Restorative dentistry anymore is real basic. It used to be silver and gold and all these different things, but as far as we're concerned we use the white filling material. That's all we use, the composite. It's easier, it's quicker and it lasts longer. It bonds to the tooth so with the silver fillings they were kind of packed in and most people will remember that squeaky noise when they would put the fillings in there.
It essentially wedged the tooth apart as it expanded because once it was packed in there reaction happened and it kind of expanded the tooth and locked it in the tooth. Over years of eating and chewing, that filling would expand and contract and push on the walls of the teeth and you'd get a lot of fractured teeth with old silver fillings.
For us, it's either going to be a filling or it's going to be a crown as far as restorative dentistry goes. I determine that based on how much tooth is left. If you have a massive silver filling in your tooth and it's more than 50% of the tooth is filling, then I opt for the crown because no white filling or no filling in general that I do that's more than 50% of the tooth is going to stay in your mouth for very long. Five years, so a lot of times I will default to the crown.
I've had patients say, "Hey, can we just do the filling? I can't afford the crown?" Sure, we can do that, but under the knowledge that this may not last very long. The other thing that we do is we have a five year guarantee on all of our work, so anything that we do, if it doesn't hold up five years I'll replace it for you. If we do do a big filling and the tooth cracks or breaks, I will credit back the cost that you paid toward the filling for the crown.
That's just something that, I don't like charging people twice. I don't like making people feel like they didn't get a value out of the services that we provide, so the restorative work, anything that we do is five years. Anything happens with it, it's on me.
Dental Implants: Replacing Missing Teeth In Salem, OR
So, a dental implant is essentially a replacement tooth. It's a titanium post or screw, for a lack of a better word, that's placed into the bone. Whether on top or bottom. It essentially becomes your tooth. The screw acts as your root. It integrates with the bone and that stays there indefinitely.
The benefits of doing a dental implant are that you've got your tooth back. You don't have to fuse teeth together with a dental bridge. When you do that, you're essentially marrying all those teeth together. Whatever happens to one, happens to the other. With the dental implant, you don't have to worry about that. It's in there, even if you ended up losing all of your teeth, heaven forbid, you'd still have that dental implant and it could be converted into a denture rest or something to help replace those missing teeth and so, it's versatile. It can be the crown that's placed on it can be taken off and another part can be put on. A new crown can be put on. You can brush it, you can floss it. You can do everything that you would normally do with a regular tooth. It's just as strong. You can't get a cavity.
If you're on the younger side, I tend to talk to patients and say, "You do this in your 20's and 30's, this thing is going to be with you until you die." And that's one of those things where it's definitely worth the investment if you're missing one single tooth. If you're missing multiple teeth and you want to do a larger thing, dental implants are great. You don't need as many dental implants as you would think in order to get all of your teeth back. If you're missing all of your teeth on top or bottom, a lot of times you can just do two. Two implants on the lower, two implants on the upper and if you have a denture it can snap in. We can convert a denture to fit an implant or two and make it more secure.
If you're unable to eat with the denture that you have, take a look at dental implants because they can fix that denture in your mouth and allow you to eat things that you may not have been able to eat before. Steak, apples are things that I commonly hear. Beef jerky. There's definitely a lot of benefits to the dental implants out there.
The other options, as far as the bridge work. There's nothing wrong with a bridge. It's great but like I said, you're marrying the teeth together and it's more difficult to clean. You can't just do that up and down flossing motion. You actually have to thread the floss through and sweep under the bridge and the further back in your mouth you go, the more difficult that becomes. If it was me, I would definitely do a dental implant.
The healthiest and best looking way to replace missing teeth is to have dental implants placed. Dental implants will effectively replace the roots that were lost with your natural teeth. The replacement of roots will ensure that the tissue and bone will not deteriorate; in fact, they will regrow around your dental implant. This helps your oral health a great deal, and it also gives your teeth improved appearance and functionality.
At Oregon Smile Care Center, we can help you receive All-on-4 implants, single tooth replacements, implant-supported dentures, and more. Dr. Hanson places dental implants in conjunction with oral surgeons in town, and then Dr. Hanson can restore your implants with our custom dental crowns and dental bridges, or dentures.
Root Canal Procedures To Heal Infected Teeth
For root canals, it's not that bad. Most people are scared of root canals. They don't want to be told they need a root canal. Root canals really got a bad name, or get a bad name because, a lot of times, by the time the tooth needs a root canal, you're in so much pain and, occasionally, there is nothing that can be done to get you numb. That's where that kind of misconception that the root canal is going to hurt came from, because occasionally and very, very rarely anymore, but occasionally, yeah, you'll have a tooth that can't get numb. If that's the case, 99.9% of the time I'm going to send you to a specialist because, if I can't get you numb, then there's some other things that need to happen, and that specialist has other techniques that they can do to make sure that you are pain free during the procedure. The modern root canal, now they have 3D technology where they can actually go in and look at all the shapes in the canals, and it goes a lot quicker.
I do simple root canals. If they're extensive and complicated, a lot of times I will send to a specialist for two reasons. Number one, I want to make sure it's done right and done once. There's nothing worse than having somebody get a root canal, whether I did it or whether some other dentist did it or whether a specialist did it, and a few years later having more pain or having a recurrent infection, and then having to tell somebody, "Well, you need to have that root canal redone," and the look on their face is, "What are you talking about? I have to have it redone?" For us, root canal services are ... Usually, the simplest ones are done in our office, and the other ones are done by a group of specialists that we really, really trust and I would let do root canals on me if I needed one. It's kind of one of the ways that I've decided to practice.