One of New Jersey's TOP dentists

Opening Hours : View Hours of Operation
  Contact : Call us: 908-232-0400

All Posts in Category: Restoration

Inlays and Onlays

Inlays and Onlays for Dental Restoration

When a tooth requires restoration due to a cavity or decay, inlays and onlays offer an alternative to traditional white or silver fillings. Unlike a filling that the dentist does directly in a patient’s mouth, inlays and onlays are indirect restorations created outside the mouth and placed in at the time of restoration. In certain situations, inlays and onlays have advantages over other minor restoration treatments

Inlays and onlays explained

For an inlay, the restoration goes inside the tooth, but for an onlay, the restoration receives bonding to the top of the tooth and can replace some or all tooth cusps. It’s common for a dentist to restore teeth with a combination of a partial inlay and partial onlay, depending on the amount of decay or the size of the existing filling they’re replacing. Inlays and onlays work best on the premolars and molars, which are the back teeth. With proper care, inlays and onlays can last longer than traditional fillings and as long as crowns at around 20 years.

Appropriate situations for an inlay and/or onlay

Inlays and onlays are applicable in various restoration situations and offer a potentially more durable solution than fillings. Situations where a dentist may suggest inlay or onlays include:

  • Restoring a large cavity in a weakened tooth
  • Replacing a failed filling
  • Repairing cracked teeth
  • Serving as an alternative to a filling or crown
  • Avoiding a root canal

Although scientists continue to work on improving filling material, placing the material puts stress on the remaining tooth and can shrink or expand. Inlays fill cavities in teeth without putting pressure on the tooth, they last longer, don’t deteriorate and don’t stain as silver fillings can. Silver fillings can cause tooth fractures over time, but inlays and onlays can repair the tooth by replacing the tooth area lost to fracture without putting pressure on the remaining tooth.

Inlays and onlays as alternatives to crowns or root canals

Many dentists believe that crowns are a good, predictable way to restore a heavily damaged tooth. However, inlays and onlays can also repair large holes or failed fillings and perhaps be a better alternative as they restore long-term tooth strength while preserving more of the natural tooth. Each restoration situation is different, and it’s important that the patient and dentist understand the best solution depending on the bite, tooth remaining, state of the tooth nerves and aesthetic results. When a tooth and filling facture leaving a patient with very little tooth above the gum, inlays and onlays can be used to avoid a root canal because of continued improvements in bonding technology. If the tooth nerve remains alive and healthy, an onlay can work as a crown with an inbuilt core that has been etched and bonded securely to the tooth. If the health of the tooth nerve is uncertain, then a root canal is probably the best option.

For a tooth that has extensive decay or needs a filling repaired, inlays or onlays represent a potential solution. Contact Creative Dental to schedule an exam that can determine the best restoration option for you.

photo credit

Read More
Dental Implants for Missing Teeth

Natural Looking Tooth Replacement with Dental Implants

Dental implants are a healthy, safe and a highly successful tooth replacement option, but many people wonder if their new teeth will look natural. It’s an understandable concern for those who have lived with dentures or partial bridges that don’t quite look and feel like natural teeth. Unlike traditional dentures and partial bridges, though, dental implants receive placement directly into the jawbone, and this means that the replacement teeth look, feel and behave just like natural teeth. An experienced restorative dentist can give patients life-like, beautiful teeth that will restore their confidence in their smile, maintain their oral structure and prevent bone loss.

Customization and precision

Replacing missing teeth for a complete smile can help boost a person’s confidence and make them happy to share their smile again. With dental implants, the dentist customizes a single tooth or several teeth to fit a patient’s oral structure and meet their desires as far as color, shape, shade, size, and contours of the new teeth. Dental implants will match the look and feel of surrounding natural teeth better than any other tooth replacement option. Prior to placing the implants, the dentist uses computer-aided design software to design the crowns with expert precision and then work with the patient until they have the exact fit and appearance they want.

Each patient is unique

An experienced, professional restorative dentist knows that every patient is unique and that “one size fits all” doesn’t apply to tooth replacement. Dental implants can last a lifetime with the proper maintenance, and the dentist wants to make sure their patients are happy and comfortable with the results right away. Everyone’s oral and facial structure is different and with today’s implant innovations, dentists can create the perfect, custom fit for each patient. Dental implants have several benefits over dentures and partial bridges including natural look, feel, and function, the ability to preserve facial structure and avoid the “sunken” look common with dentures or missing teeth and their ability to prevent bone loss common when an adult loses a permanent tooth. Dental implants are highly successful and should never need replacement unless the patient suffers an injury or has a medical condition that interferes with proper healing following implant surgery. To ensure dental implant success, patients need to maintain good oral hygiene, stay healthy overall and quit tobacco use.

If you’re considering dental implants as a tooth replacement option, contact Creative Dental to schedule a consultation. Dental implants are the most natural looking and functional tooth replacement available today and can have you smiling confidently again.

Read More
Care after dental restoration procedures

Updated Guidelines for Dental Restoration Care

At the end of 2015, The American College of Prosthodontics (ACP) published new guidelines regarding the care and maintenance of dental restorations. These guidelines covered restorations supported by dental implants and those supported by natural teeth. The new guidelines don’t contain anything surprising, but it’s important to understand the reasoning behind any oral health recommendations.

Long-standing recommendations

The updated recommendations from the ACP uphold what’s been the standard of dental restoration care for a while. The ACP still recommends visits to the dentists every six months for inspection, care and maintenance of dental restorations including dental implants, porcelain veneers and dental crowns. The guidelines encourage dentists to clean natural teeth and restorations thoroughly and with the correct tools to avoid potential damage to restorations.

At home recommendations from the ACP encourage people to follow good oral hygiene practices including twice daily brushing, flossing at least once a day and using any supplement methods necessary to remove food debris and plaque from the gum line and between teeth. Patients with complex and multiple restorations on natural teeth that surround or support a removable restoration, the ACP suggests using chlorhexidine rinses, high fluoride toothpaste and the addition of triclosan antibiotic when necessary.

The need for additional study

One of the biggest revelations from the ACP’s 2015 guidelines was that only a few of the current clinical care recommendations have good, science-based support. In clinical care guidelines, the quality of evidence receives ratings that range from A to D; with A being the best score. The ACP issued a “D” rating for a majority of the guidelines because they’re extrapolated from or based on lower-quality evidence. The recommendations that received an “A” rating from ACP include thorough dental exams, brushing and flossing twice a day and the guidelines for complex and multiple dental restorations. Despite the “lower quality” evidence, it’s still advisable to follow the existing care recommendations as they’re based accurately on existing evidence. Additional study and research will yield better information and help create recommendations that receive a higher rating from the ACP.

The best place to receive recommendations that pertain to your specific dental restorations is from a qualified dental professional. At Creative Dental, we have extensive experience with many forms of dental restorations and understand the proper care and maintenance required to help those restorations last without the need for replacement or removal. Contact us today to discuss ways to improve and protect your smile.

Read More
Cosmetic Dentist Westfield NJ

Have an Awesome Dentist Do Immediate Load Implant Surgery

Patients with a missing tooth or several missing teeth have more replacement options today than ever before. Tooth replacement with dental implants continues to grow in popularity as implants offer various advantages over dentures and dental bridges. With a dental implant, the dentist inserts a titanium post in the jawbone to support the replacement tooth, and that post fills where the natural tooth root was, thus preventing jawbone loss. Dental implants have a high success rate and immediate load dental implants do as well in the right conditions, but it’s vital that patients understand the pros and cons of immediate load implants before making a decision.

Advantages of immediate load implants

For immediate load implants, the dentist places the implants and temporary replacement teeth within 48 hours after surgery. The temporary implants remain in place until the area heals and then replaced with permanent crowns. Placing the temporary teeth right away instead of waiting until after surgery site healing (as in traditional dental implants) helps the soft tissue around the implant take a more natural shape and prepares the area for the permanent crown. Other advantages of immediate load implants include:

  • Shorter treatment period – Immediate load implants can replace a missing front tooth almost right away while traditional dental implants can take up to six months for restoration. When the missing tooth is in the front, many patients want fast results and will choose a replacement like a dental bridge. However, a dental bridge that doesn’t offer the dental implant benefit of replacing the tooth root and preventing jawbone loss, which is why immediate load implants can be a better choice.
  • Single surgical procedure – During the immediate load implant procedure, the dentist places the implant, abutment and temporary crown, which reduces treatment time as it eliminates the 3-6 month healing time before the placement of the abutment and crown.
  • Better gum tissue match – With traditional implants, the dentist places healing caps on the dental implants to shape the tissue. However, with immediate load implants, the dentist places the temporary crown, which has a shape to the permanent crown, which provides better aesthetic results than healing caps.
  • Reduce the physical and psychological impact of missing teeth – Immediate load implants replace missing teeth without dentures and without the patient having to endure gaps in their smile during healing.

Risks of immediate load implants

Immediate load implants involve a very precise placement technique, and this means that even the slightest movement may increase the risk of implant failure. An experienced dental surgeon takes every precaution to eliminate movement while the implant is integrated into the jawbone, but there’s still a small risk. Immediate load implants only work in specific situations where the jawbone is strong enough to support the torque of placing the implant. Having strong, healthy teeth adjacent to the implant location is the ideal situation, and immediate implants work better in the lower jaw rather than the upper because the lower jawbone is stronger and denser than the upper.

Although immediate load implants have their advantage and disadvantages, all types of dental implant procedures have at least a small risk associated with them. However, with current dental implant treatments continuing innovations, dental implants can be a viable tooth replacement option for all types of patients. Contact Creative Dental today to find out more about immediate load and traditional dental implants.

Read More
General Dentist Westfield NJ

Protecting Cosmetic Restorations

An improved and restored smile from a cosmetic dentist can bring life-changing benefits. Cosmetic dentistry including dental implants, teeth whitening, dental crowns and porcelain veneers give patients amazing, aesthetic solutions for a healthy, stunning smile that helps them express their personality. Undergoing cosmetic dentistry procedures to improve a smile represent a significant investment in money and time and it’s important that patients protect their smile for the future.

Daily maintenance important

How well a patient cares for their cosmetic treatments such as implants and veneers helps determine how long those restorations last. Maintaining good oral hygiene and regular exams and cleanings are vital for extending the lifetime of cosmetic dental treatments. Spending the time to brush twice a day, floss at least once and rinse between meals goes a long way toward maintaining the health and durability of restorations and preventing the need for replacements.

Likelihood of replacement

Some cosmetic dental restorations such as dental crowns and dental bridges are more likely to require replacement eventually, and any good cosmetic dentist makes patients aware of this before any procedure. However, cosmetic restorations such as dental implants can last a lifetime with proper care, which is an added benefit of investing in them. Poor hygiene, bad eating habits and tobacco use can lead to the need for replacement sooner than otherwise needed. The better a patient cares for their cosmetic restoration, the longer it’s likely to last.

Cosmetic treatments with easy maintenance

Some cosmetic procedures including clear braces and teeth whitening are easy to maintain compared to others. Patients who limit their intake of staining foods and drinks can keep their smiles bright for six months to a year and sometimes longer. For those with clear braces, as long as they remove the aligners to eat, clean teeth after meals and maintain great oral hygiene at the end of treatment, they’ll enjoy the benefits of straighter teeth for a lifetime. The best way to know how to care for freshly whitened teeth or those undergoing straightening is to discuss proper care with the cosmetic dentist and ask about ways to increase the longevity of a restored smile.

When you invest in the cosmetic restoration and health of your smile, it can benefit your overall well-being as well as improve self-confidence and self-esteem. At Creative Dental, we know that everyone deserves the beautiful smile they’ve always wanted, and we encourage you to contact us today to discuss your specific cosmetic dentistry needs.

Read More
Options for dental implants

Implant Options for Tooth Replacement

For someone who requires replacement of a single tooth or multiple teeth, there is a variety of treatment options available from today’s dental restoration professionals. Tooth replacement is about more than aesthetic appearance; it’s also about restoring functionality and strength to your bite as well as preserving the health of a patient’s jawbone. Dental implants are the best way to support tooth restorations ranging from dental crowns to dentures as they provide important benefits including preventing bone loss and offering a permanent tooth replacement solution.

Implants and Dental crowns

Dentists often use dental crowns to cap individual implants for single tooth replacement, as they don’t have an effect on adjacent teeth. Crafted out of porcelain, dental crowns match the size, color and shape of a lost tooth. Placing a crown on an implant is an easy procedure as the dentist applies the crown to an abutment piece and then attaches that to the healed implant post. With the support of the dental implant, a dental crown restores the stability and strength of a bite without more extensive and involved restoration procedures.

Implants and bridges

Dental bridges consist of a single or multiple artificial teeth or pontics that the dentist anchors with crowns on either side. The pontic bridges the gap of the missing tooth, but when someone has several missing teeth, combining a bridge with dental implants offers advantages over crowning natural teeth. These advantages include:

  • Preserve natural teeth – Supporting a bridge on implants instead of teeth allows patients to preserve the structure of their natural teeth.
  • Fewer pontics – By using implants to replace teeth instead of just pontics in the bridge, the dentist uses fewer pontics, which means a smaller bridge.
  • Reduced bone loss– Missing tooth roots result in eventual bone loss, but implants take the place of those tooth roots, reduce bone loss and preserve facial structure.
  • Future replacement flexibility – For patients who may suffer tooth loss in the future, having implants already in place is a benefit as they can also support dentures.

Dental bridges always utilize implants or two teeth for support, and it’s more efficient to replace multiple teeth with a bridge and two implants instead of a large bridge that places stress on remaining natural teeth.

Implants and dentures

Dentures are still one of the most popular ways to restore full rows of teeth as they enable patients to speak, eat and smile with a complete smile again. However, dentures lack the natural stability, reliability and strength of natural teeth unless the dentist anchors them with a few implants. Supporting dentures with implants helps by:

  • Increasing strength – Supporting dentures with the jawbone and not just on the gums adds strength to a patient’s bite.
  • Improving stability – Removable dentures can become loose when eating or talking, but dental implants increase their stability by holding them in place.
  • Providing proper fit – With a large number of missing teeth, the mouth and jaw change shape with time and dentures need adjusting or replacement. Using implants to anchor dentures provides a better fit in the mouth.
  • Enabling better diet and speech – Loose dentures can make it difficult to eat firmer foods and can impair speech. Anchoring dentures with implants allows patients to eat what they love and speak clearly without their dentures moving around.
  • Increasing comfort – Dentures supported by implants give a more comfortable and natural fit to patients.

Missing one or more teeth doesn’t prevent you from enjoying the life you want and sharing your smile with the world when you utilize the advantages of dental implants. Contact Creative Dental to learn if dental implants are right for you.

Read More
Smile Makeover NJ

Benefits of a Smile Makeover – NJ

If you’re not entirely happy with your smile and have daydreamed about what it would be like to have the perfect smile, it may be time to consider a smile makeover. A smile makeover is a combination of several different treatments that can include minor procedures like teeth whitening and procedures that are more involved such as dental implants. With all of the cosmetic and restorative dentistry options available today, it’s possible for almost anyone to receive the smile of their dreams.

Customized smile

For a smile makeover, the dental professional works with you to create a plan that incorporates the cosmetic dentistry treatments that can give you a new smile that complements and emphasizes your best features. The dentist works with you on the design of your perfect smile and explains the various treatments required for a complete smile makeover. Their goal is to ensure that you feel and look your very best.

Ideal candidates for a smile makeover

When a single procedure can’t achieve the perfect smile, a smile makeover is worth considering. An ideal candidate for a smile makeover has healthy gums and teeth and doesn’t suffer from cavities or gum disease. If you currently have issues with tooth decay and gum disease, the dentist must treat these problems first before proceeding with any cosmetic procedures of the smile makeover.

Potential results of a smile makeover

When you’re not sure if a smile makeover is the right solution for you, it helps to understand what the various treatments are capable of correcting. Smile makeover treatments can conceal or correct a range of dental issues including:

  • Stained or discolored teeth
  • Teeth with gaps
  • Irregularly shaped teeth
  • Worn or short teeth
  • Asymmetrical teeth
  • Misaligned, overlapping or crooked teeth

Although the visible improvements of a smile makeover are what most people think about, the results of the treatments are much more than just aesthetic. With a smile makeover, you can feel confident in your new smile and perhaps become more outgoing, which can benefit your professional and personal life in ways you hadn’t imagined.

Treatments used for smile makeover

A dentist can use an entire range of treatment to achieve your ideal smile makeover. These include:

  • In-office, professional teeth whitening – Can brighten teeth up to 9 shades in a single visit
  • Porcelain veneers – Thin, natural-looking, ceramic shells that mask imperfections such as cracks and chips
  • Dental crowns – Tooth-shaped prosthetics that go over misshapen or worn teeth
  • Invisalign – Clear, removable, custom aligners that gradually straighten minor alignment issues
  • Dental bonding – Resin bonded to teeth that conceal cracks, gaps, and chips
  • Gum contouring – Removing excess gum tissue to improve appearance and conformity of smile

Now is the perfect time to begin designing the smile you’ve always dreamed of having. Contact Creative Dental in New Jersey and learn how a smile makeover can improve your smile, boost your oral health, and restore your confidence.

Read More
Dental implants allow you to eat the food you love

Dental Implants Versus Other Replacement Options

Quite often, dental implants are the standard of care and first choice for tooth replacement when compared to other restoration options. One of the main reasons for this is how closely dental implants resemble and function like healthy, natural teeth. Dental implants restore a lost tooth or teeth in a strong, stable way that appears, fits, functions, and feels like natural teeth. While other options may appear cosmetically natural, the replacement of the tooth root is a valuable feature of dental implants.

Dental Implants vs. Other Tooth Replacement Options

For people with good oral and overall health, dental implants are a tooth replacement option worth exploring. Full or partial dentures and bridges don’t stay in place like natural teeth, but dental implants function like natural teeth. Other advantages dental implants have over other tooth replacement procedures include:

  • Lasting, predictable results – While tooth-supported dental bridges and dentures may only last 5-10 years before needing replacement, dental implants last a lifetime with proper care. Dental implants have a record of long-term, reliable success and have more predictable results than other tooth replacement options.
  • No worrying – With dental implants, you never have to worry about your teeth slipping as they can with dentures. Dental implants look, act and feel natural.
  • Natural facial appearance – Missing teeth can lead to a sunken appearance as facial structures sag without proper jawbone support, but dental implants enable you to maintain your natural facial appearance and smile.
  • Normal speaking – For some, adjusting to speaking with dentures is a struggle as they re-learn how to pronounce everyday words. Dental implants function like natural teeth, which means you can continue to speak normally.
  • Eat what you like – While dentures and bridges may limit your diet to softer foods to avoid damaging them, dental implants allow you to bite, eat and taste your food naturally.
  • Preserve and protect natural teeth – The placement of a tooth supported bridge requires grinding away some of the tooth structure on adjacent teeth and this damages healthy teeth. Dental implants don’t require modifying adjacent teeth because they go in the jawbone in place of missing teeth. When dental implants fill the space left by missing teeth, they prevent nearby teeth from shifting into that space.
  • Avoid jawbone deterioration – When you don’t replace missing teeth, you run the risk of deterioration and loss of a portion of your jawbone. The jawbone deteriorates when it’s not supporting a natural tooth, and this leads to loss of firmness and strength. Dental implants preserve and stimulate natural bone, promoting bone growth and preventing bone loss. Dental implants are the only tooth replacement option that can do that.
  • Non-removable – Unlike dentures that require removal nightly and can slip or fall out, dental implants stay permanently in your mouth where they belong. Dental implants don’t require repositioning like dentures can because they remain fixed in place and fuse with your jawbone, which means they don’t click, shift or move.
  • Cavity-free – Even though dental implants look, feel and function like natural teeth, they’re not susceptible to the decay of natural teeth and can’t get cavities. As long as you care for your implants with great oral hygiene practices, your implants remain flawless.

When you’re seeking a reliable, safe, predictable and natural tooth replacement option, explore the possibility of dental implants from Creative Dental.

Read More