Bonding & Fillings

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When a tooth has a minor chip, crack, discoloration, or decay, dental bonding can be a simple way to cover these flaws. The bonding material is tooth colored that completely blends with the rest of the teeth. By being white, these dental fillings restore and mimic the natural appearance of tooth structure.

Is dental bonding right for you? It may be an option if you would like to:
  • Repair decayed teeth
  • Change the shape of your teeth, making them appear to be more straight or even
  • Improve the appearance of discolored teeth
  • Close gaps/spaces in your teeth
  • Protect a tooth root that may be exposed when the gums recede
What are the advantages of tooth colored fillings (white fillings)?
  • They closely match natural tooth color and appearance.
  • They bond to tooth structure chemically and thus do not require the placement of slots, grooves or pins in healthy tooth structure to mechanically retain them.
  • The bonding of white fillings to the tooth restore 85% – 95% of the original strength of the tooth.
  • They completely harden in seconds instead of days required by some other materials.
  • Tooth sensitivity, if any, due to composite resin use is minimal and brief.
  • They may be used on front and back teeth without compromising esthetics or strength.
  • If damaged they can be repaired.
What is the bonding process, what can be expected from your office visit?

Dental bonding with composite are placed in one appointment. The tooth will be numbed with local anesthetic if necessary. Then the Dentist will remove the decay, fracture, or stain. The remaining tooth is prepared and cleaned for the bonded composite filling. The composite is then placed, shaped, and polished to blend in seamlessly with your smile. After your appointment, you may experience some sensitivity which will subside within a short period of time.

Crowns & Bridges

 

Crowns and Bridges

 

Dental CrownAre you a candidate for a dental crown?

A crown is a “cap”, that is tooth shaped. It is placed on top of a tooth to restore its function, shape and size as well as improve aesthetics.

It may be needed to:

 

  • Protect a weak tooth or cracked tooth
  • Cover a tooth that has had a root canal
  • Cover a dental implant
  • Restore a broken or decayed tooth

 

What are dental bridges:

Dental bridges are permanent dental appliances made to replace missing teeth.
These bridges can be supported by natural teeth or created with implants. It is important to create a bridge when you have missing teeth, to prevent shifting of the natural teeth. Bridges are natural looking, allow for comfortable chewing and can be easily cleaned and maintained.

Dental bridge and crown procedure:

During the first appointment, the tooth is prepared and shaped. An impression of the tooth is taken and a temporary crown is placed. The impression is then sent to a dental laboratory to fabricate a custom designed crown. At the second visit the dental crown, and/or bridge is cemented and the procedure is complete.

Caring for your crown on bridge:

It is very important to take good care of the crown of bridge with proper brushing and flossing. A quality crown or bridge can last many years. If you grind your teeth, your dentist may recommend a mouth guard to protect your new crown and the rest of your teeth.

Inlays & Onlays

Inlays and Onlays

 

ToothInlayPlacing an inlay or an onlay may be necessary if the tooth is damaged to the point of not being a candidate for a filling. By placing an inlay/onlay, this will eliminate tooth sensitivity in the decayed tooth, and will reduce the likelihood of losing that tooth.

An onlay restores a large area of a tooth, while an inlay lies inside the tips (cusp) of the biting surface of the tooth. Inlays and onlays can be placed when teeth are cracked or are chipped.

Inlays and onlays are laboratory-processed ceramic restorations manufactured to match the natural color of the tooth. Inlays are approximately filling size without the inclination to break-down over time the way a traditional amalgam filling does and are cemented in place. Onlays are more conservative than a full coverage crown.

Inlay and Onlay Procedure:

Similar to crown procedure, an inlay/onlay procedure typically requires two appointments. The decay and or cracked filling is removed. The tooth is then prepared and cleaned. An impression is taken of the tooth and is sent to the laboratory to manufacture the inlay/onlay which will match the shape, size and color of the original tooth. A temporary inlay/onlay is placed. At the second visit, the temporary inlay/onlay is replaced with a permanent one.

Dental Implants
dentaimplantDental implants are an excellent alternative to bridges, partials, and dentures. Implants replace one missing tooth or many missing teeth. The implants are surgically placed by a maxio-facial surgeon. Once the implants are placed, the surrounding bone, over time, fuses to the implant surface (Osseo integration). Following Osseo integration, crowns or bridges are attached to the implants. The replacement of teeth by implants is so reliable that it is, in most cases, considered the first choice over a fixed bridge, a removable partial, or a denture. Implants will give the patient a lifetime of service simulating real teeth.
Root Canals

Root Canal Treatment

 

rootcanal1The word endodontics can be separated into, eno, “within,” and odous, meaning “tooth.” Endodontic therapy, also referred to as root canal therapy within the tooth, is aimed at removing, clearing, the infection at the pulp.

Dental tooth Anatomy:

The outer most layer of the tooth is called the enamel, which consists of mineral, organic matter and water.   The sometimes yellow appearance in the tooth color is a result of dentin d iscoloration.   Dentin is needed to support the outer most layer, the enamel.  Lastly, the dental pulp is the center of the tooth.  Part of the pulp is actually inside the root, also known as the root canal and is made up of soft tissue.  The pulp includes a network of nerves and blood vessels that are responsible for making the dentin, supplying nutrients and moisture to the tooth and allowing extreme temperatures to be sensed.

If the pulp of the tooth decays or becomes diseased, in order to save the tooth, endodontic therapy is required.  This involves, the removal of everything that is present inside the canal.  By removing everything from the canal, the area can be left clean and decontaminated via using irrigation solutions.  The area is then filled with inert fillng.  After this procedure, the patient will no longer feel pain, as the tooth will be dead, since all of the nerve tissues will be taken out and the infection will ultimately be eliminated.

What can you expect from the first appointments?

The first appointment will focus on removing all of the infection and the contents of the pulp in order to disinfect and clear the area.  The area will then be filled with specialized material and a crown is then manufactured prevent the tooth from breaking. It is important to notify our office as soon as any tooth sensitivity or pain is felt.  If a cavity or facture is present root canal therapy may be prevented if early measures are taken to remove the decay or fix the fracture with a composite filling, onlays, or crowns.