Fillings, Crowns, and Dental Repairs (oh my!)

Dental repairs should be not limited to those with extensive decay. A tooth that is chipped or flawed in any way should be looked at by an oral care professional. When a cosmetic dentist is consulted, they have several options at their disposal including veneers and dental implants. The individual treatment will be determined by the type of damage and the location of the damaged tooth in the mouth.

Dental Implants

There are times when a tooth has decayed to the stage where it can no longer be saved with a filling. If this is the case, an extraction and dental implant usually are the recommended treatment.

Once the decayed tooth has been removed, the cosmetic dentist will implant a metal post into the jawbone of the patient. There are various types and styles of posts used and the patient’s jaw structure as well as the number of teeth removed will determine which type.

Once this procedure is done, time is required for the area to heal properly and allow the bone to grow around the metal post. While this is taking place, the dentist will have a laboratory make a replacement tooth out of metal, ceramic or porcelain. A connector is then added to the metal post so it can receive the replacement tooth. Dental implants typically will last up to 20 years for most patients.


Bonding is an easier process due to the fact an outside lab is not needed. The bonding procedure can usually be completed in one appointment. In this process, the cosmetic dentist removes any decay present and roughens the surface of the tooth.

He will then ‘paint’ a special composite resin on the tooth in layers, allowing the resin to cure between applications. Once sufficient build up has been achieved, the dentist will file and shape the tooth into the desired shape so it will match the surrounding teeth. Although this treatment looks good, the bonding procedure is not as resilient to pressure or wear as veneers are.


Veneers are an ideal treatment for teeth that are chipped or showing excessive wear. It also works well to fill gaps, correct discoloration or extend teeth that are shorter than surrounding teeth. The first step with veneers is to get an x-ray of the damaged area.

This way, the cosmetic dentist has a good understanding of the injury or degree of damage that has been done and an idea of the corrective measures that are needed. Once this is done, any decay is removed, and the tooth is filed by half a millimeter. An impression is then made and sent to a lab where a cap is created to exact specifications.

Veneers are usually made from porcelain. Once it’s been returned from the lab, the dentist will clean, dry, and coat the tooth with special bonding cement designed specifically for keeping the tooth in place.

Once the veneer is in place, the cement is cured using a special light, and then any excess cement is removed as well as any sharp edges, ensuring your bite is perfect.

Regardless if you need dental implants in Miami or veneers in New York, there is hope for you if you have damaged teeth that detract from your smile.


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