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DENTAL TREATMENTS
Century Dental Clinic

Treatments

General Dentistry 
General Dentistry  involves professional check up and cleaning in maintaining teeth and gums so that they remain healthy for a life-time:

  • Check up, X-rays & Consultation
  • Cavities Fillings and Fillings Replacements
  • Scaling, Cleaning & Polishing

Aesthetic Dental Treatments 
Aesthetic Dental Treatments  or cosmetic dentistry relates a multitude of dental procedures aimed at improving the beauty, health and appearance of your smile:

  
  • Tooth Whitening

Tooth whitening is a direction many people take when they discover their teeth have been discolored due to aging, by medications, chemicals or stained by food and beverages such as coffee, tea and wine.
Tooth whitening is able to correct certain forms of brown, yellow and mottled tooth staining and works on people of all ages. It is a good option in restoring brightness in a "dull" smile and bringing a smile alive.

The procedure for Tooth Whitening :


- Examination and Consultation  
- Compare your shade Tooth Whitening
- Brush your teeth  before visit the dental clinic
    • teeth whitening system by placing plastic guards over your gums
    • protective by eyewear
    • Facial napkin

    • Apply resin dam protective your gums
    • Apply whitening gel 1-2 mm thick
    • Put cotton roll around your lip for protect irritate from whitening gel
    • Apply Vaseline on lower lip
    • Align light with occlusal plane
    • Optic positioner contact light source
    • Activate light
    • You can relaxing and enjoy the music



  
  • Crown

Dental crowns are often called "dental caps" which cover and encase the tooth on which they are cemented. Since, dental crowns cover over the entire visible aspect of a tooth, a dental crown if effect becomes the tooth's new outer surface.
Dental crowns as a means to rebuild broken and decayed teeth to their original shape. Dental crowns are a way to strengthen teeth and method by which the cosmetic appearance of teeth can be improved.
Dental crowns can be made of porcelain, precious alloys (gold), or a combination of both. An complete ceramic crown can offers better color, translucency and appearance.



  
  • Bridge

A bridge is used to replaces one or more natural missing teeth, thereby bridging the space between two teeth. A dental bridge is a false tooth, known as a pontic, which is fused between two dental crowns to fill in the area left by a missing tooth. The two crowns on the adjacent supporting teeth of the missing gaps are attached and holds it in place onto your teeth on each side of the pontic tooth.
Dental bridges, similar to dental crowns, can be made of porcelain, precious alloys (gold), or a combination of both. An complete ceramic bridge may be done on anterior teeth that offers good natural esthetics.

 

  
  • Veneer

Porcelain veneers, are thin all porcelain wafer pieces placed over the front teeth to change color shape of the teeth.

It is common for people to have imperfect teeth, either oddly shaped teeth, chipped teeth, crooked teeth, teeth with small holes in them, or an inappropriate sized tooth. Veneers are ideal for teeth that are too small, too big, or have uneven surfaces.  Procelain veneers solve such irregularities and create a durable and pleasing smile.
Material developments and layering techniques has made porcelain veneers look natural and esthetically pleasing.

  • Inlays and Onlay

An inlay is similar to a filling and is used inside the cusp tips of the tooth. An onlay is a more substantial reconstruction, similar to the inlay but extending out over one or more of the cusps of the tooth.
Inlays and onlays can be made of porcelain, gold, or composite resin. Porcelain inlays mimic enamel's translucency and color, making them attractive choices for patients. Gold alloy inlays and onlays possess greater durability and better resist tarnishing and corrosion.

  
  • Composite resin

    fillings are tooth-colored fillings. Many individuals now replace exisiting amalgam fillings with composite resin fillings for better esthetics.
  • Dental Filling

Most minor cavities are usually treated by removing decay in teeth and replaced with dental fillings.
There are two basic types of fillings used:

  • Traditional Amalgam Filling
  • Composite Resin Tooth-Colored Filling

With today's advancement in techniques and technology, composite resin or tooth colored fillings are normally done for better esthetics. Century dental clinics are amalgam-free. Additional precautions for the safe removal of amalgam fillings may also be opted at our
Amalgam fillings (silver) restorations were commonly used in the past. Metal fillings were effective, but tend to blacken in color over time. Some amalgam fillings contain mercury and its safety has been in question for a number of years.

Amalgam fillings are now commonly and easily removed and replaced composite resin dental fillings.


Composite resin fillings
are tooth-colored fillings that can be matched with natural tooth color shades.

Made of a plastic dental resin, composite resin has no known health risks. These tooth-colored fillings are strong, durable and gives good natural esthetics results.

Prosthodontic Dentistry
Prosthodontists are dental specialists in the restoration and replacement of teeth. Their goal is the integration of natural-looking replacement materials with the patient's original facial structure and ultimately the creation of a comfortable and pleasing appearance.
This is a highly skilled school of dentistry requiring rigorous training and experience which combine to provide prosthodontists with the special understanding of the dynamics of the smile, the preservation of a healthy mouth, and the creation of tooth replacements. Whatever your age, you owe it to yourself to see how a specialist in tooth restoration and tooth replacement can help you.
Prosthodontic Dentistry, or Prosthetic Dentistry, is concerned with treating missing teeth or treating existing teeth that have significant damage. The Prosthodontist deal with congenital defects as well as problems arising from trauma and neglect. The Prosthodontist can aid in the rehabilitation of a complete dentition or merely in the replacement of one or two teeth.
There are several ways to replace missing teeth and damaged teeth:

  • Crown

Dental crowns are often called "dental caps" which cover and encase the tooth on which they are cemented. Since, dental crowns cover over the entire visible aspect of a tooth, a dental crown if effect becomes the tooth's new outer surface.
Dental crowns as a means to rebuild broken and decayed teeth to their original shape. Dental crowns are a way to strengthen teeth and method by which the cosmetic appearance of teeth can be improved.
Dental crowns can be made of porcelain, precious alloys (gold), or a combination of both. An complete ceramic crown can offers better color, translucency and appearance.

  • Bridges

A bridge is used to replaces one or more natural missing teeth, thereby bridging the space between two teeth. A dental bridge is a false tooth, known as a pontic, which is fused between two dental crowns to fill in the area left by a missing tooth. The two crowns on the adjacent supporting teeth of the missing gaps are attached and holds it in place onto your teeth on each side of the pontic tooth.
Dental bridges, similar to dental crowns, can be made of porcelain, precious alloys (gold), or a combination of both. An complete ceramic bridge may be done on anterior teeth that offers good natural esthetics.

  

  • Dentures

A denture is a removable replacement for missing teeth and adjacent tissues. It is may be made of acrylic resin or a combination with various metals.
Complete dentures replace all the teeth, while a partial denture fills in the spaces created by missing teeth and prevents other teeth from changing position.
Prosthodontists are dental specialists in the restoration and replacement of teeth. Their goal is the integration of natural-looking replacement materials with the patient's original facial structure and ultimately the creation of a comfortable and pleasing appearance.
This is a highly skilled school of dentistry requiring rigorous training and experience which combine to provide prosthodontists with the special understanding of the dynamics of the smile, the preservation of a healthy mouth, and the creation of tooth replacements. Whatever your age, you owe it to yourself to see how a specialist in tooth restoration and tooth replacement can help you.


Dental Implants

Dental implants functions similiar to new tooth roots with crowns, fixed bridges or overdentures placed on the dental implants in replacing missing teeth.
Dental implants are made from biologically neutral titanium material that fuse with the jawbone to form a secure foundation for teeth replacement.


Without your natural teeth you may find that there are many things you miss. You may miss having your natural smile miss. You may also miss the pleasure of crunching into an apple or sinking your teeth into a mouth - watering steak? Perhaps you feel a little self-conscious about eating or speaking in public. Perhaps your remaining teeth are shifting or you suffer from muscle strain and headaches. Do you miss the comfort and confidence you once took for granted?
Whether you've lost one tooth or several, whether it's a recent problem or something you've lived with for years, you've never fully adjusted to losing such an important part of yourself.
If you have experienced any of the above you are most certainly not alone. However, modern dentistry has come a long way in recent years and there is no need for you to continue living in discomfort.
If you are the one who is looking for a Dental Implantswith specialized implant dentists and Dental Implants Technology from Century Dental Clinic in Bangkok Thailand, you can have replacement teeth that look, feel and function like natural teeth. Teeth that are comfortable and stay in place allowing you to speak, smile and eat with confidence. These are replacements that can be inserted without affecting any of your remaining teeth.

Naturally, the effects of tooth loss vary from person to person and depend on what have been lost. Losing a crown means losing the visible part of your tooth and this may affect your confidence.  However, if you lose the root as well, you have lost the unseen part of your tooth and although this may not affect you aesthetically, it is undoubtedly the most important part of the tooth.
The root anchors the tooth to your jawbone, acting as a foundation for the crown. Without the root, the bone around the missing tooth will gradually recede causing the remaining teeth to shift. If this is allowed to continue chewing will become more and more difficult.
For those who have lost all their teeth in an upper or lower jaw, the long-term problems are even greater. The bone shrinks after tooth loss. This causes the nerves to become exposed and the dentures will lack support. Loose fitting dentures can cause further problems and lead to sore gum tissue and additional pain.


A dental implant is made of titanium and shaped like a screw. The dental implant is placed into the jawbone and serves as a secure root for the new tooth. Once the dental implant is in place, several different types of dental restorations, such as crowns, bridges or dentures, can be attached.

 

Orthodontic Dentistry

Orthodontists specialize in tooth alignment and focuses on the diagnosis as well as the treatment of dental and associated facial irregularities. Their work consists of treating different conditions such as tooth crowding, overbites, underbites and gaps between teeth. They use corrective appliances such as retainers and braces to treat these problems.


There are types of brances appliances for orthodontic treatments

  • Metal braces are smaller than ever before and you can express your individuality.
    Part of the fun of having braces is choosing different-colored elastics at each appiontment. You can celebrate your school spirit, choose black and white for Halloween or select any number of fun colors that shows your style.

  • Clear or ceramic braces make treatment nearly invisible. The polymer brackets makes it transucent while ceramic brackets are tooth-colored, making it one of the most popular aesthetic choices in braces today.
  • Clear Braces  make treatment nearly invisible. The polymer brackets makes it transucent while ceramic brackets are tooth-colored, making it one of the most popular aesthetic choices in braces today.

Clear Braces also known as ceramic braces or tooth-colored braces, make orthodontic treatment nearly invisible, making it a popular aesthetic choice in braces today especially for working individuals and adults.
Clear braces are composed as the same components of traditional metal braces but clear brackets instead of metal brackets are used.




  • Damon Braces brackets consists of both clear and metal parts allowing braces to be less visible without the need of elastic bands. This enables less frictional force and in certain cases faster treatment outcome.

    Damon Braces has over 20 years of evaluation on clinical mechanics in orthodontic treatment. It is a one type of self-ligating braces.

    Damon braces has a self-clip typed brackets (that may be metal or clear) combined with high-tech archwires, in enabline a mechanical system of low forces to work in together with the biogical facial muscles, bone and tissue.





  • Lingual Braces are attached to the inside or lingual side of the teeth which makes them completely non-visible.

These esthetically appealing braces are available in translucent white to blend with the teeth making them less visible than traditional braces. Lingual braces are applied behind the teeth as compared to metal or ceramic braces which are applied to the front of your teeth. Often called “Invisible Braces”, they are the best and only non-visible form of fixed orthodontic therapy. Although lingual braces are more expensive they offer a highly cosmetic alternative to those patients who otherwise would not consider treatment.

The back side of each tooth has its own unique shape-unlike the front of each tooth. Each lingual bracket must be custom-formed to the unique shape of each individual tooth. Thus, only certain clinicians are able to offer this form of specialized treatment.

This advanced method makes lingual orthodontics particularly well-suited for adults and individuals whose professions keep them in the public eyes as no one can tell they are wearing braces. Patients can enjoy the process of orthodontia while still retaining a natural smile.

  • Lingual Braces are an ideal orthodontic treatment option for adults and individuals seeking to correct teeth without the appearance of wearing braces. Brackets are installed behind the teeth for lingual braces.

Invisalign an invisible way to straighten your teeth without braces patented from the USA. It uses a series of clear removable aligners to straighten teeth. Invisalign are removable and comfortable. Invisalign, however are not suited for all cases and being removable, discipline and compliance on the patient's part is required.

Invisalign are clear plastic aligners customized to fit each jaw. Invisalign are removable braces adjusted on a stage-by-stage basis commonly done in adults orthodontics. Becuase Invisalign is non-visible, Invisalign is suited corrective orthodontic treatment for adults and working indidividauls without the social stigma of wearing wires on teeth. Invisalign are also known as clear aligners.

  • Clear aligners are similiar to Invisalign whereby a series clear removable aligners are used to straighten teeth. Essix braces are the common brand for these clear aligners that are made in local laboratories for fitting.
  • Removable appliances include retainers and active plates.
    Retainers are normally worn after fixed braces are removed in maintaining teeth in preventing relapses.
    Active plates are commonly worn by children in guiding their erupting teeth into specific positions.

 

Endodontic Dentistry

Endodontic dentistry is related to treating tooth pulp and pulp problems. Damage to teeth, such as cracks or deep cavities, can reach down to the nerve tissue and blood vessels residing in the soft pulp of the tooth. Damage to the pulp can lead to painful swelling, damage to the jaw bones or muscles, and the formation of abscesses.

Damaged pulp once led to the removal of the tooth. With today's advancement, a procedure called a root canal treatment to restore and protect the tooth's nerves and blood vessels hence saving the tooth.


Root canal treatment
Our endodontist is a dentist who is trained to diagnose and treat problems located inside of the tooth with special endodontic equipment. As specialists they focus solely on endodontic procedures.

Endodontics, or Root Canal, is the prevention, diagnosis and treatment of disorders of the dental pulp. The pulp is made up of nerves, blood vessels, and connective tissue, which are important in tooth development.

                    

Periodontic Dentistry

Periodontic dentistry is concerned with treating gum disease and gum problems.
The term "periodontal disease" or "gum disease" refers gingivitis and periodontitis. Gingivitis is an inflammatory condition of the gingiva caused by factors such as smoking, certain drugs, hormonal changes from puberty and pregnancy or influenced by the individual's immune and inflammatory response. Periodontitis follows after gingivitis that involves the destruction of the supporting structure of the teeth. If left untreated, periodontitis can causes tooth loss, mouth odor or halitosis.


Periodontal disease is more commonly known as gum disease and was referred to as pyorrhea in the old days. It is a progressive inflammatory disease of the gingival and the surrounding tissue (bone) around the teeth. Periodontal disease is the number one cause of tooth loss after the age of 30 and it is believed that around 80% of the population above the age of 30 may suffer from this disease, with varying degrees of severity. It is usually painless and is mainly caused by plaque although pregnancy, diabetes, epilepsy, and such medications as chemotherapy, medication prescribed for heart problems, birth control pills, and antidepressants can all make you more susceptible to gingivitis which is one of the more common forms of periodontal disease.


The range of treatments in periodontic dentistry include:

  • Deep cleaning and root planning involves is cleaning beneath the gumline in either quadrants or around the tooth area commonly used in treating gingivitis and periodontosis.
  • Aesthetic gingivectomy aims to contour the gumline in improving and giving symmetry to the front smile. Gingivectomy is normally done in treating gummy smiles whereby excessive gums are shaped.

    Esthetic periodontal crown-lengthening surgery is usually performed to change the length or dimension of front teeth in optimizing the esthetic outcome of treatment with new crown or veneers restorations.


  • Gingival grafting is done in creating thick, tough gum tissue (called "attached gingiva") which aim to prevent further recession, and in certain cases cover existing recession. Gingival grafting is normally done with the treatment of recession as their primary objective relative to esthetic reasons.
  • Bonegrafting involves placing bone materials in treating deep pockets in gingiva or creating bone density during dental implant treatment.

 

Oral Surgery

An oral surgeon  is a dentist who specializes in different aspects of surgery both in and around the mouth. They diagnose and treat defects, injuries, and diseases involving the head, mouth, teeth, gums, jaws, and neck.

Here at the procedures to remove teeth painlessly and an emphasis on saving as much of the supporting bone and gum tissues as possible. This is important because strong structures provide essential support for your implants, bridges, or dentures leading to the best possible functional and cosmetic results. An oral surgeon can carry out a wide range of procedures. We have outlined some of the more commonly practiced procedures below. 

The wide ranges of services in the oral surgery field are determined by the specialist according to the needs of the patient:

  • Surgical removal of impacted wisdom teeth is the removal of impacted third molars that normally grow in at around age 18 to 20 years.

    Wisdom teeth are just as useful as any other tooth if they grow in properly with a proper bite relationship and healthy gum tissue. If wisdom teeth does not erupted properly, they are referred to as impacted. Impacted teeth can result in infection, decay of adjacent teeth, gum disease or other problems. Many dentists thus recommend the removal of impacted wisdom teeth to prevent potential problems.

    Your dentist does a checkup and examines corresponding x-rays to determine if the teeth are impacted. Every case is different and only your dentist can determine if there is a reason for you to have a tooth removed.
  • Tooth extraction is removal of teeth and may be done when:
  • the tooth is severely decayed
  • there is advanced periodontal disease ("gum disease")
  • the tooth may be broken such that it cannot be repaired
  • other teeth may need removal because they are poorly positioned in the mouth (such as impacted wisdom teeth)
  • preparation for orthodontic treatment ("braces")


Normal tooth extraction is a simple process and is normally completed in one visit. After tooth is removed, the gums is usually left to heal before the gap is replaced by dental bridges, dental implants or dentures in preventing predispose teeth in the long term.

  • Orthognathic surgery refers to the surgical repositioning of the maxilla, mandible, and the dentoalveolar segments to achieve facial and occlusal balance. One or more segments of the jaw can be simultaneously repositioned to treat various types of malocclusions and jaw deformities.

    Preoperative diagnosis and planning between orthodontist and craniofacial surgeon is required to ascertain the feasibility of various treatment options.

    Usually, pre-surgical orthodontics are necessary to straighten the teeth and align the arches so that a stable occlusion can be obtained post-operatively, while orthodontics following surgery are frequently required to revise minor occlusal discrepancies.

  • Bone graft surgery is done where to re-establish bone dimension in dental implants treatment or in periodontal treatment.

    There are different types of bonegraft materials available. Each of the bone graft materials is usually developed with a specific purpose or advantage in mind. Your dental specialist will make a decision with respect to the bonegraft material based on your individual needs and the latest research in that field.

  • Dental implants are man-made replacement for natural teeth root similar to having a new set of permanent teeth. There are several types of dental implants options and dental systems available on the market today.

  • Pre-prosthetic surgery refers to any oral surgery treatment such as gingivectomy or crown-lengthening that is done prior to restorative dental works in re-establishing function of teeth or improving esthetics of teeth.


Peadodontists are specially trained dentists in managing children during their treatment visit as well as educating children on oral care and dental health.

Peadodontic Dentistry

Peadodontics Dentistry, or Pediatric Dentistry, is concerned dental care and treatment for children.
Peadodontic treatment available in our clinic are:

  • cleaning & polishing
  • behavior management and dental education
  • restorations and tooth-colour filling of deciduous teeth
  • root canal treatment
  • crowns, stainless steel crowns
  • fluoride application
  • space maintainer/active plates
  • routine dental check-up
  • monitoring of the dental eruption
  • child dietary consultation, fluoride treatment
  • sealant of the permanent teeth



Preventive Dentistry

Your teeth can and should last a lifetime. Prevention and early detection are key in avoiding costly and painful dental treatment. Prevention begins with the control of plaque and calculus, the main cause of decay and gum disease.

The most important steps in maintaining oral health and preventing tooth decay are regular brushing and a balanced diet. The range of dental prevention in our clinic include:

  • Sealant* protect for your teeth and your child“s teeth with resin
  • Fluoride treatment to help teeth build resistance to decay
  • Caries risk assessment
  • Diet counseling
  • Preventive resin restoration
  • Oral hygiene instruction


Operative Dentistry
RESTORATIONS (FILLINGS)

If a single spot on one of your teeth is not cleaned daily, the remaining bacteria will transform themselves into a sticky film substance called plaque. The plaque will produce acids which eat away at the enamel of the tooth and will eventually cause cavities.  When the cavity gets through the enamel, into the underlying tooth structure (the dentin), repair or restoration is necessary.
If there is sufficient tooth structure remaining after removal of all the caries, a filling is placed. There are three types of fillings commonly used:

  • Amalgam (silver) Fillings


       

Amalgam (silver) fillings have been used for decades and they remain one of the most commonly used filling materials. They are often referred to as metal fillings. Amalgam is a mixture of silver and other metals, such as copper, tin and zinc, grounded into powdered form. The silver powder is mixed with mercury and placed into the cavity preparation where it is shaped before hardening.

In recent years, the safety of amalgam fillings has come under scrutiny because of the mercury it contains. The absorption of elemental mercury is known to be a contributing factor to several diseases, including Alzheimer's, multiple sclerosis, dementia and arthritis. However, recent studies have proved amalgam fillings to be perfectly safe. It is true, that mercury vapor is toxic but mercury molecules in hardened amalgam are bound to the silver molecules rendering the level of toxicity harmless. The American Dental Association and the Food and Drug Administration have researched the safety of amalgam fillings and have found them to be not only safe but extremely effective.

 


Gold fillings are widely viewed of restorations. From a bio-mechanical perspective, they are the ideal material as they will not tarnish or corrode and they wear at the same rate as tooth enamel. The placement of a gold filling requires two separate appointments with your dentist. At the first visit, the cavity is removed and the tooth is prepared. An impression is taken of the tooth preparation and a temporary restoration is placed. A custom made filling is made from the impression. At the second visit the temporary restoration is removed and the gold filling is placed. A cast gold filling is made in a dental lab and sent back to your dentist, who cements it in place in your mouth. You will need at least two visits to the dentist to get the job done.                                
Advantages

  • Gold fillings is stronger than amalgam fillings.
  • Gold fillings last a long time.

Disadvantages

  • Gold fillings costs more than other kinds of fillings.
  • Gold fillings and crowns are indirect fillings, so they require at least two appointments.
  • The gold colour may not appeal to people who want a "natural" look.

 

  • Composite Fillings

       

Composite fillings are the newest type of filling in common usage. They are commonly known as white fillings. They are a porcelain/plastic hybrid that is bonded directly to the cavity preparation.  Composite fillings were created as an alternative to traditional metal dental fillings. They are colored to look like natural teeth and are more esthetically pleasing than amalgam or gold fillings. They are also strong, durable, and make for a very natural looking smile.
Your dentist will give you a local anesthetic to numb the area before preparing an access to the decayed area of the tooth and removing the decayed portions. Traditional drills, micro air abrasion or even with a dental laser can be used to accomplish this.

A special dental material is then used to open up the pores of your tooth's dentin and roughens up the surface of the exposed enamel. This creates a stronger bond between the tooth and the filling. The bond resin is applied to stick the composite to your tooth. This material is made of the same dental resin as the composite however it is much more fluid.

With a composite filling, your dentist will be able to preserve more of the natural tooth as the composite resin can be bonded to the tooth in thin layers and slowly built up to form a complete filling. A bright dental light will harden each layer before the next is applied.

If the decayed area of your tooth is close to a nerve, a special liner can be used to protect the nerve. A special dental material is then used to open up the pores of your tooth's dentin and roughens up the surface of the exposed enamel. This creates a stronger bond between the tooth and the filling. The bond resin is applied to stick the composite to your tooth. This material is made of the same dental resin as the composite however it is much more fluid. This layer is then hardened by the bright light in the same way as the composite layers.

Once your filling is completed, your dentist will use a special articulating paper, to adjust the height of your dental filling and to ensure that your bite remains correct. Your tooth is then polished.
If such a filling is not going to be enough to protect your damaged tooth, or if your tooth enamel is thin and will easily fracture, or if your tooth has had a root canal that weakened your tooth condition, your tooth may require additional protection such as a crown.

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