While there can be some overlap between the areas of restorative and aesthetic treatment, restorative dentistry generally focuses on the treatment and diagnosis of conditions relating to the teeth and the structures that support them, while aesthetic work focuses on improving the appearance of a patient’s teeth.

Restorative work includes treatment designed to aid the long term healthy maintenance of the mouth and gums and to prevent teeth from wear or fracture.

Aesthetic treatment tends to include work that changes the appearance of a single tooth or several teeth by adjusting shape, colour or alignment.

Restorative Treatments

  • White Fillings
  • Crowns
  • Bridgework
  • Root Canal Therapy
  • Implants
  • Occlusal Analysis
  • Bite Therapy

White Fillings

One of the simplest ways in which to enhance the appearance of your teeth is through the use of white fillings.

The high bond strength that these materials offer will also often increase the strength of the remaining tooth once the filling is in place.

Modern white filling materials are highly durable and come in a wide range of colours, which means they can be sculpted to a very detailed finish that matches the natural appearance and contours of the tooth.

The aim is to create a filling that is indistinguishable from the natural tooth itself.

Before/After photos
before (1)
Before
after (1)
After
before (1)
Before
after (1)
After
before (2)
Before
after (2)
After
before (3)
Before
after (3)
After
before (4)
Before
after (4)
After

All photos show work undertaken by James Green

Crowns

Crowns are used to recreate the appearance and strength of the natural tooth when it has become badly broken.

This is often the only reliable method through which to rebuild the tooth in a manner that provides a natural appearance whilst offering the support required to allow the tooth to function properly.

There are two basic types of crown. The first is metal and ceramic whilst the second is all-ceramic. The type of crown used is selected on the basis of the strength and translucency required.

One of the most common problems patients present with is that of dark lines surrounding the edges of a crown. This can be eliminated by careful preparation, skilled technique, material selection and the work of a skilled technician.

Before/After photos
before
Before
after
After
before (1)
Before
after (1)
After
before (2)
Before
after (2)
After
before (3)
Before
after (3)
After
before (4)
Before
after (4)
After

All photos show work undertaken by James Green

Bridgework

Bridges are used to replace missing teeth where the adjoining teeth can provide the structural support.

Bridges are firmly fixed in the mouth and feel more comfortable than removable dentures, with the added benefit that they also have a more natural appearance.

There are different types of conventional bridgework. With modern techniques and materials these can be far more conservative of tooth tissue than in the past. New all-porcelain bridges provide a more natural life-like appearance without the previous risk of fracture.

Before/After photos
before
Before
after
After
before-2
Before
after-2
After
before (1)
Before
after (1)
After
before (2)
Before
after (2)
After
before (3)
Before
after (3)
After

All photos show work undertaken by James Green

Root Canal Therapy

If the nerve supply of a tooth becomes infected through decay or injury, root canal therapy is required in order to prevent the infection from spreading and causing an abscess and in order to save the tooth.

Before/After photos

All photos show work undertaken by James Green

Implants

Implants can be used to replace teeth when it is not possible to use a conventional bridge, for example, when there are no adjacent or strong enough teeth on which to attach a bridge, when choosing not to damage adjoining teeth or when neighbouring teeth are at awkward angles and prohibit bridgework.

Once the implant is in place, a crown is fitted on top to complete the reconstruction of the tooth.

Implants have extremely high success rates once integrated into the bone. With the latest developments in design and component choices, they can be made to replicate natural teeth.

Before/After photos
before
Before
after
After
before (1)
Before
after (1)
After
before (2)
Before
after (2)
After
before (3)
Before
after (3)
After

All photos show work undertaken by James Green

Occlusal Analysis

Occlusal therapy and bite analysis is carried out using articulate study models and T-Scan digital analysis, which together provide a sophisticated diagnostic tool through which to improve the bite before and during restorative treatment. This can also help relieve persistent headaches, migraines, head and shoulder pains.

Ensuring that patients have the optimal bite can also help prevent tooth fracture which is one of the most common reasons for having to place crowns.

As a result of occlusal analysis it can be necessary to recommend the use of night guards for patients who experience clenching or grinding, as this contributes to pain relief and has been found to help protect the teeth from developing fractures.

Mouth guards are also important for use in sport. This takes the form of a custom made, rubber-like cover which fits exactly over your teeth and gums, cushioning them and protecting them from damage. It is important to wear a professionally made mouth guard whenever you play sport that involves physical contact or moving objects.

Veneers

Veneers are the most minimally invasive method of restoration for the front or side teeth.

They can be used to correct the colour or contour of the tooth as well as to improve the bite.

Before/After photos
before
Before
after
After
before2
Before
after2
After
before (1)
Before
after (1)
After
before (2)
Before
after (2)
After
before (3)
Before
after (3)
After
before (4)
Before
after (4)
After

All photos show work undertaken by James Green

Tooth Whitening

Tooth whitening can be a highly effective way of lightening the natural colour of your teeth without removing any of the tooth surface.

This treatment can be used to reduce staining on the tooth surface, which may have been caused by food and drinks such as tea, coffee, red wine and blackcurrant. Smoking can also stain teeth.

Calculus or tartar can also affect the colour of teeth. Some people may have staining under the surface, which can be caused by certain antibiotics or tiny cracks in the teeth which take up stains.

Before/After photos
Before
After
before
Before
after
After
before (1)
Before
after (1)
After
before (2)
Before
after (2)
After
before (3)
Before
after (3)
After

All photos show work undertaken by James Green

Hygiene

It is hugely important to incorporate dental hygiene in dental  treatment plans as it is essential to maintain optimal oral hygiene, prevent gum disease and increase the longevity of existing teeth and restorations.

A hygienist may also undertake fissure sealants as recommended by the dentist. A fissure sealant is a protective plastic coating that is applied to the biting surfaces of the back teeth, thereby providing a safe and painless way to protect teeth from decay.

To ensure optimal oral health patients should take the following steps:

  • use an electric toothbrush if possible
  • brush your teeth for two minutes, twice a day with fluoride toothpaste
  • floss your teeth or use other interdental aids – brushing alone only cleans up to about 60% of the surface of your teeth
  • use a mouthwash – this can help to freshen breath and help to dislodge any food debris
  • cut down on sugary foods and drinks
  • use a straw when drinking fizzy drinks as this helps the drink to go to the back of the mouth and reduces the acid attacks on the teeth
  • chew sugar-free gum which stimulates saliva and stops your mouth drying out and can help to prevent dental decay and erosion
  • visit your dentist regularly, as often as they recommend.