Tooth Colored Fillings
Composite fillings are what people think of when they say "white fillings" or "porcelain fillings". We call them tooth colored fillings to distinguish them from amalgam, gold and temporary filling materials. There are a number of different formulations of composite filling, but the type most commonly used today is made of microscopic glass, or porcelain particles of varying shapes and sizes (depending on the intended use) embedded in a matrix of acrylic. The glass particles account for between 60% and 80% of the bulk of these materials, so these restorations could more properly be called porcelain fillings.
What are dental crowns and why are they used?
A dental crown is a fixed prosthetic device that covers, or caps a tooth to restore it to its normal shape and size. Its purpose is to strengthen or improve the appearance of a tooth. When complete, a crown will cover the entire portion of your tooth that appears above your gum line. Unlike dentures which are removable so you can remove them to clean daily, crowns are cemented onto teeth. Removal of a crown must be done by a dentist.
A crown is placed for a number or reasons:
- To support a large filling when there isn't enough tooth remaining
- To attach a bridge
- To protect weak teeth from fracturing
- To restore cracked or chipped teeth
- To restore a tooth that has been worn down by bruxism (teeth grinding)
- To cover badly shaped or discolored teeth
- To cover a tooth that has had root canal treatment
- To cover a dental implant
What is involved in getting a dental crown?
Typically, receiving a dental crown will require two visits with Dr. Van Treese. In your first visit, Dr. Van Treese will evaluate and prepare your tooth/teeth for a crown.
This process includes the following steps:
- X-rays will be taken to check the roots of your teeth.
- The tooth will then be prepared to make room for the crown.
- Dr. Van Treese will make an impression of your teeth to ensure your crown is manufactured specifically for your tooth or teeth.
- The impression will be sent to a dental lab where your crown will be milled.
- A temporary crown will be placed on your tooth to protect the tooth until the permanent crown is ready.
After your first visit you will schedule your second visit to complete the process of placing the crown. Your second visit will include:
- Removing the temporary crown
- Placement of your permanent crown
What will the finished dental crown look like?
One of our main goals is to create crowns that look like natural teeth. To achieve this, a number of factors are considered such as the color, occlusion or "bite", shape and length of both your natural teeth and of the artificial crown. Any one of these factors alone can significantly affect your appearance.
How long will a dental crown last?
Some crowns will last a lifetime, sometimes crowns will become loose or fall out. After your procedure is completed it is important to remember to take proper care of your crown(s) with good oral hygiene to ensure the longevity of your crown. Good oral hygiene means brushing and flossing twice daily and seeing Dr. Van Treese in his Sidney, OH dental office for regular dental check ups and teeth cleaning.
Made of a strong, natural-looking material, usually porcelain, onlays are larger restorations, extending over one or more sides of your tooth, and can be used similar to a crown or cap. A conservative procedure that requires far less tooth removal than its metal counterpart, an onlay increases tooth strength and provides enduring protection for the tooth. Unlike metal fillings, an onlay can often be used to repair only the damaged portion of the tooth, leaving much more of the original tooth structure intact.
A dental bridge is a type of false tooth called a pontic. Two porcelain crowns surround this tooth and it is fused in place. A dental bridge is intended to fill a gap caused by a missing tooth. This will help to stabilize a patient's bite, and to keep other teeth in the area from shifting and creating a bite problem.
When an individual has a fixed dental bridge, the two crowns that hold the false tooth are attached to healthy, adjacent teeth. A fixed bridge is designed to remain in the mouth and cannot be removed and replaced like partial dentures. A fixed dental bridge may be used to replace just one tooth or several.
Another type of dental bridge, called a cantilever bridge, is used to replace a missing tooth in an area of the mouth that receives less physical stress. For example, a cantilever bridge may be used to replace a missing front tooth. This type of dental bridge is used when just one side of the empty space caused by an absent tooth has remaining healthy teeth. With a cantilever bridge, the false tooth is anchored to one or more natural teeth.
Scroll over images to see the after result!
There are various types of complete dentures. A "Conventional Denture" is made and placed in the patient's mouth after the remaining teeth are removed and tissues have healed which may take several months. An "Immediate Complete Denture" is inserted as soon as the remaining teeth are removed. With immediate dentures, the denture wearer does not have to be without teeth during the healing period. "Implant Retained Dentures" are the most comfortable dentures currently available. Often 2 locator implants are placed in the lower jaw. The denture then snaps into place on the implants making a solid fit for the lower denture. "Mini Implants" are another option for lower denture retention. These work well for people who have lost a lot of bone in their jaw.
Even if you wear full dentures, you still must take good care of your mouth. Brush your gums, tongue and palate every morning with a soft-bristled brush before you insert your dentures to stimulate circulation in your tissues and help remove plaque..
A root canal, also called endodontic treatment, is a procedure used to save an abcessed tooth. A root canal removes the infected nerve, disinfects the root and fills the space where the nerve was to prevent re-infection. After a root canal, a crown will be placed on the tooth at a later visit to provide strength for a long lasting result. Root canals are performed with the same numbing as having a filling and at the same comfort level.
Root Canal Treatment Step By Step