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Beyond Expectations: A Remarkable Non-Surgical and Surgical Endodontic Journey

Endodontology is the branch of dentistry that is related to the treatment of deep dental cavities, inflamed pulp (nerves and blood vessels of the teeth) and different dental

traumatic injuries, like fractured teeth, intruded, extruded and avulsed teeth

In Liberty Dental Clinic, we have an endodontic department with three expert specialists in endodontics, with almost 20 years of experience each. This department is very well-equipped with cutting-edge devices and equipment to make the endodontic treatment easy, painless, and quick for the patients.

In this department we receive patients daily for diagnosis, treatment planning and treatment of different endodontic diseases. The dental meeting starts with taking the full history of the case, making clinical examination and interpretation of radiographs, then discussing the treatment options, and finally advising the patient with the best applicable option for him/her.

Treatments that we do in this department include:

  • Conventional root canal treatment
  • Acute and chronic abscess treatment
  • Retreatment of failed previous treatment
  • Bypass and retrieval of broken instruments inside the canals
  • Surgical treatment, apicoectomy in selected case
  • Build up of the destroyed teeth by applying fiber post and core
  • Internal bleaching of the discolored teeth resulting of old root canal treatment
  • Treatment of immature permanent teeth with MTA

Mariam is a 14 years old patient came to us with her family from Cyprus for treatment of her tooth that was advised to be extracted in other clinics there. Her tooth had abnormal and rare anatomical structure called dense in dent (tooth inside tooth). This malformation has led to pulp necrosis (death of the nerve) resulting in chronic apical abscess with acute symptoms.

This longstanding condition caused a huge bone resorption around the root of the tooth and large swelling along with severe pain.

Patient went to different dental clinics in Cyprus, Greece and USA. All dentists that she visited advised her to get this tooth extracted.

Her mother, who was one of the followers of Dr. Majd Naji -the founder of Liberty dental clinic- on Instagram contacted the clinic and sent the radiographs of Mariam’s tooth for evaluation and discussion for an online consultation before coming to UAE.

After the interpretation and analysis of the radiographs with the team of endodontic and maxillofacial departments, we booked an appointment for Mariam to see the case clinically and give her the best treatment option.

After few days, Mariam came to Dubai with her family. After making a CBCT (3D x-ray) to examine the tooth and the surrounding lesion, we found that Mariam’s tooth can be saved but not in the conventional technique of root canal treatment, however, it needs two stages treatment, non-surgical and surgical endodontic treatment.

After explaining the treatment technique and time required for this treatment, an appointment was booked.

At the day of treatment, we did the treatment in almost one and half hours.

At the same day, Mariam was referred to the orthodontic department for fixation of this tooth to the adjacent teeth for temporary stabilization until the surgical site heals.

This treatment scenario has multiple advantages, including:

– Saving the natural tooth with its original shape, color and function

– Avoiding extraction, as she is still young and implant or fixed bridge are not applicable in this age

– Single visit treatment and no more intervention except for stitches removal that needs few minutes without any type of pain

At the end of the treatment session, Mariam and her family were very happy as the tooth was saved with the same shape, color and function.

5 Cosmetic Treatment Methods

In dentistry, when you visit your dentist to improve your smile, you will be introduced to 5 cosmetic treatment methods. Your dentist will first run some x-rays, clinical examinations, and then set treatment options that suit your case.

Whitening:

This treatment is for patients who seek a boost in the color of their teeth. Patients who prefer whitening are usually satisfied with the shape, form, and alignment of their teeth. It’s a 30 minutes procedure that will give a brighter smile. The result of the whitening procedures is very natural and satisfying for the patients but it’s temporary because it depends on the patient’s eating and drinking habits, and on oral hygiene.

Orthodontics:

It’s a treatment method that helps correct the alignment, occlusion of the jaw and teeth. Orthodontics fall into 3 main appliances (braces): :

• Fixed braces:
Which can be made of either metal or ceramic. The main difference between them is that the ceramic can be clear or the same color of your teeth so it is hardly noticeable when smiling unlike the metal braces that is very noticeable and unpleasant to most of the patients when smiling, but they both give the same results. Fixed braces are used to treat nearly most of the cases, especially the complicated cases.

• The interior braces or the lingual braces :
What makes these braces different is the position, it’s located interiorly and doesn’t show at all when smiling or talking. Some patients are usually annoyed by the interference of the braces with the tongue, difficulties in pronunciation and ulcers occurrence. Some patients break it easily due to the chewing pattern when fiercely biting on it.

• The clear aligner (Invisalign):
It is the latest technology in orthodontics, and it’s everyone’s favorite. Dentists use it now to treat 80%-85% of the cases. It’s invisible, very comfortable, easy to use, and improves cleanliness.it’s also removable, the patients can remove it and enjoy their meal. For maximum benefit and results it has to be worn for 20-22 hours a day.

Minimal prep or Non-Prep veneers:

It requires a small amount of tooth surface to be removed by drilling or no drilling. The dentist can control the shape and shade of the smile to about 50-60%. The teeth shouldn’t be very protruded, or very crowded, the teeth should be small, or when gaps are present. Protruded teeth push the smile forward. One of the advantages of this approach is that the patient gets to maintain the natural tooth and be able to remove the veneer later on.

Preparation veneers (Prep-veneers):

It requires more removal of the tooth surface to reshape the tooth. Dentists can control 60-70% of the shape and color of the smile. This method is suitable for many cases like mild crowding, and protruded teeth.

Both veneers offer an attractive smile, maintain the teeth structure, and give a uniform smile. Both veneers also can chip out from the junction point of the veneer and the natural tooth when a strong lever force is applied on the tooth.

Lastly, crowns:

All surfaces of the tooth will be drilled, we use crowns to cover destructed teeth, teeth with multiple caries, and to cover teeth after root canal treatment. It provides the best protection for the teeth.
Crowns are also used in treating severely crowded teeth, or maligned teeth. Teeth can be repositioned to enhance the alignment, but the dentist might need to root canal treatment for certain teeth in that case. We encounter these cases with patients who absolutely refuse to do any orthodontic treatment to correct the alignment or the crowding.
Even though crowns are the most invasive approach, yet they still win all-time best aesthetic results as the dentist can control 80-90% of the shape and color.

Here in Liberty dental clinic with the leading of Dr Majd Naji we choose NNN Dental that’s known for its high quality. One of the main reasons to choose NNN Dental is that it’s internationally accredited from ACHS Austerlia, the American FDA, and The Conformitè Europëenne (CE).