Restorative Care Dentistry
Restorative dentistry is to replace the diseased part of the tooth with synthetic material in order to conserve the tooth. We at Dental Aesthetics conserve remaining tooth by only removing the diseased or decay tooth structure. Restorative treatments include Laser/ White fillings, Root Canal Treatment, Crown, Bridge, etc. All done with biological, mechanical and Aesthetic principles. Restorative procedures at Dental Aesthetics are carried out to provide our patients with best end results with Aesthetics, Function and longevity.
Dental Restorative Treatments in Pakistan
Tooth Colored Fillings - Restorative
The concept of “filling” is to replace and restoring damaged structure, due to decay or fracture with a material. With today’s technology, you no longer have to suffer the embarrassment of unsightly silver/mercury fillings or metal margins of the past. Space-age, state-of-the-art, tooth-colored resin or porcelain adhesive materials are used to replace unesthetic amalgam fillings.
Silver V.S White Fillings
White fillings are either composite resin (not to be confused with true porcelain) containing a mixture of acrylic plastics, quartz fillers, and colorants or true porcelain. True porcelain filling is called inlays (if they fit inside the cavity less than one third the width of the tooth) or onlays (if they replace or support the cusps tips). These porcelain restorations were generally made in a lab with two or more office visits, but with CEREC® 3D, we now precision-mill them from factory manufactured uniform blocks in one visit to our office. Both of these true porcelain type fillings are cemented or bonded into place and are much more precise and biocompatible than silver or composite which are pressed into the prepared hole (cavity) in your tooth.
Root Canal Treatment
Root canal treatment (also called ‘endodontics’) is needed when the blood or nerve supply (called the ‘pulp’) is infected through decay or injury. You may not feel any pain in the early stages of the infection. In some cases, it could darken in color, which may mean that the nerve of the tooth has died (or is dying). This would need root canal treatment.
Why is root canal treatment needed?
if the pulp becomes infected, the infection may spread through the root canal system. This may eventually lead to an abscess. An abscess is an inflamed area in which pus collects and can cause swelling of the tissues around it. The symptoms of an abscess can range from a dull ache to severe pain, and it may be tender when you bite. If root canal treatment is not done, the infection will spread and it may need to be taken out.
What does it involve?
It is the obdurate filled with a special called gutta percha. A temporary filling is put in and it is left to settle. It is checked at a later visit and when all the infection has cleared, the tooth is permanently filled. Crowns and bridges are fixed prosthetic devices. Unlike removable devices such as dentures, which you can take out and clean daily, they are cemented onto existing teeth or implants, and can only be removed by a dentist
Why is a dental crown needed?
- To protect a weakest one (for instance, from decay) from breaking or to hold together parts of a cracked tooth
- To restore an already broken or that has been severely worn down.
- To cover and support a tooth with a large filling when there isn’t a lot of teeth left.
- To hold a bridge in place.
- To cover severely discolored.
- To cover a dental implant.
- To make a cosmetic modification.
For children, a stainless crown may be used on primary (baby) teeth in order to.
- Save a tooth that has been so damaged by decay that it can’t support a filling
- Protect the teeth of a child at high risk for tooth decay, especially when a child has difficulty keeping up with daily oral hygiene
- Decrease the frequency of general anesthesia for children unable because of age, behavior, or medical history to fully cooperate with the requirements of proper oral care
- In such cases, our pediatric dentist is likely to recommend a stainless steel crown
Types of Crowns Available
Permanent crowns can be made from stainless steel, all metal (such as gold or another alloy), porcelain-fused-to-metal, all resin, or all ceramic. Stainless steel ones are prefabricated that are used on permanant one primarily as a temporary measure. It protects the tooth or filling while a permanent one is made from another material. For children, a stainless steel crown is commonly used to fit over a primary one that’s been prepared to fix it. It covers the entire teeth and protects it from further decay. When it exfoliate out to make room for the permanent one, it comes out naturally with it. In general, stainless steel one's are used for children’s teeth because they don’t require multiple dental visits to put in place and so are more cost-effective than custom-made and prophylactic restorative care needed to protect a tooth without of it.
Metals used in it, includes gold alloy, other alloys (for example, palladium), or a base-metal alloy (for example, nickel or chromium). Compared with other types, less structure needs to be removed with metal ones, and it wear to opposing teeth is kept to a minimum. Metal crowns withstand biting and chewing forces well and probably last the longest in terms of wear down. Also, it rarely chip or break. The metallic color is the main drawback. They are a good choice for out-of-sight molars.
Temporary Vs Permanent
Temporary crowns can be made in dentist’s clinic, whereas permanent one are made in a clinic laboratory. Temporary are made of acrylic or stainless steel and can be used as a temporary restoration until a permanent crown is constructed by a lab. Zirconia or milled crown which is digitally constructed either in an office that has the software and hardware to produce them or in a lab. Dental clinic that have the software and hardware have the ability to produce it in one visit with no need for a temporary. These are require no impression.
How do Crowns Work?
It used to entirely cover or “cap” a damaged one. Besides strengthening a damaged one, it can be used to improve its appearance, shape or alignment. It can also be placed on top of an implant to provide a tooth-like shape and structure for function. Porcelain or ceramic crowns can be matched to the color of your natural teeth. Other materials include gold and metal alloys, acrylic and ceramic. These alloys are generally stronger than porcelain and may be recommended for back tooth. Porcelain bonded to a metal shell is often used because it is both strong and attractive.