Composite or porcelain

Composite or porcelain

Metal-ceramics and especially pure ceramics (metal-free) have prevailed over the last dozens of years owing to their remarkable esthetics, to the durability and sustainability of both color and shape. The shortcomings of this technology stem from the loss of tooth tissue due to filing down, as well as its high cost. Very often the procedure requires root canal therapy of the tooth under the metal crown that leads to further loss of tooth tissue, and weakens the tooth in the long term. Restorations of destroyed teeth with nanocomposite have emerged as valid competition to ceramic and metal-ceramic constructions due to their relevant advantages.

Let’s compare with composite

The advantages of composite: it does not require laboratory stage and this is key in eliminating mistakes in transferring information. Besides, it has to offer very good esthetics depending on the time needed for tooth restoration. The more time is given to restoration with composite, the more appealing the result. The tooth restoration procedure is very sophisticated and time consuming. The latter is particularly valid of esthetic restorations made inside the very difficult damp environment in the mouth, with limited lighting in the working field compared to the convenience that a denture laboratory can readily offer, and where crowns, bridges and veneers are made. 

The adhesive technology for merging the composite with tooth tissue consolidates the tooth. Vital teeth remain vital. One of the advantages of composite is in that it allows for repairs and corrections after a while, while this is impossible with crowns and bridges.

  1. Restoration with composite meaning a procedure that glues the composite to the tooth’s tissue, provides for solidity and elasticity that are fairly close to the properties of natural teeth.
  2. The tooth remains vital.
  3. Perfect esthetics challenging ceramic constructions, however without loss of healthy tooth tissue as is the case with ceramic bridges and crowns.
  4. The greatest advantage of the composite however is the option for repairs and corrections after a certain period without the need for full replacement that ceramic bridges and crowns require.

 

Light-cured filling, restoration, esthetic restoration

Light-cured filling. This is a widely familiar notion. The lowest level of tooth restoration: cheap, requires only short time (about 30 min.); offers average to low esthetics, but still better than amalgams; relatively low durability in the mouth. With time the filling contracts allowing for percolation of saliva through the micro-slit between the filling and the tooth. As years go by, this damp environment undermines fillings and this requires their replacement in a bid to protect the tooth from decay. 

Restoration. Restoration is the reproduction of tooth tissue in cases of major loss of tissue, i.e. when the foundations of the crown have been undermined. To make a restoration dentists use composite. The procedure can be performed by specially trained dentists and requires a long and sophisticated working process.

Esthetic restoration. Esthetic restoration is the restoration of tooth tissue in compliance with the esthetic parameters of the tooth. The procedure is only accessible to highly specialized dentists, requires unlimited time to be made and the results stand out with exclusivity. Esthetic restoration is based on the principle of mimicry, i.e. creating an artificial structure that strongly resembles the natural prototype. This technique allows for the restoration not only of the tooth’s shape and functions, but also of its inner structure in terms of transparency, as well as of the smooth color shade transition from the cervix to the cutting edge. At the same time the micro-shape of the tooth surface is restored as well. See more.

Parameters
Filling
Restoration
Esthetic restoration
Length of procedure
20-30 min.
60 min.
No time limit, a whole day if needed

Skills that the dentist needs
Performed by every dentist: one-layer technique
Specialized training: 2 to 3 layer technique
Exclusive restoration, going beyond standard limits, authorship – just like with a work of art. 3 to 4 layer technique.
Level
basic
specialized
authorship, exclusivity
Payment

standard

depending on man hours
payment for exclusivity