Filling on the front teeth, between the teeth: how to fill it, which one to choose, types, before and after photos. You can make an appointment for a light filling at the Dent Prestige clinic by phone.

Many patients do not know that they can put fillings on their front teeth. Its goal is not only to eliminate defects, but also to restore anatomical, physiological and aesthetic properties.

The procedure is quite popular. In order for the result to please the patient, it is necessary to choose a competent specialist with extensive experience. A professional will select the necessary material individually for each type of teeth and install the product so that it will not be noticeable in the smile area.

Installing a temporary filling

A filling between the front teeth is often placed due to carious lesions. For several days, it protects healthy tissues and nerve endings from external influences.

After a session of cleaning the canals and removing the nerve, the structure is replaced with a permanent one.

Life time

temporary product depends on the need for installation. As a rule, it is worn for no more than one month. Lasts about three days if arsenic is present.

When treating pulpitis or advanced stages of caries, the reaction of the unit is checked. Antibiotics are applied under the material. In this case, you need to walk for at least three weeks. The installation method is identical.

The following can be used as the main material:

polycarboxylate cement,
dentine,
vinoxol,
karyosan,
softened paste

Preparing for installation

When installing a light filling, the dentist uses an ultraviolet lamp

First, the dentist examines the patient’s dentition and identifies other defects. Next, the therapist examines the problematic front tooth.

If deep caries is suspected, a photograph is taken. In case of a confirmed complication, the molar is depulped and the canals are cleaned, followed by filling.

The procedure is necessarily accompanied by modern anesthesia.

In this case, treatment usually lasts for 2-3 visits to the dentist, because after treatment of the dental canal you need to wait for the root reaction.

If the patient does not feel any discomfort and the control image shows that the canals are sealed correctly, the doctor proceeds to install a permanent structure.

Replacing a filling

Sometimes it becomes necessary to change fillings on the front teeth. Replacement is due if it is fixed:

Violation of the integrity of the closure of the carious cavity. This process provokes infection.
Vertical or horizontal shrinkage of material.
Heavy load due to chewing. Because of this, destruction occurs.
The development of periodontal tissue diseases - gingivitis, periodontitis.
Overhang of the edges on the gum.
Wear due to flat occlusal surface.
Change in the shade of an artificial tooth (usually darkening).
Poor quality of oral hygiene.
Diastema of the frontal units.
Changing the inclination.
Insufficient cleaning of dental plaque in the area adjacent to adjacent molars.

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How the shades of cement were selected during fixation

The work on dental restoration was varied, and we worked with both crowns and dental modules:

the upper anterior teeth, which were restored using “crown + tooth root” modules, were fixed with double-curing cement,
and those teeth on which I placed veneers and crowns were fixed with light-curing cement so that in bright daylight the glue would not be noticeable

Light reflecting off the crown or veneers can make the luting cement visible. In addition, due to the fact that the working surfaces of the teeth were of a non-uniform color, with the presence of a yellow tint, it was necessary to work with different colors of cement. That is, I used more yellow cement where the roots of the teeth were and used light-neutral-colored cement on the veneers and crowns to achieve a uniform color scheme. It's very difficult to get the color perfect

.
But we managed to do
:

Naturally, Aryuna is now the most super beautiful:

Aryuna, as I said earlier, works on television, she is a fairly public person - she interviews TV and show business stars. She appears on camera very often, and for her such a smile is not only a guarantee of her good mood, but also great confidence in herself and her abilities. After all, an open and cool smile is the key to female success
! This job, according to her, is the ideal solution for her. Made your smile easy, quick and beautiful!

Aryuna left a video review, short but very charming

:
And in conclusion of my story about this case of restoration of the front teeth, let’s once again go through all the stages
of transforming Aryuna’s smile:

Photo BEFORE the start of
dental restoration. Aryuna came to me with such a smile; she has old temporary structures.
View of temporary structures on the 6 anterior teeth of the upper jaw.
Temporary structures were removed and teeth and tooth roots were prepared for prosthetics.
Selecting the color of the veneers.
New temporary structures were installed. Your smile transformation has begun!
Aryuna's smile with new temporary structures.
In the meantime, we prepared the permanent teeth. This is how they “sit” on the model.
And this is what all the elements of the teeth that we will install for our patient look like
The teeth have been installed. Close-up - looks great!
View of a smile on the right
View of a smile from the left
FINISH!
ARYUNA'S SMILE WITH NEW TEETH!

Author:

Sergey Samsakov

orthopedic dentist

born 02/02/1989

Education:

2011 — Graduated from the Moscow State Medical and Dental University named after. A.I.Evdokimova

2012 — Internship in the specialty “Orthopedic Dentistry”, Moscow State Medical University named after. A.I.Evdokimova

2014 - Residency in Orthopedic Dentistry, Moscow State Medical University named after. A.I.Evdokimova

Painfulness of the procedure

Most people are afraid of the procedure precisely because of toothache, but modern technology and the use of anesthesia eliminate this ailment.

The session is completely painless. To reduce the likelihood of discomfort, all manipulations are carried out after the administration of an anesthetic. If there is no nerve, the procedure is performed without anesthesia. The patient may feel slight pressure on the gum.

An exception is intolerance to certain medications used for anesthesia. The choice is made in favor of a similar drug with a different active substance.

After the injection, no painful sensations are observed.

It hurts if there is a strong inflammatory process at the root apex and in the canals. Unpleasant sensations occur only when the drug gets into the periodontal tissues. They go away instantly after increasing the dosage of the painkiller.

Some pain is possible if there is a deep stage of carious lesions, depulpation or canal treatment is performed, or sensitivity is increased.

Is it painful to have a filling?

Many readers remember very well from their own bitter experience how toothache was treated in Soviet times. Modern medicine has made giant leaps forward. So, knowing how teeth are filled now, we are no longer so afraid of going to the dentist. This is why the number of people suffering from toothache who are terrified of sitting in the doctor’s chair has been rapidly decreasing in recent years.

Nowadays, a patient in a good clinic is not even faced with the choice of treating a diseased tooth without or with anesthesia, and the choice of anesthetics is so wide that even an allergy sufferer will not have to suffer from pain. A couple of injections into the gums, and for quite a long time the patient does not experience any pain, and a slight sensitivity after filling, which usually goes away within a maximum of two days, can be relieved by modern painkillers or traditional medicine.

Installation on the front teeth

The procedure takes from half an hour to an hour and a half, depending on the complexity of the problem.

The stages of setting up the frontal units are as follows:

Carrying out professional oral hygiene. The hygienist cleans the molars and interdental space from plaque.
Determination of tone.
Introduction of anesthesia. The anesthetic is selected taking into account the patient's tolerance to the active substance. The injection is given in the gum area.
Removal of caries. If the pathology affects only the superficial layers, then the disease is eliminated by grinding.
Removal of the inflamed area of the pulp.
Preparing the plane. The dentist treats the surface with a drill.
Acid and adhesive treatment of dentin and enamel for better adhesion.
Treatment with an antiseptic solution. This point is important in order to reduce the risk of microbial development.
Application of material. It hardens quickly, so it is important to “shrink” it immediately with a special tool.
Bite check. To do this, the doctor asks the patient to bite down on a plate of dye. When a certain area of this element is painted, a violation is considered.

Performing grinding and polishing of the artificial surface for proper bite and ideal smoothness.

When restoring the anterior dentition, diastema closure is often performed. This is possible if the spaces between the central molars are small. More material is applied to the incisors to increase their width. Thus, the distance between them disappears.

Do you want beautiful dental restoration?

Always at your service - Sergey Samsakov, orthopedic dentist with more than 10 years of successful experience, Moscow. Expert in 3D digital smile modeling, dental inlays and dental modules, veneers and digital CEREC technology.

Patients come to me from all over Russia:

Types of fillings for front teeth

The design on the frontal incisors must have such properties as resistance to abrasion and destruction, biocompatibility, thermal conductivity to protect against exposure to different temperatures, and matching the enamel in structure and shade.

There are several types of materials. They have their own characteristics:

Cement silicophosphate
(zinc phosphate or polycarboxylate) material. Among the advantages, it is worth highlighting the low cost. However, there are many more disadvantages: Firstly, fixation and adherence to the walls is insufficient. Secondly, the color is noticeably different, since the cement quickly acquires a yellowish tint. Thirdly, the surface of the artificially created unit is poorly polished.
Composite
The structure, shape and color of a natural incisor are most clearly conveyed. It is characterized by increased strength. The downside is the risk of roughness if the material is not mixed well.
Plastic.
Its advantages include a tight fit, aesthetic component and mechanical strength of the material. The color palette is wide and you can easily choose a shade to match the color of your teeth. The negative aspects are that the plastic darkens and turns yellow, the surface gradually becomes rough, acrylic releases toxins and also shrinks.

When choosing, you need to know how long different types of fillings last. Cement is short-lived. Their service life does not exceed one and a half years. Plastic products last up to three years. Good composite fillings last up to five years.

The best filling materials (as of 2022)

In the dental world, the greatest authority in the assessment of restorative materials currently belongs to the American publication The Dental Advisor. For the last 12 years (from 2010 to 2022), the highest award in the “universal composites” category has been awarded to the Japanese filling material Estelite Sigma Quick. Selection criteria: percentage of inorganic filler, amount of shrinkage, correspondence of shades to the natural color of the tooth, ease of use, radiopacity, polishability. A survey of dentists showed that they switch to Estelite more often than to other filling materials. Clinical success of Estelite is 99%.2

Among aesthetic composites in 2015, 2016, 2022, according to the same publication, the filling material from Germany, Venus Pearl, took the highest position. Its clinical effectiveness is 91%.3 In 2021, it received the title of “preferred product”. It can also be used for chewing teeth.

In 2022 and 2022, first place in the category of aesthetic composites was taken by the Harmonize material of the American manufacturer Kerr Restorative.4

Other good quality filling materials should also be mentioned. These include those who received awards in 2016-2019: Omnichroma, Brilliant EverGlow, Admira Fusion, Filtek Supreme Plus and Filtek Supreme Ultra.

The best choice of fillings for front teeth

The filling must close the cavity and prevent infection of the canals. In the case of front teeth, the aesthetic aspect comes to the fore, so the material must have the appropriate properties.

The most durable fillings for damaged front teeth are light products

. They are made from a material that hardens under ultraviolet rays. The composition contains heliocomposite, glass-ceramic filler, and resin.

Durability of photopolymers

Photopolymers are characterized by increased strength. They can last up to 10 years. They are resistant to temperature, restore length and shape.

Reflective filling has many advantages

Eating food and water is allowed immediately.
Increased adhesive ability.
Plastic. The material allows you to clean out any pores and cracks.
Layer-by-layer application. Due to this, the grip is enhanced.
The percentage of shrinkage is minimal compared to chemical analogues.
Does not release toxins.
Possibility of fixing in a small area.
Possibility of choosing a color that is similar to enamel.

Minus

is high cost. As a result of the use of a UV lamp, the price does not allow the use of a light filling as a temporary structure.

Materials

In modern dentistry, a wide variety of materials are used for filling teeth. Since the purpose of filling is not only to close the hole in the tooth, but also to restore its physiological and anatomical functions, the material must be selected according to the load on the tooth and its location.

For example, in case of serious damage to the structure of the chewing tooth, polymers that can withstand heavy loads are used as a filling substance, and for the front teeth it is customary to use light-curing composites, since their properties help to match the color of the filling to the natural color. At the same time, silicophosphate or silicate cements are most often used for incisors.

The basic requirements for materials used to fill canals are as follows:

complete sealing of root canals;
absence of a chemical reaction that changes the color of the tooth;
no shrinkage of the filling;
easy removal from the dental cavity if repeated treatment is necessary;
insolubility in the soft tissues of the tooth.

Gutta-percha meets most of the requirements from this list, but has one significant drawback, namely the complete inability of the material to block the vital activity of microorganisms in the sealed cavity. Glass ionomer cements, on the contrary, prevent this process. Not only are they particularly durable, but they are also fully compatible with dental tissues, release fluorides that help strengthen dentin, and do not shrink. When using this material, filling teeth has minimal consequences, however, it also has its drawback - increased acidity. In connection with this fact, a special calcium-based medical pad should be installed under such a filling.

There are other types of filling materials such as pastes, plastics and amalgam. Modern dentistry is trying to avoid the use of amalgam fillings, since they contain mercury, which is very harmful to the body; moreover, this material is not wear-resistant and very unreliable.

Yellowing of fillings on front teeth

Patients often experience discoloration of artificial units.

Causes

Common causes of pathology are:

Getting injured.
Secondary caries.
Drinking black tea or coffee.
Smoking.

Darkening is possible when the nerve is removed.

Correction methods

The first step is to carry out the whitening procedure. You can get rid of yellowing only with photopolymers. Only if the structure has lightened slightly does it need to be replaced.

Whitening methods

Photopolymers are bleached using the in-channel method. A special gel is injected into the root canal and a temporary structure is placed. After 2-3 procedures, the shade becomes lighter, and the structure is replaced with a permanent one.

Lost filling on a front tooth

Causes

The reason for material loss may be:

Neglect of oral hygiene and, as a result, plaque formation.
Untimely removal of tartar.
Inflammation of the pulp.
Mechanical injuries.
Chewing food with frontal incisors.
Poor tooth preparation before the procedure.
Eating seeds, nuts, etc.
Excessive load on the front units. For example, opening lids, chewing threads, etc.

Elimination methods

With high-quality elimination of carious cavities, correction is carried out within a month. If the product was placed in the treatment of deep caries, then you should immediately contact the dentist to exclude an infectious process.

Treatment is prescribed depending on the cause of the loss. If there is repeated caries or loss of a pulpless tooth, re-installation does not make sense. The doctor suggests installing a pin or crown.

What to do if a piece of the filling breaks off

In this case, you should immediately visit a dentist

. The doctor will correct the problem in one visit if no spread of secondary caries is noticed.

If the chip occurs from the edge, then the restoration is carried out with the same material that was originally used. If a significant part has broken off, the doctor suggests changing the material or performing a complete restoration and extension.

Pastes for filling

In order to fill dental canals, different pastes are often used. They are used to seal voids in the tooth cavity after the pulp has been removed. Today the most popular pastes are:

formalin paste Resorcinol;
Forfenan paste;
Endamethozon paste.

But all pastes are very difficult to unfill if you need to re-treat the tooth. In addition, the material may be distributed unevenly; when the channel is filled, air gaps may occur. But regardless of this, such pastes are used very often for filling.

The filling on the front teeth interferes after treatment

In some cases, the design on the frontal incisors prevents the mouth from closing completely; the roughness injures the tongue or the mucous membrane of the lips.

Causes

Trouble arises if sufficient grinding and grinding of the excess surface has not been carried out.

Much less commonly, the cause is an excess of applied material when correcting the interdental gap on the front teeth.

The rarest situation occurs when the wall between the filling and the pulp chamber is thinned. There is a feeling of discomfort that irritates the nerve.

Complications

Ignoring pathology can lead to unpleasant consequences. For example:

The high position of the artificial structure causes a lot of pressure on the jaw. Pulpitis and periodontitis gradually develop.
Increases the likelihood of chipping.
Uneven closing of the jaw contributes to its dislocation and other diseases of the temporomandibular apparatus.

Possible complications

Dental treatment, like any other medical intervention, can lead to complications.

Typically patients face the following problems:

Dental treatment, like any other medical intervention, can lead to complications
infection of the opened cavity, which leads to the spread of pathogenic microflora under the filling and its loss ahead of time;
penetration of infection into the root area, which is fraught with granuloma, cyst with subsequent loss of the masticatory organ;
malocclusion due to improper grinding in the clinic;
penetration of toxic filling materials into the area of the dental nerve, followed by pulpitis or peridontitis if the dental filling technique is violated.

To avoid complications, you should contact a reputable clinic and take precautions after filling a molar.