Restorative Dentistry

1. Bonding and White Filling
2. Bridges
3. Crowns
4. Dentures
5. Dental Implants

See also:
Root Canals
Veneers


1. Bonding and White Filling

Bonding /Filling is the process of filling gaps, cracks, or holes in teeth with a resin that is selected to match the affected tooth, or teeth, in color, and is commonly applied after a cavity has been removed.

The process involves application of a composite resin to adhesive bonding agent applied to the affected area. Once the resin has been sculpted, an ultraviolet light is used to harden the resin, which is then polished.


2. Bridges

Dental bridges are prosthetic teeth that are attached to the teeth or dental implants surrounding a gap created by missing or extracted teeth. They’re typically made of gold, other metals, alloys, or porcelain.

The first step of the process is to create attachment points (abutments) on the surrounding teeth, where the bridge will be attached, and to re-contour the surrounding teeth to ensure that they’ll form a continuous surface with the bridge. Afterwards, a mold of the area is taken and sent to a dental lab, where they’ll create your permanent bridge.

In the meantime, we’ll fit you with a temporary bridge to protect the abutments and avoid leaving a gap in your teeth. When the permanent bridge is complete, you’ll have a follow-up visit to replace your temporary bridge. Dental bridges might take some getting used to because you must learn to floss differently underneath them.


3. Crowns

Crowns are essentially tooth-shaped caps fitted over teeth, and are required if a tooth is weakened, decayed beyond the help of filling or bonding, or has undergone root canal therapy. Additionally, patients may choose to receive crowns for aesthetic purposes. If you are not a candidate for a CEREC crown, we also fabricate full gold and porcelain/metal crowns.

Rather than having a dental lab create your crown over the course of several weeks, we use a state-of-the-art piece of technology called a CEREC machine to create it in minutes, so your procedure is completed in a single visit. CEREC restorations are made of compressed porcelain, which can be adjusted in color to match the surrounding teeth.

The procedure for placement of a CEREC restoration is very simple. After the tooth has been cleansed of decay and shaped for the crown, Dr. Vincent will take a picture and upload it into the machine. You’ll be able to watch as the crown is designed and milled. The CEREC takes about 15 minutes to create the restoration, which is then placed on the affected tooth to try it in, then about another 15-20 minutes to stain and fire it in the oven.


4. Dentures

Dentures are prosthetic teeth affixed to a gum-colored base that may be removed at will, there are three primary types:

  • Conventional Full Dentures – All teeth are removed, given time to heal, and replaced with dentures.
  • Immediate Full Dentures – Measurements are taken in order to create the dentures prior to the extraction. After removing all teeth, the dentures are placed immediately. While you’ll have the benefit of not having to spend any time without teeth, you’ll need some follow-up appointments to refit and tighten the dentures as your jaw bone heals.
  • Partial Dentures – Partial dentures are an option when not all your teeth need to be removed, and are similar to a removable bridge.

Dentures may take some time to get used to, as the base is placed over your natural gums. Some patients say that dentures feel bulky or loose, and they may affect the way you talk or eat. Over time, however, these effects will diminish, and your dentures will begin to feel more natural.

You’ll need to brush your dentures and keep them clean of food particles, and they should be placed in room temperature water of a denture cleaning solution as soon as they’re removed. It’s important that your dentures are never placed in hot water, as this may warp or bend them. Additionally, they should never be dropped or adjusted without professional assistance.


5. Dental Implants

Dental implants are an attractive alternative to bridges in the replacement of missing or extracted teeth, as no additional teeth will require alteration. You may receive one implant or several.

The dental implant process will generally take several months, and begins with the placement of the implant. A screw will be placed in the jawbone through an incision, which is later sutured. Over the next three to six months, the jawbone will heal around the screw and anchor it in place. You may elect to have temporary crowns installed during this recovery period.

After the implant has healed, a base, or abutment, will be created, upon which your permanent crown will be placed.