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Dental group practice

Conservative dentistry

Conservative dentistry includes all treatments that serve to preserve a tooth already damaged by caries. Amalgam, composites, gold alloys and ceramics are available as filling materials in our practice.

amalgam
For many decades, discussions about the health hazard caused by the filling material amalgam, since there is about 50% of the heavy metal mercury. Disadvantages of the amalgam filling lie in a possible health hazard, in its allergenic potential and in its limited aesthetics due to the silver-gray color. We recommend a systematic amalgam restoration (removal) in cases of allergy to components of the amalgam, severe renal insufficiency and unclear symptoms such as dizziness, hair loss, nausea and lack of concentration. At the request of the patient, special carbide burs and protective films (rubber dams) are used to reduce mercury pollution during amalgam restoration.

Tooth-colored composite fillings
In the anterior region, the so-called composite fillings are the material of choice, as they can be very well adapted to the color of the natural tooth substance. According to scientific knowledge, the processing of the composites must be coupled with a complex acid-etching technique in order to achieve an optimal bond between the filling and the tooth. For optimal aesthetics, multiple layers of different colors and materials are required. For the posterior region, other criteria apply, because there the chewing pressure is up to nine times higher than in the anterior region. Therefore, only minor defects in the posterior region should be filled with composites and for larger defects the materials ceramic and gold should be preferred.

Gold and ceramic inlays (Inlays)
Gold or ceramic inlays are laboratory fillings that are permanently attached to the tooth using a special bonding technique. Insert fillings made of gold are very compatible with the body (biocompatible) and are characterized by a long shelf life. Gold is tarnish resistant, resistant to corrosion and mouth, and is very close to the properties of natural teeth. Above all, the important edge closure, the transition from the inlay to the tooth, can be worked very precisely. The closer this area closes, the harder it is for bacteria to invade and cause caries again under the filling. Inlays made of gold resist the high pressure on the cheek teeth. It is therefore understandable that gold inlays have a long life: 8, 10, or even more years are not uncommon. For all patients who want a particularly durable and stable filling, a gold inlay is the best alternative. Although it costs significantly more than plastic fillings, but the investment is well worth it over the years. Only downside: Gold is not tooth colored. In the posterior region of the molar, which is usually not visible, this disadvantage hardly matters.

ceramic inlay
From the aesthetic point of view, biocompatibility (in the presence of allergies) and tissue friendliness, metal-free restorations have become increasingly important in dental practices over the last few years. More and more patients want one today "cosmetically appealing" Filling also in the posterior region. Since plastic fillings (composites) can only partially replace the amalgam fillings, only ceramic insert fillings can be considered for the tooth-colored restoration. Ceramic inlays are undoubtedly the most aesthetically pleasing alternative. Extensive further developments mean that special all-ceramics and manufacturing processes are now available that allow for a nearly perfect imitation of the tooth color and thus have an extraordinarily high accuracy of fit, stability and service life.

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