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Dental Restoration: Types and Recommendations (2021)

Tooth restoration is a method of restoring the shape and functionality of teeth in case of their partial damage. Aesthetic restoration requires specific skills and extensive experience from the dentist. The Clinic of Aesthetic Dentistry employs only high-level specialists using advanced equipment.

Dentists in their daily practice use the latest technologies to create the perfect smile, focusing not only on aesthetics but also on the high strength and durability of materials. Modern methods allow achieving instant results and are an excellent alternative to expensive radical orthodontic correction techniques.

Dental Restoration Methods

There are two basic dental restoration methods for aesthetic restoration in dental therapy: direct and indirect methods. In the first case, it is assumed that the crown part of the tooth will be augmented with light-cured composites directly in the patient’s mouth. In the second case, unique fixtures created according to individual casts in the laboratory are used. Indirect restoration includes restoration methods such as stumps, veneers, crowns, etc.

Direct Dental Restoration: What Is It?

Direct restorations can be placed during a single appointment directly into the patient’s mouth. The technique is used mainly in the frontal incisors region and other teeth less loaded during mastication. To achieve high aesthetic results and efficiency, the doctor must have relevant experience. It is the optimal choice of methods, materials, and an adequate assessment in determining the restoring technique of the tooth’s integrity that provides the expected result.

The restoration’s success is achieved by applying a composite material, followed by the veneer plate’s fabrication, adhesive structures, and other forms. Direct restoration allows the restoration of partially lost teeth located along the smile line. Most often, photopolymers are used to restore the integrity of the tooth.

Direct restoration is suitable not only for the treatment of affected teeth but also for healthy ones with cracks, misshape, large interdental septa, and other enamel defects.

Innovative approaches allow restoring a tooth, even if the coronal plane is destroyed by more than one-third. An essential condition in this case is preserving the dental root and the absence of pathologies of the gingival tissue in the restoration area. Due to direct aesthetic restoration, it is possible to eliminate defects in the enamel and slightly correct the teeth position.

How Does Direct Dental Restoration Work? 

The procedure is carried out in one visit with high-quality light-curing materials by a specialized therapist. The tooth restoration process includes several main stages:

➢ preparation – hygienic cleaning of teeth, selection of polymer color, anesthesia;

➢ preparation of an affected area or defect within healthy tissues;

➢ isolation of the restored tooth from other teeth and saliva during manipulation using rubber dam;

➢ placement of the most transparent fiberglass pin (if necessary);

➢ modeling of the crown part of the tooth by layer-by-layer application of a composite material;

➢ grinding and polishing of a new tooth.

Aesthetic restoration of the incisors is carried out using various orthopedic or therapeutic techniques. Direct composite veneers minimize the time spent at the dentist, provide high aesthetics and functionality of dental units, and are affordable and suit many patients. A prerequisite for successful restoration is compliance with all preparation conditions and guidelines regarding light-cured fillings.

Advantages and disadvantages

Direct dental restoration carried out in one visit has some advantages:

  • fast tooth restoration;
  • the ability to restore several units at once;
  • excellent aesthetics and durability;
  • long service life;
  • the ability to correct some defects of the tooth enamel.

The dental restoration method has some peculiarities. For example, an extended stay in the dentist’s chair. Or the possible need to solve related problems that arise in challenging clinical situations.

After restoring the tooth’s integrity, it is essential to follow proper oral hygiene and schedule professional teeth cleaning at least 2 times a year. Discoloration of the restored unit may occur frequently.

What Are Indirect Tooth Restorations?

The indirect method or placement of a specific inlay core is one of the methods of microprosthetics. The method is recommended if it is too late to place a filling due to significant tooth decay and too early to fix the crown – if the root system is intact. The product is manufactured in the laboratory by the individual casts.

There are two types of inlays:

  1. The classic one – conventional structure replacing part of the crown of the tooth;
  2. The stump structure – replacing the crown and part of the root fragment.

In case of severe damage, the inlay replaces the analog of the traditional dental post. Classic or stump inlays are made of composite, pressed ceramics, zirconium, porcelain. For maximum accuracy of the micro prosthesis, the doctor takes an impression from the destroyed tooth and the opposite jaw.

Crowns Placement

In case of severe destruction of the crown part of the tooth or its root, aesthetic restoration is not enough. In this case, prosthetics are performed with a single crown or a stump or implant-supported bridge. When it comes to restoring anterior teeth, aesthetics is crucial. For this reason, patients more often choose ceramic crowns as a base and veneers due to highly aesthetic materials. Such crowns are durable, and the tooth can be restored directly. The service life of ceramic crowns reaches 10-15 years. 

Porcelain Fused Metal

Porcelain-fused-to-metal crowns are the most common material for manufacturing due to high visual appeal, durability, and affordability. The porcelain fused metal crown is fixed on a metal frame and covered with ceramic glaze.

The design disadvantage is the possibility of the prosthesis staining due to the metal base protruding through the enamel. Besides, it is not always possible to achieve a reliable adherence of the metal base to the gingival tissue. Nevertheless, patients most often choose porcelain fused to metal crowns to restore the dentition’s integrity due to their strength and affordable price.

All-Ceramic Crowns

All-ceramic crowns are the most aesthetically satisfying due to the translucency created by ceramic coating lamination. Such products are somewhat inferior to the porcelain fused to metal crown durability, but they resemble natural teeth and, in some cases, shine brighter than natural teeth.

Today, there are quality e.max Press ceramic products applying modern CAD / CAM technologies available on the market. The service life of such structures is more than 15 years. Translucency, strength, and visual naturalness make dentures popular with patients.

Zirconium

Zirconium crowns meet modern quality and beauty criteria. Zirconium products are durable, aesthetic, with a service life of more than 15 years. A single crown can be anchored to the coronal part of the tooth or a fiberglass post. Sometimes a zirconium crown is fixed on the stump tab, provided that the tooth is completely destroyed. If the root is missing or needs extraction, the crowns are placed on the implant.

Implantation

It is an innovative method of restoring the dentition requiring implantation of a titanium post into the bone tissue. The post mimics the natural tooth’s root. Later, an abutment and a crown or bridge are installed on it. Modern implantation methods are ideal even for edentulous patients.

Implant systems provide reliable prosthetics with fixed or overdenture restoration. Manufacturers promise a lifetime warranty on their products.

Installation of Veneers

Veneers are aesthetic overlays for teeth with visibly damaged enamel, including chips, yellowness, microcracks, and other defects. Besides, veneers or thinner lumineers can solve the problem of slight teeth curvature. Custom-made ceramic overlays are individually manufactured in the laboratory. The term of production is about 5-14 days. Lumineers take a longer time to be manufactured.

Veneers solve a wide range of problems associated with insufficient smile attractiveness or the desire for cosmetic improvements in dental appearance. In addition to ceramic overlays, veneers can also be made of composite material. In this case, the tooth’s surface is coated in layers directly in the patient’s mouth. In fact, the method of veneering with a composite material is the same direct method of aesthetic restoration but overlapping the enamel outer surface.

Aesthetic restoration of teeth is a popular method of teeth restoration in Kyiv. The Clinic of Aesthetic Dentistry offers innovative solutions, helping patients choose the ideal correction method. Investing in the beauty of a smile is not only about external aesthetics. A beautiful smile means health and confidence.

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