tooth
- Sensitivity to hot or cold, even after the sensation has been removed
- Swollen or tender gums
- Deep decay or darkening of the gums
DO YOU NEED A CROWN AFTER A ROOT CANAL TREATMENT?
Needing a crown after a root canal depends highly on the location of the tooth in the mouth—teeth towards the back of the mouth like molars and premolars are needed more for chewing, and generally require crowns, where incisors or canines which aren’t needed for chewing don’t always require crowns.
WHAT TO DO AFTER A ROOT CANAL TREATMENT?
After the treatment is completed, make sure to follow all of your dentist’s instructions, which most often include avoiding hard or especially chewy foods, brushing twice a day, and being very cautious around the area where the root canal procedure was completed.
We want to help you smile everyday, giving you the confidence to go out into the world and winning!
256 Church Street, Johannesburg North, Fourways
+27 11 462 7292