Dental Repair-How it is Done

 |  Chhavi Malik

Key Steps Followed in the Process of Dental Repair

Dental repair

A bright grin conveys fitness and confidence. However, maintaining that beaming grin might be challenging. Teeth wear and tear from accidents, cavities, and the effects of time and use can cause significant discomfort. When these problems emerge, it's critical to have dental work done so that your teeth and gums stay healthy and your smile looks great.

Understanding Why Teeth Crack or Break

Before understanding how to heal a cracked or broken tooth, it helps to know why these problems occur. Although enamel, the tooth's outer covering, is the strongest tissue in the body, it is nonetheless vulnerable to injury. Tooth decay can result from a variety of factors, including:

  • Trauma or accident: Teeth can crack or chip as a result of trauma, such as from a fall, an accident, or even playing contact sports. Mouthguards and other forms of protective gear are essential for high-impact sports and activities.
  • Chewing on hard things: Chewing on hard candies, ice, or even non-food things like pencils can cause damage to your teeth. Mind what you put into your body.
  • Cavities and decay: Damage from cavities and decay makes teeth more vulnerable to chipping and breaking when biting into tough foods.
  • Diet: Acidic citrus foods, coffee, and soda can progressively wear away tooth enamel, making teeth more vulnerable to decay and injury.

Dental Solutions for Repairing Cracked or Broken Teeth

Here are five options for fixing broken or chipped teeth at the dentist:

1. Dental Bonding

Dental Bonding

Repairing broken, decayed, malformed, discolored, or otherwise flawed teeth is possible through a procedure known as dental bonding or composite bonding. We use composite resin tooth-color filling material to achieve this. 

The resin is shaped and hardened with UV radiation and then polished such that the restored tooth is undetectable. Dental bonding may require anesthesia when used to treat cavities, but it can last for up to 10 years without it.

2. Dental Veneers

Dental Veneers

Dental veneers are custom-made, ultra-thin porcelain shells that are bonded to the front of a tooth to improve its appearance. They are a great way to cover up imperfections like chips and discoloration in your teeth. 

Veneers, if taken care of properly, have a 30-year lifespan. Preparing the teeth, taking impressions, and bonding the veneers at a later appointment are all part of the treatment.

3. Dental Crowns or Caps

To protect badly decayed, broken, or otherwise compromised teeth, dentists may recommend dental crowns, also known as caps. They shield the tooth from damage and make it look better. Porcelain crowns that blend in with your teeth are a great option. The CEREC system enables the fabrication of a same-day porcelain crown, minimizing the number of appointments required. If a damaged tooth cannot survive the forces of chewing, a crown may be necessary to save the tooth.

4. Root Canal Therapy

Root canal therapy is often required when a break penetrates deep into the tooth's pulp. When a tooth's pulp or nerve becomes infected, the dentist will remove it and then seal the tooth to prevent further infection. A temporary crown can be used to safeguard the tooth while the permanent crown is being made.

5. Dental Implants

Dental Implants

Dental implants are a great alternative to having to remove a severely damaged tooth that extends below the gum line. They are a viable option for replacing missing teeth after extraction. They provide a long-lasting, reliable treatment option. Dental implants are affixed to the jawbone with surgery and are made of biocompatible titanium screws that hold dental crowns in place.

It's vital to remember that the dentist's recommendation and the severity of the damage to the tooth will determine which treatment option is best. Your dentist will recommend a course of action that will restore your smile's health and appearance.

Dental Repair: Key Steps Followed in the Process

Here are the main processes for fixing a denture:

Step 1. Get Everything You Need

The first step in fixing your dentures is gathering the materials you'll need. An emergency denture repair kit should have denture adhesive, wooden splints for support, plaster for making an impression cast, a lab knife for handling the denture, an acrylic bur for smoothing and shaping, liquid foil substitute to cover pore openings, petroleum jelly for added lubrication, and a set of dentures. Having these items on hand ensures that you're well-prepared to undertake the repair, whether it's a basic alignment or a more sophisticated bonding technique.

Step 2: Adjusting the Damaged Denture

Adjusting the Damaged Denture

Aligning a misaligned denture is the first step in fixing one. If the denture has cracked in two, denture adhesives, which are powders or pastes used to help the dentures stay in place, are applied. Applying glue to the denture lingual (inside) and labial (outside) surfaces is standard practice. This aids in keeping the shattered fragments together.

Step 3: Holding the Dentures in Place and Support

To hold the repaired dentures in place, a frequent procedure involves the use of a tongue blade. To make two splints, the tongue blade is sawn in half. Each prosthetic tooth is fastened to the denture's occlusal (biting) surface. This forms a "bridge" that secures the denture components in place during the next steps. Denture retention techniques can range from using denture adhesive to suctioning the dentures to the gums.

Step 4: Making the Impression Cast

After the denture has been properly reattached, the tissue side of the fracture is covered with a thin layer of plaster. If you want a good impression cast of your denture, you should arrange the remaining plaster on a hard surface like wood or glass and settle the denture into the plaster. Remove the wooden splints from the occlusal surfaces when the plaster has cured (usually after 10-20 minutes).

Step 5: Making a Denture Cast

They use a lab knife to delicately pry the dentures out of the plaster. This is a key stage since starting over is required if the plaster cast cracks. If successfully removed, the cast is trimmed using a model trimmer. The dentures require additional work with a lab knife to ensure a snug fit.

After that, you'll use an acrylic bur to clean the dentures until only 1-2 mm of separation remains.

Step 6: Cast Preparation and Denture Fixation

To seal the pore gaps in the denture impression cast, a liquid foil replacement is painted onto the surfaces. It is necessary to clean the dentures to remove any buildup of food and bacteria. Cleaning the dentures entails removing them from the impression cast, washing them, and then drying them back in place.

After applying liquid monomer to the fracture's edges, the powder polymer is carefully sprinkled on top. It takes multiple repetitions of this technique to build up enough layers for a strong binding. Apply petroleum jelly to the denture's lingual and labial surfaces after applying the liquid monomer and powder polymer.

After five minutes, or when the acrylic has reached a doughy consistency, the setup is ready to go. Submerging it in hot water follows. The denture is taken out of the mold when the acrylic has cured. There will be a thorough examination of the dentures' alignment, porosity, ridge sharpness, and contour smoothness.

Assessing the Level of Destruction

It is wise to evaluate the severity of the damage to a denture before seeking the services of a prosthodontist. A quick band-aid can sometimes do the trick. When only a small piece of acrylic has broken off, for instance, patients can use an emergency denture repair kit as a stopgap measure.

If you want to catch problems with your dentures early and prevent any serious damage, you need to inspect them regularly for wear and tear. Consult a dentist for denture repair or replacement if the damage is serious.

The Role of 3D Scanning in Dental Repair

3D scanning helps dentists get accurate and detailed digital models of the teeth of the patients and the oral structures. This is helpful in precise and efficient diagnosis, treatment planning, and the fabrication of the dental restorations. Instead of solely relying on traditional impressions that can be uncomfortable to the patients and prone to inaccuracies, 3D scanning captures the entire anatomy quickly and this makes dental repairs easy.

Once the scans are obtained, they are then imported to a 3D design software like SelfCAD and then clean and modify it based on your needs. The first thing is usually to to clean your 3D scans and you can do this easily in SelfCAD, as shown in the video below.

You can also do other tasks like filling gaps in the 3D scans if there are any, as shown in the video below.

You can also check out our playlist on 3D scanning for 3D printing to learn more on how to work on your 3D scans and prepare them for 3D printing. When you are done with cleaning your files, you can even add custom supports if they require, as shown in the video below.

SelfCAD also comes with magic fix that makes it easier to fix any issues with your meshes in the software without having to switch to another different software. The video below shows how to use the magic fix tool of SelfCAD.

There is also an in-built online slicer that you can use to slice your designs and generate the Gcode to send to your 3D printer. Get to know how SelfCAD slicer works in the video below.

Taking Care of Your Oral Health Through Proper Dental Repair

Patients can recover their oral health and self-assurance by taking advantage of the current dentistry's array of practical methods for restoring cracked or broken teeth. Skilled dentists can treat each patient individually, using whatever combination of bonding, veneers, crowns, root canal therapy, and implants is best for them. Don't put off seeing your dentist if you break or chip a tooth; they can create a custom treatment plan to get your smile back in shape.


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