Your desire that a filling resemble your tooth as closely as possible means we must select a clear criteria of quality
Today, materials used for preparing fillings are made of nano-composites. They show all the properties of a natural tooth - transparency, durability, individual shades and enamel designs.
STAGES OF TREATMENT
There are several generations of composites, each of which has its pluses and minuses. In cases when there are not very many healthy tooth tissues left and the composite filling will not cling to the tooth, we propose a ceramic filling.
Inserting a filling takes 30 minutes to 1 hour.
- The better the quality of the polish is, the smoother it becomes, which means less plaque will stick to it. In addition, roughness can lead to increased abrasion of the opposite tooth (the antagonist).
A photopolymer filling is made of light-curing composites. There are several generations of composite materials. All of them are sufficiently resistant to mechanical stress and do not require the removal of a large amount of hard tooth tissues.
The main types of photopolymers:
- - conventional,
- - microhybride,
- - condensable,
- - flowing,
- - compomers,
- - modified (ormokers),
- - nanohybride,
- - gum-simulating.
Each of them has its own purpose and indications for use. A dentist chooses the material depending on the stage of caries, the degree of tooth decay, localization and depth of the carious cavity, the state of the periodontal tissues and other indicators. The price of a photopolymer filling for a tooth also depends on these indicators.
The latest generations of photopolymers have the necessary fluidity to form a seal, at the same time ensuring stability, solidity and tightness during functioning. All this significantly extends the service life of a dental filling.
At the Porcelain dental clinic in Kyiv, a new class of materials — nanocomposites, consisting of the smallest particles (from 1 to 100 nm), is used for the manufacture of permanent fillings. They allow to simulate all the properties and aesthetics of a natural tooth — transparency, strength, are easy to polish and assure good colour stability. In addition, nanomaterials have “chameleon” properties, allowing them to adapt to enamel and dentin tints. Such a filling in a tooth is almost invisible.
The advantages of light-curing composites also include:
- - minor shrinkage — 1.7 times less than that of acrylic materials,
- - low thermal expansion factor, so they practically do not react to the temperature of food and drinks,
- - increased rigidity and compressive strength,
- - fast curing,
- - easy colour selection,
- - possibility of polishing to shine.
Indications for installation of photopolymer fillings:
- 1. Aesthetic restoration of tooth hard tissue defects.
- 2. Restoration of cavities of chewing teeth.
- 3. Reconstruction of traumatic dental injuries.
- 4. Installation of veneers in case of discolouration of the front teeth.
- 5. Correction of shape and colour to improve aesthetics.
- 6. Repair of highly aesthetic veneers (including ceramic ones).
- 7. Splinting of teeth.
- 8. Restoration of a tooth stump for a crown.
- 9. Manufacture of inlays and overlays.
Tooth filling using photopolymers may be contraindicated in case of patient’s allergic reactions to the components of materials, as well as inability to isolate the tooth from moisture.
Subsequently, a photopolymer filling does not require special care. Thorough cleaning with a medium-hard toothbrush and floss is sufficient. It is advisable to use non-abrasive gel pastes. Also, regular preventive examinations and professional cleaning in the clinic are recommended.
Photopolymer materials allow to significantly expand the indications for aesthetic restoration of teeth with carious and non-carious defects, including wedge-shaped defects, erosion, chipping and fluorosis. These restorations provide optimal mechanical strength and natural appearance.
We make a rational decision and take action accordingly – if it becomes obvious that the filling made of a composite will no long hold on or will not provide the necessary aesthetic effect, we propose a variant made from a different material.
DOCTORS WHICH FOLLOW THIS SERVICE
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MYTHS AND QUESTIONS ANSWERS
1. What is the difference between a filling and ceramic inlay?
The main differences are the material and method of manufacture.
The filling is made by the doctor directly in the chair from composite materials. The ceramic inlay is made using computer modeling from a single block of ceramics in the laboratory. The inlays are not subject to grinding, like composite fillings, and their lifespan is over 10 years.
It is recommended to restore a small defect with a filling, not very extensive in volume (up to 30% of tooth tissues). The ceramic inlay is indicated for treatment of a big lesion of the chewing surface with preservation of a large array of tooth tissues; treatment of a deep lesion of the tooth with preservation of the walls; as a recovery option after endodontic treatment. Also, ceramic inlays more correctly transfer the mechanical load that occurs when chewing on the restored tooth tissues.
2. Can a tooth ache after caries treatment?
There is the concept of “postoperative sensitivity” with very deep lesions in the immediate vicinity of the nerve in living teeth. It is a slight, barely noticeable discomfort after treatment, which in some cases can last up to several weeks. On average, this discomfort remains for 2-3 days.
3. If the filling will disturb me, what should I do?
Our doctors follow the principle “Measure 7 times, cut once”. Based on this, the correction of the filling immediately after the restoration of the tooth is minimal, but it must be comfortable for the patient. The patient's sensations can be distorted due to the action of anesthesia, a long horizontal position or eventually banal muscle fatigue, which is why when the patient undergoes adaptation to a new tooth surface, after 1-3 days new discomfort points can be felt. Your doctor will make a correction.
4. What is the life time of photopolymer fillings?
The lifespan completely depends on the individual anatomic features of the patient (the presence of bruxism, abnormal bite) and lifestyle (bad habits, diet, traumatic sports). On average, the life of the filling is about 5 years. Your doctor-curator will provide the recommendations for the replacement of old fillings on a routine examination every 6 months.
5. Will I get anesthesia?
In most cases, yes. In some cases, in teeth with treated canals or surface caries, you can try to do without it, the patient’s comfort and safety is always a priority.
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