root canal new westminster

Frequently Asked Questions About Root Canal

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Our dental office in New Westminster has compiled a list of top questions regarding Root Canal. If you need immediate treatment or questions, please don’t hesitate to contact our dental clinic at: (604) 544-0894

1. What is a Root Infection and How Do I Know If I Have One?

When the bottom section (below the gum) of a tooth develops a cavity, either through decay or a fracture, this gap quickly fills up with nasty bacteria. This is very bad for the health of teeth and gums and puts a great strain on surrounding tissues. If left untreated, it can cause tooth loss, bone degeneration, and gum disease.

The symptoms of a root infection can sometimes be very easy to spot and a little trickier at other times. In fact, you really do not want the symptoms to be too obvious because if they are, you likely have an abscess. This is a very painful condition and it only occurs if a dental problem has been allowed to deteriorate.

In some cases, root infections may present mild pain, but to make sure that they are spotted early, keep up with regular dentist appointments. That way, a root canal can be scheduled before any irreversible damage is done to the pulp inside the affected tooth. This will give you a very high chance of being able to keep it. On the other hand, if the infection has been allowed to fester for too long, the tooth may need to be extracted.

2. Is it expensive?

Saving your tooth through endodontic treatment is less expensive and less invasive than an extraction and replacement with a bridge or implant. The cost will depend on your dental insurance coverage. Our staff will help with getting your insurance information and let you know the cost of your root canal.

3. How long does the repaired tooth last?

Potentially, the repaired tooth lasts a lifetime! If the patient has a good oral care routine and visits the dentist twice a year for cleanings and exams, the restored tooth should have a long life.

4. What is a root canal procedure?

During root canal treatment, the tooth pulp and tooth roots are cleaned to remove microbes that cause infection, and a filling material is placed in the roots.

The procedure is performed when the tooth pulp has become infected (a condition is known as pulpitis) or when the infection has spread to the roots or jawbone.

Microbes and infected tissue are removed from the pulp and roots using special needles and chemical rinsing substances. After the tooth has been disinfected, a filling material is placed in the root canal.

5. What problems and pain can occur due to the root canal procedure?

Root canal treatment usually requires multiple relatively long visits (30-90 minutes per visit). The mouth has to be kept open during the treatment, and as a result, jaw joints and the muscles that keep the mouth open often get tired.

Local anesthesia used in dental procedures is effective in preventing root canal pain during the treatment. It may not work properly in rare cases, such as when the infection has spread widely and caused changes in the acidity of the surrounding tissue.

Sometimes, teeth become discolored and turn dark or grey following a root canal treatment. This discoloration is caused by bleeding inside the tooth or by the filling material used in the procedure. Discolored teeth can be whitened.

6. What can I do if root canal therapy doesn’t work?

At times, a root canal won’t be able to save your tooth. One of the best alternatives to root canal therapy is a tooth extraction. If your dentist recommends this dental procedure, you will also need a tooth implant or dental bridge in order to restore full functionality of your mouth and smile.

7. Should I be worried about X-rays?

No. While x-rays will be necessary during your endodontic treatment, we use an advanced non-film computerized system called digital radiography that produces radiation levels up to 90 percent lower than those of already low dose conventional dental x-ray machinery.

8. Is there any other method to reduce my anxiety besides local anesthesia?

We are very sensitive to the fact that, no matter how well-informed you are about the procedure, you may still experience anxiety. Protecting your oral health is our top priority, and we don’t want you to forgo treatment because you’re fearful about the procedure. In that case we offer sedation options that will calm you so that you can get the treatment you need.

9. How will I feel after a root canal?

Your tooth may feel a little sensitive after the procedure, but you’ll finally be out of pain! If you’re experiencing soreness or sensitivity, you can take over-the-counter medications.

10. Will the tooth need any special care or additional treatment?

After your root canal procedure, you should be careful not to bite or chew on the treated tooth until it has recovered. We encourage all patients to practice good daily oral care that includes flossing and brushing.

new westminster oral surgery

Frequently Asked Questions About Oral Surgery

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Our dental office in New Westminster has compiled a list of top questions regarding Oral Surgery. If you need immediate treatment or questions, please don’t hesitate to contact our dental clinic at: (604) 544-0894

1. Who will need an oral surgery?

Oral surgical procedures involve the incision, excision, or reflection of tissue that exposes the normally sterile areas of the oral cavity. Examples are biopsy, periodontal surgery, apical surgery, implant surgery, and surgical extractions of teeth (removal of erupted or nonerupted tooth requiring elevation of the mucoperiosteal flap, removal of bone or section of tooth, and suturing if needed).

2. Who will need periodontal surgery?

Periodontal or “gum” surgery is needed when conservative non-surgical treatments are ineffective in completely eradicating the periodontal disease. Luckily, periodontal surgery is a very simple and extremely effective technique to treat advanced periodontal problems.

3. What is apical surgery?

Apical surgery is considered a standard oral surgical procedure. It is often the last resort to surgically maintain a tooth with a periapical lesion that cannot be managed with conventional endodontic (re-)treatment. The main goal of apical surgery is to prevent bacterial leakage from the root-canal system into the periradicular tissues by placing a tight root-end filling following root-end resection. A major step in apical surgery is to identify possible leakage areas at the cut root face and subsequently to ensure adequate root-end filling. Only a tight and persistent apical obturation will allow periapical healing with good long-term prognosis.

4. When do I need a surgical extraction of teeth?

If a more volatile tooth has yet to grow in, however, your dentist needs to remove gum tissue or bone in order to extract it. This is called a surgical extraction and requires stitches to close the site so that it can heal properly.  If a tooth breaks off during the procedure, for instance, it may need to be taken out in pieces. Wisdom teeth often face surgical extraction because they are usually impacted, meaning they are not completely erupted into the mouth. This condition requires cutting through bone and tissue. Removing severely broken down teeth, root tips or teeth with long-curved roots are other examples of surgical extractions. Then there are times when the bone around a tooth has become dense, resulting in the need for surgical treatment.

5. What will happen during my procedure?

Your oral surgeon/dentist will explain how they plan to perform your surgery. Without having to get into too many specifics, you will know where your incision is being made, and any other details about what the procedure entails and what the goal is.

6. Do I need to be sedated during my oral surgery instead of the local anesthesia?

A dentist will request in-depth past medical history before a patient can be sedated. Not all patients are able to be sedated. Patients who are anxious, nervous, or scared of dental visits may request sedation for a variety of dental care from a regular cleaning to wisdom teeth extractions. However, there may be other techniques to help a patient receive the necessary dental treatment in a safe and comfortable manner.

7. How long will the procedure take?

It depends on which oral surgery that your dentist consulted you to take. It could be from one hour to four hours or more. Ask your dentist for more details to suit your schedule.

8. How long is the recovery?

It depends on the kind of oral surgery. Wisdom teeth extraction usually takes a few days to one week for the pain and swelling to subside. The gums can take up to a month to completely heal. Your dentist will recommend a soft diet for a few days and provide detailed recovery instructions, such as how to deal with discomfort and swelling. Dental implants also require some healing time and this varies from patient to patient and procedure to procedure.

9. What food should I eat and avoid after surgery?

For 2 days after surgery, drink liquids and eat soft foods only. Such as milkshakes, eggnog, yogurt, cooked cereals, cottage cheese, smooth soups, mashed potatoes, refried beans, ice cream, pudding, fruit smoothies and protein shakes. On day 3 after surgery, eat soft foods that do not require much chewing, such as macaroni and cheese, cooked noodles, soft-boiled /scrambled/ poached eggs and soft sandwiches. Avoid tough or crunchy foods, such as pizza, rice, popcorn, and hamburger. Avoid spicy and acidic foods. Most patients may resume their normal diet 7 days after surgery.

10. What should not you do after oral surgery?

  • Do not apply heat to your face, unless your surgeon told you to do so.
  • Heat can increase swelling.
  • Do not use straws, suck on anything, or smoke.
  • These actions cause negative pressure in your mouth, which can dislodge the blood clot that is keeping your wound closed, causing more bleeding, and delay your healing.
  • Do not blow your nose. Wipe instead.  If you need to sneeze, do so with your mouth open.
dental fillings new westminster

Frequently Asked Questions About Composite Fillings

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Sapperton Dental in New Westminster has compiled a list of top questions regarding Composite fillings. If you need immediate treatment or questions, please don’t hesitate to contact our dental clinic at: (604) 544-0894

1. What are the advantages of composite fillings?

Most patients who choose composite fillings do so because of the cosmetic benefits. Your dentist can create a filling that is personalized to the shade of your teeth, so your fillings will blend seamlessly into your smile. Like all fillings, composites protect your teeth after decay is removed to prevent breakage of the remaining tooth structure. These fillings also help to prevent sensitivity that can occur after the decayed portion of the tooth is removed.

2. What are the disadvantages?

After receiving a composite, a patient may experience post-operative sensitivity. Also, the shade of the composite can change slightly if you drink tea, coffee or other staining foods. Dentist can put a clear plastic coating over the composite to prevent the color from changing if you are particularly concerned about tooth color.

3. Why should we choose composite fillings over metal fillings?

The most obvious answer is appearance. All-white fillings will not compromise your gorgeous smile. Another benefit of composite fillings is that they require less removal of healthy, tooth structure, allowing for more conservative restorations.

4. How can I know if composite fillings are for me?

There are various factors to consider when choosing a material for your fillings. Patients with composites may also be more prone to post-treatment sensitivity. Composite fillings can be stained by coffee, tea, red wine, and other staining foods, and the fillings will not respond to teeth whitening treatments. However, your dentist can put a protective coating on your fillings to reduce staining if this is a concern.

5. What is the cost of composite fillings?

Prices vary, but composite fillings average about one-and-a-half to two times the price of a silver filling. Most dental insurance plans cover the cost of the composite up to the price of a silver filling, with the patient paying the difference.

6. What is the process of composite fillings?

Following preparation, the composite is placed in layers, using a light specialized to harden each layer. When the process is finished, the composite is shaped to fit the tooth. It is then polished the composite to prevent staining and early wear.

7. How long does it take to get a composite filling?

There are many factors that can determine just how long it will take to get a composite filling, including the size of a cavity or fracture, its location, and how many fillings you need. Patients should be prepared to sit in the dentist’s chair for up to one hour or more for a filling.

8. Can my old fillings be replaced by composite fillings?

Many people opt to remove metal fillings and replace them with composites for purely aesthetic reasons. If your old repair starts to crack or leak, you should definitely have the filling updated.

9. Can you eat after a composite filling?

Unlike amalgam fillings, composite fillings allow patients to eat right after getting the procedure. However, dentists do recommend that patients only resume eating after the local anesthetic wears off. It can be quite difficult to eat when your lips and mouth are numb! Plus, you do not want to run the risk of accidentally biting your lip, cheek, or tongue. While composite fillings are very strong, you should probably opt out of chewing anything too crunchy, hard, or sticky right after getting the procedure.

10. How to make your composite fillings last longer?

Many patients see their composite fillings lasting for about ten years. But if you take really great care of your fillings, they may be able to last you longer than that — and even a lifetime! In order to help your composite fillings last longer, you should always see your dentist twice a year for regular dental cleanings and exams, brush your teeth twice a day, floss every day, and eat a variety of healthy food to boost your oral health.

dental implants new westminster

Frequently Asked Questions About Dental Implants

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Who should get dental implants?

Dental implants are not for everyone, but certain conditions and circumstances may make dental implants the better option:

  • Having more than one missing tooth
  • Having a jawbone that has reached full growth
  • Having ample amounts of bone to secure the implant
  • Having healthy oral tissues
  • Being unwilling or unable to wear dentures

How expensive are dental implants?

Dental implants require a significant investment but hold up over time to make the process worth the price. Surgical fees often cost $2,000–5,000 for a single tooth, on top of the price of required materials the procedure. However, ignoring the need for an implant costs much more over time. A missing tooth or prolonged use of dentures leads to bone and gum decay, while also exposing more surface area of the surrounding teeth to continuous wear and tear. Eventually, issues such as nerve exposure and bone loss cause increased discomfort for the patient. The corrective procedures done at this point are exponentially more painful and expensive for a patient. Dental implants prevent bone loss and allow patients to live a much more comfortable life.

Why do people choose dental implants instead of other options for missing teeth?

Dental implants are the most natural-looking and natural-feeling replacement for missing teeth. Unlike many other tooth replacement options, dental implants do not slip or click when talking, laughing or eating, making for greater confidence in social situations. Dental implants are also considered a healthy option because they help to maintain the jawbone, keeping the facial structure intact.

How long will dental implants last?

Dental implants last upwards of forty years if taken care of properly. They often last a lifetime for patients that regularly brush, floss, and follow the dental recommendations made at their check-ups. While a dentist cannot guarantee the long-term success of a dental implant, the dentist can provide guidelines and suggestions to better care for your teeth. These suggestions are based on proper hygiene procedures, your own genetic history (including diseases that run in your family), and your nutritional habits. Following the recommendations put in place by your dentist ensures the implant has the best chance to last the rest of your lifetime.

What Are Common Side Effects and Complications? What are the disadvantages of dental implants?

Dental implants are one of the most successful procedures in dentistry, with an average success rate of 95%. Dental implant failure occurs most frequently in heavy smokers, as the toxins and nicotine inhibit the body’s healing process. In fact, the success rate for smokers drops dramatically, to 50-70%.

Like any minor oral surgical procedure, there is a risk of infection, inflammation, and pain, but your dentist will discuss how these can be managed for your specific situation. If there is no available bone to place the implant, then bone and gum grafting procedures may be required, which can increase the cost of your treatment. However, the upfront investment can pay off in the long term.

Does the body ever reject an implant?

Very rarely does a person’s body reject a dental implant. The jawbone readily accepts the implant, and the few rejections that do occur are caused by rare allergies to the titanium alloy that makes up the implant. Another reason for implant failure comes from the patient’s care after surgery. Without great oral hygiene, regular teeth fail and eventually fall out. A dental implant is no different. Taking care of your teeth, even the implants, prevents gum decay and structural failure in the long run.

What is the process for getting a dental implant?

Your dentist, who should be a credentialed dental implant expert, will place the implant into the jawbone. As you heal, your implant will fuse with your natural jawbone. Once the implant bonds with the jawbone, a small connector is placed on top of the dental implant to connect the implant to the replacement tooth or teeth.

What’s the Recovery Time for Dental Implants?

The procedure happens in several steps: first implant placement and then the placement of the crowns. While the implants need anywhere from six to 16 weeks to secure in the mouth, there should be little to no downtime. You may feel mild soreness or swelling for the first few days, but these can be treated with over-the-counter pain medications and shouldn’t affect your daily routine. Your dentist may also suggest a soft or liquid diet for a few days to a few weeks. Once the implants have healed, the crowns will be placed.

Does the surgery require time off?

Most people go back to work the day after the surgery, although it depends on your individual experience and the difficulty of the surgery. Some people prefer to take a day off to completely recover and allow their mouth to rest after the procedure.

How Do I Take Care of My Dental Implants?

Dental implants should be treated like your natural teeth, with daily brushing and flossing, and twice a year check-ups. Your dentists may suggest investing in an electric toothbrush and a water flosser. With the right care, dental implants can last a lifetime.