Conservative Treatment

In time the tooth enamel is damaged and cavities are formed on them because of more than one reason such as bacterial plaque, carbohydrate foods (sugar, flour, etc.), constitutional factors (the structure of the tooth, components of the saliva). Dental filling is the process of cleaning these cavities and filling the formed cavity with an artificial filling material.

 

Dental cavities can be occured on the chewing surface of the tooth, on the interconnecting interface of the teeth or on the neck areas of the teeth. It is easy to detect the brownish colour changes or cavities on the visible surfaces of the teeth. However, x-ray diagnosis is needed for the cavities that do not reflect these symptoms. The cavity  that begins in the tooth enamel spreads to the dentin tissue when it is not treated. Dentin is an easily dissolve structure comparing with the enamel and therefore the cavities become worse very easily.  The patients may have sensitivity of hot, cold, sour, sweet as a result of the agent because the cavity reaches the dentine tissue. This pain passes when the agent is eliminated. If the pain has become continuous, it means that  the cavity has reached to the pulp layer where the vessel-nerve bundle is collected, and canal treatment is required.

 

Different filling materials can be used in the filling of the decayed tooth. Accordingly, the most suitable one is chosen among the amalgam filler, composite filler or porcelain filler options. Because the Amalgam is composed of silver, copper, tin and Mercury mixture it is dark colored and away from aesthetic appearance.

It is a mixture of plastic that containing silicon dioxide particles. It is unnoticeable in the tooth with its various colour options.  It is also called aesthetic-white filling. The material was used only in the fore- teeth for a period of time but it has been improved by various methods and became also suitable for the back-teeth. The filling material placed in the tooth is hardened with using a special binding agent by the light device and polishing  is performed in the same session. With these materials, very large losses in the fore- teeth can be restored, so the care of the patients in biting holds a great importance as it will prolong the lifetime of the filling.

Porcelain Filling: Porcelain fillings are prepared by measuring the size of the cavity and it is sent to the laboratory.The polished porcelain filling is adhered to the cavity at the next session.

What are the sequences of treatment?

If necessary, the tooth is anesthetized by local anesthesia. Cavities are cleaned with rotating tools or laser. After it is cleaned, the cavity is prepared for the filling. The various fillings need to be shaped differently in order to keep the filling in place. The tooth is roughened with acidic gel for better adaptation of the filling material. Bonding agent is applied to the tooth. It is hardened by polymerizing several times with a bright blue light after the filling material has been placed. In the final stage, it is polished with discs and rubbers after filling is placed. Sensitivity may be felt in the tooth after filling. The tooth can be sensitive fort he pressure, air, sweet food or heat. Usually, such sensitivities decrease or disappear completely within 1 week. If excessive sensitivity continues  2 weeks, you should contact your dentist.

Recontouring or so-called as odontoplasty which means reshaping in dentistry is a relatively fast and inexpensive procedure. It is a procedure which applies by removing a small amount of tooth enamel in order to change length, shape and surface limits of the tooth.

Recontouring is one of the most protective procedures in cosmetic. It is possible to remove small cracks and overlaps and tooth stone formation, eliminating small irregularities and improving all dental health with recontouring. However recontouring is not a process that can be used in deep cracks or fractures in large fillings from previous operations.

Recontouring can be combined with bonding treatment if it is not enough to eliminate the irregularities in the tooth. Bonding application is the repair of cavities, broken or colored teeth with composite resin material in tooth color.

Recontouring is usually performed without anesthesia. Because the live part of the tooth and pulp is not affected during the process. One or two appointments are enough to complete the treatment.

Recontouring can only be performed when all of the tooth structure is not lesioned.  X-ray is taken to see the size and location of the vein and nerve pack located in the middle of the tooth which is called pulp. The process may not be performed if the enamel layer is thin or if the pulp is too close to the surface. Small amounts of dental enamel material are removed using an abrasive disc and fine diamond drills. Paper abrasives are used for shaping and smoothing of irregularities between the teeth. The teeth are polished after reshaping.

No special care is required after the procedure. Because, no external material is placed in the tooth at the recontouring process. In addition, it is necessary to pay more attention to the cleaning of the teeth in order to prevent the coloring of the composite resin material after recontouring processes where bonding is also carried out.

It is the repair of cavities, broken or colored teeth with composite resin material in tooth color.

The Bonding  is an easy and inexpensive cosmetic application. Mostly used for cosmetic requirements. It is used to improve the appearance of teeth have notches or colored teeth, to close the gaps between teeth (diestamas), to shape the teeth (such as long teeth) and to change their colors.

This process takes 30-60 minutes. Several appointments may be required if there is more than one tooth. First of all, the tooth surface is roughened after the appropriate color is selected. To make the bonding material is easily attached to the tooth, the tooth is covered with a material that is compatible with it. The composite resin material into the tooth color is placed into the tooth with the desired shape after these preparations. The material is hardened by ultraviolet light. After the material is hardened, it is corrected and shaped by the physician. Then the material is polished until it is shined as in other parts of the tooth.

Color food and beverages should be avoided as possible as to protect or minimize stains in the first 48 hours.

Composite resin is not as strong as natural tooth. It may crumble if you bite or chew ice or pen. The life of the bonding is few years and it can be repaired later. Oral habits and amount of the used bonding play an important role in determining the lifetime of the bonding treatment.