A treatment room at Oak Hills Dentistry with a window looking onto trees

Restorative dentistry.

Rebuilding damaged, decayed and worn teeth with fillings, crowns, bridges and root canal treatment.

Restorative dentistry

Rebuilt so it holds.

Restorative work is a series of judgment calls about how much structure is left. Get that call right and a tooth lasts decades. Get it wrong and you fill a tooth that needed capping, and lose it to a fracture five years later.

  • Filling, onlay or crown: the honest call

    Once a cavity spans most of the chewing surface, a filling has nothing to brace against. We will show you on the photographs why we are recommending one over another.

  • The most conservative restoration that works

    An onlay covers the damaged cusps and leaves sound walls alone. Where one will do, it beats a full crown.

  • Bonded, not wedged

    Composite adheres into the tooth, so the preparation can follow the decay instead of a shape needed to trap a filling mechanically. Over a lifetime, the structure you keep is what saves the tooth.

  • Cracks taken seriously

    A crack that reaches below the gumline usually ends in extraction. Cusps that flex are treated before they split, not after.

Inside Oak Hills Dentistry in Spring, TX
Care led by Dr. Neal H. Patel at our Louetta Road office.

FAQ

Know before you visit.

Because a cracked or heavily hollowed tooth is not a pain problem yet. It is a structural one. Teeth do not usually hurt until the crack reaches the pulp or the cusp breaks off, and by then the choice is often extraction rather than a crown.

Composite fillings commonly last five to fifteen years, crowns ten to twenty or more. Both usually fail at the margin, from new decay, which makes daily flossing at those edges the single biggest factor in longevity.

Only when there is a reason: decay at the margin, a crack, a leaking edge, or an already-cracked cusp. Replacing sound, comfortable amalgams purely for appearance is a legitimate choice, but it is elective and each replacement costs a little more tooth structure. We will always tell you which of the two you are looking at.

Usually yes, and often it should be. Both clinically and because annual insurance maximums are real. We stabilize what is urgent, then sequence the rest, sometimes across benefit years.

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