NORMAL TOOTH STRUCTURE AND ITS LAYERS

To understand a root canal treatment (RCT) better, it is good to know something about the basic structure of the tooth. Tooth is like a coconut (outer shell is hard and inner core is soft) , inside the tooth, under the white enamel and a hard layer of dentin, is a soft tissue called the pulp. The pulp contains blood vessels and nerves of the tooth. When a tooth gets decayed, the infection spreads from enamel through dentin to pulp causing injury to the nerve and blood supply of the tooth which results in need of a RCT for the tooth.

Dr SONI at FOUNTAIN dental clinic in Rajsamand is considered to be the best specialist dentist for onlay fillings in RAJASTHAN

Your dentist can detect whether you have a cavity / infection that needs to be filled /ceased. During a routine dental check-up, Dr SONI

A tooth with dental decay/ infection in its initial layers does not cause any sensitivity or dental pain to the patient during eating, chewing, drinking hot and cold. Because of this reason, a patient may not feel the need for the treatment. But the fact is that when the decay is in its initial layers ,there are no nerves involved and therefore no pain is there. If this decay is allowed to spread deeper, it reaches the deepest layer of the tooth which contains the nerves and blood supply of the tooth. By this time ,an extensive amount of tooth structure is dissolved and destroyed. Then a dental filling can no longer suffice. A root canal treatment may be required. In some extreme cases, a tooth may not be saved by all means due to enormous destruction.

If your dentist decides to fill a cavity, he or she will first remove the dental decay and clean the affected area with a water-jet drill. The cleaned-out cavity will then be filled with any of the variety of materials described below. Anything that looks abnormal will then be closely checked with special instruments. Dr. Akshay Soni may also X-ray your entire mouth or a part of it. The type of dental treatment to be choosen will depend on the extent of damage caused by dental decay/cavity.

The procedure at Fountain Dental Clinic in Kankroli, Rajsamand is comfortable to be carried out without making the tooth numb with local anaesthesia injection. During the removal of decay with water-jet drill, there will be mild discomfort for a period of just 5-10 seconds. After the decay is removed, the filling procedure does not cause any pain. They have been reviewed as the best painless dentist in Rajsamand for tooth coloured fillings in Rajsamand on various internet forums like justdial.com, burrp.com ,google plus , etc.

Yes. With the advent of soft and hard tissue laser dentistry, the decay may be removed absolutely without pain with a laser drill. Ask Dr. Soni for further details.

No one type of filling is best for everyone. What's right for you will be determined by the extent of the repair, whether you have allergies to certain materials, where in your mouth the filling is needed, and the cost. Considerations for different materials include:.

• Amalgam (silver) fillings are resistant to wear and relatively inexpensive. However, due to their dark color, they are more noticeable than porcelain or composite restorations and are not usually used in very visible areas, such as front teeth.These are not the usually preferred choice for dental fillings in current times.
• Composite resins are matched to be the same color as your teeth and therefore used where a natural appearance is desired.
• Porcelain fillings are called inlays or onlays and are produced to order in a lab and then bonded to the tooth. They can be matched to the color of the tooth and resist staining. A porcelain restoration generally covers most of the tooth and is a bit costlier than other options.

Our commitment to state-of-the-art, advanced dentistry, precludes the use of silver filling material (called amalgam) to restore your teeth. These are some of the reasons why:

• Amalgam or “silver” dental fillings contain 50% mercury.
• Mercury is a one of the most toxic substances known on earth. World renowned mercury toxicologists state that no amount of exposure to mercury vapor can be considered harmless.
• There are no studies proving that amalgam is safe when placed in the human body. In fact, amalgam has never been subjected to FDA testing. If it were being introduced today, it is highly unlikely that it would ever receive FDA approval as a dental device.
• Scientific research has demonstrated that mercury, even in small amounts, can damage the brain and nervous system, heart, lungs, liver, kidneys, thyroid gland, pituitary gland, adrenal gland, blood cells, enzymes and hormones. Mercury is also known to suppress the T-cells of immune system by as much as 100%.
• Mercury readily passes through the placental barrier in pregnant women and can cause permanent damage to the brain of the developing baby. Mercury appears in the amniotic fluid just two days after placement of an amalgam filling in a pregnant woman. Mercury is also concentrated in breast milk.
• Mercury vapor is continually released from mercury dental fillings. The release of mercury can be increased as much as 15-fold by chewing, brushing, eating acidic foods and drinking hot liquids.
• Mercury vapor released from amalgam fillings is rapidly absorbed and accumulated in body tissue.

• Yes. The decay may lead to destruction of other teeth and surrounding areas of jaw bone at a later stage.
• Extensive root canal treatment is avoided
• Cost factor is reduced
• No. of dental visits is reduced
• Spread to other teeth is controlled.
• Tooth and the entire side is brought back to function
• Esthetics of the tooth (looks) is regained

If a person waits for the pain to happen in a decayed tooth, by the time pain occurs, a lot of tooth structure destruction would have already happened . At that point of time, the tooth may not be saved with a dental filling. Then an extensive procedure (multiple visits + more cost) like dental Root Canal Treatment or an extraction /removal of the tooth may have to be done to get rid of the dental infection followed by replacement with an artificial tooth.

The acid can come from either of two sources:

• Inside the person – stomach
• Outside the person – food or drink.

The acid ‘corrodes’ the enamel and dentine where it comes in contact with them. This shows as corrosive wear marks on the teeth. Enamel (the outer layer or surface layer of the tooth) ‘corrodes’ with acid at a slower rate than dentine (the layer underneath the enamel). This gives the characteristic ‘wear’ marks associated with acid erosion

• How to prevent toothbrush abrasion
• Toothbrush damage is known in the trade as toothbrush abrasion and is the damage to teeth and gums that results from the use of excessive force in brushing, usually using a hard toothbrush.

In a way this is the condition of people who care too much. Somehow they get to think that unless they really go at it with gusto they won’t do a good job. This is a kind of over-zealous enthusiasm where the excess energy actually becomes destructive.