34 Ave Dental with Dr. Sam Huang

105-9303 34 Avenue NW

Tel: 780.462.4925

 

Fax: 780.462.4922

© 2019 34 Ave Dental with Dr. Sam Huang

Created by Etched In Marketing.

General Dentistry

 
 

There are several different type of x-rays that can be used to monitoring your oral health:

Bite wings:

  • Taken during regular dental check up, usually once per year

  • Small x-ray on each side, generally one to two films per each side

  • Used to check for any cavities between the teeth which can not be seen with a standard visual exam

  • Check the bone height around the teeth to diagnosis or assess periodontal (gum) disease

  • Used to see tartar (hard deposit on your teeth) hidden between your teeth

  • Check the margins of existing crowns and dental fillings

Periapicals (PA):

  • Used to check specific sites as needed

  • Check for possible abscess or infection at the apex of the teeth

  • Check root canal condition, signs root fracture, and implant status

Panoramic (PAN):

  • Large x-ray taken for new patients, and for existing patients every 3 to 5 years

  • Check oral pathology

  • Check the bone level before dentures and implants

  • Assess overall gum condition and help diagnosis stages of gum disease

  • See the closximity to anatomical landmarks (nerves, sinus) before implant placement

  • Check wisdom teeth condition

Cephalmetric (ceph):

  • Side x-ray taken before orthodontic treatment to check jaw bone alignment

 

CBCT:

  • 3D dental CBCT is taken under special order for a specific need, such as implant surgery, oral pathology, challenging wisdom teeth position, or size of infection/lesion

Dental Exams

A comprehensive dental exam is critical to your ongoing dental health and can only be performed by your dentist. At your initial dental appointment, we ask that you arrive 10 minutes early and plan to be at our office for approximately 15-45 minutes. Your first appointment will include a comprehensive oral examination as well as dental x-rays to help assess your oral health.

 

A dental exam can catch problems before you see or feel them. Identifying problems early on makes them easier and less expensive to treat. Your dentist will be looking for:

  • Tooth decay and damage

  • Signs of cavities

  • Periodontal (gum) disease

  • Early signs of oral pathology (oral cancer, etc.)

  • Condition of previous dental work (fillings, crowns, bridges, dentures)

  • General condition of your TMJ (joint), mouth and muscle

  • Crowding/spacing and correct bite (tooth to tooth relationship)

  • Options to replace missing teeth with implants/bridges/dentures

  • How to improve your smile

Teeth Cleaning (Scaling)

The primary function of a dental cleaning appointment is the prevention of cavities (dental caries), gingivitis and periodontal disease. Regular dental cleanings are the cornerstone for a lifetime of dental health. Your cleaning appointment will include the following:

  • Removal of tartar (hard deposits) from above and below the gum line to stop and prevent gum disease

  • Removal of plaque that forms on the teeth, causing tooth decay and periodontal disease

  • Teeth polishing to remove superficial stains and plaque not removed during tooth brushing and scaling​

If you have sensitive gums, local freezing can be used to make it more comfortable. We also offer numbing mouth rinse that makes you feel more comfortable.

In average healthy patient with no history periodontal disease, scaling is recommended every 6 months. This is because the gum disease bacterial will regrow and can restart the inflammation cycle after this period of time. In patient with active periodontal disease, every 3 to 4 months may be needed to control the gum disease and to stop the progression. In patient with active gum disease, the bacteria will growth deep underneath the gum which floss/brush is impossible to reach. Therefore, dental hygienist has to use special tools to reach the site to remove the resource of inflammation (bacteria) to allow the tissue to heal. Then every few months, we have to re-assess the pockets around the teeth, make sure gum has responded to the treatment.

 

In long term, people with regular dental scalings have less bleeding when brushing and are less likely to need dentures later on in their life.

 
X-Rays
 
Teeth Fillings

Composite Fillings

Composite fillings are commonly known polymer base, tooth-coloured restorative material that is a used to repair a damaged or decayed tooth. The affected portion of the tooth is removed (is decayed) and then filled with composite filling. It is then cured with a visible blue light which causes it to harden almost instantly.

Composite resin dental fillings are strong, durable, and make for a very natural-looking smile. However, it is key for patient to know, after filling is completed there needs to be proper home-care to keep it clean. Otherwise, if patient has poor oral hygiene, years after filling has been competed, the decay can start again underneath the old white filling (recurrent decay).

 

Your dentist or dental hygienist may recommend composite resin dental fillings for the following reasons:

  • To restore chipped or worn teeth

  • To close a space between two teeth

  • To repair cracked or broken teeth 

  • To repair damage caused by tooth decay

Silver Fillings (Amalgam)

Silver fillings are still used in limited cases where white fillings can not be effective or will not last. For patients with very high cavity risk, silver fillings might be more favorable option for long term cavity resistance. Also, in the area with lots of bleeding or moisture (for example: back surface of your last molar, cavity under the root surface, dentist can not keep it dry (white filling will not last long if can not keep dry when place), silver filling might be used.

Glass Lonomer Fillings

Glass Ionomer fillings are a special material used for children, and elderly patients with lots root decay or sub optimal oral hygiene. This material releases fluoride after placement (bioactive) to help reduce the rate of getting cavity again in the same spot.

Crowns
 

A crown (or cap) is a dental restoration that covers the entire visible surface of an affected tooth. If a tooth is damaged but not lost, a crown can be used to restore its shape, appearance and function, the result is a tooth that works very much like a natural tooth. 

 

Your dentist or dental hygienist may recommend a crown for the following reasons:

  • To repair broken or fractured teeth

  • For cosmetic enhancement

  • To restore decayed/very compromised teeth

  • To cover or protect a fractured filling 

  • For root canal teeth

 

Different type of crowns:

  • Zirconia crown (tooth colored) is a white colored metal that is used mostly for patients who grind their teeth a lot (bruxism). It is reasonably esthetics, very strong (low chance of breakage), and is most commonly used on molars.

  • Emax crown (tooth colored) is a compressed ceramic that is very esthetics, and still very strong. It is not as strong as the Zirconia crown, but more esthetically pleasing. This type of crown can be used on the front or back teeth.

  • Gold crown (gold color) is still used for molars that are not visible.  It can be used on the back molars for strength, similar to a Zirconia crown.

  • Porcelain fused to metal (tooth colored) is porcelain on the surface fused to metal base, for high esthestics and reasonable strength. This crown is not as durable as an Emax or Zirconia crown. It can be used on the front teeth and molars for non-bruxisers.

Dental Bridge
 

A dental bridge is a fixed (non-removable) dental restoration that consists of one or more prosthetic teeth that bridge the gap created by missing teeth. There are several types of fixed dental bridges, including traditional fixed bridges, cantilever bridges and resin-bonded bridges. The porcelain fixed bridge is the most commonly used, and best resembles the look and feel of your natural teeth. This type of bridge involves preparation of the adjacent teeth. The artificial tooth (or teeth) is fused between two crowns that go over the anchoring teeth on either side of the gap.

 

Dental bridges are highly durable, and can enhance your smile and teeth for many years. Your dentist may recommend a dental bridge for the following reasons:

  • Filling space of missing teeth 

  • Preventing remaining teeth from drifting out of position

  • Restore chewing and functioning

  • Restore cosmetics and your smile

  • Upgrade from a removable appliance to a fixed appliance

Extractions
 

Dental extractions are needed to following reasons:

  • Severely broken tooth (broken at gumline) that can not be restored

  • Severely mobile tooth due to advanced periodontitis

  • Due to orthodontics need to gain space for resolve the crowding and correct bite pattern

  • Wisdom teeth that is poorly positioned and causing problems

Wisdom Extractions

When first assessing wisdom teeth extractions, we look at the x-ray to see the difficulty of the extraction. We do lots of wisdom teeth extraction in our Edmonton office. However, if the wisdom teeth removal involves high complexity, high risks (close to the nerve, long curved root, deeply impacted), we will refer to Oral surgeon to do the extraction.

We take pre-caution for patient who has certain medical history:

  • Blood thinners may need to stop few days before the procedure to allow blood to clot. 

  • Diabetic patients need to aware the prolonged time of healing may be needed.

  • Patients undergoing bisphosphonate therapy need consultation with doctor before extraction to avoid chance of bone necrosis (bone death)

 

Post-operative care after extraction is important for proper healing and avoid complications. Such as no smoking, no alcohol, no active rinse, soft diet, no intensive lifting. To avoid dry socket complication, prolong bleeding and pain.

Root Canal Therapy
 

Root canal therapy is the process of removing infected, injured or dead pulp (the living tissue inside the tooth) from the space inside your tooth, which is called the root canal system. The canal is then filled with materials designed to prevent infection from recurring and restore the tooth to its full function. A successful root canal treatment lets you keep your tooth, rather than having it extracted. Keeping your tooth helps to prevent adjacent teeth from drifting out of line, causing further problems.

Your dentist may recommend root canal therapy for the following reasons:

  • Decay has reached the tooth pulp (nerve) with or without symptom (irreversible pulpitis)

  • An infection or abscess has developed inside the tooth or at the root tip (internal root resorption) 

  • Injury or trauma to the tooth cause nerve to die, tooth can turn grey/dark (sports/vehicle accidents)

 

Sequence of root canal involves: 

  1. Make sure you are well frozen, test with endo ice, so you do not feel any pain. 

  2. Remove the decay/cavity, and get access to the pulp chamber (where nerves are). Front teeth in average only one nerve, premolar in average 1 to 2 nerves, molar 3 to 4 nerves in average.

  3. Clean the infected or dead nerve with small instruments and rinse with solution to ensure it is clean.

  4. To prevent from infection again, it requires sealing the cleaned nerve space with inert material called Gutta Percha.

  5. Then we close up with final filling for restoration. A crown is required for molars that involves chewing.

Silver Diamine Fluoride (SDF)
 

Silver diamine fluoride (SDF) is a safe and effective non-restorative treatment option that few dentists know how to use. Silver Diamine Fluoride is an FDA-approved antibiotic liquid clinically applied to control active dental cavities and prevent further progression of disease. While the ideal way to treat teeth with decay is by removing the decay and placing a restoration, this alternative treatment allows us to stop decay with noninvasive methods without the need to use of freezing and dental drill. 


Clinical uses for SDF:

• Behavioral or medical management patients
• Carious lesions that cannot be treated in one visit
• Difficult to treat lesions (at gumline, under the crown, large decays)
• High risk caries
• Pediatrics with behavioral issues
• Root caries (common with elderly patients with dry mouth)
• Tooth sensitivity can also be managed

After application of SDF, the lesion will appears dark, which means the caries has arrested. We try to avoid the cosmetic zone application unless get special approval from the patients. Once the decay has been fully stopped, it will requires regular 6 month monitoring to make sure the lesion is hard (cavity has been arrested) and dark (indication that SDF has worked). You can still do restoration (fillings or crowns) over the top the arrest decay OR monitor if patient choose not to restore due to financial or medical limitation.