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Is It Possible to Have Bonding on Front Tooth Without Roughening It with Drilling Machine?

asked 11 months ago by drops
Latest answer by Ronald Konig DDS
Question viewed 695 times
Tags: bonding, front teeth, technique

I fell down when I was a kid. Due to this, my front tooth broke and became half. my dentist suggested me to have bonding or a crown. I prefer bonding since I don't want my tooth to be reduce; however, they told me that to roughen the surface, they will need to use the drilling machine and then a chemical. I am afraid of the drilling machine and I dont want my tooth to be reduced by it. Is bonding possible without drilling or I mean roughening?

16 answers to Is It Possible to Have Bonding on Front Tooth Without Roughening It with Drilling Machine?

+2

Composite bonding of the anterior tooth

Composite bonding is a higly successful esthetic precedure that requires preparation of the enamel. When the surface for bonding is adequately wide, the quality of bonding will be much better and the restoration will be able to resists the chewing forces, especially in the anterior teeth. Minor bonding surfaces usually can be performed withour additional roughening of the enamel or drilling. If the surface of the broken tooth is exceeding 1/5 of the tooth usually slight roughening of enamel... more
Olga Kharevich, DMD, PhD

Miami Cosmetic Dentist
+2

Possible to bond teeth without mechanically roughening them

It's certainly possible to bond teeth without mechanically roughening them, but the results may not be as strong, look as good or be as long lasting. The amount of reduction needed for bonding is probably less than for a crown, maybe a lot less. Keep in mind that bonding isn't as long lasting as a crown, and if the bonding breaks it could take more tooth with it, so a crown could be the best value for your money long term.
Paul D. Kantor, DDS

Cleveland Cosmetic Dentist
+2

A rough surface works best.

The rough surface creates more surface area for bonding. This gives a stronger bond of the filling material to the tooth. By roughening in a specific way it is possible to create a restoration that blends esthetically into the tooth. We can design restorations are so life-like that it is difficult to distinguish them from the tooth itself. So, for esthetics it is much better. If the tooth is already broken, a small amount of roughening won't change what... more
Martin Frankel, DDS

Toronto Cosmetic Dentist
+1

Dental Bonding

Generally speaking, bonding is very conservative. Without seeing the tooth, it is hard to speculate. However, placing a small bevel on the enamel is usually all that is needed as far as tooth preparation. Sometimes there is already enough of a break that air abrasion can be used. If possible, I prefer not to bond the entire tooth but to skillfully blend the shades and color of the bonding to match the remaining tooth. Also, if the bevel is minimal usually no... more
Ronald Konig DDS

Houston Cosmetic Dentist
+1

Is It Possible to Have Bonding on Front Tooth Without Roughening It with Drilling Machine?

In order for the bonding technique to be successful, the tooth surface has to be clean and free of any potential contaminants. Once the tooth is clean, a mild acid is applied to the surface that will have bonding apllied so that the material will adhere. Dentists will often use a drill to be certain that the surface is clean, but there is no need to drill away any tooth structure. The goal of bonding is to be as conservative as possible, and to leave as much of the... more
Richard Champagne, DMD

Freehold Cosmetic Dentist
+1

Laws of physics usually requires roughening enamel

The strength of the material keeping the composite stuck to the tooth is limited, and both mechanical stresses and chemical strength needs to be considered. The vast majority of the solutions require roughening the tooth surface to gain enough strength so the composite will stay put.
Lance Timmerman, DMD

Seattle Cosmetic Dentist
+1

Bonding without "roughening"

Sometimes patients ask dentists to do things or not do things which have a negative impact on the outcome of the procedure. There are a couple of good reasons for roughening or beveling the tooth. One reason is there is a stronger bond when you spread the bonded surface over more area and the area has been lightly prepped. Another good reason is the dentist can make interface between the tooth and the bonding material disappear so it looks like a natural tooth....... not a filling on a tooth... more
Ted Murray, DDS

Dubuque Cosmetic Dentist
+1

Best enamel bonds

The research has shown that the best bonds to enamel are when the enamel is slightly roughened (prepped) versus enamel that is not roughened (unprepped). Your dentist suggested that technique so that the situation for the best enamel bond can be created. Also, this will help to blend the material so that there is no visible distinction between the tooth and the bonded composite material. The minimal amount of roughened enamel will help in the long term. Also,... more
Kristen Berning, DDS

Dubuque Cosmetic Dentist
+1

Bonding fillings with or without roughening the surface.

Bonding can be done without roughening the tooth surface but it will likely reduce the bonding strength of the filling to the tooth. There are times when a handpiece (drill) , a laser or air abrasion are required to alter the shape of the tooth in order to increase the strength of the bonded filling. The success of such fillings increases when there are no sharp edges or the bonding is done to freshly cut dentin.
Dan Haas, DDS

Toronto Cosmetic Dentist
+1

Bonding without reducing the tooth

Actually, there is recent data to support bonding with no preparation. Corky Wilhite, one of the premier dental educators on this particular area of study shared with me that 60 second etch of UNPREPPED enamel provides equivalent bond strength to prepped enamel. Now, technically, the etch is removing some microscopic tooth structure, but we're talking very microscopic, that is you'd have to use a microscope to see what it had taken away. So it's a good bit less... more
John Whittemore, DDS

Memphis Cosmetic Dentist
+1

Bonding without Tooth Roughening

Its always possible that a patient can attain a given time frame of usefulness with "No Prep" Dental Bonding.The long term gains though are much better when the Dentist is able to minimally 'roughen up" the tooth surface. This roughening always micropores to form and enhance the available surface area for chemical and mechanical adhesion or Dental Bonding. The amount of tooth preparation can be quite minimal and in many cases can be done without Dental Anesthesia. All... more
Howard Perlmutter, DMD

Paramus Cosmetic Dentist
+1

Bonding to teeth

There are several steps taken to ensure the success of bonding to tooth structure. For better bonding, roughening of the surface is necessary. However, this roughening is minimal and the benefit to risk ratio is high. Then that roughened surface is etched with an acid to create micropores that will serve for mechanical retention of the bonding. Following that, an adhesive is applied and then the composite itself. Best, Dr. Elizabeth Jahanian more
Elizabeth Jahanian, DDS

Corona Cosmetic Dentist
+1

Yes, you can avoid the drill.

Another very good way to get better bond strength is with an air-abrasion unit (small sandblaster made for dental use) The roughened enamel surface makes for a far stronger bond between the tooth and the bonding composite. You dentist is helping you by roughening the enamel first. I would just ask your dentist these questions in advance - and he/she will explain this procedure to you in a way that you can best decide what you want on your tooth.
Greg Lutke, DDS

Plano Cosmetic Dentist
+1

How to maximize tooth structure

The best way to get a good result with the bonding is to have the maximum amount of retention possible. This is going to come from mechanical and chemical means. When bonding is done correctly it should be invisible to the eye, in order for this to be possible you need to trick the eye into not being able to see the transition. This technique needs to have a long bevel and some of the tooth structure will be altered. If not done then you will have no way to adequately hide your restoration.... more
J. Willis Baker, DDS

Wichita Cosmetic Dentist
+1

Yes its possible, but not as good.

You can do it, but you will surely need to do it again and again. Bonding into freshly roughened enamel works best. Hope this helps. Dr. Alper
Steve Alper, DMD

New York Cosmetic Dentist
+1

Yes it is possible to complete a bonding w/o changing the tooth structure.

Yes it is. Although it is possible to complete the procedure, it compromises success rate of the bonding. The bonding of a dental material to a tooth takes place for several reasons. There is a mechanical and a chemical portion to this procedure. If one portion is removed it decreases the survival of that bonding. If the tooth is not prepared chemically and mechanically the chances of failure increases. Dr. C
Roderick Cooper, DDS

Atlanta Cosmetic Dentist

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