iStomatolog > Dental Treatment > Tooth bonding

Dental bonding

How to restore a tooth?

Tooth restoration is essentially filling or restoration of a tooth. It involves restoring the shape and size of the tooth after it has been damaged due to decay or injury.

Tooth bonding is done using photopolymer materials. In situations where the tooth is damaged by more than 50% or is under the gumline, it is more appropriate to place a metal-free crown.

Indications for tooth bonding

Indications for the restoration of the crown part of the tooth include:

  • appearance of chips, cracks caused by trauma or decay;
  • deep carious lesions that have led to the destruction of most of the tooth;
  • improperly installed fillings, leading to the destruction of healthy dental tissue;
  • demineralization of enamel;
  • closing gaps between teeth;
  • darkening of tooth color;
  • change in shape and size of tooth;
  • extensive non-carious lesions;
  • increased tooth wear.

A tooth can be restored using photopolymer materials in cases where the destruction of enamel and dentin does not exceed 50%. In other cases, the choice of the prosthetic treatment is based on the medical indications and patient's preferences.

How teeth are built up at iStomatolog dentistry

1 Stage

Diagnosis and, if necessary, computer or X-ray examination

2 Stage

Determining the extension method (aesthetic restoration, inlay, veneer, crown)

3 Stage

Pain relief

4 Stage

Tooth extension by the chosen method

5 Stage

Recommendations for home care

In most cases, unless additional treatment is required for gums, roots or dental infections, tooth augmentation is done in one visit to the dentist.

In the iStomatolog Center you get a finished tooth in one visit, no matter which method was chosen: aesthetic restoration, inlay, crown or veneer. 2D and 3D modeling, computer diagnostics and construction manufacturing within a few hours in one visit.

Alternative methods of building teeth

Restoration of teeth

photopolymer materials

Veneers

ceramic and E.max

Ceramic inlay

glass ceramic, E.max

Metal-free crowns

ceramic and zirconia

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    When is it contraindicated to use photopolymers for tooth restoration?

    The use of photopolymers for restoring tooth functionality and aesthetics is contraindicated in the following cases:

    • weakened roots;
    • the presence of inflammation in the root area (prior treatment of inflammation in bone tissue and root canal filling is required);
    • excessive destruction of tooth tissue (more than 50%);
    • bruxism.

    Using photopolymer is an optimal option for restoring front teeth that were traumatized during impact, sports, or other cases. The dentist restores the appearance of the teeth by selecting a filling material based on color, transparency, and other characteristics. Restoring teeth with caries damage is a more complex task because treatment must be performed beforehand and then the shape of the tooth crown must be restored.

    Features of tooth restoration using photopolymer materials

    The method of tooth restoration using photopolymer materials solves two problems - eliminates caries and restores the tooth with a maximum aesthetic result. This means that after restoration, it will not stand out in the dental row. Restoration with composite photopolymers is a true art, where the dentist, like a sculptor, creates the shape and selects the shade that corresponds to the natural color of the teeth.

    Based on the experience and technical capabilities of the dental clinic (equipment and materials), the doctor chooses the tooth restoration technique in such a way as to ensure structural strength and natural appearance. If the work is done properly, the photopolymer material merges with the natural part of the tooth in such a way that it is practically impossible to notice the line of demarcation. The use of high-tech filling materials allows for the creation of a transparency effect and a light shine characteristic of natural enamel.

    Properties and features of photopolymers

    Photopolymers are a group of composite materials that have the ability to harden (polymerize) under the influence of UV rays. The materials differ in the type of filler (macro, mini, micro-filled, hybrid), matrix complex, and the ratio between the filler and the matrix. Liquid-flowable and solid polymers are used in dental practice.

    Liquid polymers, which have the ability to evenly distribute over the surface and form a dense bond with the tooth tissue, are used for filling the cervical area and restoring the contour of interdental contact points, for smoothing the surface of the tooth before restoration; solid light-curable composites are used in the restoration of frontal and lateral teeth.

    Since the material hardens only under direct UV exposure, the dentist can give any shape to the plastic mass, carefully and accurately fill the tooth cavities, without fear of premature polymerization of the filling. In case of a large area of tooth damage, filling during restoration is carried out layer by layer, each time illuminating the material with a lamp until it hardens.

    The doctor should be well aware of the properties of all used photopolymer composites in order to correctly choose the filling material for tooth restoration, taking into account the specificity and scale of the damage.

    Alternative to filling - veneers

    Applying veneers is one option for restoring the aesthetics of teeth with certain defects. Veneers are thin porcelain plates that are attached to the outer surface of teeth. Using veneers, it is possible to change the shape and size of teeth, correct the position of teeth in the dental arch, and also mask such defects as large fillings on front teeth, stains, enamel damage, small cracks, and chips. Veneers conceal some natural imperfections, including irregularities and gaps between teeth.

    High-quality veneers do not change color due to food pigments, reduce sensitivity to various irritants, and provide a perfect smile, significantly improving one's attractiveness.

    With modern materials, it is possible to achieve maximum natural appearance of teeth, preserve natural individuality of appearance, and improve aesthetic indicators. An unnatural, unnaturally white smile is a sign of poor dental work or an unsuccessful patient choice.

    Restoring teeth using inlays or overlays

    Chewing teeth are most often destroyed by caries. After removing the damaged tissue, deep cavities are formed, which, in the standard case, are filled with filling material. If only thin walls and the root of the tooth remain, it is advisable to use the technique of restoration using inlays/overlays and crowns. An inlay/overlay is a dental micro-prosthesis that mimics the shape of the tooth and is an alternative to traditional filling.

    Advantages of inlays/overlays include:

    • Restoration of tooth functionality and appearance
    • Longevity
    • Resistance to shrinkage and deformations
    • Compatibility with dental prosthetics
    • Resistance to pigment exposure
    • The possibility of installing a crown or bridgework on the tooth in the future.

    Inlays and overlays are made from pressed ceramics, zirconia dioxide, and innovative composites. The highest quality products are made from zirconia dioxide and the latest generation hybrid ceramics. Restoring teeth using inlays and overlays is not performed in case of destruction of canines and incisors, high caries activity, and fissure caries.

    Tooth buildup on a pin

    If the root of the tooth is undamaged, while the crown part has suffered significant destruction, the dentist may suggest installing a prosthesis or restoring the tooth using pins. These are thin rods made of titanium (metal), fiberglass, carbon, which are installed in the root canal to give the tooth strength and distribute the chewing load on the root of the tooth. After fixing the pin, the dentist introduces a filling compound and shapes a new crown. A professionally performed dental work will ensure the restoration of functionality and a long service life of the tooth after buildup.

    Installation of crowns

    The installation of a crown is a complete prosthetics procedure. It is used in cases of significant destruction of the crown part while preserving a healthy root. The tooth is prepared, damaged tissues are removed, and the walls are trimmed. In our clinic, a digital model of the crown is created instead of a traditional impression using the Cerec technology, so the prosthetics can be completed in one day.

    Advantages of tooth buildup at the iStomatolog clinic in Kyiv

    The dentists at the iStomatolog center in Kiev will choose the optimal tooth buildup technique after a diagnostic examination. This means that the restored tooth will serve for the maximum time while achieving high aesthetic indicators.

    Our center uses the most advanced therapeutic, diagnostic, computer equipment in Kiev, filling materials, and composites for making crowns. We make non-metallic veneers, inlays, and crowns based on the E.max system from the German manufacturer Ivoclar Vivadent and the latest generation VITA hybrid ceramics from the German manufacturer VITA Zahnfabrik.

    Prostheses made using this technology withstand the maximum load, do not cause allergies, have absolute biological compatibility with dental tissues, and do not lead to increased wear of the teeth of the opposite jaw.

    The iStomatolog center in Kiev guarantees:

    • Safe, effective treatment and prosthetics;
    • 100% sterility of all components in the office;
    • No pain or discomfort during any dental procedures;
    • Perfect aesthetic results.

    To make an appointment with a dentist, fill out the online form or call the contact numbers 067 502 8 999, 093 502 8 999.

    Full Price list of dental clinic services is available at the following link 

    FAQ

    Restoring a tooth involves restoring its anatomical form and function. Direct restoration, which is carried out using photopolymer material directly in the oral cavity, is called direct restoration. Indirect restoration is the restoration of a tooth using a crown, veneer, or inlay that is manufactured using specialized equipment and then fixed onto the tooth. In turn, photopolymer material restorations usually have several categories depending on the aesthetic characteristics of the material, the presence of anti-caries action in the bonding system (the adhesive for the photopolymer), and the use of special dyes.
    Dental restoration includes the following manipulations: - anesthesia; - individual therapeutic kit; - isolating system rubberdam; - isolating lining (liquid photopolymer); - restoration of the tooth using photopolymer material of the chosen category; - grinding and polishing of the finished restoration; - applying therapeutic gel to the gums and teeth.
    The restoration will last as long as there are walls of the tooth (not affected by caries) to which it is fixed.
    How much does restoration of front teeth cost? The approximate cost of restoring one tooth, taking into account additional manipulations, is 70-80 euros.
    With the use of the latest generation restoration materials, there are no strict limitations. However, for extensive restoration of front teeth with restoration of the cutting edge, it is not recommended to bite on hard foods like crackers, nuts, or bones (which is not very good for healthy teeth as well).
    It is the restoration of not only the anatomical shape and function of the tooth, but also the reproduction of all the color nuances, transparency, and microstructure inherent in natural teeth.
    Tooth bonding

    Article author:

    Olena Daynetska, chief Doctor of iStomatolog Dental Center

    During a consultation at iStomatolog dental clinic, you have the opportunity to receive digital and video diagnostics, a detailed treatment plan, as well as the overall cost of all stages of treatment.

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