Restorative Dentistry in Beaverton, OR

A filling replaces a small amount of lost tooth structure within the tooth — suitable when 50% or more of the tooth remains intact. A crown covers the entire visible portion of the tooth, providing structural reinforcement when significant tooth structure is missing or cracked. The deciding factor is how much healthy tooth remains and the forces the tooth must withstand.

Composite fillings last 7 to 15 years. Porcelain crowns last 15 to 25 years. Zirconia crowns may last longer due to superior fracture resistance. Longevity depends on oral hygiene, bite forces, grinding habits, and whether the patient wears a nightguard as recommended.

Modern zirconia restorations exceed the strength of traditional gold or porcelain-fused-to-metal crowns. Zirconia flexural strength reaches 1200 MPa compared to approximately 300 MPa for traditional porcelain. The clinical performance data over the past decade confirms metal-free ceramic restorations are equivalent or superior to metal-containing alternatives.

Yes. Ceramic and composite materials are layered and shade-matched to replicate the translucency, color gradients, and surface texture of natural enamel. Digital shade mapping captures the exact color characteristics of your surrounding teeth. Most patients cannot distinguish restored teeth from unrestored ones.

Most dental insurance plans cover restorative procedures at 50% to 80% after the deductible. Fillings are typically covered at a higher percentage than crowns. Our administrative team verifies your specific benefits and provides a detailed cost estimate before treatment begins. Payment plans are available for the patient portion.

Delay allows progressive damage. A small crack propagates under chewing forces. Decay spreads deeper toward the nerve. A tooth that could be restored with a simple filling may require a crown, root canal, or extraction if treatment is deferred. Early intervention preserves more tooth structure and costs less.

No. Local anesthesia eliminates sensation during preparation. Most restorative procedures produce no significant post-treatment discomfort. Mild sensitivity to cold or biting pressure may occur for one to two weeks after placement as the tooth adjusts. IV sedation is available for patients with dental anxiety or complex multi-tooth cases.

Same-day crowns use digital scanning and CAD/CAM milling to fabricate a ceramic crown during a single appointment — no temporary crown, no second visit. The process takes approximately 90 minutes. CBCT imaging confirms root health before preparation, the digital scanner captures a 3D impression, and the milling unit carves the crown from a solid ceramic block.

Material selection depends on the tooth location (front vs. back), the amount of remaining tooth structure, bite forces, aesthetic requirements, and opposing teeth. Anterior teeth prioritize translucency (lithium disilicate). Posterior teeth under heavy load prioritize strength (zirconia). Small cavities use direct composite resin. These decisions are evidence-based and explained during your consultation.

It depends on the crack extent. Craze lines (superficial enamel cracks) require monitoring only. Fractured cusps can be restored with crowns. Cracks extending below the gumline into the root may require crown lengthening surgery or extraction. CBCT imaging reveals crack depth and root involvement that standard X-rays miss, enabling accurate prognosis.

Direct restorations (fillings) are placed and shaped inside the mouth in a single visit. Indirect restorations (crowns, inlays, onlays) are fabricated outside the mouth — either in a dental laboratory or by a chairside milling unit — and then bonded in place. Indirect restorations offer superior strength and fit for larger areas of damage.

Almost always for posterior teeth. Root canal treatment removes the blood supply that keeps dentin hydrated, making the tooth more brittle over time. A crown distributes chewing forces across the entire tooth, preventing fracture. Front teeth with minimal structural loss may sometimes be restored with a bonded filling instead.

Occlusal adjustment fine-tunes how the restoration contacts the opposing teeth during biting and chewing. Even 50 microns of excess height concentrates force on the restored tooth, causing sensitivity, fracture risk, or opposing tooth damage. Precise adjustment using articulating paper and digital occlusal analysis ensures balanced force distribution.

Yes. Amalgam fillings can be replaced with composite resin or ceramic restorations when they show signs of failure — cracking, leaking margins, secondary decay, or fracture of surrounding tooth structure. Replacement is performed under rubber dam isolation with high-volume suction to minimize mercury vapor exposure during removal.

Complex cases begin with comprehensive records: full-mouth radiographs, CBCT scan, intraoral photographs, digital impressions, and facebow registration. These records allow diagnostic wax-up or digital design of the final result before any tooth preparation. Treatment is sequenced strategically — often posterior stability first, then anterior aesthetics — with each phase building on the previous one.