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Dental Bonding Detroit

Achieve a Strong, Healthy, and Beautiful Smile

Dr. David DiLoreto performs a number of cosmetic and restorative procedures to meet each of his patient’s unique needs. Dental bonding is available to his Detroit, Michigan patients to both restore strength to damaged teeth and provide various cosmetic enhancements. Bonded restorations are one of the most important innovations in dentistry since the amalgam filling in the 1850’s. When teeth break, decay, or are irreversibly stained, bonded composite resin often gives the most aesthetic results. To learn more about dental bonding, contact our Detroit dental practice today.

Dental Bonding Detroit Dental Bonding Example

Dental Bonding for Tooth Restoration

Teeth tend to break down from decay, a traumatic accident, or just attrition and wear over decades of use. Restorative dentistry can improve the structural integrity of teeth by restoring them to their original form and function. Most often teeth are restored to an improved shape and ability to function. This is most obvious when one goes through orthodontic treatment or instant orthodontics. Instant orthodontics means teeth are straightened and their shape improved by use of various restorative materials; specifically, composite resin, laminate veneers, or full-coverage porcelain.

Dental Bonding Placement Procedure

Composite resin is a moldable, putty-like material that can be shaped to look like the missing aspect of a tooth. It comes in an almost unlimited number of colors and shades to match any situation. A tooth has many gradients of color from the cervical gum line to the incisal or biting edge. There are even translucent areas where light can be seen through the enamel. Combinations of colors can be used to give the restoration a natural blend with the existing tooth structure. Often we whiten teeth first so the new restorations can complement a whiter, more aesthetic smile. Dental restorative materials do not react to teeth whitening agents. Therefore, it is critical to whiten teeth before any restorations are matched to the adjacent tooth color.

The material is “light cured” or “self-curing.” This means that after the restoration is blended and shaped to restore the missing tooth structure to its original integrity, either an ultraviolet light can activate the material making it hard, or the material sets and becomes hard over a period of one or two minutes. Most materials today are light cured. Self-curing materials mix a base and a catalyst together similar to mixing epoxy cement. It’s the material of choice when there are obstacles to getting the light source to the restorative area; such as deep between teeth, under the gum-line on root surfaces, or under and inside decayed crowns.

Composite resin restorations can be made directly in the mouth or indirectly. The indirect method involves models to be made and a laboratory fabricates the restoration for later bonding in the mouth. Indirect restorations can be made with harder materials and used for larger full-coverage restorations. The actual material is a bisphenol A-glycidal methacrylate (BISGMA) or urethane dimethacrylate (UDMA). There is silica filler (silicon dioxide) and various ceramic glasses in composite resin. The glass gives the composite resin its strength, wear characteristics, and translucency.

Benefits of Dental Bonding

There are many advantages to using composite resin over amalgam fillings. Foremost there is not a heavy metal mercury component as in amalgams. These mercury-based restorations are being phased out in dentistry due to the health issues related to mercury. Also, when preparing the tooth, the preparation can be much more conservative. Dentists only take out the decayed portions as more tooth structure creates more surface area for bonding. This improves the strength of the restoration. We cannot write about advantages without mentioning aesthetics. Many times the final result appears as natural as if the tooth was never broken or repaired.

Risks or Side Effects of Dental Bonding

Composite resin is the restorative material of choice for closing small spaces or diastemata between teeth. The smaller the resin filling the longer it can last. Composite resin can be used for replacing small missing portions of one tooth. Many dentists do not recommend composite resin for bridges spanning a missing tooth. Usually these fail in a substantially shorter period of time than is acceptable.

There are no perfect restorations; they all have their weaknesses. Even one’s own teeth can be hard pressed to last 70 or 80 years. With composite resin, shrinkage and leakage can appear on larger restorations. This discoloration at the interface between the enamel and composite resin can cause an aesthetic failure. One final point to consider is that composite-resin material is technique sensitive. For best results, a skilled cosmetic dentist like Dr. DiLoreto could prevent premature failure and achieve the most beautiful restorations.

Learn More about Dental Bonding

For more information, or to schedule a consultation with Dr. DiLoreto regarding dental bonding, contact our Detroit dental practice today.