Chipped, cracked, and broken teeth can not only affect your overall self-confidence, but can affect your oral health. In addition to taking away from your smile, these dental issues can lead to sensitivity, chewing discomfort, cavities, and infections. At Ben Mandel DDS, your dentist, Dr. Mandel provides a range of advanced dentistry techniques to restore your smile and alleviate any oral health issues. Our La Mesa, El Cajon, and Spring Valley patients are able to choose from veneers, bonding, gum recontouring, crowns, caps, bridges, dentures, and fillings. Call 619-660-0022 today to schedule a consultation to learn which restorative dental procedures best suit your needs.
Thin porcelain covering the tooth. These can be made as a conservative approach to replacing larger portions of the tooth when esthetics is a concern. They are often used to close gaps, change the color of teeth and modify teeth shapes instantly – sometimes called – “Instant Orthodontics”. Our dentist has taken hundreds of extra hours of additional continuing education training for COSMETIC AESTHETIC DENTISTRY procedures that many general dentists don’t take the time to incorporate into their practice.
Dental bonding is more of a generic term that is used to describe several procedures. When we place a composite filling, we are doing a “bonding” of the composite to the tooth. When we close a space in the front teeth, sometimes that is referred to as bonding. Closing these spaces (or “diastemas”) can radically improve a person’s look as well as self-confidence. Bonding can also be the term used when we place a veneer (or bond a veneer) over a tooth. Again, this is primarily for closing spaces, rotating teeth and lengthening teeth or changing their color. The procedure is relatively common these days and many people have benefitted from the different types of “bonding” available today.
When a person’s gums extend too far onto the tooth surface, he or she is said to have a “gummy” smile. In just one painless office visit, Dr. Mandel can use a diode laser to gently sculpt the gum line into a more pleasing proportion, making teeth appear larger and the smile more brilliant.
Crowns are placed over a tooth when a large portion of the tooth is lost to decay or has broken off. Usually when a filling is more than half of the size of the tooth, the tooth is weakened. If the filling would comprise a significant portion of the tooth, often the tooth can fracture under the stresses of chewing and therefore, placing a crown over the tooth protects the chewing surface and prevents that from happening. Porcelain crowns that are white are made of porcelain and are usually placed in areas of esthetic concern. Gold crowns might be placed in the molar region or when there is heavy grinding that might damage the opposing teeth. More conservative bonded porcelain veneers, inlays and onlays can often be done which are highly aesthetic and save more tooth structure.
If a patient is missing one or more teeth but is not necessarily a good candidate for dentures or dental implants, he or she may be fitted with a dental bridge. A bridge is an artificial tooth that is held in place by a dental crown on either side of the gap created by the missing tooth.
Composite fillings are used when aesthetics is a concern. Many of the currently available materials used for composites are nearly as strong as silver fillings on the chewing surfaces, and they do excellently in the grooves, and dramatically lower the development of cavities. A relatively new technique to the dental field in which a small high-pressure spray of aluminum oxide (27-micron particle size) is used to remove decay or drill out pieces of old fillings and even tooth structure. It cuts down the need for a drill in many cases and often can eliminate the need for anesthetic since there is less trauma to the tooth while it is being used. Advantages include less vibration, less noise, less heat build-up. It acts like a mini sandblaster and works excellently in preparing teeth for sealants or conservative dental care. Sometimes it is referred to as Micro-Dentistry or “Soft-Prep”.
Silver fillings are the metal type of fillings and have proven to hold up for years and are an easily placed filling material. Now that newer composite (white) fillings are coming out with stronger materials, more people are getting those placed instead. Recent studies are showing that larger amalgams can actually fracture teeth due to the variation in coefficient of expansion when exposed to hot and cold compared to tooth enamel. Typically, amalgams may cost less to place that’s why insurance companies favor them), however, with the risk of fracture and mercury exposure and leakage, our office has chosen to provide metal-free fillings. We find them to be stronger and more aesthetic.
Root Canal Therapy
A root canal therapy is typically done whenever the decay or injury to the tooth invades the inner part of the tooth where the pulp is. This is where the nerve and the blood supply are located. When a root canal is done, the inner portion of the pulp is removed, along with any infection that may have invaded the inside walls of the tooth. Then a sealer material is placed with a rubbery plastic to fill the hole so that new infection can’t get into the tooth. Generally, by removing the root, it can potentially weaken a tooth and therefore, it is common to protect the integrity of the tooth by placing a crown over the tooth.
Call 619-660-0022 today or make an appointment online for your smile makeover consultation.