Porcelain Vs Plastic  Consult
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Porcelain Vs Plastic Consult



The Pros and Cons of Porcelian Restorations and Plastic (Composite) Restorations

The Pros and Cons of Porcelian Restorations and Plastic (Composite) Restorations



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Porcelain Vs Plastic Consult Presentation Transcript

  • 1. Porcelain vs. Plastic Choosing the Right Filling Achieving Health and Beauty with Modern Dentistry Insert logo here
  • 2. Mercury Fillings
    • Fail predictably
    • Corrode in mouth
    • Fillings turn black
    • Saliva leaks around filling
    • Products of the corrosion (mercury and silver) tattoo the tooth, turning it purple around the filling
    Corrosion and chipping Purple stain due to leaking filling
  • 3. Mercury Fillings
    • As the filling corrodes it expands
    • This causes cracks in the tooth structure
    • It will fracture off part of the tooth or split the tooth in two
    • Many times the tooth is NOT sensitive or hurts
    • You may need gum surgery or root canal therapy
    • you may lose the tooth
    Severe Crack in tooth
  • 4. Mercury Fillings
    • Corrosion lets saliva under filling
    • Saliva is not sterile (has bacteria in it)
    • Bacteria cause decay under filling
    • Leads to loss of tooth structure and/or pulp (nerve) death
    • Treatment is a Root Canal and/or Crown
    Purple stain due to leaking filling Crack in tooth
  • 5.
    • Porcelain
    • Tooth Colored
    • Bonded to Tooth
    • Fabricated in the Office
    • 1 Appointment
    • Very Durable
    • Long Term Restoration
    • Plastic
    • Tooth Colored
    • Bonded to Tooth
    • Made in Mouth
    • 1 Appointment
    • Porous, Weaker
    • Short Term Restoration
    Porcelain vs. Plastic
  • 6. Plastic Fillings:
    • Restore up to 75% of original tooth’s strength
    • Made by placing a thick paste into tooth’s cavity
    • Paste is ‘Cured’ with blue light
    • Not as durable as porcelain
    • Always meant for small or front fillings that are not biting with opposing tooth
    • Large plastic restorations may only last 3 to 5 years
  • 7. Porcelain Fillings:
    • Restore 100% of tooth’s natural strength
    • The best of our adhesion dentistry
    • Can last 15+ years
    • Blends into tooth to become invisible
    • Wears like tooth enamel
    • Made to give the best fit between neighbor teeth and opposing teeth
    • Best chewing with perfect surface anatomy
  • 8. Porcelain Fillings
    • Some may cover 3/4ths of the tooth
    • Old dental terminology: Onlay or 3/4 Crown
    Note the Shade Change with Porcelain Filling
  • 9. Porcelain Fillings
    • Some may cover all of the tooth
    • Old dental terminology: a “Crown”
    No ugly black metal margins with Porcelain filling Note the Shade Change with Porcelain Filling
  • 10. Porcelain Fillings
    • Some may only sit within the tooth
    • Old dental terminology: a “Filling or Inlay”
    Edge of Porcelain Restoration
  • 11. Plastic Fillings
    • Great if small but :
    • If too large it will have a relatively short life span
    • Restorations will become larger and deeper with each replacement which runs the risk of root canal therapy or loss of the tooth
    Edge of Plastic Filling
  • 12. Plastic Fillings
    • As plastic restorations age they chip and fracture along their edges
    • Worn restorations begin to leak saliva and the decay process starts over
    chips, cracks and fails After more than 5 years Edge of Plastic Filling
  • 13. Porcelain Restoration Plastic Restoration 15+ years 3 – 5 years REPLACED REPLACED OR REPAIRED 3 – 5 years 3 – 5 years 3 – 5 years REPLACED REPLACED REPLACED
  • 14. 3 – 5 years 3 – 5 years 3 – 5 years 3 – 5 years Porcelain Restoration Plastic Restoration 15+ years REPLACED REPLACED OR REPAIRED REPLACED REPLACED REPLACED Root canal
  • 15. If you ignore it, the problem will get worse!
    • It will be more expensive later!
    • The damage becomes more difficult as the breakdown continues
    • The cost of all medical treatments will inevitably increase over time.
    2 Things are Guaranteed #1 #2
    • Decay and breakdown have no time schedules.
    • The more tooth structure that is destroyed the more compromised the treatment will be
  • 16.
    • Our Part
    • If our restoration or veneer needs replacement in the next 2 years, and the tooth is still serviceable and you do your part, we will:
    • Replace or repair any porcelain restoration
    • Replace or repair any veneer at no charge
    • Note: we cannot predict if and/or when any gum or nerve treatments may be required
    • Your Part
    • Visit our office a minimum of twice a year (or as per recommended by our hygienist)
    • Complete in our office all recommended treatment in the quadrant within a one year period
    • Advise us of any changes or cancellations of appointments at least 24 hours in advance
    10 Year Warranty
  • 17. Your Dental Benefits
    • Dental Insurance companies will determine what is covered.
    • Typically, the most basic procedures are covered.
    • You must decide:
    • do you want the best care for your mouth?
    • Or
    • the care agreed upon and purchased by your employer?
  • 18.
    • Most dental benefit plans will only cover what’s described in the wording of the contract.
    • This contract is purchased for you by your employer.
    • This may mean your Insurance Company will only pay towards a cheaper and inferior filling material unless certain criteria are met prior to treatment .
    Best plans pay for what YOU want Are you covered for Porcelain or only Plastic?
  • 19. What does your contract say?
    • Your dental benefits contract may require that you fracture a corner of your tooth before benefits are paid.
    • While this may lead to ‘Root Canal’, infection or even tooth loss, it is an easy way for the Insurance Company to deny liability for better restorations.
    Missing corners on two teeth from untreated decay and tooth cracking
  • 20. Always Remember:
    • Insurance companies will never need to smile using your teeth …
    • So choose what is the best fit for you!
  • 21. Your destination From here…
  • 22. Your destination To here…