Restorative Dentistry

Tooth decays are cavities that appear mostly with dark or opaque (white) discolorations in the hard tissues of the teeth such as enamel, dentin and cementum. . Bacteria in the mouth secrete acid to obtain the nutrients they need from the food residues left in the mouth. These acids cause the weakening of tooth enamel and ultimately the onset of tooth decay.

Restorative dental treatments are operative treatments that concern mostly the enamel and dentin parts of the teeth. In these treatments, after the parts of the tooth that are damaged by caries or other reasons are cleaned and removed, the remaining live and solid tooth tissue is restored with filling materials that mimic the structure of the natural tooth, and the process is completed.

Composite fillings are tooth-colored aesthetic fillings that can be applied directly to the tooth, causing minimal material loss from the tooth. It is especially used in the treatment of broken teeth in the front area.

Apart from their superior aesthetic properties, composite fillings, unlike amalgam fillings, adhere chemically to the tooth, so there is no need to remove material from healthy tooth tissue to ensure retention. In addition, since amalgam fillings are metal, they can cause cracks in the tooth as they expand and cause the tooth to weaken.

Indirect fillings (inlay and onlay) are laboratory fillings with superior aesthetic properties, very durable and sensitive adaptation. These are fillings prepared in the environment. They are mostly made of porcelain or composite. It is generally applied in cases where it cannot be applied directly, in cases where deep caries has reached the gum line, a large amount of tooth tissue has been lost, or teeth that have undergone root canal treatment. After the decay, old filling or broken piece is removed from the tooth, the tooth is made suitable for impression taking and the impression is sent to the laboratory. The filling is prepared on the resulting model. In the next session, the filling is glued to the tooth.

Even though it is a very small amount, composite fillings shrink a little during hardening, which disrupts the contact with the adjacent tooth and may cause edge leakage. I Since nlays and onlays are prepared in a laboratory environment, without the restrictive factors in the mouth, they are in perfect harmony with the teeth and gums and provide full contact with the adjacent tooth. Thus, the possibility of secondary caries formation is minimized.

While wear and edge discoloration are possible in composite fillings over time, such a thing is not possible in porcelain fillings. Since its hardness is very close to the enamel tissue of the tooth, it does not erode the teeth it contacts like other porcelains.

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