Inlays and Onlays
In order to renew a moderately damaged tooth, special fillings referred to as inlays or onlays are used. Their application is also recommended in cases where the tooth has been broken or cracked but where the damage is not so extensive that it requires a ceramic crown. These inlays and onlays are made of composite materials similar to white fillings or ceramic materials. They are frequently used as an alternative to amalgam fillings since they make your smile look more natural.
In cases of more extensively damaged tooth, ceramic crowns are normally applied as part of reconstruction. Several types of material are used, depending on whether the crown is to be applied to just one tooth or more teeth, or where in the mouth the treatment needs to be applied. In each case the final result should be the complete reconstruction of damaged teeth into their initial form. During the first phase, the treated tooth must be filed and dental impressions are made. Then a crown is made.
During the whole procedure, the tooth is protected by a temporary resin crown which means that the patient is able to eat and talk, without anybody even knowing that the person is undergoing dental treatment. During the next appointment, the temporary crown is replaced by the new permanent one.
If one or more teeth are missing, a bridge can be constructed. In such a case it is necessary to drill the teeth next to the missing tooth. The condition of the teeth is thoroughly considered through a clinical examination and x-ray picture. It also depends on the specific type of a tooth which is to be replaced and its relation to the opposite teeth line as well as on the range and extent of particular damage to neighboring teeth or on the range of fillings that were inserted previously. It is also necessary to assess the state of periodontium of the pillar teeth so that they are able to bear such an increased load. It is sufficient to file only the two neighboring teeth under the bar, however, sometimes it might be necessary to file more than just two teeth.
The treatment itself is painless and is performed under local anesthetic. The pillar teeth are filed and impressions are taken. Based on these impressions, the dental expert makes a substitute which is to be tightly cemented onto the filed teeth. Before the final substitute is made, the patient receives a provisional dental bridge; almost identical to the actual final work. You always leave the dental clinic with teeth, during each phase of treatment.
In specific cases, where it is impossible to apply a fixed substitute or special implants, it is necessary to construct a removable substitute for the missing teeth. In this particular case, it is necessary to perform a thorough analysis of the treatment which is to be carried out where you will be provided with our optimal solution. We always try to choose an option that will guarantee the stability of the substitute during the course of its usage and the comfort of the patient. Because the performance of such treatment is relatively demanding, we always develop a detailed treatment plan prior to carrying out the treatment itself.
Veneers are the ideal solution to covering imperfections of the front teeth. They are often used if the patient wants to modify his or her teeth and make changes to the color, shape or position. The advantage of this treatment is that work carried out on the front surface of the tooth is minimal. Filing in this case is not as extensive as for a crown. The prepared front surface is normally a little wider, approximately 0.5 – 0.8 mm. It is possible to use either thin composite or ceramic veneers. After filing the tooth into the desired shape, provisional veneers are inserted which protect until the permanent veneers have been prepared.