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Root Canal Treatments
TMJ Treatments



Crowns are full coverage restorations that are used to cover a tooth that is likely to break, or is too broken down to be restored with a filling. They are most commonly done after root canal treatment, or when a large filling wears out. The larger the hole made by a cavity
that has to be treated, the more likely a crown will be needed. Even after a filling is put in
a large cavity that has to be treated, the more likely a crown will be needed. Even after a
filling is put in a large cavity, a tooth is more likely to break. Keep in mind that the jaw
muscles are the strongest in the human body. Teeth are subjected to tremendous
pressures. Crowns ride over the weakened tooth, providing strength and protecting the
tooth against breakage. A broken or cracked tooth is a far more serious matter and much
more difficult to treat. Crowns prevent this, as well as making for a nice smile.

Coventional Crowns
With this method, it takes two appointments to restore a tooth with a crown. In the first
appointment, any decay is removed from the tooth and it is shaped to accept the crown.
Then an impression is made of the tooth for use in fabricating a crown. Between the two visits the crown is made, usually of high-strength porcelain over gold alloy, all ceramic
material or gold. During this time, a temporary crown is worn. In the second visit this
temporary is removed. The permanent crown is then adjusted as needed and then
cemented in place.

Same Day Crowns
The other option is a crown where we scan your tooth rather than take a conventional
impression. We are then able to design and mill the crown in our office. The final
restoration is placed in your mouth the same day.
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There are different types of dentures, but they share their common function. They
replace teeth that have become loose or been lost due to bone loss. When bone loss
around the roots of teeth is great enough to loosen them or let them fall out, it's time for
dentures. Relax. No one enjoys losing their natural teeth, but you can still eat and talk

The entire mouth is examined and a determination is made as to which teeth will have
to be removed, and which will remain. The loose teeth are then extracted. Dentures are
fitted to go over or around whatever teeth remain in the mouth, depending on the type.
there is an adjustment period after dentures are placed in the mouth, and it can take
some getting used to. But once accustomed to the dentures, all the normal functionality and appearances return and one just carries on as usual. Often implants can be used to
further stabilize the dentures.

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A dental implant is an option to replace a missing tooth. In this procedure, a small
titanium shaft is surgically implanted into the bone and allowed to set. The bone grows
around it forming a tight connection, which additionally slows or stops the bone loss that occurs when the root of a natural tooth is missing. Once the implant is firmly set in the
mouth, the dentist then works to attach the replacement tooth onto the top of the shaft. This permanent solution has the advantages over bridge work that it does not stress
the surrounding teeth for support, and, should the tooth wear out, another can simply
be replaced on the shaft.

Implants can also be used as support as part of an implant bridge. This is an alternative
to partial dentures, and has several advantages. First, there is a no adjusment period to
acclimatize the patient who, once the work is done, only feels teeth, not metal supports intruding into the mouth. Second, this slows the bone loss occasioned by missing teeth.
Third, there is no discomfort or difficulty in eating. And, best of all, of course, they don't
have to be taken out all the time.
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Root canal treatment (also referred to as root canal therapy or endodontic therapy) is
made necessary when a cavity is allowed, through neglect, to reach all the way to this
pulp. (Regular cleanings and check-ups prevent and detect problems early). Sometimes
deep restorations or trauma to a tooth may cause the nerve to be damaged to the point
it needs root canal therapy, also. Once this occurs the pulp becomes infected, and can
even extend through the root tip and begin to eat away at the surrounding bone (this
is an abscess). By the time the pulp is infected it must be treated, and cannot heal on its own. It can even weaken the entire immune system. This is dangerous, not to mention
very painful. Sysmptoms that the pulp has become infected may include sensitivity to
hot/cold or sweets, pain, swelling, pain to biting or pressure, and a bad taste in the
mouth. Sometimes, however, no symptoms are apparent and the person is unaware of
any problem until a checkup.

A root canal is then performed to clean out the infected tooth pulp, and disinfect the
canals of the tooth. The only other treatment would be to extract the tooth. Once the
infection is resolved, the canal(s) are filled in to prevent any further infection. Usually a
core build-up and crown is recommended for restoring a tooth that has had root canal
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This is an option for filling the space created by a missing tooth. It is formed to look like
the missing tooth, and it takes its place in the mouth. The sides of a bridge use the two
surrounding teeth for support, hence the name. A bridge replaces the missing tooth,
both functionally and cosmetically. Bridge work is as much an art as it is an exact
science. The materials used may be gold alloys, porcelain bonded to metal alloy, or all
ceramic material. The choice of material depends on requirements for strength, wear,
and/or esthetics.

It is important that a missing tooth be replaced as soon as possible for several reasons.
If not treated the teeth surrounding the gap begin to shift inward, creating a whole
chain reaction of bad things.
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TMJ stands for temporal-mandibular joint. Temporal, as in temple area of skull;
mandibular as in mandible, or lower jaw; joint as in it's where the head and jaw meet.
Problems in this joint may be caused by a misalignment of the teeth, trauma, or excess
muscle tension. Aside from the two bones that meet there, cartilage buffers them and
five muscles are involved in the area. If something goes wrong a good deal of trouble can

Problems in this area can cause:

Trouble/soreness in opening and closing the mouth
Clicking or popping of the jaw
Pain in the jaw muscles
Soreness in the area, sometimes extending to the face

Dental treatments for the condition can include replacing missing teeth, moving teeth,
adjusting the bite, filling gaps between teeth, etc. There is no one solution that is right
for all cases. Sometimes a plastic mouthpiece is used to prevent clenching or grinding
that is contributing to the problem. If untreated and taken to extremes, surgery may be
required to repair a badly damages joint.
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151-A Ash Street
Susanville, CA 96130
(530) 257-9597