Restorative Dentistry Procedures

CEREC Crowns and Implants:

Things we want you to know:

  • Your crown comes with a 5 year guarantee
  • To keep the guarantee valid, you will need to have regular checkups and cleanings, as well as eating healthy– be careful with sugary foods and drinks.
  • Home care is vital — brushing and flossing is a must.
  • The new CEREC crowns are a result of the latest technology which gives us a more natural toothlike replacement than ever before! Not only are they beautiful, but they are extremely convenient because they eliminate the temporary crown along with the need for a second visit.
  • We always take a final x-ray to make sure we have a perfect fit.
  • You can almost always expect a little cold sensitivity for the first couple of days. That is normal. If it persists more than a couple of days, please call us as soon as possible.
  • If your tooth feels high when you bite down, it may need a small adjustment. This can be due to the effects of the anesthetic during placement and its effect on how you bite down. This is an easy fix, just call and we will have you come right in to make the proper adjustment.
  • Every crown does not need a Root Canal, but many do.

Please let us know:

  • If you feel spontaneous pain, off and on pain.
  • If your tooth wakes you up at night.
  • If your tooth has a dull achy feeling that won’t go away.
  • After drinking something cold or hot it hurts for 10 or more minutes

These are all symptoms of a nerve in the tooth which has been compromised because of decay or fracturing of the tooth. Most teeth that have received a crown have either had deep decay or a fracture which make them highly susceptible to needing root canal therapy in the future. We try hard to avoid Root Canals, but they are hard to predict because they don’t always hurt before the tooth is prepared. The removal of the last part of the decay will sometime be just enough to wake up an unhealthy nerve and confirm the need for a root canal. 

If you have any of these symptoms (or any other questions) please call the office as soon as possible or my home number if it’s after hours or on the weekend. Dr. Philip Openshaw (209) 883-2146


Fixed Bridges:

A bridge may be used to replace a single tooth. A bridge consists of both a false tooth, called a pontic, and the anchors (abutment crowns) that support the pontic. The entire structure spans the space vacated by the missing tooth.

Neighboring tooth structure is removed shaping them to receive an anchor crown. An impression is then taken and sent to a dental lab where they fabricate the bridge.

The structure part of the bridge is created with a strong metal alloy that can handle the anticipated stresses.

Tooth-like porcelain is then fused to the structure. Once the bridge is tested for a correct fit, the anchor crowns are cemented to the neighboring teeth. 


Fillings ModestoTypes of Fillings:

Here at the office of Philip Openshaw D.D.S. our most common dental filling is made of a composite tooth-colored material that is bonded to the tooth. The composite material looks natural, and also wears most naturally.

We do not use mercury containing amalgam silver or gold to restore your teeth. Putting mercury in your mouth is unhealthy and can actually cause the teeth to crack and turn grey.

We can talk to you about replacing all of the silver or gold in your mouth little by little to restore your mouth as best as is possible.


Veneers – Inlays and Onlays

You can think of a dental inlay or onlay as being midway between a filling and a crown. Inlays or onlays are used when not enough tooth structure remains to support a filling, but the tooth is not so severely damaged that it needs a crown.

An inlay is similar to a filling, but it lies within the cusps (bumps) on the chewing surface of your tooth. An onlay is more extensive than an inlay and covers one or more cusps.

Inlays or onlays can be made of gold, composite resin (plastic) or ceramics. They can last for decades. However, how long they last depends on the material used, the teeth involved, the forces of chewing and how well the patient maintains them with good oral hygiene and regular visits to a dentist.