Restorative Dentistry

When a tooth is deeply decayed or damaged, its form and function can be restored with a filling, inlay, onlay, or crown. At Bruno Integrative Dentistry, we make sure that it’s also restored in a way that’s biocompatible.

Not all fillings and crowns are the same. There are thousands of different materials that can be used in countless combinations. There are many different disinfection techniques and many ways of re-establishing the proper contour of the tooth.

Keeping your whole body health in mind, we use only biocompatible materials to restore teeth. The fluoride-free, BPA-free composites we use for tooth-colored fillings have proven safe for the vast majority of people; likewise, the main ceramics we use. We do not place “silver” mercury amalgam fillings or any other metal dental work. Ever.

Composite Tooth Colored Fillings

Making strong, durable tooth-colored fillings requires advanced technique and great attention to detail. Dr. Bruno has both.

She uses a high speed, air-driven Kavo handpiece to remove the dead tooth structure and bacteria, all while wearing scopes that magnify regular vision 4.5x. Pink caries (decay) indicator is used to make sure she removes the complete cavity – even parts that can’t be seen with the eye or felt with the explorer.

All the while, the tooth is carefully isolated to keep it dry – something crucial to the long-term success of the restoration.

Once the tooth has been fully prepared, we administer an appropriate concentration of ozone gas for 45 to 60 seconds to kill any harmful bacteria remaining within the tooth. This step also helps increase bond strength and make the filling(s) last longer.

The most common composite resins we use are Filtek Ultra (when filling side walls of the tooth) and Tokyama Omnichroma (when there’s natural tooth surrounding all walls), but others may be used depending on the patient’s needs and/or biocompatibility testing results.

Whichever resin is chosen, it’s then placed in increments to restore the tooth. This layering decreases stress from polymerization shrinkage (a fancy word for pulling away from the sides of the tooth while the composite is being hardened under a special focused light). Dr. Bruno carefully shapes and sculpts the filling to copy the tooth’s natural pre-diseased structure.

Excellence is found in the details.

Full Coverage Ceramic Restorations

When too much upper tooth structure needs to be removed to keep the tooth structurally healthy – or when cracks penetrate too deeply into the tooth – a full coverage restoration is needed. This type of restoration travels across the whole top of the tooth and helps prevent forces from splitting the tooth in half.

Because of the inflammatory response often seen around crowns, Dr. Bruno tries to avoid placing them unless absolutely necessary, preferring onlays instead. With onlays, artificial materials can be kept as far away from the gum tissue as possible. This ensures a better gingival response.

These types of restorations are typically made from zirconia or a lithium disilicate material, depending on biocompatibility, retention, and aesthetic needs.

Whatever the specific type of full coverage restoration needed, two appointments are needed to get the job done. At the first, Dr. Bruno will prepare the tooth and place a temporary. We will also take digital impressions to send to our expert dental lab where your crown will be crafted. Your second appointment comes a few weeks later, at which Dr. Bruno will fit the restoration and make sure everything is aesthetically and functionally correct. Once all is in order, she will cement the restoration onto your prepared tooth.

Concierge Restorative Services

To make sure any restorations are a perfect match for your specific biochemistry, we can order serum (blood) testing to determine which materials are the best fit. In fact, we recommend this route for most patients.

Our expertly trained assistants will then review your test results and work with our suppliers to get the right materials ahead of your appointment – even if they’re materials we need only for you.

Talk with one of our team members about your concierge dental desires before your first appointment so they can prepare for your appointment accordingly.

Book an appointment with Dr. Bruno now!

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Juniper Vaughn

Hands down the best healthcare I've ever received in my entire life! As a single mother and young student, I don't have a huge budget but was determined to get the most holistic dental work possible. The team worked attentively with me and my needs, prioritizing the care that was most urgent and then offering multiple financing options. They also offer resources for patients to learn more about biological dentistry and whole-body health and are willing to answer any questions I have had (and I've had a lot, from advice on loans and credit to diet and mouth physiology)! The passion for their work is plainly evident. Everyone at the office is extremely kind and approachable. It feels like walking into a room full of friends rather than the distant and impersonal experience that many of us have in standard healthcare. They are busy, so expect a steep fine if you miss an appointment (that time slot could otherwise be used for someone else in need), but with clear and timely communication you will be in good relationship with your healthcare team, as well as everyone else in your life. Highly recommend!

Nichole Sylvester

Dr Bruno is the most knowledgeable Dentist I've met. She's supportive, informative and truly wanted the best for my complex situation. Goes above and beyond. If your teeth and your health are important, I can't recommend enough.

bailey amber

I switched to Bruno Integrative Dentistry about a year ago & I love it. I feel like the team works together great & Dr. Bruno is a badass in her field. You can tell how passionate she is & how committed she is to learning more & more about her field. Every time I go, I have tons of questions & they are all so open to guiding me through the entire process. They’ve given me 2 cleanings, removed my mercury fillings & replaced my crown. Love their approach!

Lauri Pearson

Dr Bruno and everyone in the office is so personable, professional and take every patient as an individual case. I have always trusted them to give honest, comprehensive and conservative care, and I have total confidence in their decisions.

Eric Galton

The entire staff is professional, thoughtful, kind and thorough. Felt I was getting the very best care.

Stephanie Boddie

Excellent care and service! I travel 2 hours and it is worth it.

Jon Doh

They really do care about the overall health and wellbeing of patients. They know and care about how their professional work effects the whole person.

Mundahl Law, PLLC

Candace Bruno really understands what is needed for healthy teeth and a healthy body. Her staff is very well trained and friendly. I highly recommend.