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Restorative Dentistry


Fixed Bridges

Losing a tooth starts a cycle of destruction within your mouth. In a normal, healthy mouth, each upper tooth contacts the corresponding lower tooth allowing for a well-balanced chewing function. Losing a tooth can quickly destroy this balance.

When this balance is lost, the companion teeth loose support, causing drifting, shifting, abnormal decay and periodontal disease. The neighboring teeth are quickly subjected to these conditions and with each lost tooth, the problems are magnified and the destructive cycle continues.

Fixed bridges are an excellent substitute for missing teeth. Bridges are non-removable and are most commonly made of porcelain and gold. A fixed bridge will not only replace missing teeth, it will also help create a normal bite, eliminate over eruption of opposing teeth, prevent the tilting of adjacent teeth and inhibit and slow the onset of periodontal disease. Very importantly, fixed bridges will enable you to chew your food properly, making eating much more comfortable.

Fixed bridges are easily attached to abutment teeth. The pontic, (the part of the bridge which actually replaces the missing tooth) is attached to a crown which is then affixed to the abutment (existing) teeth. The entire fixed bridge is then cemented in place. This work takes only a few office visits to complete. Fixed bridges last for quite a long time, however re-cementing or replacing a bridge is at times necessary. Proper oral care and regular dental visits will help extend the life of your fixed bridge.

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Replacing missing teeth has substantial benefits for your health and appearance. Full dentures replace all of your missing teeth and provide support for your cheeks and lips. These replacement teeth dramatically improve your ability to speak and eat. There are two types of full dentures, conventional dentures (made and inserted after all remaining teeth are removed and the tissues have healed) and immediate dentures (inserted immediately after the remaining teeth have been removed). Many people take advantage of the immediate dentures so as not to be without teeth during the healing process. Full dentures are made to closely resemble your natural teeth so that little change in your appearance will be noticeable. Dentures will improve your smile as well as the appearance of your face and profile. In addition, eating becomes a considerably more pleasant experience and speech is often improved while wearing a full denture. With regular professional care you can become one of the millions of people who wear their dentures with a smile.

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Partial Dentures

A very important part of maintaining a healthy smile is the replacement of missing teeth. When teeth are missing, the remaining ones change position, and shift into the surrounding spaces. This can cause damage to the tissues in the mouth as well create crooked teeth that are difficult to chew with and clean. The risk of tooth decay and periodontal disease becomes higher and can lead to the loss of adjacent teeth. A removable partial denture will fill in the spaces created by missing teeth and fill out your healthy smile. A partial denture will also help you properly chew food, pronounce words more clearly and give your entire face a more youthful appearance. Removable partial dentures attach to your natural teeth with precision attachments. These are very secure clasps that are nearly invisible. Crowns on your natural teeth can improve the fit of the denture and are usually required with the attachments. It takes an average of just four visits to complete a removable partial denture. These visits allow us to try the denture in your mouth during various stages of construction to insure that each stage in completed correctly.

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A crown is a restoration that covers a tooth in order to restore it to its normal shape and size. The purpose of the crown is to strengthen the tooth and improve its functionality and appearance. A crown is placed for a number of reasons: To support a large filling when there isn’t enough tooth remaining to attach a bridge to, to protect week teeth from fracturing, (or restore fractured teeth) or to restore a decayed tooth or a tooth treated with root canal therapy.

Crowns are made of various materials. To determine which crown materials are suitable for an individual, the following factors are considered: Tooth location, position of the gum tissue, the function of the tooth, the amount the tooth that shows with your smile, and the color and shade of the tooth. Crowns are prepared and placed in the following fashion: First, the tooth is prepared by removing its outer portion to accommodate the thickness of the crown. Then, an impression is made to provide an exact model of the tooth. The crown is made from this model. It is then put in place and any necessary adjustments are made. When its position, appearance, feel,etc. are satisfactory, the crown is then cemented into place. Once the procedure is complete, the tooth will not only be stronger, it will feel better and look great.

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Root Canal Therapy

Root canal therapy can save teeth whose pulp (which contains the nerves and blood supply) is diseased or damaged. Various conditions damage pulp such as infection causing bacteria, an injury or fracture to a tooth or periodontal disease. When infection due to these conditions occur, an abscess forms at the root end of the tooth. Root canal therapy must then be performed to alleviate the pain, cure the infection and save the tooth. Typically, two visits are required to complete this procedure during which the following is done: The diseased pulp is removed through a small opening in the crown of the tooth, the pulp chamber and root canals are cleaned, disinfected, medicated and sealed with a temporary filling and a crown is applied to protect the tooth from breakage.

90% of all root canal-filled teeth will last as long as your other remaining natural teeth. While these teeth become “non-vital” (because the pulp has been removed) they still receive nourishment from the outer tissues. Retaining your natural teeth is always better than losing them or replacing them with artificial ones. Root canal therapy is the most common and effective procedure for saving damaged or diseased teeth.

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Poughkeepsie Dental Office - ph. (845) 454-7023
Fishkill Dental Office - ph. (845) 896-4977