Restorative dental treatments consist of anything that is done to give functionality back to damaged teeth. Sometimes, a restorative treatment will have the added benefit of giving you a better smile, but the primary purpose is simply to enable you to bite and chew the way you were meant to.
Restorative dentistry treatments can fix cracked or chipped teeth, wear, gapping and crowding as well as other problems that could make it difficult for you to bite or chew effectively. At King Street Dental Centre in Waterloo, we offer restorative procedures that are carried out using the most modern dental techniques and equipment.
Restorative Dentistry Treatments
- Dental Bridge
- Full or Partial Dentures
- Porcelain Crowns
- Porcelain Onlays or Porcelain Inlays
- Dental Implants
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Restorative Dentistry – Treatment Details
When missing teeth are replaced with a bridge, the adjacent teeth require crowns in order to support the replacement teeth. When a tooth is lost 5 or more other teeth may drift so it is important to place a replacement tooth as soon as possible. Leaving the space may cause several problems. Teeth may drift into space changing your bite. This may result in sore jaws, gum disease or decay due to more difficult hygiene. A fixed bridge can replace one or several teeth. The teeth on either end are used as anchors or abutments. Bridges are not to be removed.
Procedure For Fitting A Bridge
Almost half of adults have some form of periodontal disease. However the majority of these people do not even realize they have it. Periodontal disease (also known as gum disease) is a bacterial infection of the gums, bones and periodontal ligament (attachment fibers that support the teeth and hold them in the jaw).
Today dentures are not what they used to be. They can be fashioned to fit comfortably, appear natural and help you stay healthier. With a full service lab on premises, we can make dentures to your exact specifications and shade and have you smiling again as quickly as possible.
Complete dentures cover the entire jaw either upper or lower. They rest directly on the gums and take the place of teeth. Impressions are taken and fittings are required to make sure the fit is just right. This may take multiple visits but having well fitting dentures is a must for the patient to be able to eat and speak properly.
Partial Dentures Partial dentures are composed of a metal framework with plastic teeth and gum areas that take the place of missing teeth. The framework may include metal or resin clasps that act to hold the partial in place more securely.
At times the amount of decay, size of the previous filling or a necessity to prevent a fracture of a tooth makes a porcelain crown (also known as a cap) the restoration of choice. When done properly and with care, they can be of great service to a patient for many years.
Doing a crown is technique sensitive and the way it is done can differentiate from one dentist to another. It is important to maintain the most natural tooth structure under the crown when possible. An experienced dentist trained in the art of prosthetics uses magnification and state of the art dental handpieces (drills).
The impression technique must be precise for the crown to fit properly. Our in-house lab is extremely important because making a porcelain crown is done by a team; the dentist and the lab technician. Both parts of the team are important to ensure the patient receives the best work. If you have a fractured tooth, old broken down fillings or a severely decayed tooth, a crown or a cap is suggested. Crowns protect and strengthen the tooth structure and improve your appearance. They improve your overall smile and blend in with your own teeth. After root canal teeth tend to become brittle and more apt to fracture. A crown will protect the fragile tooth underneath.
Types of Crowns
- Full Porcelain Crown (or Cap)
- Porcelain fused to metal Crown
- Full metal Crown
At times a restoration is slightly too large for a filling to be placed but too small for a porcelain crown to be necessary. Porcelain onlays can match the color of the tooth exactly, are very durable and conserve the natural tooth structure.
Steps of a Porcelain Onlay Procedure
- The tooth is prepared and cleaned as it is for a filling.
- A precise impression is taken which is given to our in-house lab.
- The technician and doctor consult on the shade of the tooth.
- The onlay is carefully fabricated.
- The onlay is bonded into place.
There is no substitute for knowledge and experience. A well trained dentist who has seen patients for many years will know whether to guide a patient toward a filling, onlay or a crown for the restoration that will serve a patient the best.
A dental implant is essentially a substitute for a natural root and commonly it is screw or cylinder shaped. Each implant is placed into a socket carefully drilled at the precise location of the intended tooth. Often the implant can be placed at the same time as removal of the tooth all on the same day. If an implant has a screw-thread on its outer surface it can be screwed into position and if it does not it is usually tapped into place.
The main aim during installation of any implant is to achieve immediate close contact with the surrounding bone. This creates an initial stability, which over time is steadily enhanced by further growth of bone into microscopic roughnesses on the implant surface.
In order to support replacement teeth, dental implants normally have some form of internal screw thread or post space that allows a variety of components to be fitted. Once fitted, these components provide the foundation for long-term support of crowns, bridges or dentures.