Dental restoration refers to any procedure that restores or replaces a tooth. There are two goals to restorative dentistry: to restore the function of the teeth and to restore the appearance of the teeth. Dental implant surgery is a restorative procedure that includes cavity fillings, root canals, and even dental implants. Sometimes they are one or the other, while sometimes they are both.
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A crown is a custom-made covering that fits over an original tooth that is decayed, damaged or cracked. Crowns are made of a variety of different materials such as porcelain, gold, acrylic resin or a mix of these materials. Porcelain generally has the most natural appearance, although it is often less durable.
The treatment plan for a patient receiving a crown involves:
- Numbing the tooth to remove the decay in or around it.
- Re-sculpturing the tooth to provide an ideal fit for the crown.
- Making an impression of your teeth in order to create a custom-made crown (usually takes one to two weeks).
- Making a temporary crown out of acrylic resin and fitting it onto the tooth during the interim period when the custom-made crown is being created.
- Applying the custom-made crown (when received from the lab) by removing the temporary crown and fitting the custom-made one onto the tooth.
- After ensuring that the crown has the proper look and fit, the dentist cements it into place.
This process generally consists of a minimum of two to three visits over a three to four week period. Once the procedure is completed, proper dental hygiene, including daily brushing and flossing, is required to maintain healthy, bacteria-free teeth, gums and crowns. This helps in the prevention of gum disease. Given proper care, your crowns can last a lifetime.
A root canal is a procedure that extracts decayed pulp from the central part of the tooth, reshapes the canal and replaces it with strengthening filler.
A cavity is the result of superficial decay of the enamel of the tooth. Left long enough, this decay can burrow into the deeper reaches of the tooth, causing extensive damage to tooth structure. When the damage goes beyond what can be treated with a filling, dentists can perform a root canal (or endodontics), preserving the tooth and retaining its original integrity; thereby, saving a tooth that in the past would have to have been pulled.
Procedure:
- The patient undergoes anesthesia.
- A dental dam is used to isolate the tooth.
- The tooth is opened to allow for removal of infected or dead dental pulp.
- The tooth is comprehensively cleaned, including any cracks and canals.
- With special tools, the doctor reshapes the canals.
- The tooth is filled again with cutting edge biocompatible filling material.
- A temporary covering is used to cover the access opening.
- Patients MUST see their regular dentist quickly for a permanent restoration of the tooth.
A bridge, otherwise known as a fixed partial denture, is a dental device that fills a space that a tooth previously occupied. It is not removable by the patient. (A device that is removable by the patient is called a partial denture). A bridge may be necessary to prevent:
- Shifting of the teeth that can lead to bite problems (occlusion) and/or jaw problems and resultant periodontal disease.
- Bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.
There are three main types of bridges, namely:
- A fixed bridge is the most popular and consists of a filler tooth that is attached to two crowns, which fit over the existing adjacent teeth and hold the bridge in place.
- The “Maryland” bridge is commonly used to replace missing front teeth and consists of a filler that is attached to metal bands that are bonded to the back of the adjacent teeth.
- The cantilever bridge is often used when there are teeth on only one side of the missing tooth/teeth. A typical three-unit cantilever bridge consists of two crowned teeth positioned next to each other on the same side of the missing tooth space. The filler tooth is then connected to the two crowned teeth, which extend into the missing tooth space or end.
A dental partial is a prosthetic device that replaces missing teeth. Replacing missing teeth should make eating a more pleasant experience. Start out by eating soft foods that are cut into small pieces. Chew on both sides of the mouth to keep even pressure on the denture. Avoid foods that are extremely sticky or hard. You may want to avoid chewing gum while you adjust to the denture.
Periodontal disease, injury and tooth decay can all cause a loss of your natural teeth. However, we can bring back the smile on your face with dentures to restore your missing teeth. With improved technology and updated materials, dentists can now make them appear more natural and more comfortable for the patient.
Types of Dentures
There are two types of dentures: complete and partial.
- Complete dentures cover the patient’s entire jaw.
- Partial dentures, with their metal framework, replace multiple missing teeth.
To know which type is best for you, be sure to ask your doctor.
It may take some time to adjust to your dentures. Speaking and eating may feel different at first, but these regular activities will resume normally once you are accustomed to your dentures.
Dental implants are artificial tooth replacements that were first developed half a century ago by a Swedish scientist named Per-Ingvar Branemark. Implants arose from the patient’s need to secure loose-fitting dentures. Since the advent of the implant, engineering and enhancements to the implant have enabled dentists to expand the implant’s usefulness, including the replacement of missing or lost teeth. Today, implant techniques provide a wide range of tooth replacement solutions including:
- Single Tooth Replacement
- Anterior Replacement
- Posterior Replacement
- Full Upper Replacement
Types of Implants
There are three main types of implants:
- The root implant
- The plate form implant
- The subperiosteal implant
The root implant—by far, the most popular—is the most effective because it mirrors the size and shape of a patient’s natural tooth. This implant is often as strong as the patient’s original tooth. The implant or artificial root is placed into the jawbone under local anesthesia, then allowed to heal and integrate with the bone. Once the healing process is completed and the jawbone is attached to the implant, the patient returns to the dental office where the implant is fitted with the new tooth. This process generally takes anywhere from three to eight months.
The plate form implant is ideal in situations where the jawbone is not wide enough to properly support a root implant. The plate form implant is long and thin, unlike the root implant, and anchors into thin jawbones. It is inserted the same way as a root implant. In certain cases, the plate form implant is immediately fitted with the restoration without waiting for the healing process to run its course.
The subperiosteal implant is used when the jawbone has receded to the point where it can no longer support an implant.
Post-Implant Care
Although proper oral hygiene is always recommended for maintaining good dental health, it is especially important when a patient has received a dental implant. Bacteria can attack sensitive areas in the mouth when teeth and gums are not properly cleaned, thus causing gums to swell and jaw bones to gradually recede. Recession of the jawbone will weaken implants and eventually make it necessary for the implant to be removed. Patients are advised to visit their dentists at least twice a year to ensure the health of their teeth and implants. Dental implants can last for decades when given proper care.
