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Restorative Dentistry
Dental Implant
Implants may be the best option for replacing a single or multiple missing teeth. An implant is a metal post that is attached directly to the jawbone. After the bone and surrounding tissue has healed an artificial tooth is attached to the implant. Implants provide superior benefits compared to bridge work as they do not depend on neighboring teeth for structural support, although they are more expensive. Implants are the closest dental structure in durability to natural teeth and have greater cosmetic appeal. Implants are used to:
•  Replace missing teeth
•  Prevent teeth from shifting
•  Correct bite issues due to missing teeth
•  Help prevent jaw joint problems from altered bite
•  Improve appearance (cosmetic reasons)

Dental Bridge
Bridges are used to replace a missing tooth in both a cosmetic and functional fashion. A bridge structure is one or more artificial teeth anchored in place by natural teeth, crowns, or implants on each side of the bridge. Using a bridge to fill the gap from missing teeth helps restore proper bite and prevent teeth from shifting to fill the gap (which may lead to additional bite and jaw joint issues). Bridges can be constructed from gold, porcelain and metal, or all ceramic. Ceramic bridge color is made to match your natural tooth color. Material choice will depend on structural requirements, wear, and aesthetics. Bridges are used to:
•  Replace missing teeth
•  Prevent teeth from shifting
•  Correct bite issues due to missing teeth
•  Help prevent jaw joint problems from altered bite
•  Improve appearance (cosmetic reasons)

Dental Crowns
Crowns are used to restore severely damaged teeth due to fracture or decay. After the tooth surface is cleaned and prepared the crown is placed to cover the remainder of the tooth. The crown strengthens the tooth structure and helps prevent future decay. Crowns also improve the tooth's look, shape, and alignment. Crowns are used to:
•  Restore a fractured tooth
•  Restore a tooth severely damaged by decay
•  Protect a tooth from fracture
•  Cover a discolored or unattractive tooth
•  Cover a dental implant
•  Anchor a bridge

Fillings
Fillings are used to restore tooth damage caused by tooth decay. After removing the decay and cleaning the area the dentist adds filling material. Fillings are made from traditional amalgam (silver colored) gold, silver, or a composite (tooth colored).

Composite fillings, in addition to being more aesthetically pleasing, bond directly to the tooth surface, unlike traditional fillings.

Inlays and Onlays
Inlays and onlays are used to restore portions of the tooth, or to strengthen a tooth. They are alternatives to using fillings or a crown to restore the integrity of the tooth.

Inlays
When there is only partial damage to your tooth, an inlay can be bonded inside the remaining tooth structure. Traditionally, gold is the material of choice for this type of restoration, and although this is available, most of our dental patients prefer the more natural look that ceramic provides.

Onlays
Onlays are used to restore a portion of the biting cusp of a tooth or to restore the strength of a tooth. Instead of removing healthy tooth structure for a crown placement, an onlay can be used as a more conservative restoration.

Sometimes onlays are referred to as "inside crowns". That is a good description, as it describes the strengthening process that an onlay creates for the tooth. At David B. Wiley, DMD, we prefer to do onlays when possible to lessen the amount of healthy tooth removed, compared to traditional crowns. Research has shown that the less you reduce a tooth, the better it will survive long-term, and our goal is to provide you with healthy teeth for life.
David B. Wiley, DMD, LLC
2330 NW Flanders, Suite 204
Portland, OR 97210

Phone: (503) 223-5040
Fax: (503) 222-3101


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ASIRD.com


Dr. Wiley is a member of the American Society of Implant & Reconstructive Dentistry (ASIRD). ASIRD is committed to improving the quality of care for dental implant patients by elevating the standards of surgical and restorative dental education and practice. Not every dentist routinely restores and maintains dental implants and not all placers of dental implants are surgeons. By using an ASIRD team, rest assured that your dentist routinely restores and maintains dental implants and only a trained dental implant focused oral surgeon will place your implant. Learn more about ASIRD.




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David B. Wiley, DMD, LLC | www.drdavidwiley.com | (503) 223-5040
2330 NW Flanders, Suite 204, Portland, OR 97210



 

 

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