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Porcelain Veneers, Inlays, Onlays and Crowns.
Porcelain
veneers have become more and more popular during the last few years.
They are an aesthetic and healthy option to common crowning, which
requires a painful drilling of the tooth to prepare the area for
the crown.
- Veneers
are similar to false fingernails. Veneers are thin and cover
the front part of the tooth. They look much better and last
longer than their predecessors
— plastic veneers or
direct-bonded composite restorations.
- Porcelain
veneers also look like regular teeth – they are extremely
durable, and their natural looking color is long-lasting.
They work particularly well for discolored, spaced or misaligned
teeth, even in cases that don't seem to have any possibility
of restoration.
Also, the treatment is easier on
patients.
Since
there is little need to shape the teeth, normally the procedure
can be accomplished in two or three visits. The dentist first prepares
the tooth to take a mold, which is then sent to a dental laboratory.
The lab technicians create a custom-fit veneer and return it to
the dentist. In the second appointment, the veneer is put in place
and if it is a perfect fit, it is immediately bonded to the tooth.
After this procedure, the dentist polishes the edges and the job
is done. You only need to take care of it as you would a normal
tooth... simply brush and floss, on a regular basis.
Misaligned,
spaced, discolored teeth, or those with large restorations (fillings)
or decayed areas require crowns, also known as caps. Dentists have
used porcelain crowns for many years, but without reinforcement,
they easily break. This led to the creation of porcelain crowns
with metal frameworks to support the porcelain. A problem with the
metal framework is that more of the tooth has to be taken off to
make room for the frames, and its color has to be blocked out, and
the light that passes through the tooth is blocked by the metal.
As a result this type of restoration is very difficult or practically
impossible to look completely life-like.
Research has solved these
and other problems... A solution has been
implemented:
Since
the veneers were bonded to the front of the tooth or teeth, they
could also be extended around the whole tooth and held together
like a crown, and bonded like a veneer. This procedure had not been
tried before because traditional dental cements have no chemical
bond to either the tooth or the restoration. They act as fillers
to help hold the restoration in place, the same way a water seal
works on cooking-ware.
- Therefore,
the bonds used on veneers also work on crowns, and the technique
helps reinforce the porcelain and the tooth itself. This
allows light to pass through the tooth/teeth without problems
or blocks.
- New
developments in porcelain bonding and porcelain restoration
have become very aesthetic and strong, plus they give the
added benefit of creating a healthy looking smile.
The
100% porcelain inlay or onlay is another type of restoration that
has become more popular.
This
is generally placed on posterior teeth and is an aesthetic replacement
for metal colored fillings. Previously, these restorations were
made with porcelain, but they had the same problems as porcelain
crowns. When dentists began bonding them in position inside the
tooth, like a normal filling, the reinforcement problem was solved.
And an added bonus was obtained: the procedure strengthens the tooth
more than a traditionally cemented inlay or onlay.
These
advances now allow dentists to replace sick teeth and unattractive
silver fillings and caps with more natural looking porcelain inlays
and crowns with a very easy and comfortable procedure. The end result
is beautiful, stronger, healthier, and more natural-looking teeth.
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