Restorative dentistry

Conservative dentistry

What is conservative dentistry?

Conservative dentistry encompasses dental treatments aimed to retain existing teeth. Conservative dental services include fillings, cosmetic dental services as well as root canal treatments.

What do you need to know about dental fillings?

Before filling a tooth our dentist removes the decayed tooth material with a drill, and then uses a special liner and a base to prepare the tooth. After this he fills the tooth and light-cures it so that the filling material can harden.

In the old times dentists used amalgam to fill cavities but modern dentistry has avoided this material for years now. Light-curable, tooth-coloured composite filling materials are popular, which can help achieve a natural look.

Filling is performed in local anaesthesia, and the duration of the treatment is about 20-30 minutes per filling. A great advantage of fillings is that they are available at an affordable price.

What is an inlay, onlay and an overlay?

The terms "inlay", "onlay" and "overlay" denote a kind of restoration, a special filling bonded to the tooth. Our dentist prepares the tooth for the restoration at our clinic, and takes an impression of the tooth. Based on this impression our dental technician creates the inlay/onlay/overlay, and prepares a temporary filling to protect the tooth while the final restoration is being fabricated.

On the next visit, which takes place within a week, our dentist cements the final restoration in place.

The difference between the inlay, onlay and the overlay is that the inlay is placed in the tooth cavity, and it is applied when the occlusal surface of a tooth is only partially decayed. An onlay replaces a larger part of the occlusal surface whereas an overlay replaces the whole occlusal surface.

For the sake of simplicity, dentists call all three types inlays.

An advantage of inlays over regular fillings is that they have a longer life span of up to 25 years if the patient practises good oral hygiene.

When does our dentist recommend an inlay?

In case of more advanced or deep tooth decay when the use of regular fillings is ruled out
When large old fillings must be replaced
When broken, root canal treated teeth need to be reconstructed
When uncomfortable occlusal height must be restored
To find a solution for the aesthetic problems of teeth
When a missing tooth is being replaced, a restoration is inserted into the teeth next to the gap which support the unit; this is the so-called inlay-bridge

What materials does 5dent dental Clinic use to create an inlay?

Inlays and onlay are usually made of gradia or gold.

Gradia is a micro-ceramic composite material, which contains no metal. We also use gradia for making metal-free crowns, bridges as well as veneers, just to mention a few. A big advantage of gradia is that it contains no metal, and it is similarly hard as the tooth material. Gradia inlays have higher wear resistance and their colour can be matched to that of the other teeth.

Golden inlays are made of an alloy with a gold content of 85%. A gold inlay is not natural tooth-coloured; it is gold. Its advantage over a gradia inlay, though, is that its life span is 25% longer in general.

What is root canal treatment and when is it necessary?

Root canal treatment is a preservative treatment which helps retain teeth longer in the mouth. During root canal treatment our dentist drills the tooth, cleans the canals and seals them hermetically with a special root canal filling material. Usually 1-3 visits to the dental clinic are required to perform root canal treatment. Root canal treated teeth can be filled with regular fillings, inlays, onlays, overlays or they can even be covered with a crown.

Root canal treatment is needed:

If decay is so extensive that it affects the root canal, too. In such cases the tooth gets inflamed or dies gradually
If the tooth suffered a big hit
If the root canal becomes exposed when the tooth is being prepared for a crown
If the tooth becomes chipped and thus the root canal gets injured.

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