Tooth restoration

processes

"Cosmetic Dentist Information."Cosmetic Dentist"Forest Family Dentistry: Advancing Austin Dental

Information. N.p., n.d. Web. 08 May 2016.
Care."Forest Family Dentistry. N.p., n.d. Web. 08
<https://cosmeticdentistinformation.wordpress.coMay 2016. <http://www.austinforestfamily.com/>.

Introduction
Jonathan
Mentor:

Coronado

Dr.Tutt

Place of Business: Mill Forest Dental Group

Mentor
Topic

profession: Dentist

of study: Tooth Restoration Processes

Independent
Teacher:
*Some

Study Mentorship Spring 2016

Mrs. Click

of this information comes from outside sources

Independent Study Mentorship

ISM

or independent study mentorship is a class

that allows you the opportunity to research and
experience the specific field that you choose. The
main objective of the class is to create a final
collegiate level presentation that describes a
specific topic within your career field. You choose
a mentor to help you with this final project and
to get personal experience with the field.

Online Portfolio

http://jonathancoronado1.weebly.com/

Mentorship Action Photos

Tooth Restorations Processes

Tooth

restorations are the different type of ways to

remove the decayed portion of the tooth and then
repair that section of the tooth. The more the tooth
decays the more severe the treatment is needed

chose this because this is a fundamental part of

dentistry. Learning about this topic will help me
explore more deeply into dentistry which will let me
know if this is truly something that I want to be.

Tooth Restorations Continued

Types of fixed tooth restorations:

1.

Fillings: the most basic type of tooth restoration that deals with minor
cavities that cannot be remineralized. The teeth are filled with material to
cover the cavity.

2.

Crowns: a tooth shaped cap that restores the size and shape to a tooth. This
is used when there is a more serious cavity.

3.

Bridges: bridges are fake teeth which hold together missing teeth by putting
a crown on either side to anchor the missing tooth to the working teeth.

4.

Implants: an implant is a piece of metal that is put into the bone socket like
a screw in wood to stop anymore decay or to fill in the missing area. A fake
tooth is attached to the top.

Key Points
The

two main types of tooth restorations that I will

be focusing on are fillings and crowns.

will be going over the following throughout the

presentation:

Temporary

crowns

Permanent

crowns

Fillings
Types

of materials used in these procedures

Crowns

A crown is a tooth shaped cap that is placed over a tooth to cover the tooth
to restore its shape and size, strength, and improve its appearance.(http://
www.webmd.com/oral-health/guide/dental-crowns)

Crowns can be used to:

Protect a weak tooth

Restore a broken tooth

Hold a dental bridge in place

To make a cosmetic modification

Types of Crowns

Ceramic

Gold alloys

Base metal alloys

"Las Vegas Cosmetic Dentist & Implant Dentist Dr. Henry

Kim."Las Vegas Cosmetic Dentist & Implant Dentist Dr. Henry
Kim. N.p., n.d. Web. 08 May 2016.
<http://www.henrykimdds.com/>.

"Dentist Dr. Michael Duboff, DMD | Smile Designers of Las Vegas | Love Your
Smile, Love Your Dentist."Dentist Dr Michael Duboff DMD Smile Designers of
Las Vegas RSS. N.p., n.d. Web. 08 May 2016.
<http://smiledesignerslv.com/>.

"When a Single Smile Brings so Much Joy, It's worth Protecting with
Colgate."Oral Health and Dental Care. N.p., n.d. Web. 08 May 2016.
<http://www.colgate.com/>.

Ceramiic

These types of crowns are made purely from ceramic

This material usually is used because of its appealing look and how well it
blends in with the rest of the teeth

The two types of ceramic crowns I am focusing on are zirconia and E-max

A zirconia crown is a durable, easy to wear, and long lasting ceramic crown

Advantages of zirconia include the strength of the material, the aesthetics or

attractiveness of the tooth, along with the need for minimal tooth preparation.

An E-max crown is a ceramic crown that is preferred for its long lasting and
aesthetic qualities

This type of crown is considered a good option for damaged, stained, or poor
quality teeth

Gold Alloys

Gold crowns are usually very durable being able to withstand heavy forces
from chewing. They do not chip or break, making them last a long time.

Gold crowns also cause low wear on the opposing tooth.

Gold alloy crowns are usually used to restore molars and premolars because
of their color.

Gold alloy crowns are one of the classic types of dental crowns.

Gold crowns are somewhat out of date because of materials like zirconia and
E-max that have coloring that resembles the tooth.

Base Metal Alloys

Base metal alloys consist of traditional non-noble metals with high strengths.

This material crown is often fitted into back teeth.

Advantages of this crown consist of:

Long lasting

Cheaper than ceramic crowns

Disadvantages of the crown is that the crown is prone to chipping and

fracture along with aesthetic issues to having a silver colored crown.

Additionally ceramic is fused to the metal to add aesthetics.

Crown Process

The process of creating a crown is usually a two visit process consisting of:

1.

Assessment of the tooth(first visit)

2.

Preparation of the tooth(first visit)

3.

Fitting and cementing the final tooth (second visit)

Assessment of the Tooth

When the patient first arrives x-rays of the tooth may be required to check
the roots of the tooth receiving the crown. If the tooth has excessive decay or
if there risk of injury to the tooths pulp, a root canal may be needed prior to
the crown.

Preparation of the Tooth

After the dentist has decided that the crown is needed, anesthetics will be administered to the nerve.
The anesthetics is 2% lidocaine with 1:100,000 epinephrine

Then an impression will be taken. Alginate material will then be squeezed into the impression tray.
Afterwards the dentist will place this tray into the mouth of the patient allowing for the patient to
bite into the impression. This will create a mold of the tooth that needs the crown along with the
proximal teeth.

Next the crown is filed down to create room for the crown. The amount that the tooth is drilled into
depends on the type of crown being used.

After reshaping the tooth the digital scan impression must be taken.

Next the alginate impression will be used to create the temporary crown. Next place the integrity
material into the alginate impression.

The impression will then be placed back onto the teeth that were used for the making of the
impression. The integrity will harden within 71 seconds. Then the impression will be removed leaving
a tooth shaped cap over the existing tooth. This temporary crown will protect the tooth along with
maintain the appearance of the tooth while the permanent crown is being created at the lab.

Fitting and Cementing of the Tooth

At the start of the second visit, the dentist will remove the temporary crown
and check the fit and coloring of the permanent crown.

The dentist will then numb the area using anesthetics.

The permanent crown will then be cemented to the tooth.

Depending on the type of crown used the crown should last between 10 to 15
years.

https://www.youtube.com/watch?v=3LyRIqKu7EA

Fillings
A

filling is a way to restore a tooth damaged by

decay back to its normal function and
shape(http://www.colgate.com)

The

filling is used when the decay of the tooth can

not be remineralized or when a tooth is cracked.

Fillings

are designed to close off areas that bacteria

could possibly enter to prevent further tooth decay.

Types of Fillings

Amalgam fillings

Composite fillings

"U.S. Food and Drug Administration."About Dental

Amalgam Fillings. N.p., n.d. Web. 09 May 2016.
<http://www.fda.gov/MedicalDevices/ProductsandM
edicalProcedures/DentalProducts/DentalAmalgam/u
cm171094.htm>.

"VDPC."VDPC. N.p., n.d. Web. 09 May 2016.

<http://www.comberearlies.co.uk/>.

Amalgam Filling

An amalgam filling is the traditional type of filling that consisting of a mixture

of metals

Amalgam fillings are also known as silver fillings because of their silver
appearance.

This is a good material because it is long lasting, works well under pressure,
and is relatively inexpensive

Amalgam fillings are out of date due to the composite filling

Composite Filling

Composite filling is a tooth colored filling that has been developed in the
recent decades

These fillings provide good durability and resistance to fracture

Composite fillings are the ideal filling for front teeth because of their
aesthetic qualities.

The disadvantages to composite fillings are the increased cost of the filling
material. Along with this amalgam fillings are generally more durable.

Steps to Create a Filling

The dentist will first assess the tooth using x-rays to determine if a filling is needed on the
tooth.

Next the nerve will be numbed using anesthetics.

Once the tooth is completely numbed, the dentist will remove the decayed material from the
tooth using a high speed drill.

Once the decay is removed the dentist must shape the cavity in order to have the right shape
to be able to take the filling.

Next the tooth will be etched using a gel composed of 38% phosphoric acid. The enamel will be
etched for 15 seconds while the dentin will be etched for 30 seconds. This will allow for tiny
holes in the tooth enamel surfaces which will allow the filling to bond tightly with the tooth.

After the tooth has been etched the bonding material will be applied to the tooth. Then a blue
curing light will be used to harden the bonding material.

Finally the filling will be packed into the cavity and hardened using the blue light.

Product

Conclusion

Going through this class and getting this mentorship experience has taught me
a lot this year. I have learned that beyond a doubt I want to be a dentist and
will continue to pursue this. I have gotten to learn about the different types
of equipment, procedures, and patient care that goes into being a dentist. I
have had to learn to be more responsible and organized when trying to keep
up with all the work that this class requires. Overall I think I am a better
person coming out of this class. I hope that some day I can make this dream
of being a dentist a reality some day. I thank all the people that have helped
me along through this journey and have helped me better myself through this
experience.

Thank you
Thank

you Dr. Tutt for readily helping me with my

project and allowing me to shadow you along
with the opportunity to prepare myself for what I
will be expected of in college.

Thank

you to the Mill Forest Dental staff for

allowing me to use your workplace to learn and
prepare myself to succeed in this class.

Thank

you Mrs. Click for giving me this

opportunity to learn about the specific field I am
interested in.

Thank

you to my parents for providing me the

resources to succeed in this class.

Works cited

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"Dental Crowns: Uses, Types, and How the Procedure Is Done."WebMD. WebMD, n.d. Web. 08 May 2016. <http://www.webmd.com/oral-health/guide/dental-crowns?page=2>.

"Dentist Dr. Michael Duboff, DMD | Smile Designers of Las Vegas | Love Your Smile, Love Your Dentist."Dentist Dr Michael Duboff DMD Smile Designers of Las Vegas RSS. N.p.,
n.d. Web. 08 May 2016. <http://smiledesignerslv.com/>.

"Forest Family Dentistry: Advancing Austin Dental Care."Forest Family Dentistry. N.p., n.d. Web. 08 May 2016. <http://www.austinforestfamily.com/>.

"The Importance of Temporary Crowns." Dentistry.com. N.p., n.d. Web. 08 May 2016. <http://www.dentistry.com/treatments/dental-restorations/the-importance-oftemporary-crowns>.

"Las Vegas Cosmetic Dentist & Implant Dentist Dr. Henry Kim."Las Vegas Cosmetic Dentist & Implant Dentist Dr. Henry Kim. N.p., n.d. Web. 08 May 2016.
<http://www.henrykimdds.com/>.

"The Process of Filling Cavities."The Process of Filling Cavities. N.p., n.d. Web. 08 May 2016. <http://crest.com/en-us/oral-care-topics/tooth-decay-and-cavities/theprocess-of-filling-cavities>.

"Related Topics."Dental Filling Procedure, Dental Filling Process, How Dental Cavity Is Filled. N.p., n.d. Web. 09 May 2016. <http://www.identalhub.com/dental-what-is-theprocedure-of-dental-filling-by-dentist-808.aspx>.

"The Steps of the Dental Crown Procedure. -."Steps of the Dental Crown Procedure-Preparation to Cementation.N.p., n.d. Web. 08 May 2016. <http://www.animatedteeth.com/dental_crowns/t4_dental_crowns_steps.htm>.

"U.S. Food and Drug Administration."About Dental Amalgam Fillings. N.p., n.d. Web. 09 May 2016.
<http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/DentalProducts/DentalAmalgam/ucm171094.htm>.

"VDPC."VDPC. N.p., n.d. Web. 09 May 2016. <http://www.comberearlies.co.uk/>.

"What Is a Filling?"Dental Filling. N.p., n.d. Web. 08 May 2016. <http://www.colgate.com/en/us/oc/oral-health/procedures/fillings/article/what-is-a-filling>.

"When a Single Smile Brings so Much Joy, It's worth Protecting with Colgate."Oral Health and Dental Care. N.p., n.d. Web. 08 May 2016. <http://www.colgate.com/>.

"When a Single Smile Brings so Much Joy, It's worth Protecting with Colgate."Oral Health and Dental Care. N.p., n.d. Web. 08 May 2016. <http://www.colgate.com/>.