What is an adhesive restoration?

We tell you in detail what an adhesive restoration is. Discover the simplicity of this type of dental treatment.

Last update: 09 September, 2022

Adhesive restoration is another name by which aesthetic fillings are known in dentistry. It is a process through which the dentist places special materials inside a damaged tooth to restore its natural shape and appearance.

What is particular about this type of dental restoration is that an adhesion system is used that allows the filling to be strongly bonded to the dental structure. In this way, the tooth recovers its original appearance and functions.

an adhesive restoration It can be the solution to treat decayed, fractured, worn or chipped teeth. We will tell you more about this therapy so widely used in dental practice.

What is an adhesive restoration?

The adhesive restoration It is one of the most used treatments in dentistry. It allows to solve in a simple and comfortable way the loss of dental tissue due to caries, trauma, dental anomalies, imperfections, small breaks and wear.

The rationale for an adhesive restoration, as the name implies, is that the material that is placed on the tooth adheres to the tooth structure. In this way, the filling reforms the anatomy of the tooth and begins to be part of the piece.

Materials for making adhesive restorations include composite resins, compomers, glass ionomers, and resin-modified glass ionomers. In any case, the former are the most used in daily dental practice.

Composite resins are a plastic material of the same color as the teeth. There are different shades that allow aesthetic finishes to be achieved, which make the arrangement go unnoticed.

An adhesive restoration can be done in a single visit in a simple and comfortable way for the patient. This differentiates it from veneers and crowns, which are fabricated in a laboratory and require impressions and molds of the mouth to be properly fitted.

In order for the filling material to adhere to the tooth surface, special products are used that act as a union between these two components. The area of ​​the tooth to be filled is covered with this substance, so that the filling is firmly linked to the tooth.

The material not only fills the cavities in the teeth. The dentist has the possibility to carve and shape the product and to choose a color similar to the other parts of the mouth. With this he achieves that the final result is an element with the same appearance and functionality as the rest of the denture.

Dentists use adhesive restoration very frequently because it is a useful technique in different scenarios.


What is adhesive restoration used for?

An adhesive restoration can be used in different situations. The aesthetic results that these products achieve make it one of the easiest and most economical options within cosmetic dental procedures.

According to the American Dental Association (ADA) it is the best option to repair teeth with small cracks. In addition, they serve to change the shape or color of teeth, improve the appearance of discolored or chipped teeth or to close spaces between teeth.

Sometimes an adhesive restoration is an excellent esthetic alternative to treat small cavities or to cover and protect a portion of the tooth root, in cases of gingival retractions. This type of material allows for minimally invasive interventions; that is, removing only diseased tooth tissue and preserving as much healthy tooth structure as possible.

By using an adhesive restoration as a treatment for cavities we prevent the disease from continuing and causing further destruction or complications. With these filling materials, the lost resistance, functionality and aesthetics are recovered, achieving pieces with a very natural appearance.

The adhesive restoration It can be used both in milk teeth and in permanent ones, and in the anterior and posterior teeth.

How is an adhesive restoration done?

Performing an adhesive restoration is a simple and quick process. The procedure performed by the dentist in his office and, in general, it does not take more than 30 minutes.

Depending on the type of condition to be solved, anesthesia will be used or not. If it is necessary to remove caries, it is usual to anesthetize the area so that there is no pain during the intervention. In cases of changes in color or shape, chips or superficial breakage, it will not be necessary.

The first step of the procedure is to clean and prepare the cavity that will house the adhesive restoration. If there are cavities, they are removed with rotary instruments until no diseased tissue remains.

As the materials used to make the restorations are sensitive to light and moisture, it is important to keep the area dry during the procedure. For this, a rubber dam is placed to isolate the tooth from saliva.

When the tooth is clean and free of disease, the tissues are prepared to receive the filling. For this, the surfaces to be treated are etched with phosphoric acid. This product increases the small irregularities of the dental structure, favoring the future union to the material.

The tooth is washed and dried and a primer is then placed which prepares the tissues to receive the adhesive system. This improves the union of the product with the dental piece.

The adhesive system is placed on the surface to be restored and, depending on the brand, it is dried or left to act for a few seconds and then polymerized with halogen light. After this process, it is possible to place the filling material.

The moment of filling

If the restoration is made with composite resins, the dentist uses a shade guide to select the color of the material that best matches the patient’s teeth. The product is like a putty that is brought to the tooth in layers that harden with light.

At each stage, the dentist models the material to restore the anatomy to the dental element, and at the end polymerizes it. When the material has already hardened, it is polished and shaped so that it properly relates to the rest of the teeth and does not affect the bite.

In this way, At the end of the filling, the patient will have recovered the original shape of his tooth and you can use it normally. With this type of adhesive restoration it is possible to eat and drink without inconvenience after the intervention.

However, substances such as tea, coffee, tobacco and other pigments in drinks or foods can stain the resin. For this reason, it is suggested to avoid or minimize these products in the first 48 hours after the filling is placed.



Disadvantages and risks of adhesive restorations

One of the disadvantages of adhesive restoration is that the materials used are not as strong and resistant as an original tooth. Biting hard on some hard items, such as nuts, ice or biting your nails, can cause slight fractures in the filling.

Still, by avoiding these harmful practices and maintaining proper oral hygiene, this type of restoration can last for several years.

Such a common practice, such as biting into ice, could ruin an adhesive restoration treatment. That is why it is recommended to be careful with hard objects.

The latest trends in dental bonding

Adhesive systems are used to promote the union of the fillings with the dental structure. These products they have come a long way in history to achieve current results.

The most significant changes were the chemical composition, the joining mechanisms and the number of bottles with products to be used. These transformations reflect better efficiency in the clinic and a simpler and faster working technique.

Today, research and improvements in dental materials are constant. That is why dentists have new products that make your job easier and improve results.

The technique of performing acid etching and then placing the adhesive system that we tell you about in this article is the traditional way of performing these treatments. But today there is a new product in a single bottle that combines the adhesive, the etchant and a desensitizer; all in one.

In this way, the adhesion process is simplified into a single step. With the same product the engraving, the primer and the adhesion are carried outwith the added benefit of reducing postoperative sensitivity.

In addition, this same product can be used for direct and indirect resin, ceramic and metal restorations. Among its qualities, the excellent strength of adhesion to dental tissues stands out.

This type of adhesive system known as seventh generation represents the most current formula of dental adhesives on the market. The product It has been very well received by the dental community for the good results it presents, the reduction of clinical times and the simplicity of its use.

Why have an adhesive restoration procedure?

A small cavity, a discolored tooth, a slight fracture or a defect in the shape of your teeth are reasons to resort to an adhesive restoration. as we tell you, This procedure is very simple, economical and achieves very aesthetic results.

Solving your mouth problems will prevent larger and more serious complications and injuries that will require more complex treatments.

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