Esthetic Dental Center - Amman Jordan

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Tel: +962 6 56 61 802
Mobile: +962 79 555 0601
Amman 11192, Jordan

Email:dramr@edcamro.com

FAQs

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  1. I have some old silver fillings which are beginning to look bad. What can be done to improve them?
  2. I would like to have my teeth whitened. There are so many products and ads for whiteners that it is hard to decide which is best. What do you recommend?
  3. What are Dental Implants?
  4. What is the best toothbrush? How do I know which one is the right one for me and how do I brush?
  5. My dentist told me that I have impacted wisdom teeth and wants to remove them. They are not bothering me. Should I see a specialist if I decide to have them removed? What should I do?
  6. What are Crowns and Bridges and when do I need them?
  7. What is Gum (Periodontal) Disease and how do I prevent it and treat it?
  8. Why is my dentist insisting on Regular Checkup?
  9. What is Root Canal Treatment? How do I know I need it?

Q1. I have some old silver fillings which are beginning to look bad. What can be done to improve them?

A. Silver amalgam fillings, which are composed of 50% mercury and 50% silver alloy, eventually need to be replaced. It may surprise you to know that the average life span of a silver filling is five to eight years. Your dentist can tell you when they appear to NEED to be replaced due to leakage, breakdown or recurrent decay.

If your concern is strictly COSMETIC, there are many new methods available to replace the fillings with beautiful, functional long lasting restorations.

Such things as white filling materials, porcelain inlays, crowns and veneers may be used to give you the smile you are seeking.

Amalgam Fillings Composite Fillings
AMALGAM fillings COMPOSITE fillings

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Q2. I would like to have my teeth whitened. There are so many products and ads for whiteners that it is hard to decide which is best. What do you recommend?

A. You are correct. There are many products and techniques available. Some work great and some don't work at all. The various over the counter products give the least predictable results.

To get a really great result you should probably bleach through dental offices; there are 2 types:

Home Bleaching

1. Home Bleaching: Custom made trays for home application of a bleaching gel. There are several great ones out there. They are medical, safe and with less sensitivity to the natural teeth.

In Office Bleaching

2. In Office Bleaching: At the dentist's office "Laser or Zoom whitening systems". With this method a Laser or an Ultra-Violet light source is used to activate the bleaching gel which is applied to your teeth in the dental office. It takes from 20-50 minutes depending on the case.

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Q3. What are Dental Implants?

Dental ImplantsA. Dental implants are a wonderful way to replace missing teeth when certain conditions exist; as your overall general health, bone strength and the length of time you have been missing your teeth must be considered. The replacement of missing teeth using dental implants frequently requires a team approach.

After your dentist does a thorough examination and treatment plan the surgical phase of treatment takes place. In most cases an oral surgeon will put the implant (the artificial root) into the jaw. When healing is complete, usually after 4-6 months. The tooth or bridge segment can be placed on top of the healed implants as in the photo below.

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Q4. What is the best toothbrush? How do I know which one is the right one for me and how do I brush?

A. This is a good question, which we hear daily. The brand of the toothbrush is not nearly as critical as the type of bristle, the size and shape of the head and how frequently you replace your brush.

We recommend a Medium bristled brush with a small head. Daily frequency of brushing and replacement with a new brush are much more important issues than the brand you choose.

We recommend replacing your brush at least once a month.

My employees and I all brush, on average, 5 times a day. We brush first thing in the morning, after each meal and at the end of the day. If you are not able to do this because of your busy schedule, we recommend brushing twice a day at a bare minimum.

Method: Standard method advised is to keep the bristles at 45 degrees and move in back and forth direction or rotate is from gums to teeth side. These methods need demonstration by a dentist.

How to brush tooth - Step 1 How to brush tooth - Step 2 How to brush tooth - Step 3 How to brush tooth - Step 4 How to brush tooth - Step 5

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Q5. My dentist told me that I have impacted wisdom teeth and wants to remove them. They are not bothering me. Should I see a specialist if I decide to have them removed? What should I do?

Wisdom TeethA. Having regular dental checkups with x-rays allows you to learn about potential problems and have them corrected BEFORE they begin to bother you. There are a number of reasons for recommending removal of un-erupted or impacted teeth. Your dentist may have seen that these teeth could cause problems for the adjacent teeth if left in place. There is also the possibility that you could develop such things as a cyst or abscess if left in place.

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Q6. What are Crowns and Bridges and when do I need them?

Crowns

When a tooth is fractured, has a large old filling, or is severely damaged by decay, your dentist may recommend the placement of a crown or cap. Crowns strengthen and protect the remaining tooth structure and can improve the appearance of your smile. Types of crowns include the full porcelain crown, the porcelain-fused-to-metal crown, and the Inceram (Non-Metal).

Fitting a crown requires at least two visits to the dentist’s office. Initially, the dentist will: (Steps with following photos)

Crowns 1 1. Clean the decay and prepare the tooth
Crowns 2 2. Take an Impression and send to the lab
Crowns 3 3. Put a temporary crown between visits
Crowns 4 4. The crown is ready matched by the color of your teeth

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Bridges

When one or more teeth are missing, the remaining teeth can drift out of position, which can lead to a change in the bite, the loss of additional teeth, decay, and gum disease. Your dentist may recommend the placement of a bridge. When placing a bridge, the teeth (abutments) on both sides of the space are covered with crowns (caps/retainers), and an artificial tooth (pontic) is attached to the crowns. Steps:

Bridges 1 1. Initially, the dentist prepares teeth on each side of the space to receive crowns and makes an impression of the entire area.
Bridges 2 2. Fits a temporary or transitional bridge made out of plastic or metal.
Bridges 3 3. Removes the temporary bridge, places, adjusts, and cements the fixed bridge.

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Q7. What is Gum (Periodontal) Disease and how do I prevent it and treat it?

Periodontal disease is a major cause of tooth loss in adults

Signs

Only warning signs of advanced periodontal disease maybe obvious and include red, swollen, or bleeding gums; persistent bad breath; permanent teeth that are loose or separating; or changes in the way your teeth fit together when you bite.

Stages

There are many stages and forms of periodontal disease, including:

Gingivitis

1. GINGIVITIS

Periodontitis

2. PERIODONTITIS

If left untreated, gum infection damages bone and supporting tissues.

Advanced Periodontitis

3. ADVANCED PERIODONTITIS

At this stage, gums recede further and separate from the tooth

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Check

During each routine checkup, your dentist will examine you for periodontal disease. A periodontal probe is used to determine if there is any breakdown in the gum tissue attachment or if pockets have developed between your gums and teeth.

Treatment

Treatment will depend on the type of periodontal disease and how far the condition has progressed. Options include scaling and root planning.

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Q8. Why is my dentist insisting on Regular Checkup?

A dentist doing a Regular CheckupIf you ever wondered why your dentist recommends you come back every six months, it is because regular dental visits are essential for the maintenance of healthy teeth and gums.

In between those six-month examinations, it is important that you work to keep your teeth and gums clean and healthy. If you need additional help, your dentist may even suggest more frequent visits.

The visits include x-rays and full check-up of the teeth and the mouth internally and externally.

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Q9. What is Root Canal Treatment? How do I know I need it?

If your tooth’s nerve becomes infected by decay, or damaged by trauma, root canal treatment is often the only way to save your tooth.

Inside the hard outer shell of each tooth is a specialized area called the pulp or nerve chamber. The pulp chamber contains a system of blood vessels, lymph vessels and nerves, the pulp, which enter from the bone through the root canals. This system provides nourishment for the cells within the tooth.

Deep tooth decay or other injury can cause damage to or infection of the tooth pulp. In a root canal or endodontic treatment, the dentist removes the damaged or infected pulp and replaces it with a special filling which helps maintain the remaining tooth structure.

Some indications of the need for root canal treatment may be:

  1. Spontaneous pain or throbbing that interferes with sleeping.
  2. Severe decay or an injury that creates an abscess (infection) in the bone.

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Steps

Root Canal Treatment - Step 1 1. An opening is made through thecrown into the pulp chamber.
Root Canal Treatment - Step 2

2.The length of the root canals is determined.

Note: Tooth needs to be crowned after this Root Canal Treatment since it becomes weaker.

Root Canal Treatment - Step 3 3. Canals are cleaned, enlarged and shaped.
Root Canal Treatment - Step  4 4. Canals are filled and sealed.
Root Canal Treatment - Step  5 5. The tooth is sealed with a temporary filling till its crowned.

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