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Opertative Dentistry
 

Dental Bonding (White restorations)

Bonding is the application of a tooth-colored composite resin (plastic) to repair a decayed, chipped, fractured or discolored tooth. Unlike veneers, which are manufactured in a laboratory and require a customized mold to achieve a proper fit, bonding can be done in a single visit. The procedure is called bonding because the material bonds to the tooth.

Benefits of Dental Bonding

  • Repairs decayed teeth (composite resins are used to fill cavities)
  • Repairs small chipped or cracked teeth
  • Improves the appearance of discolored teeth
  • Closes space and gaps between teeth
  • Makes teeth look longer
  • Changes the color and shape of teeth
  • As cosmetic alternative to amalgam fillings
  • Protects a portion of the tooth's root that has been exposed when gums recede

Procedure for Dental Bonding

  • Preparation. Little advance preparation is needed for dental bonding. Anesthesia is often not necessary unless the bonding is being used to fill a decayed tooth Your dentist will use a shade guide to select a composite resin color that will closely match the color of your tooth.
  • The bonding process. The surface of the tooth will be roughened and a conditioning liquid applied. These procedures help the bonding material adhere to the tooth. The tooth-colored, resin is then applied, molded and smoothed to the desired shape. An ultraviolet light or laser is then used to harden the material. After the material is hardened, your dentist will further trim and shape it, and polish it to match the sheen of the rest of the tooth surface. Time-to-completion. The procedure takes about 30 to 60 minutes per tooth to complete.

Recovery expectations
Since bonding does not result in the removal of any tooth structure, there should be little or no sensitivity.

Care for Dental Bonding

  • Simply follow good oral hygiene practices. Brush your teeth at least twice a day, floss at least once a day and see your dentist for regular professional check-ups and cleanings.
  • Because bonding material can chip, it is important to avoid such habits as biting fingernails; chewing on pens, ice or other hard food objects; or using your bonded teeth as an opener. If you do notice any sharp edges on a bonded tooth or if your tooth feels odd when you bite down, see your dentist.

Inlays and Onlays


Dental inlays and onlays are restorations used to repair rear teeth that have a mild to moderate amount of decay. They can also be used to restore teeth that are cracked or fractured if the damage is not severe enough to require a dental crown. Inlays and onlays are usually made from porcelain, composite resin, and sometimes even from gold. Because they can be created from tooth-colored materials, inlays and onlays are often used to replace metal fillings for patients who desire a more natural looking smile. Read on to find out about how inlays and onlays may be able to enhance your smile’s health and appearance.

Benefits of Dental Inlays and Onlays:

  • Increase the strength of a tooth with respect to fillings
  • Alternative to an crown when teeth damage is not extensive
  • Porcelain inlays/onlays does not change color over time
  • Gives better esthetic appearance compared amalgam fillings

Types of Inlays and Onlays
Inlays and onlays can be made of porcelain, gold, or composite resin. Porcelain inlays mimic enamel's translucency and color, making them attractive choices for patients. Gold alloy inlays and onlays possess greater durability.
The porcelain inlays and onlays used at Patong Smile Dental Clinic include the IPS Empress system and the new e-max crowns from Ivoclar Vivadent, Procera Nobel Esthetics from Nobel Biocare, and Cercon Smart Ceramic (Zirconium Crown) from Dentsply.

Procedure for Dental Inlays and Onlays Treatment
At the first visit, the old filling, or decay, is removed, and the tooth is prepared for the inlay / onlay.  The dentist will then make an impression of the tooth, and send this impression to a dental laboratory.  This impression will be used by the laboratory to construct a custom-made porcelain, or gold inlay / onlay.  At this time the dentist will place a temporary sealant on your tooth and schedule a second appointment

At the second visit, the temporary sealant is removed.   Your dentist will then ensure that the inlay / onlay fit properly in the tooth and do not interfere with your bite.  The inlay / onlay is then bonded into the tooth with a strong bonding resin, and polished smooth.

Care for Dental Inlays and Onlays

  • Simply follow good oral hygiene practices. Brush your teeth at least twice a day, floss at least once a day and see your dentist for regular professional check-ups and cleanings.
  • Because bonding material can chip, it is important to avoid such habits as biting fingernails; chewing on pens, ice or other hard food objects; or using your bonded teeth as an opener. If you do notice any sharp edges on a bonded tooth or if your tooth feels odd when you bite down, see your dentist.

Dental Veneers

Dental veneers (sometimes called porcelain veneers or dental porcelain laminates) are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your appearance. These shells are bonded to the front of the teeth changing their color, shape, size or length.

Dental veneers can be made from porcelain or from resin composite materials. Porcelain veneers resist stains better than resin veneers and better mimic the light reflecting properties of natural teeth. Resin veneers are thinner and require removal of less of the tooth surface before placement. You will need to discuss the best choice of veneer material for you with your dentist.  

Benefits of Veneers

  • Porcelain veneer is an extremely durable material with a color, translucence and texture that is similar to tooth enamel
  • Corrects the alignment of teeth "instant braces"
  • Veneers can effectively close diastemas (gaps between teeth)
  • Lengthens and reshape teeth
  • Repairs chipped, broken, worn down or misshapen teeth
  • Covers tetracycline stains and discolorations such as fluorosis, prescence of large resin fillings
  • Gum tissue tolerates porcelain well
  • Color of a porcelain veneer can be selected such that it makes dark teeth appear whiter
  • Does not require extensive shaping that crowns do and is a stronger, more aesthetic alternative to bonding

The Advantage of porcelain veneers
        • Porcelain veneers create a very life-like tooth appearance.
Porcelain veneers, because they are glass-like, have a great advantage over other types of cosmetic dental bonding by the fact that they are translucent. When they are bonded onto a tooth's surface they mimic the light handling characteristics of enamel.

        • Porcelain veneers resist staining.
A significant advantage of porcelain veneers over other types of cosmetic dental bonding is related to the fact that a porcelain veneer's surface is just that, porcelain. Since porcelain is a ceramic, and therefore glass-like, its surface is extremely smooth and impervious. This means that the surface of a porcelain veneer will not pick up permanent stains.

How long will porcelain veneers last?
With good home care and by exercising good judgment, it seems likely that a porcelain veneer could last well in excess of ten years.

What should you do to take care of your porcelain veneers?
        • Practice good oral home care.- Just as with any tooth, your veneered
          tooth should be brushed and flossed thoroughly on a daily basis.
        • Avoid exposing your porcelain veneers to excessive forces.- avoid biting
          your fingernails or biting on hair pins, bottles, ice, or any other such hard
          items because doing so can break or dislodge a veneer.
        • Avoid clenching and grinding your teeth.
        • Minimize staining influences.- Porcelain veneers are a great improvement
          over other types of cosmetic dental bonding by the fact that their surface
          is resistant to staining.

Types of Veneers
The porcelain veneers used at Patong Smile Dental Clinic is IPS Empress Esthetics from Ivoclar Vivadent . The opalescent IPS Empress Esthetic veneer layering materials imitates natural teeth.

Procedure for Dental Veneers Treatment
The procedure usually requires three trips to the dentist – one for a consultation and two to make and apply the veneers. One tooth or many teeth can simultaneously undergo the veneering process described below.

  • Diagnosis and treatment planning. This first step involves active participation between you and your dentist. Explain to your dentist the result that you are trying to achieve. During this appointment your dentist will examine your teeth to make sure dental veneers are appropriate for you and discuss what the procedure will involve and some of its limitations. He or she also may take X-rays and possibly make impressions of your mouth and teeth.
  • Preparation. To prepare a tooth for a veneer, your dentist will remove about ½ millimeter of enamel from the tooth surface, which is an amount nearly equal to the thickness of the veneer to be added to the tooth surface. Before trimming off the enamel, you and your dentist will decide the need for a local anesthetic to numb the area. Next, your dentist will make a model or impression of your tooth. This model is sent out to a dental laboratory, which in turn constructs your veneer. It usually takes 1 to 2 weeks for your dentist to receive the veneers back from the laboratory. For very unsightly teeth, temporary dental veneers can be placed for an additional cost.
  • Bonding. Before the dental veneer is permanently cemented to your tooth, your dentist will temporarily place it on your tooth to examine its fit and color. He or she will repeatedly remove and trim the veneer as needed to achieve the proper fit; the veneer color can be adjusted with the shade of cement to be used. Next, to prepare your tooth to receive the veneer, your tooth will be cleaned, polished and etched – which roughens the tooth to allow for a strong bonding process. A  special cement is applied to the veneer and the veneer is then placed on your tooth. Once properly position on the tooth, your dentist will apply a special light beam to the dental veneer, which activates chemicals in the cement causing it to harden or cure very quickly. The final steps involve removing any excess cement, evaluating your bite and making any final adjustments in the veneer as necessary. Your dentist may ask you to return for a follow-up visit in a couple of weeks to check how your gums are responding to the presence of your veneer and to once again examine the veneer's placement.

Recovery Expectations
Getting veneers put on your teeth involves minimal pain and discomfort. Unlike other dental procedures, there is no recovery period and virtually no side effects. The only discomfort you’re likely to experience is some sensitivity to cold and heat in the tooth that received the veneer. This sensitivity will disappear gradually over a few days to weeks.

Care for Dental Veneers

Practice good oral home care.- Just as with any tooth, your veneered tooth should be brushed and flossed thoroughly on a daily basis.
        • Avoid exposing your porcelain veneers to excessive forces.- avoid biting
          your fingernails or biting on hair pins, bottles, ice, or any other such hard
          items because doing so can break or dislodge a veneer.
        • Avoid clenching and grinding your teeth.
        • Minimize staining influences.- Porcelain veneers are a great improvement
          over other types of cosmetic dental bonding by the fact that their surface
          is resistant to staining.

  • Avoid chewing on or eating hard foods on the restorations for 24 hours from the time they were cemented
  • To help with discomfort or swelling rinse your mouth with warm salt water.
  • Avoid hot, cold or acidic food and beverages
  • Pain medication be taken as directed as long as there is no medical contradiction based upon your medical history
  • Use the proxy brush or floss threader to remove plaque under and around these areas to maintain good oral hygiene. Buildup of food debris and plaque on your teeth and gums can become infected.
  • Rinse with fluoride rinse before bed. Swish the fluoride rinse vigorously in your mouth for at least one minute. Do not swallow any of the rinse and do not eat or drink anything for 30 minutes
  • See your dentist for regular professional check-ups and cleanings
 
 
 
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