Restorations: the basics
Your dentist may use several methods to determine if you have decay, including:
Note - Some spots on your teeth may be indicative of presence of a caries. Your dentist may use an exploratory probe, a metal instrument with a sharp tip to identify a possible tooth decay. The healthy tooth enamel is hard and resists the pressure exerted by the exploratory probe. Carious enamel has a softened consistency. Excavator probes should be used with care. Pressing the probe too far can damage a healthy tooth. It can also spread the bacteria that cause decay to the other teeth.
Tooth decay caries - Can be passed over your teeth. The dye will adhere only in the decayed areas.
Radiographs ( x-ray ) - Radiographs may show the development of caries in the tooth enamel and dentine under the enamel. Radiographs are not very accurate in detecting very small caries or on occlusal (masticatory) surfaces. Recent restorations and other restorations may block the visualization of a caries.
Carrier Detection Tools with Laser Fluorescence - TEs measure the changes caused by caries. They are especially useful for areas with depressions and fissures on the masticatory surfaces of the molars and premolars.
Other reasons include:
Chipped or broken teeth
Teeth worn as a result of improper situations such as:
- Nail grinding
- Ranger teeth When you go to the dentist for a tooth, you may have to use anesthesia to desensitize the area. Then your dentist will remove tooth decay using a drill bit. Laser rays can also be used to remove caries.
- The pen, which dentists call high rotation, uses metal cones called a drill to remove and decay. Drills come in various shapes and sizes. Your dentist will choose the correct bits for the size and location of your caries.
Your dentist will first use a high-speed pen (the one with the high-pitched) to remove the tooth enamel and tooth decay. Once the drill reaches the dentin, or the second layer of the tooth, the dentist may use a pen with a low rotation. This is because the dentin is softer than the enamel.
Once all the decay is removed, your dentist will shape the space to prepare you to receive the restoration. Different types of restoration require different modeling procedures to ensure they will stay in place. Your dentist may put on a coating to protect the pulp from the tooth (where the nerves are).
Some of these materials release fluoride to protect the tooth from future caries, such as the glass ionomer. by placing a restoration, it will prepare the tooth with an acid gel before placing the restoration. The acid attack will make small irregularities on the surface of the tooth enamel.
Adhesive system restorations can reduce the risk of leakage or decay under the restoration, which is usually made of composite resin.
Some types are cured using a light Special. With these materials, your dentist will insert the material and stop several times to place light on the resin. This hardens (polymerizes) the material and strengthens it.
Finally, after this procedure, the dentist uses a drill bit to finish and polish the tooth.After Restoration
Some people feel sensitivity after the procedure. The tooth may become sensitive to pressure, air, sugary foods, or temperature variation. Restorative procedures can sometimes cause sensitivity.
A very common reason for pain following the disappearance of anesthesia is that the restoration becomes very high. Call your dentist as soon as possible so that he can reduce the height of the restoration.
The second type of discomfort is a sharp shock that the patient feels when touching their teeth. This shock is called the galvanic shock. It is caused by two metals (one of the new restoration and the other of the tooth restoration that is touching) producing an electric current in your mouth. This would happen, for example, if you had a new amalgam restoration on a lower tooth and had a gold crown on the top tooth.
In most cases, the sensitivity decreases in a week or two. Until then, try to avoid anything that aggravates sensitivity. If your tooth is extremely sensitive or if the sensitivity does not subside after two weeks, contact your dentist.
It is important to tell your dentist about any sensitivities you are experiencing. The next time you need a restoration, the dentist may use a different material and make changes to reduce sensitivity. People react differently to different materials. There is no way for your dentist to predict how your tooth will react to certain material.
When talking to your dentist about sensitivity, try to describe as accurately as possible. This information will help in deciding what will be done next time. It may be that your dentist has to remove the restoration and put a new one. It may also be that it adds a base, a coating or a desensitizing agent. If the restoration was too deep, a canal treatment may be needed to resolve the problem.
No matter how much your dentist polishes the restoration, some sharp edges may eventually remain. It is difficult to notice immediately after the procedure because of the anesthesia. If this is the case, contact your dentist and schedule a consultation for a new polish.
You may receive temporary restoration (usually white, whitish or gray) if:
Your treatment requires more than one consultation
If you have a deep cavity and the pulp (which contains nerves and blood vessels) is exposed during treatment.
If you need emergency dental care.
One Temporary restoration can cause your tooth to heal. This is because restoration seals the tooth, protecting the pulp from bacteria and reducing sensitivity.
Temporary restorations usually contain eugenol, a clove oil-based compound that decreases pain.
- Temporary restorations are not made to last. Usually, they come out, break or get worn out in a month or two. If you have a temporary restoration, be sure to return to the dentist to place the permanent restoration. Otherwise, your tooth may become infected or you may have other problems.
- Why replace a restore?
- Restores do not last forever. They can stain. Restorations made of composite resin may become yellow or darkened over time. By chewing, your teeth and restorations undergo tremendous pressure. Even if other problems do not develop, some restorations become worn out over time and need to be replaced. A restoration needs to be replaced before it falls, infiltrates, or cracks.
Bacteria and food stains may lodge under the restoration if it is cracked or has any infiltration. Since you can not clean it, bacteria feed on leftover food and form the acid that causes tooth decay. The decay that forms under the restoration may increase in size before you notice it and it will cause a lot of pain. So you should go to the dentist to examine your restorations regularly and replace them as soon as you discover a problem.Restorations that fall
Restorations may fall for a number of reasons:
A very strong bite given on a tooth that has a large restoration may break the restoration or the tooth.
The material used in the restoration does not support the forces applied to it. For example, if you break a large piece of your front tooth, a porcelain crown (the color of the tooth) will probably be a good choice. In some cases, the dentist may apply a restoration with composite resin. This option may look good or acceptable, however, if the restoration is too large, a very strong bite may break the material.
Saliva that enters the cavity when the restoration is being seated. In composite resins, this factor can undo the adhesion of the material. As a result, the restoration will not adhere well to the tooth and will fall.
Both amalgam and composite resins can break, either after the procedure or after some time ...
Cracks can occur after the restoration if it is higher than the height of other teeth and absorb most of the force of the bite. Cracks can occur over time as bite and chewing forces affect the restoration and restored tooth.
- Small cracks may also occur at the edges of the restoration. They are usually caused by the wear and tear of time. These cracks can be repaired.
- Infiltrated Restorations
- A restoration is considered infiltrated when its side is not properly adhered to the tooth. Remains of food and saliva can penetrate between the restoration and the tooth. This can lead to tooth decay, pigmentation or tenderness.
Both amalgam and composite restoration can infiltrate, but amalgam restoration often lasts longer. You may have a little sensitivity at first, but it will decrease in two to three weeks. Then it disappears completely. This is because during this period, the restoration of amalgam corrodes on its surface, and the product of this corrosion helps to seal the edges of the restoration.
The composite resin, on the other hand, can be contaminated by saliva. This weakens the adhesion between the restoration and the tooth and allows infiltration. In other cases, there may be small spaces between the tooth and the restoration. These spaces are caused by retractions when the dentist polymerises with ultraviolet light the restoration. Sensitivity after restoration may disappear over time. Otherwise, the restoration may need to be changed.
Restorations may also seep through wear and tear over time. These restorations need to be replaced.
Some restorations can last for 15 years or more. Others, however, may require change in just 5 years. The dentist will be able to determine if the restorations are worn to the point that they need to be changed.
Tighten and grind your teeth
If you tighten or grind your teeth, you may have problems with your restorations. The forces applied on your teeth can cause sensitivity in the tooth and further wear out your restorations. Tightening or grinding of teeth can also cause cracking or cracking. These small cracks you see when you light up your teeth.
While many restorations can last for many years, the average of an amalgam restoration is about 12 years. The composite restorations may not last all of the time.
Your dentist will examine your restorations in your routine appointments. It may be necessary to have an x-ray if your dentist suspects that a restoration is cracked or infiltrated, or if there is the possibility of a cavity beneath the restoration. Make an appointment with your dentist in the following cases:
If a tooth is sensitive
If you see a crack
If part of the restoration is missing
Go to the dentist regularly for cleaning, brush your teeth with fluoride toothpaste and floss once a day .
You can also use rinses to dilute the acid level of your mouth. A low level of acidity reduces the number of bacteria that cause caries. This may cause you to have less decay in the future.
If you have cracks in the restoration, consider asking your dentist about a nighttime appliance. Using it at night may help break the cracking if you have a habit of grinding your teeth while you are asleep.
- Replacing the
- Restore Before removing an old restoration, your dentist should discuss with you the treatment options. It is usually possible to repair an old restoration instead of removing it and completely replacing it. However, if the entire restoration needs to be replaced, the dentist may reevaluate the type of material that will be used. Talk to your dentist about how you would like your restoration to be. Then he can select the material that is best for you.
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