Dental prosthesis of the anterior teeth. Prosthetics of the front upper teeth - a beautiful and confident smile

When prosthetics of the anterior teeth, the main emphasis is on aesthetics. The strength of the prostheses is not so important here, since the chewing load is not so high. The main task set by the prosthetist is to recreate the anatomical shape, color and degree of transparency of natural teeth. Particular attention is paid to the "pink aesthetics", that is, the gingival margin.

Options for prosthetics of the anterior teeth

Crowns

A crown is a cap that covers the entire visible surface of a tooth. Such prostheses are relevant for severe damage, when the enamel is destroyed by more than 50%. Dental crowns are made in a dental laboratory individual casts. The best option is constructions made of metal-ceramic and metal-free ceramics (zirconium dioxide or porcelain).

Veneers and Lumineers

Veneers are ceramic plates up to 0.7 mm thick. They are attached to the front teeth and cover all visible defects (small chips, cracks, darkened old fillings, etc.). Before installation, the enamel is turned.

Lumineers are the same veneers, but much thinner (0.3-0.5 mm). Due to their minimal thickness, they do not require enamel preparation. Such structures are fixed with the help of special glue (cement).

Installation of veneers and lumineers is advisable only for minor damage to the teeth.

Temporary prostheses

Prosthetics of the front teeth is possible with the help of temporary structures (immediate prostheses). These are the so-called butterfly prostheses, made of plastic, acrylic or nylon. They are fastened by clasps (hooks) that wrap around the supporting crowns.

Immediate prostheses serve no more than 3 months. They perform a cosmetic function and, as a rule, are installed during the manufacture of expensive implants or ceramic prostheses.

Features of prosthetics of the upper and lower teeth

Prostheses for upper teeth

The upper incisors and canines are most visible when smiling. Therefore, their prosthetics require the highest aesthetics. The ideal option is crowns based on metal-free ceramics. Due to the absence of a metal base, such products transmit light like natural enamel.

Prostheses for the lower teeth

For lower incisors cheaper metal-ceramic crowns are suitable. Prosthetics with removable structures is difficult due to the small area for supporting the base. In this case, it is better to give preference to implantation, this is the most reliable method.

Prosthetics of front teeth without turning

To fix bridges, clasp and other prostheses, turning of the supporting teeth is required. However, the preparation of enamel leads to the rapid destruction of a healthy tooth.

In addition, in order to avoid pain, it is necessary to remove the dental nerve and fill the canals before turning. A tooth without a nerve is a dead tooth, its tissues no longer participate in the metabolic process and become brittle.

The most optimal solution is gentle prosthetics without turning.

Options for prosthetics without enamel turning:

adhesive bridges (attached to adjacent crowns with glue);
lumineers;
removable nylon prosthesis;
implantation.

Restoration of anterior teeth with veneers

Extension of front teeth

Tooth extension is an artistic restoration, which is performed using filling materials. This procedure is indicated when the coronal part is less than 50% destroyed. It is an affordable alternative to expensive veneers and crowns.

Other indications for enamel extension:

mechanical damage - chips, cracks, etc.;
the presence of interdental spaces;
violation of the anatomical shape of the tooth (erasure of the cutting edge);
caries.

You can build up a tooth in just 1 visit, the procedure takes 30-40 minutes. The doctor applies a filling mass (composite) in layers to the defect area. Each layer is illuminated with a photopolymer lamp and instantly hardens. At the end of the session, the surface of the filling is ground and polished to achieve perfect smoothness.

When should implants be placed?

A dental implant is a complete replacement for a lost tooth. It consists of an artificial titanium root and a ceramic crown. Therefore, implantation is relevant in the case when not only the crown part, but also the tooth root is destroyed.

The main contraindication to implantation is the loss bone tissue jaws. After tooth extraction, the jawbone loses its natural mechanical load. If you do not fix the prosthesis or implant in place of the "clearing", bone atrophy occurs.

In such cases, a sinus lift operation is performed (building up bone tissue with synthetic substitutes).

Restoration of anterior teeth in periodontal disease

The acute stage of periodontal disease is a contraindication to dental prosthetics. First, you need to undergo therapy with a periodontist and achieve a stable remission, and only then put a prosthesis.

Prolonged periodontal disease causes atrophy of the gums and mobility of the front teeth. Therefore, it is important not only to replace the lost crowns, but also to recreate the aesthetics of the gingival margin, to strengthen the entire dentition. For this, 2 types of removable structures are used:

clasp prostheses - they are based on a metal arc, which allows you to fix loose teeth and evenly distribute the chewing load;
nylon prostheses - their basis consists of translucent pink nylon, which perfectly imitates the oral mucosa. However, nylon prostheses are used only for periodontal disease of 1-2 degrees.

Clasp prosthetics of the anterior teeth

Price of dentures for front teeth

The average cost of prosthetics in the smile zone:

zirconium dioxide crown - 30,000 rubles;
metal-ceramic crown - from 10,000 rubles;
nylon prosthesis - 12,000 rubles;
veneer - from 15,000 rubles;
lumineers - from 30,000 rubles;
implant - about 40,000 rubles;
enamel extension - about 7000 rubles.

A beautiful smile is the first thing many people notice. She can leave a lasting impression on strangers and friends. Smiling plays a key role in your confidence and self-respect. A beautiful smile can make communication easier, improve your behavior, and melt away any insecurities or anxieties you may be feeling.

However, if a person has a flaw in the front teeth (a chip, a crack, a crooked tooth or its absence), then self-confidence is out of the question. The person becomes more withdrawn, embarrassed to speak and smile. This behavior negatively affects both career and personal life. How to help such a subject?

Modern dentistry offers fast and high-quality prosthetics of the anterior upper teeth.

Features of prosthetics of the anterior upper teeth

Dentists understand the importance of prosthetics of the front upper teeth, so the procedure must be completed very quickly and efficiently.

Color.
Form.
Functionality.
Improved gum health.

Metal-ceramic crowns for anterior teeth

A porcelain-fused-to-metal crown is placed on the anterior units. It belongs to one of the types of dentures. Such a product is able to completely replace the natural front teeth. The crown is made of metal and ceramic. Its frame has high strength, and the ceramic coating gives high aesthetics.

Methods of prosthetics of the anterior upper units

Thanks to the rapid development of technologies in dentistry, the issue of restoring anterior units can be solved in one visit to the dentist.

Methods of prosthetics of the anterior upper units:

Veneers are able to hide minor cosmetic flaws such as chips, cracks, noticeable gaps between teeth and malocclusion. These dentures are in the shape of a tooth, about the thickness of an eggshell or contact lens(3mm), are attached to the surfaces of the anterior units with a special dental cement. They are designed to mask minor cosmetic imperfections and create a uniform, straight, natural, healthy smile. Veneers can be composite (direct design, which is performed in the patient's mouth) and ceramic (indirect design is performed on a special machine after taking an impression). The use of aesthetic veneers allows you to change the color, correct the shape or location of the organ. Ceramics are known for their aesthetic properties and are similar to natural tooth enamel. The material has all the properties similar to natural enamel fabrics.
Lumineers are the thinnest ceramic plates that are fixed on the front surface of the units. The ceramic material diffuses the light and because of this it has a very natural look. Lumineers are unique in that they are ultra-thin (approximately 0.2mm) and highly translucent, allowing them to reproduce the natural look of enamel. After the procedure, the patient does not have increased tooth sensitivity or discomfort. A feature of lumineers is that they are installed without pre-treatment of the organ. But this design is not reliable, it can easily break.
Dental crowns are used in cases where the patient has experienced more pronounced damage or decay of the tooth. A dental crown is commonly referred to as a "cap" because it is designed to completely encapsulate a damaged or decayed organ. It can be used to treat a tooth that would otherwise require an extraction because it causes pain and discomfort. After the doctor has treated the organ, the crown is placed over it and fixed with dental cement.
A dental bridge designed to treat missing units consists of a false tooth, known as a pontic, sandwiched between two dental crowns. These crowns are placed over the teeth on both sides of the gap and fixed. Bridges prevent displacement of surrounding teeth.

What are veneers?

Veneers are very thin pieces of porcelain material that are colored to match the patient's teeth. They are perfectly matched to the natural contours of the teeth. Veneers are attached to the front of natural teeth.

Veneers can solve a number of different problems, such as:

Filling in the gaps.
Smoothing crooked teeth.
Coating of yellowed and darkened units.
Covering cracks or chips.
Alignment of jagged lines and shapes.

What are Lumineers?

Lumineers are ultra-thin, highly transparent coatings for teeth. With a thickness of 0.2 mm, Lumineers resemble contact lenses.

Advantages:

Painless procedure.
Long term results.
Rapid prosthetics.
Non-invasive cosmetic procedure.
The structure of the organ is preserved.
Lumineers can also be placed in just 2 doctor visits.

Indications:

Cracks and chips.
Crooked teeth.
gaps between units.
Darkening of the organ.
Worn out teeth.

Given the fact that lumineers are installed without turning the surface of the organ, they do not always fit snugly and can come off at any time. Lumineers protrude slightly forward, so when prosthetics of one unit, they are very different from real teeth.

Upper teeth prosthetics

If veneers are used for prosthetics of the upper units, then usually there are no problems. If implants are placed to reduce the gap between teeth, a sinus lift may be necessary.

Prosthetics of the lower teeth

For this purpose, veneers and lumineers are not used, it is best to put metal-free ceramic prostheses. When implanting lower and upper units, it is very often necessary to carry out bone grafting because there is a high risk of tissue atrophy.

Prosthetics for periodontal disease

On a note: If a patient has been diagnosed with periodontal disease, then prosthetics are out of the question.

The doctor must prescribe treatment to the patient. Implants are installed only if the gum disease is completely cured. If the stage of long-term remission has come, then a removable prosthesis or bridge is installed.

In this case, the gum is minimally damaged, but neighboring units are turned.

Indications for prosthetics of the anterior teeth

There are several indications in which it is necessary to restore the anterior units with a crown or prostheses:

Skol.
Cracks.
Caries.
Malocclusion.
Improving the aesthetic appearance of a smile.
Severe enamel wear.
One or more units are missing.
Consequences of incorrect prosthetics.

Porcelain and metal-ceramic crowns for anterior units must, above all, be durable and aesthetically pleasing. Yellow and steel crowns are rare techniques that are practically not used at present.

An important role in improving the aesthetic appearance of a smile is played by the gender of the patient and his social status, as well as the type of smile - open or closed. From the point of view of anthropology, the teeth of a woman should be with rounded edges, and men should have pronounced teeth with sharp edges. If the patient's focus is on professional development, the dentist may want to slightly enlarge the canines - research shows that higher canines give people confidence. Girls who want to look slim, doctors recommend slightly widening the two front teeth - men equate long incisors with thin legs.

Anterior prosthetics are an important factor in esthetics as the teeth support the lips, cheeks and other oral tissues.

A crown made of metal-ceramic or plastic is installed only after the treatment of the canals of the tooth.

A popular alternative to dentures is implantation. It is possible to perform implantation if the patient has one lost tooth or all 32. Unlike a crown, an implant is not attached to a damaged or neighboring organ and is mounted in the jaw bone itself.

Contraindications for anterior upper unit prosthetics

Absolute contraindications:

Active form of cancer.
Condition after radiotherapy.
AIDS.
Cardiovascular diseases in the stage of decompensation.
Severe condition of the patient.

Relative contraindications:

Diabetes (especially insulin dependent).
Angina.
Smoking more than 20 cigarettes a day.
Some mental illnesses.
Certain autoimmune diseases.
Addiction to drugs and alcohol.
Pregnancy.
The patient's age is up to 18 years.
Allergic reaction to the components of the crown.

In some cases, the installation of a metal-ceramic crown is contraindicated for the patient, since he has an allergic reaction or hypersensitivity to the metal that contains the product. Plastic crowns have practically no contraindications.

In case of allergic reactions to cermets, designs that contain gold or zirconium can be used.

The main problems that arise after the installation of the crown:

After some time or immediately after installation, cyanosis appears in the gingival margin.
The ceramic-metal construction of one organ may differ from the natural ones if prosthetics with a bridge were used.

Advantages of metal-ceramic and metal-free crowns

The task of modern dentists and dental technicians is not only to restore the functions of the lost organ, but to make the prosthesis beautiful and natural.

Modern requirements for prostheses (crowns):

The dentures must be biologically compatible. At present, this factor is very important. Only ceramic crowns do not cause allergic reactions.
The crown should be aesthetic, look good. Good prosthesis should look exactly like a regular organ. Metal-free crowns have a natural color. It is possible to preserve the anatomical shape of the organ using ceramic-metal structures. But in this case, neighboring units will be damaged, as the dentist will have to grind them. Moreover, healthy teeth are translucent. The metal used in the dental structure makes the artificial prosthesis look opaque.
After installing metal-ceramic, many people see darkened gums or a metal edge around the organ. Ceramic structures do not have these disadvantages, as they do not contain metal. Metal-free crowns do not cause gum injury, periodontitis and gingivitis.
Porcelain crowns have the same thermal dilatation as healthy teeth. A person does not feel discomfort while eating or drinking cold and hot. Ceramic crowns will last longer.
Metal constructions can cause allergies and idiosyncrasies, while ceramics are safer.
Ceramic crowns are light. In cases where it is necessary to restore several units, metal crowns may be too heavy.
There is another advantage of prosthetics with ceramics - fixation occurs with glue. It turns the artificial prosthesis and the root into a single whole.

The cost of metal-free crowns is two or three times higher than that of metal-ceramic structures.

Preparation for prosthetics

The dentist carefully examines the patient's oral cavity. After an X-ray.

Stages of preparing a tooth for prosthetics:

x-ray diagnostics (determination of the number, size and degree of curvature of the roots);
anesthesia (local anesthesia);
mechanical cleaning of the tubules of the tooth;
medical flush;
filling the canals of the tooth or installing a stump tab;
complete restoration of the crown of the tooth.

Crown installation

Grinding the teeth before installing the crown is a mandatory procedure, usually depulpation (removal of the nerve) and sealing of the canals are also performed. Biting on solid food should be avoided until the treatment is complete. It should not be painful after an endodontic procedure, although it may be tender for a few days.

Contraindications for root canal treatment:

Anatomical factors such as obstructed root canals.
Tooth with inadequate periodontal support.
Severe condition of the patient.
Vertical root fracture.
Osteomyelitis and malignant tumors.

In the dental laboratory, after the impression, the prosthesis is made. It can be either a single element or a bridge structure. During the fabrication of the structure, the patient wears a temporary prosthesis ("butterfly") in order to protect the turned hypersensitive teeth and maintain aesthetics. The finished crown is fixed with dental cement and helps preserve the rest of the tooth. High-quality prostheses serve for decades, fully maintaining their functionality.

Installation of prostheses without turning neighboring units

Dental implants are teeth that can look and function just like real ones. Prosthesis implantation involves screwing a titanium screw into the bone and attaching a prosthetic organ to it.

The implants are made of titanium alloy. The first step is to place a sterile implant into the bone, which will fuse with the implant in a process known as 'osseointegration'. Once this process has been successfully completed, the prosthesis can be placed above the gum line.

How to restore missing or severely damaged teeth?

In this case, it is best to use dental implants. Implantation is dental procedure in which a metal base is placed in the jawbone (usually a screw) and this implant acts as a support or anchor for the new artificial tooth.

Dental implants are used to replace units when they are severely damaged and have no hope of survival. Over time, the implant or screw takes root in the jawbone and remains a strong support for artificial prostheses (a process known as osseointegration).

Before prosthetics of the upper and lower teeth, the dentist must carefully examine the patient in the clinic, draw up a treatment plan and present him with possible treatment alternatives.

First of all, the concept of minimal invasion should prevail in organ reconstruction. During prosthetics, the doctor should try to preserve as much natural and healthy tissue as possible. Modern dental clinics offer their clients to refuse radical tooth polishing for metal ceramic crowns and prosthetics with strong and esthetic all-ceramic inlays, onlays, veneers, lumineers or partial crowns.

How much do dentures cost?

The cost of prosthetics depends on many factors, including the initial condition of the teeth, the complexity of the procedure, the material for the prostheses, the status of the clinic, and concomitant treatment.

Average prices for prosthetics of the anterior upper units:

Installation of veneers - 1500-50000 rubles.
Installation of lumineers - 30,000-45,000 rubles.
Installation of composite veneers - 1500-2500 rubles.
Bugel implant (price for one implant) - 30,000-80,000 rubles.

Video review of a patient after basal implantation in dentistry of innovative technologies Smile-at-Once

Implantation is the most demanded area of dental services today, helping to solve the most serious problems with teeth, or rather, with their absence. With help modern technologies prosthetics, you can install crowns, make a bridge, build up dental tissue on the root base. But only thanks to implants, it is possible to “equip” new teeth with a mouth in which there is not a single root left.

People have to pull out their teeth for various reasons. Not only medical indications, but also aesthetic needs drive them. And not so long ago it was impossible to insert a tooth if there is no root. Today dentistry can do it.

What is a tooth root

The root of the tooth is not visible to a person, it is the basis of the tooth, which is located in the gum tissue. Her functions are important - to keep the tooth in its place. After all, chewing load is carried out constantly, with rather big force and for a long time throughout human life.

By the way. At the root are nerve endings that serve as a kind of "sensors". When problems arise, they signal this with pain.

Root saving

The root of a tooth is not so easy to destroy. Will be spoiled much faster dental tissue, and the root will be left without the top.

By the way. If the patient has a root left, it can be used for further tooth restoration. A crown will fit on it, and the restoration of the chewing element will be cheaper.

Root removal

with acute and uncomplicated periodontitis;
with complicated periostitis;
in case of persistent pain syndrome;
the root is so destroyed that restoration is impossible;
There is a radicular cyst.

In these situations, root removal is not only recommended, but necessary in order to avoid major and difficult to treat complications, inflammation, and sepsis.

Special design for root replacement

The principle of tooth implantation in the absence of a root is to create a special metal structure that imitates not only the upper part of the dentary bone, but also the lower one, that is, the entire tooth.

The method of implantation is relatively new - its widespread use began 30 years ago. The technique itself was developed and implemented in the 70s, but due to the high cost, it began to gain mass popularity in the USSR only after its collapse.

How was implantation invented? Before scientists had to discover osseointegration. The ability of a bone to grow around foreign bodies implanted in it is osseointegration. Thanks to it, the jaw tissue rigidly fixes the alloy implanted into it and allows you to build up the apical crown on it, as on its own base. In the future, only the crown is subject to replacement, which, depending on the texture of manufacture, lasts 5-15 years. A metal imitation of the root can remain in the jaw without damage and changes for 40 years or more.

By the way. The name of an artificially implanted dental structure - an implant - is much more common than an implant. But since in English it is called an implant, this short version of the name will be more accurate.

When treating a patient who is missing not only teeth, but also their root system, a dental implant is used. It consists of three structural elements.

A metal support (screw or plate base) that replaces the root.
Abutment - an intermediate connecting link between the crown and the support of the tooth.
A dental crown imitating its upper part.

The support can be made of any heavy-duty metal, but it is best (and this is done in the vast majority of cases) to use titanium for the manufacture. This material is particularly strong and lightweight, durable and most reliable. But most importantly, it is well compatible with the human body.

Important! As you know, the human body reacts negatively to foreign bodies that, for various reasons, get into it or are implanted. The reaction can be from allergies, to suppuration and serious inflammation with damage to tissues in close proximity to foreign body. This does not happen with titanium alloy.

Titanium material for implantation is designed in such a way that the protective reaction of rejection by the body, expressed in allergic manifestations, is not provoked. Titanium rejection occurs in one in a million cases. But even despite this, before manufacturing a dental implant support from titanium, the doctor must check the individual tolerance of the patient's body to this metal.

A dental crown that mimics the surface of a tooth can be made from a variety of materials. It is on these materials that the types of implants are designated.

Table. Classification of implants by crown material

Material	Description	Peculiarities
	Pure and alloys are used: platinum, silver, gold. Despite the "nobility", the cost of such crowns is not the most frightening.	They are characterized by strength, therefore they are recommended for installation on the back teeth (molars), which carry the main chewing load. Forward, on the incisors and fangs, you should not put metal crowns - any metal stands out from the dentition, and the mouth loses its aesthetic appeal.
	These include nickel, chromium, vanadium, cobalt, stainless steel.	These materials have a limited service life and are used for implantation of premolars and posterior molars that do not carry the main masticatory load.
	The most commonly used material in the manufacture of dental implants.	The ceramic crown looks as aesthetically pleasing as possible, has a large margin of safety and is better connected to the base screw than other materials. Its service life is 8-10 years.
	Zirconium and aluminum oxide are durable and aesthetic modern materials.	Can be used for allergies to other metals. They are installed as an imitation of all types of teeth.
	It can be considered a novelty in implantology. It is used mainly for restoring frontal teeth.	Acrylic compositions give imitations of teeth, which practically do not differ in color from natural ones. They look natural and last quite a long time, but due to the inherent softness of the material, acrylic is not placed on chewing teeth, mainly on the front ones.

Video: What is a dental implant?

implant surgery

The method of implantation of implants largely depends on how long the patient has been without teeth. It can be performed with or without turning adjacent teeth.

There is an opinion that it is not necessary to grind teeth during implantation, which is why many people prefer it, for example, to the installation of bridge prostheses, in which damage to neighboring teeth is inevitable. But the individual anatomy of each patient should be taken into account. If the teeth have been pulled out for a long time, and there are no roots left in the jaw, the body strives to fill the empty spaces. The surrounding teeth begin to grow together, and after a while the implant simply cannot fit between them, creating interference and discomfort. In this case, a subpoint is necessary.

Installation of implants consists of several stages.

Preparatory stage - sanitation

Before starting work on installing a titanium base that replaces the tooth root, the doctor must clean the root socket, carefully removing all remnants of bone tissue, nerve endings, purulent and other secretions.

Also at this stage, possible contraindications are clarified, all teeth that are subject to treatment are treated, and the oral cavity is sanitized.

The first stage - sinus lift

A procedure called a sinus lift is a process of building up bone tissue. It is not necessary for all patients who undergo implantation. It is performed only in case of a long absence of teeth, if the jaw has atrophied, and the bone tissue has become insufficient for implantation of the implant root.

The second stage - installation of the support

The titanium alloy base can be of two types. One of them looks like a screw. It is better to skip the description of this stage for people with weak nerves. The jaw is cut, and a thread is cut into it, into which a screw-like titanium root is screwed. Of course, everything happens under anesthesia, with deep freezing. Roots-screws are most often used for implantation of front teeth.

By the way. The rule in implantology is as follows: one base - one tooth. An exception may be when the patient has two adjacent closely spaced teeth removed, both with a root. In this case, two crowns can be placed on one base.

The second base, used to restore chewing teeth, has the form of a narrow plate for the entire length of the tooth, which is driven into the bone tissue. To install the plate, the jaw will also have to be cut. An abutment will be attached to this plate in the future.

The third stage is habituation

The incision in the jaw is sutured, and the patient, with the metal base in place, is sent home for habituation and healing. The healing process usually takes three to six months.

The fourth stage - installation of the abutment

The abutment or gingiva former that connects the root to the crown is placed after the root is fully implanted. To do this, the gum is cut again, because the abutment, also called the neck of the tooth, must be immersed in the gum tissue.

By the way. In exceptional cases (age of the patient, intolerance to surgery), one-stage implant placement is possible. This is a long-term, many-hour operation, in which the implantation of the root is performed immediately with the abutment. Thus, there is no need to re-cut the gum. A temporary crown is put on the abutment, which, after implantation of the root, is replaced with a permanent one.

Fifth stage - crown

The final chord of implantation is the attachment to the abutment of a crown made of the material chosen by the patient.

When the crown fails due to constant chewing load (5-15 years after installation, depending on the material), it is replaced with a new one, without replacing the root and abutment.

For whom implantation is contraindicated

Unfortunately, not all patients who have lost a tooth root can be restored with the help of implantation. There are categories of people for whom this technique is contraindicated.

The operation is not performed if the patient:

there are chronic diseases heavy character;
low blood clotting is observed;
transferred myocardial infarction, and he is in a post-infarction state;
one of the stages of drug addiction or alcoholism;
state of pregnancy.

Video: Contraindications to dental implantation

There are many. In addition to the high cost of the work, which for many patients still continues to be a disadvantage of the method, everything else can be attributed to the advantages.

Firstly, with the help of implantation, it is possible to restore a tooth that has been removed from the root.

Secondly, in most cases it is not required to grind healthy teeth, it is possible to save them.

Thirdly, by installing implants as supporting teeth for the prosthesis, it is possible to completely restore the entire jaw using the method of fixed prosthetics.

Fourthly, with any type of prosthetics, except for implantation, there is a periodic restoration or replacement of prostheses completely. In the implant, only the crown changes. This method gives the longest result.

Dental prosthetics has always been a popular service. Now dentists can offer a lot of options for restoring the dentition.

Their main difference is not only in the characteristics of the design, but also in cost. As a rule, the cost consists of the type of prosthesis, the material used and the work of the doctor.

Removable prosthetics

This type of prosthetics is used in the multiple absence of crowns. The main difference between these systems is that they can be periodically removed for purification. Constructions of this type include acrylic, nylon and clasp prostheses.

Acrylic plastic plate

These designs are a classic option that was one of the first to be developed. Lamellar prostheses are indicated in the complete absence of crowns or most of them. Due to the use of inexpensive acrylic, this type of construction is considered the most budgetary.

The price of a removable device consists of two factors: manufacturing and installation. As a rule, in large cities the price range is wider and is 10 - 20 thousand for the installation of one jaw.

In small towns, the average cost of this service is about 12 thousand rubles.

At the same time, the price of a full plate prosthesis differs little from the price of a partial one.

Removable clasp

Unlike the previous option, clasp prostheses are more expensive, since their design involves the use of a metal frame and fixing elements. The device is used for both single and multiple included defects in a number of teeth.

The cost of the byugel will be calculated based on the coverage area and the method of attachment. According to the coverage area, one-sided (simple) and two-sided (complex) models are distinguished. Bilateral models are more difficult to manufacture, so the price for them is 5-10 thousand higher than for simple products.

If the patient decides to opt for a design with clasps, then you will have to pay approximately 25 000 rubles. If special locks are installed as fixing elements, the product will cost about 50 thousand rubles.

Removable nylon

Nylon prostheses in their purpose and functionality are analogous to acrylic prostheses. The only difference is the material of manufacture, which makes the design more elastic, and therefore comfortable to wear. This factor also affects the formation of prices.

Due to the high flexibility of the material, the manufacture of the product requires a thorough preparatory period and special equipment. In addition, nylon itself is not a cheap material. Depending on the coverage area, restoration of teeth by this method will have the following price:

full prosthesis from 25 000 rubles;
partial bilateral - from 20 000 rubles;
unilateral (up to 3 teeth) – from 15 000 rubles.

Fixed prosthetics

Fixed type prosthetics involves the installation of structures with permanent fixation. The cost in this case will depend on the chosen method. The choice of technique is carried out by the dentist, taking into account the characteristics of the patient.

Single artificial crowns

For the manufacture of artificial crowns, a variety of materials are used that differ from each other. physical characteristics and aesthetic properties. As a rule, it is the aesthetics of the material that affects the price of crowns.

Dental clinics offer the following types of crowns for prosthetics:

Metal. This is the simplest and most affordable method of prosthetics. Installation of one crown will cost approximately 5 thousand rubles. For the manufacture of crowns, a cobalt-chromium alloy is used, which is characterized by increased strength.
But low aesthetic properties make this type of tooth restoration unclaimed. In some cases, such products can be covered with a plastic coating, which gives artificial teeth a natural look.

The price in this case is 7 000 rubles.

In addition to the standard alloy, gold alloy is used for the manufacture of crowns, which increases the cost of the product several times. The price of one unit starts from 15 000 rubles.
Metal-ceramic. They are distinguished by high strength and good aesthetic qualities due to the combination of a metal frame and a ceramic coating.
Of all the options that meet aesthetic requirements, metal-ceramic crowns are the most affordable. Their price varies from 6 to 12 thousand rubles. Such a run-up in price is due to the method of manufacture.

The most durable and expensive crowns are made using CAD\CAM technology. Crowns made according to classical technology will have a minimum price.

When choosing, it should be borne in mind that crowns made from domestic materials will be much cheaper than their imported counterparts.

If an alloy of precious metals was taken for the base, then the price of the crown will be 15 - 17 thousand rubles.
Ceramic. In terms of their aesthetic characteristics, they are superior to all other options for crowns. Porcelain or zirconium dioxide is used for manufacturing.
The zirconia product is the most expensive. Its price is 16 000 rubles. It will cost a little less to install a porcelain crown, the cost of which is - 11 000 rubles.

During prosthetics with crowns, it should be borne in mind that the cost of the service will additionally include the installation of temporary crowns made of plastic. The price of one unit is 1 thousand rubles.

Bridges

In the absence of a group of teeth, prosthetics are used with bridge structures, which are divided into three groups:

Metal-ceramic. They are a one-piece structure made of cobalt-chromium alloy by casting and coated with ceramic spraying. Cast bridge price - 18 thousand rubles.
Ceramic. Made from expensive zirconia. The cost of the design, including 3 crowns, is 50 thousand rubles.
Adhesive. The most budget option for bridge prosthetics. The bridge is formed directly in the patient's mouth using a composite material, which is installed on a fiberglass thread.
Restoring a tooth in this way will cost an average of 8 thousand rubles.

Tabs

In the case when only part of the crown is destroyed, and the root of the tooth remains intact, restoration with tabs is used. Inlays are small partial dentures that perform all the functions of a real tooth. The cost of this service will depend on the material used:

porcelain - 10 000 rubles;
zirconia - 15 000 rubles;
chrome-cobalt alloy - 4 000 rubles;
alloy based on precious materials - from 30 000 rubles.

Veneers

Those crowns that have only minor damage or deformation, such as chips and cracks, also need to be restored. To make the surface of the teeth perfectly smooth, veneers are used. Patients can be offered two types of veneers:

Ceramic. They are thin ready-made overlays that completely imitate the front of the tooth. They veneer the surface, gluing to a special solution.
They are in no way inferior to real teeth in their color reproduction, shade and strength. The cost of installing one ceramic veneer is 14 - 17 thousand rubles.

Here the material used plays a major role. Overlays made of zirconium dioxide will have the highest cost, and porcelain plates will cost less.
Composite. In appearance, they are analogous to ceramic ones, only the material for their manufacture is a composite. According to their characteristics, they are inferior to ceramic veneers, which also affects the cost. The price of one product - about 6 thousand rubles.

Implantation

If a tooth is completely lost, it can be restored by implantation. Implantation is a multi-stage and expensive procedure, which includes long preparatory work, implantation period and prosthetics.

If we consider the procedure in stages, then we can trace the process of pricing this service:

Preparation period. To conduct a detailed diagnosis, you will need to use various equipment. In addition, before implantation, it is necessary to put the dentition in order. The costs may be from 3 to 10 thousand rubles.
At the same stage, bone tissue preparation is carried out with its insufficient volume, which adds to the total cost about 5,000 rubles.
Implantation. For implantation, the implant itself and a temporary abutment (plug) are required. The cost of the implant will depend on the manufacturer.
The highest quality implants are considered products of European manufacturers, which cost an average of 14 thousand rubles. After implantation, the implant cavity must be closed with a plug, the price of which is within 5 thousand rubles.

After engraftment, the plug is replaced with a gum former costing about 3 thousand rubles.

Before prosthetics, a permanent abutment is installed, the cost of which varies from 5 to 10 thousand. depending on the design.
Prosthetics. Only certain porcelain-fused-to-metal and ceramic crowns are suitable for implants. The cost of crowns is usually included in the total cost of the service and is 10 - 17 thousand rubles for a unit.

In dental clinics, the service for restoring teeth by implantation will cost on average 40 thousand rubles. Depending on the status of the clinic and the materials used, the price may vary.

Outcome

The average cost of all dental restoration methods, taking into account the material and work, is shown in the following table:

Method	Material (rub.)	Work (rub.)	Total cost (rub.)
Implantation	from 17 000	5 000–15 000	from 35 000
metal crown	3 500	3 000	from 7 000
Metal-ceramic crown	from 6 000	4 000	from 10 000
Ceramic crown	from 12 000	4 000–5 000	from 16 000
Bridge prosthesis metal-ceramic	12 000	5 000–6 000	from 18 000
Bridge pottery	25 000–40 000	6 000	about 50,000
Tabs	3 000 – 8 000	6 000	up to 20 000
Veneers	6 000 – 12 000	7 000	around 20,000
Nylon prosthesis	from 15 000	3 000	up to 30 000
Acrylic prosthesis	from 12 000	3 000–4 000	up to 20 000
Clasp prosthesis	from 5 000	5 000	up to 50 000

If you find an error, please highlight a piece of text and click Ctrl+Enter.

Dental prosthetics

Dentures are the most common way. They are of two types: removable and non-removable. Removable ones are used if there are no teeth left in the row, or most of them are missing. They look like artificial jaws - they consist of plastic pink gums, white crowns, teeth, and fasteners - metal or plastic hooks. It is important that such prostheses can be fixed even just on the gums, that is, they do not need any support. They are, accordingly, inexpensive, but the appearance and comfort leave much to be desired. Dentures can fall out of the mouth, they disrupt diction, and it is problematic to chew food with them.

The second type of prosthetics is fixed. This category includes crowns and dental bridges consisting of several crowns. Of course, they are more comfortable and aesthetic. But there is a problem - both crowns and bridges are attached only to the support. As a rule, this is your own tooth, in which only the root has been preserved. Alternatively, an implant. That is, they are not suitable for restoring the entire dentition or most of it.

Dental implantation

Dental implantation is a kind of step forward after traditional prosthetics. Unlike conventional prosthetics, one more detail is added - an implant or a titanium screw that is screwed into the bone. It serves for life as a support for artificial teeth - by the way, it can be either a removable prosthesis, or a single crown, a dental bridge.

The advantages of implantation are that it is a more natural option for restoring teeth, since both the crown (the top of the tooth) and the root are replaced. That is, the artificial tooth will function as it was intended by nature. In addition, the prosthesis is securely fastened, looks very aesthetically pleasing, works exactly like a natural tooth - that is, it can be chewed with almost no restrictions.

Of course, many people are afraid of the pain that they will face when installing implants. However, we hasten to assure that modern implantation is no more difficult than the treatment or extraction of a tooth. Installation of an implant, bone augmentation (required if there is a lack of it caused by a long absence of teeth) - all operations are necessarily performed under local anesthesia and take no more than 15-20 minutes. And in some cases, you can leave the doctor's office with a new tooth.

Implantation with delayed loading

This is a classic two-step method: first, the implant is placed into the bone by cutting the gum and drilling a hole in the bone to place the implant, after which the gum is sutured. The implant remains unloaded in the bone for up to six months to fuse with the bone tissue. After it is fixed, a permanent prosthesis is fixed, which looks like a natural tooth. In order for the patient not to be without teeth all this time, a temporary structure is attached, usually removable, it holds on to neighboring teeth or gums. Thus, it is possible to restore both one and all teeth in the jaw.

Immediate Load Implantation

This technique is more gentle in relation to the patient. The prosthesis (permanent, non-removable, but lightweight) is attached immediately after the implant is placed. The “screws” implants themselves are implanted into the bone by a puncture through the gum according to a pre-modeled plan on a computer, based on 3D computed tomography, so the patient recovers very quickly and easily after treatment. In addition, the operation is performed in one step and lasts for 15-20 minutes, without severe trauma to the soft tissues and suturing. As a result, you get a tooth almost immediately after implant placement. The only caveat: although you can chew with such a tooth, you need to do it very carefully, gradually increasing the chewing pressure.

Implantation after tooth extraction

Implants can also be installed at the same time as the tooth is removed - that is, the root of a living tooth is removed, and an implant is placed in its hole. This is convenient, since there is no need to additionally injure the bone and gums, but, unfortunately, it is not always possible - you need to prepare for implantation, and tooth extraction usually occurs urgently.

Thus, teeth can be inserted using conventional prostheses or implants. And the second option, although more expensive, is preferable in terms of aesthetics, functionality and durability. The titanium root replaces the natural one, preventing the negative consequences for neighboring healthy teeth, which often occur if a lost tooth is not restored.

Prosthetics of the anterior teeth

Losing front teeth is a tragedy for every person, causing uncertainty, discomfort, and sometimes deep depression. Experts say that the reconstruction of hard dental tissues, taking into account the phonetic features of speech, aesthetic requirements, is a complex procedure.

Description of the procedure

If the front teeth cannot be restored using filling materials or veneers, modern dental clinics offer patients a choice of crowns characterized by high aesthetic properties and functionality. And in the absence of two or a number of units, bridge prostheses are used.

Dentists in the process of prosthetics try to solve the main tasks, such as:

restoration of chewing functions;
restoration of aesthetic appeal.

The front teeth, which are considered the hallmark of any person, deserve great attention. Often procedures are performed with the aim of improving cosmetic properties, such as defects, color, shape. For aesthetic appeal, specialists comply with the requirements for transparency, reflective ability, and shapes. An important point during the procedures, it is considered that in the future they are not exposed to diseases.

Prosthetics of the anterior upper teeth: before and after

Popular prosthetic structures today include metal-ceramic, metal-free, veneers, implants, prostheses, varieties of which can be seen in the photo (above) before and after prosthetics of the front teeth.

Metal-ceramic crowns for anterior teeth

A porcelain-fused-to-metal crown mounted on the anterior units is one of the types of dentures.

The aesthetic appearance of the product completely replaces the natural front units.

They are made from metal and ceramics. The framework has high durability, and ceramics appearance gives high esthetics. Consider in the photo (above) the prosthetics of the front upper teeth are offered for review.

Let us consider in more detail the indications for prosthetics of the anterior lower teeth.

Anterior teeth restored with crowns or dentures have the following indications:

chips, cracks, other problems;
caries, in which it is necessary to perform restoration;
noticeable wear of the enamel;
the absence of one or more units;
problems arising from improper prosthetics, or malocclusion;
to improve aesthetic performance.

Porcelain-fused-to-metal and ceramic crowns have specific application requirements. First of all, this concerns strength, aesthetics, which is very necessary for chewing and front teeth. In particular, prosthetics of the lower teeth with ceramic-metal in one bridge allows you to restore several units, which is not typical for other prosthetic structures. Yellow or steel crowns, in the absence of wishes for aesthetics, are practically not restored by the patient and are classified as rare techniques.

Clasp upper prosthesis for anterior teeth

If there are no chewing units, then it is better to install ceramic-metal crowns. Single constructs can be placed in cases of preserved root or on implants. When the root is preserved, it should be treated, and then partially restored coronal part and fixation. The coronal part can be restored with a post with a stump turning for a strong fixation of the crown or with the help of a stump tab. Pins and tabs are made of metal.

It should be noted that prosthetics on implants exclude the preparation of adjacent teeth.

An advantageous option is implant prosthetics with subsequent fixation of the crown. Also, patients are successfully restored with bridge prosthetics.

Contraindications

Contraindications to the prosthetics of the anterior teeth are more related to metal ceramics due to the metal content in it. Metal-free prosthetics has practically no contraindications. So some patients may experience an allergic reaction to the metal base of the structure, but basically it is made of a metal alloy. This material does not have an oxidative reaction, does not rust and is considered bioenergetic.

In the event of an allergy, prosthetics should be performed with structures containing zirconium or gold.

After installation, the following problems may occur:

the manifestation of cyanosis in the gingival region after a time or immediately after installation, the cause of which is the base;
metal-ceramic constructions in a single installation may differ from natural ones, but there is no such problem in a bridge prosthesis.

Advantages of metal-ceramic and metal-free crowns

Progressive technologies make it possible to manufacture prostheses for the front teeth of the upper and lower row, which do not differ at all from natural ones. The main benefits include:

thanks to the materials, excellent aesthetic properties are achieved;

Metal-ceramic crowns have excellent aesthetic properties

The service life of crowns can be more than fifteen years with good hygiene. The process of prosthetics for two missing front teeth with cermet is used, if there are also small defects. Achieving a high splinting, functional and aesthetic effect is carried out using a clasp prosthesis in the area of the molar and premolar. It should be noted some disadvantages when installing metal-ceramic crowns, such as strong grinding of hard tissue up to 2 mm on each side. Dental depulpation is also performed as a necessary procedure in some cases.

Improper work can damage the pulp, which subsequently leads to the appearance of inflammatory processes and the continuation of treatment with new prosthetics.

Metal-free crowns are made of high-strength ceramic and are considered one of the best types of prosthetics for anterior teeth. They are characterized high rates aesthetics, do not chip or stand out over time, are easily matched by color, and also have a long service life. But their cost exceeds ceramic-metal structures by two or three times.

Training

Patients are pre-screened oral cavity with x-rays. After that, treatment is carried out if necessary.

The seals are checked for the quality of installation, if they are in poor condition, the channels are cleaned and re-sealing is carried out.

Then depulpation is performed, as a mandatory procedure before prosthetics. A pin or stump tab is installed in the destroyed tooth.

The installation process involves turning with the implementation of a ledge to support the crown.

After that, an impression is taken from the jaw with its further sending to the laboratory, where a crown or bridge will be made. At the time of fabrication of the structures, temporary dentures are placed on the turned teeth in order to protect the exposed tissues and restore aesthetics. During the initial readiness of the uncoated crown, a fitting is carried out to make changes, correct shapes, match colors, after which the structure is coated with glaze. The crown is fixed to the tooth with dental cement.

The possibilities of modern dentistry allow patients to replace from one unit to full range with the restoration of aesthetic and functional features without harm to adjacent teeth.

Modern dentistry allows patients to replace front teeth without harming neighboring teeth.

Patients who have installed structures made of metal ceramics or ceramics enjoy comfort and appearance for a long time.

Leading experts recommend using two types of crowns to restore the front teeth, both metal-ceramic and non-metal. But the right decision would be to choose an experienced, competent dentist and a clinic with modern equipment and materials.

Loss of one tooth - which type of prosthetics to choose?

A beautiful smile is important for each of us, because it is a kind of visiting card of a person. As a rule, we are annoyed if for some reason the integrity of the dentition is violated, whether it is the removal of a tooth for medical reasons or its loss due to trauma. If the defect is located in the smile area, the person usually experiences serious discomfort during communication and therefore seeks to quickly eliminate the defect. But in case of loss of chewing teeth, people very often postpone prosthetics for a rather long period, not considering it a particularly important matter, because the defect is not visible to others. Meanwhile, the consequences of such an attitude can be quite serious. In this article, we will talk about the importance of timely prosthetics and the methods that modern dentistry offers in case of loss of one tooth.

What is the risk of tooth loss?

In case of violation of the integrity of the dentition, the loss of the beauty of a smile is far from the most serious consequence. The human dental system is designed in such a way that the absence of even one tooth can cause various problems, the number of which will grow like a snowball. The process can begin with a gradual displacement of neighboring teeth, continue with their deformation and destruction due to uneven loading, and then lead to gum disease, various diseases periodontal disease, bite pathologies and arthrosis of the temporomandibular joint.

Undoubtedly, appearance is also very important. If the absence of a tooth is clearly evident to others, a person feels awkward, embarrassed to smile, and complexes may develop in him.

Thus, it can be clearly understood that the loss of just one tooth can lead to a number of physiological and psychological problems, which can be easily avoided if the defect is corrected in a timely manner. A qualified dentist can help you do this.

Types of prosthetics for the loss of one tooth

Dental science today has reached unprecedented perfection - a variety of prosthetic methods can effectively restore chewing function, and it is almost impossible for a non-professional to visually distinguish artificial teeth from natural ones. The choice of a particular option depends on which particular tooth is missing, how long this defect has been present, as well as on the condition of adjacent teeth, the oral cavity as a whole and the financial capabilities of the patient. Taking into account all these factors, after the examination, the dentist can offer various methods for restoring the dentition.

Possible types of prosthetics in case of loss of one tooth:

Installation of a dental implant followed by the manufacture of a crown (ceramic or metal-ceramic).
Prosthetics with a bridge structure (ceramic, metal-ceramic or solid cast).
Making a removable immediate prosthesis.

Installation of a dental implant

Implantation is the most modern method dental prosthetics. Despite its high cost, this method of restoring the integrity of the dentition successfully competes with others, since it allows you to avoid grinding adjacent teeth.

A dental (tooth) implant is most often a multi-component structure that is inserted into the bone tissue for the purpose of subsequent prosthetics. It can be installed both on the frontal part of the jaw and in the area of chewing teeth. A decisive factor for the possibility of implant placement is the condition of the patient's bone tissue. The implant, as a rule, consists of a part implanted into the bone (the implant itself) and an abutment - a superstructure, on which the crown is subsequently directly installed.

The implantation process usually takes place in two stages. Initially, an operation is performed to immerse the implant in the jaw bone, after which it is covered with the gingival mucosa for osseointegration for a period of 3-6 months. After this period of time, a gum former or an abutment is installed immediately, on which a ceramic or metal-ceramic crown is soon fixed.

The undoubted advantages of the implantation method are reliable fixation of an artificial tooth, no need for preparation (grinding) of neighboring teeth and excellent aesthetics. In addition, the installation of an implant stops the inevitable process of bone tissue atrophy at the site of a lost tooth - this effect cannot be achieved using other types of prosthetics.

The disadvantages of this method include its high cost. The cost of implantation includes the price of the implant itself, the abutment and the crown, which is made using a special technology.

Installation of a bridge prosthesis

Restoration of the dentition with the help of a fixed bridge structure has been widely used in dental practice for many decades. The cost of such a prosthesis is much lower than the cost of a dental implant, but its installation involves the preparation of adjacent (often healthy) teeth.

For prosthetics with a bridge structure, the abutment teeth must be prepared, if necessary, caries should be cured, fillings should be placed and, most often, depulped. Then, preparation is carried out, an impression is taken and a prosthesis is made, consisting of two crowns and an intermediate artificial tooth.

In the manufacture of bridges made of ceramics and metal-ceramics, it is possible to achieve good aesthetics and unconditional functionality. Solid metal structures are most often used to restore the dentition outside the smile zone because of their not very aesthetic appearance.

The obvious disadvantage of this method of prosthetics is the need to depulp and grind two teeth, which are often completely healthy. In addition, there is an increased load on their periodontium. Under the influence of various adverse factors (poor oral hygiene, gum disease, etc.), this can further lead to loosening and even loss of abutment teeth. However, with care and good hygiene, a bridge can serve you well for many years.

What are crowns and bridges made of?

A ceramic-metal prosthesis is a metal frame on which ceramic masses are applied in layers, followed by annealing in a special furnace at a temperature of 900–1200 °C. This method allows you to very accurately reproduce the shape, color and functionality of natural teeth. Under the condition of proper manufacture, the absence of periodontal diseases and good oral hygiene, the service life of a metal-ceramic prosthesis is more than 15 years.

Ceramic (metal-free) structures are made without a metal frame, which is why they have slightly better aesthetic properties compared to metal-ceramic prostheses. Therefore, they are most often used to restore the dentition in the frontal part of the jaw, although they can also be used for prosthetics of chewing teeth. An important advantage of ceramic bridges is that their manufacture does not necessarily require depulpation of the abutment teeth. In addition, such prostheses are hypoallergenic and suitable for people with hypersensitivity. The disadvantage of this method is its high cost.

Solid metal prostheses are very reliable, strong and durable. They are made by precision casting, most often from a cobalt-chromium or silver-palladium alloy, less often from alloys based on gold and platinum. Such designs perfectly restore the chewing function, but do not have a satisfactory aesthetics. Therefore, they are usually used to eliminate defects in the dentition outside the smile zone. One-piece cast prostheses are quite simple to manufacture and relatively inexpensive.

Making a removable immediate prosthesis

A removable immediate denture is usually used as a temporary solution. It allows you to restore aesthetics, chewing function and avoid tooth displacement during the preparation for the manufacture of a fixed structure. An important advantage of such a prosthesis is that it can be made in advance and installed immediately after tooth extraction.

This type of prosthetics does not take much time. The doctor determines the color of the patient's natural teeth, takes impressions and sends them to the dental laboratory, where the prosthesis is made of acrylic resin or nylon within a maximum of 3 days.

You need to know that it is not recommended to wear an immediate prosthesis for more than 3-4 months, and if it becomes necessary to use it for a longer time, you need to replace it with a new one. In addition, the patient is advised to carefully monitor hygiene, regularly rinse and clean the prosthesis in order to avoid the appearance of bad smell or development of caries of adjacent teeth.

What type of prosthetics is best?

Obviously, it is impossible to call any type of prosthetics the best and superior to the others, since each clinical case requires an individual approach. In addition, the financial capabilities of the patient play an important role in choosing a method for restoring the dentition and chewing function.

Different methods of fixed prosthetics have their own nuances and contraindications, so be sure to inform the dentist if you have any diseases or hypersensitivity. Based on the completeness of the information, a qualified specialist will help you choose the safest and most effective type of prosthetics in your case, which will allow you to maintain healthy teeth and a beautiful smile.

Dentist surgeon, implantologist

Article checked by Dr.

Implantation is the most demanded area of dental services today, helping to solve the most serious problems with teeth, or rather, with their absence. With the help of modern technologies of prosthetics, it is possible to install crowns, make a bridge, build up dental tissue on the root base. But only thanks to implants, it is possible to “equip” new teeth with a mouth in which there is not a single root left.

How to insert teeth if there is no root

What is a tooth root

By the way. At the root are nerve endings that serve as a kind of "sensors". When problems arise, they signal this with pain.

Root saving

The root of a tooth is not so easy to destroy. The tooth tissue will be damaged much faster, and the root will be left without the upper part.

This can happen as a result of injury (fall, fight). Dental bone tissue is much weaker than it seems. It breaks quite easily at the gum, the tooth comes off, and the root remains inside.
Without a tooth, with only one root, you can remain during a dental intervention. For example, during a complex operation to extract a tooth, the bone does not withstand the load, it breaks, the root remains.
The most common reason that the root remains defenseless, and a person is deprived of a chewing element, is the destruction of dental tissue by caries. It takes a long time for complete loss, but if you do not see a doctor for treatment, this will happen.

Tooth root in the gum

By the way. If the patient has a root left, it can be used for further tooth restoration. A crown will fit on it, and the restoration of the chewing element will be cheaper.

Root removal

with acute and uncomplicated periodontitis;
with complicated periostitis;
in case of persistent pain syndrome;
the root is so destroyed that restoration is impossible;
There is a radicular cyst.

Removal of the root of the tooth

In these situations, root removal is not only recommended, but necessary in order to avoid major and difficult to treat complications, inflammation, and sepsis.

Special design for root replacement

Stages of dental implantation

By the way. The name of an artificially implanted dental structure - an implant - is much more common than an implant. But since in English it is called an implant, this short version of the name will be more accurate.

dental implant

When treating a patient who is missing not only teeth, but also their root system, a dental implant is used. It consists of three structural elements.

A metal support (screw or plate base) that replaces the root.
Abutment - an intermediate connecting link between the crown and the support of the tooth.
A dental crown imitating its upper part.

Dental implant systems

Important! As you know, the human body reacts negatively to foreign bodies that, for various reasons, get into it or are implanted. The reaction can be from allergies, to suppuration and serious inflammation with damage to tissues in close proximity to a foreign body. This does not happen with titanium alloy.

Titanium implants have the lowest percentage of rejection

A dental crown that mimics the surface of a tooth can be made from a variety of materials. It is on these materials that the types of implants are designated.

Table. Classification of implants by crown material

Options for prosthetics of the anterior teeth: prices, types, patient reviews. Photos before and after treatment

Any problem with the front teeth, be it caries, a chipped corner, a yellowed filling, not to mention a missing tooth, immediately becomes visible to everyone. Not surprisingly, few people are ready to demonstrate their dental problems to everyone. Therefore, the prosthetics of the anterior teeth is what patients ask to be done in the first place. Let's find out which options for prosthetics of the front teeth are the most aesthetic and durable, as well as cost-effective?

Features of prosthetics of the anterior teeth

Starting the prosthetics of the front teeth, the dentist needs to solve two main tasks:

To provide the patient with decent aesthetic options when restoring anterior teeth
Do it as soon as possible

The front teeth are visible when talking, communicating and smiling, therefore, all diseases of the frontal part of the dentition cause discomfort in patients, reduce self-confidence, and interfere with work. And on the very first visit to the dentist, the patient asks to fix the front teeth. To solve such problems, depending on the "size of the trouble", the dentist offers various solutions. If this is caries, then a filling is placed, if the edge of the tooth is chipped, then a veneer is made, when the front tooth is removed, an implant is placed, in case of severe destruction it is prosthetized with a crown.

Almost always, at the first visit, the dentist can make a temporary prosthesis that will allow the patient to wait for a permanent dental crown or veneer, and at the same time not fall out of the rhythm of their usual life. This is especially necessary when temporary prosthetics of the upper teeth are carried out, in the frontal area.

Types of prosthetics of the front teeth

Prosthetics of the front teeth are conditionally divided into 1) temporary and 2) permanent, as well as 3) removable and 4) non-removable.

It is necessary for emergency solution of problems in case of fracture or removal of the front tooth, or when decementing old crowns, bridges. Depending on the presence or absence of abutment teeth, removable immediate dentures or temporary plastic crowns are used to cover the missing teeth. Temporary dentures for the front teeth are made either on the first visit of the patient or the next day. The service life of such temporary prostheses does not exceed 30-60 days.

This option of prosthetics becomes possible, after some time, after the engraftment of the implant or the restoration of the supporting teeth with stump tabs, in a period of one week to 6-7 months. Even under favorable conditions, if you decide to make a ceramic crown on anterior tooth, it can take 4-5 days, so it is rarely possible to do without temporary prostheses.

It is used quite rarely, mainly when it is impossible to install implants, as well as in the absence of supporting anterior teeth and most of the posterior teeth, when it is impossible to use a bridge prosthesis. Under less dramatic conditions, removable dentures for the front teeth, they are made for the time of engraftment of implants, and are worn from 4 to 7 months before prosthetics with crowns on implants.

It is used when it is impossible to restore the front teeth using composite fillings and restorations, as well as to change the color and shape of the front teeth (in elective, aesthetic dentistry).

The most widely used non-removable prostheses are:

veneers, ceramic inlays, lumineers
crowns and bridges
crowns on implants.

Dental crowns for prosthetics of the front teeth

If the front teeth are destroyed by more than 60%, in such cases it is necessary to make crowns on the front teeth. Before this, it is necessary to restore the destroyed teeth with stump tabs. The most aesthetic stump inlays for the front teeth are made of zirconium dioxide. This is done so that the standard metal stump tab does not shine through the thin mucous membrane of the gums and does not make the gum blue or gray in the neck of the front tooth.

Types of crowns for front teeth:

Zirconia
Ceramic
Metal-ceramic

The best esthetic results are achieved with all-ceramic crowns. If there are problems with clenching and grinding of teeth during sleep, it is better to choose anterior zirconia crowns. The most budget option, metal-ceramic crowns for the front teeth.

Using veneers to restore front teeth

When the cutting edges of the front teeth are chipped, with deployed and dark front teeth, dentists use veneers, which are ceramic overlays, 0.3 to 1 mm thick, of different colors and degrees of haze. Veneers are fixed to the outside with a bond and adhesives. Recently, dentists have been using veneers made from lithium desilicate glass-ceramics by pressing and high-temperature firing. Depending on the clinical situation, veneers are placed on the front teeth located in the smile zone, most often on the 6 front teeth in the upper and lower jaws. Veneers allow you to change the shape and color of the teeth, and do not require their depulpation and serious turning, as in prosthetics with crowns.

Lumineers for front teeth

Lumineers are false ceramic plates for correcting the color of teeth, and are fixed directly on the enamel of the outer side of the teeth. To install lumineers, unlike veneers, the teeth are not turned at all. Basically, lumineers are used to give the teeth a milky white color, like that of Hollywood movie stars. To restore with lumineers, it is necessary to use all the teeth included in the smile zone, on the upper and lower jaws, because the difference in color between lumineers and natural teeth is very large. To give the teeth a radically white color, lumineers are fixed on the front 20 teeth, ten on the upper and ten on the lower jaw.

The disadvantage of lumineers is that they do not adhere tightly to the surface, which reduces their shelf life to 5 years or less. Plaque can accumulate along the edges of lumineers, which leads to secondary caries.

Prosthetics on implants

When removing the front teeth, the most physiological and durable way to restore the dentition is dental implantation followed by prosthetics on implants. Implantation allows you to save healthy dental units from turning and depulpation, preserve the volume of bone tissue and provide the most natural prosthetics. How much does an implant crown cost? Anterior crowns for dental implants are made from different materials. The most good crown on a zirconium implant, which is also the most expensive. But the cost of a crown for a ceramic-metal implant is almost 2-3 times cheaper, which is explained by the lower aesthetic performance of this crown on implants in the frontal area. Quite often, when implanting in the area of the anterior teeth, the newly installed implant is immediately loaded with temporary plastic abutments and crowns. Temporary crowns on implants are used for 3-6 months. Most often, a temporary crown on the implant is made of acrylic, less often of metal-plastic. Temporary crowns on implants are used for 3-6 months. Most often, a temporary crown on the implant is made of acrylic, less often of metal-plastic.

What is the cost of front teeth prosthetics?

The cost of dentures for the front teeth is determined by the following factors:

type of denture
production material
price segment in which the dental clinic operates
qualified dentist and dental technician
timing of the manufacture of the prosthesis

The cheapest prostheses for the front teeth are temporary plastic crowns, the price starts from 200 rubles per crown, and the most expensive are zirconium crowns for an implant, the price starts from 25,000 rubles per crown. The price for prosthetics of the front lower teeth does not differ from the prosthetics of the front upper teeth.

Given the great aesthetic value of anterior teeth, the most reasonable way to restore the beauty and naturalness of a smile is to choose from ceramic crowns or zirconia crowns.

Together with your dentist, you can determine the optimal recovery method.