Restorative Treatments at 3D Tandarts – Station Schiedam Centrum

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At 3D Tandarts in Station Schiedam Centrum we focus on restorative dentistry: restoring damaged teeth and molars in a way that is both functional and aesthetic .

We work with:

• high-quality direct fillings (always under rubber dam isolation),
• indirect restorations such as inlays, onlays, and overlays,
• crowns and bridges in modern, durable materials.

Our focus is on quality, precision, and durability, so that your teeth not only look good, but also last for many years.

✔ Directly at the train station Schiedam Centrum
✔ Working under rubber dam isolation for optimal quality
✔ Aesthetic, metal-free materials, whenever possible

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What are restorative treatments?

Restorative treatments are all procedures in which we:

• remove damaged tooth structure
• rebuild the tooth
• restore the function, shape and colour

Examples include:

• direct fillings (composite)
• indirect restorations (inlay, onlay, overlay)
• crowns and bridges

Together we determine which solution best fits:

• restore the size of the defect
• your chewing function
• your aesthetic preferences
• the life span we aim for

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Direct restorations – Fillings

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Indirect restorations: inlays, onlays, and overlays

Indirect restorations such as inlays, onlays, and overlays are used when a cavity or fracture is too large for a standard filling. They provide greater strength, precision, and longevity .

• Inlay: an inlay fits within the cusps of the tooth and restores the internal part of the chewing surface.
• Onlay: an onlay covers one or more cusps and partially reconstructs the chewing surface.
• Overlay: an overlay covers nearly the entire occlusal surface, including most or all cusps, and provides maximum reinforcement.

Why we often choose indirect restorations instead of very large fillings:

• More precision: they are fabricated outside the mouth (CAD/CAM or by the dental laboratory)
• Better fit and contact points
• Higher durability and a lower risk of fracture of the remaining tooth structure
• Possibility to use highly aesthetic materials (e.g., ceramic or e.max)

Materials we use:

• Ceramic / e.max → highly aesthetic, strong, and color-stable
• High-quality plastic / composite for certain indications

The procedure usually takes place in two appointments:

1. First appointment: preparation, impression or scan, and temporary filling
2. Second appointment: fitting, checking, and permanently cementing the inlay/onlay/overlay

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Crowns: full protection for weakened teeth and molars

A crown is like a protective ‘cap’ that fits over a tooth or molar. We recommend a crown when:

• the tooth or molar is really weakened (extensive filling, breakage)
• after a root canal treatment the tooth needs extra protection
• there is severe wear or discoloration
• the shape or position needs aesthetic correction

At 3D Tandarts, we primarily work with modern, metal-free materials:

• Zirconia - very strong, suitable for molars and bridges
• (E-)max and other ceramics - highly aesthetic, ideal for visible areas
• High-quality resin/provisional materials - for long-lasting temporary crowns

We aim for a crown that:

• looks natural in your smile
• feels comfortable when biting and chewing
• protects your tooth or molar in the long term

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Bridges: replacement of missing teeth

If a tooth is missing and implants are (not yet) an option or not desired, a bridge is a good solution.

A bridge:

• replaces one or several missing teeth/molars
• is anchored to the adjacent abutments (teeth or implants)
• ensures that chewing forces and aesthetics are restored
• prevents the surrounding teeth from shifting or tilting

With bridges as well as for crowns, we use aesthetic, durable materials such as zirconia and ceramics.

During the consultation, we will discuss:

• how many teeth are missing
• the condition of the abutment teeth
• the different material options
• the expected longevity and costs

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Temporary (provisional) restorations

After preparing a tooth and before placing the final restoration, there is often needed an intermediate phase .

That’s why we work with:

• provisional crowns and bridges at high-quality resins,
• suitable for long-term temporary solutions in complex treatment plans.

This provision:

• protects the prepared tooth
• ensures comfort when chewing and speaking
• gives an early impression of the future shape and aesthetics

In larger reconstructions, a long-term provisional option can also help to stabilise the bite and function before the final work.

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Material selection: aesthetic and durable

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Digital impressions and aesthetic planning (smile design)

For restorative treatments, we work without traditional impression trays and materials. The impressions for crowns, bridges, and indirect restorations are taken with a modern digital intra-oral scanner. This is more comfortable for you, highly accurate, and allows both us and the dental laboratory to work with exceptional precision.

In aesthetic cases – for example when restoring front teeth, rebuilding worn teeth, or improving the entire smile – we can support the treatment plan with digital simulations (smile design). Using photos and scans, we show you a preview of what your smile could look like after the treatment, allowing you to make an informed decision with us about the shape, length, and position of the future restorations.

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How does a restorative treatment process work?

A restorative treatment plan usually follows these steps:

1. Intake & examination
   • Clinical examination
   • X-rays if needed
   • Discussion of complaints and preferences
2. Treatment plan & options
   • Explanation of possible restorations (direct vs. indirect, crown, bridge)
   • Discussion of materials and aesthetics
   • Clear explanation of duration, costs, and number of appointments
3. Treatment Execution
   • Working under a rubber dam for direct restorations
   • Precise preparation and impression/scan for indirect work
   • Temporary restoration if necessary
4. Check-up & Aftercare
   • Check bite, contact points, and aesthetics
   • Periodic check-ups and preventive care (oral hygiene, bite-check)

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Why choose restorative treatments at 3D Tandarts?

• 🦷 Focus on quality
  Direct restorations always under rubber dam isolation, using A-quality materials.
• 🎯 Precision and durability
  Where needed, we recommend indirect restorations, crowns, and bridges for a stable, predictable result.
• ✨ Aesthetics and function in balance
  We look not only at “repair,” but at the overall picture of your teeth and smile.
• 🚉 Centrally located
  Directly in Schiedam Centrum train station, easily accessible from Schiedam, Rotterdam, Vlaardingen, and the surrounding area.
• 🌍 Multilingual care
  Explanations and treatment available in Dutch, English, and Italian.

Veelgestelde vragen over restauratieve behandelingen

What is the difference between a filling, an inlay/onlay, and a crown?
A filling (direct restoration) is placed directly in the mouth using composite material. This is suitable for small to medium-sized cavities.
An inlay/onlay (indirect restoration) is fabricated outside the mouth (e.g., in a dental laboratory) and then cemented onto the tooth or molar. This is often more durable and precise for larger defects.
A crown is a type of cap that covers the entire tooth or molar and is used when the tooth is significantly weakened or needs extra protection (for example, after a root canal treatment).

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Does getting a filling, inlay/onlay, or crown hurt?
These treatments are performed under local anaesthesia when needed, so you should not feel any sharp pain. You may experience some pressure or vibration.
If a tooth or molar is severely inflamed, administering the anaesthetic can be slightly more sensitive, and sometimes an additional dose is required. We always do this calmly, step by step, and in consultation with you, to make the treatment as comfortable as possible.

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How long does a restoration typically last?
The lifespan depends on:

• the type of restoration (filling, inlay/onlay, crown, bridge);
• the size and location in the mouth;
• your oral hygiene, dietary habits, and any grinding or clenching habits.

Small, well-maintained fillings can often last for many years. Indirect restorations, crowns, and bridges generally have a longer lifespan than large direct fillings, provided they are well cared for and checked regularly. During your check-up appointments, we always assess the condition of your restorations.

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Why are large fillings sometimes replaced with an inlay, onlay, or crown?
Very large fillings can weaken a tooth or molar over time and increase the risk of fracture. An inlay/onlay/overlay or crown:

• distributes chewing forces more effectively
• protects the remaining tooth structure;
• often provides a more stable, long-lasting solution in the long term.

That’s why, for large defects, we often recommend an indirect restoration instead of placing another large direct filling.

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Are restorations covered by dental insurance?
For adults, restorative treatments (such as fillings, crowns, bridges, and inlays/onlays) are usually only covered if you have an additional dental insurance. Without supplementary insurance, you pay these costs yourself.
For children and teenagers up to 18 years old, many restorative treatments—such as fillings—are generally covered by the basic health insurance (with a Dutch basic insurance and BSN).

We kunnen vooraf een kostenbegroting voor u maken, zodat u – indien gewenst – bij uw zorgverzekeraar kunt navragen wat er in uw pakket vergoed wordt.

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Why do you always work with a rubber dam for fillings?
At 3D Tandarts, we place direct restorations preferably under rubber dam (a rubber sheet that isolates the tooth), because this:

• provides a dry and clean working field;
• improves the bonding and durability of the filling material;
• makes the procedure more comfortable and safer for the patient (no material entering the throat).

This allows us to work more accurately and predictably, which benefits the longevity of the restoration.

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What happens if I postpone a restoration?
A small cavity or an early crack can often still be treated relatively easily with a small restoration. If you wait too long:

• the defect may become larger;
• the tooth or molar may fracture;
• the nerve may become inflamed, making a root canal treatment or even an extraction necessary.

That’s why we advise not to postpone recommended restorations for too long. Treating problems in time is usually less invasive and more cost-efficient.