Fillings are typically made from amalgam, composite resin, gold, or dental-grade porcelain. They are intended to repair a modest-sized cavity that forms in the enamel layer of a tooth. Inconsistencies in your daily oral hygiene routine, procrastinating your dental checkups at Ronald Levine, and the passage of time can have an adverse effect on a filling.
These things increase the chances of bacteria weakening the bond between the filling and the surrounding tooth enamel. This is even more likely to be an issue for a large filling or a filling on the biting surface of a tooth.
When this happens, bacteria can slowly compromise the dental adhesive, establishing itself within the tooth enamel. In many of these situations, so much of the tooth has already been compromised that Dr. Ronald Levine simply cannot replace the distressed filling with a new one.
For a tooth in this condition, the only viable course of treatment is to replace the entire tooth enamel layer with a dental crown.
Your dentist will examine the distressed tooth and take a series of X-rays. Assuming the interior structures of the tooth are sound and healthy, he can then start the process of forming an abutment. This involves using a drill to remove the enamel layer of the tooth, leaving behind a sheath of dentin surrounding the healthy pulp and root of the tooth. This abutment will later anchor the crown firmly in your mouth.
An impression will be made of the abutment, the nearby teeth, and the corresponding teeth in your bite pattern. Then the abutment will be covered by a hard, plastic cap, known as a temporary crown. The impression will be sent to a dental lab technician who will custom make your new crown.
We will call you back in for a short second appointment when your crown is completed. The temporary crown will be removed and your dentist will cement your new crown into place over the abutment.
If you live in the Germantown, Maryland, area and you have a tooth with a distressed or suspect filling, you should call 301.540.8808 to seek treatment at Ronald Levine.