General dentistry / emergency response
Using a DIAGNOdent pen that can diagnose cavities more accurately, we will treat after diagnosis with a laser whether it is colored or cavities. CO (tooth requiring observation) may worsen the holding of teeth by scraping it in a state where it does not need to be scraped, so we will use it to judge whether preventive treatment or early treatment is good.
Caries on the adjacent surface (between teeth) is diagnosed by shining light with a device called a transilluminator. Even if it looks like there are no holes, the cavities may be progressing from the side. .. Judgment is made by looking at the light transmittance.
Natural teeth are the strongest, and teeth that have been shaved once do not have self-healing power like other tissues and do not return to their original state. Even if it is easily scraped, there is a high risk of secondary caries (the treated tooth becomes cavities again) due to the deterioration of the material and the wear of the tooth after a few years. ..
At our hospital, we are focusing on preventive measures so as not to scrape as much as possible.
Periodontal disease treatment
Periodontal disease, which is a chronic disease in the mouth that is said to affect more than 80% of adults, has almost no symptoms at the initial stage and is acute when the immune system is weakened and tired. It often turns into swelling and pain.
When it becomes moderate to severe, symptoms such as bleeding, bad breath, and loose teeth appear when using a toothbrush.
Thorough biofilm removal and plaque control on your own are important treatments.
The flow of treatment for periodontal disease is determined by medical insurance.
① Periodontal disease examination X-ray
The depth of the groove between the tooth and gum, called the periodontal pocket, is measured with a graduated instrument called the probe.
It is a measure that periodontal disease is progressing within 3 mm and 4 mm or more in a healthy state, and the state of inflammation is also checked by the presence or absence of bleeding. X-rays check the condition of the bones that support the teeth, called the alveolar bone, and as periodontal disease progresses, the condition of the alveolar bone is lowered.
② TBI (brushing instruction) scaling
The most important treatment for periodontal disease is your own plaque control. A dental hygienist will check the cleaning method using various cleaning tools and give guidance on how to polish.
After that, the biofilm that does not come off with a normal toothbrush is removed using water and vibration using a machine called a scaler.
The deep part of the periodontal pocket is anesthetized and carefully removed using a special instrument called a curette.
This is the stage called basic periodontal therapy.
It takes a lot of time because the whole mouth is divided into 6 blocks, but you have to remove the dirt that you can't reach with your usual toothbrush.
Periodontal disease gradually progresses.
Check the healing condition of the gums. If it is good, move to maintenance, and if treatment is still needed, move to surgical treatment, regenerative treatment, and sterilization treatment.
Periodontal regeneration treatment (ligros)
Regros has been approved for insurance as the world's first periodontal tissue regeneration drug.
After cleaning the bone surface destroyed by periodontal disease during periodontal surgery, cells are activated and the regeneration of periodontal tissue is promoted by placing a drug. Previously, a protein called Emdgain was used, but since 2017 it has been approved by insurance.
* Indications are limited, so it may not be effective in all cases.
In addition to the usual basic periodontal therapy, our hospital proposes measures using saliva tests, halitosis tests, periodontal disease bacteria tests, and supplements.
Progression of periodontal disease
Simple minor operations and tooth extractions such as tooth fracture and dislocation, wisdom tooth extraction, cyst removal, zonule resection, and initial treatment of jaw arthritis are supported, wisdom tooth swollen, wisdom tooth detached, jaw We also support first-aid measures such as pain, tooth hits, etc.
For treatments that our hospital cannot handle, we will introduce Jichi Medical University Oral Surgery.
Wisdom tooth trouble
Wisdom teeth are permanent teeth that grow around the age of 18, and if there is not enough space in the jaw, they will not be able to grow completely and will be in a state where the head is half raised, or it will come out diagonally or be buried sideways. It may have an adverse effect on the next tooth.
If it grows normally, it is not necessary to extract it, but if it has an adverse effect, consider early tooth extraction.
Cases where wisdom teeth should be removed
1 When growing diagonally or sideways
2 If the toothbrush does not reach and you have cavities
3 Not involved in meshing (when twisted)
4 When only a part of the head is out
5 When the teeth are pushed and the teeth are not aligned properly
Cases where you don't have to pull out wisdom teeth
1 It grows normally and is also involved in meshing.
2 The toothbrush is in perfect condition
3 When completely buried in the bone
This is just an example that I would like you to refer to, so please check with your doctor for details.
Treatment of temporomandibular disorders
・ There is a sound when you open your mouth
・ It is difficult to open the mouth
・ I feel pain in my jaw joints and muscles
If you have any of these symptoms, you may have temporomandibular disorders. There are various possible causes such as bruxism, clenching, misalignment, one-sided chewing, and stress, but the current treatment methods are mainly symptomatic treatment using rehabilitation, mouthpiece, and drugs.
Intervention at an early stage can alleviate the symptoms to some extent, so please feel free to contact us.
We also support metal-free treatment using all ceramics.
Metal-free treatment is a treatment that does not use any metal.
In dental treatment, the use of metal with durable quotient force has been adopted, but in recent years, CAD / CAM crowns using hybrid ceramics have been approved for the molars in insurance medical treatment as well. In addition, the introduction of zirconia, a material with satisfactory strength and goodness of fit, has made it possible to use it even in bridge cases.
Please contact us if you are allergic to metal or if you want a beautiful finish that is as close as possible to natural teeth.
Features of ceramic
・Transparency comparable to natural teeth
・ It is difficult for plaque and other stains to adhere to the surface.
・ Lightness that does not make you feel heavy
Cost ¥ 88,000 (tax included) ~
It corresponds to first aid such as pain, swelling, removal, chipping, denture pain, denture cracking, etc. of teeth and gums.
We provide first aid and medication to relieve pain, reset or temporary attachment of removed parts, temporary pigs, same-day repair of missing parts, repair of dentures, etc. , which can be completed in one day.
For continuous oral management and treatment, we also cooperate with your local family doctor.
* Infection prevention measures
We use disposable aprons, cups, head covers, and gloves for each patient.
Medical instruments are used by putting them in a sterilization pack for each patient and opening the sterilized one immediately before use.
We also use extraoral vacuum to prevent dust, and take thorough infection prevention measures in the cleanest possible environment.