It is common for teeth to change color before or after a root canal treatment. Usually, after the trauma pigment deposited from the nerve within the tooth can cause the tooth to turn gray or brown. The process of calcification inside the tooth can cause it to turn yellow. The treatment depends on the type and the intensity of the color change.
Internal Dental Bleaching
The dentist can correct the color by performing dental bleaching on the damaged tooth. The technique involves your Dentist or Specialist Endodontist placing a small amount of extremely strong dental bleaching solution inside the tooth where the nerve was. The dentist will place it through the small hole in your tooth which was used for the root canal. Then, the dentist will cover the hole with a temporary composite filling to seal in the dental bleaching solution for 3-4 days. You will see that the tooth starts to lighten almost immediately. Your dentist will need to replace the dental bleaching solution 2/3 times to regain normal color of the tooth. Then, a permanent filling will be placed. A procedure of internal dental bleaching is very stable and it works best for teeth that have changed color brown or gray. But, it is difficult to attain a shade which will match with your other teeth.
Ceramic Veneers and Crowns
The dentist can offer to use a crown or veneer to cover the tooth which changed the color.
A ceramic veneer is a good option for the tooth slightly to moderately dark. Ceramic veneer is a thin ceramic shell which will be bonded to the tooth to change its shape and color.If the tooth is extremely dark the crown will be advised as a treatment option, as the color of the dark tooth can be visiblethroughthe thin ceramic veneer.
Before and After Zirconia Crowns
Darkness from the root can be visible slightly through the gum tissue. In this case, the internal tooth bleaching with or without a restoration will be a treatment option.
Contact us to know how we can help to bring your smile back.
The jaw and your skull are connected by temporomandibular joint (TMJ). When your temporomandibular joint is damaged or injured or you have problems with your face or jaws muscles, it can cause a localized pain disorder called TMJ syndrome.
Causes of TMJ syndrome include:
-Misalignment (malocclusion) or trauma to the teeth or jaw
-Teeth grinding (bruxism)
-Stress or anxiety
-Arthritis and other inflammatory musculoskeletal disorders
-Excessive gum chewing
TMJ signs and symptoms include:
-Pain in the face, jaw or ear area
-Headaches (often mimicking migraines), pain and pressure behind
-Pain that feels like a toothache
-Ear pain or sounds of cracking in the ears
-Noise in the ears (tinnitus) or a sense of blocked ears
-Tight, stiff, or sore jaw or neck muscles
-Pain at the base of the tongue
-Pain, swelling, or a lump in the temple area
– Locking of the jaw joint or jaw that goes out of place
-Swelling of the face
TMJ leads to the teeth/jaw injury and incorrect position, teeth grinding, stress, arthritis, and gum chewing.
If you were diagnosed TMJ, Modern Dental Care Mauritius suggests the treatments listed below which work best in combination. You may get feel better if use all of them.
Soft food diet:
Cut food into very small pieces so that it is easier to chew.
You will be recommended to eat soft food that doesn’t require a lot of chewing, your jaw gets a chance to rest and heal:
Cooked vegetables or fruits
Some people feel better after about two or three weeks on this diet. Other people need to be on this diet for a longer time.
Medical treatment for TMJ syndrome can include dental splints, physical therapy, injections of Botox, prescription medications and in severe cases surgery.
Nonsteroidal anti-inflammatory drugs to relieve muscle pain and swelling.
Muscle relaxants help loosen tight jaw muscles.
Antianxiety medicines help relieve the stress.
Antidepressants can be used in low doses to reduce or control pain.
Night Guards are designed to keep your teeth slightly separated and prevent them from clenching, which can provoke an exacerbation of the symptoms of TMJ.
In case of severe condition, you may be advise to use a splint to hold your jaw in place so that the joint can heal. Splints are worn all day round and take pressure off the jaw joints and muscles so they can relax and heal.
Physical therapy can reduce damage and relieve the discomfort caused by TMJ.
The following 8 exercises will train your jaw muscles to move correctly without causing pain and help you to strengthen them. Do these exercises for 5 minutes twice a day while you are sitting down and relaxed. Make sure that you repeat them on the both sides of your jaws. Keep in mind: every case of TMJ is unique, so these complex might work for some people, but not others.
EXERCISE #1 Side move
With your mouth widely open (avoid any pain), move your jaw on the right side. Keep this position for 10 seconds and return to the middle. Repeat with moving on the left side.
EXERCISE #2 Joint massage
Trace the joint of your jaw and massage the muscles slowly moving downward.
EXERCISE #3 Resist opening of the mouth
With your tongue on the roof of your mouth, place one finger in front of your ear where your TMJ is located and your thumb under beneath the middle of your chin. While applying gentle pressure from the bottom open your mouth slowly. Stay with your mouth open for 4-7 seconds. Repeat 3-5 times.
Resist opening of the mouth
EXERCISE #4 Partial opening
Open your mouth as wide as you can (avoid feeling any pain). Close mouth. Open your mouth 2 more times, but only half as wide.
EXERCISE #5 Side-to-side jaw movement
Place pencil that is about 1 cm thick between your teeth. Gently move your jaw from one side to another. Repeat this few times. Once you feel it is easy, use a thicker pencil (marker or etc).
Side to side move
EXERCISE #6 Forward jaw movement
With the same 1cm pencil used in the previous exercise, move your lower teeth forward until they are in front of your upper teeth. Repeat this movement few times. Once it feels easy replace with a thicker pencil/marker.
Forward jaw movement
EXERCISE #7 Move the tongue
Open your mouth as wide you can (avoid any pain) and rise the tip of your tongue to the roof of the your mouth. Gently applying pressure, move the tip of your tongue towards your tonsils and keep it there for 4-6 seconds. Then stick your tongue outside of your mouth as far as you can and hold for another 4-6 seconds. Repeat 7-10 times.
Tongue back and forward movement
EXERCISE #9 “Double chin”
With your shoulders back and chest up, pull your chin straight back, creating a “double chin”. Keep this position for 3-5 seconds and repeat 7-10 times.
EXERCISE # 9 Resist closing the mouth
Open your mouth as wide you can (avoid any pain) gently applying pressure under your chin and resisting closing the mouth. Repeat 7-10 times.
Resisting opening of the mouth
Everyone’s teeth are unique and every case of TMJ is different. Work together with your dentist to find the best treatment that works personally for you.
Clinical Head and consultantat PS Dental centers – a chain of dental clinics, ECR branch from as a clinic head of ECR branch I have brought a lot of developments and revenue to the clinic in an ethical way of practice. During my tenure as a Prosthodontist Consultant, I have treated a lot of VIPs and celebrities.
November – 2007 to March – 2011:
Resident Doctor at Apollo Dental centers for three and half years from I have worked in almost all of the branches of Apollo in Chennai under various experienced consultants and specialties.
I am well-versed in treating patients who are partially edentulous with removable prostheses such as cast partial dentures and acrylic RPDs and fixed prosthesis such as Crowns, Bridges and implant supported fixed prosthesis. For completely edentulous patients, I am experienced in providing complete dentures and implant retained over dentures.
During my tenure as a Post Graduate, I constantly involved in seminars and journal clubs regularly held in the department. It helped me develop my presentation skill which was the reason for the Prizes and Award I won in the National and International Conferences.
Nowadays, tooth-colored composite fillings are getting more and more popular. They mimic the natural appearance and do not require much tooth structure remover. Composite fillings can resist the pressure of chewing (small- to mid-size fillings) and have good durability.
They can be used to reinstate decayed or fractured teeth, to change shape/size or color of the tooth, to close gaps between teeth (diastema closure), to restore chipped teeth and to straight or even teeth.
Tooth colored composite fillings advantages
They mimic natural tooth look.
Tooth-colored composite fillings are attached directly to the tooth so your dentist does not need to remove much tooth structure.
Oral contamination can pass through composite filling
Composite fillings restore up to 90% of the natural tooth strength.
Composite fillings can be repaired. A small area of a composite filling can be removed and replaced without replacing the whole filling
They entirely solidify in seconds in comparison with other materials.
Tooth colored composite fillings disadvantages
Can be stained with coffee, tea, red wine.
Alcohol can damage them.
With time bacteria and oral contamination can pass through composite filling and cause tooth decay under the surface of filling. It can lead to serious tooth damage.
Custom made ceramic inlay
The most durable and aesthetic alternatives to tooth-colored composite fillings are custom made ceramic inlays/onlays. They do not change color with a time and cannot be damaged by alcohol and last longer.
After completing a Root Canal Treatment your tooth may require a permanent dental restoration. The tooth can be fragile and will need to be strengthened. The reasons why it may happen:
Damage during treatment
To reach root canals, a dentist creates an access opening in the tooth through which RCT will be done. This hole (access cavity) may weaken the tooth as in some cases the great amount of internal structure needs to be removed to access root canals. And sometimes the tooth may become vastly gouged out.
Many teeth that require root canal have already undergone serious treatment such as large fillings or have been fractured and already weakened.
Changes in a tooth dentine
The microbe-killing medicine and other chemical agents which are used during root canal therapy reduce the dentine(hard, calcified tissue beneath the enamel).
Risk after completing Root Canal Treatment
After completing Root Canal Treatment a tooth can be at significant risk of fracture. A dental crown will protect a tooth and will make it stronger. Another issue is an effect of “coronal leakage’’ when bacteria and contamination from the mouth find a way to seep past a tooth dental restoration (filling). It can lead to RCT failure and as result tooth loss.
A Crown After Root Canal Treatment can prevent such dramatic effect.
Studies show that risk of losing a tooth that had a dental crown after root canal is 6 times less than those that had a composite filling.
Placement a crown after root canal for molars (back teeth) become a standard procedure in dentistry as these teeth must be able to cope with heavy chewing pressure (a dental post and core may be needed too).
We advise placing a crown after root canal as soon as possible.
Dr.Vidoushi Puchooa was awarded 4-year scholarship by the Government of Mauritius for undergraduate studies.
2010 – 2015 Bachelor of Dental Surgery (BDS) School of Dentistry, University of Liverpool
Sept 2015 – Aug 2016 Foundation Dentist at Rossett Dental Care, Rossett, UK
Outline: Worked as a dentist in a well-established, busy and friendly mixed NHS and private practice under the supervision of Dr. Edwards and Dr. Hickerton. I had the pleasure of working with highly skilled and inspiring implantologist, Dr.Kelso, for many months.
Sept 2016 – Sept 2017 Senior House Officer in Oral and Maxillofacial Surgery, Glan Clwyd Hospital, UK.
Outline: Senior House Officer role in the hospital providing a range of treatment to in-patients, out-patients and emergency patients.
Research: Reducing blood transfusion requirement in
patients undergoing oral cancer surgery
Dr.Vidoushi Puchooa, King V, Lloyd C
Oral and Maxillofacial Surgery Department, Glan Clwyd Hospital, North Wales, UK
Dr.Vidoushi Puchooa about herself:
As one of the laureates of the 2009 cohort, I had the opportunity to pursue my undergraduate studies at the University of Liverpool (UK) School of Dentistry. Following graduation, I worked in the UK as a general dental practitioner within a team of dentists in a mixed NHS/Private practice providing a range of dental treatment to adults and children.
Types of treatment for adults included scales and polishes, fillings, root canal treatment, extractions, dentures, crowns, bridges, veneers, onlays and inlays, and tooth whitening. Treatment for children included preformed stainless steel crowns, fillings, and extractions.
I also worked in secondary care as a Senior House Officer in Maxillofacial Surgery. I performed surgical extractions of wisdom teeth and ectopic canines, dealt with a range of dental and medical emergencies and performed a range of minor oral and skin surgeries. Academically, I have pioneered a research on reduction of blood transfusion risk in oral cancer patients and carried out multiple audits to keep improving clinical care.
My aim is to provide the best standard of care to all patients in a safe environment and I am continually updating my skills to be able to do so. I believe in the practice of minimally invasive, evidence-based dentistry. Prevention, as well as patient education, are at the core of my daily practice. Working as a team with patients, I am committed to achieving desired results and meeting expectations.