Restorative Dentistry

RESTORATIVE DENTISTRY

Restorative dentistry is any dental procedure that focuses on repair or replacement of missing tooth structure as well as missing teeth. With the advancements in the Dental Field as well as the advanced technologies available at The Dental Suite, esthetically pleasing long term restorations are achievable in single dental visits. They can include the following procedures:

  • Dental Fillings
  • Dental Implants
  • Dental Crowns
  • Root Canal Treatment
  • Dentures

Dental Fillings

These are materials used to repair and restore teeth to their original state of health using a single or combination of metal, plastic or glass. Fillings are used to fill teeth damaged due to decay, cracked or broken teeth as well as teeth worn down due to variety of reasons.Fillings can be direct or indirect depending on if they are made outside the mouth or hardened inside the mouth.

Dental Implants

Dental Implants are a type of tooth replacement where a metal screw replaces the tooth roots. They provide a strong foundation for fixed or removable teeth replacement that closely resemble natural teeth. They provide an alternative option to dentures and bridges without relying much on the existing natural teeth for its support.

Dental Crowns

When a tooth is severely damaged that it cannot support a filling, a dental crown is placed to restore the tooth back to its original shape, form, strength and appearance. There are many indications for a dental crown. There are some of the reasons why a dental crown may be indicated for you

Root Canal Treatment

Root canal is one of the most common dental procedures performed where the nerves of the teeth that have been infected or damaged are removed and replaced with a filling material. This procedure can be the last resort in saving your teeth before you lose them. They also eliminate the need of doing more costly procedures such as implants and bridges. At the center of every tooth are nerves and blood vessels.

Dentures

These are replacement of teeth and surrounding structures that can either be removable of fixed. They are used to replace some or all of your teeth as well as support the lips and cheeks. They can be either partial or complete dentures.

Dental Fillings

These are materials used to repair and restore teeth to their original state of health using a single or combination of metal, plastic or glass. Fillings are used to fill teeth damaged due to decay, cracked or broken teeth as well as teeth worn down due to variety of reasons.Fillings can be direct or indirect depending on if they are made outside the mouth or hardened inside the mouth. Several materials are used as direct fillings and they include:

  • Ceramics or porcelain
  • Silver amalgam (which contains mercury mixed with silver, tin, zinc, and copper).
  • Tooth-colored, plastic and glass materials such as composite resin as well as glass ionomer.

Ceramics/porcelain are tooth colored and can last for a long time. They are resistant to wear and have a pleasing appearance. However, they can be costly as they are either fabricated in the lab or using a in office milling machine. Silver amalgams are metallic fillings but can last for a very long time. They are not technique sensitive and are quite resistant to wear. They are also cost effective. However, they have a silver hue, and can have allergic potential in some patients.Composite fillings match very closely to natural teeth color, they bond to teeth and can be repaired without having to remove the whole filling. However, they can stain, chip and are very technique sensitive as well as can be slightly expensive. Glass Ionomer are great fillings for root surfaces that are below the gum line. They bond to teeth and have fluoride that helps teeth from further decay. They are however, weaker and prone to fracture and last shorter than composites.

Indirect fillings are laboratory made or in office milled restorations that require two visits for completion of the treatment. However, at The Dental Suite we can do these in a single visit due to the advanced technology available at our office. These fillings are usually advisable when there is not much of your remaining tooth structure available to support the filling, but is also not so severely damaged needing a crown. There are two types of indirect fillings – inlays and onlays.

  • Inlays are similar to fillings that are contained within the chewing surface of the tooth.
  • Onlays are more extensive than inlays, covering one or more cusps but not the whole tooth. These are sometimes called partial crowns.

These indirect fillings are more durable and last much longer than direct fillings – up to 30 years. They can be made of tooth-colored composite resin, porcelain or gold.

Dental Implants

Dental Implants are a type of tooth replacement where a metal screw replaces the tooth roots. They provide a strong foundation for fixed or removable teeth replacement that closely resemble natural teeth. They provide an alternative option to dentures and bridges without relying much on the existing natural teeth for its support.This form of dental treatment provides many advantages that the traditional form lacked. They have a very high success rate of about 98% which is far higher than most of the dental treatments. Dental Implants are known to:

  • Feel like your own teeth because they look like they come from inside the bone just as your natural teeth.
  • Because they provide a stable foundation on which dentures snap on to, they are secure and do not fall off or come out when eating or talking.
  • They can have sensations that closely resemble natural teeth.
  • They last for a very long time, much more that any other dental treatment.
  • They maintain your existing jaw bone from further loss as the implants are fused to bone. This is vital to achieving and maintaining a much younger look as compared to a collapsed look when there is bone loss.

Dental implants are an option for you if:

  • You are missing one or more teeth
  • Have enough bone volume and quality to secure the implants or be able to use a bone graft to build lost bone.
  • Have a mouth that is infection free with healthy oral tissues.
  • Not on any bone medications or have any conditions that affect your bone.
  • Suffer from gagging when wearing dentures or are unable to wear dentures.
  • Because it can take up to 3 months from start to finish, you should be willing to be patient for this to be successful.
  • Don't smoke tobacco

HOW ARE IMPLANTS PLACED

At The Dental Suite we have advanced technology that guide us in the implant process from when we take a 3D scan of your jaw to CAD CAM formed crowns. This gives us complete control over the whole process allowing a completely precise restoration specifically designed and placed for you.

After giving you local anesthesia, An implant is placed in to your jaw bone. A computer designed surgical guide is used to precisely place the implant in the correct position and at the correct angle for optimum long-lasting results. If additional bone is needed for your situation, then it is either placed at the time of implant placement or a few months before we place the implant. We than measure the stability of the implant with a special instrument so as to have a start point to know that your implant is successful.

In combination with local anesthesia, we use Nitrous Oxide as the most common form of sedation dentistry for implant placement. We make sure our patients are calm and relaxed while at the same time conscious of the surrounding with very little memory of the whole experience after.

A waiting period is then needed for the healing where the implant fuses to bone and becomes integrated with bone. This can usually take up to 3 months. We measure the stability of the implant again giving us the confidence that the implant is totally stable in your jaw bone and is ready to be restored with a crown.

Once the healing period is over, a digital scan of the implant is taken and the crown is digitally and custom fabricated just for you. This enables us to fabricate a replacement that will last a very long time.

At The Dental Suite, we are highly skilled and trained in placing implants, making it a totally comfortable experience for the patient

It is vitally important to make sure that home care is at its highest after receiving implants. This is because, the most common failures experienced after implant placement are due to gum disease leading to loss of bone. Therefore it is vital that you brush and floss your teeth everyday as well as keep up with your hygiene visits.

Dental Bridge

Dental bridges as the name suggests literally bridges the gap due to one or more missing teeth. It consists of crowns placed on teeth on either side of the gap with the missing tooth attached to the crowns.

Bridges can:

  • Bring back your smile.
  • Restore the ability to talk and chew effectively.
  • Provide support to the facial tissues from collapsing.
  • Equally spread your biting forces to the bone allowing the remaining teeth to function for a long time.
  • Reduce the chances of teeth from shifting into spaces created by missing teeth.

Types of bridges:

  • Traditional bridges involve shaping teeth or implant on either side of the missing tooth, with a missing tooth also know as a pontic attached to the crowns. These are the most common type of bridge and are made of either porcelain fused to metal or ceramics.
  • Maryland bridges (also called a resin-bonded bridge) are made of wings that are bonded to teeth on either side of the missing tooth. This can be used in limited circumstances especially where the chewing forces are very limited.

Procedure for Dental Bridges

After administration of local anesthesia, teeth on either side of the gap are shaped to receive crowns. These teeth are known as abutment teeth. The number of abutment teeth depend on the number of missing teeth. Ideally, we need more healthy teeth supporting missing teeth because they will be subjected to the additional forces of the missing teeth. Once the teeth are shaped, a digital scan of the mouth is taken to includes the shaped teeth as well as the gaps. It is then fed to the computer and designed by the computer to provide a finished restoration that is exactly or better than how your natural teeth were. The bridge is then cemented onto the abutment teeth making them last for a long time. Bridges are usually constructed from zirconia, non-precious alloys, porcelain, or a combination.

Home Care for Bridges

As with all other restorations, brushing and flossing are very important to maintain the health of your existing teeth. Flossing under the bridge is important to maintain healthy gums. With good oral hygiene and regular checkups, fixed bridges can last a long time.

Dental Crowns

When a tooth is severely damaged that it cannot support a filling, a dental crown is placed to restore the tooth back to its original shape, form, strength and appearance. There are many indications for a dental crown. Below are some of the reasons why a dental crown may be indicated for you:

  • Following extensive decay or fracture of a tooth, the tooth may become weak. Crowns help in preventing further breakage while at the same time provide strength to the remaining tooth structure.
  • Teeth that are severely worn down due to grinding and erosion by acid.
  • When a tooth has a very large filling, there are chances that it can fracture. Crowns protect these teeth from fracturing.
  • To restore teeth to their natural shape when they are deformed when they come into the mouth
  • Teeth that are discolored due to many reasons. Crowns can restore the color of these teeth.

Materials used to make crowns

Several materials are used for fabrication of crowns such as:

  • Ceramic/porcelain
  • Zirconia
  • Metal
  • Composite resin
  • A combination of materials

The choice of material to be used depends on some factors which will be advised to you by your dentist. Some of the factors are:

  • Location of the tooth in the mouth
  • Amount of tooth tissue seen on smiling
  • Metal
  • Amount of gum visibility when smiling
  • The amount of stresses that the tooth is usually subjected to
  • Amount of remaining tooth structure

At The Dental Suite, our unmatched technology allow us to be able to deliver crowns in one visit as compared to in the past. We have the most advanced crown milling machine known as Cerec that is digitally prepared to receive the intraoral scan of the prepared tooth, Once the tooth is designed, it is sent to the mill that makes the crown in 15 minutes or less depending on the type of material to be used. This whole process makes it very efficient as well as convenient for our patients to receive their treatments in one visit without having to schedule another appointment.

CEREC System

This is one of the most advanced if not the advanced innovations in digital dentistry. It consists of systems and processes that interact seamlessly to provide high quality aesthetic prosthetics individualized for every patient.

Cerec has been used by dentists for decades and is constantly improved to provide the best treatment outcomes for patients. This system provides tooth colored esthetic ceramic fillings and crowns as well as bridges in a single visit.

Good bye to taking a mold of your mouth with materials that can cause gagging and allergic reactions for some patients and welcome the most advanced form of mold of your mouth using an optical scan.

CEREC stands for Chairside Economical Restoration of Esthetic Ceramic. It is a technique of making dental restorations in the dental office. These esthetically pleasing restorations are used to repair teeth damaged by decay or injury. At the Dental Suite, we have technologically advanced equipment that allows us to scan, design and fabricate restorations using a computer’s help by a process called CAD CAM (Computer Aided Design and Computer Aided Manufacturing)

The CAD CAM process starts with taking an optical impression/scan of the teeth and surrounding structures which are designed on the computer to be patient specific and finally milled from the computer to produce esthetically pleasing restorations.

Exam and Preparation

The CEREC System

First, the Dentist will examine the tooth and discuss the treatment options and advice on a recommended treatment. This could range from a filling to a full crown, depending on the remaining tooth structure and the clinical judgement of the Dentist. The Dentist will then administer local anesthesia, remove decayed and weakened tooth structure and then finally prepare the tooth for the restoration.

Digital Scan / Impression

The Dentist will then take a Digital scan of the prepared tooth using an intraoral scanner, in this case the highly powerful Primescan. This avoids the need of making a mold using materials that can cause gagging and take a longer time to finish. The whole digital process of taking an impression takes about a minute.

No Temporaries

Once the optical scan is done, the image appears on the computer as a virtual 3D model. The Dentist will then use a 3D software to design the restoration specifically tailored for your tooth. Once the design is complete, it is then electronically sent over to the milling machine called the Primemill where the restoration is milled from a ceramic block inserted into the milling chamber. The ceramic block shade matches your teeth shade. It takes about 10-20 minutes depending on the material used and then finally placed in the Speedfire for the finished restoration to be ready. Once the process is over, the Dentist will try the restoration in the mouth to ensure proper fit and bite. After all the verifications, the restoration is polished and bonded to the prepared tooth. All of this is done in the same appointment, which means no temporaries and no scheduling another appointment as was done in the past.

Advantages of CEREC

This approach might be especially useful to your needs as it eliminates some of the most inconvenient aspects of oral procedures. For example, creating a crown without CEREC would typically require creating an impression to send out to a laboratory and placing a temporary crown. This process requires waiting for days or weeks and multiple dental visits.

The CEREC system has great advantages:

  • Treatments that require several visits can be finished in a single appointment. This eliminates the need for multiple stressful visits to the Dentist and can be very convenient for most dental procedures.
  • The optical scan eliminates various errors and can be very accurate and repetitive allowing more control of the process from start to finish.
  • As this treatment can be completed in a single visit, there is no need for temporaries as temporary restorations can come off, stain, and break easily needing more visits until the permanent restoration is ready.
CEREC® is a proprietary of Dentsply Sirona

SprintRay 3D printer

A true innovation in the Dental field that is also the future of Dentistry is one of the advanced technologies available at The Dental Suite. 3D printing is a fantastic tool to increase delivery times for appliances, efficiency and a game changer when it comes to Dentistry.

This replaces the stone models that were used before on patients with a more digital workflow that stores patient scans allowing them to be printed whenever required. No more re-impressioning with the goopy material because if the stone material is broken or lost, the 3D printer prints another one with the click of a button. It has multiple uses such as:

  • Fabricating night guards on the same day as the patient visit.
  • Fabrication of temporary crowns that are accurate, eliminating fabrication errors.
  • They are used to make clear aligner models, retainers as well as indirect bonding trays for brackets and wires. This tremendously reduces the waiting time for orthodontic treatment. This reduces treatment start time by up to 3 weeks.
  • They can also make dentures for patients as well as surgical guides for accurate implant placements.
  • 3D printers also fabricate splints to help stabilize loose teeth by holding them to healthy teeth allowing in healing and reducing pain.
  • 3D printing is well known for its reliability, accuracy and flexibility.

    Visit us at The Dental Suite and experience the magic in Dentistry.

    SprintRay is a registered trademark of SprintRay Inc.

Full Mouth Reconstruction

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.

Root Canal Treatment

Root canal is one of the most common dental procedures performed where the nerves of the teeth that have been infected or damaged are removed and replaced with a filling material. This procedure can be the last resort in saving your teeth before you lose them. They also eliminate the need of doing more costly procedures such as implants and bridges.

At the center of every tooth are nerves and blood vessels. These provide nourishment and sensations to teeth. Once a cavity or fracture reach the nerves, the nerves can be damaged leading to infections that can be extremely painful. Root canal therapy removes those damaged and infected nerves allowing the tooth to heal and function like before.

Root canal procedure

The tooth needing a root canal is anesthetized and isolated from the rest of the teeth to prevent any saliva and bacteria from re-infecting the tooth while the procedure is being done

Once the tooth is numb and isolated, the cavity is cleaned out and acces to the nerves is obtained. Small files are then introduced into the canals and cleaned out and shaped to be able to receive the filling material. Antibacterial as well as antiseptic solutions are used to clean out the infected area and sterilize the canals.

Once the canals are shaped sufficiently, a restorative material known as gutta-percha is used to fill the shaped canals. A sealer is used to attach the material to the canal walls and prevent any entry and exit for bacteria to re-infect the tooth.

The cavity is the filled up using a restorative material restoring the tooth back to its normal shape.

In most cases, crowns are needed to protect the integrity of the root canal treated teeth as they become brittle with time due to the absence of nourishment that used to be provided by the blood vessels.

This procedure is about 90% successful depending on how your body fights of the infection and how much tooth structure is remaining as well as if the tooth is crowned or not.

It is normal to experience some pain after the procedure and over the counter pain medications are enough to control any discomfort. Antibiotics may be prescribed depending on the amount and severity of the infection that was present before the root canal treatment was initiated.

Dentures

These are replacement of teeth and surrounding structures that can either be removable of fixed. They are used to replace some or all of your teeth as well as support the lips and cheeks. They can be either partial or complete dentures.

Partial Dentures

A removable partial denture replaces some missing teeth that are attached to a plastic base made of acrylic material that matches the shade of the patient’s gum. The base can sometimes be fabricated in metal to provide extra strength as well as give the patient a more natural feel as sensations are felt better from metal than from plastic.

This denture is attached to remaining teeth using clasps made of metal or sometimes using the same material used to make the base.

Not only does a partial denture fill in the spaces created by missing teeth, it prevents other teeth from changing position.

Complete Dentures

Complete dentures can be either conventional or immediate. This depends on when they are fabricated following removal of the remaining teeth. Made after the teeth have been removed and the gum tissue has begun to heal, a conventional denture is ready for placement in the mouth about eight to 12 weeks after the teeth have been removed.

Immediate dentures are usually made before the remaining teeth are removed. This can be advantageous in that the patient does not go without teeth at any time. However, with time, these denture may need to be adjusted because of healing of the gums and bone after teeth are extracted.

Conventional dentures are fabricated at least 8-12 weeks after extraction when the tissues have healed sufficiently. This allows the patients input as well as several trials to make sure the dentures are more natural and closely resemble teeth that were extracted. They also have a better fit and last for a long time without the need for any readjustments. properly during the healing process and generally should only be considered a temporary solution until conventional dentures can be made.

L-PRF grafting and Osstell

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.

Lorem ipsum dolor sit amet, consectetur adipisicing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua. Ut enim ad minim veniam, quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat. Duis aute irure dolor in reprehenderit in voluptate velit esse cillum dolore eu fugiat nulla pariatur. Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.