Cosmetic (or “aesthetic” or “artistic”) restoration is a method of restoring the structure of a strong tooth using special materials. There are many indications for this restoration:
- tooth enamel darkening. This can happen due to poor hygiene, as well as pulp removal in a number of dental diseases;
- the presence of a wedge-shaped defect. This pathology may be caused by chemical or mechanical effects on the area of the tooth neck;
- the presence of chips, cracks, curvature or fracture of a healthy tooth unit;
- diastema – a wide slot-shaped hole;
- loss of aesthetics of the tooth unit after treatment of tooth decay (especially deep);
- various non-carious lesions – hypoplasia or enamel erosion, fluorosis, etc.
Advantages of Cosmetic Restoration
To date, restoration has become an excellent alternative to traditional prosthetics. It has many advantages, the most important of which are the following:
- painless procedures, which is especially important for patients with high sensitivity, panic fear of dental interventions;
- gentle technique – teeth are subject to minimal impact;
- speed – restoration techniques imply the elimination of defects during 1-2 visits to the dentist;
- accessibility – the cost of restoration is lower than the cost of prosthetics;
variety of methods and materials, which allows to perform restoration of teeth in various clinical cases.
And of course, it is necessary to say about the effectiveness. Modern restoration techniques allow to achieve high aesthetics, as well as the restoration of chewing function.
Methods of cosmetic restoration
At present, two restoration methods are used:
- direct – restoration is performed directly in the oral cavity, where a new part of the tooth is immediately created;
- indirect – prosthetic restorations are made in the laboratory.
The direct method implies the use of modern composite materials. Its advantage is speed – the procedure requires only one visit to the dentist. Many consider the risk of darkening of the composite material to be a disadvantage, but this problem is completely solved by proper selection of oral hygiene products. With the indirect method in the laboratory for the patient prosthetic structures are made – veneers, inlays made of ceramics or composite. They replace the outer layer of the destroyed tooth unit. This method requires two visits to the dentist, but has many other advantages – the highest aesthetics, reliable protection of enamel, long-lasting effect.
How is cosmetic restoration done?
The scheme of the restoration depends on the chosen method. Thus, indirect restoration is performed in the following way: under anesthesia, a preparation is performed, in which a thin layer of enamel is removed; a cast is removed from the tooth unit; a temporary protective lining is installed, which protects the treated surface from aggressive effects; veneer or inlay is made based on the cast in the dental laboratory; the finished structure is fixed with a strong dental glue.
No grinding of the teeth is required for luminaire restorations.
The direct restorative method involves the following actions: preparation – cleaning of cavities, professional cleaning; isolation of the working area from saliva – performed with the help of cofferdam (latex handkerchief); etching of the tooth surface and application of adhesive substance; layer-by-layer application of pre-selected composite materials; Finishing by grinding and polishing, which allows to finally model the shape.