Fillings and Restoration

Fillings and Restoration

porcelainfillingsWe are a metal free practice, meaning that our doctors will recommend either composite resin or porcelain for their restorations depending on the size and extent of the cavity or old, failing fillings.

At Advance Dental Care & Aesthetics, our practice is to use the more up-to-date treatment of composite fillings.  We also use porcelain inlays and onlays to create restorations.  These restorations are far more beautiful than the silver fillings, and they have been proven to strengthen teeth that are weakened.  These beautiful and strong restorations are based upon advanced technologies in bonding.

Why we don’t use Silver Fillings:

Silver fillings were popular in earlier days of dentistry, but more recent research demonstrates several disadvantages of silver fillings.

  • Silver fillings wear down around the edges until it becomes weak.  It can potentially break.
  • Once a silver filling breaks, the tooth is again exposed.  This brings about the strong possibility of additional cavities in the exposed tooth.
  • The metal in a silver filling will expand and contract over time.  In the long term, this can create cracks in a tooth and possibly even fracture the tooth.
  • 50% of a silver filling is made up of mercury.  These fillings can corrode and leak.  This will cause your teeth and gums to be stained.

If you are experiencing any of these difficulties with your silver fillings, we are able to replace them with tooth-colored fillings at our office in North Olmsted.  These new fillings will take advantage of the latest bonding technology to protect your teeth.

Why we DO use Composite and Porcelain Restorations:

Research has demonstrated a number of advantages that tooth-colored restorations have over silver fillings.  It is these advantages that cause us to use tooth-colored restorations.

  • Advance bonding technology causes the resin fillings and porcelain onlays to form a tight fit with your natural teeth.  This fit is far superior to the fit that is created with silver fillings.
  • This superior bond and fit prevents the cracks in the teeth that are so common with silver fillings.
  • In the rare event of damage to a tooth-colored restoration, we can simply repair the damage.  A damaged silver filling requires a complete replacement.

It is a blessing to live in an age of advanced dental technology.  If you are suffering with the negative effects of silver fillings, stop by and see if we can help you solve the problem with tooth-colored restorations.  Perhaps you have never experienced silver fillings but you do need dental work done.  We can help you, too!

CEREC Restorations, Crowns and Onlays

CERECWouldn’t it be wonderful if you could have a damaged or decayed tooth restored in just one office visit?  With the advanced restorative system known as CEREC (CEramic REConstruction), that is exactly what we are offering at Advanced Dental Care & Aesthetics in North Olmsted.  If you have had a significant portion of a tooth damaged or lost as a result of wear, fracture, or decay, you will need to restore your tooth with a crown, an inlay, or an onlay.  This treatment will allow you to continue to use your tooth in its normal function.  Your dentist will use know, based on training and experience, what is the best restoration for your particular situation.

A brief explanation of CEREC:

CEREC is a remarkable bit of technology and equipment.  It carries out its functions through two units.

  • The acquisition unit: This mobile piece of equipment utilizes a medical-grade computer and a special CEREC camera to capture a digital image of your damaged tooth.  (Guess what!  A digital image in place of an impression means you will not be gagging on impression trays!)  The CEREC 3D program translates the digital image of your teeth into a three-dimensional virtual model.  Your dentist uses that 3-D model to determine and design your restoration treatment while you wait.  This restoration data is sent to the milling unit by wireless radio signal.
  • The milling unit: While the restoration design is being received from the acquisition unit, a porcelain ceramic block is chosen which matches the shade of your tooth.  This block is placed in the milling machine.  The milling unit carves the ceramic block with precise accuracy.  This 10-20 minute process uses two diamond-coated burs to cut the restoration to the proper size and shape.  The process is completed when the dentist polishes the restoration and bonds it to the appropriate tooth.

Dental Implants and Dentures

Dental Implants: Confidently Restore Your Smile

If you need to explore options for replacing lost or heavily damaged teeth, the team at Advanced Dental Care and Aesthetics encourages you to explore dental implants.  Learn more about the many ways implants can help you maintain strength, structure, and confidence by visiting our Dental Implants page.

What are Dentures?

What are Dentures?

denturesDentures are for the purpose of replacing missing teeth.  They are also designed to provide support for the lips and cheeks.  A partial denture replaces specific teeth that are missing.  A complete denture is used when all teeth have been extracted and they all need to be replaced.  An upper denture covers the roof of the mouth and is typically flesh colored.  A lower denture makes room for the tongue by being horseshoe-shaped.

Dentures usually have to be replaced every fifteen years or so due to wear and realignment.  Because dentures are not able to protect the jaw bone, the bone begins to dissolve away over time in the places where the original teeth are missing.  This will cause the jaw alignment to change as the bone shrinks.  Consistent dental check ups will be necessary for a patient who wears dentures.

Orthodontics/Braces and Invisalign/Clear Braces

What is Invortho_beforeafterisalign?

Our practice is proud to offer Invisalign clear aligners for patients who are interested in orthodontics to straighten their teeth and correct their bite.  If you want to learn more about this popular and attractive treatment option, please visit our Invisalign page.

Root Canal Treatment

rootcanalWhen your root area becomes infected, the tissue in your tooth begins to die. This dead tissue then feeds infection into the bone where your tooth is anchored. The process is often accompanied by a persistent toothache, but sometimes it does not. That’s one of the many reasons why it is very important to maintain a regular dental checkup schedule, so that our team can monitor changes and give you immediate advice in the event that a root canal treatment becomes necessary.

During a root canal treatment, the decayed and infected tissue must be fully cleaned out before filling the tooth interior with root canal sealer.

Following a root canal procedure, most teeth will also require a dental crown to protect the weakened structure from future breakage.


There are several reasons that a tooth may need to be extracted.

  • Severe decay
  • Broken beyond repair
  • Poor position in mouth
  • Advanced periodontal disease
  • Preparation for a planned orthodontic procedure

An extraction can lead to other problems with your jaws and teeth.  An unnecessary extraction can cause a major impact on your overall dental health.  For this reason, Drs. Walters or Bath-Walters will discuss any extraction with you thoroughly as well as any possible alternatives to an extraction.  If an extraction is unavoidable, they will discuss with you the possibilities for replacing that tooth.

The Extraction Process

At Advanced Dental Care & Aesthetics, our goal is to perform a clean and painless extraction.  To that end, we follow this process for each extraction.

  • We will use a local anesthetic in the area of the extraction.
  • You will feel quite a bit of pressure during the extraction process as we widen the socket in order to remove the tooth.  Do not be alarmed by the pressure.
  • While you will feel pressure during an extraction, you should NOT feel pain.  The local anesthetic should stop the transfer of pain.
  • If you feel any pain during the process of extraction, please inform us immediately

Once the extraction is complete, you will be given very thorough printed instructions regarding the proper care of your mouth once you get home from the extraction procedure.  Please follow these instructions carefully.  If you have any questions, please call our North Olmsted office for further help.

Home Care After Treatment

After any Dental Restoration

Remember that it will take time to adjust to the feel of your new bite. When the bite is altered or the position of the teeth is changed it takes several days for the brain to recognize the new position of your teeth or their thickness as normal. If you continue to detect any high spots or problems with your bite 2 or 3 days after treatment, call our office so we can schedule an adjustment appointment.

It is normal to experience some hot and cold sensitivity. The teeth require some time to heal after removal of tooth structure and will be sensitive in the interim. Your gums may also be sore for a few days. Warm salt water rinses (a teaspoon of salt in a cup of warm water) three times a day will reduce pain and swelling. A mild pain medication (one to two tablets of Tylenol or Ibuprofen (Motrin) every 3-4 hours) should ease any residual discomfort.

You’ll quickly adapt and be speaking normally. You may notice increased salivation. This is because your brain is responding to the new size and shape of your teeth. This should subside to normal in about a week.

Daily brushing and flossing are a must for your new dental work. Daily plaque removal is critical for the long-term success of your new teeth, as are regular cleaning appointments.

Any food that can crack, chip or damage a natural tooth can do the same to your new teeth. Avoid hard foods and substances (such as beer nuts, peanut brittle, ice, fingernails, or pencils) and sticky candies. Smoking will stain your new teeth. Minimize or avoid foods that stain such as coffee, red wine, tea and berries.

If you engage in sports let us know so we can make a custom mouthguard. If you grind your teeth at night, wear the night guard we have provided for you. Adjusting to the look and feel of your new smile will take time. If you have any problems or concerns, please let us know. We always welcome your questions.

After Crown and Bridge Appointments

Crowns and bridges can take one to two appointments to complete. In the first visit, the teeth are prepared and molds of the mouth are taken. Temporary crowns or bridges are placed to protect the teeth while the custom restoration is being made. Since the teeth will be anesthetized, the tongue, lips and roof of the mouth may be numb. Please refrain from eating and drinking hot beverages until the numbness is completely worn off.

Occasionally a temporary crown may come off. Call us if this happens and bring the temporary crown with you so we can re-cement it. It is very important for the temporary to stay in place, as it will prevent other teeth from moving and compromising the fit of your final restoration.

To keep your temporaries in place, avoid eating sticky foods (gum), hard foods, and if possible, chew on the opposite side of your mouth. It is important to brush normally, but floss carefully and don’t pull up on the floss which may dislodge the temporary but pull the floss out from the side of the temporary crown.

It is normal to experience some temperature and pressure sensitivity after each appointment. The sensitivity should subside a few weeks after the placement of the final restoration. Mild pain medications may also be used as directed by our office.

If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please call our office.

After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.

After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use the pain medication as directed. Call the office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you will feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, you should call our office immediately.

After Composite Fillings (White Fillings)

When an anesthetic has been used, your lips and tongue may be numb for several hours after the appointment. Avoid any chewing and hot beverages until the numbness has completely worn off. It is very easy to bite or burn your tongue or lip while you are numb.

It is normal to experience some hot, cold & pressure sensitivity after your appointment. Injection sites may also be sore. Ibuprofen (Motrin), Tylenol or aspirin (one tablet every 3-4 hours as needed for pain) work well to alleviate the tenderness. If pressure sensitivity persists beyond a few days or if the sensitivity to hot or cold increases, contact our office.

You may chew with your composite fillings as soon as the anesthetic completely wears off, since they are fully set when you leave the office.

If your bite feels uneven, if you have persistent pain, or if you have any other questions or concerns, please call our office.