ROOT CANAL TREATMENT
At Reva Dental Kells our aim is to assist patients in retaining the natural dentition whenever possible and a very useful treatment for retaining badly broken down or symptomatic teeth is root canal treatment.
Root canal treatment is a procedure to remove the pulp (nerve) when it is either inflamed, dead or infected. The pulp extends along small canals inside the tooth. The pulp of a tooth can become damaged due to dental decay, trauma, fractures or leaking crowns and fillings. Where the damaged or dead pulp is not removed, it will often become infected and may result in a dental abscess. Root canal treatment is a pain free procedure and while there may be occasional post-operative symptoms from this treatment the vast majority of cases resolve without post-operative pain.
Following root treatment it might be necessary to crown a tooth but this would be discussed before any treatment would commence.
Root Canal Treatment at REVA Dental Kells is provided by Endodontist Dr. Adrian Stewart BDS PG Dip Endo (UCL), MSc
Where gum disease is already present periodontal treatment may be required. This involves deep cleaning of the teeth and gums along with comprehensive home oral care advice and instruction. There are usually 2 to 4 visits with the Periodontist required to complete treatment
Gingivitis (“inflammation of the gum tissue”) is a term used to describe non-destructive periodontal disease. The most common form of gingivitis is in response to plaque sticking to tooth surfaces and is the most common form of gum disease. In the absence of treatment, gingivitis may progress to periodontitis, which is a destructive form of gum disease.
Periodontitis comes from peri (meaning “around”), odont (“tooth”) and -itis (“inflammation”). Periodontitis is a disease which affects the tissues that surround and support the teeth. Periodontitis involves progressive loss of the alveolar bone around the teeth, and if left untreated, can lead to the loosening and subsequent loss of teeth. Periodontitis is caused by microorganisms which stick to and grow on the tooth’s surfaces, along with an overly aggressive immune response against these microorganisms.
When describing dental implants, the best comparison is to your natural teeth. A natural tooth consists of two parts - the root of the tooth buried below the gum line, and the white enamel that is visible above it. Similarly, a dental implant has the titanium component buried invisibly below the gum, and on top of it the porcelain crown, bridge or denture which is matched to the colour of your own teeth.
USE OF DENTAL IMPLANTS IN TOOTH REPLACEMENT
1. When a single tooth is missing at the front or back the implant will be used to support a crown.
2. When many or all teeth are missing, implants are used to support a bridge.
We offer a full dental implant service at REVA Dental Kells with treatment provided by Dr. Lochlann Walsh BDent Sc (TCD), MMSC (Harvard)
3. Support under complete dentures - there is an enormous improvement in the fit, comfort and chewing ability of dentures that are attached to implants. Support implants can also be placed under partial dentures to improve the fit, and remove the need for unsightly clasps.
WHAT ARE THE ADVANTAGES OF DENTAL IMPLANTS?
- High quality aesthetic result
- Very high success rate (92% of implants still function well after 10 years)
- Conservative treatment – no grinding down of adjacent teeth
- Feel just like your own teeth
- Never decay
- Restore proper chewing and full strength of your bite
- Prevent further bone loss once placed
How does it work?
1. DENTAL IMPLANT DIAGNOSIS
The first step in the dental implant process is the development of an individualised treatment plan. This plan is prepared by collaborative consultation with our dentists, and through careful analysis of your needs, followed by analysis of models of your teeth, x-rays, and CT scans where appropriate. Our dentists will assess and discuss your options in detail. If you are proceeding with treatment you will be referred to our specialist implantologist.
2. DENTAL IMPLANT SURGERY
For most patients, the placement of dental implants involves two dental procedures. First, the titanium implant (replacement tooth root) is placed into the bone socket of the missing tooth. This procedure is carried out under sterile conditions under local anaesthetic. Although it is entirely painless, some patients elect to be sedated during this phase for extra comfort.
Immediately after this surgery, patients are given pain-relieving and anti-inflammatory drugs, for the following few days.
Although dental implants have a very high success rate and infections after placement are rare, antibiotics are also prescribed at this stage to further reduce the risk of infection.For the next three to six months following surgery, the implant beneath the gum gradually bonds (integrates) with the jawbone.
3. DENTAL IMPLANT FINAL RESTORATION
The second stage begins after the implant has integrated with the bone. A healing cap is placed on top of the implant, after which impressions are taken and sent to a specialist implant laboratory. Finally, a connector post (known as the abutment) is attached to the implant and your custom-made porcelain tooth is fitted over the abutment. When completed, everything looks and feel just like a natural tooth.
The whole procedure typically takes some 3 to 6 months. Much of this time is waiting for the implant to heal or osseointegrate into the bone. A total of 4-6 visits between the dentist and implantologist will usually be required.