Cracked tooth- filling or implant

RESTORATIVE DENTISTRY • can result from chewing on hard foods, grinding your teeth at night, and may also
Friday, February 19, 2021 11:53 AM occur spontaneously as you age. It is a common disorder and the primary cause of
tooth loss.
18th century
• Field of operative dentistry embraced all of chairside and it was performed by barbers Treatment depends on the size of the crack, where it is located, the complications, and
19th century whether the crack reaches to the gum line. Based on these factors, your dentist can
• dentistry was practiced professionally by dentists or surgeons. prescribe one of the following:
1. 1.Bonding
20th century ▪ In this method, the dentist will use plastic resin to fill the gap, restore its
• came improvements in the quality of various materials and processes in dentistry. appearance and function.
• Physical and mechanical tests combined with fundamentals of engineering science were 2. Crowns
applied in design of operative dentistry and other branches have shown with different ▪ A dental crown is a tooth shaped cap that is placed over a tooth, it fits over
specialists and operative dentistry was focused more on restoration that makes operative the damaged tooth or caps it.
dentistry named as Restorative dentistry. ▪ It is the best treatment to restore its shape, size, strength, and appearance.
3. Implant
Operative dentistry is defined as the science and art of dentistry which deals with diagnosis, ▪ If a cracked tooth is severely damaged and couldn’t be saved by the
treatment, and prognosis of defects of the teeth which do not require full coverage for dentist. Patients can also opt for an implant, or extraction alone.
correction.
Implant has many advantages:
The main purposes of Restorative Dentistry are: □ Designed to be permanent
1. Diagnosis □ Preserves bone
2. Prevention □ Does not damage adjacent teeth
3. Interception □ Look and feel like natural tooth
4. Maintenance □ Improves appearance and self esteem
Treatment: caries removal and filling
Dr. Greene Vardiman Black is one of the founders of modern dentistry and is known to be the Reversible pulpitis refers to instances where the inflammation is mild and the
“Father of Operative Dentistry”. tooth pulp remains healthy enough to save.

For the treatment, caries removal and filling are needed. If you have reversible
Armamentaria pulpitis, treating the cause of the inflammation should resolve your symptoms.
• Amalgam Carrier – used to carry an increment of amalgam directly into the prepared Removing the decay and placing a filling allows the pulp to recover and
tooth. eliminates any further discomfort.
• Burnisher – used to smooth the surface of a freshly placed amalgam restoration.
• Condensers – used to pack down freshly placed amalgam into the preparation. Tooth enamel erosion - bridges, bonding, or crowns
• Composite Placement Instrument – used for the placement of composite restorative
materials. • Tooth enamel is the thin outer covering of the tooth and is considered as the strongest
• Carvers – used to remove excess material, to contour surfaces, and to carve anatomy substance in your body – even tougher than bone. This helps protect the teeth against
back into the amalgam. many different chemicals they’re exposed to but in spite of its strength, everyday acids
• Woodson – used for carrying dental materials to the prepared tooth structure. that develop from certain foods and drinks can put your enamel at risk. Consequently,
it can be prone to wear and tear which is now referred to as enamel erosion.
Disease and Treatments
Dental caries - filling, crown or RCT Common signs and symptoms of dental erosion include tooth sensitivity which causes the
• known as tooth decay, is a chronic condition commonly occurring to children, adolescents, tooth to be more sensitive to heat and cold, tooth discoloration, tooth breakdown and
and even adults due to the breakdown of the tooth enamel caused by the acids produced transparency of the edges of the front teeth. The most common cause of enamel erosion is
by bacterias that breakdown foods. the over abandoned of acids inside the mouth. It can be introduced externally by drinking
acidic beverages such as soda and fruit juice and it can also be introduced internally by
Treatments: medical conditions that introduce stomach acids into the mouth such as acid reflux nor
bulimia.
a. Fillings - applied when the tooth decay cannot be treated by the most basic
treatment which is fluoride use, the decayed tooth is filled with dental amalgam,
If the enamel loss is significant, the dentist may recommend the following.
porcelain, or tooth-colored composite resins
b. Crowns - applied to extensively decayed tooth wherein all the decayed surface of the Treatment:
tooth is drilled and remove then replaced by a custom-fitted crown that succeeds the
entire natural crown of the tooth
c. Root canal therapy - applied when the decay reached the pulp of the tooth, the pulp 1. Bonding- if enamel erosion has caused discolorations on your front teeth, bonding is a
is removed and replaced by a filling which sometimes requires medication to clear procedure in which a tooth-colored material known as resin is applied to stained or
any infections damaged teeth. The resin can cover up discolorations and protect your tooth.
2. Bridges- This has four main types such as traditional, cantilever, Maryland, and
implant-supported. This treatment is applied when the enamel is overly damaged, it
Tooth extraction is the last resort if the tooth is severely decayed and cannot be
could restore the look of your smile by replacing the missing tooth or "bridges" the gap
restored. The gaps left by the extracted tooth can still be replaced by dental bridges
where there are missing teeth with one that can look as natural as the original.
or dental implants.
3. Crowns- this is applied when the teeth is extremely damaged nor fractured or even
suffered decay to the point where a filling cannot repair it, crowns improves the
appearance of a misshapen or discolored tooth.

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