Quadrant Dentistry

The One Visit Cosmetic Turn-Around

I routinely replace amalgam fillings for various reasons. For example, a restoration demands replacement due to a failing marginal seal. Particularly, others fail after many years of function due to simply being worn down. As a result, they just outlive their usefulness. Many patients are concerned about an amalgam’s chemical composition. Silver fillings consist of 50%mercury. Speaking about this, there is a legitimate concern of general health implications. By far, most patients want their silver fillings replaced because of esthetics. Indeed, silver fillings are just ugly.

The Process

With this in mind, I prefer to work on a quadrant at time. That’s to say: Upper right. Lower right. Upper left. Lower left. Quadrant dentistry is easy for me. Quadrant dentistry is a super process to replace a string of adjacent amalgams. By the same token, it’s easier for the patient and always fewer shots of local anesthetic. Thus, everybody likes that!

A “string of silver fillings” waiting to be evicted.

Treatment

For a start, one shot of anesthetic. Above all, I prefer to isolate the area with a rubber dam. Indeed, the is mutually beneficial. Even more, it protects you from me. My dental drill can be annoying to curious tongues. Regardless, the dam will catch any tooth and silver filling debris from being swallowed. Albeit a bit claustrophobic for some. Besides being cumbersome for myself to place correctly. Above all, it’s best when the opportunity presents itself.

Rubber Dam Isolation in place

Result

Filling replacement required about an hour’s time. Despite the dam’s isolation of “stretching” patients open, many patients actually appreciate it afterwards.

Lastly, the final restorations were tooth colored bonded composites. All teeth were restored to beautiful form. Furthermore, I expect many years of function.

Final Restorations in place.

Credits:

Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

You Tube : Robert Emilio DDS & Associates 

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

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I want that Gap in Between My Teeth Closed!

The very common procedure of Bonding is routinely utilized for closing a front tooth gap.  For some people their front tooth gap defines their individuality; their face and attitude with a mere smile. For others, the gap represents a disfigurement; a cruel trick played by Mother Nature.

I do believe that bonding technology originated from the NASA Space Program. NASA scientists engineered the process of securing(bonding) ceramic tiles to the hull of the space shuttle. Bonding was proven to be  a reliable, durable, easily repairable, and most effective approach of securing ceramic tiles to the hull of the space shuttle. The ceramic tiles were crucial in heat displacement and essential for the survivability of our returning astronauts. The process of Bonding is both Science and Art.

Bonding is technically a process of fusing two like or unlike surfaces. In dentistry, we are constantly bonding enamel to a host of dental materials such as composite resin, ceramic, ceramic /resin hybrid material and metal such as gold alloy.

The process of bonding first involves surface preparation of the surfaces planned to be bonded. Tooth enamel is etched with 37.5% Phosphoric Acid for 15-30 seconds then washed off with water. This etching process creates a microscopic roughness of the surface enamel. Once etched, the surface is air blown super dry. A clear colored bonding agent (unfilled resin), gets vigorously scrubbed and applied with a tiny micro brush by me, to the prepared surface. This unfilled resin supersaturates the previously micro-textured enamel surface. The resin seamlessly fills into the micro-roughen landscape of the enamel engaging unbelievably small undercuts of enamel rods which make up the enamel surface you and I can not see with our naked eyes. A specifically engineered Ultra-Viloet Blue light is then shown onto the applied resin by the dental assistant. The light initiates and activates a polymerization (hardening ) shrinking of the applied resin. This “curing” acts to fuse or “bond” the unfilled resin with incredible adhesion to the enamel of the tooth. Once the bonding agent is fully cured in about 20 seconds, multiple incremental layers of tooth colored  material is artistically  added and contoured to mimic a desired shape, by me.

The Principle of Bonding is Classic. It’s been around since the 70’s. What has improved are the materials of adhesion and options of bondable materials.  The choice of materials to be bonded to enamel all require slight nuances in their preparation prior to being bonded to the unfilled layer of the enamel.

Pictured Below:

In this case of gap closure performed today, the surface materials are the patient’s enamel and composite resin material. It took me twenty minutes. No shot indicated. No Pain. Everybody happy!

 

IMG_6429
Before

 

IMG_6431
After

 

Dr. Emilio & Associates,  Always Accepts  New Patients. He especially exceeds at treating same day emergencies patients suffering from tooth ache pains.

His goal is to keep his patients’ Teeth and Gums Healthy For Life.

Feel Free to appoint a Consultation with the Doctor. Open Six Days A Week

OPEN on Weekdays.  7:30am -8:00pm  (M<T<W<T)

Fridays.  7:30am-2:00pm

Weekends (Saturday only).  8:00am-2:00pm

111 East Avenue, Norwalk, Connecticut 06851.

You can always contact me directly via email  blog@robertemiliodds.com

Instagram:  dentist_in_connecticut

Office (203)866-7164      www.robertemiliodds.com

Pass this Link to Your Friends:  robertemilioddsblog.wordpress.com