Restorative Dentistry

Inlays

Inlays can be used to replace large fillings and especially amalgam fillings.

What is an inlay?

An inlay restoration is a custom made filling made of gold, or tooth-colored porcelain. It is made by a professional dental laboratory and is permanently cemented into the tooth.

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 amalgam and composite fillings.

Inlays are more conservative than crowns because less tooth structure is removed in the preparation of inlays.

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 the preparation of the tooth and taking of an accurate impression that will be used to fabricate the inlay. While the tooth is numb, Dr Doman 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 placed 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.

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.

 

Onlays

What is an onlay?

An onlay restoration is a custom made filling made of gold, or tooth-colored porcelain.

Porcelain onlays are made by a professional dental laboratory and are permanently cemented onto the tooth by your Dr Doman. Onlays can be utilized to conservatively repair teeth that have large defective fillings or have been damaged by decay or trauma.

Onlays are sometimes an ideal alternative to crowns 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.

 

Crowns

What is a crown?

A crown is a laboratory-constructed restoration, which covers all or part of a tooth in order to restore both appearance and function. The purpose of a dental crown is to encase a tooth with a custom-designed material.

Crowns may be used to:

  • protect a cracked tooth
  • restore a tooth with excessive decay
  • replace a pre-existing crown.

 

Crowns are indicated for teeth with very large fillings, teeth that have had a root canal treatment, fractured teeth and misshapen and/or discolored teeth.

We offer conventional metal ceramic crowns as well as non-metal based, all-ceramic crowns.

A crown protects and strengthens tooth structure that cannot be restored with fillings or othertypes of restorations like inlays or onlays.

Although there are several types of crowns, full porcelain crowns are the most popular. They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced.

Porcelain crowns are made to match the shape, size, and color or your teeth giving you a natural, long-lasting beautiful smile.

Reasons for crowns:

• Broken or fractured teeth.

• Cosmetic enhancement.

• Decayed teeth.

• Fractured fillings.

• Large fillings.

• Tooth has a root canal.

 

What does getting a crown involve?

A crown procedure usually requires two appointments. Your first appointment will include taking impressions that will be used to fabricate the crown. A temporary crown is manufactured which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.

While the tooth is numb, Dr Doman will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly.

At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.

You will be given care instructions and encouraged to have regular dental visits to check your new crown.

 

Bridges

What are dental bridges?

Dental bridges are used to replace missing teeth. A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.

A bridge can either be tooth-supported or implant supported and is often used as a replacement for a removable partial denture.

There are several types of bridges. Dr Doman will discuss the best options for your particular case.

The traditional bridge is the most popular type and is usually made of porcelain fused to metal. This type of bridge consists to two crowns that go over two anchoring teeth(abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.

Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.

Reasons for a fixed bridge:

• Maintain facial shape.

• Prevent remaining teeth from drifting out of position.

• Restore chewing and speaking ability.

• Restore your smile.

• Upgrade from a removable partial denture to a permanent dental appliance.\

 

What does getting a fixed bridge involve?

Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown.

Next, a highly accurate impression is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for ± 2 weeks until your next appointment.

 

A Conventional Bridge

There are several types of fixed bridges. These include:

- Conventional fixed bridges

- Cantilever bridges

- Resin bonded bridges

When a tooth or teeth are missing, they can be restored by placing crowns on the teeth next to the gap onto which false teeth are fixed. A bridge is cemented in place and cannot be removed by the patient. Bridges can be constructed from metal, porcelain, or a combination of the two.

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Implant Supported Bridge

Dental implants can support more than one tooth unit. In this case, the bridge is either cemented or screwed to the implants below.

The number of implants needed to support the bridge depends on many factors. There are always many alternatives to restore a missing tooth or teeth.

Implants are frequently used as an alternative to bridges to avoid tooth preparation. The advantages and disadvantages of the different options are explained to our patients as part of the treatment planning process.

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