Most dentistry looks like dentistry. Our goal is to provide dentistry that is undetectable. We replace existing crowns and fillings with restorations that look and feel like your natural teeth.
Where damage to a person's teeth is extreme, and apparently beyond repair, we can use porcelain or porcelain crowns to make the smile appear "as new". This is an extremely reliable technique for repairing the most severe of dental problems, even permanently replacing missing teeth to offer a complete smile and a functional bite.
We are renowned for the quality of our work and the fantastic changes we make for people using this technology. These treatments are used for a long lasting correction of major dental problems. It is usual for our crowns to last for 20 or more years. Insurance company statistics say that the average crown will last for only 5 years. Our crowns are definitely way above the average.
How long does it take?
Fitting a crown requires at least two visits to our office. At the first visit, we will remove the decay, shape the tooth, take the impression, and fit it with a temporary crown.
On the subsequent visit, we will remove the temporary crown, and then fit and adjust the final crown. Finally, we will cement the crown into place and you will have a new beautiful looking tooth.
Replaces missing tooth structure
Offers support to misshapen teeth or badly broken teeth
Looks completely natural
Fixes "smile" and functional chewing problems.
What are the capabilities of crowns?
Crown and bridgework is a very reliable solution for major dental problems caused through accidents, diseases or wear and tear. Major problems can usually be corrected using these techniques. Material used in these repairs is either high-grade porcelain, or porcelain bonded to gold. The higher strength of the porcelain and gold materials is recommended to treat the most serious of dental problems. Where accidental damage has occurred, resulting in lost teeth, or where teeth have broken away through excessive wear, or as the result of old fillings breaking, crowns and/or bridges can be used as a long-term solution.
Many people have unexplained pain from filled back teeth, which is usually due to hairline cracks in the chewing part of the tooth. Placing crowns on these teeth relieves the pain and allows a return of full dental function. In front teeth, older fillings can both weaken the teeth and cause "appearance" problems due to staining or chipping. Porcelain crowns and bridges are suitable in cases where porcelain veneers are not. In teeth with root canal therapy, crowns can prevent breakage.
When over 1/2 of the tooth’s biting surface is damaged, a dentist will often use an inlay or onlay.
What are inlays and onlays?
Inlays and onlays can be made of porcelain, gold, or composite resin. These restorations are bonded to the damaged area of the tooth. An onlay is a more substantial reconstruction, similar to the inlay but extending out over one or more of the cusps of the tooth.
Traditionally, gold has been the material of choice for inlays and onlays. In recent years, however, porcelain has become increasingly popular due to its strength and color, which can potentially match the natural color of your teeth.
How are they applied?
Inlays and onlays require two appointments to complete the procedure. During the first visit, the filling being replaced or the damaged or decaying area of the tooth is removed, and the tooth is prepared for the inlay or onlay. To ensure proper fit and bite, an impression of the tooth taken, and sent to a lab for fabrication. Dr. Tilden will then apply a temporary sealant on the tooth and schedule the next appointment.
At the second appointment, the temporary sealant is removed. Dr. Tilden will then make sure that the inlay or onlay fits correctly. When the fit is satisfactory, the inlay or onlay will be bonded to the tooth with a strong resin and polished to a smooth finish.
Traditional fillings can reduce the strength of a natural tooth by up to 50%. As an alternative, inlays and onlays, being bonded directly onto the tooth using special high-strength resins, can actually increase the strength of a tooth by up to 75%. As a result, they can last from 10 to 20 years. In some cases, where the damage to the tooth is not extensive enough to merit an entire crown, onlays can provide a very good alternative.