Simple Repair of Back Teeth using Composite Resin

 
    Fractured Tooth   Repaired


   

Molar has two amalgam
restorations. The tooth
material between them
will subsequently break

 
Cusp of tooth broke, and one amalgam came out. Stain and some new caries is visible in the cavity.
 
After stain, caries, and amalgam were removed, composite resin restoration was placed. Local anaesthetic was used to prevent pain during treatment.

 
 

Tooth 1.4 has gold inlay, made many years ago, by another dentist.
Tooth 1.5 fractured, allowing a similar gold inlay to come out. Previous cement was removed. There was no caries.
Tooth was not sensitive.
I repaired it with composite resin. Tooth 1.6 has amalgam restoration.

           1.4            1.5            1.6
 

 
 

The direct bonding of composite resin to restore these fractured teeth took 30 to 40 minutes, with very little cutting of healthy tooth material. This may or may not give a good long-term result.

 

Other restorative methods are possible, with stronger materials, but at higher cost and more time.
Alternatives:

  • Cast metal inlay, onlay, or crown
 
  • Porcelain inlay, onlay, or crown
  • Porcelain-on-metal crown
  • Cad-Cam technology that shapes a block of tooth-coloured material to become an inlay, onlay or crown

 
 
Treatment by Dr. Mel Perlmutter, 2003
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