A tooth that has decay or fractures will need either a filling or other
restoration depending on the extent of decay.
Poor oral hygiene, a poor diet, gum recession or a lack of saliva can
contribute to tooth decay. Para functional habits like clenching and grinding
and traumatic occlusion are usually the cause of teeth fractures.
Choices of restorations
Composite filling: Is a tooth
colored plasticed material that is bonded to the tooth when a small area of
tooth that is decayed needs to be restored.
This is a popular option considering the capability of matching shades
to the tooth, conservative prep design preserving natural tooth and
affordability.
Amalgam filling: This option has
fallen out of vogue because of potential mercury toxicity, silver color compromising
aesthetics and the technique requiring removal of a lot of tooth structure to
achieve mechanical retention. Many dental offices no longer offer this
procedure.
Onlay/Inlay: Is a lab processed
restoration usually chosen when a small area of the tooth needs to be restored
with better seal and marginal integrity for long term success. It is a two
visit procedure that entails a higher cost for lab fabrication. These can be
processed in tooth colored porcelain or gold based on patient preference.
Full coverage crown: restores the
entire coronal portion of the tooth and is usually indicated on endodontically
treated teeth (root canal), extensive breakdown of tooth from fractures and/or
decay. They are lab fabricated and also entail two visits.
Crowns can be fabricated in gold, non
precious metal or various porcelains depending on patient preference, cost
considerations and aesthetic demands.
A dental filling usually lasts many years before it needs replacing.
However, teeth are subject to constant stress from chewing, clenching and
grinding. All of these can cause a filling to gradually wear away, chip, crack
or fall out.
Reasons for replacement
Recurrent decay
Fracture of filling
Fracture of tooth
Material upgrade
Regular dental examinations are important to maintain soft tissue health,
assess existing restorations and maintain bite and functionality of the
mouth. Detecting a failing filling early can reduce damage to tooth and
eliminate the need for more invasive and complicated procedures.
Visit
www.smileartistrychino.com or call 909 627 6699 for more information. Feel free to stop by our office on 10th street in Chino, California.