Restorative Care


Direct Resin restorations(“tooth colored fillings”):This is the modern, non-
metal, healthier alternative to silver mercury fillings – minimal removable of tooth structure is required. Metal fillings usually need more space so they can be ‘plugged in’. Composite resin restorations or tooth-colored ‘fillings’ are molecularly bonded – creating a fusion of nature and advanced material. It’s healthy high-tech care.

Porcelain/Ceramic Inlay/onlays:These are amazing breakthroughs in restorative care. Not too long ago we would have been placing many more crowns. When a tooth deteriorated from disease or cracked because of an old metal filling, it often required removal of significant naturaltooth structure to securely place a crown. Now, there is an ‘in-between’ solution.

With ceramic onlays or inlays, we remove much less tooth to create an appropriate surface to secure the natural looking, tooth-like material. It’s molecularly bonded for a strong, durable, nature-mimicking result that can withstand the tremendous biting and chewing forces the mouth produces.

With the new technologically advance procedure(Computer-aided design and Computer-aided manufacturing–CAD/CAM) called CEREC3 this can be accomplished in-Office in ONE visit andwithout the use of impression materials and temporaries and a waiting period of 1-2 weeks and the potential dislodgement of the temporaries!

Gold inlay/onlays: Not too long ago we would have been placing many more crowns. When a tooth deteriorated from disease or cracked because of an old metal filling, it often required removalof significant natural tooth structure to securely place a crown. Now, there is an ‘in-between’ solution. With Gold onlays or inlays, we remove much less tooth structure to create an appropriate
surface to chew and restore the tooth. It’s cemented that can withstand the tremendous biting and chewing forces the mouth produces. It is the material of choice for patients who are grinders!

Full coverage Crowns: If you want a smile that’s your crowning glory, you may need a crown to cover a tooth and restore it to its normal shape and size. A crown can make your tooth stronger and improve its appearance.

It can cover (360 degrees) and support a tooth with a large filling when there isn’t enough tooth left. It can be used to attach a bridge, protect a weak tooth from breaking or restore one that’s already broken. A crown is a good way to cover teeth that are discolored or badly shaped. It’s also used to cover a dental implant. A crown can be fabricated from many different materials, they are as follows:

GOLD:High corrosion resistance prevents tarnishing; high strength and toughness resistfracture and wear. It requires the least amount of healthy tooth structure removal. Resistant to wear and gentle to opposing teeth. Highly resistant to fracture. But, High thermal conductivity may result in early post-placement discomfort from hot and cold. Metal colors do not mimic natural teeth(not esthetic) Mostly used on posterior (back molar teeth)
Zirconia Crown:  The extremely hard and incredibly durable alternative to full Metallic crowns that look more esthetic and require minimal removal of tooth structure have become the treatment of choice for patients who are grinders and bruxers.  They have a long track record and have the promise of replacing full metallic crowns.
Porcelain Fused to Metal(PFM): Very strong and durable. including both porcelain and metal creates a stronger restoration than porcelain alone; moderately
aggressive tooth reduction is required. Highly resistant to wear, but porcelain can rapidly wear opposing teeth if its surface becomes rough. Porcelain is prone to impact fracture; the metal has high strength. But, High thermal conductivity may result in early post-placement discomfort from hot and cold. Porcelain can mimic natural tooth appearance, but metallimits translucency. Mostly used on posterior (back molar  and premolar teeth)
Porcelain:  Esthetic material, if not prepared correctly may fracture under heavy biting loads(although the newer Zirconium based Porcelain crowns and Bonded CEREC are exhibiting great resistance to fracture–very close to metal). Strength depends greatly on quality of bond to underlying tooth structure. Because strength depends on adequate porcelain thickness, in some cases it requires more aggressive tooth reduction however, in most cases(inlays and Onlays) it can actually be a lot more conservative than a conventional Metal or Porcelain fused to metal Crowns!  Highly resistant to wear where CEREC milled porcelain actually wears opposing teeth at the same rate as the natural dentition. Low thermal conductivity reduces the likelihood of discomfort from hot and cold. Color and translucency mimic natural tooth appearance.

 

At Naperville Family Dental Care  (NFDC ) Dr. Adel and our team are ready to assist you on your journey to a beautiful, confident smile. We have been proudly serving our amazing patients in Naperville, Aurora, Lisle, Warrenville and surrounding western suburbs of Chicago, in Illinois since the year 2000.