This is a procedure that is done to help hold a tooth together. As opposed to a filling, which sits inside a tooth acting like a wedge, a crown surrounds the tooth helping hold the tooth together. This additional strength is critical for teeth that have broken, have cracks in them, or have very large fillings that are starting to fail. You also would need a crown on your tooth after a root canal therapy to help hold the tooth together and give it some strength.
The crown procedure typically requires two visits. The first visit includes the tooth preparation and the placement of a temporary acrylic crown on the tooth. To prepare the tooth for the crown, we have to shave it down some to provide adequate space for a crown to be made and to provide the protection for the tooth that we need. After the preparation, A model or impression of the tooth is sent to a dental lab to custom make a crown for you. This process from start to finish and to get your custom made crown takes 2-3 weeks. While you wait for the custom crown, your temporary crown will be glued in with a temporary cement.
Sometimes we want to replace a missing tooth and the option of a bridge comes up. A bridge is a dental prosthetic that replaces missing teeth with the help of adjacent abutment teeth. These abutment teeth in effect create the support structure which will comprise of crowns on the abutments as well as crowns that are attached and spanning where the missing teeth are.
Bleaching or whitening is an excellent non invasive cosmetic procedure that we provide for our patients in Columbia, MD. Brighter and whiter teeth make your teeth look larger and provide for a more youthful look as well! We offer two whitening options in our office and are proud of both of them. We have a fast 2 Hour in office whitening program as well as a take home custom tray whitening program.
ZOOM! In office
For the in office whitening, you will first want to make sure you have had a recent cleaning completed. One of main reasons why this might be the best choice for you is that it does not require at home compliance as you are essentially condensing a 2 week course of whitening into about 2 hours.
We start by isolating the teeth from the gums by using a custom made gum barrier and isolate the teeth. We then apply a pretreatment desensitizer to the teeth. We then begin applying a very strong whitening gel directly onto the teeth. With the ZOOM! System we then activate the whitening gel with a LED light. We leave the gel on for cycles of 15 minutes and then suction it off the teeth and then reapply it. We usually do this for 3 sessions depending on the patient and the level of sensitivity one might be experiencing. After we complete the bleaching cycles, we will reapply the desensitizer and provide a Flouride treatment to the teeth. It is recommended to continue to use sensodyne toothpaste or a prescription toothpaste after the whitening to help minimze any transient sensitivity that may be present.
Take Home Custom Trays
If you decide for the take home whitening, you will be fitted for a custom made upper and lower bleaching tray. This tray is made off a model of your teeth. After you receive the tray, you will also get the home bleaching gel. You will apply a small amount of bleaching gel into the tray and will begin to wear the trays every day for two weeks. You may want to start out wearing the trays for 30 minutes to 1 hour and see how you do. If everything feels ok, the next day you can wear them longer, however I don’t ever recommend sleeping with the trays because inherently the bleaching gel will seep out and I don’t want my patients swallowing the whitening gel. We get excellent results from our patients who are compliant with there take home trays, however compliance and following through is key for this to work.
We hate it when it happens, but sometimes when a tooth is causing a lot of pain or has broken, the nerve in the tooth becomes affected or infected by bacteria. This can cause a very painful response and may require a root canal treatment. We have all heard stories about root canals, but here at Precision Dentistry in Columbia, MD we are here to provide you the best treatment possible.
After a thorough exam by Dr Gol, a determination will be made what the best option is for the tooth. In the instance, the no alternative is available, a root canal may be recommended in an effort to save the tooth and try to prolong the tooth’s life. The first step in the procedure is to be fully numb the tooth. This will usually require the use of a topical gel that is initially placed on the gums and then followed by local anesthetic. We usually let the tooth get numb for a few minutes and then test the tooth the ensure that there is no more feeling in the tooth. At this point, we will isolate the tooth, and very carefully start cleaning the inside of the tooth. The cleaning of the inside of the tooth is to remove any decay, bacteria, and infected tissue that is in the nerve space. We use special medicaments and solutions to ensure the inside of the tooth is cleaned properly. After we complete this step, we fill the inside of the tooth with a material called Gutta Percha. Gutta Percha is the gold standard for root canal fillings and can be thought of kind of like a rubberized cement that seals the inside of the tooth to try and prevent bacteria from re-entering the cleaned out tooth space. After the placement of gutta percha, a temporary filling will be placed in the tooth until a final restoration can be placed. In most cases, this would require the placement of a crown to strengthen and try and protect the tooth from breaking.