Fractured Teeth – Conserve Tooth Structure with an Inlay

When a tooth fractures, an inlay can be a conservative option if a full crown is not required due to structural requirements. Inlay to restore a fractured tooth adjacent to an old amalgam In this case a tooth had a thin area of tooth along the MB of #14 (photo taken in patient mirror.) The thin remainder of tooth fractured vertically and horizontally immediately adjacent to the old amalgam. This fractured off box of tooth structure was small enough that by extension, using the old preparation of the amalgam, we were able to replace the amalgam with an all-ceramic inlay. This inlay was completed with Vita Enamic (a dual matrix ceramic) milled in-office on the TS150e, same day. This restoration was scanned into the computer and completed immediately, without having to temporize the tooth. We… Read More »

Erosion, the Slow Path to Tooth Destruction Reversed

This case shows one of the dental conditions that is very familiar to anyone who has had a history of grinding and clenching. One of the complicating background factors of this case is a history of dry mouth. Dry mouth tends to accelerate erosion because there is not adequate salivary flow to flush off acids and sugars from the food we eat. Above: Images 1 and 2 show wear through the enamel and into dentin, which are scooped out. Below: Images 3 and 4 show the (4) lower anterior teeth with Obsidian-type all-ceramic crowns. Restoring the tips (incisal edges) of these teeth with composite was completed a few years ago. The composites were a stop gap restoration to slow the continued erosion. Because the teeth continued to erode around the edges of the composite, the… Read More »

Composite Veneers vs Porcelain Veneers (Before and After)

Composite Veneers vs Porcelain, which one would you choose? By: Dr. Megan Mobley BEFORE This is one of our beloved employees. She had composite veneers placed about 5 years prior by a previous boss on her upper canines. She is congenitally missing her upper laterals ( #7 and #10) so she had orthodontic treatment to close the space and her upper canines ( #6 and #11) were reshaped as laterals. The struggle with composite veneers is they absorb stain over time and this is a perfect example of that. Porcelain restorations are color stable, meaning they do not absorb stain, they will remain the same color for the life of the restoration in your mouth. Our assistant was very sensitive to her appearance and would even cover her smile to try to hide her discolored… Read More »