Composite Bonding


Composite Bonding

Dental composite bonding is a popular choice for fillings because the material can match the shade, translucency and even the texture of your own natural teeth and provides a much better result than old amalgam/silver fillings, which can be unsightly when you smile. Cosmetic dentists often replace old metal fillings with tooth-coloured composite. There is much debate in dentistry as to the safety of mercury-containing amalgam fillings, and many dentists are of the opinion that metal fillings must be removed using a safe protocol, which involves isolating the teeth using a rubber dam material.

SIGNS AND SYMPTOMS FOR COMPOSITE BONDING

Filling dental cavities - "white fillings"

Replacing metal or amalgam fillings

Repairing broken and chipped teeth

Closing gaps between teeth (diastamas)

Reshaping teeth

Smile makeovers - composite veneers (although porcelain veneers are the better option for this)

Can bonding be used for all cavities?

Bonding is not suitable if you have large cavities in your teeBonding is not suitable if you have large cavities in your teeth, as the material does not have a strong structure over large areas. Bonding is ideal for small fillings that are not exposed to great forces. With recent advances in dental technology, many dentists are turning to the use of CAD/CAM CEREC technology to produce ceramic fillings (inlays), which have the advantages of both strength and aesthetics and can be fitted in the same visit within an hour. Some practices may have their dental technicians fabricate a ceramic filling, which can take two to three weeks.

Whether you are seeking a complete smile makeover or a simple tooth extraction/pain relief or just want some information or second opinion, our friendly dentists are always ready to help.

The surface of the tooth is then etched with a special phosphoric-acid-based gel, which provides a better surface for the composite to adhere to. The composite (bonding agent) is then applied to the etched tooth surface and exposed to a special light source (curing light), which activates the composite to harden and set. The bonding agent is often applied to the tooth in several thin layers (1mm-2 mm) until the desired shape, translucency and texture is achieved. The final step involves polishing and buffing the composite to give the desired shape and smooth finish.

What are the disadvantages of composite bonding?

The main drawbacks of bonding are that it doesn't have the strength of other restorative materials such as ceramic or porcelain, and it has a greater tendency to stain than your surrounding natural teeth or porcelain.

Can any dentist carry out bonding?

Yes. However, you must note that bonding requires a high level of artistic skill and not all dentists are equally skilled. Some cosmetic dentists will have undertaken extensive postgraduate training in the field of dental bonding. Be sure to ask your dentist what experience he/she has in this area and if you can see photos of their previous work.

So what is the procedure of composite bonding?

If the procedure requires a local anaesthetic (not all bonding procedures do), your dentist will first numb the area by injecting a local anaesthetic into the gum area around the tooth. The tooth surface where the composite will be applied is thoroughly cleaned to remove any debris or tartar accumulation, as the composite needs a clean surface to bond to. Once the correct shade of composite has been selected by your dentist, the tooth is kept dry by surrounding it with cotton rolls or a latex sheet (rubber dam), and then shaped or roughened by the dentist using a special tool.

The surface of the tooth is then etched with a special phosphoric-acid-based gel, which provides a better surface for the composite to adhere to. The composite (bonding agent) is then applied to the etched tooth surface and exposed to a special light source (curing light), which activates the composite to harden and set. The bonding agent is often applied to the tooth in several thin layers (1mm-2 mm) until the desired shape, translucency and texture is achieved. The final step involves polishing and buffing the composite to give the desired shape and smooth finish.

COMPOSITE BONDING FAQS

What Are the Advantages and Disadvantages of COMPOSITE Bonding?

Advantages:Bonding is among the easiest and least expensive of cosmetic dental procedures. Unlike veneers and crowns, which are customized tooth coverings that must be manufactured in a laboratory, bonding usually can be done in one office visit unless several teeth are involved. Anotheradvantage, compared with veneers and crowns, is that the least amount of tooth enamel is removed. Also, unless dental bonding is being performed to fill a cavity, anesthesia is usually not required.

Disadvantages : Although the material used in dental bonding is somewhat stain resistant, it does not resist stains as well as veneers and crowns. Another disadvantage is that the bonding materials do not last as long nor are as strong as other restorative procedures, such as crowns, veneers, or fillings. Additionally, bonding materials can chip and break off the tooth.

Do Bonded Teeth Require Special Care?

No. Simply follow good oral hygiene practices. Brush your teeth at least twice a day, floss at least once a day and see your dentist for regular professional check-ups and cleanings.

Because bonding material can chip, it is important to avoid such habits as biting fingernails;chewing on pens, ice or other hard food objects; or using your bonded teeth as an opener. If you do notice any sharp edges on a bonded tooth or if your tooth feels odd when you bite down, call your dentist.

How Long Does Bonding Material Last?

The lifespan of bonding materials depends on how much bonding was done and your oral habits. Typically, however, bonding material lasts from 3 years up to about 10 years before needing to be touched up or replaced.

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