Restorative dentistry

What is a Restorative/ Prosthetic Dentistry?, – This refers to the replacement or restoration of natural teeth that had been damaged, decayed, lost, or missing. Here are the types of restorations:

 


Bridge Crowns
These are the replacement of one or more teeth with adjacent teeth (on the missing area to be restored) to be used as abutments (to hold on). The purpose is to provide chewing function, bite stabilization, prevent tilting of adjacent teeth and the dropping down of the opposing teeth on the missing space that has been lost. This is a permanent restoration wherein bridge crowns are cemented on the abutment teeth. The feeling is almost like having the natural tooth/teeth lost during function. It is durable and esthetically highly acceptable.


Crowns
This is a fully coverage restorations around the tooth. All tooth sides are reduce for the acceptance of a full shell crown structure that resembles the natural anatomy-like the configuration of the tooth to be covered. This is the option for more extensive tooth structure lost wherein fillings, onlays, or inlays is not applicable. It could be made with resin, metal, gold or silver type, and porcelain with or without metal reinforcement inside the crown. It could be a cemented permanently of semi permanent. Function and esthetic are met to this type of restoration.

 


Dentures
Partial or full removable replacement of missing tooth/teeth or the entire arch of teeth. Artificial teeth can be made with acrylic resin or porcelain. The base could either be made of metal with resin combination or a flexible type. This could be the next option available for many missing teeth that bridge is not possible and financial challenge is to be met. Functions and esthetic could also be achieved quite troubled-free.

 


Onlays / Inlays
These are custom made restorations for prepared tooth cavity that could withstand better the forces of chewing than direct filling. These are ideal for extensive damage or broken tooth area. These are also the next option if direct filling is not applicable.
Inlay surface coverage is minimal involving within the cusp tips of the tooth only. Onlay has more extensive tooth structure coverage involving more tooth cusps.
Onlays and inlays entail 2 to 3 visits for preparation, measurement fitting and final cementation.
First visit is for cavity preparation and measurement to be sent in the laboratory afterwards.
Second visit is for fitting and adjustments if needed then send back to the laboratory for glazing or final cementation if everything is fine and this will make a two-visit procedure only.
Third visit if for final cementation. The restorative material could be made wit porcelain resin to match the natural color of the teeth. Less tooth structure reduction is the advantage of this procedure.

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