If a tooth is cracked, worn, sensitive, or missing altogether, everyday things can start to feel harder than they should. Chewing may feel uneven, a small bite of food may catch on a rough edge, or an old filling may finally stop holding up the way it once did.

Restorative Dentistry at Dr. Courtney & Dr. Anton Misleh DDS helps address those changes with care tailored to your mouth and your goals. We serve patients at 4320 Genesee Ave UNIT 204, San Diego, CA 92117, and we focus on rebuilding teeth so you can eat, speak, and smile with more ease.


Signs to watch

Many restorative needs start small. A chip, a dark edge around a filling, or a tooth that feels different when you bite can be an early clue that something needs attention. Waiting often makes the repair more involved, so it helps to notice changes early.

You may want to schedule an evaluation if you notice any of the following:

  • A tooth that hurts when chewing
  • Hot or cold sensitivity that lingers
  • Visible wear, chips, or cracks
  • Food trapping around a missing tooth
  • Old crowns, fillings, or bridges that feel loose or rough
  • Uneven biting or pressure on one side

These symptoms do not always mean major treatment, but they do mean the tooth should be checked before the problem spreads to surrounding teeth or supporting structures.


Repair options

Restorative Dentistry covers a range of treatments, and the right option depends on what the tooth has lost and how much structure remains. At Dr. Courtney & Dr. Anton Misleh DDS, we look at the tooth, the bite, and the surrounding tissues before recommending a plan.

Fillings and small repairs

Composite fillings are often used when decay, wear, or a small break has left a tooth needing support. They can rebuild shape and help the tooth handle daily chewing again.

Crowns, inlays, and onlays

When a tooth needs more coverage than a filling can provide, crowns, inlays, and onlays may be considered. These restorations are used to protect weakened teeth, restore chewing surfaces, and preserve as much natural tooth structure as possible.

Bridges and dentures

Missing teeth can affect more than appearance. Bridges and dentures help replace absent teeth so chewing feels more balanced and speech stays clearer. These options may also keep neighboring teeth from drifting into open spaces.


Missing tooth solutions

If one or more teeth are missing, replacement is often important for comfort as well as oral health. Gaps can change the way your bite comes together and make certain foods harder to manage. Restorative care can close those spaces and make the mouth easier to use day to day.

We provide implant-focused restorative options that include:

  • Single implants
  • Implant-retained bridges
  • Implant-retained dentures

These solutions are designed to support chewing and stability while blending into the rest of the smile. During your visit, we can review whether an implant restoration or a different approach is a better match for the tooth or teeth involved.


How treatment starts

Restorative care usually begins with a careful exam and radiographs when needed. That first visit helps us see what is happening above and below the gumline, including areas that cannot be checked by sight alone. We also talk through symptoms, prior dental work, and any concerns you have about comfort or appearance.

  1. Evaluate the tooth: We check decay, cracks, wear, missing structure, and nearby tissues.
  2. Discuss options: We explain which restorations can address the issue and what each one is meant to do.
  3. Plan the sequence: Some teeth need one visit, while others benefit from staged treatment.
  4. Restore the area: Treatment may involve rebuilding a tooth, replacing a restoration, or creating space for a replacement tooth.

Our office also provides home care guidance so you know how to protect the area after treatment and reduce extra wear.


Comfort and care

People often delay restorative treatment because they worry about discomfort, time, or how much work the tooth may need. Those concerns are common. We aim to make the process clear from the start, with practical explanations and a treatment plan that matches the condition of the tooth.

When a tooth feels sensitive

Sensitivity can happen when enamel wears down, decay reaches deeper layers, or an old restoration no longer seals the tooth well. Addressing the cause usually matters more than simply covering the symptom.

When chewing feels off

If a tooth catches, shifts pressure, or leaves your bite feeling uneven, it may need shape, support, or replacement. Small changes can make a large difference once the bite is balanced again.

When appearance matters too

Many restorative treatments also help the smile look more natural. A repaired edge, a crown, or a well-matched filling can improve appearance while strengthening the tooth at the same time.


Restorative goals

The goal of restorative dentistry is not only to repair damage, but to help each tooth do its job again. That may mean improving how a tooth handles chewing, protecting it from further wear, or replacing a missing tooth so the bite stays more stable.

For some patients, the main concern is function. For others, it is how a tooth looks when they speak or smile. Often it is both. Restorative treatment can address all of those concerns together, especially when the plan is built around the specific tooth rather than a one-size-fits-all approach.

Dr. Anton Misleh and Dr. Courtney Misleh bring over 30 years of combined experience to this kind of care, supported by a knowledgeable office staff, hygienists, and assistants who help keep visits organized and comfortable.


Home care after repair

What you do at home matters after a restoration is placed. A repaired tooth still needs consistent care, and the surrounding teeth should be protected as well. Good daily habits help restorations last as long as possible and reduce the chance of repeated wear.

  • Brush twice each day with a soft-bristled toothbrush
  • Clean between teeth daily
  • Avoid chewing ice or hard objects
  • Wear a night guard if grinding is part of the problem
  • Keep regular dental exams and cleanings

If you have a crown, filling, bridge, denture, or implant restoration, we can also show you how to care for that specific type of repair at home.


Common questions

What problems does restorative dentistry address?

Restorative Dentistry addresses damaged, decayed, worn, or missing teeth. It also helps when older dental work no longer feels secure or does not match the rest of the mouth well.

Do I always need a crown for a broken tooth?

Not always. Smaller areas may be repaired with a composite filling, inlay, or onlay. The right choice depends on how much tooth structure remains and where the damage is located.

Can a missing tooth be replaced?

Yes. Missing teeth can be replaced with bridges, dentures, or implant-focused options. The best choice depends on the number of teeth involved, the bite, and your overall treatment goals.

Will restorative treatment help with chewing?

That is one of the main reasons people seek treatment. Rebuilding a tooth or replacing a missing one can make biting and chewing feel more even and less strained.

How do I know which restoration I need?

It starts with an exam and a conversation about what you feel day to day. From there, we compare the tooth’s condition with the types of restorations that can support it.

Is restorative care only for large problems?

No. Small chips, early wear, and worn fillings are often easier to address than a more advanced issue. Treating concerns early can keep the repair more conservative.


Book a visit

If a damaged or missing tooth is making meals, speech, or daily comfort more difficult, Restorative Dentistry may be the next step. Dr. Courtney & Dr. Anton Misleh DDS welcomes patients from across San Diego, CA who want practical care for teeth that need rebuilding or replacement.

The office is open Monday through Thursday from 8:00 am to 5:00 pm. Call +18582681618 to learn more or to schedule your visit at 4320 Genesee Ave UNIT 204, San Diego, CA 92117.