This is picture of decayed tooth of 15 yr young boy . In such cases most common dental practice is to do indirect pulp capping followed by cap . Cap is advised here as most of tooth is replaced with restorative material which cannot last for longer period in such cases . Most of chewing forces goes on restorative material , which is not very strong to sustain for longer period . I always advised to my patient that life of restoration is inversely proportional to size of it. If size of restoration is more the life of it reduces , and if size of restoration is small it last for longer period.
As patient is very young i advised him to restore it with onlay. Onlay is made up of lithium disilicate which has more strength when it is adapted to tooth with stronger adhesive. Here dentist do not have to prepare tooth very aggressively which is the necessity in cap where dentist has to trim tooth from all side (5). Since onlay is fitted with adhesive technology ,saves lot of stronger natural tooth structure. This kind of restoration last for longer period . This is called indirect restoration where lost tooth structure is developed in dental lab. The finishing and quality of it is more super. Once the tooth is cleaned (Decay Removed ), dentist take the measurement of tooth which is sent to lab to prepare onlay. Till that time dentist fill tooth with temporary filling material. This material was removed by dentist after 4-5 days once onlay gets ready, and fitted in patient"s tooth.
Dentist do not have to work for longer time in patient's mouth as it is manufactured in dental lab. Fees of this indirect restoration (Onlay) is more as compare to other treatment options. But life of this restoration is more than other one so its cost effective in long run.
Dr Yogesh Pandit
To make people aware about dentistry ,new technology different treatment modalities.To share views about dentistry