Restorative Dentistry

A missing or extracted tooth can be replaced through a variety of treatments. The most commonly used restorations are crowns, bridges, and partial or complete dentures. Crowns are typically used for one tooth, while bridges and dentures are more common options for treating multiple teeth.

Patients can receive direct or indirect restorative procedures based on their specific dental problems. Direct restorations are ones that occur completely in the mouth. This treatment involves placing a filling into a prepared tooth cavity. Depending on the tooth decay's location and extent, patients can choose from various filling materials, including ceramic, silver amalgam, glass ionomer, and composite.

Indirect restoration procedures involve the custom creation of tooth replacements outside of the mouth. These procedures require more work than direct restoration treatments but are a stable and long-lasting solution for more severe tooth damage.

The most common types of restorative treatments are fillings and crowns. Fillings are frequently done because of the commonality in acquiring cavities from early childhood to late adulthood. Crowns are used for replacing teeth after various procedures, from severe decay to root canals.  Other options include veneers, inlays, and onlays, which help teeth regain strength and function. Procedures, such as bridges and implants, replace missing teeth.

Dental restoration can help weakened teeth due to severe decay or damage and help prevent further complications. Direct dental restorations or fillings are necessary to stop the decay process while leaving the teeth intact. Fillings can also restore fractured, broken teeth, or worn down teeth resulting from misuse such as nail-biting or tooth grinding.

Indirect dental restorations are necessary when a filling is not enough to restore teeth functionality. Crowns are good restorative options for unstable teeth, while a bridge can replace multiple damaged teeth to restore proper chewing function. Additionally, a dental implant can replace a missing tooth and prevent problems like jawbone erosion and impaired chewing.

We generally try to save patients' natural teeth as no dental restoration is as functional and effective as a natural tooth. In many cases, we can use a dental restoration instead of pulling a patient's tooth. However, in cases of severe decay, deterioration, or infection, an extraction may be necessary to maintain the health of the tooth in question and surrounding structures.

Restorative dentistry is available to all age groups. It is important to look for a dentist who focuses on or has experience working with children. There are limited restorative treatments available to children as their teeth and mouths are continuing to develop.

Regular tooth whiteners do not work on dental crowns. It is best to choose the preferred color before the crown is placed. Most crowns are made of porcelain or a combination of porcelain and metal. As a result, they do not discolor easily and should not present this problem once placed.

Crowns usually last between five and 15 years. Good oral hygiene can extend their lifetime towards the higher end of this range. Additionally, avoid putting stress on them by biting on hard foods or chewing ice.

Dental bridges usually last between 10 and 15 years. Taking good care of the bridge and seeing a dentist on a regular basis can extend this period further.

We recommend cleaning the crown and the accessible parts of the tooth. Call the dental office right away and follow the care instructions given until the appointment. In the meantime, it is possible to use dental adhesive or temporary dental cement to replace the crown. The dentist will either replace the crown permanently or order a new one.

If a dental bridge keeps loosening or falling out, the most common reason is decay in the supporting teeth. Other causes could include gum disease. Whatever the reason, a loose bridge is an important reason to call our office right away.

Crowns are shaped to look like real teeth. We also strive to match them by color and ensure that they do not stand out among the natural teeth. While metal is sometimes used for crowns, it is generally reserved for teeth that are not visible.

Dentures require removal every day, while a bridge stays in the mouth permanently for the duration of its lifespan. On the one hand, bridges tend to offer a better fit and a more natural feeling. On the other hand, fitting the dentures does not require additional procedures such as a crown or implant placement.

Tooth sensitivity is common after bridge placement. It usually goes away after a few weeks. In the meantime, it can help to avoid very hot or cold foods. The American Dental Association also recommends limiting acids, which can be in some types of mouthwash. Ask our dental team about alternative products.

Some discomfort immediately after placement is usually normal; however, contact a dentist if pain or sensitivity persists or worsens. Damage to the bridge or crowns also needs prompt, professional attention.

One of our doctors will first meet with the patient to discuss the treatment and what to expect. Team members will take X-rays before making impressions of the patient's mouth. These will go to a lab technician who can customize the appliance for the patient. At this first appointment, our dental team may remove any decayed or severely damaged teeth. If necessary, this may occur at a subsequent appointment.

Once the dentures are ready, the patient will return to Alexandria Old Town Dental for the fitting process. This appointment will also happen after the gums have healed following any tooth extractions. In making sure the dentures fit correctly, we will also make any adjustments when necessary. Once complete, the patient will be able to bite down without issue.

Dentures may enhance your overall appearance. In addition to replacing any missing teeth and improving the smile, dentures can help stop the facial muscles from sagging.

It may take you some time to get accustomed to speaking with dentures. However, with enough time and practice, dentures will likely improve your speech.

Depending on the type of dentures a patient has, they may be able to sleep in them. However, it is usually suggested to remove dentures before going to sleep, even for those who can wear them overnight. Use this time to soak them in a mild denture-soaking solution or water.

For the most part, patients can continue to eat food with dentures as they normally would with natural teeth. This can be slightly uncomfortable and feel strange at first. Using proper denture adhesive and ensuring they fit properly by visiting a dentist can help.

Partial dentures are one of the most affordable options for missing teeth. We can go over dental coverage for this treatment during a consultation appointment in our office. We will go over the replacement options with you and the types of insurance we accept. If you wish to know about your coverage, you will need to contact your insurance provider.

If the dentures feel loose or otherwise improperly fit, call us or visit the office for a checkup. One of our practitioners will be able to adjust them to ensure a proper fit. There are "do-it-yourself" adjustment kits on the market, but these can permanently damage dentures. A short follow-up can help solve the problem in a quick and efficient manner.

While dentures are a functional and reliable method of replacing missing teeth, sometimes, minor damage or a change in fit can decrease comfort. Getting necessary repairs and adjustments as soon as possible is essential to keeping dentures in good condition for longer.

The repair process will depend on the type of damage the denture has sustained. Even when dentures are in good condition, adjustments may be needed if the undamaged dentures no longer fit well due to changes in the jawbone, gums, or remaining natural teeth. Recognizing these early signs of required maintenance is important to return to wearing dentures comfortably as soon as possible. Early signs of needing dental maintenance can include:

• Broken or loose replacement tooth: Any issues with replacement teeth should be addressed promptly. A dentist can easily solve this problem. Avoid chewing with a denture whose structure is unsound, since this can lead to further breakage and possible mouth injury.

• Cracked or chipped teeth or base: Cracks or chipping can result from biting down on hard foods or dropping the dentures. While this defect may not render the denture unwearable, it needs a prompt fix. In addition to further deterioration, cracks and chips can provide havens for bacterial growth.

• Discomfort while chewing: Chewing with dentures often feels different from using natural teeth. However, after an initial adjustment period, it should not be uncomfortable. Pressure or pain while eating can mean the dentures need adjustment.

• Pain or pressure: These sensations in the mouth can indicate a damaged denture surface. They can also arise if the dentures no longer fit properly. Ignoring this sign can lead to more serious problems later.

• Persistent odor: Following your doctor’s care instructions should get rid of the smells. If it does not, this can mean a hidden crack where bacteria are growing. A dentist can identify and fix any issue causing a persistent odor.

Regular check-ups can help address issues requiring denture adjustments and repairs. We recommend denture wearers visit the dentist at least once a year. Individual patients may receive a recommendation to come in more frequently.

Using appropriate denture care routines goes a long way toward keeping them clean. Regular brushing and denture cleansing solutions are necessary to get rid of harmful microbes. A proper cleaning routine will keep the mouth healthy and prevent stains from occurring. However, sometimes stains persist. While many people reach for regular tooth whitening products, it is important to know that they are not appropriate for dentures and can even damage them.

Our team can help with persistent stains by performing an in-office cleaning or providing a specialty cleaning product that is effective and denture-safe. To minimize staining, rinse the dentures immediately after ingesting substances such as coffee or wine that commonly cause stains. Seeing a dentist according to the recommended schedule, closely following denture care instructions, and seeing a dentist are some other ways to keep dentures in great condition.

Even a seemingly simple fix is better left to a qualified professional. Attempts to make denture adjustments and repairs at home often cause damage that can take longer to repair or even necessitate a replacement. People who use over-the-counter denture repair kits should follow instructions to the letter and be aware that this is not a permanent solution but a stopgap measure until a visit to the dentist is possible.

Chips and cracks are common reasons patients need denture adjustments and repairs. Handle and clean dentures over a soft surface such as a towel, never over the sink or countertop. Avoid biting down on hard foods that can cause damage.

That depends on the size and location of the filling. Compared to a traditional silver filling, a composite filling takes about 10-20 minutes longer to put into place. You should expect to be in the dental chair for at least an hour.

Composite fillings, like most other fillings, are typically covered by insurance as they are considered essential restorative procedures. However, we always recommend patients contact their insurance providers to determine any out-of-pocket costs before starting any treatment. We can also discuss any payment information during your consultation.

Various situations may call for a filling. The most common is tooth decay. Typically, a filling is the least invasive procedure for correcting decay. People who have teeth with cracks, chips, and wear can also choose to have a filling to restore their teeth. In some cases, a filling can also fill small holes formed for reasons other than tooth decay. Dentists sometimes offer procedures to correct discoloration or misshapen teeth for cosmetic purposes.

Patients of all ages can have situations that require a filling. However, these situations are less common for children who do not yet have their permanent teeth. According to the previously mentioned National Institute of Health survey, 85% of adults have at least one filling before age 34. The probability of needing a filling can also vary significantly depending on oral hygiene practices.

On average, a composite filling lasts around seven years. However, newer research has shown they can last for a decade or more if the filling is smaller and good oral hygiene practices get followed. Making regular trips to the dentist will help ensure your tooth-colored filling lasts as long as possible.

In addition to their protective properties, dental sealants have longevity and durability. Research has shown they prevent 80% of cavities for two years after application and continue to protect against 50% of cavities for up to four years. Sealants can even stay in the mouth for as long as nine years. During a regular dental visit, we will check the sealant's condition and reapply them as needed. Sealants need to be monitored and maintained during routine visits to ensure they do not wear away.

While brushing and flossing are essential, it is sometimes difficult to thoroughly clean the rough surfaces of some teeth. The premolars and molars are especially susceptible to decay and cavities for this reason. Dental sealants form a protective coating over rough surfaces to shield teeth from cavities and decay.

Dental sealants, however, are not a permanent solution to preventing cavities. Sealants will gradually wear away over time due to natural wear and tear. Patients will usually need to replace their sealants after five years, but in some cases, they can last for up to 10 years.

Both children and adults can benefit from sealants, but the earlier they are put on, the better the long-term outcome. Children should get sealants on their permanent molars as soon as they come in. The first molars usually appear around six years old, and the second molars roughly six years later. Sealants will protect teeth through a child's most cavity-prone years.

Dental sealants may also benefit baby teeth. Since baby teeth play such an important role in the correct spacing of permanent teeth, it is important to keep those teeth healthy and in place until they are ready to come out. When determining whether to have sealants applied to a younger child, make sure the child can keep their mouth open for an extended period and sit still for the procedure.

Children may need to have sealants reapplied if they fall out, chip, or wear away. Dental sealants can get chipped or worn when a patient bites into hard food or eats too much food with high acidic content. It's best to keep a close eye on what a child with sealants consumes, especially right after the sealant is applied.

No. Dental sealants work best in conjunction with fluoride treatments, as they cannot promote tooth remineralization the way fluoride does. Together, the two can strengthen the teeth against decay.

Brushing and flossing remain important even when sealants are present. We also recommend that patients avoid chewy, sticky, or hard foods and snacks. Patients with sealants should also have regular dental check-ups to ensure that they are still effective and do not need replacing.

No. The only known side effect associated with dental sealants is an allergic reaction to the sealant material. This allergy is not common, but patients can have an allergy test beforehand as a precaution. 

Getting a dental sealant does not hurt. Patients may notice the dental sealants on their teeth at first. However, this is temporary as people will adapt to the new feeling and not notice it anymore.

Dental sealants are safe and effective for patients. While some people may be concerned about bisphenol A (BPA) exposure, according to the American Dental Association (ADA), the amount is so minimal that there is no health concern. Patients get more exposure from food, drinks, sunscreen, and cosmetics.

The cost depends on the type and number of treatments performed. Check with your insurance provider to find out what they cover through your dental plan. Our staff can help you through the process.

Patients with significant tooth damage or missing teeth are at higher risk for oral health and overall health problems. By restoring every tooth in that person's mouth, they may get a better-looking, healthier smile. That can help with problems, ranging from headaches to the inability to chew properly.

A full mouth reconstruction differs for each patient depending on their current oral health status and required treatments. Treatments can include any or all of the following: Dental crowns, fixed bridges, partial and full dentures, root canal therapy, dental implant-supported tooth replacement, tooth extractions, and soft tissue or bone grafting. We will start with the most essential treatments first and work our way to the cosmetic treatments. All treatments will be discussed during the patient's consultation appointment.

A full mouth reconstruction can take some time to complete—dictated by the patient's treatment plan. It can take several months or even a year to complete all the steps.

Full mouth reconstruction offers hope for patients with several dental problems involving function and aesthetics. That can include broken, missing, and worn-out teeth. Certain medical conditions may also require a patient to undergo a complete mouth reconstruction.