Posts for tag: bonding
So you’re tearing up the dance floor at a friend’s wedding, when all of a sudden one of your pals lands an accidental blow to your face — chipping out part of your front tooth, which lands right on the floorboards! Meanwhile, your wife (who is nine months pregnant) is expecting you home in one piece, and you may have to pose for a picture with the baby at any moment. What will you do now?
Take a tip from Prince William of England. According to the British tabloid The Daily Mail, the future king found himself in just this situation in 2013. His solution: Pay a late-night visit to a discreet dentist and get it fixed up — then stay calm and carry on!
Actually, dental emergencies of this type are fairly common. While nobody at the palace is saying exactly what was done for the damaged tooth, there are several ways to remedy this dental dilemma.
If the broken part is relatively small, chances are the tooth can be repaired by bonding with composite resin. In this process, tooth-colored material is used to replace the damaged, chipped or discolored region. Composite resin is a super-strong mixture of plastic and glass components that not only looks quite natural, but bonds tightly to the natural tooth structure. Best of all, the bonding procedure can usually be accomplished in just one visit to the dental office — there’s no lab work involved. And while it won’t last forever, a bonded tooth should hold up well for at least several years with only routine dental care.
If a larger piece of the tooth is broken off and recovered, it is sometimes possible to reattach it via bonding. However, for more serious damage — like a severely fractured or broken tooth — a crown (cap) may be required. In this restoration process, the entire visible portion of the tooth may be capped with a sturdy covering made of porcelain, gold, or porcelain fused to a gold metal alloy.
A crown restoration is more involved than bonding. It begins with making a 3-D model of the damaged tooth and its neighbors. From this model, a tooth replica will be fabricated by a skilled technician; it will match the existing teeth closely and fit into the bite perfectly. Next, the damaged tooth will be prepared, and the crown will be securely attached to it. Crown restorations are strong, lifelike and permanent.
Was the future king “crowned” — or was his tooth bonded? We may never know for sure. But it’s good to know that even if we’ll never be royals, we still have several options for fixing a damaged tooth. If you would like more information, please contact us or schedule an appointment for a consultation. You can learn more by reading the Dear Doctor magazine articles “Repairing Chipped Teeth” and “Crowns and Bridgework.”
Imagine this: your active, adventurous child — or adolescent — loves high-risk contact sports like hockey or football, and while playing breaks a front tooth. After an emergency trip to our office, we recommend bonding as a good choice for this repair.
“What is bonding?” you ask. Here's what you need to know. In a bonding procedure, a composite resin restoration material is attached (bonded) to the broken tooth, and it looks as good as new.
Composite resin restorations are tooth-colored filling materials composed of a special plastic-based matrix for strength, with glass filler for aesthetics and translucence. The combination looks just like a natural tooth. The composite resin material is physically bonded to the remaining healthy tooth structure. First the natural tooth enamel or dentin must be etched so that the composite resin can attach and actually join to the tooth. In the end it will function as one and look exactly like a tooth.
Composites can be placed directly on the teeth in our office, quite easily, and they are relatively inexpensive. They look natural and can be matched to your child's natural tooth. They require little to no tooth reduction. Bonded composite resin restorations are the best choice for children and teenagers because their teeth and jaws are still growing and developing. What's more, they are still active in their sports and could need further restorations.
Composite resin restorations may need to be replaced with more permanent restorations after your child is fully grown. The bonded resin restorations may wear over time, and may stain and dull somewhat with age. When your child has completed growth, more permanent restorations such as porcelain veneers or crowns may be necessary.
By the way, a custom-made mouthguard might have prevented injury in the first place and certainly should be considered in the future.
If your child has chipped or damaged a tooth, contact us today to schedule an appointment or to discuss your questions about bonding and a protective mouthguard. You can also learn more by reading the Dear Doctor magazine article “Repairing Chipped Teeth.”