Brockley Dental Blog, Dental Bridges, Dental Crowns, Mini Dental Implants, Restorative Dentistry

Restorative Dentistry in Butler, PA

Restorative Dentistry in Butler, PA Brockley Dental Center - Dental Bridge

Providing Restorative Dentistry to the Greater Pittsburgh Area

At Brockley Dental Center, we provide restorative dentistry services to patients of all ages. Don’t put off necessary dental treatment because of dental anxiety. We have created a warm, welcoming, and anxiety-free environment so you can comfortably receive the dental care you need in a calm and relaxing setting.

Crowns

A dental crown (or cap) is a covering that encases the entire tooth surface restoring it to its original shape and size. A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations.

Although there are several types of crowns, porcelain (tooth colored crown) is the most popular.  They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced.  Porcelain crowns are made to match the shape, size, and color of your teeth giving you a natural, long-lasting beautiful smile.

Reasons for crowns:

  • Broken or fractured teeth.
  • Cosmetic enhancement.
  • Decayed teeth.
  • Fractured fillings.
  • Large fillings.
  • Tooth has a root canal.

What is involved with having a crown done?

A crown procedure usually requires two appointments.  Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown.  A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.

While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown.  Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly.

At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.

You will be given care instructions and encouraged to have regular dental visits to check your new crown.

Fixed Bridges

A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.

Restorative Dentistry in Butler, PA Brockley Dental Center - Dental BridgeThere are several types of bridges.  You and your dentist will discuss the best options for your particular case.  The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal.  This type of bridge consists of two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.

Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.

Reasons for a fixed bridge:

  • Fill space of missing teeth.
  • Maintain facial shape.
  • Prevent remaining teeth from drifting out of position.
  • Restore chewing and speaking ability.
  • Restore your smile.
  • Upgrade from a removable partial denture to a permanent dental appliance.

What does getting a fixed bridge involve?

Getting a bridge usually requires two or more visits.  While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown.  Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated.  In addition, a temporary bridge will be made and worn for several weeks until your next appointment.

At the second visit, you permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit.  Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge.  The new bridge will be permanently cemented at a later time.

You will receive care instructions at the conclusion of the procedure.  Proper brushing, flossing and regular dental visits will aid in the life of your new permanent bridge.

Root Canals

Root canal therapy is needed when the nerve of a tooth is affected by decay or infection.  In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function.

Having a root canal done on a tooth is the restorative dentistry treatment of choice to save a tooth that otherwise would die and have to be removed.  Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth.

Root canal treatment is highly successful and usually lasts a lifetime, although on occasion, a tooth will have to be retreated due to new infections.

Signs and symptoms for possible root canal therapy:

  • An abscess (or pimple) on the gums.
  • Sensitivity to hot and cold.
  • Severe toothache pain.
  • Sometimes no symptoms are present.
  • Swelling and/or tenderness.

Reasons for root canal therapy:

  • Decay has reached the tooth pulp (the living tissue inside the tooth).
  • Infection or an abscess has developed inside the tooth or at the root tip.
  • Injury or trauma to the tooth.

What does root canal therapy involve?

A root canal procedure requires one or more appointments and can be performed by a dentist or endodontist (a root canal specialist).

While the tooth is numb, a rubber dam (a sheet of rubber) will be placed around the tooth to keep it dry and free of saliva.  An access opening is made on top of the tooth and a series of root canal files are placed into the opening, one at a time, removing the pulp, nerve tissue, and bacteria.  If tooth decay is present, it will also be removed with special dental instruments.

Once the tooth is thoroughly cleaned, it will be sealed with either a permanent filling or, if additional appointments are needed, a temporary filling will be placed.

At the next appointment, usually a week later, the roots and the inside cavity of the tooth will be filled and sealed with special dental materials.  A filling will be placed to cover the opening on top of the tooth.  In addition, all teeth that have root canal treatment should have a crown (cap) placed.  This will protect the tooth and prevent it from breaking, and restore it to its full function.

After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed.

You will be given care instructions after each appointment.  Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment.

Not everyone requires restorative dentistry, cosmetic dentistry or full mouth reconstruction. Restorative dentistry treatments are utilized to replace old fillings, broken teeth or missing teeth. In each situation we evaluate the patient’s condition using digital x-rays, oral cancer exam with ViziLight. A recommended treatment plan is then made for the most durable lasting restoration available for the individual patient.

There are often several options due to cosmetic and financial considerations. Our office is equipped to file all patient insurance claims and our financing program is through CareCredit. Please ask our Office Administrator for details.

Restorative dentistry treatment options available for a perfect smile at Dr. Brockley’s office:

Donald B. Brockley, DMD

Dr. Brockley earned his doctorate degree in Dental Medicine from the University of Pittsburgh, School of Dental Medicine in 1972. He is a second generation dentist and a legacy of the University of Pittsburgh, School of Dental Medicine where his father, Dr. Charles R. Brockley earned his doctorate in general dentistry in the year 1927. While attending the University of Pittsburgh, School of Dental Medicine, he held the office of Class Secretary for his graduating class. Following dental school, he chose to do his residency training at Wilmington Medical Center in Wilmington, Delaware, with a focus on research. Upon completing his residency, Dr. Brockley enlisted in the Navy during the Vietnam War Era as a Naval Officer. Dr. Brockley opened his own private practice 1975 in Butler, PA a historic town just 34 miles north of Pittsburgh, Pennsylvania. Dr. Brockley held the office of President of the Butler County Dental Society. After many years of practice, Dr. Brockley realized that fear is the #1 reason why people do not visit their dentist regularly. Therefore, he made it his mission to find an alternative way to practice (and to help his patients overcome this fear). This alternative was through Sedation Dentistry. In 1996 he became trained in Conscious Oral Sedation. This technique allowed him to treat fearful patients by gently putting them to sleep with the aid of a pill, not needle IV sedation which was the popular treatment at that time. Dr. Brockley received his dental training at the following institutions: University of Pittsburgh, School of Dental Medicine, Pittsburgh, PA Tufts University, School of Dental Medicine, Boston, MA University of North Carolina, School of Dentistry, Raleigh, NC Mini Dental Implant Training Centre, Buffalo, NY. Due to the high number of patients who are diabetic in his practice, his next goal was to understand the impact of Diabetes in Dentistry. Due to the subset of Diabetic patients in his practice who had similar recurring oral and systemic health problems, special attention became warranted. This led to a different standard of care and treatment for patients whose health was compromised by diabetes. Early detection, observation, evaluation and treatment to eradicate infection plays a major role in maintaining oral health for diabetic patients. Poorly managed treatment for diabetic patients has been shown to lead to a higher risk of uncontrolled gum disease and vice versa, making prevention of gum disease the #1 priority for this subset of patients. Dr. Brockley’s research on dentistry for diabetics led him to his next specialization: the treatment and eradication of gum disease. His aim has been to change the the treatment of gum disease, also known as periodontal disease. For this reason, he designed a radically different protocol to the Soft Tissue Management (STM) program. STM treats the symptoms of gum disease, and more importantly, the underlying cause of gum disease, bacteria. Studies have shown that gum disease affects 80% of American adults. However, Dr. Brockley has observed that more than 90% of his baby boomer patients have gum disease. His unique STM protocol has shown significant success within his patient population. With patient knowledge, understanding, and cooperation, Dr. Brockley is able to arrest and manage gum disease in his practice. After perfecting his procedures for crowns, bridges, partials and dentures to replace missing teeth, the introduction of Small Diameter Implants (also known as SDI or Mini Dental Implants) into his practice has revolutionized the way Dr. Brockley practices cosmetic dentistry. Small Diameter Implants provide the possibility of full mouth restoration, multiple teeth restoration, or single tooth restoration. Small Diameter Implants can be implemented in all types of tooth and bone conditions, in all ages, and in all types of health conditions. Dr. Brockley uses Small Diameter Implants to restore chewing ability and create beautiful smiles, which ultimately changes peoples’ lives. Dr. Brockley is the proud owner and operator of the first Mini Dental Implant Center of America in the Greater Pittsburgh area. Dr. Brockley has achieved Diplomate status in the International Academy of Mini Dental Implants. He is the President Emeritus of the Butler County Dental Society. Dr. Brockley was also a Lieutenant in the US Navel Dental Core. He is a a lifetime member of the Delta Sigma Dental Fraternity, and he was the Class Secretary for the University of Pittsburgh Dental School. Dr. Brockley likes to spend time with his family at home or while traveling, has been an avid scuba diver since 1980, and describes himself as a “just okay” golfer.

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