Porcelain restorations

Finely crafted Porcelain restorations are an ideal solution to capturing the look you have always wanted with only minimal disturbance of your remaining tooth structure.

Bonded porcelain inlays/onlays and crowns have become a state of the art for badly broken down or heavily filled teeth.

Porcelain Perfection

The porcelain we have available today is made of a higher strength glass ceramic (Lithium disilicate) which can be adhesively bonded (glued) to the tooth. Its advantage is that it offers added protection to the remaining tooth structure. It decreases the risk of tooth fracture and offers protection against environmentally induced tooth loss (such as acid erosion) because less tooth structure is exposed to the oral environment. It is more conservative than the traditional, porcelain crowns and gold inlay/onlays. It also has a beautiful natural translucency.

The thing about intricate dental work like porcelain restorations is that there are a number of steps in the process.

Ideal dentistry has always been to preserve the natural tooth structure with a conservative, restorative approach. However, with the newer restorative materials and techniques there are more risks and a different long term prognosis for each new choice, so it can take time to do it well.

There is a lot of focus now on doing things faster and cheaper. People are busy, I get that. And everyone wants a bargain. Some practices are offering chairside milled porcelains that are marketed as being done in one visit outlining benefits of no need for impressions or temporary fillings in-between visits. Also no need to use a laboratory and are therefore, cheaper.

It is extremely important to weigh the options when deciding whether or not this type of treatment is going to be of a protective benefit to your individual tooth and overall dental health. The constant question is ‘If I have this porcelain work done, would the protective benefit of the proposed treatment be worth the investment in time and money that is required. Will I get at least 15 to 20 years from this investment and will it prolong the life of my teeth?’

I can assure you that these porcelain options, which are recommended only following a thorough analysis of the presenting condition, and carried out with meticulous attention to detail and care will maintain your dentition in optimal health.

The direct chairside milled porcelains that are quicker, and cheaper are not necessarily better.

before and after porcelain restorations

Colonnade Dental Centre before and after porcelain restoration – example work

But I’m trying to do things better and stronger; I’m trying to get as close to perfection as I can, using all the available latest technology. Instead of being used chairside, the same new technology milling system is used in a controlled laboratory environment. I can offer you solutions with options that will reduce risks of early failure and improve long term prognosis of your teeth. The cost and time involved varies depending on the final treatment chosen, the final choice is always made by you, the patient. However, there are no compromises on the quality of the outcome.

Taking the time

The chairside milling system is definitely faster but has the high risk of inaccuracy of fit. If one does not take the time and attention to detail required to produce a restoration that fits accurately chairside you can end up with discrepancies: gaps or spaces that result in early failure of the restoration. The bottom line is I would expect the best result for myself, so could not offer anything but the best to my patients.

The difficulties of real life

When you’re in a clinical situation there are always interruptions. You never really have the time that you really think you’re going to have: the patient may want to chat to calm their nerves, or squirm in their chair, or have to sit up and have a break. So there’s a risk that the preparation, milling of the porcelain or the insertion could end up being rushed. I can’t work that way, I’m very meticulous and I want everything to be absolutely perfect and under control. I will allow whatever time it takes to get everything right for the patient. I allow time for patients to get more comfortable or to take a break, whatever it takes to get a strong, functional, esthetic and great long term result.

How I avoid these issues

I work together with a very talented and experienced ceramist who finely crafts the restoration in a laboratory under a microscope. My ceramist can work without the interruptions that you would get clinically, and under controlled conditions – saliva and tongue do not get in the way.

Placement of a very natural looking and strong porcelain restoration requires two visits, but in the end you will save time and money because it’s a perfect fit and will last longer. You’re less likely to have recurrent decay, you will not have food pack areas and your bite will be comfortable and balanced. This means you will be able to chew comfortably without sensitivity.

What I get back from my laboratory, and what my patients get in their mouths is the absolute best porcelain restoration possible using the latest beautiful porcelains. A perfect fit that is perfectly polished and perfectly glazed. I spend time in the second appointment with the patient making sure there is no moisture contamination, and I cement, or bond it in. I always get beautiful, natural result.

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