Restorative

Restorative

Fillings

After diagnosing the problem and devising a treatment plan, the next step to restore a tooth to health is to make you comfortable. We give you a local anesthetic so you do not feel any discomfort. After the decay is removed, the tooth is designed to receive either a direct restoration or an indirect restoration.
A direct restoration means the tooth can likely be restored in one visit and that there is sufficient tooth structure for the filling to go inside the tooth or at least sufficient tooth structure to maintain the majority of the natural tooth. Examples of direct restorations are amalgam, which is silver colored and composite, which is tooth colored. There have been more amalgam fillings placed worldwide than any other fillings but the tooth-colored fillings are being placed more than amalgam fillings these days because of their superior esthetic qualities.
An indirect filling means the restoration is made outside of your mouth, either by a lab or by a milling machine. An indirect filling also needs to be cemented into place. Examples of indirect restorations are crowns, inlays and onlays. A crown covers the entire tooth, an inlay fits inside the tooth and can replace a wall of the tooth, and an onlay replaces at least one cusp of the tooth.

Most indirect restorations take two or more appointments to complete, with the exception of restorations that are milled by a machine in the office. Cast gold is the most durable indirect restoration material but porcelain ceramics are gaining in popularity because of their superior esthetic qualities.

After diagnosing the problem and devising a treatment plan, the next step to restore a tooth to health is to make you comfortable. We give you a local anesthetic so you do not feel any discomfort. After the decay is removed, the tooth is designed to receive either a direct restoration or an indirect restoration.
A direct restoration means the tooth can likely be restored in one visit and that there is sufficient tooth structure for the filling to go inside the tooth or at least sufficient tooth structure to maintain the majority of the natural tooth. Examples of direct restorations are amalgam, which is silver colored and composite, which is tooth colored. There have been more amalgam fillings placed worldwide than any other fillings but the tooth-colored fillings are being placed more than amalgam fillings these days because of their superior esthetic qualities.
An indirect filling means the restoration is made outside of your mouth, either by a lab or by a milling machine. An indirect filling also needs to be cemented into place. Examples of indirect restorations are crowns, inlays and onlays. A crown covers the entire tooth, an inlay fits inside the tooth and can replace a wall of the tooth, and an onlay replaces at least one cusp of the tooth.

Most indirect restorations take two or more appointments to complete. Cast gold is the most durable indirect restoration material but porcelain ceramics are gaining in popularity because of their superior esthetic qualities.

Crowns

When the structure of the entire tooth is compromised, a crown, which covers all the surfaces of the tooth, will need to be placed.

The first step is to prepare the tooth for a crown, which requires us to reduce the tooth so the lab has enough room to produce a life-like crown. We then take an impression, select the proper color for the crown and make a temporary, at which time the first appointment is completed.

Your case is then sent to the lab to make the crown, which is then tried in and adjusted. Our job is to communicate what your wishes and desires are to the lab technicians so your new crown will be in harmony with the surrounding teeth.

Before your new crown is cemented, we check the fit, the contacts, the bite and the color to make sure it has the same characteristics of your natural teeth.
You then go home with a beautiful natural looking healthy tooth.

Bridges

When a tooth has been lost and there are healthy teeth on both sides of the newly missing tooth or teeth, then a fixed bridge is a treatment option. The other options are implants or a partial denture.

The procedure for having a fixed bridge made is essentially the same as having a crown made except that a fixed bridge involves at least two supporting teeth. What does cause confusion is the amount of teeth needed for a fixed bridge. To replace one missing tooth requires a three tooth bridge. This is because the teeth on both sides of the missing tooth must be part of the bridge to provide support.
Fixed bridges are typically made from porcelain with a metal sub-structure and they require at least two appointments. The first appointment is used to prepare and temporize the teeth. The second appointment is the delivery appointment to adjust and cement the fixed bridge in place. Occasionally a third appointment is needed if the span of the bridge is long and the supporting framework for the bridge needs to be tried in before the porcelain is applied to the framework.

Even though all of the teeth of the bridge are physically connected, the final result makes it look like the teeth are individual and natural.