Tooth decay is a very common dental condition. It can occur at any time and at any age. Poor oral hygiene, unregulated consumption of sweet foods & drinks, and old, worn-out fillings are some of the causative factors of tooth decay. Tooth decay starts as a small opening/hole in the enamel. At this stage, the tooth may become sensitive to hot & cold foods/drinks. If untreated, it may progress further to deeper layers of the tooth, where the tooth may become sensitive to a variety of stimuli. Infection may even reach the pulp chamber of the tooth, where all the nerves and blood vessels are present. This infection may further spread to the root portion and from there to the adjoining bone, creating further complications. Thus, a timely diagnosis and correct treatment are what is required. Dr. Gupta’s clinic provides you with tooth-colored (white) fillings as a treatment option for your decayed teeth. These are safer and more attractive alternatives to older silver amalgam fillings. They are virtually invisible. In one appointment only, you get a beautiful and durable filling that lasts for many years.
Sometimes the decay/fracture in a tooth is so extensive that it is not possible to place a direct filing whether silver-based or composite based. If done, it would adversely affect the structural integrity of the remaining portion of the tooth and also lead to an improper occlusion. In such instances, We recommend Inlays & Onlays which are extra-coronal restorations and are fabricated directly. These restorations enhance the structural durability of the tooth and protect it against recurrent decay. They also offer ease of cleansing and excellent gum care.
Placing a post & core is a procedure that is required to rebuild a badly broken down tooth, either because of extensive decay or fracture of the tooth. Once the root canal treatment is over, the tooth needs to be built up so that it can receive a crown. The core acts as a foundation for the crown, and the post acts as a retentive pin for the core. Several post & core systems are available on the market. Dr. Gupta, however, prefers fiber-based systems over metallic ones. The fiber posts are esthetic, minimally invasive, do not corrode, and when cemented with resin cement, form a monobloc effect with the tooth, thus increasing the strength of the tooth by many folds. Once the post space preparation is done, the post is cemented with a luting cement, and the core is built up using composite resin. The tooth is then prepared similarly for a crown.
On many occasions, the root canal of a tooth gets inflamed and infected due to bacterial invasion. The bacterial inflow can either be from an extensive decay in the tooth or from surrounding infected gums. In either case, the bacteria reach the nerves and blood vessels placed in the root canal of the tooth. As a result, there may be severe tooth pain that worsens when lying down. This pain may radiate to the head as well as the ears. The pain is usually constant and may be accompanied by swelling. There is sensitivity to sweet foods. Dr. Gupta’s advice for such cases is to get a root canal treatment done immediately to prevent the further spread of infection to the jaw bone. In a root canal treatment, the diseased pulp tissue comprising the nerves and blood vessels is removed, and the canals are cleaned, shaped, and filled. Thus, sealing the root canal space to prevent further infection. This is followed by the placement of a crown over the treated tooth.