At Jonathan J. Golab, DDS, PA, our goal is to prevent dental problems before they occur. Unfortunately, this is not always possible due to poor oral hygiene, genetics, infrequent dental exams, and other risk factors. This is why we also specialize in restorative dentistry. Our restorative services are designed to improve the function and aesthetics of your smile, as well as your overall oral health.
If you are a dentist and not using a rubber dam, then you should not be doing dentistry. It is imperative if you want to achieve high quality, predictable dentistry. The rubber dam is a 6-by-6-inch square piece non-allergenic nitrile that is used to isolate the teeth we are working on. I guesstimate that less than 5% of dentist use this. Why? They are in a rush hurrying patients through treatment and it's just an "inconvenience." Simply said a rubber dam isolates the teeth from contamination, and of equal importance, you do not swallow toxic chemicals, pieces of diseased tooth, instruments, blood, etc., etc.
Tooth-colored fillings are utilized to restore minor to moderate instances of tooth decay. When the decay or filling would be large, I always opt for the longevity of Onlays. We use air abrasion which is powdered toothpaste under pressure, to "spray away" your decay, without the use or need for anesthetic….in "most" instances.
So often you are told that you need a crown. It may be because you have a large filling, the tooth is cracked, decayed, or simply broken. So many people ask "is there an alternative way to fix teeth without doing a crown?" Yes there is, and the procedure is called an Onlay. Onlays are a very conservative method to restore teeth. They remove only the broken, decayed, or weak parts of your teeth. They do not grind your teeth down into pegs. They preserve and do not touch the healthy, unaffected parts of your teeth.
A dental crown is a tooth-shaped cap that improves the structure and cosmetics of a damaged or decayed tooth. During the procedure, your tooth must be completely reshaped to accommodate the shape of the crown. Once the tooth is reshaped, we will permanently bond the crown to the enamel using a special adhesive. Many crowns are fabricated these days with porcelain, due to its unmatched aesthetics.
A porcelain bridge is a permanent solution to fill in a missing tooth gap, and is something that does not come out of your mouth. It is "fixed" in place by adhesive cement. Two restorations are placed on the each tooth on either side of the gap, with the fake or "pontic" tooth glued to the teeth on either side of the gap. It really is a fast, well tolerated, and gorgeous option to replace missing teeth.
Implants are another excellent option to replace a missing tooth gap. They are essentially "artificial roots" that are placed in the jawbone by the Oral Surgeon, and I can then attach a crown to the implant by a "connector," also known as an "abutment." The process is more expensive than a bridge, and takes longer, about 3 months to heal, and 3-4 weeks to restore with a crown. A bridge can be completed in 3-4 weeks.
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To learn more about our restorative services call (469) 444-7919, and schedule your appointment now!