One of the many advanced procedures that Trillium Dental performs is restorative surgery. This is the act of replacing missing teeth as well as repairing damaged teeth. Our Ottawa locations all offer such a service, and have the ability to perform restorative processes such as denture manufacture and fitting, dental crowns fitting, and applications that cover inlays and onlays.

All of these processes are designed to alleviate oral discomfort and improve dental health. Some of the treatments are specifically designed to fix issues with chewing and improving confidence by helping to create a better smile. This is accomplished by structuring a given treatment to fit the exact needs of a given patient.

Traditional Crowns

Very often when a tooth requires significant restoration because of decay over most of the surface or an extremely large older restoration, a crown is placed to “cap it.” When a tooth goes through root canal therapy, it is almost always required to protect the tooth structure with a crown. After the root canal therapy, the tooth becomes dry and brittle, requiring this additional protection against chipping or cracking. A crown covers the entire tooth to the gum line. Traditionally this involves at least two appointments. In the first appointment we take an impression of your mouth which is sent to a dental lab to make the crown. While your permanent crown is being made, we fit you with a temporary crown. In your final appointment we bond the permanent crown to your tooth. The permanent crown is carefully matched for fit and color with your other teeth.

Cerec Crowns

We can now offer one-appointment CEREC® crowns at many of our dental office in Ottawa. CEREC’s revolutionary CAD-CAM technology allows us to make and fit as many crowns as you need in just one appointment. With traditional crowns, you needed at least two appointments and have to wear a temporary crown (or crowns) in between. With exciting new CEREC, we can create beautiful, tooth-colored crowns in just one appointment, right in our office! Don’t put off that crown any longer!

Dental Implants

Would you like a tooth replacement option that rival’s natures lasting beauty? Consider dental implants from Trillium Dental.

WHY CHOOSE DENTAL IMPLANTS?

Dental implants consist of a tiny titanium post and crown. During a short oral surgery, the post is placed in the bone, just below the gum line. Through a natural process, the dental implant becomes part of your jaw creating a solid foundation. An artificial tooth is then permanently affixed into the implant. It looks, feels, and acts like a real tooth. If you’ve been missing a tooth, or teeth, for some time, a dental implant can make a big difference in the shape of your face, improving both the form and function of the structure of your face.

IMPLANT RETAINED DENTURES

Dental implants also offer a solid choice for denture wearers who want to stop the discomfort and embarrassment slipping, sliding dentures. A few implants will allow your denture to simply snap in place for a fit that feels stable and secure. Implant retained dentures allow you to chew and eat much more naturally than with traditional dentures.

Dental bridges

Dental bridges are tooth replacement prosthesis also called fixed bridges. They are designed to replace one or more missing teeth and are comprised of two caps adjacent a false tooth, in the case of a single missing tooth. The caps are also called crowns that fit over the teeth surrounding the empty spot where a tooth once was.

Once a bridge is inserted into position, it becomes a permanent. This is because the crowns are cemented to the teeth they cover. If implants are used as the anchor teeth, (the teeth that get crowned), the same idea applies.

Generally, there are four steps and two visits for having bridge work done,

First Visit

  • The first step is to file down the anchor teeth and prepare them to receive the crowns. If these teeth are healthy enough, there should not be any issues. However, if the teeth are in poor shape, then implants may be used in their place. This means the unhealthy teeth are removed for implants to take their place. An implant is a false tooth with a titanium root that gets plugged, so to speak, into the jaw, which then replaces a natural tooth if left alone and in the case of bridge work acts as the anchor teeth.
  • The following step is when the dentist constructs a model with the help of a dental mould, or impression of your teeth. This is how they will make the custom tooth along with the crowns. All together, they make the bridge. In scenarios where multiple teeth are bridged the same steps apply.
  • The next step is constructing a temporary bridge after the first step to act as a safeguard against damaging the exposed areas in the mouth.

Second Visit

  • This is the final step where the dentist takes the temporary bridge out and replaces it with the permanent bridge made from the impression. As part of the process, the crowns are cemented to the anchor teeth, either the real ones or the implants. If implants are used, the crowns are mechanically attached to the replacement tooth or teeth as the case may be.

Root Canal Treatment

A root canal is a procedure in which the nerve of the tooth is removed. When the nerve becomes infected, removing it will save the tooth itself. A root canal is generally completed within one appointment. On occasion, it will be a two-appointment process. Your Trillium dentist will remove the nerve. He or she will then clean out the area to remove debris and bacteria. The root canal is filled with a sealer paste and a rubber compound. A filling is then placed into the access hole that the dentist drilled to get to the root. If the tooth is especially weak, there may be further restorative work done to reinforce it. The tooth is then typically covered with a crown or onlay to prevent it from future breakage.

In certain instances where a first root canal might fail, there is the need to perform a second one. Therefore, the second procedure is called a “root canal retreatment.” This is a repeat of the original process where the material filling the canal is removed the canal is cleaned and reshaped then refilled and resealed.

Procedure:

  1. To begin with, the patient is given an anaesthetic to numb the tooth and the area surrounding it.
  2. Next, a dental rubber dam is put into place to protect the tooth from saliva and bacteria.
  3. Following the insertion of the rubber dam the dentist will create an opening at the crown of the tooth by drilling a hole to expose the damaged nerve, or pulp.
  4. Following that the root canal is cleaned and bored out to increase the circumference in order to accommodate a synthetic material put in to replace the pulp.
  5. The synthetic material acts as a sealer in addition to filling the cleaned and reshaped canal.
  6. Finally, the opening in the crown is sealed by either a permanent or temporary filling which ever the case may be.

Root Canal FAQ:

Q: Which is better extraction, or a root canal?
A: The main benefit of a root canal is the tooth in question will remain. Having the tooth removed can lead to further dental problems such as tooth migration, trouble chewing, word pronunciation issues, TMJ and so on. Nothing is better than having a set of natural teeth, replacing them should only occur as a last effort to restore a persons ability to eat and talk without any cause coming from poor oral health.

Q: Is there any pain associated with the procedure?
A: There would be if, no anaesthesia were used to negate it. However, due to technological breakthroughs and modernized techniques, there are varieties of methods that deaden the areas surrounding the tooth in question. Moreover, some discomfort is expected after the procedure is finished and this can be remedied with OTC pain relievers or prescription medications. Furthermore, the pain associated with healing is much easier to deal with and should subside within 24 to 48 hours after the procedure. Nonetheless, the dentist will prescribe an analgesic to facilitate the healing process that will cover the first 70 to 90 some hours for the healing to occur pain free.

Q: What happens during the exam?
A: Initially, the dentist will inspect the teeth and gums followed by taking a full set of x-rays to facilitate a closer inspection of the roots of the teeth. The next step is to numb the tooth needing the repair and isolate it by using a rubber dam. At this point an opening or hole is made at the crown or the tip of the tooth that provides access to the damaged nerve or pulp. Once gaining this access the canal is cleaned and filled with a polyester compound forming a synthetic root canal filling. This material acts as a sealant as well. Afterwards the opening in the crown is closed with a temporary filling.