GENERAL DENTISTRY

The Restorative and Aesthetic Dentistry is the area of Dental Medicine responsible for the restoration of teeth that present carious lesions, changes in shape or coloration and resolution of fractures, thus restoring the original appearance of the teeth.

Endodontics is the specialty of Dentistry directed to the treatment of pathologies of the pulp (vulgarly denominated by nerve).

At MALO CLINIC this department has the experience of physicians dedicated only to this area having at their disposal the most diverse materials of high quality and adapted to each clinical case.

In addition to contributing to an improvement in oral functions, through the most diverse techniques, Dentistry gives the patient a healthy and beautiful smile, contributing to an increase in aesthetics, self-confidence and social involvement.

Restoring Teeth With Carious Lesions

Caused by bacteria, dental caries is the disease that most often affects the oral cavity, developing especially in the fissures of the occlusal surfaces of the posterior teeth, between the teeth or near the gum line. If left untreated, caries lesions can become a complex problem, destroying dental tissues.

Treatment consists of removal of the affected area and reconstruction of the original tooth anatomy using composite resins. At MALO CLINIC we use the most advanced restorative materials, which allow us to achieve excellent aesthetic results since they mimic the natural tooth.
Fractures, Shape Changes and Closing Diastemas

Composite resins with high mechanical and aesthetic performance are also used in the reconstruction of fractured teeth, with shape changes (eg conoid teeth) and diastema closure. Coneid teeth are a problem that mainly affects the lateral incisors and is characterized by teeth that are smaller than normal and conical in shape. In the case of diastemas (“spaces between teeth”), the physician should evaluate the best treatment option to close it.

The treatments of the above mentioned situations can pass through direct restorations in composite resin or indirect restorations in ceramics (facets). In other cases it may also be necessary for Orthodontic intervention. The multidisciplinary cases are evaluated by the departments involved and a specific treatment plan is defined for each situation.

Stain Removal

The so-called intrinsic stains can take on various aspects and are caused by various factors.
Ingestion of excess fluoride or certain antibiotics during the period of tooth formation may condition the appearance of blemishes. In non-vital teeth it is frequent to acquire a brownish, gray or black coloration. In some cases, the process of aging of the dentition can also translate into dental dimming.

To solve any of these situations it is often necessary to resort to aesthetic facets in ceramic or composite resin. For facet rehabilitation, the doctor makes a first consultation in which he causes a wear of the dental surface and then makes a mold; In this consultation the patient is placed with the provisional facets. Subsequently the mold made is sent to the laboratory where the facets are made.

The facets are placed in a posterior consultation and after verification of all aesthetic and functional parameters.

Bleaching of Vital and Non-Vital Teeth

Although the natural color of teeth is different from person to person, certain factors such as tobacco, coffee, wine, pigmented foods, carbonated drinks or tartar may contribute to changes in tooth color. Dental whitening aims to make teeth clearer and can be performed in the office or at home after clinical and radiological evaluation of the dental and periodontal condition.

Currently the home treatment performed by the patient under the supervision of the doctor is the most common. From the molds are executed the trays, which the patient fills with bleaching gel and which will be placed daily for the period of time indicated by the doctor; this procedure should be done on average for 2 weeks. The treatment time can vary and depends on some factors among which the original color (darker colors tend to take more days to bleach). One important information that has to be known to the patient before is that tooth whitening only works on natural teeth, and this means that existing restorations, crowns and / or bridges do not bleach and may have to be replaced after tooth whitening.

In the case of non-vital teeth, ie “devitalized” teeth, internal bleaching must necessarily be performed by the physician, since it is necessary to introduce the bleaching agent into the tooth and then to place a temporary restoration during the period that the gel bleach is working.

In some cases, tooth whitening may not have the desired results for the patient, and in these cases it is necessary to resort to other aesthetic rehabilitation techniques such as dental veneers.

Endodontics is the specialty of Dentistry directed to the treatment of pathologies of the pulp (vulgarly denominated by nerve).

The dental pulp is located inside the tooth and is surrounded by the hard tissue – the dentin – being responsible for nutrition and tooth sensitivity, through the blood vessels and nerves that constitute it.

Lesions of the dental pulp may rise from trauma, fractures or deep cavities. Symptoms indicative of an endodontic problem include spontaneous pain, prolonged sensitivity to cold and / or heat, and discomfort to touch and chewing, with the most common signs being abscess or fistula (small blister of pus in the gingiva).

In cases of necrosis or irreversible inflammation of the dental pulp, endodontia (devitalization) is the only solution to save the tooth and avoid other complications.

In addition to eliminating the pulp pathology, the endodontic treatment allows, together with the subsequent reconstruction, to restore to the tooth the masticatory function. There is also the possibility of performing an endodontic retreatment, which consists of a new treatment of the root canals. It should always be the first option in teeth whose previous endodontic treatment has failed.

In a retreatment, all the existing contents inside the root canal system are removed, proceeding to a new disinfection, preparation and three-dimensional obturation of the same. After retreatment, tooth restoration is performed.

Pulp Tissue Removal

The first step of endodontic treatment involves the removal of infected or necrotic pulp.

Under local anesthesia and using appropriate drills, an opening is made in the back of the affected tooth (in the case of a previous tooth) or in the crown (in the case of molar or premolar teeth), through which is removed all dental pulp tissue or remains of sealing material from previous endodontic treatments.

Irrigation (Disinfection) and Root Canal Filling

After the pulp or remains of sealing material from previous endodontic treatments has been removed, the pulp chamber and root canal system present in the roots are properly disinfected in order to eliminate all bacteria. After conveniently prepared the canals are able to receive the filling, as a rule carried out with Gutta-Hanger, a derivative of vegetable resin. When the canals are filled, the tooth is hermetically sealed with cement and restored in order to regain its natural appearance.

As the duration of endodontic treatment depends on several factors, in situations where it is not possible to perform the complete treatment in only one consultation, a temporary restoration is placed in the access opening with the purpose of protecting the tooth between consultations.

Together with your doctor you can opt for the whitening solution most appropriate to your case. Bleaching at home using a tray or bleaching in the office that by using a LED light allows to accelerate the process and have more immediate results.