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Porcelain vs Composite

Ceramic crowns and bridges ensure highly aesthetic results, durability, color and shape stability, strengthening of tooth stump. The limitations include massive tooth preparation, technical difficulties, high price. As a rule, for metal-ceramic constructions it is necessary to devitalize the tooth, i.e. kill the nerve and fill the root canals (if a large carious cavity or large filling is found in the tooth that needs restoring).

Let us make a comparison with composites. Advantages of composite: no lab stage necessary, no need to transfer information anywhere, so there is a smaller chance of mistakes. Good aesthetics, which gets better depending on the time spent on restoration: the more time used, the better the look of the restoration. Composite-based restoration is cheaper. Adhesive technology of attaching the composite to the tooth tissues strengthens the tooth. Vital (with a functioning nerve) teeth stay vital. One of the main advantages of the composites is that they can be mended, which is not practicable in crowns and bridges.

Yet, direct restoration is not a universal cure. It also has limitations. That is why it is necessary to make a comprehensive examination and consult related specialists before making the decision on direct or indirect restoration.

 

Filling – Restoration

As a result of dental technology development the well-known notion of "filling" is now extended or replaced by the notions of "restoration" and "artistic restoration", "reconstruction".

Filling is a generally available restoration for dental tissues by any restoration material at a standard treatment center by any dentist.

Restoration is the restoration of dental tissues when the supporting tooth tissue in the crown is lost with a composite material at a treatment center adapted for adhesion technologies by a specially trained dentist at special dental offices or clinics with pay based on the working time spent.

Artistic restoration and reconstruction is the restoration of dental tissues within aesthetic parameters of teeth and arches with consideration of customer requirements at a treatment center adapted to aesthetic technologies without a time limit by a highly specialized dentist at expert dental offices or clinics with pay based on exclusivity. Artistic restoration follows the principle of mimicry, i.e. the creation of something artificial, which is similar to natural. This technology ensures the restoration of not only the form and function of the tooth, but also its internal structure in transparency, gradient color transition from cervix to incisal edge, from the lateral to the central part of the tooth. Microrelief of the enamel surface is reproduced.

 

 Artistic restoration is performed in the following clinical cases:

  • Caries
  • Wedge-shaped defect, erosion
  • Change in tooth coloration (devitalized teeth, tetracycline staining, fluorosis, hypoplasia)
  • Elimination of acute or chronic tooth trauma effects


Aesthetic reconstruction of teeth is performed in the following clinical cases:

  • Correction of form and position of misplaced teeth;
  •  Closure of diastema and trema;
  • Alteration of shape and size of narrow-edged teeth;
  • Lengthening of central and lateral teeth with an aim of "rejuvenation" of appearance;
  • Restoration of the shape of teeth in cases of pathological attrition;
  • Alteration of width and shape of central upper and lower incisors in accordance with the shape of the face

 

Presented below are examples of direct restoration of all teeth in female patients suffering from pathological dental attrition

 

 

Restoration of six front teeth

 

Examples of restoration for teeth with color changes

 

 

A solution of an aesthetic problem by way of restoration in a female patient with open bite and front teeth protrusion

 

Replacement of old fillings with new restorations
in the area of five frontal teeth (from tooth 13 to tooth 22)

 

Restoration of all teeth in combination with whitening (clinical example of lateral teeth prosthetic repair and front teeth restoration in a case of total pathological attrition)

 

Correction of dental alignment with the help of restoration

In this case the female patient refused from orthodontic treatment
and extraction of two teeth for lack of room

 

Minimally invasive incisive edge restoration of two central incisors
in a case of pathological attrition

 

Restoration of six upper front teeth with pathological attrition
combined with diastema and trema (gaps between teeth)

 

Restoration of six lower front teeth with pathological
attrition combined with diastema and trema

 

Creation of pin-retained photopolymer constructions

 

Restoration of masticatory teeth

 

 

 

 

 

 

For restorations we use materials produced by Dentsply: Spectrum, Esthet X HD, Enamel HRI (Micerium).  Besides that we utilize the proven and well-established materials, such as Filtek Supreme XT (3M), Gradia Direct (GC), Ceram X duo (Dentsply), Amelogen (Ultradent), etc.

 

 

 

Dental Dam

 

In our work we always use dental dam (rubber dam). It is a latex sheet pulled over a group of teeth during treatment. This accessory ensures considerably better quality of fillings and restorations, as it completely isolates the treatment area from saliva, blood, and moist breath, thus providing for better adhesion of composite materials to the tooth tissues and facilitating the quality and durability of restorations greatly.