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.”
Having a chipped tooth certainly can make life more difficult. It not only keeps you from wanting to smile, but it may also make it harder to eat your favorite foods. And that can be a major problem — especially if you need to eat up to 80 pounds of bamboo every day to stay healthy.
Just ask Bai Yun, the female giant panda at the San Diego Zoo. The 23-year-old animal recently chipped one of her lower canines, and her keepers were concerned that it might impair her ability to get good nutrition (pandas spend as many as 12 hours a day munching on the woody plants). So they decided it was time for a little dental work!
What followed was not unlike a regular visit to the dental office… except that, instead of sitting in a chair, the 227-pound panda reclined on a large table. After being anesthetized, the patient’s teeth were examined, and x-rays were taken. A composite resin was applied to the damaged tooth, and it was cured with a special light. After the repair work was done, her teeth were given a professional cleaning. When the anesthesia wore off, Bai Yun was released in good health — and ready to eat more bamboo.
Tooth bonding with composite resin is the restoration of choice in many situations. This method can be used to repair small chips or cracks in the teeth, and to clear up some spacing irregularities. The resin itself is a mixture of tough, translucent plastic and glass components that can be made in a number of different shades, which look remarkably like the tooth’s natural enamel coating. And the bonding material links up so well with the tooth structure that this treatment can be expected to last for years.
Another benefit of bonding is that it can be done right in the office — there’s no lab work involved (as there could be for veneers or crowns, for example). That makes it a relatively simple and economical treatment that can typically be completed in a single visit. It’s ideal for fixing minor flaws that don’t involve a great deal of tooth structure. It’s also a cost-effective solution for teenagers who need cosmetic dental work, but must wait until they have stopped growing to get more permanent restorations.
While it isn’t usually as long-lasting as restorations like crowns and veneers, cosmetic bonding is a minimally invasive, reversible treatment that can keep your smile healthy and bright for years to come. And that’s important — whether or not you spend most of your day eating bamboo and posing for snapshots at the zoo.
If you have questions about whether cosmetic bonding could help your smile look its best, 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 “Artistic Repair Of Front Teeth With Composite Resin.”
Your son has fallen and hit his face against a hard surface. Not only is he in pain but now there is also a chip missing from his front tooth. He is worried that his smile will never be the same. What should you do?
Answer: If you can find that missing chip, sometimes we can bond the fragment back on to the tooth. The tooth should be evaluated and repaired as soon as possible, although in the absence of other signs and symptoms of injury, and if your child is not in acute pain, it can probably wait up to 12 hours.
If the fragment can't be found, then the tooth can be restored with tooth-colored filling materials, which are also physically bonded to the natural tooth. Done well, these “composite resin” fillings can last for years and look perfectly natural. They may eventually need to be replaced with something more permanent.
If the chipped tooth is a child's primary (baby) tooth rather than a permanent (adult) tooth, the treatment will be similar.
However, a blow to a tooth can cause damage to the pulp — the living tissue within the tooth, which can become infected and die. If the damage to a primary tooth is too extensive it may be better to remove it to avoid damage to an underlying and developing permanent tooth. A place-holding appliance called a space maintainer may be used. If it is a permanent tooth it may need root canal treatment.
If a tooth is not chipped but is loosened or tender to the touch, it may require temporary stabilization, called splinting, until it has healed. Sometimes no treatment is required. If there has been a fracture to the tooth's root (the part below the gum line) it may heal by itself, or it may require further treatment especially if it is a permanent tooth, depending on the individual situation.
It is important to evaluate teeth that have been hit or damaged as a result of injury to ensure that they remain healthy and functional. We will keep track of the tooth or teeth, with observation, x-rays when necessary and monitoring over time to make sure no permanent damage has been done.
Contact us today to schedule an appointment or to discuss your questions about repairing a chipped tooth. You can also learn more by reading the Dear Doctor magazine article “The Field-Side Guide to Dental Injuries.”