Cerec Porcelain Fillings

Video Transcription

“One of the most common misconceptions we find in dentistry, is that most people think that all white fillings are the same. This is far from the truth. There are fundamentally two types of white fillings, porcelain and resin. We often compare the different between a Cerec porcelain filling and resin fillings to the difference between your plastic picnic plates versus your fine china dinnerware. They are like chalk and cheese, totally different products.

In terms of terminology plastic white filling can be referred to composite or resin. Porcelain fillings are often called inlays, ceramic, or Cerec restorations. Both types of restorations utilise the same blue light, it is used to set hard the cement material. The resin is placed in soft and set hard with the light, whereas the porcelain restorations are hard prefabricated filling that is bonded into the cavity. When a filling is on the larger size requiring corners or what is termed as cusp replacements. We always recommend porcelain reconstruction of the tooth to ensure that you are not back in the dental chair fixing the same tooth again anytime soon. The cerec porcelain filling is no doubt more expensive but when you consider that you may have to change a plastic resin filling over and over. The price differential may prove to be a lot less than first envisaged.

At Smile Solutions, both options of white fillings are readily available. It’s a matter of working out with you which option best suits your expectations and budget.

Interviewer: I would like to introduce you to Dr Thorsten Dannheimer who is considered by his peers at Smile Solutions to be an expert in the field of Cerec dentistry. How are you Dr Thorsten?

Dr Thorsten Dannheimer: Very well, and you?

Interviewer: Very well thank you. So tell me, I believe you’ve been using this technology for some time and you’ve done quite a lot of fillings.

Dr Thorsten Dannheimer: Yes I have. I started using this technology in 2001, and since then

I’ve probably done around five thousand plus of these restorations.

Interviewer: And I believe there’s lots of other dentists who do the same type of work.

Dr Thorsten Dannheimer: Yes, I’m lucky to be with Smile Solutions, we have a very large group of specialists and anaesthetists users in the practice. We come together once a week to discuss cases and really further our knowledge and share whatever information with each other.

Interviewer: And tell me what is the difference between a Cerec porcelain filling, and a composite resin filling?

Dr Thorsten Dannheimer: Cerec is obviously another porcelain, which is very hard and the resin fillings are plastic. For bigger restorations at the back of the mouth, we normally use porcelain which is normally quite strong and for smaller fillings, like smaller cavities at the front of the mouth we normally use plastic resin fillings. The removing or replacing older fillings, Cerec is probably one of the best choices to use then.

Interviewer: and what are the benefits and advantages of having a Cerec porcelain filling as opposed to a normal white filling.

Dr Thorsten Dannheimer: It is a single visit procedure, so the nice thing is that we numb you up once and it gets done in 90 minutes, and you are out of the door and it’s all done. They used to take impressions, send it to the lab, get it back, takes at least 2 weeks out of your time and two visits. It makes a lot more sense for people nowadays who don’t have the time anymore. The other thing is, it’s a lot more superior, it’s a lot harder, it is a lot more natural looking than resin and it blends in very well with the surrounding tooth structures. Porcelain I think is conservation of healthy tooth structure. With modern bonding techniques that are used today, there is no need to remove a lot of tooth structure we just remove what is necessary and replace that with ceramic inlay.

Interviewer: Thorsten can you run through what happens in a procedure?

Dr Thorsten Dannheimer: First of all we do the examination, we take x-rays to see what needs to be done. What we do is we numb the patient up, we remove all the decay and the filling that needs to be replaced. Once that is done we clean up the mould and everything, we then take an infrared camera and take photos of the tooth. So we have an internal camera, which is a 3D camera and put it on the tooth and take pictures, and you can see the pictures coming up on screen on the Cerec unit. That basically forms a model, from that model we actually design your new restoration, with the help of a computer. The nice thing about that we can actually change and make the filling bigger, and make it any shape you want. Until we’re happy, until the patient is happy and then we actually put in a block of ceramic into the milling unit, which is hiding in the room or somewhere next door and start milling the restoration out of the block.

Interviewer: And then it comes out exactly the right size?

Dr Thorsten Dannheimer: Yes, it comes out exactly the right size, and all we do is polish it, so it’s shiny and glue it in. Check the bite, so it’s all good, fits well and good to go.

Interviewer: Well, thank you so much for that information Thorsten.

Dr Thorsten Dannheimer: It was great chatting to you.”