Restoring Teeth.... by restorative dentistry..
Fillings & Bondings
In the past teeth were restored with amalgam which contained mercury and silver. This material did not impart any strength to the tooth whatsoever, in fact it was necessary to remove live parts of the tooth to lock the filling securely into place.
We now find that this type of filling placed into an already undermined tooth leads to cusp fracture, or possibly vertical root fracture where there's subsequent loss of the tooth. Amalgam served a purpose for over 150 years but now it's time to move on.
We now use filling materials which are bonded to the remaining part of the tooth and allowing us to preserve more of you tooth bank. The more of your natural tooth we preserve, the longer it will stay in your mouth. We expect the newer types of fillings to last as long as the older silver fillings, if not longer.
Rebuilding weakened teeth with crowns, inlays and veneers
You can expect a filling to be replaced a few times over your lifetime, and each time the tooth is prepared, the cavity gets larger and deeper. So if you want to keep your teeth for life, you may want to consider having a crown or inlay/onlay placed on the tooth. This will give greater longevity to the tooth, and they look and feel wonderful, often defying detection .....even with magnification and the finest of detection probes, and when bonded they add strength to the remaining tooth structure.
Sometimes the loss of tooth structure is so great... a virtual trainwreck... removal of the tooth and subsequent replacement with an implant and crown or a bridge is often the answer.
When decay occurs between posterior teeth, an aesthetic outcome is desired.
- The decay is removed with a handpiece and a metal matrix band and wedges are may be placed around the tooth to allow the filling material to remain within the natural confines of the tooth.
- An etching gel is placed conditioning the tooth for the bonding procedure.
- The etching gel is thoroughly rinsed and an adhesive bonding agent is placed.
- The composite material is incrementally placed and cured.
- The bite is adjusted and the restoration is polished.