Sunday, June 7, 2009

Bonding Crowns, Implants, Bridges, Inlays, Overlays,....

In my office we very rarely have dental restorations come loose if we have placed them permanently in our office. We don't use conventional dental cements, everything that we place that is meant to stay in place long term is bonded, not cemented, to place. There are occasions when there is so little left of the tooth that we stretch the limits of the materials that we use in order to avoid the need to do root canals. Root canal treatment can allow rebuilding of teeth to allow for better retention of crowns and other restorations.

Many dentists still use dental cements. Most dental cements, even the so called permanent cements, are usually slightly soluble in saliva over a period of years. Restorations placed with these cements often will loosen and leak in about 5-10 years. Often these restorations can be recemented or bonded to place again if there hasn't been too much leakage of bacteria and food debris under the crown. At times there is too much decay and breakdown of the underlying tooth structure and the old restoration can't be used any longer. If you have bonded or cemented restorations in your mouth and you feel a change in these restorations contact us at your earliest convenience and we will be happy to assess the situation for you and help you with your problem.

I have been using bonding, resin materials rather than cements to place permanent restorations since graduating from dental school. Unfortunately many dentists are too conservative and most didn't change to the better bonding technology until years after I started doing this.

If you are in need of having permanent restorations placed and you are not one of my patients, ask to have these restorations bonded. Implant restorations, fixed bridges, crowns, ... should all be placed this way if they are meant to stay in place long term.

Please contact me if you have any dental related questions. It is always good to hear from you.

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