Dental Fillings
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Dental Fillings
Dental restoration, dental fillings, or simply fillings are treatments used to restore the function, integrity, and morphology of missing tooth structure resulting from caries or external trauma as well as to the replacement of such structure supported by dental implants. They are of two broad types—''direct'' and ''indirect''—and are further classified by location and size. A root canal filling, for example, is a restorative technique used to fill the space where the dental pulp normally resides. Tooth preparation Restoring a tooth to good form and function requires two steps: # preparing the tooth for placement of restorative material or materials, and # placement of these materials. The process of preparation usually involves cutting the tooth with a rotary dental handpiece and dental burrs, a dental laser, or though air abrasion to make space for the planned restorative materials and to remove any dental decay or portions of the tooth that are structurally unsound ...
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Tooth
A tooth ( : teeth) is a hard, calcified structure found in the jaws (or mouths) of many vertebrates and used to break down food. Some animals, particularly carnivores and omnivores, also use teeth to help with capturing or wounding prey, tearing food, for defensive purposes, to intimidate other animals often including their own, or to carry prey or their young. The roots of teeth are covered by gums. Teeth are not made of bone, but rather of multiple tissues of varying density and hardness that originate from the embryonic germ layer, the ectoderm. The general structure of teeth is similar across the vertebrates, although there is considerable variation in their form and position. The teeth of mammals have deep roots, and this pattern is also found in some fish, and in crocodilians. In most teleost fish, however, the teeth are attached to the outer surface of the bone, while in lizards they are attached to the inner surface of the jaw by one side. In cartilaginous fi ...
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Inlays And Onlays
In dentistry, inlays and onlays are used to fill cavities, and then cemented in place in the tooth. This is an alternative to a direct restoration, made out of composite, amalgam or glass ionomer, that is built up within the mouth.Inlays and onlays are used in molars or premolars, when the tooth has experienced too much damage to support a basic filling, but not so much damage that a crown is necessary. The key comparison between them is the amount and part of the tooth that they cover. An inlay will incorporate the pits and fissures of a tooth, mainly encompassing the chewing surface between the cusps. An onlay will involve one or more cusps being covered. If all cusps and the entire surface of the tooth is covered this is then known as a crown. Historically inlays and onlays will have been made from gold and this material is still commonly used today. Alternative materials such as porcelain were first described being used for inlays back in 1857. Due to its tooth like colour, ...
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CEREC
CAD/CAM dentistry is a field of dentistry and prosthodontics using CAD/CAM ( computer-aided-design and computer-aided-manufacturing) to improve the design and creation of dental restorations, especially dental prostheses, including crowns, crown lays, veneers, inlays and onlays, fixed dental prostheses bridges, dental implant supported restorations, dentures ( removable or fixed), and orthodontic appliances. CAD/CAM technology allows the delivery of a well-fitting, aesthetic, and a durable prostheses for the patient. CAD/CAM complements earlier technologies used for these purposes by any combination of increasing the speed of design and creation; increasing the convenience or simplicity of the design, creation, and insertion processes; and making possible restorations and appliances that otherwise would have been infeasible. Other goals include reducing unit cost and making affordable restorations and appliances that otherwise would have been prohibitively expensive. Howev ...
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Dentures
Dentures (also known as false teeth) are prosthetic devices constructed to replace missing teeth, and are supported by the surrounding soft and hard tissues of the oral cavity. Conventional dentures are removable ( removable partial denture or complete denture). However, there are many denture designs, some which rely on bonding or clasping onto teeth or dental implants (fixed prosthodontics). There are two main categories of dentures, the distinction being whether they are used to replace missing teeth on the mandibular arch or on the maxillary arch. Medical uses Dentures do not feel like real teeth, nor do they function like real teeth. Dentures can help people through: * Mastication or chewing ability is improved by replacing edentulous areas with denture teeth. * Aesthetics, because the presence of teeth gives a natural appearance to the face, and wearing a denture to replace missing teeth provides support for the lips and cheeks and corrects the collapsed appearance ...
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Dental Cement
Dental cements have a wide range of dental and orthodontic applications. Common uses include temporary restoration of teeth, cavity linings to provide pulpal protection, sedation or insulation and cementing fixed prosthodontic appliances. Recent uses of dental cement also include two-photon calcium imaging of neuronal activity in brains of animal models in basic experimental neuroscience. Traditional cements have separate powder and liquid components which are manually mixed to form a viscous liquid. The liquid sets to form a brittle solid after application on the treated surface. More advanced cements, such as GIC, can come in capsules and are mechanically mixed using rotating or oscillating mixing machines. Ideal cement properties * Non irritant – many cements are acidic and irritate the pulp. However, on setting there is a rapid increase in pH. Polycarboxylate cement is considered the most biocompatible type due to having the most rapid pH rise. * Provide a good marginal se ...
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Dental Technician
A dental technologist (dental laboratory technician) is a member of the dental team who, upon prescription from a dental clinician, constructs custom-made restorative and dental appliances. There are four major disciplines within dental technology. These are ''fixed prosthesis'' including crowns, bridges and implants; ''removable prosthesis'', including dentures and removable partial dentures; ''maxillofacial prosthesis'', including ocular prosthesis and craniofacial prosthesis; and ''orthodontics and auxiliaries'', including orthodontic appliances and mouthguards. The dentist communicates with the dental technologist with prescriptions, drawings, and measurements taken from the patient. The most important aspect of this is a dental impression into which the technologist flows a gypsum dental stone to create a replica of the patient's anatomy known as a dental cast. A technologist can then use this cast for the construction of custom appliances. Fixed restorations A ...
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Bridge (dentistry)
A bridge is a fixed dental restoration (a fixed dental prosthesis) used to replace one or more missing teeth by joining an artificial tooth definitively to adjacent teeth or dental implants. Definitions Fixed bridge: A dental prosthesis that is definitively attached to natural teeth and replaces missing teeth. Abutment: The tooth that supports and retains a dental prosthesis. Pontic: The artificial tooth that replaces a missing natural tooth. Retainer: The component attached to the abutment for retention of the prosthesis. Retainers can be major or minor. Unit: Pontics and abutment teeth are referred to as units. The total number of units in a bridge is equal to the number of pontics plus the number of abutment teeth. Saddle: The area on the alveolar ridge which is edentulous where at least one missing tooth is to be reinstated. Connector: Joins the pontic to the retainer or two retainers together. Connectors may be fixed or movable. Span: The length of the alveolar ri ...
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Crown (dentistry)
In dentistry, a crown most commonly refers to a dental cap, a type of dental restoration that completely caps or encircles a tooth or dental implant. A crown may be needed when a large cavity threatens the health of a tooth. A crown is typically bonded to the tooth by dental cement. They can be made from various materials, which are usually fabricated using ''indirect methods''. Crowns are used to improve the strength or appearance of teeth and to halt deterioration. While beneficial to dental health, the procedure and materials can be costly. The most common method of crowning a tooth involves taking a dental impression of a tooth prepared by a dentist, then fabricating the crown outside of the mouth. The crown can then be inserted at a subsequent dental appointment. This ''indirect method'' of tooth restoration allows use of strong restorative material requiring time-consuming fabrication under intense heat, such as casting metal or firing porcelain, that would not be possi ...
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Dental Impressions
A dental impression is a negative imprint of hard (teeth) and soft tissues in the mouth from which a positive reproduction (cast or model) can be formed. It is made by placing an appropriate material in a stock or custom dental impression tray which is designed to roughly fit over the dental arches. Impression material is of liquid or semi-solid nature when first mixed and placed in the mouth. It then sets to become an elastic solid (usually takes a few minutes depending upon the material), leaving an imprint of person's dentition and surrounding structures of oral cavity. Uses Impressions, and the study models, are used in several areas of dentistry including: * diagnosis and treatment planning * prosthodontics (such as making dentures) * orthodontics * restorative dentistry (e.g. to make impressions of teeth which have been prepared to receive indirect extracoronal restorations such as crowns, bridges, inlays and onlays) * maxillofacial prosthe ...
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Inlay On Model
Inlay covers a range of techniques in sculpture and the decorative arts for inserting pieces of contrasting, often colored materials into depressions in a base object to form Ornament (art), ornament or pictures that normally are flush with the matrix. A great range of materials have been used both for the base or matrix and for the inlays inserted into it. Inlay is commonly used in the production of decorative furniture, where pieces of colored wood, precious metals or even diamonds are inserted into the surface of the carcass using various matrices including clear coats and varnishes. Lutherie inlays are frequently used as decoration and marking on musical instruments, particularly the smaller strings. Perhaps the most famous example of furniture inlay is that of Andre-Charles Boulle (11 November 1642 – 28 February 1732) which is known as Boulle Work and evolved in part from inlay produced in Italy during the late 15th century at the ''Studiolo'' for Federico da Monte ...
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Hall Technique
The Hall Technique is a non-invasive treatment for decayed baby back ( molar) teeth. Decay is sealed under preformed (stainless steel) crowns, avoiding injections and drilling. It is one of a number of biologically orientated strategies for managing dental decay. The technique has an evidence-base showing that it is acceptable to children, parents and dentists and it is preferred over standard ''filling'' techniques, due to the ease of application and overall patient comfort as young patients don't have to undergo traumatic injections. Preformed metal crowns are now recommended as the optimum restoration for managing carious primary molars. There are now five randomised control trials that have shown the Hall Technique to be superior to other methods for managing decay in baby teeth but there is a lack of evidence to conclude that the Hall Technique is superior to placing preformed metal crowns in a conventional manner. Initial fears over the potential problem with sealing caries i ...
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Dental Caries
Tooth decay, also known as cavities or caries, is the breakdown of teeth due to acids produced by bacteria. The cavities may be a number of different colors from yellow to black. Symptoms may include pain and difficulty with eating. Complications may include inflammation of the tissue around the tooth, tooth loss and infection or abscess formation. The cause of cavities is acid from bacteria dissolving the hard tissues of the teeth ( enamel, dentin and cementum). The acid is produced by the bacteria when they break down food debris or sugar on the tooth surface. Simple sugars in food are these bacteria's primary energy source and thus a diet high in simple sugar is a risk factor. If mineral breakdown is greater than build up from sources such as saliva, caries results. Risk factors include conditions that result in less saliva such as: diabetes mellitus, Sjögren syndrome and some medications. Medications that decrease saliva production include antihistamines and ...
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