Reconstructions are performed on teeth that have lost healthy structure (either by caries, fracture…) and also as an esthetic treatment in those teeth in which it is desired to modify its shape, texture or color.
Different types of materials can be used depending on the amount of tooth to be restored and the esthetic requirements of the tooth. Composite (new generation plastic, white and esthetic) is usually used if the reconstruction is small or of medium size. If a large amount of structure has been lost, reconstructions are made with ceramic, inlays (partial restorations of the tooth) or crowns.
Types of dental reconstructions
To think about what type of reconstruction we are going to perform, it is important to understand that we differentiate teeth into two groups: anterior teeth (esthetic and those that perform less force) and posterior teeth (those that are responsible for chewing). This is why, depending on the tooth in question, the esthetic and strength requirements vary.
– If the tooth must be restored due to a fracture and it is an anterior and esthetic tooth, we would first carry out a composite reconstruction to restore the tooth immediately. Later we would offer the option of a ceramic veneer, which are very esthetic and non-porous, which means that they do not stain and are stable over time. The same procedure would be performed on anterior teeth in which we wish to modify their shape, texture, size and/or color.
– If the tooth that has fractured is a molar, in addition to esthetics we are looking for resistance, and taking into account the amount of tooth remaining, we would consider reconstruction with composite, ceramic inlay or crown. Sometimes, in cases where the remaining tooth structure is minimal, a post is placed in the root, making the restoration that we are going to place later more retentive and more stable and durable.
– In the case of a tooth with caries, the first thing to do is to remove all the decayed tissue from the tooth and, once healthy, the amount of remaining tooth is evaluated to choose the type of restoration to be carried out.
The results we achieve with all the materials mentioned above and with the different types of restoration are durable in the very long term.