Custom restorations to bring teeth back to full function for a beautiful smile
“Restorative dentistry” is the term used to explain how we replace missing or damaged teeth. Fillings, crowns, bridges and implants are common restorative options. Our goal is to bring back your natural smile and prevent future oral health issues.
Why restorative dentistry procedures?
- Filling empty spaces in the mouth helps keep teeth properly aligned
- Replacing teeth makes it easier to prevent plaque build-up
- Missing teeth can affect your health, appearance and self-esteem
A dental crown is a natural looking tooth shaped cap that is placed over a weakened tooth to strengthen it, to restore its size and shape and improve its function, as well as improving how your mouth looks. They are also used to complete dental implants. If your dentist recommends a crown, it can be for a variety of reasons including: to restore a broken or worn down tooth or protect a weakened tooth or hold together a cracked tooth / to cover a dental implant / to cover misshapen or severely discoloured teeth when other colour restoration treatment is not an option or to hold a dental bridge in place.
There are different types of crown available and your dentist will discuss the best option for you. Porcelain crowns are the most natural looking and are strong – there are different options for strength and appearance, which your dentist will advise you of. These crowns are good for front teeth. Porcelain bonded crowns comprise porcelain attached to a metal base and are very strong. They can be used for front or back teeth. Gold crowns are the strongest form of crown and are normally used for back teeth.
When your dentist recommends a crown, they will need to reshape your teeth to hold the crown. Once the tooth has been prepared, the dentist will create an impression or take a digital 3D scan with our iTero scanner and send to our laboratory and will place a temporary crown. Once the permanent crown tis made your dentist will fit it using cement.
If you have one or two missing teeth, a dental bridge can be used to fill the gap between missing teeth, restoring and improving your smile. There are two types of dental bridge: a conventional bridge and a bonded bridge.
Dentures are made of either acrylic (plastic) or metal. A ‘complete’ or ‘full’ denture is one, which replaces all the natural teeth in either the upper or lower jaw. A ‘partial’ denture fills in the spaces left by lost or missing teeth. It may be fastened to your natural teeth with metal clasps or ‘precision attachments’.
The base of a denture is called a plate and can be made of either acrylic (plastic) or metal. The teeth are normally made of acrylic and can be made to match your natural teeth. This is especially important in the case of partial dentures. More aesthetic options are also available.
A complete denture, replacing all your own teeth, fit snugly over your gums. Whilst improving the appearance of the teeth, the dentures also provide check and lip support, helping to correct sagging facial muscles. Our dentists will guide you through the process to ensure your dentures look natural, fit comfortably and you regain the confidence of a smile.
Denture treatments require 5-6 appointments. See below a typical example of the process and steps involved:
- We will take impressions of your mouth and send these on to our trusted dental laboratory. The dental technician will create a model for your denture.
- The next step involves the use of modelling wax to construct the denture and determine the correct positioning of teeth. We will also advise you on the shape of your dentures, allow you to select the colour of teeth to achieve a natural look.
- The wax model is tested for fit, teeth positioning and bite. The laboratory will now create the pink gum coloured plastic denture.
- A fitting will now take place to ensure you are comfortable and happy, and check the bite and fit of the denture is suitable.
- A follow up session is always a good idea to check how you are getting along with the dentures, and any necessary adjustments can be made to improve comfort and fit.
Dentures should last several years. If they become loose or ill fitting consult your dentist, as they may need to be relined or re-made. Otherwise, they may become uncomfortable and may cause ulcers or infections.
Alternatively, to having a denture you may be able to have dental implants, provided your jawbone is healthy and thick enough. If you only have a small gap, as a result of one or possibly two missing teeth, you may be able to fill the gap with a bridge. Your dentist will discuss alternative treatments with you.
your confidence and a beautiful smile. Dental implants are artificial teeth attached to the jaw bone using titanium screws. Such implants can replace one tooth or several teeth, using a bridge or implant-retained denture. Once they are fitted, dental implants act like natural teeth and require similar care. We work with trusted local implantologists to ensure you receive the very best care and our own dentist will restore the implant once placed.
It is important to keep up with maintenance appointments for implants so that they remain in good condition. Failure to look after dental implants can lead to a build-up of detritus on the implanted tooth, which if left untreated could cause gum bleeding, pain and discomfort. At Dental Health Spa we will always provide maintenance appointments that will help prevent these problems from arising.
What does getting dental implants involve?
It will normally take between three and four months for implants to be fully fitted. This can vary depending on the number and location of implants. The treatment can be carried out using a local anaesthetic or a sedative that will not put you to sleep, but will make you feel very relaxed. If you have a sedative you will need someone to drive you home and keep an eye on you afterwards.
Once the implants have been fitted, your jaw bone will grow and fuse to them. This usually takes a few months and in some cases you may have a temporary denture fitted while this fusing takes place. When this stage of the treatment is complete, you will have a final crown placed on top of the implant. If you look after them well, your dental implants will last for many years. They are simple to care for, by regular brushing, flossing and follow-up appointments
A Conventional bridge use crowns fitted to two or more adjacent teeth with porcelain false teeth created to fill the gap. If teeth next to the gap need a crown for example if they are cracked or have large fillings this technique works well.
Bonded bridges are made of two parts – a false porcelain tooth and a wing, which is attached using cement to the tooth next to the gap. If the surrounding teeth are strong this is a good option, as it does not require the fitting of crowns.
It will take at least three visits to have your permanent bridge fitted because each bridge is bespoke for every patient. At your first appointment the supporting teeth will be prepared either for crowns or for wings in the case of bonded bridges. Impressions are taken of your teeth and an accurate measure of your bite is made. These impressions will be sent to the laboratory where your bridge and crowns /wings will be created. Your dentist will fit you with a temporary bridge until the permanent one is ready.
Once your bridge is ready you will have your second appointment and the temporary bridge will be replaced with the permanent one. Your dentist will check and adjust it as necessary to ensure it fits properly. Your third and any subsequent appointments will be to further check fitting before the bridge is cemented into place.
Broken, cracked or fractured teeth can be caused by trauma to the mouth that causes injury, such as during contact sports or cycling. A tooth can crack when eating hard food or trying to break something with your teeth. General wear and tear or poor oral health can also result in broken or fractured teeth.
Treating broken teeth depends on the type of break in the tooth and if there is nerve damage. If the fracture is to the outer surface of the tooth only, then this can be corrected by smoothing and polishing the tooth or where the break is small, a filling can be used to fill the gap and return the tooth back to its natural shape. Veneers can also be attached to existing teeth to give them their natural shape and shade. In some cases, where the edges of the tooth are damaged, a crown is the better solution as reinforcement to the existing tooth. Root dame may require a Root canal treatment.