Before and After Gallery
Old mercury silver fillings replaced with biocompatible composite and porcelain restoration
This child presented a fractured incisor requiring a direct composite laminate.
Heavy wear from bruxing over the years have compromised this patient’s appearance and function. Direct composite restorations were prescribed and placed restoring optimal form, function, and appearance.
Old dentistry is replaced here with direct composites and a single porcelain crown. Note that the patient’s lower left first molar, which was fractured, was restored with a direct composite involving a single visit.
Often patients come in with old mercury silver fillings to be replaced with newer biocompatible materials. The removal of old dentistry often reveals silent decay that would otherwise go unnoticed and could lead to root canals and crowns if not addressed properly in time.
Using the principles of the bioesthetic model, I’ve restored this dentition to optimal form, function, appearance. Ideal youthful anatomy has been incorporated into this dentition and chewing efficiency has been addressed. This has contributed to the restoration of proper digestion of food with the understanding that the mouth is the first stage in proper digestion and assimilation of nutrients.
Taking a segmental approach, I’ve replaced the patient’s upper left mercury fillings with biocompatible incrementally bonded composite restorations. The remaining segment was eventually completed a month later according to safe removal and replacement protocol.
This patient presented with a history of heavy nighttime bruxing and parafunction where the front teeth have been completely worn down resulting in inefficient chewing and compromised appearance.