Porcelain Veneers, Crowns, Inlays and Onlays

Porcelain Veneers

Porcelain veneers have become more popular in the last several years.  They are a healthier and more aesthetic option to crowns, which can require extensive drilling of the tooth.

Porcelain veneers are similar to fake fingernails – they are thin and cover the front part of the tooth.  They look better and last longer than their plastic veneer or direct-bonded composite predecessors.  They look like natural teeth, are extremely durable and do not lose their original colour.

Porcelain veneers work particularly well for discoloured, spaced or maligned teeth – even when there doesn’t seem to be any possibility for a restoration.

Treatment is easier

Since there is little need to shape the teeth, the procedure can normally be accomplished in two or three visits.

First, the dentist prepares a mold of the tooth, which is then sent to a dental laboratory.  There, the technicians create a custom-fit veneer overlay and return it to the dentist.

On the second visit, the veneer is fitted onto the tooth and, if it fits perfectly, it is immediately bonded to the tooth.  The dentist then polishes the edges and the restoration is complete!

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Care

No special care is required for porcelain veneers.  Simply brush and floss as you normally would for your natural teeth.

Crowns

Maligned, spaced and discoloured teeth, or those with large restorations such as fillings, or those with large decay areas often require crowns.  Dentists have used porcelain crowns for many years, but without reinforcement they had a tendency to break easily.  This lead to the creation of porcelain crowns with metal frameworks.

While the metal framework aided the longevity of the restoration, it required more of the tooth to be removed in order to make room for it.  They would also block light from passing through the tooth and attempts to cover the metal were not very successful at making this type of restoration look natural.

Problem solved

Porcelain veneers are not only bonded to the front of a tooth, they can also be extended around a whole tooth to hold it together like a crown.

This technique had not previously been tried as traditional bonding cements had no actual chemical bond to either the tooth or the restoration.  They acted as simple filters helping to hold the restoration in place – much like a water seal holds the lid on cookware.

When the bonding agents used on porcelain veneers were applied to porcelain crowns, they improved the support of the crown and the tooth itself – eliminating the need for the metal framework. Light is able to pass through the tooth, resulting in a more natural looking restoration.

760 Porcelain Inlays and Onlays

Porcelain inlays and onlays are generally used on posterior teeth as an aesthetic replacement for metal coloured fillings. Previous porcelain restorations of this type encountered the same limitations as crowns.

When dentists began bonding inlays and onlays into position inside the tooth like a normal filling, the reinforcement problem was solved. This new development also has the added bonus of making the tooth stronger and the restoration more natural looking.

 

 

 

Aesthetic Fillings

teeth

Before and After

teeth

 

 
 
 

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