A Guide To The Restoration of Back Teeth - Prosthodontist in Johannesburg
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A Guide To The Restoration of Back Teeth

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Facial harmony and a beautiful smile are dependant on the health of back teeth

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Do you want to be like a family member who hates their dentures?

Benefit from fine dentistry and do it right the first time.

Healthy Teeth

Teeth are designed to last a lifetime if kept free of plaque and regularly maintained with well spaced recall appointments. What nicer than to have your dentist say “ All is fine, your gums are healthy and your plaque control is immaculate and your smile is beautiful ”.

Regular daily brushing and flossing pays enormous dividends.

Healthy Back Teeth

Defective Amalgams

Run your tongue over your teeth and see how they feel. There is no way to feel a defective filling unless the tooth is chipped; cracked; or the gums are bleeding.

These two pictures illustrate fillings that need to be replaced because of the inability to floss; recurrent dental decay; and the potential for fracture. They are promoting gum disease which is a slow ongoing and generally painless process and eventually results in tooth loss. These teeth have been filled inadequately and are waiting for problems to develop.

Defective Composite

Derfective composites

Gain the benefits of replacing outdated and defective fillings on the back teeth.

Amalgam Restorations

Amalgam

Amalgam fillings are a time-tested restoration that can be provided at a reasonable cost.

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Advantages of Amalgam
• They are strong, not as technique sensitive as some other costlier restorations, and they can last for a long period of time.
• They are relatively easy to place well and shape and smooth properly. Also, they can often be successful in less than ideal situations, such as below the gum, when access is not good, or moisture control is a challenge.
• Amalgam fillings, or silver fillings, can withstand very high chewing loads, they are particularly useful for restoring molars in the back of the mouth where chewing load is greatest.
• They are also useful in areas where a cavity preparation is difficult to keep dry during the filling replacement, such as in deep fillings below the gum line.
• Amalgam fillings, like other filling materials, are considered biocompatible — they are well tolerated by patients with only rare occurrences of allergic response.
Disadvantages of Amalgam
• Not tooth coloured
• Tooth may discolour
• Can corrode if not well done
• Contains mercury
• Not sealed to the tooth
• Non insulative
• Less suited for large cavities[/read]

Gold Inlays

Gold inlay/Gold onlay

This is the most ideal solution amongst conservative treatments, since this is the kind of filling, the shape of which can be formed to give the most aesthetic result.

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This is the only type of filling that improves with time. The reason is that the gold filling strikes against the tooth when chewing, more precisely, the border of the filling adheres closely to the tooth without leaving any space, thus preventing later decay.

Advantages of a gold inlay:

  • It is biocompatible as, gold is well tolerated by the human body
  • No allergic reactions
  • Durable Longest lasting
  • Decreases the possibility of caries because bacteria cannot settle on its surface
  • With proper oral hygiene, they can last as long as 25-30 years
  • No discolouration
  • Most cost-effective option
  • Wears more like and tooth structure
  • Well suited for large cavities

Disadvantages of a gold inlay:

  • Its yellowish shade does not always meet the aesthetic expectations of the client
  • It conducts heat
  • It is more expensive than other materials[/read]

Ceramic Inlays

Ceramic Restoration

The ceramic restoration is the ideal modern replacement of both amalgam fillings and gold inlays and far surpasses the quality and longevity of composite restorations.

Back teeth can look as natural as front teeth with a ceramic restoration

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Advantages of ceramic restorations

  • Aesthetic ( tooth coloured)
  • stronger than posterior composite
  • well sealed to the tooth
  • insulative
  • restores the tooth to its original shape and form
  • easily maintainable
  • long-lasting

Disadvantages of ceramic restorations

  • more costly than amalgam or composite
  • take two appointments[/read]

No dentistry is the best dentistry. One should do regular brushing and flossing and exercise a discretionary intake of sweets and chocolates.

How many times would you like a tooth to be filled in your lifetime? Why not do things properly the first time by choosing the correct restorative material and having the work done to a high level of clinical excellence. Amalgam; gold; or porcelain are to be the materials of choice.

Beware of the old adage, “If it doesn’t hurt, it’s okay!”