Restoration
of teeth

1.  Tooth Coloured Fillings

As there have been marked improvements in the physical properties of tooth coloured filling materials, i.e. Composite Resins, we are now able to use the material as an alternative to metal amalgam fillings throughout the mouth.

The teeth are prepared, old restorations and decay is removed and the material is bonded to the prepared tooth surface and set with a light. The material is easily manipulated and contoured to resemble the anatomical features of your natural teeth. The material comes in a variety of shades and can be matched to your tooth colour, this makes it ideal to be used to repair chipped teeth or for composite veneers.

In some situations, we use Glass Ionomer fillings. These too are tooth coloured, but do not come in the variety of shades available with Composite Resin and they are not as strong, therefore they do not wear as well. This material does however contain fluoride, which is absorbed into the tooth structure to strengthen it. Generally, this material is used as a temporary filling material or when treating decayed areas on exposed root surfaces.

Tooth Coloured Fillings
color-prep color-before
Tooth Coloured Fillings Preparation Tooth Coloured Fillings Before
color-after
Tooth Coloured Filling After  

2.  Porcelain Veneers

Veneers are thin, tooth coloured porcelain facings which are bonded to the tooth’s enamel surface. The porcelain is strong, durable and colour stable so therefore will not discolour over time. Porcelain veneers are a popular treatment option for making over a smile as there are numerous applications for their use, such as closing spaces between teeth, changing the shape or colour of teeth, repairing chipped or worn teeth or the correction of slightly misaligned teeth.

There is minimal preparation of the underlying tooth structure, therefore, porcelain veneers are a reasonably conservative treatment option. However, there are limitations to which situations porcelain veneers can be used, this can be determined with a comprehensive diagnostic assessment.

The procedure usually takes three visits:

Porcelain Veneers
restore-veneers-before restore-veneers-after
Before After

Appointment 1: Preparation of the tooth/ teeth. The teeth are prepared and impressions will be taken and sent to the laboratory for the fabrication of the veneer/s, which usually takes about three weeks. As we have our laboratory on site, the technician is able to meet with you and together with the clinician assess the colour, size and shape of your teeth and discuss any queries you may have. If possible, temporary veneers will be fitted.

Appointment 2: Try-in. As veneers are usually placed on the front teeth we prefer to try the veneers in when they are near completion so you can get an idea of the final result. The technician will also attend this appointment to assess if any adjustments in colour or shape need to be made.

Appointment 3: Insertion. The temporary veneer/s are removed, the tooth surface is cleaned and prepared for the bonding of the veneer/s, which takes several steps.

3.  Crowns

Crowns, sometimes referred to as “caps”, are a full coverage restoration of the tooth, unlike a porcelain veneer which is a thin facing on the tooth surface. Crowns are used to restore function to fractured or severely worn teeth, teeth with large restorations where the integrity of the tooth may be in question, root canal treated teeth and to restore dental implants. Cosmetically crowns can be used to restore discoloured, misshaped or mal-aligned teeth where veneers are not possible.

There are three main categories of crowns; Full Gold Crowns, Porcelain Fused to Metal (PFM) Crowns and All Ceramic Crowns.

 A thorough assessment of your teeth, bite and parafunctional habits such as clenching or grinding, as well as the aesthetic demands will determine which type of crown will give you the best long term results.

Full Gold Crowns do not match the colour of your teeth, however they do provide excellent strength and restoration of function whilst requiring only minimal preparation of the tooth/ teeth.

Porcelain Fused to Metal (PFM) Crowns provide very good aesthetic results as well as excellent strength and restoration of function, however, they do require a moderate amount of tooth preparation in comparison to Full Gold Crowns.

All Ceramic Crowns provide the best aesthetic result as well as excellent strength and restoration of function, but as with PFM crowns a moderate amount of tooth preparation is required.

The procedure usually takes two to three visits:

Crowns
restore-crown-before restore-crown-after
Before After
gold-crowns
Full Gold Crowns  

Appointment 1: Preparation of the tooth/ teeth. The teeth are prepared and impressions will be taken and sent to the laboratory for the fabrication of the crown/s, this usually takes between two to four weeks depending on the type of crown. If you are having PFM or All Ceramic crowns, our on site laboratory technician will meet with you and together with your clinician assess the colour, size and shape of your teeth and discuss any queries you may have. A temporary crown will be constructed and inserted.

Appointment 2: Insertion. The temporary crown/s are removed, the tooth surface is cleaned and final crown/s are cemented into place.

NB: A try-in appointment may be necessary prior to the insertion appointment, when the crown/s are near completion so you can get an idea of the final result. The technician will also attend this appointment should any adjustments to colour or shape need to be made.