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Definitions & Procedures


Abscess: A localized infection in the bone or soft gum tissues. The origin may be from a tooth that had a root canal in the past, a tooth that in need of a root canal treatment, from the gums due to periodontal disease or combination of the above.

Abutment: The natural tooth that holds in place a fixed or removable bridge.

Air Abrasion: Tiny particles of aluminum oxide blasted at the tooth to remove the decayed debris and create space for small fillings. In most of the cases there is no need for anesthetics for that procedure.

All ceramic crown: Crowns which are made from porcelain only, without any metal support. New technologies and new materials made this type of crowns very popular among dentists and patients. The esthetic results are supreme - there is no dark line in the margins of the crowns and the crown resembles a natural tooth.

Amalgam: The most common filling material used for fillings, also referred to as mercury or silver. There is a big controversy in the dental literature regarding the use of this material. However this material serves the dental professionals for more than a hundred years with great success. It is still one of the strongest materials for fillings in the posterior teeth. Today, there are many other materials with close physical properties that can replace the amalgam for better esthetics.

Anesthesia: Relieves the sensation of pain. This is done by injection of the anesthetic solution in the soft tissue and close to the bone near the required areas. There are different materials for different uses: for short time anesthesia, long time anesthesia, for people with allergy to one kind or another, some contain Epinephrine. See also General Anesthesia, IV Sedation and Local Anesthesia.

Autoclave
: A device that has a chamber where instruments are placed, and steam under pressure is injected, in order to complete sterilization.

Bite: The way the mouth closes, or the way in which the upper and lower teeth meet.

Bonding: The covering of a tooth surface with a composite resin. This procedure can correct gaps in between the teeth, correct small misalignment of teeth, correct chips and cracks and hide stains and discoloration. This is not a permanent solution due to the fact that these materials change color and stained with the years.

Braces: Devices used by Orthodontists to gradually reposition teeth. The braces are bonded on the teeth and connected with wires or rubber bands to create the necessary moving forces on the teeth.

Bridge: Prosthetic (false) tooth or row of teeth that spans between two natural teeth. The natural teeth that hold the bridge are the abutments. This is a very common way to restore missing teeth. The bridge is made of different materials such as gold, gold and ceramic, ceramic only, etc. Sometimes, when too many teeth are missing it is necessary to replace them with implants or partial dentures.

Bruxism: Involuntary, "nervous" grinding of the teeth while the patient is asleep. Most patients are not aware of this destructive habit, which may cause severe damage to the teeth and require complicated reconstruction procedures. To prevent the damage, a night guard is recommended.

Cementum: A thin layer of calcified tissue that has the hardness of bone and covers the root surface of the tooth, connecting the root to the bone of the jaw.

Composite Filling: a tooth colored restoration made of composite resin. This is a tooth colored plastic mixture filled with glass (silicon dioxide) introduced in the 1960's dental composites were confined to the front teeth because they were not strong enough to withstand the pressure and wear generated by the back teeth. Since then, composites have been significantly improved and can be successfully placed in the back teeth as well. Composites are not only used for restoring decay, but are also used for cosmetic purposes such as changing color and shape of teeth. Most of the composites in use today are in a consistency of a paste or putty and after they are placed, they are cured with a special light and sealed to the tooth.

Crown: A cover for a decayed, damaged, brittle or discolored tooth. Crowns are made from different materials - gold, porcelain, composites or combination of these. They are custom made in the lab after the dentist prepare the tooth and takes impressions.

Dentin: The main portion of the tooth structure covered by enamel and surrounded by a layer of cementum along the root. The dentin is composed of 70% calcium, and it is a live tissue. When this layer of the tooth is exposed, as in decayed tooth, there is pain and sensitivity.

Dentures: A removable set of artificial teeth. Dentures can be full or partials. Dentures are usually used when many teeth are missing and/or when a fixed bridge cannot be used. Dentures are made of acrylic materials (some has metal frame for enforcement) with teeth that are either hard plastic or porcelain. The upper denture is held by a suction that created with the palate and it is easy to become accustomed to. The lower denture rest on the dental ridge of bone and gums, and the retention depends on the condition and shape of the lower ridge. The tongue, in conjunction with the jaw muscles will tend to dislodge the lower denture. Therefore, it require more effort to get used to the lower dentures. Recent technological advancements made it possible for dentures to appear as if they were the person's natural teeth. In addition, dental implants can serve as anchors to the dentures and prevent them from moving or falling, thus enhancing the esthetics and improving quality of life for denture wearers. If you are wearing dentures, see the information for denture patients on this site. See also partial dentures.

Enamel: The highly calcified covering over the outside of the tooth. It is the hardest substance in the body and composed of more then 95% calcium and minerals. This layer has no living cells in it and is not sensitive to pain (pain is felt only when the decay process has reached the dentin layer).

Endodontics: The branch of dentistry concerned with the treatment of the dental pulp or nerve of the tooth. The most common procedure is a root canal.

Endodontist: a dental specialist with advanced training in diagnosis and treating diseases of the pulp of the tooth and frequently performs root canals.

Filling: Restoring lost tooth structure with metal, alloy, porcelain or resin. See also Amalgam and Composite filling.

Fluoride: A chemical that is used to strengthen the teeth. The Fluoride connects with the calcium on the surface of the tooth. This connection is not stable, therefore, multiple applications are required. Fluoride is found in most of the tooth pastes in the market. There are special gels with higher concentrations of Fluoride for special use - for children and adults. In many places around the world Fluoride is added to the drinking water to help children grow with stronger teeth.

Gingivitis: Inflammation of the gums. Early stage of gum disease. If the disease is not treated in this initial stage, it spreads deeper into the tissues surrounding the teeth and cause loss of bone and loose teeth. Gingivitis can be prevented by regular brushing and flossing, and by regular hygiene visits at the office.

Halimeter: An instrument used in the diagnosis and treatment of chronic halitosis.
Halitosis: Bad breath.

Heat Sterilization: A procedure that involves a chamber into which instruments are placed and which raises the temperature for a period of time to kill all microorganisms.

Hygienist: A dental professional qualified to clean and scale teeth. They also educate patients on proper dental care.

Imaging: A photograph of teeth stored in a computer and then displayed on a television monitor. The dentist is able to show you an image of your smile with new, repaired or whitened teeth.

Impacted Tooth: A tooth that fails to erupt properly and remains fully or partially embedded and covered over by bone or gum tissue.

Implant: If you avoid smiling or eating in public because your denture may slip or a space left by a missing tooth may show, dental implants may be an option to you. Dental implants can provide a sense of security and well-being that can't be matched. Dental implants are artificial substitute for natural tooth roots. They act as an anchor for a false tooth or a set of false teeth. There are different types of implants. They are placed directly into the bone, and after a healing period of 3 to 6 months, they may be used for restorative purposes. Stable dental implants and their replacement teeth can enhance the quality of life. Implants can help the patient who has lost teeth and desire a crown or bridge rather than an insecure removable replacement. For most patients, their appearance, comfort, speech and ability to chew and enjoy food are greatly improved. Implants can be used in different ways: For a single tooth Restoration, or several missing teeth in any area of the mouth; For a fixed full arch Restoration; to replace a denture, and to help in support and retention of existing dentures.
During the surgical procedures required for implant insertion, the anesthesia blocks any pain or discomfort. Postoperatively, medications for pain, swelling and to prevent infections are usually prescribed to ease any discomfort. Implants can be very esthetically restored and look like natural teeth. In most cases, anyone healthy enough to undergo routine dental extraction or oral surgery can be considered for an implant procedure. Patients suffering from uncontrolled chronic disease or systemic problems and heavy smokers may not be good candidates for implants. While nothing works as well as a full set of healthy natural teeth, implants provide the next best thing. Generally, patients are not aware they even have implants after the short healing period. The implant replacement teeth look, feel, and function in a manner that allow people to forget they have implants.
The only way to determine if implants are the solution for you, is to talk to a dental specialist with the training and experience in which you can have confidence.

Inlay: A custom made filling that is cemented to a previously prepared cavity in the tooth. Inlays can be made of different materials: gold, porcelain, composites etc.
Intraoral Camera: A tiny TV camera used to view the inside of the mouth, with the images projected onto a monitor screen.

Lasers: Dental lasers are a family of instruments, some used for surgery, some to cure (harden) restorative tooth materials and enhance tooth tooth whitening, and others to remove tooth structure to eliminate disease.

Molars: The back teeth that are designed for grinding food before swallowing.

Mouthguard: A removable appliance used to protect teeth from injury during athletic activities.

Nightguard: A removable acrylic appliance used to minimize the effects of grinding the teeth (bruxism) or joint problems (TMD), usually worn at night. The nightguard is custom made for each patient according to impressions taken at the office.

Nitrous Oxide: Colorless, sweet-tasting gas , also called "laughing gas," used to help patients relax during treatment. The gas does not eliminate the need for local anesthesia.

Onlay: A gold or porcelain inlay extended to cover the cusps for protection of the tooth.

Oral and Maxillofacial Surgeon
: A specialist who deals with the diagnosis and surgical treatment of diseases, injuries, and deformities of the mouth and supporting structures.

Oral Sedation: Any substance taken orally (i.e., a pill or liquid) to reduce anxiety and relax the patient.

Orthodontics: a dental specialist with advanced training in the diagnosing and treatment irregularities of jaw growth and tooth alignment, usually by means of braces.

Panorex: A single x-ray which shows all the teeth and the surrounding bones.

Partial Denture: A removable appliance (prosthesis) that replaces some of the teeth in either the upper or lower jaw. Partial dentures are used when several teeth are missing or if the nearby teeth cannot adequately support a fixed bridge. The partial dentures consists of three basic elements: a framework, made of a strong, non-corrosive , metal alloy that fits against the gums and the remaining teeth. An attachment, such as a clasp, holds the framework in place, and prosthetic teeth are connected to the framework with acrylic material. The partial dentures can be made very esthetically, sometimes with the help of dental implants.

Pediatric Dentist: a dental specialist with advanced training in diagnosing and treating dental problems of children.

Periodontal Disease: periodontium is the name for the supporting structures of the teeth - the gums and the bone that holds the teeth. Periodontal disease is the inflammation of these structures. Usually the initial disease is gingivitis. Periodontal disease should be treated as soon as possible in order to prevent loss of teeth.

Periodontist: A dental specialist with advanced training in diagnosing and treating dental structures of teeth including the gums and the bone around them.

Plaque: A sticky substance that forms on the surface of the teeth and harbors bacteria growth and acid formation beneath its surface, causing tooth decay. Plaque buildup can irritate the gums and cause periodontal disease.

Porcelain Veneers: these are thin rigid shells made of ceramic material that are made in the lab and bonded to the teeth, with very esthetic results. They are used for deeply stained teeth, to close small gaps between teeth to align teeth together without orthodontics (in selective cases) and to enhance esthetics. The veneers are an excellent alternative to crowns in many situations. They provide a much more conservative approach to changing a tooth's color, size or shape. The procedure requires two office visits. In the first, the dentist will prepare the teeth surface area to allow space for the thin shell and to assure exact fit, and will take impressions of the teeth. These impressions are sent to the lab, the veneers are prepared and will be bonded in the second visit. Between the appointments, temporary shells are made. The highly esthetic result last for many years.

Prophy: (short for prophylaxis) The professional cleaning and removal of plaque, stains, and calculus on the teeth.

Prosthodontist: a dental specialist with advanced training in the diagnosing and treating of complex situations concerned with the design, construction and fitting of dental prostheses. These include dental implants, partial and complete dentures, crowns and bridges and special cosmetic concerns.

Retainer: An appliance for maintaining the positions of the teeth and jaws immediately after the completion of orthodontic treatment.

Root Canal: A procedure used to save an abscessed tooth in which the pulp chamber is cleaned out, disinfected, and filled with a permanent filling.

Root Planing: Deep cleaning of the teeth to remove hardened plaque below the gum line. This periodontal procedure is usually performed one quadrant at a time.
Scaling: A treatment for gum disease involving removal of hardened plaque (tartar or calculus) from teeth.

Sealant: A coating applied to grooves of the teeth to prevent decay. This procedure was proven to be one of the most effective way in prevention of decay in children and young adults.
Sterilization: See Autoclave, Heat Sterilization.

Tartar: Calcified plaque that forms from mineral salts in the saliva and deposits on the teeth. The tartar irritates the gums and cause gum disease.

Temporomandibular joint (TMJ):
The TMJ is a joint that slides and rotates just in front of your ear, consisting of the temporal bone (side and base of the skull) and the mandible (lower jaw). Mastication (chewing) muscles connect the lower jaw to the skull, allowing you to move your jaw forward, sideways, and open and close.

Temporo Mandibular Joint disorders (TMD): Describes a variety of conditions that affect jaw muscles and nerves and structures within the joint associated with facial pain. Symptoms may occur on one or both sides of the face, head or jaw, or develop after an injury. TMD affects more than twice as many women than men and is the most common non-dental related chronic orofacial pain. Most experts suggest that certain tasks, either mental or physical, cause or aggravate TMD, such as strenuous physical tasks or stressful situations. Most discomfort is caused from overuse of the muscles, specifically clenching or grinding teeth (bruxism). These excessive habits tire the jaw muscles and lead to discomfort, such as headaches or neck pain. Additionally, abnormal function can lead to worn or sensitive teeth, traumatized soft fissues, muscle soreness, jaw discomfort when eating, and temporal (side) headaches. Most common symptoms are: An earache without an infection; Jaw pain or soreness that is more prevalent in the morning or late afternoon; Jaw pain when you chew, bite or yawn; Clicking when opening and closing your mouth; Difficulty opening and closing your mouth; Locked or stiff jaw when you talk, yawn or eat; Sensitive teeth when no dental problems can be found. The majority of cases can be treated by unloading (resting) the joint, taking a non-aspirin pain reliever and practicing stress movement and relaxation techniques. Most treatment for TMD is simple, often can he done at home, and does not need surgery. More severe cases may be treated with physical therapy, ice and hot packs, posture training and orthopedic appliance therapy (splint). Eating soft foods and avoiding chewing also help relax the muscles.

Tooth whitening: stained or dull teeth can benefit from tooth whitening. The safest and most effective method is dentist supervised. The most popular procedure involves taking impressions of the patient's teeth and fabricating a template that would fit precisely on the teeth. The patient applies small amount of the tooth whitening gel into the mouthpiece, and can wear it for few hours every day or can even sleep with it The tooth whitening gel contains oxygen-releasing chemicals that react with the stains and discoloration of the teeth. Noticeable change in shade can occur with a week. Other systems use laser beam for a rapid tooth whitening in the office. If you would like to have brighter, whiter teeth and a dazzling smile, schedule a dental appointment to evaluate your smile and tell you about the options that are available to you.

Ultrasonic Cleaning: Cleaning that uses high frequency sound waves to gently remove deposits, such as tartar and stain, from the teeth.

Veneers: see porcelain veneers.


Penticton Dental Centre

1185 Government Street, Penticton, BC V2A 4V3

250-493-4155