Restorative Dentistry

Its the term dental professionals use to explain how they replace missing or damaged teeth. Fillings, crowns (“caps”), bridges and implants are common restorative options.

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Dental Sealants

Dental sealants provided by our Sammamish restorative dentistry team are highly effective in preventing decay on the biting surfaces of your chewing teeth. Dental sealing is a simple procedure in which a tooth-colored acrylic “coating” is painted onto the surface of the tooth.

Dental sealants effectively “seals” the deep grooves, acting as a barrier and protecting enamel from plaque and acids.

Dental sealants protect the depressions and grooves of your teeth from food particles and plaque that brushing and flossing can’t reach.

Easy to apply, dental sealants take only a few minutes to seal each tooth. Sealants hold up well under the force of normal chewing and can last several years before a reapplication is needed.

Children and adults can benefit from dental sealants in the fight against tooth decay.

Dental Bridges

All of your teeth play an important role in speaking, chewing and in maintaining proper alignment of other teeth.

Tooth loss doesn’t necessarily have to occur as you age, but if you do lose a tooth it often should be replaced to maintain proper function of your mouth.

Fortunately, there are options for correcting tooth loss with our restorative dentistry team in Sammamish, including sealants, bridges, and crowns.

Dental Bridge Options

A dental bridge — a device used to replace missing teeth — attaches artificial teeth to adjacent natural teeth, called retainer teeth. Bridges are either permanently attached (fixed bridges), or they can be removable (removable partial denture).

Fixed bridges are applied by either placing crowns on the retainer teeth or by bonding the artificial teeth directly to the retainer teeth. Removable bridges are attached to the teeth with metal clasps or by precision attachments.

If you’re missing one or more teeth, you may be aware of their importance to your appearance and dental health. Your teeth work together for many daily functions from eating to speaking. With missing teeth, it’s difficult to do these things. Missing teeth can and should be replaced. Getting a dental bridge from our Sammamish restorative dentistry team is a great way to restore your dental health and appearance.

Why do I need a dental bridge?
dental bridge

Oral functionality and appearance are important reasons for wearing a bridge. A bridge helps support your lips and cheeks. The loss of a back tooth may cause your bite to collapse and your face to look older.

Dental health is the most important reason for a bridge. Teeth were designed to complement each other. Unusual stresses are placed on the gums and other oral tissues when teeth are missing.

Missing teeth can cause speech disorders as they are used to make many of the sounds we use to speak clearly.

How is a dental bridge attached?
dental bridge

The bridge procedure usually takes two or three appointments to complete. At the first appointment at our Sammamish dentistry office, Dr. Quickstad or Dr. Wang will prepare the teeth on either side of the gap by removing a portion of the enamel and dentin.

Since the bridge must be fabricated very precisely to ensure correct bite and to match the opposing tooth, impressions of the teeth are taken and sent to a lab where the bridge will be fabricated. It usually takes about two weeks for the laboratory to make your new bridge. During that time you will have a temporary bridge that will hold the space for the permanent restoration.

When the bridge is ready to be seated, our Sammamish restorative dentistry team will check for an exact fit and comfortable bite. When the bridge has been determined to fit properly, it will be cemented to the retainer teeth using permanent cement. You will be taught to clean your bridge so that it will last you many years.

What materials are used for dental bridges?
dental materials

Bridges can be constructed from Zirconia or gold alloys, non-precious alloys, porcelain, or a combination of these materials.

How do I take care of my bridge?
dental bridge

A strict regimen of brushing and flossing will keep the bridge and surrounding teeth clean. This is of critical importance as the bridge relies on the neighboring teeth for support.

Dental Crowns

Most dentistry looks like dentistry. Our goal is to provide dentistry that is undetectable. We replace existing dental crowns and fillings with restorations that look and feel like your natural teeth.

Where damage to a person’s teeth is extreme, and apparently beyond repair, we can use porcelain crowns to make the smile appear “as new”. This is an extremely reliable technique for repairing the most severe of dental problems, even permanently replacing missing teeth to offer a complete smile and a functional bite. Our Sammamish restorative dentistry team is renowned for the quality of our work and the fantastic changes we make for people using this technology. These treatments are used for a long-lasting correction of major dental problems. It is usual for these treatments to last for 15 to 20 years, which is as close to permanent as dental treatment can get.

How long does it take to fit a dental crown?

Fitting a crown requires at least two visits to our office. Initially, we will remove decay, shape the tooth, and fit it with a temporary crown of either plastic or metal.

On the subsequent visit, we will remove the temporary crown and then fit and adjust the final crown. Finally, we will cement the crown into place and you have a new beautiful looking tooth.

Key benefits of dental crowns

Replaces missing teeth
Dental sealants
Offers support to misshapen teeth or badly broken teeth
Looks completely natural
Brighten Your Smile
Fixes “smile” and functional chewing problems

What are the capabilities of crowns?

Crown and bridgework is a very reliable solution for major dental problems caused through accidents, diseases or wear and tear. Major problems can usually be corrected using these techniques. Material used in these repairs is either high-grade porcelain or porcelain bonded to gold. A higher strength of the porcelain and gold materials is recommended to treat the most serious of dental problems. Where accidental damage has occurred, resulting in lost teeth, or where teeth have broken away through excessive wear, or as the result of old fillings breaking, dental crowns and/or dental bridges can be used as a long-term solution.

Many people have unexplained pain from filled back teeth, which is usually due to hairline cracks in the chewing part of the tooth. Placing crowns on these teeth relieves the pain and allows a return of full dental function for these teeth. In front teeth, older fillings can both weaken the teeth and cause “appearance” problems due to staining or chipping. Porcelain crowns and bridges are suitable in cases where porcelain veneers are not. In teeth with root canal fillings, crowns can prevent breakage.

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Non-Surgical Root Canal

What is a root canal?

A root canal is the removal of infected or traumatized nerve tissue. It is a very common procedure that can save your natural teeth where otherwise it may need to be removed.

At the center of your tooth is the pulp. The pulp is a collection of blood vessels that acts as the nerve which gives life and feeling to the tooth. Infection of the pulp can be caused by trauma, a deep cavity, cracks and chips. Symptoms of an infected pulp can be identified as visible swelling of the gums, sensitivity to temperature or pain in the tooth and gums.

How is a root canal performed?

If you experience any of these symptoms, Dr. Quickstad or Dr. Wang may recommend root canal treatment at our Sammamish office to remove the infected pulp. This injured pulp is removed and the nerve tissue is thoroughly cleaned and then sealed. Root canals are completed under local anesthesia and may be completed in one or more visits depending on the complexity and severity of the infection.

Success rates for root canals is typically around 90%. If root canal treatment is unlikely to be successful for your tooth, you will be informed at your consultation or when a complication occurs during or after treatment. You will be able to drive home after your root canal but are advised to take it easy the rest of the day.

What happens after root canal treatment?

90% of the time following a root canal, the tooth will also require a crown to provide long term protection. This is because a root canal involves the removal of a vast majority of the natural tooth to access the nerve and will become much more fragile as a result. It is typical for several days to have some minor soreness and achiness following your Sammamish root canal treatment. In rare situations, some patients may experience complications after a root canal. If this occurs please contact us immediately for further evaluation.

How much will root canal treatment cost?

The cost associated with a root canal varies depending on the severity of damage and which tooth is affected. In general, endodontic treatment is less expensive than removing the tooth and replacing it with an implant. Your options will be thoroughly discussed at your consultation appointment by our Sammamish restorative dentistry experts.

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