Reconstructive dentistry deals with reconstructing teeth that has been damaged due to a caries process, mechanical impact or development disorders. Cosmetic dentistry’s goal is to restore the natural or desirable shape and colour of teeth. Both terms are now often used interchangeably.

 


Caries is a bacterial disease, its development is in part attributed to an incorrect hygiene of the oral cavity and a diet rich in foods high in sugars. Untreated, it can lead to fractures in hard tissues of teeth and in turn to a dental pulp disease and inflammation of the periapical tissue, leading up even to heart, kidney and joints diseases.

Damage unrelated to caries can happen as a consequence of a physical injury, parafunctions (harmful habits), diet rich in acids, some systemic diseases (bulimia, reflux), teeth grinding or an improper brushing technique.

We usually conduct a reconstruction of teeth under a local anesthesia, which allows for a completely painless procedure. Using highly aesthetic, modern materials lets us achieve a colour of the reconstructed part perfectly matched to the colour of the patient’s teeth or, if it’s necessary, it lets us change the colour.

The filling should not only recreate the right aesthetics of the tooth when it comes to shape and colour, but also the function of the tooth, reconstructing its anatomy.

Achieving such effect is possible mainly thanks to the knowledge and manual skill of the doctor, who is conducting such treatment.


Main objectives

  • Reconstruction of teeth with caries

Caries is often developing in dental grooves of a chewing surface of the premolars and molars, on contact surfaces and on the surfaces around the neck of the tooth. The treatment consists of removal of the damaged part of the tooth tissue and its reconstruction, most often with composite materials.

  • Reconstruction of mechanically damaged teeth and closing of diastemas

Some disorders of the tooth crown structure, for example conical teeth, have genetic background. This condition usually affects lateral incisors of the jaw, which are characterized by their smaller than usual size and a cone-like crown.
A diastema is a gap between the central incisors, which sometimes bothers patients and doesn’t allow them to smile comfortably and freely. In order to close it we can use composite materials, ceramic veneers or conduct a orthodontic treatment.

  • Removing discoloration

Teeth colour is an individual trait, however a discoloration can occur as a result of external factors (such as smoking, drinking coffee, eating food that leaves stains) and internal (taking too big doses of fluoride or some antibiotics during the formation of teeth).

 


Whitening is a procedure, which can lighten the natural colour of teeth. We conduct the procedure in the dentist’s office or at home, but only after the previous consultation with the dentist, assessing the health of the oral cavity. Cleaning the teeth of calculus and plaque by the dental hygienist is necessary before the procedure. The most popular method is whitening with trays. It usually takes about 2 weeks and in order to conduct it special trays are used. They are prepared individually for every patient, and filled with gel with a whitening agent in a concentration decided on by the doctor.

In the case of teeth after a root canal treatment the procedure of whitening has to be performed by a dentist in the clinic, because it is necessary to apply the whitening agent to the inside of the tooth.