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Teeth restoration

WHAT IS AESTHETIC DENTAL RESTORATION?

Restoration is a technique to restore and improve teeth shape, color, and function with a composite (photopolymer). The dentist applies it to the prepared tooth in layers directly in the patient’s mouth. This type of restoration is called direct composite restoration. This concept is broader because aesthetic dental work involves indirect ceramic restorations created in the laboratory manually and digital modeling and manufacturing systems.
Depending on the desired result, occlusal characteristics, initial state of the teeth, direct and indirect restoration methods are used.

WHEN TO CONSIDER A DENTAL RESTORATION?

Suppose the tooth is damaged by cavities, erosion, abrasion, trauma, or another significant defect. For example, it needs replacing an old restoration or modification to conform with objective aesthetic parameters. In short, restoration is required when a tooth has a defect that impairs its function, aesthetics or that can lead to decay.

Any restoration aims to restore the functionality and aesthetics of teeth, prolong vitality and service life.

Therefore, we strive to use all the best-known today respective techniques. The dental microscope facilitates the complete cleaning of the tooth from the signs of decay before restoration while allowing for a more gentle preparation. Antiseptic treatment and isolation help keep the tooth tissue under restoration unchanged for many years, creating conditions for lifelong service in some cases.

TYPES OF AESTHETIC TEETH RESTORATION

Direct restoration
Indirect restoration

HOW IS DIRECT AESTHETIC RESTORATION PERFORMED?

Direct restoration requires the use of composite materials. They are applied layer by layer, modeled, and harden on the tooth exposed to a dental curing light. The correct approach to restoration means that for the anterior teeth, where the material’s optical properties are most important, a universal hybrid composite that is optimal in terms of color and transparency will be used. While for the chewing teeth, a specially designed composite with high strength should be used.
Direct composite restoration is currently the most common single visit dental restoration.
Case №1
The patient suffered from an unsatisfactory photopolymer restoration of her 4 front teeth.
The patient suffered from an unsatisfactory photopolymer restoration of her 4 front teeth.
Final result.

HOW IS INDIRECT AESTHETIC RESTORATION PERFORMED?

Indirect restorations are manufactured in the laboratory and are ready to be placed. The material is modern one-piece ceramics, which is outwardly indistinguishable from the natural tooth. Simultaneously, the options vary from the smallest and thinnest – ceramic fillings, veneers, onlays, to the restorations covering several tooth surfaces – partial crowns (overlays) and full crowns.
The peculiarity of this type of restorations is exceptional accuracy, durability, no shrinkage of the material, and over time, there is no color and gloss change.
Online record
Online record

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    DENTAL RESTORATION VS. VENEERS

    Direct restoration Direct restoration is convenient because, as a rule, it is performed in one visit, and you immediately get a simple solution to the aesthetic issue. It is a cost-effective and durable solution for most basic conditions.
    Сeramic veneers The advantage of ceramic veneers is selecting the nuances of their future shape, excellent durability, and service life. Besides, ceramics are not subject to discoloration and gloss loss. Another benefit is the ability to hide intense discoloration of the abutment teeth.
    Case №2
    The patient asked to replace the old photopolymer restorations of the four central incisors in the upper jaw and make the teeth whiter.
    The mandibular lateral incisor and the left premolar were missing.
    We suggested changing the height of the teeth, shape, and color using ceramic restorations.
    Final result after treatment
    Within a month, ceramic restorations were made and fixed on both jaws.
    As for the lower jaw, we suggested changing the shape of the right canine, a lateral incisor, and making a canine from the missing 4th tooth. After agreeing on the shape and color of the teeth, we started to implement the project.

    DIRECT OR INDIRECT DENTAL RESTORATION: WHICH ONE TO CHOOSE?

    When a tooth has a small defect, it did not undergo root canal treatment, and it does not bear the main chewing load, the choice in favor of a direct composite restoration is evident. In other cases, a monolithic ceramic restoration is worth considering since the more extensive the restoration volume, the greater the shrinkage of the material itself and the more noticeable the external effect on it will be when chewing.
    1. What is the difference between veneers and lumineers? Veneers and lumineers are dental onlays, also called microprosthetics. Applying the traditional dental veneers usually involves grinding a part of the tooth approximately 0.3-0.7 mm. So in the future, you will have to wear veneers permanently as a protective element. Lumineers do not require tooth facing; these are the same veneers, only in the premium segment; they are extremely fine and durable but are more expensive than veneers.
    2. Is it true that fillings on front teeth discolor over time, but veneers do not? Yes, composite materials lose particles over time, and pigments get into empty micro-spaces.