Dentistry focuses on diagnosing, preventing, and treating conditions of the teeth, gums, and oral structures, supporting oral health and overall well-being.
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The treatment process for dental inlays and onlays at Liv Hospital is a blend of clinical precision and advanced technology. Because these are indirect restorations, the process typically involves two main stages: tooth preparation and final bonding of the custom-made piece. Our goal is to provide a seamless experience that minimizes discomfort and maximizes the longevity of the restoration. We utilize the latest adhesive protocols and CAD/CAM technology to ensure that every inlay and onlay fits perfectly, restoring the tooth to its original strength and beauty while maintaining a highly conservative approach.
Dentistry is the medical field dedicated to the study, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. This primarily includes the teeth, gums, and other related structures of the mouth. A dentist’s work is crucial not only for oral health but also for systemic health, as the mouth can often be a window to the body’s overall well-being, showing signs of nutritional deficiencies or systemic infections.
The first step is to remove the decay or the old filling and shape the tooth to receive the custom restoration.
Unlike crowns, which require removing a lot of teeth, inlays and onlays require very targeted shaping.
Oral health is a key component of general health. The mouth is the entry point to the digestive and respiratory tracts, and it is full of bacteria, most of which are harmless. However, poor oral hygiene can lead to an overgrowth of harmful bacteria, which can result in oral infections. This can lead to tooth decay (caries) and gum disease, which have been linked to other conditions such as cardiovascular disease and diabetes.
Once the digital impression is captured, the data is sent to either an in-office milling machine or a specialized dental laboratory. At Liv Hospital, we utilize high-strength ceramic blocks that are milled to the exact specifications of the digital model. This process ensures that ceramic inlays and onlays have a precise fit that cannot be achieved with hand-layering techniques. After milling, the restoration is often hand-finished and glazed to replicate the natural translucency and texture of tooth enamel. This combination of digital accuracy and artistic finishing is what makes our restorations so successful.
While a general dentist manages overall oral health focus on specific areas:
The second appointment is when the custom restoration is permanently attached to the tooth. This is a critical step that requires an arid environment for the best results. The tooth and the restoration are treated with special conditioners to prepare the surfaces for bonding. A high-strength resin cement is then used to “weld” the porcelain inlays and onlays to the tooth. At Liv Hospital, we use dual-cure cements that harden with a specialized light, ensuring an immediate, powerful bond. This process not only holds the restoration in place but also reinforces the entire tooth structure.
After the restoration is bonded, the clinician carefully checks the patient’s bite. The new inlay or onlay mustn’t interfere with how the teeth meet. Minor adjustments are made using fine polishing tools to ensure the bite is perfectly balanced. The margins where the ceramic meets the tooth are then polished to a high shine to prevent plaque accumulation. Liv Hospital specialists take great care in this final stage, as a smooth transition between the tooth and the restoration is vital for both comfort and long-term periodontal health.
It is common to experience some mild sensitivity to hot or cold for a few days after the procedure. This is usually due to the tooth’s natural response to the preparation and bonding process. At Liv Hospital, we provide specific instructions on how to manage this, which may include using a desensitizing toothpaste or avoiding extreme temperatures for a short period. If the sensitivity persists, we encourage patients to return for a quick check-up. Most patients find that once the tooth settles, the new restoration feels exactly like a natural part of their mouth.
One of the advanced techniques used at Liv Hospital is immediate dentin sealing (IDS). This involves applying a thin layer of bonding resin to the tooth immediately after it is shaped, before the impression is taken. Research shows that IDS significantly reduces post-operative sensitivity and creates a stronger final bond. By sealing the microscopic tubules in the dentin immediately, we protect the pulp from bacteria and thermal changes while the patient is wearing the temporary restoration. This biological approach is a key part of our commitment to excellence in restorative dentistry.
The ultimate success of inlays and onlays dental work depends on the precision of the fit. A gap of even a few microns can allow bacteria to enter and cause new decay. By using digital workflows and high-precision milling, Liv Hospital achieves an accuracy previously impossible. This tight fit ensures the resin cement layer is as thin as possible, reducing the risk of wear over time. A well-fitted restoration is not only more comfortable but is also much easier to keep clean, contributing to a lifetime of oral health.
After the treatment is complete, we schedule a follow-up visit to ensure the restoration is performing well. During routine check-ups at Liv Hospital, we use high-magnification tools to inspect the margins of the inlay or onlay. We look for any signs of wear, chipping, or marginal leakage. Because these restorations are so durable, they rarely need replacement if the patient maintains good hygiene. This long-term monitoring is part of our comprehensive care model, ensuring that your investment in your smile is protected for years to come.
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It usually takes two appointments: one to prepare the tooth and one to bond the final restoration.
Tympanoplasty is highly successful, with success rates generally reported between 85% and 90% for closing the hole permanently.
Yes, we place a temporary restoration to protect your tooth and keep it comfortable while the custom piece is made.
If the surgery is done behind the ear, there will be a small scar in the crease, but it is usually hidden by the ear itself and fades over time. Transcanal surgeries leave no visible external scar.
No, the bonding process is painless, though you might feel some pressure as the restoration is fitted.
You can usually eat as soon as the anesthesia wears off, but we recommend waiting a few hours before chewing on the new restoration.
If it comes loose, call Liv Hospital, and we will quickly put it back or replace it to keep your tooth protected.
Most patients report mild to moderate discomfort rather than severe pain. The anesthesia wears off gently, and pain medication is provided for home use to manage any soreness.
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