In Lithuania dentists restore the teeth with composites made in Japan, USA, Germany, i.e. completely with the same materials which are used by their colleagues from the progressive Western countries.
The composites differ among themselves the by certain parameters, for instance, color, reflection coefficient, elasticity module, i.e. capacity to deform along axis, polishing characteristics and similarly. Therefore, for teeth restoration the skilled dentist shall select various composites in accordance with different clinical situation.
The scale of composite colors is very wide, thus it is possible very naturally to imitate missing tooth tissue (See Photo 1).
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With composites it is possible to recreate or beautify a tooth form (See Photo 2). Deep cut preparation is not used, thus teeth remain vital. Gingiva is not damaged. Restoration is done by recreating teeth layers, their translucency, form and functions. After procedure teeth look very naturally, often even professionals do not notice a restored tooth.
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Having enamel of teeth incisal edge worn, dentin is exposed, a tooth tissue that is five times softer, and then wearing accelerates. It is possible to notice in the mouths of elder people that due to substantial wear the teeth look as if "cut-off". It is possible and even necessary to restore worn incisal edges with composites (See Photo 3). That is healthier and also more functional, and more aesthetic.
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Entire tooth front surface may be covered with composites to restore or cover teeth form and color changes, i.e. so named direct laminate or veneer is placed. Indirect (i.e. made in laboratory) porcelain (ceramic) veneers are used for the same purpose. |
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Having supporting bone loss, teeth necks are exposed and so named "black triangles" become visible near gingiva. Professional aesthetic restoration is also helpful much in this case, because transparent black gaps near gingiva are closed. (Photo 5) |
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In case of irregular teeth position, first of all orthodontic treatment with braces is recommended that is also more correct medically, because this way natural, own teeth are completely preserved.
However, some clients refuse such usually rather long time taking orthodontic treatment (for instance due to profession, going to other country, forthcoming marriage, etc.). Then it is possible with aesthetic fillings even to "straighten" a teeth that are positioned irregularly (Photo 6). In this case teeth tissues situated in undesirable position are removed by deep-cut preparation, and missing ones – imitated with composite.
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When creating a tooth structure, which is characteristic to specific individual, with restoration materials, the color that is identical to other teeth is chosen and also multilayer view that is characteristic to other teeth is created. Already during one visit that lasts from 4 to 6 work hours, it is possible to restore four teeth, for instance, to fill gaps between front teeth (Photo 7).
A tooth to be restored is harmonized with nearby present teeth and this way symmetry is created considering the same tooth which has grown on the opposite side. |
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Direct aesthetic restoration is suitable not only for front teeth, but also for lateral and back group of teeth (Photo 8).
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