Photos before and after installation of dentures

What are the features of prosthetics for anterior teeth?

Any specialist understands perfectly well how important his smile is for a person, because it is a kind of business card, which means it is the first thing we pay attention to when meeting or getting to know each other. A lot depends on its beauty: the success of the transaction, personal relationships and - most importantly - the psychological state of its owner. Therefore, every time doctors are faced with the need to restore a front tooth, they are faced with an important and difficult task: to quickly and efficiently carry out the procedure. Prosthetics of the front tooth requires not only the correct recreation of the function, shape and color of the tooth, but also requires paying special attention to the “pink aesthetics”, that is, the gum.

What to prepare for

Dental implantation is a technique that does not have the disadvantages of previous generations of prostheses. Implantologists consider it as the only way to restore lost teeth that does not harm the health of the oral cavity and has an unlimited (usually lifelong) service life.

Important! No other prosthetic method provides such high aesthetics as implantation.

But it should be taken into account that dental implantation is not a simple procedure during which an implant is simply inserted in place of the missing unit. The future tooth (more precisely, its root) must have a certain size, the proper position and direction, and a strictly defined inclination are selected for it.

In addition, it is necessary to restore all the tissue surrounding the tooth - and, first of all, bone tissue and gums. It is this comprehensive approach that allows us to achieve reliability, impeccable aesthetics, and durability of implant treatment.

Implantation is a slow process, except for one-stage implantation, as well as the “all on 4” and “all on 6” techniques. Treatment usually involves several stages, despite the common name of "two-stage" surgery.

Treatment always begins with diagnosis, which is the first and, perhaps, the most important stage that determines its outcome. Based on the results of the preliminary examination, a decision is made on implantation technology, types of implants, and the details of the upcoming operation are thought out.

Important! It is necessary to prepare for the fact that during the implantation process you will have to go through several stages. A standard scheme applies to all patients, so we have prepared a detailed description of each stage of dental implantation.

In what cases are veneers used to restore front teeth?

If the problem is minor damage in the area of ​​the front teeth, such as cracks or minor chips, as well as in cases where a person is not satisfied with the shape and color of the front teeth, it is advisable to correct the defect by installing ceramic veneers. A veneer is a thin porcelain plate no more than 0.3 mm wide, which is fixed to a ground tooth using composite cement. Modern materials from which veneers are made are very durable, hypoallergenic and can imitate almost all shades of natural enamel, as well as its transparency. Many modern dental clinics in Moscow, which provide prosthetics for front teeth using this orthopedic design, can offer the installation of veneers during one visit to the doctor. With careful care, such ceramic restorations will serve their owner for at least ten years.

Stage 2: preparatory

Details of the preparatory stage may vary significantly for different patients due to differences in the condition of the oral cavity in general and the jaw bone tissue in particular. Most people planning to have implants require dental hygiene.

Sanitation is carried out with the aim of eliminating bacterial plaque from the surface of tooth enamel, since a successful implantation operation requires, if not sterility, then maximum cleanliness of the oral cavity. The presence of pathogenic microflora can provoke the development of inflammation, which should be avoided at any stage of implantation.

Hygienic cleaning is done using ultrasound when there is existing tartar, soft plaque is removed using Air Flow technology. The price of such reorganization is from 6,000 rubles.

At the preparatory stage before implantation, it may also be necessary to remove teeth, treat caries and periodontitis. The price of each procedure is calculated separately.

But the most serious step before installing implants may be bone grafting surgery. Very often it is impossible to do without it due to a lack of bone due to its resorption - resorption, natural loss. Bone volume can be greatly reduced if a tooth is lost or removed long ago, or due to individual characteristics.

As a rule, bone grafting is performed in the case of classical two-stage implantation, which places high demands on the quality of the jaw bone tissue. In addition, bone grafting is almost always necessary for patients who have lost teeth a year or more ago. During this period, the bone undergoes rarefaction and becomes brittle, which creates certain difficulties with fixation of implant roots.

There are several methods for performing bone grafting, or osteoplasty, using different materials. Therefore, the price will depend on the selected operation technology. There are 3 options in total:

• sinus lift;
• directed regeneration;
• autotransplantation.

What are Lumineers and when are they used?

Lumineers are another type of orthopedic plates designed primarily to correct the color and shape of the tooth surface. The installation of lumineers, unlike veneers, is carried out in one visit and does not involve grinding of the dentition. That is why there is no need to wear temporary structures before installing them. Lumineers also have an undeniable advantage over composite restorations: thin ceramic plates do not darken over time.

However, there are also disadvantages. Since lumineers are installed on an unground surface, it is sometimes very difficult to achieve a tight fit to the teeth. In addition, the tooth on which the lumineer is attached differs from the natural dentition in size and shape, so it is not recommended to correct local defects with its help.

How is prosthetics performed for severely damaged front teeth?

Modern prosthetics of anterior teeth in many cases involves the use of an old proven method - installing a crown. This prosthesis is a protective frame that is put on the ground remaining part of the tooth and completely repeats the shape and color of the lost crown part. The need to use this orthopedic design arises in cases where the tooth is destroyed by more than 50%. Before installing it, the doctor grinds down the tooth (what’s left of it), and only then puts on the “cap,” that is, the crown itself. Modern specialists prefer to prosthetize the front teeth using the most aesthetic type of crowns on a frame made of lithium disilicate, feldspathic ceramics and zirconium dioxide.

Materials for production

The correct choice of material determines how long the crowns will last and how correctly they will function. All modern materials differ from each other not only in cost, but also in physical properties.

An example of what artificial teeth look like

All properties allow you to install the prosthesis on a specific area. There are materials that are used only for the front teeth, and there are also those that can be used to restore only the chewing group.

Front row restoration material

The front teeth do not experience increased load, but crowns must meet all aesthetic requirements.

That is why it is recommended to use the following materials for reconstruction:

1. Metal ceramics . This is a metal frame with several layers of ceramic on it. Increased wear resistance, long service life, aesthetic properties meet all requirements. The cost of such a design averages six thousand rubles.
2. Porcelain. For manufacturing, pressing is used, this is what gives the products resistance to mechanical stress. Due to the absence of metal, the structure looks almost the same as a real tooth. Another main advantage of the product is hypoallergenicity. The metal is not strong enough, but the coating perfectly replaces a real crown.
3. Plastic. This is one of the most short-lived materials, which can collapse even with minor impact. Due to the porous structure of the enamel, dyes from food penetrate inside, so the aesthetics of the crown quickly loses its appearance.

An example of work performed in a person's mouth

The patient decides which material to choose, because the cost differs significantly between them.

Material for crowns on chewing teeth

The load on these teeth is the greatest, which means that for restoration, materials that can withstand mechanical stress should be used. Metal-ceramics, which was described above, can also be included here.

An example of what ceramic crowns look like

In addition to this, there are other types, they are intended exclusively for these teeth:

1. Zirconium dioxide. The material is no different from a natural tooth: transparency and color are transmitted with one hundred percent accuracy. It is possible to restore both the anterior and posterior dental rows. Abrasion resistance is high. Such qualities correspond to a high cost, which in some clinics can reach thirteen thousand rubles.
2. Metal. The name of this material speaks for itself. To make crowns, only metal is used; there is no additional coating or spraying. The physical properties are high, everything is excellent for chewing teeth. Due to low aesthetics, it cannot be used on the front row.
3. Metal composite. The material is not in demand. For manufacturing, a metal frame is taken, and several layers of plastic are applied on top. This design can only be used on chewing teeth and only temporarily. The thing is that there is no sufficient adhesion to the metal; with a slight impact, the product can fly off. As practice shows, crowns last for six months.

Example of metal-plastic crowns

To restore the entire dentition, combined structures can be used; they include crowns made of different materials.

Interesting! The combination of metals can be varied: ceramics with cermets or metal.

How are missing or severely damaged teeth restored?

Dental implantation is considered the most reliable and optimal option for restoring missing or unrecoverable incisors. Implants do not require grinding of adjacent teeth, and their installation has virtually no contraindications. Implantation is considered the best option for prosthetic treatment of anterior teeth for periodontitis. When reconstructing teeth in the anterior region, specialists prefer to work using an accelerated method, that is, to carry out one-stage implantation. It makes it possible to completely restore a tooth in one visit to the doctor and maintain the correct contour and volume of the gums. The patient is given an implant, and immediately after that a temporary crown is installed, which completely restores the aesthetics of the smile. However, it must be remembered that one-stage implantation is possible only under certain conditions. Otherwise, if for some reason it is impossible to immediately install a temporary crown, the doctor still does not let the patient go “with a hole instead of a tooth,” but temporarily covers it with a removable denture.

How much do the best dentures cost?

Publisher: Expert magazine about dentistry Startsmile.ru