704.857.6161

702 S. Highland Ave.
Landis, NC 28088

RESTORATION

We can repair and restore cracked or missing teeth with a variety of methods and new technologies.

Tooth restorations are the various ways your dentist can replace missing teeth or repair missing parts of the tooth structure. Tooth structure can be missing due to decay, deterioration of a previously placed restoration, or fracture of a tooth.

See below for more…

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CROWNS 
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merrell crowns landis, nc

See videos about this procedure below.

same day crowns
CROWNS

Also known as a cap, a crown is used to entirely cover a damaged tooth. Crowns are used when a tooth cannot be restored with fillings or other types of restorations. Although there are several types of crowns, tooth colored crowns are the most widely used today. They are extremely durable and will last many years; however, like most dental restorations, they could eventually need replacing. This is most often a same-day procedure in our office.

Reasons for crowns:

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

A dental crown may be needed in the following situations:

  • To protect a weak tooth (for instance, from decay) from breaking or to hold together parts of a cracked tooth
  • To restore an already broken tooth or a tooth that has been severely worn down
  • To cover and support a tooth with a large filling when there isn't a lot of tooth left
  • To hold a dental bridge in place
  • To cover misshapened or severely discolored teeth
  • To cover a dental implant
  • To make a cosmetic modification
All Porcelain Crowns
CAD/CAM Restoration Procedure
BRIDGES 
same day bridges landis, nc

Reasons for a fixed bridge

● Fill space of missing teeth and distribute the forces of your bite properly
● 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 fixed dental appliance

BRIDGES

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

There 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. This type of bridge consists of two crowns on anchoring teeth (abutment teeth), typically on each side of a space created by missing teeth. Those crowns are attached to pontics (artificial teeth), which bridge the gap created the missing teeth.

A bridge is highly durable and will last for many years; however, it may need replacement or repair due to normal wear.

All Porcelain Bridge
Post-Op Instructions for a Bridge
IMPLANTS 

There are many advantages to dental implants, including:

IMPLANTS

Dental implants are a great way to replace individual missing teeth and can also provide a fixed solution to having removable partial or complete dentures. Implants provide excellent support and stability for these dental appliances.

Dental implants are artificial roots (usually titanium) that are surgically placed into the upper or lower jaw bone by a dentist or dental specialist. After a healing period, a crown is attached to the implant. The implant will look, feel, and function like a natural tooth and help preserve your natural bone by preventing the deterioration that tooth removal causes.

Dental implants are very strong, stable, and durable. With good care they can last many years. On occasion, they will have to be re-tightened or replaced due to normal wear.

Reasons for dental implants:

•Replace one or more missing teeth without affecting adjacent teeth.
•Resolve joint pain or bite problems caused by teeth shifting into missing tooth space.
•Restore a patient’s confident smile.
•Restore chewing, speech, and digestion.
•Restore or enhance facial tissues.
•Support a bridge or denture, making them more secure and comfortable.

See an overview of the implant process in the video below…

TOOTH FILLINGS 
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Silver Filling

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Tooth Colored Filling

TOOTH FILLINGS

Fillings are the most common type of dental restoration. Teeth can be filled with gold, silver amalgam, or tooth-colored plastic materials called composite resin fillings.

To treat a cavity, your dentist will remove the decayed portion of the tooth and then "fill" the area on the tooth where the decayed material was removed.

Fillings are also used to repair cracked or broken teeth and teeth that have been worn down from misuse (such as from nail-biting or tooth grinding).


Advantages of silver fillings:

  • Durability — silver fillings usually outlast composite (tooth-colored) fillings.
  • Strength -- can withstand chewing forces
  • Expense -- is less expensive than composite fillings

Advantages of tooth-colored fillings:

  • Aesthetics -- the shade/color of the composite fillings can be closely matched to the color of existing teeth. Composites are particularly well suited for use in front teeth or visible parts of teeth.
  • Bonding to tooth structure — composite fillings actually chemically bond to tooth structure, providing further support.
  • Versatility — in addition to use as a filling material for decay, composite fillings can also be used to repair chipped, broken, or worn teeth.
  • Tooth-sparing preparation -- sometimes less tooth structure needs to be removed compared with amalgam fillings when removing decay and preparing for the filling.
ROOT CANALS 
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ROOT CANALS

Root canal therapy is a treatment used to repair and save a tooth that is badly decayed or infected.

A root canal procedure is performed when the nerve of the tooth becomes infected or the pulp becomes damaged. During a root canal procedure, the nerve and pulp are removed, and the inside of the tooth is cleaned and sealed.

Root canal procedures have the reputation of being painful. Actually, most people report that the procedure itself is no more painful than having a filling placed. The discomfort experienced in the period leading up to seeking dental care is truly painful, not the root canal procedure itself.

When nerve tissue or pulp is damaged, it breaks down, and bacteria begin to multiply within the pulp chamber. The bacteria and other decayed debris can cause an infection or abscessed tooth. An abscess is a pus-filled pocket that forms at the end of a tooth’s root.

In addition to an abscess, an infection in the root canal of a tooth can cause:

  • Swelling that may spread to other areas of the face, neck, or head
  • Bone loss around the tip of the root
  • Drainage problems extending outward from the root. A hole can occur through the side of the tooth, with drainage into the gums or through the cheek into the skin.
EXTRACTIONS 
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tooth extraction pulling
EXTRACTIONS

Although permanent teeth were meant to last a lifetime, there are a number of reasons why tooth extraction may be needed.

A very common reason involves a tooth that is too badly damaged, from trauma or decay, to be repaired.

Other reasons include:

  • A crowded mouth – Sometimes dentists pull teeth to prepare the mouth for orthodontia. The goal of orthodontia is to properly align the teeth, which may not be possible if your teeth are too big for your mouth. Likewise, if a tooth cannot break through the gum (erupt) because there is not room in the mouth for it, your dentist may recommend pulling it.
  • Infection — If tooth decay or damage extends to the pulp -- the center of the tooth containing nerves and blood vessels -- bacteria in the mouth can enter the pulp, leading to infection. Often this can be corrected with root canal therapy (RCT), but if the infection is so severe that antibiotics or RCT do not cure it, extraction may be needed to prevent the spread of infection.
  • Risk of infection — If your immune system is compromised (for example, if you are receiving chemotherapy or are having an organ transplant), even the risk of infection in a particular tooth may be reason enough to pull the tooth.
DENTURES 
Complete Dentures at Merrell Family Dentistry

Full Dentures

Partial Dentures at Merrell Family Dentistry

Partial Dentures

DENTURES

A denture is a removable replacement for missing teeth and surrounding tissues. Two types of dentures are available – complete and partial dentures.

Complete dentures are used when all the teeth are missing, while partial dentures are used when some natural teeth remain.

Complete dentures can be either "conventional" or "immediate." Made after the teeth have been removed and the gum tissue has begun to heal, a conventional denture is ready for placement in the mouth about eight to 12 weeks after the teeth have been removed and the extraction sites have healed. An immediate denture is fabricated while the front teeth are still in place. Those teeth are removed the day the denture is placed in the mouth. With an immediate denture, a re-fitting (or reline) is often needed once the extraction sites have healed.

Partial Dentures or a bridge usually consists of replacement teeth attached to a pink or gum-colored plastic base, which is sometimes connected by a metal framework that holds the partial denture in place in the mouth. Partial dentures are used when one or more natural teeth remain in the upper or lower jaw.