Our office offers many Restorative Dentistry services
Restorative Dentistry entails restoring the natural form and function of a tooth that is weakened by dental decay, is missing or has been extracted, or is inhibited in any way to perform its normal function. Our office offers many restorative solutions and we work with you to help you decided your best treatment option.
Restorative Procedures include but are not limited to:
- Composite Restorations
- Gold Crowns (Cap)
- Gold Bridges
- Dentures, Implant Retained Dentures, and Partial Dentures
Composite Restorations and Bonding
If your dental exam reveals that you have a cavity (or what we refer to as decay) or chipped tooth, you do not need to worry that you will not longer have white teeth. Composite restorations are today the treatment of choice for many patients, and we offer tooth colored filling material (know as composite restorations) to restore your teeth to their original state. We can even restore back (or posterior) teeth with special composite material that will provide the strength the tooth needs, but provides the white color you want. Composite restorations are more technique sensitive than the silver (or amalgam) fillings are requires special training to perfect the placement of the filling. All of our dentists have restored thousands of teeth with white fillings and taken countless hours of continuing education to stay updated in the latest techniques.
What’s it for:
To restore the tooth after the cavity is removed
Minimally invasive repair of chipped teeth (bonding)
Close small gaps between teeth (bonding)
What does it require:
Composite restorations and bondings can be completed in our office in one visit. We start by anesthetizing (numbing) your tooth and the gum tissue around the tooth. We treat the cavity by removing all the decay. We then prepare the tooth with special liquids for optimal adhesion so that the composite will adhere to the tooth. After preparing the tooth, the specific tooth colored composite to match your remaining tooth is selected and shaped to look like a natural tooth. A blue light cures (or hardens) the composite and the composite is then smoothed and polished for ultimate esthetics.
Gold or Metal Crowns
When the majority of a tooth is damaged a cap (or crown) may need to be placed over the tooth to make sure that it the tooth has the integrity to withstand the normal forces that the tooth must endure on a daily basis. Gold crowns in our office are made of high noble metals that provide excellent protection for the tooth. All metal crowns are the strongest most resilient crown when compared to the PFM and all porcelain crowns. They provide excellent protection from leakage and require only minimal natural tooth be removed to be prepared. Although all metal crown can be made “white gold”, main disadvantage of an all metal crown is esthetics.
What’s it for:
- To protect a weak tooth
- To restore a tooth that already has a large filling but has filling is failing
- To protect a tooth with a large filling
- To cover a dental implant
- To cover severely misshapen or discolored teeth
- To cover a posterior tooth after a root canal
What does it require:
We start by anesthetizing (numbing) your tooth and the gum tissue around the tooth. We then will shape the tooth along the chewing surface and sides to make room for the metal crown (if we need to replace an old filling or a root canal has been completed, we need to restore it first).
After reshaping the tooth, we will make an impression of the tooth to receive the metal crown. Impressions of the teeth next to and opposing the tooth to receive the crown will also be made to make sure that the crown will not affect your bite.
The impressions are sent to our dental laboratory located in our office where the crown will be custom built to fit your tooth. Because we utilize the lab in our office we are able to provide the crown in less than a week in most instances. During this first office visit your dentist will make a temporary crown to cover and protect the prepared tooth while the crown is being made.
At the second visit the temporary crown is removed and the tooth may or may not anesthetized depending on the sensitivity. The crown is tried in and you will be asked to bite in a series of different positions to verify that the crown fits well. Once we verify the crown fits well, we will cement the crown with permanent cement.
All Metal Fixed Bridge
An all metal fixed bridge (or fixed partial denture, FPD, or just bridge) is a way to restore the form and function of a missing tooth. Both the tooth in front of and behind the missing tooth must be shaped to accept the crowns in very much the same way a conventional metal crown is. However, when the custom made bridge is prepared all 3 teeth will be created together and will be one unit. A bridge can have a long dental life as long as the teeth in front and behind (called the abutments) are healthy. Since preparing a bridge requires that 2 teeth be reshaped to make a restoration to replace one missing one, we often recommend a bridge if the teeth next to the missing tooth will need crowns. An implant is often a less invasive, longer lasting restoration to restore a missing tooth. An all metal bridge requires less tooth structure be removed from the abutments when compared to all porcelain or PFM bridges. The tradeoff is the all metal crown lacks esthetics and is not ideal for front teeth.
What’s it for?
- The replacement of a missing tooth
- Restore your smile
- Restore normal biting function
- Prevent remaining teeth from moving out of their normal position and into the space
What does it require?
We start by anesthetizing (numbing) your tooth and the gum tissue around the tooth. We then will shape the tooth in front of and behind the missing tooth along the chewing surface and sides to make room for the crown (if we need to replace an old filling or a root canal has been completed, we need to restore it first). The amount removed depends on the type of bridge used (for instance, all-metal bridges are thinner, requiring less tooth structure removal than all-porcelain bridges or porcelain-fused-to-metal ones).
After reshaping the tooth, we will make an impression of the 2 reshaped teeth and space to receive the bridge. Impressions of the teeth next to and opposing the tooth to receive the crown will also be made to make sure that the bridge will not affect your bite.The impressions are sent to our dental laboratory located in our office where the bridge will be custom built to fit your tooth. Because we utilize the lab in our office we are able to provide the bridge in less than a week in most instances. During this first office visit your dentist will make a temporary bridge to cover and protect the prepared tooth while the permanent bridge is being made.
At the second visit the permanent bridge is removed and the tooth may or may not anesthetized depending on the sensitivity. The bridge is tried in and you will be asked to bite in a series of different positions to verify that the bridge fits well. Once we verify the bridge fits well, we will cement the crown with permanent cement. We will review the wear and care for your new bridge so that you can maintain it and achieve its longest life possible.
Dentures, Implant retained dentures, and Partials
A denture is a removable dental appliance replacement for missing teeth and surrounding tissue. We fabricate them to closely resemble your natural teeth, enhancing your smile. Complete dentures will also increase the natural opening of your teeth increasing your “vertical dimension” and will decrease facial wrinkles.
We offer two types of dentures – complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. A partial denture fills in the spaces created by missing teeth. The partial will also prevent teeth from shifting into the missing tooth space.
Complete dentures may be either “conventional” or “implant retained.” Dentures cover the whole top arch and palate and in the lower arch they just go over the bone. Once teeth are extracted the bone underneath the teeth (alveolar bone) no longer receives signals to maintain the bone height. Over time the bone level decreases, which may cause the dentures not to fit as ideally as they did after they were first fabricated. Recent innovations in dental implants have elevated acceptance and comfort level of dentures that are implant retained.
Dentures are very durable appliances and will last many years, but may have to be remade, repaired, or readjusted due to normal wear.
Whats it for:
- Enhancing form and function after loss of teeth
- Improve speech, chewing, and esthetics
- Complete Dentures- The replacement of all teeth in an arch
- Removable Partial Dentures- The replacement of several teeth in an arch
What does it require?
The process of fabricating dentures requires multiple appointment over several weeks. These appointments coupled with highly specialized and specific dental molds and try-ins will ensure that the dentures will fit, look and function ideally once the final dentures are delivered.
Your mouth at first will not be accustom to having teeth that have been missing. You may experience saliva flow, some soreness, and possible speech and chewing difficulty during the firt few weeks with your new dentures. However, this will subside with time.
If the implant retained denture is your first choice to replace all of your teeth we will evaluate your alveolar bone level and determine if enough bone is present to accept the implants. Several implants will then be surgically place in the top (maxillary) and lower (mandibular) arches. The implants will act as anchors for the dentures to attach, stabilizing the dentures. The dentures can be removed just like conventional dentures can but because the dentures are anchored to the implants you will not have to worry about the dentures becoming loose or mobile.