Keeping it real... One tooth at a time?

Cracked central

Dentists can perform complex restoration of "worn out teeth" with the help of laboratory generated ceramic restorations, but It can be a real challenge keeping a patients anterior teeth looking good for a lifetime without resorting to having them crowned or veneered.

 Teeth can become worn and yellowed as they age. Sometimes they break or become weakened by the number and size of fillings used to restore them. When that happens crowning can be the best option, but what about teeth that still have enough tooth structure they may just need a little tweaking.

Often teeth bleaching, accomplished in the office or at home, with custom trays, can brighten older teeth. This can greatly improve  their appearance.  Bonding can also play a role and can be used to cover any exposed dentin caused by the loss of enamel. Usually this can be accomplished by small minimally invasive preparations that may be needed to anchor the bonding onto worn teeth.
repaired central (minor bonding)


After these simple steps, often the appearance of my older patients teeth can be  drastically improved without extensive restorative dentistry. At times "comprehensive dentistry" using a large number of laboratory restorations are needed but when simple composite restorations combined with tooth bleaching works wonders it's "good day for dentistry"!

from Ask Dr. Spindel - http://lspindelnycdds.blogspot.com/2019/01/keeping-it-real-one-tooth-at-time.html - http://lspindelnycdds.blogspot.com/

Comments

Post a Comment

Popular posts from this blog

Help! My Child is Terrified of the Dentist

Image
If you’re the parent of a young child, you know their brains are similar to sponges that soak up everything around them—especially in their first five years, which neuroscientists say is when they’ll do the most learning and developing in their entire life. At this formative time, your child may amaze you with what they notice: your facial expressions, the different tones of your voice, and your habits. If your habits include regular dental visits and an excellent oral hygiene routine, they’ll notice and want to emulate you. If you happen to feel anxious about your dental visits, or you groan when you’ve got to floss and brush, they may synchronize and feel your dread. This could lead to dental fears that stick with them for years—potentially a lifetime! Kids Can Be Courageous If you’re feeling guilty right now, go ahead and put that away as it won’t serve you or your little one. Everyone has some room for improvement, and Coastal Pediatric Dentistry® is here to help show you an...
Read more

Going for the Gold?

Image
On the left is the older allow, on the right the new one that my lab has chosen to use The cost of a penny weight of pure gold is currently $79.53. The cost of a penny weight of pure palladium is $130.6. It used to be that palladium was added instead of gold to the precious metals often used for pfms, but now laboratories are finding that palladium is no longer affordable. The lab that I am using has just changed the formulation of the metal it's using to one that has more gold than palladium. I really do not mind, but metals with more gold are softer and often easier for a dentist to accidentally polish off delicate margins. It is important when polishing "higher gold" formulations to exert less hand pressure when performing the final polishing of the crown's margins. Other wise there should be no problem with this change. Traditionally labs have chosen alloys with higher gold percentages for optimal esthetics, since alloys with higher concentrations of ...
Read more

Lemon Juice – The Good, the Bad, & the Sour

Image
In a great tale of opposites, lemon juice can be both acidic and basic, or alkaline. Read on to find out why people are talking about this, and what it means for your oral and overall health . What is pH and why does it matter? Drinking lemon juice (usually diluted in a glass of water or added to a cup of tea) is a beloved health tonic among fans of natural medicine. Potential benefits include lower cholesterol, lower inflammation in the body, and increased metabolism and energy. Lemon also contains high levels of antioxidants and vitamin C that boost your immune system. On a scale from 0-14, a pH of 7 is neutral (pure water) while numbers below 7 are acidic (unhealthy), and above 7 are basic or alkaline (healthy). Believers in holistic health blame many ailments on the body’s pH being too low or too acidic. Increasing your body’s pH is called “alkalizing.” Lemon juice in its natural state is acidic with a pH of about 2, but once metabolized it actually becomes alkaline with a pH ...
Read more