Tag Archive for: restorations

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Zirconium Dental Implants Overview

In years past, and actually still most commonly today, dental implants were composed of several different pieces to fit together in the restoration area, and they were made out of titanium. Titanium is a metal, and, therefore, BAD (in a holistic sense, of course) inside a human body. The titanium implants also presented other drawbacks, such as aesthetics (metallic coloring would show through the crown) and complications with assimilation into the maxilla or mandible — the facial bones that shape your mouth/jaw and anchor your teeth down.

Zirconium implants are made entirely from a special ceramic that has a chemistry similar to our bones and, specifically, teeth. Not unlike what the CEREC machine spits out, this material is entirely biocompatible and ideal for its similar strength, durability, and beauty of a natural tooth. There has been great success with its conforming to surrounding facial bones as well. Because of its biocompatibility, our bones do not reject its chemical makeup, therefore preventing infection and weak implants.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

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Occlusal Correction: Restorative Dental Work

The focus here is on occlusal (bite) correction, but this is where my CEREC unit comes in handy: restorations! Completely decayed, damaged, or missing teeth might be one of the most obvious problems contributing to a malocclusion… we cannot chew properly without all our teeth.

Like selective reshaping of teeth, restorative dental work is focused on the teeth and, well, restoring them, as opposed to reshaping the jaw or working with the surrounding muscles and cartilage. Crowns, inlays, onlays, dentures, or implants can be formed to bring back a mouth full of fully functional teeth.

Dr. Boyajian, West Los Angeles

 

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Cosmetic Dentistry That Lasts

Cosmetic dentistry is the artsy part of dentistry — where we get to give your teeth makeovers. But cosmetic dentistry is more than just making your teeth look good on the outside. The beauty must go further than skin deep (er… enamel-deep…?). What if a crown or restoration conflicts with the way the opposing teeth bite against it? That seems like an obvious problem, but if you are not aware of how much a tiny adjustment can impact your entire jaw/head, then it is, in fact, an issue that must be approached with special care and consideration.

In most cases, though, it will be the restoration that shows signs of deterioration first. Cracking, chipping, even falling off altogether… and this may harm whatever natural tooth or tissues are bonded to this restoration. Pankey takes great care in training its dentists to take careful measures to ensure cosmetic improvements will also be functional and long-lasting. A little extra time and effort may go into forming a nicely fitted restoration, but the longterm benefits outweigh the initial installation process.

Perfectly colored or straight-looking teeth are only the tip of the iceberg!

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

Bioesthetically Preserving A Healthy Bite

A patient recently came into my office with severely worn-down teeth & an overbite. This was caused by several years’ worth of clenching & grinding. I informed her that she essentially had two choices for restorations. Either she can have several veneers for the ‘visible-when-smiling’ teeth in the front, or full crown restorations for just about the entire mouth.

It raises an important question. How does an individual choose the right dentist to treat her? Choosing the right dentist isn’t only about choosing the dentist who gives you the best price or even the whitest teeth on Day 1. It’s the one who takes all things into consideration including the health of your jaw joint. The importance of preserving an already-healthy bite or taking steps to achieve the ideal bite is of vital importance. Bioesthetic methods are low-maintenance, greatly cost-effective, and save a lot of headaches (literally). Because the initial care in case design will lead to longer lasting restorations

For patients whose bite needs slight adjustment, I usually end my treatment by designing a MAGO — a maxillary anterior guided orthotic. A MAGO is quite different than a mouthguard which is usually a rubber based separator that keeps you from grinding your teeth but does nothing for your poor overexerted jaw muscles.  The MAGO, on the other hand, will simultaneously protect the teeth from clenching/grinding at night (when we have the least control over our bruxing habits) and develop a healthy jaw alignment over time if worn consistently.

Dr. Boyajian, Los Angeles

www.dentalwellnessarts.com

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CEREC Dentistry & CEREC Veneers

Veneers, unlike crowns, inlays, or onlays, are used for a more cosmetic purpose. Veneers are not used primarily for cavities, tooth decay, etc. They are excellent remedies to discolored, chipped, worn, and/or mildly uneven teeth. Veneers are very thin and are applied to the tooth’s surface. They can be colorized, slightly textured, sized, angled, and even given a touch of translucency to look exactly like your natural teeth.

CEREC veneers do wonders for worn, tired teeth; they are strong, reliable, long-lasting, and they preserve their beauty. A whole set to drastically improve the attractiveness of your entire smile can be designed, milled, and bonded in a single visit!

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

CEREC Inlays and CEREC Partial Crowns

The CEREC process for designing inlays and onlays is similar to the designing of a crown, only the function is different.

CEREC inlays are the superior versions of composite plastic cavity fillings; superior due to the strength and aesthetics that the ceramic brings. Inlays milled from this ceramic material last far longer than any other cavity solution. They also behave most similarly to natural tooth enamel, in both appearance and feel.

Onlays (a.k.a. partial crowns) are the remedy to extensive cavity damage, covering a larger area of the tooth. In past cases, the weaker disposition of composite — or the porcelain restorations that contained metal — would require a full crown to be designed in order to maintain the tooth’s strength. Because CEREC onlays are so strong, one that is well-built will do everything it needs to do, causing minimal extra tooth damage and eliminating the need for a full crown.

Best of all, CEREC high quality porcelain inlays and onlays can be done in one visit, just like their plastic counterfeits… I mean counterparts.

Dr. Boyajian, Los Angeles

www.dentalwellnessarts.com

CEREC Dentistry: Crowns

Using the CEREC unit, a crown is first made by the CAD/CAM (computer-assisted design/computer-assisted manufacture) digitally recording an image of the tooth. Calculations are processed, and the computer designs, then mills a crown perfectly suited to the shape of the tooth. The crown is then bonded on, and, voila! The patient’s visit is complete.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

CEREC Inlays + CEREC Partial Crowns

One of the greatest perks that comes with CEREC technology is the speed at which we can formulate restorations. In comparison to barely twenty years ago, forming a crown or veneer required a painful series of several dental visits. There were molds to be made, pictures to be photographed, temporary crowns to be endured, a perfectly fitted restoration to be slowly developed in a lab, and bonding to be done. CEREC accomplishes all of this in a single visit, in just a few hours!

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

Ozone: A Solution for Cavities

Prevention is definitely your best bet for avoiding cavities… but what if it’s too late for you? What if the cavities have already formed, or you thought your mouth’s health was top-notch and sneaky cavities still wormed their way through your teeth? We’ve already discussed a little bit about fillings, but if the damage requires more than a small composite filling, a larger, stronger restoration is needed.

This is where the CEREC system comes in handy. A crown, inlay, or onlay will be formed for the damaged area out of a strong ceramic material. This ceramic behaves similarly to natural tooth enamel, therefore maintaining (or, in this case, restoring) a tooth’s natural strength and durability. It is also minimally invasive, meaning far less of the healthy tooth is “shaved down” to fit something such as a toxic and malleable amalgam restoration. Results are both functional and beautiful.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

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Dangers of Leaving Cavities Too Long

So what happens to cavities if you just leave them there? Well, cavities in their early stages cannot be felt by the person, but they can be spotted visually by the dentist. It’s a fairly uncomplicated fix at this point — a filling and regular cleanings to prevent further damage. But if the cavity has worn its way through to the dentin, the tooth is noticeably sensitive to heat, cold, or touch. At this point, a barrier must be laid over the damaged dentin, and then filling material to cover and seal the opening. If a cavity is yet still left untreated, the tooth’s nerve and pulp become infected and immense pain is experienced. A full root canal is required to clean out and seal off the tooth, along with reconstruction and reinforcement to rebuild the tooth’s strength, and a crown to replace the tooth loss.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com