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Tooth colored fillings
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Not only dark amalgam fillings impair a flawless smile in the otherwise white set of teeth and prevent a satisfying aesthetic appearance. White fillings can also seem dark every now and then, since they do not become brighter while bleaching the teeth but keep their color. The whiter the natural teeth become after the filling, the more urgent an exchange or a treatment of the fillings becomes. Different procedures and materials help the situation:

Composites

Synthetic fillings with the so-called composites are used in the front teeth area with damage in the neck of a tooth, or for small to medium-sized fillings in the side teeth area. They are substance-friendly, aesthetically attractive and reasonably priced. They can be processed in a single treatment and are, in small to medium-sized fillings, just as with larger fillings almost as long-lasting as the well know yet aesthetically less attractive amalgam. In the front teeth area, composite is also suitable for the restoration of the original dental form, for example, for accident-related broken tooth edges. These are supplied with special composites and by the layering of several tones a natural appearance is accomplished. An especially intensive oral hygiene is exceedingly important with synthetic fillings, because light discolorations can develop on the edges of the filling. There is not a higher risk of cavities originating in this area than with other filling materials if the teeth are cleaned thoroughly.

However, in comparison to other filling-materials (generally to ceramic inlays) composite has deficits.

For example, with regard to the wearing of the material in contrast to ceramics and gold, as well as concerning the color stability in contrast to ceramics, and the form stability in contrast to ceramics and gold.

In addition, the costs for synthetic fillings in the side teeth area are taken care of by the health insurance only as far as amalgam fillings would have been covered. If the fillings are to be done for purely aesthetic reasons, health insurance plans do not cover the cost of the procedure.

Ceramic inlays

Concerning larger defects in the side teeth area, ceramic inlays are the most considerable and longest-lasting option. In contrast to direct fillings, ceramics cannot be worked on in the mouth. Hence, an impression of the teeth is taken and sent to a dental lab where dental technicians make the "inserts" precisely and adapt them to the natural color of the teeth. At the next appointment, the inlays are inserted into the tooth with the help of tooth-colored composites. Optically the result is so perfect that the tooth seems completely untouched. Due to the flawless chewing stability and virtually non abrasive material, ceramic inlays are a long-lasting, though 3 to 4 times more expensive solution to composite fillings.

A quickened inlay integration allows the so-called Cerec procedure. The prepped tooth or the impression model is photographed with a special camera. Using the data obtained from the special photographic technology, a computer constructs the inlay and mills it out of a ceramic block.

For bleached teeth ceramic masses, as well as Cerec-ceramic blocks, are available in special colors.

Keramik-Inlay
Keramik-Veneers
Keramik-Frontschale
Ceramic-inlay
Synthetic / Gold filling
Ceramic frame

Veneers

Veneers allow a likewise very elegant and tooth-friendly "optimization" of teeth and fillings. A thin layer on the front teeth surface is removed. Then the veneer is simply glued onto the discolored teeth. If a Veneer does not sufficiently conceal, for instance, a very dark front tooth, it can also be used in combination with a preceding bleaching. Veneers not only establish a perfect color creation, but also an optimal reconstruction of the tooth form. Thus lost front teeth corners or tips are easily substituted by the appropriate partial veneers.

Initial situation
Final result
Veneer blending
from the front
Tooth row with
veneer blending

Photos: approved by of Olaf v. Iperen

Further information available here…

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