Old Fillings And Loss Of Tooth Structure

Porcelain Onlays, Composite Bonding.

Case Study 15

Problem:

• Old silver and composite fillings are present in the molars and second premolar respectively.
  
  

• The edges of the fillings are not sealed. This allows food and bacteria underneath the fillings causing decay. The first molar is also fractured on the side.

• The old silver fillings make the teeth appear gray in colour.

• After the removal of the composite and silver fillings, as well as the decay, significant tooth structure is missing in the premolar and first molar.

Solution:

• Because of the large amount of tooth structure missing porcelain inlays are placed on the first molar and premolar to provide proper fit, contour and support.
  
  
• Composite bonding material is placed in the second molar where less tooth structure is missing.
  
  
• The tooth-coloured porcelain onlays and composite bonding matrial blend into the natural tooth colour in a more natural and esthetic smile.