Restorative Services
Direct Resin restorations("tooth colored fillings"):This is the modern, non-
metal, healthier alternative to silver mercury fillings – minimal removable of tooth structure is
required. Metal fillings usually need more space so they can be ‘plugged in’. Composite resin
restorations or tooth-colored ‘fillings’ are molecularly bonded – creating a fusion of nature and
advanced material. It’s healthy high-tech care.
Porcelain/Ceramic Inlay/onlays:These are amazing breakthroughs in restorative care.
Not too long ago we would have been placing many more crowns. When a tooth deteriorated from
disease or cracked because of an old metal filling, it often required removal of significant natural
tooth structure to securely place a crown. Now, there is an ‘in-between’ solution.
With ceramic onlays or inlays, we remove much less tooth to create an appropriate surface to
secure the natural looking, tooth-like material. It’s molecularly bonded for a strong, durable, nature-
mimicking result that can withstand the tremendous biting and chewing forces the mouth produces.
With the new technologically advance procedure(Computer-aided design and Computer-aided
manufacturing--CAD/CAM) called CEREC3 this can be accomplished in-Office in ONE visit and
without the use of impression materials and temporaries and a waiting period of 1-2 weeks and the
potential dislodgement of the temporaries!
Gold inlay/onlays:Not too long ago we would have been placing many more crowns. When a
tooth deteriorated from disease or cracked because of an old metal filling, it often required removal
of significant natural tooth structure to securely place a crown. Now, there is an ‘in-between’
solution. With Gold onlays or inlays, we remove much less tooth structure to create an appropriate
surface to chew and restore the tooth. It’s cemented that can withstand the tremendous biting and
chewing forces the mouth produces. It is the material of choice for patients who are grinders!
Crowns:If you want a smile that's your crowning glory, you may need a crown to cover a tooth
and restore it to its normal shape and size. A crown can make your tooth stronger and improve its
appearance.
It can cover (360 degrees)and support a tooth with a large filling when there isn't enough tooth left. It
can be used to attach a bridge, protect a weak tooth from breaking or restore one that's already
broken. A crown is a good way to cover teeth that are discolored or badly shaped. It's also used to
cover a dental implant. A crown can be fabricated from many different materials, they are as follows:
- GOLD:High corrosion resistance prevents tarnishing; high strength and toughness resist
fracture and wear. It requires the least amount of healthy tooth structure removal. Resistant
to wear and gentle to opposing teeth. Highly resistant to fracture. But, High thermal
conductivity may result in early post-placement discomfort from hot and cold. Metal colors do
not mimic natural teeth(not esthetic) Mostly used on posterior (back molar teeth)
- Porcelain Fused to Metal(PFM): Very strong and durable. including both
porcelain and metal creates a stronger restoration than porcelain alone; moderately
aggressive tooth reduction is required. Highly resistant to wear, but porcelain can rapidly
wear opposing teeth if its surface becomes rough. Porcelain is prone to impact fracture; the
metal has high strength. But, High thermal conductivity may result in early post-placement
discomfort from hot and cold. Porcelain can mimic natural tooth appearance, but metal
limits translucency. Mostly used on posterior (back molar and premolar teeth)
- Porcelain: Esthetic material, if not prepared correctly may fracture under heavy biting
loads(although the newer Zirconium based Porcelain crowns and Bonded CEREC are
exhibiting great resistance to fracture--very close to metal). Strength depends greatly on
quality of bond to underlying tooth structure. Because strength depends on adequate
porcelain thickness, in some cases it requires more aggressive tooth reduction however, in
most cases(inlays and Onlays) it can actually be a lot more conservative than a conventional
Metal or Porcelain fused to metal Crowns! Highly resistant to wear where CEREC milled
porcelain actually wears opposing teeth at the same rate as the natural dentition. Low
thermal conductivity reduces the likelihood of discomfort from hot and cold. Color and
translucency mimic natural tooth appearance.
Root Canal Treatment: Once upon a time, if you had a tooth with a diseased nerve, you'd
probably lose that tooth. Today, with a special dental procedure called a root canal therapy you may
save that tooth. Inside each tooth is the pulp which provides nutrients and nerves to the tooth, it runs
like a thread down through the root. When the pulp is diseased or injured(lots of decay or repeated
fillings leading to cracks and eventual crown treatments), the pulp tissue dies. Let's just say that the
nerve of the tooth is much like a human heart, if someone has a heart attck and survives, the
second or third time around it won't make it! The Pulp functions much like that and it remembers!
So, if it diseased and If you don't remove it, your tooth gets infected and you could lose it. After the
dentist removes the pulp, the root canal is cleaned and sealed off to protect it. This process can
weaken the tooth, so In most cases the tooth will need a crown over it to help make it stronger and
prevent fracture.
Most of the time, a root canal is a relatively simple procedure with little or no discomfort involving
one to three visits. Best of all, it can save your tooth and your smile!
© 2004 Naperville Family Dental Care