BASIC PROCEDURES

COMPOSITE FILLINGS

A composite (tooth colored) filling is used to repair a tooth that is affected by decay, cracks, fractures, etc. The decayed or affected portion of the tooth will be removed and then filled with a composite filling. Because composite fillings are tooth colored, they can be closely matched to the color of existing teeth, and are more aesthetically suited for use in front teeth or the more visible areas of the teeth.  Composite fillings are useful to repair chipped teeth, to close gaps between teeth, to repair cracked, broken or worn teeth, and to restore decayed teeth.  Caught early enough, cavities can be treated easily and painlessly. If left untreated, decay can lead to tooth pain and infection, leading to the need for root canal treatment or extraction.

How are composite fillings placed?

Composite fillings are usually placed in one appointment. While the tooth is numb, your dentist will remove the decay and any existing restoration. The space will then be thoroughly cleaned and carefully prepared before the new filling is placed. The composite filling will then be precisely bonded, shaped, and polished, restoring your tooth to its original shape and function.

                                                        SILVER FILLING         COMPOSITE FILLING                            

                                                                         

                                                                                                                           

BONDING

Bonding involves adhering composite resin material that is matched to the color of the tooth, to the front of the tooth. This is done to repair damage done to the tooth by decay, to alter the alignment of the tooth, to close gaps between the teeth, or for cosmetic purposes. First the surface of the tooth is roughened in order to accept the bonding and hold it. A gel is applied to micro etch the tooth surface, and a primer/bond agent is applied so the material adheres to the surface. Then the material itself is placed on the tooth and hardened with intense light. The composite resin material is shaped and polished to get a lustrous finish as a last step.

SEALANTS


Sealants are used to fill in deep and narrow grooves in a tooth that cannot be adequately cleaned by brushing. In some cases, the tooth structure has fine grooves or pits which accumulate plaque, not because the person doesn't brush, but because they're too narrow to allow even one bristle into them. These may develop into cavities over time. So the dentist will brush on a coating that seals the grooves and pits, making it possible to brush off all the plaque and keep your teeth healthy.

NON-SURGICAL GUM TREATMENTS


The gums, ligaments, and bone around the teeth form the foundation for our teeth. These structures around the teeth are also referred to as the periodontium. When the periodontium is not healthy, it jeopardizes the teeth just as a bad foundation would threaten the stability of a house. Signs of unhealthy periodontium or gum disease may be as follows: gums that are red and bleed easily, persistent bad breath, gums that are pulled away from the tooth, loose teeth, and changes in the position or bite of the teeth. Any of these signs may mean something is wrong. With the proper care, however, it may be possible to return them to a healthy state. This is where appropriate gum treatments come in. The treatment usually involves a deep cleaning or scaling and root planing. This is done under a local anesthetic, along with local antibiotic agents. When gum disease gets too severe it may need to be treated through surgery or extraction. This is why it is important to get it treated at the first sign of a problem.

X-RAYS


This is a focused beam of X-Ray particles through bone which produces an image on special film, showing the structure through which it passed. This gives the familiar black and white images that doctors and dentists use to diagnose problems. X-rays are a necessary part of the diagnostic process, and not to use them could lead to undiagnosed disease. Without an X-ray of the whole tooth, and supporting bone and gum tissues, we can not thoroughly detect infection or pathology that may require attention.

In our office we use digital radiography which allows us to take X-rays using 70-90% less radiation versus conventional X-rays.

 

 

NJ Cosmetic Dentistry Associates, LLC
Luciana S. Daniels, DDS
33 Overlook Road | Suite 403
MAC 1 Building | Summit, NJ 07901 
O:  908.219.4118 | F:  908.598.8388
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