Restorative dentistry

Restorative dentistry is a component of dentistry that is better known as having fillings done.
treatments / Restorative dentistry

Tooth material is lost for various reasons, such as fractures, caries, wear and tear, erosion, etc. Repairing this loss is of crucial importance to continue to guarantee the optimal function of the teeth.  When this loss of tissue is limited, we can usually restore it in one appointment with tooth-coloured filling material (composite). This is applied in layers under the most optimal conditions. This usually means the use of a dental dam and adhesive techniques. In concrete terms, this means that we place a rubber sheet over your tooth to isolate it from your cheek, tongue and mucous membranes so that it remains perfectly dry and no new bacteria can get under this filling.  An additional advantage is that you do not come into contact with our products and instruments. Nothing can fall down your throat. You can breathe and swallow more controlled, and there is less risk of contamination between dentist and patient through a sudden coughing fit. Adhesive techniques are the preparations needed to optimally bond the composite to the tooth material using a mild agent, primer and bonding. This ensures that the filling is firmly bonded to your tooth and reduces the risk of breakage or loosening in the future. Research has shown that almost all patients experience more comfort and less stress when the fillings are placed using a dental dam. These treatments are largely covered by health insurance and fully covered for children up to the age of 18. Grey (amalgam) fillings are no longer used in MOND practices.

When the fracture or loss of tooth material is too significant, a filling often proves insufficient to preserve the tooth in the long term. Because the chewing surface is too severely affected, and the remaining tooth is not sufficiently protected against further fracturing. In these situations, your dentist will suggest a ceramic overlay or crown. This treatment is done in 2 steps. During the first session, all the bad tooth material is removed, and the bottom is sealed to prevent the infiltration of bacteria. After this, a scan or impression is taken for the dental lab. They will use this to reconstruct a new ceramic (porcelain, lithium silicate or zirconium) chewing surface for your tooth, and this is glued over your remaining tooth material in a 2nd treatment step. This is done in a very similar colour to that of your neighbouring teeth. This way, your tooth is 100% functional again and, you can chew everything without fear as if it was your own teeth. Unfortunately, Belgian health insurance does not provide any (or a limited) cover for these treatments. However, additional insurance such as a dental plan does cover these costs and can therefore be considered if your dentist indicates that you will need these restorations in the future. Experience proves that patients with large, old grey fillings will sooner or later experience fracturing of these teeth, after which a ceramic overlay or crown is required.

The lack of insurance cover for these often essential treatments remains an annoying issue in the Belgian health cover system, as often teeth are filled with composite for too long instead of placing a ceramic overlay. This can lead to irreparable fractures, losing the tooth and increasing the cost of tooth replacement.

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