Cosmetic Dentistry Procedures for Cracked and Damaged Teeth
Traumatic tooth fractures are obvious because of missing tooth fragments. The involved teeth are often sensitive to temperature or painful depending on the extent of destruction and nerve exposure.
The choice of treatment of teeth with dislodged fragments depends on the location of the fracture as well as the condition of the dislodged fragments. If the fracture is clean and the fragments complete, they can be repositioned and bonded directly to the damaged tooth. Materials and techniques are the same as for the bonding of veneers and crowns. If the dislodged fragment is lost, all-ceramic veneers, onlays, or crowns are used to restore the damaged tooth.
At the beginning the patient can usually recall an episode of acute discomfort while chewing, after which the tooth never felt quite right again. Many patients develop a protective reflex and avoid using the tooth. They become one-sided chewers and may go for many years before they are forced to seek help for their problem. Others find it impossible to avoid discomfort and seek help immediately. Often it is difficult to localize the discomfort and to pin-point the tooth.
If a cracked tooth is diagnosed, immediate treatment helps avoid further damage. The treatment is simple: bonded partial or full-coverage crowns.
Chipped teeth are commonly caused by grinders who slide their front teeth in edge-to-edge position in different directions. After many years of attrition, the thinned edges of the teeth start to chip.
Erosions are caused by acids from fruit or the stomach, which dissolve due to regular contact the enamel the teeth.
Often we find people with large and defective fillings that do not protect the teeth against decay anymore. They are usually undermined by a significant amount of decay. These patients are prime candidates for porcelain restorations.