After a thorough examination to diagnose the state of the teeth and gums, the specialist in Dentistry and Stomatology will decide whether it is necessary to make fillings, devitalize one or more teeth, rehabilitate with crowns or with aesthetic veneers, always with the aim of carrying out the most appropriate treatment.
What diagnostic methods are used to offer the patient the best solution?
First, a correct anamnesis (history, allergies…) of the general health of the patient will be made, a first preliminary examination to identify the damaged or painful teeth. Then we use the intraoral camera to visualize the images of the teeth in large monitor format, which allows us to appreciate even the smallest detail.
We perform, in addition, an orthopantomography or panoramic radiography in two dimensions (2D) to evaluate the state of the dentition that cannot be seen (roots, infections, depth of the fracture…).
We also use periapical radiography to visualize in a focused way for the tooth before and after treatment. A CT (Computerized Axial Tomography) is also performed. In fact, we have one of the most advanced devices in the country that allows us to optimize the accuracy of diagnosis and decide the best therapeutic option with 3D three-dimensional images. This device also allows us to perform guided surgery.
When will porcelain or composite veneers be recommended and when will crowns be recommended for rehabilitation?
Dental veneers will be indicated to correct defects and improve the appearance of teeth permanently. They are a fixed composite or porcelain veneer placed on the surface of the tooth. They are mainly used for diastemas (space between teeth), color changes, slight fissures or fractures, and moderate malpositions.
Crowns, on the other hand, will be recommended to completely cover a badly damaged tooth; to improve the physical appearance, shape or alignment; to replace large fillings when the tooth is not sufficient; to cover teeth subjected to root canal treatment or devitalized, among other cases. They can also be placed on implants in order to restore the chewing function of the tooth to be replaced.
Which treatment offers the best results in terms of functionality and esthetics?
It will always depend on the point at which the treatment is started, how the teeth are and which ones are more affected (molars, incisors or canines). All crown or veneer treatments, or a combination of both, are aimed at improving the esthetics and functionality of the mouth. There is no one best or worst but it will depend on the condition of the teeth and the need.