Restoring The tooth with Fillings and crowns


Fillings  Fillings are needed if a tooth is decaying.  Composite resins are the standard of care in dentistry.  They are directly bonded to the tooth after the cavity has been removed.  Composite fillings are a tooth-colored silicate mixture of glass(silicon dioxide).  Amalgam or silver fillings are not used in our practice. 

Types of Dental Crowns Dental crowns are made of porcelain, metal, or porcelain fused to metal. The type of crown utilized during your dental crown procedure will depend on your unique needs and goals, as well as the recommendation of your dentist.

Metal Crowns Although their metallic color makes them a poor choice for highly visible teeth, dental crowns made of metal can be an ideal option for repairing decayed or damaged back teeth. They are extremely durable and can be applied with less removal of the natural tooth than all porcelain or ceramic crowns. Metal crowns may consist of various materials, including gold alloy, palladium, nickel alloy, or chromium alloy.

All Ceramic Crowns All ceramic crowns may be made of porcelain and other dental ceramic materials, like zirconia. They create a beautifully natural-looking appearance and are very strong. The tooth-colored ceramic material is translucent, like the enamel of your natural teeth, and size and shade can be carefully matched to complement the rest of your smile.

Porcelain Crowns with a metal base- crowns made of porcelain fused to metal are more aesthetically pleasing than those made of metal. However, their metal shell gives porcelain fused to metal crowns an opaque appearance. Because they lack the reflective quality of natural teeth, porcelain fused to metal crowns are not as discreet as all ceramic crowns. Additionally, over time, a thin metal band may be visible along the gum line with this type of crown. These, and all metal crowns are used in areas with limited space.

The Dental Crown Procedure Typically, the dental crown procedure is completed in two stages. During the first stage, the broken or decaying tooth is restored by removing cavity or a crack.  It is built back up with a large filling and prepared to put a crown on top of it.  An impression is made and sent to the lab,  A temporary crown will be in place between visits to ensure the most natural look and feel.  The final Crown will be cemented after it is carefully fabricated by the lab to fit the individual tooth.  Teeth with extensive damage may require that a root canal be performed prior to or sometimes after placing the crown. Additionally, new technology has made it possible to complete some dental crown procedures in a single office visit. A consultation with your dentist can help you better understand the unique steps in your dental crown procedure.

Replacing Old Dental Crowns Individuals may be interested in replacing old dental crowns for a number of reasons. Concerns about the appearance of metal crowns on prominent teeth may compel some patients to have their dental work restored with all ceramic or porcelain crowns. Other times, dental crown problems like wear, decay, or poor fit may lead patients to inquire about replacing older dental crowns. Typically, patients should expect to replace their dental crowns after approximately 10 to 15 years.

 Porcelain Veneers Porcelain veneers are a ceramic covering for the tooth.  Porcelain veneers can give an instantly white, straight, beautiful smile to candidates who have small, mis-shaped,  broken-down, or widely spaced teeth.  With minimal prepping of the tooth, approximately .8-1mm, the veneer can be bonded to the face of the tooth and add length, contouring, and a whiter appearance.