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The Development of Root Canal Treatment

Root canal treatment by root canal treatment equipment is the process of going inside the pulp space and removing the infected, dead tissue. The procedure involves removing the damaged area of the tooth (the pulp), cleaning and disinfecting it and then filling and sealing it. The common causes affecting the pulp are a cracked tooth, a deep cavity, repeated dental treatment to the tooth or trauma.  The space is then disinfected and sealed with special materials.

Generally speaking, whatever the cause of root canal or pulpal disease, root canal or endodontic treatment will be necessary to save the tooth. All dentists receive training in endodontic treatment and can perform root canal procedures, but often a general dentist will refer individuals who need endodontic treatment to an endodontist, a root canal specialist.

Endodontists are dentists who have completed an additional two or more years of advanced residency training in the diagnosis and management of diseases and disorders of the dental pulp tester, and in the diagnosis of dental pain; their focus is therefore on saving teeth. In order to make a proper assessment and accurate diagnosis of which tooth is affected and exactly what is causing the pain, a thorough history and examination is necessary, together with a radiographic picture (x-ray) of the tooth or area.

Your dentist or endodontist will check your medical history and current medications to ensure your health and treatment safety. If you are very nervous, an oral sedative or anti-anxiety medication may be helpful — discuss the options with your dentist or endodontist ahead of time.

Preliminary treatment to remove the decay and the source of infection of the pulp is necessary, along with a determination of whether the lost tooth structure can be restored. If a fracture of the tooth has reached the pulp, or infection is associated with gum disease, it could be more difficult, if not impossible, to save the tooth.

Nowadays, root canal treatments are performed with advanced techniques and materials, making them far more comfortable and faster. After root canal treatment is complete, your restorative dentist will usually place a crown on your tooth to safeguard against fracture.

 

Some Information about Dental Amalgam Separator

Dental offices that place or remove amalgam fillings are required to install and properly maintain an amalgam separator. Depending on the brand, a separator can be purchased from virtually any supply vendor or purchased directly from the manufacturer. Whatever separator is purchased; it is important that the system is promptly installed in order to comply with the new regulations. Proper documentation management is an integral part of this program to ensure that a certificate of recycling is kept on file, and a replacement canister is purchased once the marked fill line is reached or 12 months from the date of installation, whichever occurs first.

The regulations do not specify a minimum amount of time needed before replacing a used filter/canister, but the regulations do state and mandate that the manufacturer guidelines for replacement be followed. Since each amalgam separator is required to conduct testing for the ISO certification based on a 12-month replacement maximum, most amalgam separators are required to be replaced every 12 months or once the canister is full. This not only ensures that the separator is functioning as certified, but also to prevent the separator from moving into bypass mode, which would allow the wastewater to flow unrestricted or filtered directly into the separator. The EPA recommends that an amalgam separator should be monitored monthly to ensure the canister is replaced per the manufacturer’s instructions for use, and that a backup canister is kept on site to ensure proper replacement is conducted at the appropriate time.

Most separators are compatible with both large- and small- capacity dental offices and can be used with dry vacuum or wet vacuum systems. That being said, it is best to check with the manufacturer or distributor to make sure the right amalgam separator system is purchased.

The amalgam separator is installed before the main vacuum line intersects with the plumbing in other parts of the building, and separates solids before reaching the wastewater. The typical plumbing configuration in a dental office involves a chairside trap for each chair and a central vacuum pump with a vacuum pump filter. Chairside traps and vacuum pump filters remove approximately 78% of dental amalgamator particles from the waste stream. These chairside traps cannot be cleaned or washed; they must be recycled to ensure that amalgam particles are properly managed.

Most separator designs rely on the force of the dental facility’s vacuum to draw wastewater into the separator. These separators are estimated to reduce the discharge of metals to POTWs by at least 8.8 tons per year, about half of which is comprised of mercury.

Most amalgam separators use sedimentation processes to filter solids. The high specific gravity of amalgam allows effective separation of amalgam from suspension in wastewater. The weight of amalgam is 2x – 3x that of most sediments found in dental wastewater, which allows the particles to separate and settle at the bottom of the canister.

 

Doing Sterilization by Different Dental Equipment

Effective and efficient infection control in the dental office is essential for the safety of patients and to ensure that productivity does not suffer. Infection control programs all include the cleaning and sterilization of reusable dental instruments and devices. Care must be taken by the dental healthcare professional to ensure that all instruments are cleaned prior to sterilization, and that this is carried out in a safe manner to avoid injury and puncture wounds. Use of closed-system cassettes reduces the risk to dental healthcare professionals when executing infection control programs.

When using dental ultrasonic scalers, washers and sterilizers, it is important to always follow the manufacturer’s instructions. It is also important to consult with the manufacturer of dental instruments and devices as needed to ensure complete sterilization and to avoid damage to these items. Assurance of sterility of instruments and devices can be obtained through the use of one of several tests, and these tests must be performed regularly to ensure that the sterilizer is sterilizing all instruments and devices and that these are safe for use on patients.

Dental autoclave sterilizers have been known to play a significant role in the daily functioning of dental operatories and are recently becoming even more advanced and efficient due to advances in technology. Sterilizers such as The Midmark M11 UltraClave? Automatic Sterilizer now provide an intuitive display and simple prompts that help you easily select the cycle you need…

Parameters such as time, pressure and temperature vary according to the type of sterilizer, materials being sterilized and individual models within sterilizer brands. The first step in determining the settings for the sterilizer is to refer to the manufacturer’s instructions.

Sterilizers are medical devices, requiring clearance by the Food and Drug Administration before manufacturers may offer them for sale. The FDA requires rigorous testing to ensure an adequate margin of safety in each cycle type described in the instructions. Failing to follow the instructions of the manufacturer is ill advised, since it may result in inadequate sterilization of the instruments or devices in the sterilizer. It is never appropriate to use a household device, such as a toaster oven, for sterilization of dental instruments, devices, or equipment.

What’s the Effective Way to Keep Healthy Teeth

The dental diseases like tooth decay and gum disease are some of the most common human dental problems. The dental problems are the most common health problems that are experienced by us nowadays. Poor nutrition is always the best result of dental problems. However, the dental problems like bad breath and dry mouth are the symptoms of various other serious health problems.

Teeth whitening or teeth bleaching( teeth whitening lamp ) used to be something only the rich or famous used as the cost ran into thousands of pounds or dollars. As the industry progressed, dentists started using laser treatment, but this was still relatively expensive. Then home teeth whitening kits and systems came out onto the market at a fraction of the cost.

You can now get white teeth’s faster by using high quality health products. Today’s products would help enhance your white and bright smile. People now and then have to face a lot of dental problems that they frequently undergo expensive dental professional services. However, finding the right dental lab can also be tricky at times as there are so many labs to offer dental care to people. A good dental lab would possess all the latest dental lab equipment to ensure that consumers are given high quality treatment with dental handpiece.

Even tooth whitening should be discussed with your dentist. You may be a good candidate for an in-office whitening procedure that will give you bright white results in a fraction of the time a whitening tooth paste could take. This is especially useful if you want your pearly whites even whiter for a special occasion. Your dentist can let you know what options are available at their office such as a laser whitening treatment or bleaching, or they can recommend an over the counter product that is best suited for your needs.

The most advanced looking space-age technology based toothbrush may still not provide for you the cleaning your mouth needs for healthy teeth and gums. Before investing in a really cool looking toothbrush that you think will blast away food particles and plaque, talk to your dentist to get his or her recommendation on the best toothbrush that is perfectly suited for you. Your dentist can also recommend the right toothpaste and floss to partner with your toothbrush. In all, you may not need to spend a lot of money on fancy products.

 

How to Buy a High-quality Dental Compressor

Some units are portable, allowing practitioners to move them around as needed. Others are mounted in a practice. For hygiene reasons, the dental air compressor is typically attached to short tubing. Dentists may place a unit between two treatment rooms, for example, providing access from either side while leaving the tubes short to reduce the risk of breeding bacteria. The best option for a facility can depend on the number of patients it sees and the kinds of procedures it performs with the use of compressed air.

Dentists in search of a new dental air compressor can begin by searching for models with oil-free reliability. Oil and dentistry simply do not mix. Every operatory requires compressed air to function and operate. However, if the air a dentist uses to run their practice has poor quality, the effects can be extremely detrimental. Having unclean air can negatively impact not only the patient- but the staff, dentist, various procedures and operating costs as well. Compressors which require oil lubrication are consistently adding oil vapor to the stream of compressed air that is released.

Even if the compressor is top of the line, it is impossible for it to filter out all of the oil from the air. The vapor from the oil will eventually negatively impact dental instruments, components and tools as they become clogged and damaged over time. This can result in costly maintenance updates and repairs. Also, much like a vehicle, dental air compressors which use oil require routine oil changes as they steadily expel oil overtime. This can be time consuming to the dentist as oil levels must be checked on a regular basis. By selecting a model with an oil-free compressor, you can eliminate these problems and save both time and money over time.

The second important aspect dentists must consider when purchasing new dental air compressors is whether it is both efficient and reliable. By selecting a model which is made for maximum efficiency with high quality parts, that is properly sized, and one that comes complete with a warranty, you can ensure that your compressor will enhance your practice as well as function in the long run. Along with these considerations, dentists should insist on finding a model with cool running reliability. Because dental air compressors work diligently on a daily basis, it is vital to find a model with proper ventilation and one which will help to dissipate heat that builds up during times of functioning.

Both new and used dental air compressor options are available. Some manufacturers offer refurbished units which have been carefully serviced before sale. These units are similar to those that are new, but have a lower price because they’ve been gently used. It may also be possible to rent a unit, which can help defray the startup costs for a dental practice. The dental equipment needed to start offering services to patients can be substantial, making it expensive to start a new business.

 

 

The Effects of Dental Fast Curing

Fast curing has been accused of putting too much stress on the bond of a restoration to the tooth. If you apply too much light to a restorative material, it will presumably shrink more quickly, opening gaps at the tooth-restoration interface, causing white lines and microleakage. High power has also been accused of inducing cracks in thin porcelain veneers. To test these issues, we performed Class I & II microleakage studies, plus one with porcelain veneers:
Class I White Lines and Microleakage

Eleven different curing protocols using five different lights and four different restorative materials were investigated as to whether any variables could be isolated to predict the incidence of white lines at the margins and/or microleakage. We found that, while there is a general association between white lines and microleakage, it is not consistent across composite materials and curing protocols. In other words, there are too many other variables to merely conclude that if you eliminate the white lines, you will also eliminate microleakage.
Class II Microleakage

The same 11 different curing protocols and five different lights were used as in the Class I study, but with this project, we used three different flowables on the gingival wall and investigated as to whether any variables could be isolated to predict the incidence of microleakage. We found that neither the dental curing light nor the curing protocol produced any statistically significant differences in microleakage.
Veneer Crazing and Microleakage

Porcelain veneers, standardized to 0.7mm in thickness, were bonded to teeth using either a halogen light for 60 seconds or a plasma arc light for 15 or 30 seconds. The results showed no craze lines in any veneers when viewed under the stereomicroscope at 10x, both before and after thermocycling and staining. In addition, with margins at the CEJ, all the microleakage scores were very low, signifying no differences between the lights.
Components

Base Unit/Battery Charger Typically sits on the counter in the treatment room and includes the electronics that operate the light. For cordless LEDs, its function may be as the recharger. It may have the timer, some type of holder for the gun or wand, and the power switch (unless it is functioning as a battery charger, in which case it would not have a power switch since it would always be “on”).

Since counter space in treatment rooms is usually at a premium, the smaller base units are favored. Timers should be easily seen and accessible for changing. The gun or wand holder should keep these items secure, but allow easy placement and retrieval at the same time. Built-in radiometers are also featured in many base units.

What Should You Do to Your Teeth After Dental Implants

The advent of the dental implants marked a novel way in the insertion of dentures. Significant portions of the people were complaining of discomfort after dentures were inserted. Dentures also had to be removed while sleeping or at times during the day. The dentures also demanded a significant amount of cleaning and safeguarding. Dental implants cleared the path for all these problems. Further, implants can be made to compliment any of the other dental appliances such as bridges or crowns. They can used to provide strength to the dental devices including the dentures.

Dental implants are artificial teeth that are surgically implanted in the mouth in place of missing teeth, teeth that need to be removed due to decay or irreparable disfigurement. The root of a dental implant is placed in the jaw bone, giving them the appearance and feel of authentic teeth.

Dental implants are impervious to tooth decay, you’re still prone to gum disease. That’s why you need to brush, floss and visit your dentist regularly. There are some additional steps that you should take keep your new teeth just as dazzling as your original pearly whites.

See your dental specialist twice a year. Not only will she thoroughly clean your implants and remove plaque, but a cosmetic dentist in New Jersey can evaluate if your implants need adjustments.

Your dentist may also prescribe chlorhexidine gluconate mouthwash, a germicidal rinse that reduces bacteria and treats gingivitis. This powerful mouthwash also helps reduce the risk of post-op infections.

Because your new “fake teeth” actually perform like the real thing, you still need to practice the same oral habits. That means brushing twice a day, flossing daily, and regular dental checkups. Here are some oral hygiene recommendations from the American Dental Association:

Use a toothbrush with soft bristles that can reach all your teeth.
Buy a new toothbrush every three or four months or earlier when bristles fray.
Don’t forget to brush your tongue as well. The tongue harbors bacteria that can lead to tooth decay and gum disease.
Floss daily to remove food particles and bacteria from between teeth and under the gum line.

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The Reason for Using Dental Suction Unit

Do you ever hear your suction, smell your suction, does it ever produce inadequate force to allow all the practitioners in the practice to operate effectively at the same time? Traditional wet vacuum systems are loud, smelly (both from the burnt oil and the debris that is trapped in the tanks for an extended period of time) and use massive amounts of water, up to 200,000 gallons per year, equal to an Olympic size swimming pool worth of water every month. Not only is this an environmental concern, but a major financial sinkhole as well. Why there are many dentists use suction unit?

Keeping the patient comfortable is a high priority.  In response to Jeanny’s question, we suction after giving anesthetic because the anesthetic has a bitter taste, and most patients prefer to rinse out with water and use the saliva ejector.  Also, if the anesthetic sits in the back of your mouth for too long, it may start to slightly numb the back of your mouth and could give the patient a gagging sensation. We will also use the suction to make sure that you don’t get too much water in your mouth while we are working.

When a dental hygienist cleans and polishes your teeth, you can get a lot of cleaning paste in your mouth.  We use the suction to help clean all of that away.  Also, when dentists are do amalgam fillings, pieces of the soft amalgam can sometimes fall away from the tooth surface.

During some procedures, such as white fillings, it is important that the tooth stay clean and dry.  The suction helps keep the tooth dry by sucking away any saliva, blood, and water that may have accumulated around the tooth.  If the cavity went below the gum-line, then it’s pretty likely that the gums will bleed during the filling.

The drill that dentists use to do fillings sprays out a lot of water to keep the tooth cool and clean.  Unfortunately, that water can quickly build up in the mouth and get on the dental mirror.  In order to ensure that the dentist can see the tooth while working on it, it’s necessary to use the high volume suction to suck away all of that debris.

Those are the four main reasons that I came up with as to why dentists use the dental suction unit.  In conclusion, let’s take a look at a question that I asked my dental hygienist as a child.

 

Making Your Smile more Beautiful by Dental Implant

Your smile approved dentist places the implant into the jaw then inserts a screw to prevent debris from entering. It will take 3 to 6 months for the implant to fuse with the jawbone, during which time the gum is secured over the implant.

Upon returning to the dentist, the implant is uncovered and an extension called a post is attached. Once the gum tissue has healed around the post, the implant and post act as the foundation for the new tooth. Finally, the dentist makes a crown that best suits your natural teeth, considering factors including size, shape and colour. Once completed, the crown is attached to the implant post and you can enjoy your beautiful new smile!

The recovery time for dental implants is dependent on the patient, and it differs from one individual to another. Depending on your circumstances, the downtime could be a couple of days or a couple of weeks. On average, it takes just a couple of days to feel back to normal. The complete healing of your jawbone and gum tissue takes approximately 3-6 months.

Once healed, dental implants should be painless and comfortable. Immediately after surgery, however, discomfort and mild pain is expected to last up to a week. Your dentist may prescribe you something for the pain and to avoid infection; otherwise, over-the-counter painkillers can help to manage the pain.

Different dental implants may require different care. Your dentist will ensure you are equipped with the correct products, such as special brushes, to care for your implants. Maintaining good oral hygiene is vital for preventing infection around your dental implant.

With thorough cleaning and frequent visits to your dentist for professional cleaning and maintenance, your dental implants will be well looked after, allowing you to enjoy them for many years to come.

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How to Use a Dental Curing Light Correctly

According to the American Dental Association, nearly 150 million resin-based restorations and sealants are placed every year. Almost all of these use light-cured resin-based composites. Thus, a light-curing device is now commonly found in dental practices across the country. Some assume that a “point and shoot” technique is sufficient. However, in order to achieve optimal results, dental curing lights must be used correctly.

In the dental field, a curing light can use ultraviolet or visible light, depending on what it is designed for. Both dentist and patient need to wear eye protection to limit damage to the retina for even the 20 seconds to a minute that the light is in use during rapid curing, and the light needs to be well maintained so that it will work properly and effectively. It’s also important to use the right curing light for the right resin product; many lights are designed to handle a range of resins safety.

Using a curing light accomplishes two things. In the first place, it makes sure that the resin cures properly and adheres evenly. When applying fillings, this is critical to keep the filling in place in the mouth. For sealants, the curing light limits the risk of cracks and other problems with the sealant. With adhesives for implants( dental implant motor ) and braces, the rapid, even cure is also designed to limit problems in the future.

How a dentist uses a light-curing unit makes a large difference in the amount of energy a restoration receives. Even when the device is handled correctly, if the energy level is insufficient, then the resulting restoration may not attain expected longevity; this may explain why resin-based restorations last only five to seven years when actual life expectancy should be 15 years or more.

Both light intensity – or irradiance – and the dental application should factor into a dentist’s decision regarding his or her choice of curing light. For instance, irradiance is measured by calculating power output, or milliwatts (mW), of a curing light across the surface area of the curing light guide. A curing light must deliver a minimum irradiance of 400mW/cm2 for a time interval to adequately polymerize a 1.5-2mm thick resin composite.

Clinicians also should consider the clinical application at hand. It has been documented that irradiance of curing lights attenuate/decrease significantly when it passes through restorative materials, such as ceramic restorations or resin composites. The percentage of decrease in irradiance depends on filler type, filler loading, shades, refractive index, opacity, translucency and thickness of restorative materials. Curing lights with high irradiance compensate for the decrease in the loss of total energy and allow dentists to cure resin composites completely. In general, an irradiance of 1000mW/cm2 or higher is considered ideal to cure resin-based materials through indirect restorations.