The first appointment usually takes between 1-3 hours, depending on how much work you are having done. During the preparation, a small amount of the surface of the tooth is usually removed under local anaesthetic. After impressions are taken, temporary restorations are fabricated, which remain on your teeth until the fit appointment. If the tooth/teeth have existing fillings, the dentist may need to remove those as part of the procedure. The temporary material is porous and may stain with heavily coloured food and drinks, (i.e. curries, red wine and black coffee) so try to avoid these if possible.
How to Clean Temporary Restorations
Brush your teeth as normal; if the temporaries are joined together you will not be able to floss. Using a mouthwash such as Listerine® Total Care or Colgate® FluoriGard will help.
How Will My Teeth Feel After the Appointment?
Whenever dental treatment is carried out, there is a risk that inflammation of the dental nerve or gums may occur. This may result in sensitivity or soreness and will settle within a few days or weeks.
In a small portion of cases the nerve may be damaged, and the area may not settle. The risk is increased where there is a history of decay, damage or trauma to the tooth. In these cases, it may be necessary for the tooth to have root canal treatment.
There can be a 2-3-week interval period between the preparation appointment and the fitting of the porcelain restoration. In the rare circumstance there can be unexpected delays, so please allow an additional 2-3 weeks before significant social events.
During this phase it is quite normal to feel anxious and nervous at the prospect of a completely new look. The quality of the porcelain is far superior to the acrylic of temporaries and will feel smooth to the tongue. Porcelain is highly polished and has superb stain-resistant properties.
The Fit Appointment
We normally allocate 1-1.5 hours for the fit of the porcelain restoration, usually under local anaesthetic. The permanent restorations are bonded in place using the latest-dentine bonding agent for superior strength. This bond often causes sensitivity, sometimes for several weeks.
Avoid very hot or cold food and drinks. We may place a fluoride varnish and give you a home fluoride kit to treat this.
How Long Will The Bridge Last?
It is Important to maintain good oral hygiene, including brushing and flossing. Regular hygiene appointments and fluoride application, along with a good diet, help to prolong the restorations.