Dental inlays and onlays are restorations used to repair rear teeth that have mild to moderate tooth decay. Inlays and onlays are also used to restore teeth that are fractured or cracked if the damage to them is not severe enough to warrant a dental crown. Inlays and onlays are usually made from porcelain, composite resin and sometimes gold. Inlays and onlays are often used to replace metal fillings for those who desire a more natural-looking smile.

Inlays

Inlays are used to treat teeth that have decay or damage on their top surfaces. Inlay placement is usually done over the space of two visits to your cosmetic dentist. During the first visit, an impression of your tooth will be taken, and a temporary inlay will be placed on the tooth. The impression will be sent to a dental lab where your inlay will be matched to your tooth’s specifications. When you return to the dentist, your temporary will be removed and the permanent one will be placed over your tooth.

Onlays

Onlays are used to treat decay that extends to one or more of the cusps (top projections of the tooth). Onlays are placed in much the same manner as inlays with an impression being taken first and a temporary onlay being placed over the tooth. The impression is sent to a lab, where a dental technician creates the onlay according to the tooth’s dimensions. One the next visit to the dentist, the temporary is removed and the permanent restoration is placed on the tooth and bonded securely using high-strength dental resins.

Onlays, like inlays, can be created from tooth-colored material, which makes them virtually undetectable to the naked eye. Onlays conserve more tooth structure because their use requires minimal removal of a tooth’s surface. Onlays also help patients avoid the eventual need for more extensive treatment with crowns, bridges, or dental implants.

Advantages

Since inlays and onlays are made from durable, tooth-colored porcelain typically, they offer much more enduring and natural-looking results than the metal fillings used in the past. Dentists can securely bond them to the tooth’s surface, which adds structural integrity and prevents bacteria from entering and forming cavities.

Additional advantages are:

· Inlays and onlays, unlike metal fillings, will not expand or contract in response to temperature changes caused by hot/cold foods.

· Inlays and onlays can replace metal fillings creating a healthier more natural-looking smile.

· Inlays and onlays are virtually invisible due to being made from tooth-colored material.

· Inlays and onlays help strengthen the teeth up to 75%.

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When experiencing dental issues, from simple plaque up to severe cases of rotten and crooked teeth, dentists can deal with these dental problems. They also help individuals maintain good oral health. So, when dealing with issues like a lost tooth or teeth, it is best to visit dentists immediately.

Missing tooth or teeth can create numerous issues such as gum diseases, moving teeth, or shifting and can affect the appearance of the teeth. The best way to accommodate this issue is to opt for dental treatments like dental crowns and bridges. These treatments can help individuals make their teeth better and more appealing. Sadly, there are problems with regard to these treatments that you need to be aware of. Below are some of the following.

Overcontour

One of the best benefits of dental crowns is it looks like a natural tooth when installed. However, making use of larger crowns can trap bacteria which can cause periodontal gum disease. Some symptoms of overcontour are bleeding gums around the crown or darkening of the gum margin.

Malocclusion

Malocclusion is an imperfect positioning of the teeth when the jaws are closed. This issue restricts individuals to bite and chew properly. The ideal solution is for dentists to grind the crown and match your bite to allow you to close your jaw. However, overgrinding can trigger temporomandibular disorder.

Color of crowns and bridges

When opting for crowns and bridges, individuals have a vast selection of colors. But, there are cases when individuals choose the whitest color which is not recommended since the teeth color may vary depending on an individual’s daily food item and habits. So, make sure that you take into consideration the natural color of your teeth when opting for dental treatments.

Ill-fitting for bridges

It is important for dentists to make sure that crowns and bridges fit properly on the tooth since patients may feel pain, which can also cause certain issues on your gums. In case that you feel pain, it is best to visit dentists immediately to treat this issue.

Tooth decay

Lastly, improper fitting of crowns and bridges can lead to tooth decay. This is possible since food items can easily be stuck on crowns. Apart from that, certain areas in your crowns can be a good spot for bacteria to live in and may cause infection.

By knowing all these, individuals can deal with dental crowns and bridges mistakes that can help them have better oral health.

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A dental implant is a structure made out of metal which helps in replacing the root of a missing tooth. To give you the look and feel of a real tooth a crown will be fitted on the abutment in the dental crown. The entire procedure of fitting the tooth root with metal, screws and theby replacing damaged or missing teeth with the artificial means is termed as dental implant surgery. It is a wonderful and impressive alternative for dentures or bridgework.

The type of implant and condition of your jawbone will decide the course of dental implant surgery. Here you must know that the surgery will take place in different stages and will involve a lot of procedures. The reason why your dentist will suggest you to undergo dental implant surgery is because of its various benefits. The biggest benefit is that the implant provides unyielding support to the new teeth which gets fitted. The process may take longer because osseointeration requires a lot of time.

Tooth implants are placed surgically in the jawbone and they serve as a root for the teeth which are missing. Furthermore the metal used is titanium which fuses with the jawbone and provides a firm base. Because of titanium the implants do not slip or make noise or even cause any sort of damage to the bone. On the other hand the chances of slipping, noise and damage are higher if you have bridgework or dentures. Moreover the metal does not finish no matter what you eat.

You might be the right candidate for tooth implants if: –

1. You have one or more than one teeth missing
2. You have a full grown jawbone
3. If you have enough bone which will help in fitting the implants or if it can accomodate bone graft.
4. If you have healthy tissues in your gums.
5. If you do not have any health related concerns which may impact the healing procedure.
6. If you do not wish to carry dentures.
7. If you wish to improve the way you talk.
8. If you agree to give fundamental time to dental implant surgery.

Dental Implant is a surgical procedure because there are some chances of risk involved. These health risks are very rare and are easily cured because they are not that grave. The possible health risks include the following: –

• The implant gets infected
• The nearby structures such as teeth or the blood vessels getting damaged during the fitting of dental implant.
• The nerve getting damaged which leads to pain, lack of sensation or gives a tingling feeling to the neighboring natural teeth and gum tissues.
• Dental implant procedure can also lead to sinus when they are placed on the upper jaw.

Many cases of tooth implant surgery are successful. The failure of implants occurs when the bone fails to blend with the metal implant. The biggest cause of failure is smoking. In case of failure the implant will be removed and the bone will be cleaned. Thereafter you can go for this procedure in next two months.

Following some common precautionary steps can yield better results. So make sure you practice excellent dental hygiene and at the same make sure you visit your dentist regularly. Visiting your dentist will help you understand the condition of dental implant and you will also the rest of the teeth.

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It is now much easier to get implants to replace lost teeth or veneers to change the surface appearance of teeth thanks to recent changes in cosmetic dentistry.

Differences between cosmetic and general dentistry

Cosmetic dentistry is when a person opts to have the look of their teeth altered to improve their smile and general appearance. Although the American Dental Association does not regard cosmetic dentistry as a specialty, the procedures can produce dramatic results. Restorative dentistry is used when a person loses, chips, or breaks teeth due to trauma, cavities and tooth decay or other natural reasons.

However, before undergoing any cosmetic dentistry treatment, an individual should know first the risks and advantages in addition to what to expect during and after the procedure. It is also important to know the credibility of your dentist to perform cosmetic dentistry treatment, how much the procedure will cost, and if there are any special maintenance required after the treatment.

Dental Implants

At one time, if a person lost a tooth due to trauma, old age, or any other cause, that space in the mouth was either left blank or a denture or false tooth was put in its place. Times have changed.

Dental implants involve placing a metal rod at the jawline and putting a molded artificial tooth or crown where the former tooth was. Because the implant is fused with existing teeth, it should last a lifetime and keep your gumline healthy.

Requirements for dental implant patients

You need to have healthy gums and strong bone as the basis for the implant or dental crown. These implants have the look and feel of regular teeth and can be used to chew food or do anything that regular teeth would do.

The health condition of the patient, the condition of the gum tissues and jaws, and the size, shape, and position of the jaw bones are important considerations before doing any implant procedures. Individuals with poor dental hygiene, diabetics, and those who smoke heavily are discouraged to have implants due to higher risk of gum disease and infection.

Dental implant failure is also increased especially for people who suffer diseases of the bones like osteoporosis and for people who have been taking steroids for a long time.

What are dental implants made of?

There are three parts of a dental implant: titanium metal that is fixed to the jawbone, an abutment or post that is fitted over the part of the implant that juts out from the gums, and a crown to provide a natural-looking appearance to the implanted tooth/teeth.

The lower part of the implant is often a titanium rod that is fused to your existing jawline. Crowns are typically made of a composite resin in a whitish tooth color. In some cases the dentist may use a porcelain tooth, but it is not considered as durable for a lifetime of grinding and chewing.

The procedure for implants

Your dentist will take molds of your existing teeth and make a crown that is shaped to replace the former tooth. He or she will also choose a shade of white that is close to the shade of your existing teeth for the visible part. In this way the new tooth blends in with your other teeth and looks natural.

Two types of dental implants

The first type of implants is called Endosteal implants which are implanted directly into the jawbone through surgical procedure. Once the healing has been completed on the surrounding tissue, another surgery is required to post is connected to the first implant. The last step is attaching the artificial tooth or teeth one by one or as a group (such as a bridge or denture) to the post.

The second type is Subperiosteal implants which are made of metal frame implanted in the jawbone below the gum tissue. The metal frame will become fixed in the jawbone as the gum tissue heals. The posts that are attached to the metal frame stick out of the gums for mounting of the artificial teeth.

How long does the procedure take?

It takes several months to heal from a dental implant. If your dentist is removing a tooth that will be replaced by an implant, that will be pulled on the first day. Then the dentist places the implant anchor for the new tooth. This implant will take 3-9 months to heal, but through a process called osseointegration the titanium rod will bond with your existing jawline.

Your dentist may give you a temporary crown while the healing is taking place and in some cases your dentist will place the crown on the same day. The mold for your new tooth takes a few hours or a few days to come back to the office, so you will most likely make a second visit.

The success or failure of dental implant procedure will depend on the individual’s health, the drugs that will be used to speed up osseointegration, and the health of the gum tissues. Healthy bones and gum tissues contribute greatly to the long-term success of this cosmetic dentistry procedure.

Implant side effects

Patients usually experience some pain and bleeding at the implant site. On rare occasions an infection can occur after the implant is placed. It is important to brush and floss your teeth daily to prevent this from occurring. Many dentists discourage smokers from getting the procedure done, due to relatively higher rates of infection.

Dental Implant complications

Several risks related to having dental implants are divided into three parts: first, during the surgical procedure when there is nerve injury or too much bleeding; second, during the first six months after the surgery when osseointegration fails or infection sets in; and third, long-term occurrence such as mechanical malfunction or peri-implantitis (inflammation of the tissues surrounding the dental implants).

Summary:

Implants are a long-term solution to replace missing teeth and among one of the expensive cosmetic dentistry treatments. They are titanium artificial tooth root replacements that are inserted into the bone sockets of the missing teeth and are good alternative to bridges and removable dentures. They are surgically implanted into the jawbone by an oral or maxillofacial surgeon. If bone loss occurred due to periodontal disease, the surgeon will probably have to graft a bone first to secure the implant.

The condition of your teeth and the expected result that you want will determine which cosmetic dentistry procedure is right for you. Your dentist can answer any questions for you like what to expect through the course of treatment, what changes will look like, and what type of maintenance is required if there are any.

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Your pearly whites and healthy pink gums are the indicators of your overall good health. Experts say poor oral health can increase your risk of stroke, heart attack, premature birth, diabetes, arthritis and even Alzheimer’s disease.

If your poor dental structure is having a detrimental effect on your physical and mental health then there are a variety of restorations available in cosmetic dentistry that are so effective and worth your attention. And, E-max dental crown is one of them.

An E-max dental crown is an innovative all-ceramic dental restoration which can help you to improve the size, shape, strength, and appearance of your teeth which have become damaged or broken. As opposed to replacing the damaged tooth, a crown completely covers your existing tooth and provides outstanding esthetics, strength while preserving its usefulness.

A newer inclusion in restorative and cosmetic dentistry, the E-max dental crown is preferred for its properties like highly attractive aesthetic appearance, longer lasting toughness and durability.

To produce E-max restorations lab technicians use lithium disilicate, a high strength ceramic material that achieves a very high translucency. The lab technicians use this high-strength material in conjunction with either the PRESS technique or the CAD/CAM applications. This glass ceramic material is delicate in appearance yet very strong and tough to withstand the biting and chewing pressure. Besides, it provides an exact color match with your own natural teeth.

E.max lithium disilicate can be used as:

Single-tooth restorations in the posterior and anterior region

Inlays/onlays

Thin veneers

Partial crowns

Anterior/premolar bridges

Crowns on implants

Advantages

The key advantage of E-Max crowns is that they are durable due to the high strength. The e.max lithium disilicate restorations replicate natural tooth structure without looking fake. With an appealing translucent color, these caps are indistinguishable from your real teeth.

Apart from the transparent color of it, the lifelike shape makes these undetectable restorations more visually appealing.

Another advantage is that they are strong and durable. These crowns provide outstanding esthetic results without compromising strength and durability. It has been shown in studies that E-max crowns are far less likely to crack or fracture as compared to other types of crowns including the zirconia. The strength of E-max caps is 2.5 to 3 times higher than other glass ceramic systems.

There is no metal alloy base with E-max crown which means you will not have unsightly looking grey line around your gum line. This metal-free system can be an ideal option for prospective patients who are allergic to metal.

The e.max lithium disilicate glass ceramic restorations provide reliable, long-term results. These dental caps are long-lasting, durable and would not take on stains or cause any damage to your natural teeth.

It is a less invasive procedure that completes in a very short period of time with less expense and less labor. Another distinct advantage is that these abutments are bio-compatible which ensures that they will cause no allergic reactions, no sensitivity to temperature and no impact on taste.

It can be fitted without the need for any tooth preparation or only a small amount of tooth preparation. You can get your crowns adhesively bonded or cemented in the traditional way. It integrates so well and beautifully with its surroundings you will forget they are there. The treatment has very little or no side effects.

Disadvantages

One of the disadvantages of E-max abutments is to do with their cost. It is a premium crown which needs high-tech lab equipment and highly specialized lab training for fabrication. The material lithium disilicate ceramic used for the fabrication of E-max crowns is considered a very high grade material, hence making the crowns more expensive than other types of abutments. Another disadvantage is that E-max crowns cannot be used to make a porcelain bridge, and allows for fusion of 2 teeth. Also E-max crowns are not for everyone.

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