Composite Bonding
By composite bonding is meant when tooth-colored filling material, plastic (composite), is used to change the shape of a tooth or cover part of a tooth. Plastic restorations are used to repair tooth fractures, discoloration of teeth, change the shape of a tooth that is aesthetically unsatisfactory, and to fix gaps between teeth, for example a diastema. When talking about a plastic veneer, it means that the entire front side of the tooth is covered with plastic filling material. This is most often done to fix discoloration on teeth or unevenness or to thicken and/or enlarge the tooth.
What material is used in Composite Bonding?
The filling material most commonly used today is called composite or plastic filling. It is a plastic mixture with very small porcelain particles that increase the strength of the material. The material matches the natural color of the teeth well and can be polished so that the texture resembles that of natural teeth. The plastic bonds well to the tooth tissue, which is a great advantage and means that usually little or no drilling is needed to make plastic restorations.
The disadvantage of the filling material is that it wears down and discolors over time, very differently depending on the individual. Also, its strength may be insufficient if the plastic restoration is large and not supported by tooth tissue underneath. The load is also very variable, and for some people fillings last a long time, while for others shorter.
In some cases, porcelain may need to be used instead of plastic filling material. This mainly applies when the treatment is more extensive, such as when shells (veneers) are involved. Then the shell is made in a dental laboratory and cemented onto the tooth.
How does the treatment proceed?
In most cases, no anesthesia is needed when making composite bonding. The tooth surface is polished, then acid-etched to increase bonding. Next, bonding agent is applied to the surface and cured with light. Then the plastic restoration is shaped and cured with the light. The plastic material is then polished.
The treatment varies greatly in scope, ranging from fixing a small enamel chip to filling many gaps between teeth. Sometimes the plastic must be applied in many thin layers on the tooth. Polishing can be time-consuming and meticulous to achieve the correct shape and texture on the tooth being repaired.
The bite is carefully checked and polished. It is important that the bite is correct. You should not feel the plastic restoration when you bite down.
What should I expect?
You should not have any discomfort in the tooth after a composite bonding has been placed. If you have a recent injury to the tooth being repaired, symptoms may come from the injury and need to be examined if so. If you feel the restoration is high in your bite or causes bite movements after you get home, it is important to contact us.
Keep in mind that a plastic restoration is a repair that can break or come loose. If the repair is on the biting edge, nail-biting or other habits and grinding can break or cause wear to the repair.
How much does a Composite Bonding cost?
Plastic restorations, like other repairs with plastic materials, are priced depending on how many surfaces are repaired. You can see examples of prices in our price list.
The treatment varies greatly in scope and how much is done at once. Your dentist can estimate the cost of your treatment in advance.
Do you have a chip in a tooth or other cosmetic issues you want to fix?
We at the Dental Service are interested in your dental health and want to help you keep your teeth in good condition. You are welcome to come for a consultation with us and together we will assess your needs and desires regarding your teeth.