Diseases

No. Simply follow good oral hygiene practices. Brush your teeth at least twice a day, floss at least once a day and see your dentist for regular professional check-ups and cleanings. Because bonding material can chip, it is important to avoid such habits as biting fingernails; chewing on pens, ice or other hard food objects; or using your bonded teeth as an opener. If you do notice any sharp edges on a bonded tooth or if your tooth feels odd when you bite down, call your dentist.

Dental bonding is an option that can be considered:

• to repair decayed teeth (composite resins are used to fill cavities)
• to repair chipped or cracked teeth
• to improve the appearance of discolored teeth
• to close spaces between teeth
• to make teeth look longer
• to change the shape of teeth
• as a cosmetic alternative to amalgam fillings
• to protect a portion of the tooth's root that has been exposed when gums recede

The lifespan of bonding materials depends on how much bonding was done and your oral habits. Typically, however, bonding material lasts from 3 years up to about 10 years before needing to be touched up or replaced.

Costs may vary depending on where you live. Generally, bonding can range in cost from $100 to $400 per tooth. Check with your dental insurance company to find out if the cost of crowns might be fully or partially covered. Reviewed by the doctors at The Cleveland Clinic Department of Dentistry.Edited by Michael W. Smith, MD, April 2003, WebMD. Portions of this page © The Cleveland Clinic 2000-2003

• Advantages: Bonding is among the easiest and least expensive of cosmetic dental procedures. Unlike veneers and crowns , which are customized tooth coverings that must be manufactured in a laboratory, bonding usually can be done in one office visit unless several teeth are involved. Another advantage, compared with veneers and crowns, is that the least amount of tooth enamel is removed. Also, unless dental bonding is being performed to fill a cavity , anesthesia is usually not required.
• Disadvantages: Although the material used in dental bonding is somewhat stain resistant, it does not resist stains as well as crowns. Another disadvantage is that the bonding materials do not last as long nor are as strong as other restorative procedures, such as crowns, veneers, or fillings . Additionally, bonding materials can chip and break off the tooth. Because of some of the limitations of bonding, some dentists view bonding as best suited for small cosmetic changes, for temporary correction of cosmetic defects, and for correction of teeth in areas of very low bite pressure (for example, front teeth). Consult with your dentist about the best cosmetic approach for your particular problem.

• Preparation. Little advance preparation is needed for dental bonding. Anesthesia is often not necessary unless the bonding is being used to fill a decayed tooth. Your dentist will use a shade guide to select a composite resin color that will closely match the color of your tooth.
• The bonding process. Next, the surface of the tooth will be roughened and a conditioning liquid applied. These procedures help the bonding material adhere to the tooth. The tooth-colored, puttylike resin is then applied, molded and smoothed to the desired shape. An ultraviolet light or laser is then used to harden the material. After the material is hardened, your dentist will further trim and shape it, and polish it to match the sheen of the rest of the tooth surface.
• Time-to-completion. The procedure takes about 30 to 60 minutes per tooth to complete.