Restorative Dentistry
Dental Crowns & Caps
Dental crowns are essential restorations that serve both functional and cosmetic purposes. They help maintain oral health and improve the appearance of teeth, making them a valuable option in modern dentistry. This full coverage tooth restoration restores shape, size, strength, and appearance. They help shield teeth that are weakened by decay or large fillings, preventing further tooth damage, and they also enhance the appearance of stained or mishappen teeth, improving one’s overall smile..
The most common dental crown are made from porcelain or ceramic. Porcelain crowns are a great option for most patients because they are both aesthetic and durable. Known for their exceptional strength and aesthetic qualities, zirconia crowns can be used for both anterior and posterior teeth. They are biocompatible and resist wear, making them a good choice for long-lasting dental restorations. Due to their aesthetic appeal, lithium disilicate or Emax crowns are ideal for front teeth due to this materials ability to closely resemble the color and translucency of natural teeth. These may not be the best option for back teeth because of their durability and decreased compressive strengths.
Gold crowns are made primarily from gold alloys, which provide durability and strength. Gold crowns have excellent biocompatibility, meaning they are unlikely to cause allergic reactions and can withstand the test of time. A significant advantage of gold crowns is their resistance to wear and tear; however, their metallic color may not be aesthetically pleasing for visible areas of the mouth.
Porcelain-fused-to-metal crowns combine the strength of metal with the aesthetic appeal of porcelain. This type of crown has a metal base covered with a layer of porcelain that can be shaded to match the natural color of surrounding teeth. PFM crowns provide a stronger option compared to all-porcelain crowns, making them suitable for both front and back teeth. However, over time, the porcelain layer can wear down or chip, and the metal base may become visible, especially at the gum line as gum tissue recedes.
Dental Fillings & Cavities
Dental fillings are a common restorative treatment used to address cavities and restore the integrity of a tooth. When decay damages a tooth, a filling helps to restore its shape, function, and prevent further decay. The process involves removing the decayed portion of the tooth and filling it with a material, either composite resin or amalgam. Dental fillings help to restore the normal function of a tooth, seals off the affected area, and prevents the bacteria from spreading.
Composite resin fillings are tooth-colored materials made from a mixture of plastic and finely ground glass. These white fillings are designed to blend seamlessly with the natural color of teeth, making them particularly appealing for visible areas, such as front teeth. Composite fillings can be closely matched to the shade of the surrounding tooth structure, providing an aesthetic advantage. Additionally, they bond directly to the tooth, which can contribute to the strength of the remaining tooth structure. However, composite resins may not be as durable as amalgam fillings, particularly in areas that experience significant chewing pressure. They are also more susceptible to wear over time and may require replacement after several years.
Amalgam fillings are more durable, made from a mixture of metals, including silver, mercury, tin, and copper. This type of filling has been used for more than a century and is known for its strength and longevity, often lasting 10 to 15 years or longer. Amalgam fillings are typically silver in color, which makes them less desirable for use in visible areas; however, their durability makes them a popular choice for molars and other back teeth where chewing forces are greater. One downside to amalgam is its thermal conductivity, which can lead to sensitivity in some patients after placement.
In summary, the choice between composite resin and amalgam fillings often depends on the location of the cavity, aesthetic preferences, and considerations regarding durability and cost. Both materials have their advantages, and Dr. Shane can help patients determine the best option for their individual needs.
Root Canals & Endodontic Therapy
A root canal treatment is a crucial procedure in restorative dentistry to save a tooth that has suffered severe decay or infection, or has suffered recent trauma. The process begins with the dentist accessing the tooth and removing the infected pulp from its interior. Following this, the inner canals are meticulously cleaned and disinfected to eliminate any remaining bacteria. Finally, the space is filled and sealed to prevent future infections, effectively alleviating pain and preserving the natural tooth structure, which is vital for maintaining overall dental health and function.
The use of Cone Beam Computed Tomography (CBCT) imaging in root canal treatment enhances the precision of the procedure. CBCT provides three-dimensional images of the tooth and surrounding structures, allowing Dr. Shane to assess the anatomy of the root canals and identify any complications that may not be visible on standard X-rays. This advanced imaging technique aids in planning the treatment with greater accuracy, ensuring that all infected tissue is effectively removed and that the canals are properly filled and sealed. Cone Beam CT has revolutionized modern dentistry, especially in the treatment of root canals.
After completing the root canal treatment, placing a crown on the treated tooth is typically the next step. A crown reinforces the tooth, as it can become more fragile after the procedure. Following the treatment, it’s essential to schedule a follow-up appointment for the dentist to evaluate the healing process and confirm that the tooth is functioning as intended. Dr. Shane will provide aftercare instructions to help manage any discomfort and outline when to return for crown placement. Ongoing regular check-ups will be necessary to monitor the health of the treated tooth and its surrounding structures, ensuring optimal long-term results.