Restorative Dentistry in Auburn, CA
During your first dental examination with x-rays, you will be given the opportunity to discuss your dental health and goals. What is important to you, is priority for us. You will be presented with options to meet your dental goals. We offer many different services. But, you will be invited to join the decision-making process of what dental treatment will work best for you. In partnership with YOUR dentist, you will have a healthy smile and know you were a part of the process. Leaving the dental office feeling confident and informed of your dental plan is our goal.
Traditional dental restoratives, or fillings, are most often made of silver amalgam. The strength and durability of this traditional dental material makes it useful for situations where restored teeth must withstand extreme forces that result from chewing, often in the back of the mouth.
Newer dental fillings include ceramic and plastic compounds that mimic the appearance of natural teeth. These compounds, often called composite resins, are usually used on the front teeth where a natural appearance is important, but they can also be used on the back teeth depending on the location and extent of the tooth decay.
There are two different kinds of fillings: direct and indirect. Direct fillings are fillings placed into a prepared cavity in a single visit. They include silver amalgam, glass ionomers, resin ionomers, and composite (resin) fillings. Indirect fillings generally require two or more visits. They include inlays, onlays, and veneers. They are used when a tooth has too much damage to support a filling but not enough to necessitate a crown.
Crowns are a restorative procedure used to improve your tooth’s shape or to strengthen a tooth. Crowns are most often used for teeth that are broken, worn, or have portions destroyed by tooth decay.
A crown is a “cap” cemented onto an existing tooth that usually covers the portion of your tooth above the gum line. In effect, the crown becomes your tooth’s new outer surface. Crowns can be made of porcelain, metal, or both. Porcelain crowns are most often preferred because they mimic the translucency of natural teeth and are very strong.
Crowns or onlays (partial crowns) are needed when there is insufficient tooth strength remaining to hold a filling. Unlike fillings, which apply the restorative material directly into your mouth, a crown is fabricated away from your mouth. Your crown is created in a lab from your unique tooth impression, which allows a dental laboratory technician to examine all aspects of your bite and jaw movements. Your crown is then sculpted just for you so that your bite and jaw movements function normally once the crown is placed.
People are living longer than ever, and while regular brushing, flossing, and checkups allow many of us to maintain our natural smiles for a lifetime, sometimes our teeth just can’t keep up. If you’ve lost a tooth (or a few teeth) due to injury or disease, dental implants can rejuvenate both your smile and your oral health.
An implant is a synthetic tooth root in the shape of a post that is surgically placed into the jawbone. The “root” is usually made of titanium: the same material used in many replacement hips and knees, and a metal that is well-suited to pairing with human bone. A replacement tooth is then fixed to the post. The tooth can be either permanently attached or removable. Permanent teeth are more stable and feel more like natural teeth.
The ideal candidate for implants is a non-smoker who has good oral health, including a sufficient amount of bone in the jaw, and healthy gums with no sign of gum disease.
Single or Multiple Implants
Implants are versatile. If you are only missing one tooth, one implant plus one replacement tooth will do the trick. If you are missing several teeth in a row, a few strategically placed implants can support a permanent bridge (a set of replacement teeth). Similarly, if you have lost all of your teeth, a full bridge or full denture can be permanently fixed in your mouth with a strategic number of implants.
Advantages Over Dentures or Bridges
Conventional bridges and dentures are not fixed to the bone, and can therefore be unstable. This can make it difficult to eat or smile with confidence. Implants not only look more natural, but feel and act more like normal teeth, with a stronger biting force. And because they don’t directly rely on neighboring teeth for support, implants don’t compromise the health of your natural teeth. In fact, bridges are only expected to last seven to ten years, even less with root canals, whereas implants will typically last a lifetime.
Implant Services
SINUS LIFT AUGMENTATION
After the loss of upper back teeth, your sinuses may enlarge in size. Before new implants replace the lost teeth, a sinus lift augmentation or graft relocates the sinus cavity into its original position and replaces the bone that has been lost as a result of the enlarged sinus. This new bone graft typically takes nine to 12 months to heal before the dental implants can be placed into the grafted bone.
AUTOGENOUS BONE GRAFTING
Occasionally, ideal areas where dental implants are to be placed do not have sufficient bone quantity to predictably place the implants. In these cases, it is often necessary to “borrow” bone from another area of your mouth to graft into the deficient area. Often the area of choice is from the chin or in the back of the jaw where your wisdom teeth used to be.
IMPLANT SITE DEVELOPMENT
When a tooth needs to be removed due to infection, it is not uncommon to have bone loss around the infected tooth. In these cases, various types of bone grafting can be done at the same time the tooth is removed to facilitate the placement of a dental implant at a later date.
COMPUTER ENHANCED TREATMENT PLANNING
We have special 3D software that allows us to evaluate your bone quality, bone quantity, and bone location for the best possible placement of your dental implants. This also allows us to work closely and smoothly with your restorative dentist to ensure an ideal result for your dental implants.
IMPLANT MAINTENANCE
Once your dental implant restoration is completed, it is important to keep the area clean and free of infection. Dental implants can accumulate plaque and tartar just as teeth can. Whether you have just one tooth replaced by an implant or several, professional cleanings will be necessary to keep your implants healthy. The time interval for these professional cleanings will be determined by your individual needs.
Post-Treatment Care
Consider your replacement teeth to be the same as natural teeth. They require the same daily brushing and flossing, and the same amount of regular checkups. Just like your natural teeth, the better you take care of your replacements, the longer they will last.
Dentures are natural-looking replacement teeth that are removable. There are two types of dentures: full and partial. Full dentures are given to patients when all of the natural teeth have been removed. Partial dentures are attached to a metal frame that is connected to your natural teeth and are used to fill in where permanent teeth have been removed. Just like natural teeth, dentures need to be properly cared for. Use a gentle cleanser to brush your dentures, always keep them moist when they’re not in use, and be sure to keep your tongue and gums clean as well.
A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.
There are several types of bridges. You and your dentist will discuss the best options for your particular case. The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal. Porcelain fixed bridges are most popular because they resemble your natural teeth. This type of bridge consists to two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.
Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.
Reasons for a fixed bridge
- Fill space of missing teeth
- Maintain facial shape
- Prevent remaining teeth from drifting out of position
- Restore chewing and speaking ability
- Restore your smile
- Upgrade from a removable partial denture to a permanent dental appliance
What does getting a fixed bridge involve?
Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.
At the second visit, your permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit. Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time.