There are many different types of dentistry. I
provide below an overview of the types of dentistry that I commonly encounter when running dental negligence claims:
Restorative Dentistry
Restorative dentistry includes
such treatment as fillings, both tooth coloured and silver (amalgam), crowns, bridgework and veneers.
Endodontics Endodontics would include Root Canal Treatment, the removal of the nerve of the tooth, and the sealing
of the tooth to prevent further infections with a material commonly used, known as “gutta percha”. The
picture inset shows the nerve of the tooth being removed with a small "reamer" or dental file.
Orthodontics
Orthodontics is the speciality
which encompasses moving the teeth around the mouth using various appliances such as braces and retainers in order to improve
the function of the teeth, or the aesthetics of the mouth.
Maxillo-Facial Surgery
Maxillo-facial
surgery would encompass any oral surgery, for example removing the remnants of broken teeth from the jawbone, or indeed teeth
which are erupted, buried or impacted. Many referrals are made to maxillo-facial surgeons for removal of wisdom teeth
which are impacted close to the lingual nerve, due to the danger of damaging the nerve upon extraction of the wisdom teeth.
Maxillo-Facial surgeons (often called oral surgeons) also specialise in apicectomy, which is simply the removal of the apex
of the tooth. The apex is the very tip of the bottom of the tooth which is embedded into the jawbone.
Implantology
Implantology is the study
of dental implants, which are often used to replace single or multiple teeth which have been lost. Implants are a relatively
new concept, but are now commonly placed.
A titanium implant is placed within the jawbone, and left to heal. During this healing process, the jawbone grows around
the titanium implant holding it firm. A crown or bridge can then be placed into the implant by a post. Implants
if properly integrated into the bone, can last for years.
Periodontics
Periodontics concerns the
diagnosis and treatment of gum disease. Periodontal disease (from the Latin Perio, meaning around
and dontal meaning teeth) is an infection which commonly starts as gingivitis, a condition commonly making the
gums inflamed and sometimes bleed when brushing or flossing.
If not brought under control by routine and
adequate oral hygiene, then the condition can deteriorate further into periodontitis, a condition which can alter the stability
of teeth, by eating away at the surrounding jawbone, making the gums recede (hence the saying to becoming “long in
the tooth”), teeth then become loose and ultimately can fall out due to having no supporting bone, if not treated
properly.
Periodontal disease- a definition.
Disease of the gums and bone supporting the teeth, caused
by the accumulation of plaque and micro-organisms; the gums recede, and the teeth eventually become loose and may drop out
unless treatment is sought. Bacteria can eventually erode the bone that supports the teeth, so that surgery may become necessary.
Prosthetics
Prosthetics is the art of
replacing missing teeth with artificial ones. This would include for example dentures.
Temporomandibular Joint Dentistry
The
temporomandibular joint (TMJ) is the joint is the area in front of the ear, where the lower jaw hinges onto the base of the
skull. This can sometimes “click”. There are specialist dentists who concentrate upon diagnosis and
treatment of TMJ problems.