Dr. Edi Guidi works constantly to keep up-to-date with the latest advancements in dental care.
Dr. Guidi uses the latest techniques and remains deeply committed to developing new and better ways to protect your teeth and gums.
Take a moment to learn more about the exciting new services we offer our patients.
Please call our office at 916-483-3204 with any additional questions or comments you may have.
Looking for Teeth Whitening in Sacramento? Yearning for a bright youthful smile?
Dr. Guidi offers a full range of cosmetic dentistry including professional teeth whitening. Teeth whitening is the #1 requested and performed cosmetic dental procedure. Teeth whitening (sometimes called teeth bleaching) is a procedure that brightens teeth and helps to remove stains and discoloration.
Throughout the day a thin coating of bio film collect on teeth, the bio film can attract stains that can be trapped in the pores of tooth's enamel.
Teeth whitening by a dental professional is key as cavities need to be treated before teeth are whitened. Cavities are problematic because whitening solution can penetrate the cavity allowing decay to reach inner areas of a tooth. People with good dental health may also use a kit to whiten teeth at home.
Whitening your teeth at home often involves using a custom fitted mouth guard into which a whitening solution is placed. These custom fitted mouth guards will help protect your gums from irritation that occurs while using ill-fitted over-the-counter whitening mouth pieces. After the solution is placed in the mouth guard, it is placed over the teeth and left on for a few hours or overnight depending on the type of whitening solution. Ask Dr. Guidi if home whitening is right for you.
Opalescence Take Home Whitening Gels are only available from your dentist, who will supervise your treatment from initial consultation through completion. The sticky, viscous gel wonâ€™t migrate to gums and most formulations include Potassium Fluoride (PF), which helps to improve oral health by strengthening enamel, decreasing sensitivity and offering increased cavity prevention.
Bonding is a common cosmetic procedure due to its relatively low cost and ease of application. It is often used to reshape or change the color of a tooth and fill in slight spaces between teeth. The composite material used in bonding can be shaped and polished to match all surrounding teeth.
In order to make a filling appear almost invisible to the naked eye, composite fillings are often used. These fillings are designed to match your natural tooth color and are bonded to your teeth, which makes them less likely to fall out. These fillings are used to replace older fillings made of silver or gold. Tooth colored fillings have a more aesthetic appearance, can be completed in one visit, form a strong seal and are less likely to crack a tooth.
A veneer procedure is a popular cosmetic procedure. Porcelain is known as one of the best materials for esthetic dental procedures, because it mimics tooth enamel very closely. Veneers are extremely thin (usually less than 0.5 mm thickness), giving them enamel-like translucency, creating a natural appearance. They are about as thick as a contact lens. There is very little tooth preparation before the veneer application.
Porcelain veneers are attached to your teeth using a dental bonding glue or cement. Although veneers are very thin, once bonded to your teeth they become strong. The process is fast and conservative. First, your teeth are prepared and impressions are sent to a dental laboratory along with the design for your new smile. Veneers may be recommended along with other cosmetic procedures in order to produce optimum results.
It is sometimes difficult to get used to your newly placed dentures. They can feel bulky, loose and awkward. In order to make your adjustment period smoother, here are a few guidelines to follow:
- Wear your dentures all the time after you first receive them.
- Never use adhesives on your dentures unless instructed to by your doctor.
- When you go to sleep, remember to always remove your dentures.
- Always brush your dentures after removal and store them in a bowl of water. You can soak your dentures in a denture cleaner as well, but only after you have brushed them.
- If you experience any sore spots, looseness or discomfort please let your doctor know so they can help.
Never try to adjust your dentures on your own, each individual will have a different adjustment period and it will take time for you to become comfortable with your new teeth.
Approximately 40% of your jawbone structure will be gone after wearing your dentures for just six months. You will begin to notice that your dentures aren't fitting the way they used to after a few years of wearing them as well. This is because over the years, the structure of your jawbone becomes unable to support your denture. The same thing happens even if you are wearing a partial denture.
Once the structure of your jawbone is gone, your options for tooth replacement become very limited. Dental implants can stop bone loss and provide your mouth with natural looking teeth before the jawbone structure is completely lost.
Partial Dentures are used to replace missing teeth. Partials have metal hooks that grab onto the neighboring teeth for support. Unfortunately, the hooks have a tendency to loosen up the teeth and partial dentures have the tendency to get loose and require multiple adjustments throughout the years. On the upper, there is a large piece of metal that goes across the roof of the mouth which can interfere with taste sensation and/or have food collected under it. Additionally, the partial plate can press into the gum tissue and cause sores. The partial dental plate must be taken in and out each day for cleaning. It is certainly not an ideal alternative.
Flexible partials are very comfortable. They are made from the latest technology in thermoplastic resins.
Depending upon your condition, flexible partials may be all thermoplastic or they may be combined with Vitallium biocompatible metal for increased strength.
At times, it is necessary for all teeth to be removed due to extensive periodontal disease and/or due to decay. An alternative for the replacement of all the teeth is a complete upper and/or lower denture. These dentures require support from your gum pad and many times require the use of dental adhesive. Throughout life, the dentures require constant adjustment and refitting and can cause the jaw bone to melt away making the dentures loose and once again requiring continuous adjustment.
An Immediate Denture is designed to be placed in the mouth immediately after the extraction of your natural teeth. An Immediate Denture eliminates the embarrassment of having to go without teeth, while the gums are healing.
An Immediate denture is designed to fit your mouth at the time impressions are taken; however, after a few months your gums will change drastically due to "gum resorption." It's possible that the denture will rub against the gums when it is first placed, which may be very sore until it can be adjusted. Gums shrink the most within the first year of having teeth extracted. Most patients will require relines within a few months, to restore the fit of their dentures. Expect that the first year of wearing dentures will also be the most difficult and costly.
Since an Immediate Denture covers over the surgical site and the tooth sockets, it helps keep that tender surgical area from becoming irritated, much as a bandage would. Do not remove your denture by yourself, even for just a few minutes, until your dentist tells you it's all right. The gum tissue underneath the denture has a tendency to swell. If you take the denture out for very long, you may never get it back in again.
An over denture fits on-top of natural teeth or dental implants. Many patients suffer with ill fitting and loose dentures that move or even fall out when speaking or eating. One way of solving this problem is to construct a dental plate that goes over and attaches to something underneath it. Keeping a few natural teeth or placing dental implants in the bone under the denture also helps keep the jaw bone healthy. This avoids much of the natural jaw bone loss often seen after teeth are removed. Traditional over dentures go over natural teeth. A denture can be made that goes over and attaches to one or both cuspids.
Implants supported over dentures fit on top of dental implants. A retainer bar or retention balls are placed on the implants and special attachments are inserted into the denture to grab onto these retention devices. A new method using mini implant dentures is becoming increasingly popular. Mini implants are very thin, long titanium implants that screw into the jaw bone. They can be placed and old dentures can often be retrofitted to the implant.
An implant is a titanium "root" which can be placed into the jawbone. Once integrated with your bone, the implant can be used to support a crown, a bridge, or secure a complete denture. Dental implants may be used to eliminate partial plates and dentures. The success rates for dental implants are extremely high which is due in part to the fact that root-form implants are made of a biocompatible material, titanium. Dental implant treatment represents a slightly greater investment than conventional treatment; however, the benefits of implant therapy for most patients outweigh the minor additional cost involved
Implants are a tooth replacement option that involves placing a new "root" into the bone of your jaw. Once this titanium "root" has infused with your bone it can be used to support a crown, bridge, or denture. These implants can also be used to replace partials and other forms of dentures. the success rates for dental implants are extremely high. This is due in part to the fact that root-form implants are made of a biocompatible material, titanium. Because titanium is accepted so well by the human body, it is also used for orthopedic implants, such as hip and knee replacements. Dental Implants have now become the standard for replacing older dentistry and missing teeth because they look and feel like your natural teeth and have a higher success rate than all other forms of tooth replacement. The initial cost is generally higher for an implant over other forms of tooth replacement, but the long term benefits easily outweigh the difference in additional cost. An investment in implant dentistry is an investment in overall health, appearance and well being, as it involves preserving the integrity of facial structures, as well as replacing missing teeth. back to index
Dental implants can last a lifetime, unlike bridges, partials and dentures that may need to be replaced several times. Unlike bridges, partials and dentures, a dental implant replaces the lost tooth root, which will prevent jaw bone resorption that occurs with bridges, partials and dentures. The loss of tooth roots will cause a change of the smile and contours of the face over time. A bridge, once the common single tooth replacement method, requires the alteration of each neighboring healthy tooth, which is cut down and shaped to accept a crown. With a dental implant treatment, there is no compromise to adjacent teeth. The lost root and crown is replaced leaving neighboring healthy teeth in place. Removable partials connect to healthy teeth by hooks. Partials may be removed for cleaning and may need to be replaced often. A partial hooks connected to healthy teeth will create tooth stress and will loosened the healthy teeth over time. Full arch dentures and partials have the added disadvantage of accelerating the bone resorption process, which, among other things, causes the appearance of premature aging. back to index
A single tooth supported by an implant is like turning back the clock of time. The implant replaces the natural tooth root so the jaw bone and supportive gum tissue is as vibrant as ever. Multiple single implants may support single teeth or an implant supported bridge. Dental implants may also support the base for full arch dentures to attach to which provides the look, feel and function of natural teeth. Dental implant treatments is the only tooth replacement solution that prevents jaw bone resorption, which can cause your smile to look unnatural and in some cases, change your facial appearance. The long term esthetics of dental implants are superior to any other treatment option. back to index
If you are missing one or more teeth and in general good health you are a candidate for dental implant treatment. There are a few qualifying factors that need to be addressed:
Overall, there are very few conditions that would keep someone from having implant treatment. Even people who have lost a significant amount of bone can qualify for dental implant treatment; although, an additional procedure(s) to add bone or to create new bone may be necessary. Advances in this type of treatment have made it possible for most people who would not previously have been considered candidates to have successful implant treatment. back to index
Providing your overall health is good there is really no age restriction. The desire to improve your quality of life is frankly a more important consideration than age. It is not unusual for people with dentures to upgrade to implant supported dentures. It provides a renewed self-confidence in their smile and speech and also provides renewed chewing stability, plus brings back foods into their life that were once off limit.back to index
Traditional treatment may take anywhere from several weeks to several months, depending upon the quality of the bone in which the implants are placed. If an additional procedure is required in order to augment the bone, the total treatment time may be between six to nine months. Some implant candidates may qualify for Immediate Load / Immediate Function procedures, also known as "same day implants". back to index
Most implant patients report that the discomfort is far less than they expected and is no more remarkable than having a root canal or like having a tooth extracted. Of course you are anesthetized during the procedure, and although everyone's pain tolerance is different, most patients are very comfortable simply taking over-the-counter analgesics afterward. back to index
Dental implants are designed to be permanent; however, there are a few factors that may contribute to the long term success of dental implant treatment, such as the original quality of the surgical and restorative treatment, proper home care and regular check-up visits to your dentist or dental specialist. Dental implant treatment is one of the most successful procedures in the medical-dental field, with documented success rates over 95%. Dental implants have been around for over 30 years and have closely documented clinical research that demonstrates that dental implants will be successful throughout the lifetime of a patient. By comparison, research also demonstrates that the average tooth supported bridge (conventional dentistry) lasts from 7-10 years and that partials and dentures are functional for approximately 5 years before having to replace the appliance.back to index
Every patient's situation is unique; however, from time-to-time we can use an existing denture by altering the denture to accommodate the necessary denture attachments to fit the implants.
There are several differences.
Although dental implants have become the standard of care, they are more expensive than old tooth replacement methods. They are a better choice for the money; however, some dentists still recommend traditional tooth supported bridges for patients due to their own comfort level, or when patients insist on having the immediate lowest possible fee for tooth replacement. Most dentists today detest the idea of grinding down perfectly healthy teeth to place a traditional bridge, and therefore, will almost always recommend dental implant treatment in these cases.
There are times when it makes sense to extract a tooth and replace it with a dental implant.
Home care for a dental implant single tooth or for a dental implant crown and bridge is cleaned like a natural tooth, with regular brushing, flossing and regularly schedule hygiene appointments as directed by your dentist. Home care is a little more complicated for people who are missing all of their teeth, in that special brushes and floss are often recommended. Permanently fixed implant supported replacement teeth are cleaned like all other bridges. If a surgical specialists who placed the implant(s) is involved, they may want to see you at least once each year in addition to your regular dentist. These visits, combined with proper home care, are essential to the long term success of implant treatment.back to index
The actual cost of dental implant treatment is based on a number of factors, such as the number of missing teeth being replaced, the type of implant supported teeth (treatment option) recommended and whether additional procedures are necessary to achieve the proper esthetic and functional result. The only way to accurately estimate the cost for an individual patient is to have an examination and consultation with your dental specialist. The total fee is usually comparable to other methods of tooth replacement; however, long-term, implant treatment is generally more cost effective than other options, such as bridges, partials and dentures that need to be replaced every 5-10 years. back to index
Dental insurance coverage of implant treatment depends on your individual policy. Dental benefits are determined by the amount an employer is willing to spend on the policy. Generally, dental policies cover basic routine preventive maintenance, basic care and emergencies. Most insurance plans only cover the basics with an annual maximum allowable benefit of $1,000-$1,500. Most insurance plans do not include dental implant coverage; however, often they will pay the same benefit they would cover for the lowest cost alternative treatment option (partials and dentures) and some of the diagnostic records, if a specific request is made for alternative benefits. You should review your dental insurance plan and your medical insurance plan to see the coverages. Medical coverage is very rare and Medicare does not cover implant treatment. All in all, it is best to assume that there is no medical insurance coverage available.back to index
There are many benefits to receiving a dental implant over other forms of treatment:
- Neighboring teeth do not have to be compromised
- Implants allow you to keep your jaw structure
- They look and feel like natural teeth
- Dental Implants can replace partials and are used to secure loose dentures
In cases where multiple teeth are missing or have been extracted, multiple implants can be used to bring back your smile. The implants are placed into the jawbone and are given time to heal. After the bone has healed around the implants, an abutment is attached to the implant which then allows for a crown or bridge to be placed right on the implant. These new teeth will look and act just like natural teeth.
Ask Dr. Guidi if dental implants are right for you.
Wisdom teeth generally begin to form in your pre-teen years. By late teen years, the crown of the wisdom teeth will begin to erupt through the gums if there is adequate room. By mid twenties, your wisdom teeth will either be able to fully erupt or will have become impacted. Early removal of wisdom teeth makes the procedure easier for the patient to tolerate and promotes faster healing afterwards. By your early forties, the wisdom teeth roots have become fully anchored to the jawbone and if required to be extracted, will be much harder and will need more time to heal.
Wisdom teeth under ideal circumstances should grow in straight like any other tooth. However, it is common for wisdom teeth to become impacted inside the jaw or just under the gums. If this occurs, your wisdom teeth should be removed.
1) Horizontal Impaction
2) Angular Impaction
3) Vertical Impaction
4) Soft Tissue Impaction
The problems involving your wisdom teeth may be caused by the size of your jaw and/or by how crowded your teeth are. Common warning symptoms that there is an un-natural problem in the development of your wisdom teeth could be pain and swelling.
Symptoms can be caused by:
1) Infection to the gums
2) A crowded tooth displacing neighboring teeth
3) A decayed wisdom tooth
4) Poorly positioned wisdom tooth
5) A cyst that destroys bone
Fold a piece of clean gauze into a pad thick enough to bite on and place directly on the extraction site. Apply moderate pressure by closing the teeth firmly over the pad. Maintain this pressure for about 30 minutes. If the pad becomes soaked, replace it with a clean one as necessary. Do not suck on the extraction site (as with a straw). A slight amount of blood may leak at the extraction site until a clot forms. However, if heavy bleeding continues, call your dentist. (Remember, though, that a lot of saliva and a little blood can look like a lot of bleeding).
The Blood Clot
After an extraction, a blood clot forms in the tooth socket. This clot is an important part of the normal healing process and therefore activities that might disturb the clot should be avoided. Here's how to protect it:
1. Do not smoke, rinse your mouth vigorously or drink through a straw for 24 hours. These activities create suction in the mouth, which could dislodge the clot and delay healing.
2. Do not clean the teeth next to the healing tooth socket for the rest of the day. You should, however, brush and floss your other teeth thoroughly and gently rinse your mouth afterwards.
3. Limit strenuous activity for 24 hours after the extraction. This will reduce bleeding and help the blood clot to form. Get plenty of rest.
4.If you have sutures, your dentist will instruct you when to return to have them removed.
Your dentist may prescribe medication to control pain and prevent infection. Use it only as directed. If the medication prescribed does not seem to work for you, do not increase the dosage. Please call your dentist immediately if you have prolonged or severe pain, swelling, bleeding, or fever.
After a tooth is removed, you may have some discomfort and notice some swelling. You can help reduce swelling and pain by applying cold compresses to the face. An ice bag or cold, moist cloth can be used periodically. Ice should be used only for the first day. Apply heat the following day if needed. Be sure to follow your doctor's instructions.
After the extraction, drink lots of liquids and eat soft, nutritious foods. Avoid alcoholic beverages and hot liquids. Begin eating solid foods the next day or as soon as you can chew comfortably. For about two days, try to chew food on the side opposite the extraction site. If you are troubled by nausea and vomiting call your dentist for advice.
The day after the extraction, gently rinse your mouth with warm salt water (teaspoon of salt in an 8 oz. glass of warm water). Rinsing after meals is important to keep food particles away from the extraction site. Do not rinse vigorously!
1) DO NOT RINSE MOUTH TODAY
Tomorrow rinse mouth gently every 3 to 4 hours (especially after meals) using one quarter teaspoon of salt to a glass of warm water. Continue rinses for several days.
Following extractions some bleeding is to be expected. If persistent bleeding occurs, place gauze pads over bleeding area and bite down firmly for one-half hour. Repeat if necessary.
Ice bag or chopped ice wrapped in a towel should be applied to the operated area; one-half hour on, and one-half hour off for 4-5 hours.
For mild to average pain use any non-aspirin type of medication you like. If the doctor prescribes a specific pain medication, follow the instructions and do not mix with other medications unless approved by your doctor.
Light diet is advisable during the first 24 hours.
6) BONY EDGES
Small sharp bone fragments may work up through the gums during healing. These are not roots; if annoying, return to our office for their simple removal.
7) If any unusual symptoms occur, call the office at once.
8) The proper care following oral surgical procedures will hasten recovery and prevent complications.
Please feel free to read the most frequently asked questions the we hear asked about pediatric dentistry.
Will you need to give my child a shot to do the dental work?
This is the one of the most commonly asked questions that we get from our patient's parents. We try to minimize the discomfort of the injection by placing a gel that works as a local anesthetic and numbs the tissue were the injection will be administered.
Profound local anesthesia is usually obtained five to ten minutes after the injection, depending on the area of the mouth where the anesthetic was placed. We always check to confirm that the area is numb before we begin to work. In cases of localized infection or trauma (like broken teeth) it is very difficult to obtain profound anesthesia, however we do have other means of supplementing the anesthetic
Younger children, particularly pre-schoolers may interpret the feeling of numbness as pain, and therefore cry. Please follow the postoperative instructions that we give you, in order to minimize complications such as lip biting.
When a baby-tooth changes color, it can mean many things. Baby teeth can and do normally change in color, particularly close to the time that they become loose, however, this change is minimal and should not be confused with a carious lesion (cavity).
The best way to determine if your child has a stain or a true cavity is to take him or her to a pediatric dentist.
Caries is an infectious disease; it progresses if left untreated, and usually is associated with pain (especially when the "cavities" are large). Teeth with cavities typically assume a darker (brown) discoloration, and depending on the extent, may exhibit loss of tooth structure.
Teeth that have been previously "bumped" may also change in color. Traumatized baby teeth can assume a yellow or a dark discoloration, which may or may-not be associated with pain.
Other less common causes of changes in color may be: Fluorosis, food staining (particularly tea or colas), systemic disease (hepatitis), etc.
One of our most common consults occurs when children around the age of 7 begin to lose their lower front teeth. Many of our parents become overly worried about this phenomenon. It is VERY NORMAL for permanent lower incisors (front teeth) to erupt behind their predecessors (baby teeth), however if a baby tooth is not loose by the time half of the permanent incisor has erupted, it may be necessary to pull it.
Crooked or crowded teeth are very common in the growing patient. Even patients that get braces may develop a minor degree of crooked (crowded) teeth, particularly in the front teeth of the jaws, as they grow old.
The first step in determining the need for treatment is what we call an orthodontic consult. During this appointment we may obtain special records and special x-rays of your child's jaw. This information will allow us to make a decision based on predicted growth patterns that your child may show later. In orthodontic terms we refer to this as Early Treatment.
Early treatment refers to ANY orthodontic (braces) or orthopedic appliances (like Headgear) treatment that begins when the child is in primary dentition, or in early mixed dentition (when the first permanent teeth begin to erupt).
Early treatment has been proven to be effective despite objections by some people in the orthodontic community.
The AAPD recognizes that early diagnosis and successful treatment of developing malocclusions can have both short-term and long-term benefits, while achieving the goal of occlusal harmony, function, and facial esthetics.
Accidents can happen during any physical activity. A mouth protector can help protect the soft tissues of your tongue, lips and cheek lining. Over-the-counter stock mouth protectors are inexpensive, pre-formed and ready-to-wear. Boil and bite mouth protectors offer a better fit than stock mouth protectors. Softened in water, they are more adaptable to the shape of your mouth. Custom-fitted mouth protectors are made by your dentist for you personally. They are more expensive, but a properly fitted mouth protector will stay in place while you are wearing it, making it easy for you to talk and breathe.
Pulpotomy is a dental procedure in which dental pulp is removed from the pulp chamber. This is usually done on children's teeth by a pediatric dentist.
Proper brushing of teeth can be done in three steps:
1) Brush teeth gently using a circular motion along the outside and inside of the tooth surface while holding the brush at a 45 degree angle.
2) Make sure to brush each tooth individually and to use the front half of the brush in a circular motion vertically behind the front teeth.
3) Place the brush against the top of your teeth use a gentle back-and-forth motion to brush. After brushing all your teeth be sure to brush your tongue in order to remove odor-producing bacteria.
In order to floss properly, begin by taking approximately 18 inches of floss and winding one end a few times around your middle finger. Leave approximately 6 inches of floss between your hands and wrap the opposite end of the floss around your other middle finger once. Put the floss between your thumbs and index fingers and hold tightly.
As you insert the floss between your teeth using a gentle rubbing motion, curve the floss in the shape of a C once it reaches the gum line. Move the floss up and down against the side of the tooth in a gentle manner, making sure you work the floss into the adjacent tooth before moving onto the next space. Before you move onto the next space, wind a little floss around your middle finger in order to get a new section of floss to work into your gums.
Fluoride is an important part of healthy tooth development and will help prevent cavities.
Fluoride can provide protection from tooth decay in a couple ways:
1) It helps to strengthen the tooth's enamel so it can repel the acid that is formed by plaque.
2) Teeth that have been damaged by plaque can repair and re-mineralize themselves with the help of fluoride.
Fluoride is incapable of repairing already formed cavities, but it does assist in reversing low levels of tooth decay and helps in preventing new cavities from forming.
An oral exam is performed on both new and existing patients to determine their dental and health status. New patients receive a more comprehensive exam that includes x-rays and checks for gum and bone disease, systemic disorders and oral cancer. A more routine exam is done for existing patients to see if there have been any changes in health since their last visit. In order to look for gum disease, the gum tissue is measured with a small ruler to measure the pocket depth between the tooth and connective tissue. A measurement of over 4mm could indicate disease or infection. Gum disease can develop easier in deeper pockets due to the extent that plaque collects in these deep pockets. If the oral exam reveals the need for tooth scaling or root planing, these services are performed in lieu of or in addition to the routine cleaning.
Sometimes after a tooth scaling, the roots of a tooth must be planed in order to create a smooth surface for the gum tissue to re-attach to. In addition to the planing, your dentist may also prescribe medication in order to control infection and pain.
Plaque is essentially the start of gum disease problems. Plaque is a build-up of particles from the foods you eat every day. Once sugars are introduced to plaque, it turns into a tooth eating acid that sits just above the gum line. If regular oral care isn't standard, the acid will start eating at the teeth and gums. Plaque that is allowed to sit for a prolonged period of time can cause cavities, gingivitis and other problems in your mouth. If it's left longer than that, serious dental procedures may be required to restore your decaying smile.
In order to remove plaque, tartar and calculus deposits from your teeth, a tooth scaling must occur. In some cases plaque and tartar are present below the gum line and a sub-gingival tooth scaling must occur.
When a cavity needs to be filled, there are four choices in the filling material:
The most common is a composite filling, this is a natural tooth colored filling and bonds to the tooth for extra strength. There are also gold and silver fillings. Silver fillings are inexpensive and strong while gold fillings may look nicer and provide a better fit. The final option is a porcelain filling, also called an inlay, which is the most durable of fillings and is also the color of your natural teeth.
Ask Dr. Guidi, a cosmetic and restorative dentist in Sacramento, which filling would be best for you.
An inlay or onlay is a method of repairing a tooth that is somewhere between a filling and a crown. They are used when the tooth is unable to support a filling, but is not damaged to the point that it needs a crown. An inlay is much like a filling but is inserted into the ridges (cusps) of the chewing surface. An onlay is a little more extensive than an inlay and covers multiple cusps of the tooth. Inlays and onlays are commonly made with ceramic or composite materials but can also be made of gold. They are very durable and can last a long time depending on the material used and how well the patient takes care of them with regular brushing, flossing and visits to the dentist.
A crown is sometimes termed a "cap" or "jacket." A crown will restore a large filling or a cracked tooth to its original size, shape and tooth color. A crown may be recommended after root canal therapy has been completed, as the tooth tends to become brittle and is more likely to fracture. A crown can strengthen and protect the remaining tooth structure and improves the appearance of your teeth. With the advances in technology, we now have the ability to make ceramic crowns with no metal.
To place a crown, your dentist must reduce 1-2 mm of the tooth to make room for it. Your dentist will then use a piece of thread or cord or use a laser to push the gum down around the tooth, to take an impression of the tooth. The impressions are sent to the lab where the crown is made. During that time, you will have a temporary crown. These crowns are usually made of plastic and are made in your dentist's office on the day of your visit. They are not meant to last. If a temporary crown is left in the mouth, the cement eventually washes out, and the tooth can decay. At a second visit, your dentist will remove the temporary crown and test the permanent one. Sometimes crowns need additional polishing, glaze or some other adjustment before they are placed. Once the crown is ready, it's cemented to your tooth.
With todayâ€™s advances in dentistry, there are several options when choosing a type of crown. The most common crown utilized in dentistry is referred to as a PFM or porcelain-fused to metal crown. For those that have sensitivities to metals or are worried about aesthetics, there are all porcelain crowns or crowns that are composed of a material called composite. There have been several advances in all porcelain crowns and some labs are now utilizing zirconia which is much stronger than a typical porcelain crown. Also, they still are making all metal crowns, which are typically gold, and are usually used on a molar or a back tooth. Of course all of these different options vary in durability, appearance and cost. Please contact our office for any further questions. We would be more than happy to find the crown that is right for you and your situation.
If your smile is in need of a makeover, crowns can provide predictable results. Crowns can give an unattractive tooth back its beautiful shape and color. For smaller or worn down teeth, a crown can restore the natural size of the old tooth. A crown can replace either part of or the tooth's entire structure. For procedures requiring only the areas visible from the outside, a veneer may be an alternative option.
A bridge may be used to replace a single tooth. A bridge consists of both a false tooth, called a pontic and the anchors (abutment crowns) that support the pontic. The entire structure spans the space vacated by the missing tooth.
Neighboring tooth structure is removed, shaping them to receive an anchor crown. An impression is then taken and sent to a dental lab where they fabricate the bridge.
The structure part of the bridge is created with a strong metal alloy that can handle the anticipated stresses.
Tooth-like porcelain is then fused to the structure. Once the bridge is tested for a correct fit, the anchor crowns are cemented to the neighboring teeth.