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Restorative

 

           

Description

Restorative dentistry is the traditional treatment mode for dealing with damage to the tissues of the mouth.  In our office, we perform a wide variety of restorative treatments to enhance the dental health and function of our patients.

Capabilities

Fillings
This is the normal way small areas of decay or trauma to the teeth are handled.   Common materials include composite resin, silver amalgam, and hybrid restoratives.   New methods of filling cavities, even at a very early stage of decay, should enable persons to keep more of the natural tooth for a longer period of time.  Also, the newest generations of tooth-colored restorations allow strong repairs with better appearance.  A reduction in the usage of local anesthetics has also been a trend in the recent past.
Crowns
A crown, also called a "cap," is used to replace the damaged outer surface of teeth.  This treatment requires the removal of more tooth structure than a filling, and must be accomplished in multiple visits.  Materials in common usage are porcelain, porcelain-fused-to-metal, gold, and base metals.
Implant Restorations
A dental implant is used to supply support or anchorage for the replacement of missing tooth structure.  In our office setting, Dr. Durbin typically acts as the restorative dentist in an implant team.  This means that we do the rebuilding anchored to the implants placed by another team member.  Implants are often used to replace teeth which never form, teeth lost in trauma, or to anchor replacement teeth in areas where other teeth have been removed.
Bridges
Bridges are dental prosthetic appliances used to replace missing teeth by means of support from other teeth or implants.  bridgework falls into two main categories:   Fixed and Removable.  Fixed bridges (technically called "fixed partial prosthodontics") are often preferred when the patient wants a long-lasting, very strong, cosmetic restoration.  A fixed bridge is usually closest to the performance of natural teeth in most aspects.  The barrier to fixed bridgework is sometimes the higher cost of fabrication. Removable bridgework ("removable partial denture") consists of many different designs, but all have in common that they may be removed by the patient for cleaning and clip to natural or artificial teeth for support.  The major disadvantage to removable partial dentures is the movement present under function, even when it is slight.
Denture
Also referred to as a "plate," a full denture replaces the teeth in one full dental arch, either the upper or lower.  Millions of Americans wear one or both full dentures, and this continues to be a necessary service for the present time.   Dentures have some advantages, the most significant being that they function better than no teeth at all.  There are problems, however, in that all dentures move during chewing and speech.  Problems tend to be much more significant on the lower arch.   For most people, dentures are a necessary step when decay or gum disease gives us little option but to remove the existing natural teeth.  A hybrid treatment called an "overdenture" uses small clips to attach to retained roots for anchorage.  Also, implants are sometimes used to achor what appears to be a denture from the outside.
 
 

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Copyright © 1998 Stephen C. Durbin, DDS, PC
Last modified: October 25, 2000