Restorative Procedures

Dental bonding

Bonding is the application of a tooth-colored composite resin (plastic) to repair a decayed, chipped, fractured, discolored tooth, to make teeth appear longer, and as a cosmetic alternative to amalgam fillings. Bonding can be done in a single visit to your dentist.

Bonding is among the easiest and least expensive cosmetic dental procedure. The composite resin used in bonding can be shaped and polished to match the surrounding teeth. Most often, bonding is used for cosmetic purposes to improve the appearance of a discolored or chipped tooth. It also can be used to close spaces between teeth, to make teeth look longer or to change the shape or color of teeth.

Sometimes bonding is used as a cosmetic alternative to fillings, or to protect a portion of the tooth's root that has been exposed because of gum recession.

Tea, coffee, cigarette smoke and other substances can stain the resin used in bonding. To prevent or minimize stains, avoid eating or drinking these types of foods and drinks during the first 48 hours after any composite procedure. In addition, brush your teeth often and have them cleaned every six months by a dental hygienist.

Procedure

But I must explain to you how all this mistaken idea of denouncing pleasure and praising pain was born and I will give you a complete account of the system, and expound the actual teachings of the great explorer of the truth, the master-builder of human happiness. No one rejects, dislikes, or avoids pleasure itself, because it is pleasure, but because those who do not know how to pursue pleasure rationally encounter consequences that are extremely painful. Nor again is there anyone who loves or pursues or desires to obtain pain of itself, because it is pain, but because occasionally circumstances occur in which toil and pain can procure him some great pleasure. To take a trivial example, which of us ever undertakes laborious physical exercise, except to obtain some advantage from it? But who has any right to find fault with a man who chooses to enjoy a pleasure that has no annoying consequences, or one who avoids a pain that produces no resultant pleasure?

Gold inlays, onlays

The first step is to schedule a consultation with your dentist so you can discuss your treatment goals. Your dentist will use a shade guide to select the composite resin color that matches the color, of the tooth or teeth, most closely.

Once your dentist has chosen the color, he or she will slightly etch the surface of the tooth to roughen it. The tooth will then be coated lightly with a conditioning liquid, which helps the bonding material adhere.

When the tooth is prepared, your dentist will apply the tooth-colored, putty-like resin. The resin is molded and smoothed until it's the proper shape. Then the material is hardened with an ultraviolet light or laser.

After the bonding material hardens, your dentist will further trim and shape it, and polish the material until it matches the sheen of the rest of the tooth surface.

The procedure usually takes 30 minutes to an hour to complete. If you're having more than one tooth done, you may need to schedule more time or additional visits.

Composite Restorations/ Fillings :

A composite (tooth colored) filling is used to repair a tooth that is affected by decay, cracks, fractures, etc.  The decayed or affected portion of the tooth will be removed and then filled with a composite filling.

There are many types of filling materials available, each with their own advantages and disadvantages.  You and your dentist can discuss the best options for restoring your teeth. Composite fillings, along with silver amalgam fillings, are the most widely used today.  Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or the more visible areas of the teeth.

As with most dental restorations, composite fillings are not permanent and may someday have to be replaced.  They are very durable, and will last many years, giving you a long lasting, beautiful smile.

Reasons for composite fillings:

  • Chipped teeth.
  • Closing space between two teeth.
  • Cracked or broken teeth.
  • Decayed teeth.
  • Worn teeth.

How are composite fillings placed?

Composite fillings are placed in one appointment.  While the tooth is numb, the dentist will remove decay as necessary.  The space will then be thoroughly cleaned and carefully prepared before the new filling is placed.  If the decay was near the nerve of the tooth, a special medication will be applied for added protection.  The composite filling will then be precisely placed, shaped, and polished, restoring your tooth to its original shape and function.

It is normal to experience sensitivity to hot and cold when composite fillings are first placed, however this will subside shortly after your tooth acclimates to the new filling.

You will be given care instructions at the conclusion of your treatment.  Good oral hygiene practices, eating habits, and regular dental visits will aid in the life of your new fillings.

Gold inlays, onlays:

An inlay/onlay restoration is a custom filling made of gold.  It is made by a professional dental laboratory and is permanently cemented into the tooth by your dentist.

Gold inlays/onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma. Gold inlays/onlays are an ideal alternative to conventional silver and composite fillings.  Also, they are more conservative than crowns because less tooth structure is removed in the preparation of inlays/onlays.

As with most dental restorations, inlays/ onays are not always permanent and may someday require replacement.  They are highly durable and will last many years, giving you a beautiful long lasting smile.

Reasons for gold inlay/onlay restorations:

  • Broken or fractured teeth.
  • Decayed teeth.
  • Fractured fillings.
  • Large fillings.

What does getting an inlay involve?

An inlay/onlay  procedure usually requires two appointments.  Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom gold inlay/onlay and a temporary restoration.

While the tooth is numb, the dentist will remove any decay and/or old filling materials.  The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit a gold inlay/onlay restoration.  A temporary filling will be applied to protect the tooth while your inlay is made by a dental laboratory.

At your second appointment your new inlay/onlay will be carefully and precisely cemented into place.  A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable.

You will receive care instruction at the conclusion of your treatment.  Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new inlay.

Porcelain inlays, onlays:

An inlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain.  Porcelain inlays are popular because they resemble your natural tooth.  A porcelain inlay is made by a professional dental laboratory and is permanently cemented into the tooth by your dentist.

Inlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma.  Inlays are an ideal alternative to conventional silver and composite fillings.  Also, they are more conservative than crowns because less tooth structure is removed in the preparation of inlays.

As with most dental restorations, inlays are not always permanent and may someday require replacement.  They are highly durable and will last many years, giving you a beautiful long lasting smile.

Reasons for inlay restorations:

  • Broken or fractured teeth.
  • Cosmetic enhancement.
  • Decayed teeth.
  • Fractured fillings.
  • Large fillings.

What does getting an inlay involve?

An inlay procedure usually requires two appointments.  Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom inlay and a temporary restoration.

While the tooth is numb, the dentist will remove any decay and/or old filling materials.  The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an inlay restoration.  A temporary filling will be applied to protect the tooth while your inlay is made by a dental laboratory.

At your second appointment your new inlay will be carefully and precisely cemented into place.  A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable.

An onlay restoration is a custom made filling made of composite material, gold, or tooth-colored porcelain.  Porcelain onlays are popular because they resemble your natural tooth.  An onlay is sometimes also referred to as a partial crown.  Porcelain onlays are made by a professional dental laboratory and is permanently cemented onto the tooth by your dentist.

Onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma.  Onlays are an ideal alternative to crowns (caps) because less tooth structure is removed in the preparation of onlays.  Onlays are essentially identical to inlays with the exception that one or more of the chewing cusps have also been affected and need to be included in the restoration.

As with most dental restorations, onlays are not always permanent and may someday require replacement.  They are highly durable and will last many years, giving you a beautiful long lasting smile.

Reasons for onlay restorations:

  • Broken or fractured teeth.
  • Cosmetic enhancement.
  • Decayed teeth.
  • Fractured fillings.
  • Large fillings.

What does getting an onlay involve?

An onlay procedure usually requires two appointments.  Your first appointment will include taking several highly accurate impressions (molds) that will be used to create your custom onlay and a temporary restoration.

While the tooth is numb, the dentist will remove any decay and/or old filling materials.  The space will then be thoroughly cleaned and carefully prepared, shaping the surface to properly fit an onlay restoration.  A temporary filling will be applied to protect the tooth while your onlay is made by a dental laboratory.

At your second appointment, your new onlay will be carefully and precisely cemented into place.  A few adjustments may be necessary to ensure a proper fit and that your bite is comfortable.

You will receive care instruction at the conclusion of your treatment.  Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new onlay.

You will receive care instruction at the conclusion of your treatment.  Good oral hygiene practices, a proper diet, and regular dental visits will aid in the life of your new inlay.

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