Restorative Dentistry

Dental Implants are substitutes for teeth, and they are today’s best alternative to your natural teeth. They offer you a permanent or secure solution for replacing one or more teeth. They are made of biocompatible materials, just the same as hip implants or similar orthopedic devices, and function as anchors or support for traditional forms of dentistry, such as crowns, bridges or dentures.

Many of our patients will tell you that implants have changed not only their smiles and their overall appearance, but also even their lives! There are numerous other reasons to choose dental implants:

  • Aesthetically, they support teeth that look like real teeth. Functionally, dental implants feel and act like real teeth.
  • Implants eliminate the need for distasteful adhesives. There is no longer a need to use “glue” when your prosthesis is anchored to implants.
  • Implants can actually improve the taste of food. With less plastic covering the roof of your mouth, you can enjoy natural flavors and sensations again.
  • Lastly, implants can help maintain your bone structure and support your facial tissues. They can reduce or eliminate bone atrophy, which causes “shrinkage” or facial cosmetic changes.

 

Composite “white” fillings, made of composite, are used to restore teeth that have small cavities. They are called “white” fillings because of the natural, tooth color of the material. Unlike inlays and onlays that are crafted in an outside lab, composite fillings can be made on-site and completed in only one office visit.

A composite “white” filling is used when the cavity is small and the patient desires a natural-looking restoration. The dentist will numb the area, then prepare the tooth for restoration, removing any decay. He or she will then apply the composite, and fill the cavity. After the composite has been cured, it will be smoothed and shaped for fit and comfort.

We like composite/resin fillings for their natural appearance and the near perfect color match we can get with your teeth. Composite fillings also bond to your teeth, helping to restore your tooth´s natural strength.

Our recommendation is when any filling needs to be replaced, it may be an opportunity to improve esthetics in that area with a white filling or other esthetic option. Your smile will immediately brighten up with these changes.

Teeth and jaws do not occlude (come together) in an acceptable position for many reasons. Some of them are fillings or bridges that have been placed over a period of years, orthodontics, developmental defects, oral surgery, trauma, malocclusion (poor bite), bruxism and clenching.

Occlusal equilibration is the mechanical adjustment of your teeth, dentures, bridges, fillings or other oral appliances to a position that allows your lower jaw to function in a natural hinge in relation to your jaw without improper influence from teeth.

Occlusal Equilibration – Is It Harmful?

Your mouth is being equilibrated because some problem exists: pain, abnormal wear, breaking of restorations, or other situations. The problem is usually present because teeth and/or restorations do not meet in harmony with your lower jaw at the proper position. The teeth and fillings have not “worn in” properly. Occlusal equilibration “wears” some areas mechanically and allows the teeth to meet harmoniously. It is not harmful, but is beneficial.

The Future

A simple occlusal equilibration can be accomplished in a short time. Only slight future changes in your occlusion (bite) occur over a period of time because of small movements of teeth in the jaw bones. More complex equilibrations may require several appointments, and the teeth may shift more between appointments. When your symptoms are gone and your occlusion is relatively stable, your equilibration will be finished. Placement of any new fillings in your mouth will change the way the teeth contact. Dr. Krause should be advised of your past occlusion problem.

How Your Teeth Feel

After occlusal equilibration, your occlusion (bite) will feel different to you. This is to be expected. You will gradually accept this location as your new chewing position, and it will feel very good.

As we age, many of us find ourselves with teeth that are no longer structurally sound. Root canals, lost fillings, decay below a filling, chipping and cracking of the enamel are all things that can lead to large scale defects in a tooth´s surface. When the entire surface of the tooth is a problem, but the root system is intact, a crown might be just what the dentist orders.

What Are Tooth Crowns?

Grinding your teeth, an improper bite, age, fillings and tooth decay can all be contributing factors in the wearing down, cracking or breakage of your teeth. Dental Crowns cover the entire visible surface of your affected tooth and add strength, durability and tooth stability.

Who Is a Candidate for Tooth Crowns?

Dr. Krause will usually be able to spot problem areas in your mouth that might lead to tooth damage and a need for crowns. Chewing patterns play a big role as well. By selectively grinding the tips of your middle and back teeth (called cusps) will alter your bite to reduce the stress on at-risk teeth.

In other instances, crowns are used to replace a actual missing tooth. These crowns are anchored to the teeth on either side, with a bridge section connecting the two crowns. Instead of bridges, single tooth dental implants may be used that eliminate the need for supporting the crowns.

How Are My Tooth Crowns Attached to My Tooth?

Dr. Krause will make an impression of the tooth and a dental laboratory will create the crown. You will typically leave the office with a temporary crown to wear while the permanent crown is being made – this takes about two weeks. The permanent crown is then cemented onto your tooth. Typically, only two visits are required for this part of the procedure. Often, a preliminary restoration of your tooth may be needed before a crown can be placed. To stabilize your tooth, a filling must first be put in place prior to placing a crown due to the loss of original tooth structure.

A dental bridge is a device used to fill the space where a tooth has fallen out or been removed. A typical dental bridge consists of a pontic (a filler tooth) that is attached to two surrounding crowns (abutments).

Once complete, this bridge structure is bonded into the mouth. Without the use of a bridge, spaces in the mouth from missing teeth can cause multiple teeth to shift, lead to occlusion (biting) and/or jaw problems, and may spur periodontal disease.

Dental bridges safeguard the integrity of existing teeth and help maintain a healthy, vibrant smile.

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