Crowns, dentures, implants... what exactly is complex restorative dentistry?

Written by: Dr David Bloom
Edited by: Cameron Gibson-Watt

Sometimes, behind a great smile, there is a wide range of comprehensive treatments. Complex restorative dentistry is not solely about improving the aesthetics of your teeth, but the functionality and health of them too. In this article, Dr David Bloom, one of the UK’s leading dentists based in London and Hertfordshire, talks us through what exactly complex restorative dentistry involves.

Mouth surgery

What is complex restorative dentistry?

Simple restorative dentistry usually involves just single teeth, however, sometimes it is necessary to think more comprehensively. This can be anything from a quadrant of dentistry (usually one-quarter of the mouth involving the back teeth) to a full mouth rehabilitation. It can sometimes involve treating just a single arch (usually the upper teeth) but can also involve a full smile makeover.


Planning comprehensively will allow your dentist to eliminate compromises sometimes associated with treating single teeth. For example, treating one tooth may mean that the tooth needs to be overbuilt to contact the adjacent tooth when there is also an issue with the small neighbouring tooth that is contributing to the problem.


Why would patients need to have complex restorations of their teeth?

Many reasons, ranging from treatment to help reinforce previously heavily filled teeth to worn down teeth or just cosmetic improvements. Sometimes, tooth replacement is necessary due to gum disease.


Bridges or implants to replace missing teeth would also be classified as complex restorative dentistry.


How can you prevent complex oral complications?

Prevention is better than cure. Ensuring a diet low in sugar, especially between meals, will help reduce decay. Adequate cleaning of the teeth and gums, including interdental cleaning with interproximal brushes, is also essential to ensure gum health. Finally, a diet that is not too acidic will help prevent acid erosion.


Is oral surgery sometimes necessary?

Yes, this can be necessary to treat gum disease or place implants. Furthermore, if you have jaw problems, oral cancer or any impacted teeth then surgery might be needed to treat these conditions.


Laser gum recontouring (with or without bone removal) can be necessary to adjust gum heights or to treat a gummy smile.


How much do these kinds of procedures cost?

It is essential that patients are advised of all costs in advance with a full-priced treatment plan. Actual costs will vary from dentist to dentist and will depend on the treatment being given.


Generally, the cost of saving a tooth is less than the cost of replacing it.


If you have any dental issues, visit Dr David Bloom’s profile and book an appointment to see him at one of his dental clinics.

By Dr David Bloom

Dr David Bloom is one of the UK’s leading restorative and cosmetic dentists based in London and Hertfordshire, who has a passion and enthusiasm for all aspects of dentistry including smile makeovers, veneers, orthodontics and implants.

Having previously been the lead dentist at the same dental studio for 24 years, Dr Bloom understands what works over time. He instructs and lectures both nationally and internationally, and is a sought-after expert in other dental practices. He is trusted by both celebrities and other dentists seeking treatment for themselves.

Dr Bloom believes in preventative dentistry first and foremost, ensuring that a healthy smile is the foundation of his work. He completes a thorough, comprehensive diagnosis and presents all options to his patients. Dr Bloom listens to his patient's needs and desires, applying his extensive knowledge and skills to provide exceptional results.

Dr Bloom’s opinions and knowledge are regularly used in magazines, radio and television. He was the chosen dentist for the hit TV show Extreme Makeover UK. He has transformed the smile of a number of celebrities including Tulisa Conlostavlos, Ben Foden, Sophie Anderton and Kyran Bracken.

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