Complex Restorative Dentistry in Asheville

Complex restorative dentistry and your options

While Rebol Family Dentistry specializes in providing general dental care in Asheville, your needs might not be addressed by routine dental care. There could be more advanced issues that call for complex restorative dentistry practices. In the case of developmental problems, trauma or otherwise difficult cases, specialized dental care is required.

Our doctors have years of experience in both general and complex restorative dentistry. Dr. Rebol and Dr. Sparks are qualified to perform a number of specialized dental procedures, assisting in cases of worn or broken teeth, restoration of missing teeth, joint pain, or the improvement of your smile through cosmetic dentistry.

Dental Implants

Dental implants are small, titanium posts that are screwed into the jawbone to mimic a tooth’s roots. Once they’ve been placed, our dentists can mount a replacement tooth or bridge onto the post to fill the gap of a missing tooth.

Unlike dentures, dental implants cannot come loose.

Dental implants benefit general oral health as well, since they do not need to be anchored to other teeth like bridges do. Because the implants have fused to the bone, they are consistently stable. Implants or bridges mounted to implants won’t shift or slip in your mouth, which is especially important while eating and speaking. The fastened fit of an implant or bridges mounted to an implant aid in making the new teeth feel more natural.

The two types of implants that we offer include:

  • Endosteal implants – which are surgically implanted into the jawbone. After the surrounding gum tissue has healed, a second surgery is required to connect a post to the implant. Afterwards, an artificial tooth is attached to each post individually, or grouped on a bridge.
  • Subperiosteal implants – which consist of a metal frame fitted just below the gum tissue onto the jawbone. During the gum’s healing process, the frame becomes fused to the bone. Posts are then attached to the frame and protrude through the gum. Artificial teeth are then mounted to the posts.

Before implants:

It’s important that you have healthy gums and adequate bone structure to receive dental implants. It’s also important that you commit to keeping these structure healthy once they’re in place. Long-term success depends on meticulous oral hygiene and regular visits with your doctor after the implants are in place.

Dental implants can be costly compared to some other alternatives, but they are worth it for patients who don’t want to deal with the discomfort of dentures or bridges. Speak to our team about payment options and insurance coverage when you come in for a complimentary consultation.

Bridge Work

Another option for replacing missing teeth are fixed partial dentures, otherwise known as “bridges.” Bridges are utilized when adequate support from adjacent teeth is available and implants are not a feasible option. Bridges are cemented onto existing teeth by a dentist, and there are many different options for the kind of bridge that a patient and doctor can choose.

Traditional Dental Bridges

These are the most popular kind of bridges and consist of one or more fake teeth, called pontics, that are held in place by dental crowns. These dental crowns, also called abutments, are cemented onto the existing teeth adjacent to the missing ones.

Traditional bridges are used when natural teeth exist on both sides of a missing tooth. The downside to traditional bridges is that the adjacent tooth must be prepared by removing their enamel to make room for the crown that will cement the bridge. These teeth will always need to be protected with crowns since enamel doesn’t grow back.

Cantilever Bridges

Similar to traditional bridges, but for Cantilever bridges the pontic is supported by an abutment only on one side. If there’s only one natural tooth next to a gap, a Cantilever bridge can still be secured.

Maryland Bridges

These bridges consist of a pontic that is held in place by a metal or porcelain framework. These are considered conservative to traditional bridges. The framework is bonded onto the backs of teeth adjacent to the missing tooth, two in each direction. The downside to Maryland bridges is that they may not stay in place, as their strength is dependent on the strength of the resin.

Bridges can be a great alternative to those who have missing teeth. Schedule an appointment today to come and speak with our doctors. They will counsel you on your options and guide you in selecting the best fit for your teeth.