Which crown is better to put on the tooth: types of crowns and manufacturing materials, pros and cons, prices and reviews
The tooth crown is able to restore an almost completely destroyed tooth even in the most hopeless case.With its installation, it will have the same form and function, as well as reliable protection against caries.
Nowadays, modern dentistry offers reliable and aesthetic orthopedic constructions that meet the requirements of the most demanding patients.In our review there will be a talk about what dental crowns are, what they are and how much they cost.
Dental crown: this is
It is a denture that is not removed.It looks like a single element, similar to a cap, which is made in the dental laboratory for casts, and then attached to the tooth.So, replaces the visible part of the tooth and in a situation where it is seriously damaged, missing or unaesthetic.
Crowns are needed to fix the bridge or clasp prosthesis on the supporting teeth, which are often healthy.Put the crown can be both on the damaged natural tooth, and in the situation of its absence - on the implant.
"Crown" tooth usually
in case of destruction of the of its upper part by more than 70%.As a rule, we are no longer talking about sealing, or microplasticization with a tab, as this does not ensure an optimal redistribution of the masticatory load.Incorrect pressure on the tooth in the future will lead to its splitting, after which it will have to be removed.Proceeding from this, it is necessary to choose between filling, insertion and installation of the crown taking into account the recommendations of the doctor.
Fastening of tooth structures
The installation of the crown on the tooth occurs in several stages:
-
The dentist visually inspects the tooth. - Directs the X-ray to take a picture.
- Conducts treatment.As a rule, it consists in removing the nerve and sealing the canals.
- If the situation is such that you need to grind healthy teeth to fix the bridge, then the doctor decides about the depulpation of the tooth.
However, everything is very individual.In general, dentists do not take risks and simply remove the nerve.If the tooth tissue is not severely damaged, then the wall is grinded by the .Sometimes a natural tooth crown is missing completely, then a dental tab is inserted that provides good fixation.
Previously, the tab was not used, instead of it a pin was installed, the crown on the pin in our time is considered an outdated technique.Because it has a number of complications that result in a tooth loss.
After all necessary manipulations to prepare the patient, is removed from the patient, after which they are sent to the dental laboratory.Then the fitting of the finished structure and installation is carried out.
How can dental crowns be held?Orthopedic products are fixed thanks to to the special cement , it permanently and reliably keeps the prosthesis in the oral cavity.
How long will it take to install the crown on the tooth?All the necessary steps in the installation of the crown on the tooth can not be carried out at a time.Prosthesis is also possible in a few hours, if the dental clinic is equipped with the necessary equipment.
Kinds of tooth structures
Modern dentistry has various dental crowns.They are classified according to the material of manufacture: metal;Metal-ceramic and all-ceramic.
Prostheses are chosen, guided by clinical indications, patient's wishes and price. Metal implants appeared the very first and still have not lost their popularity.Are made of various alloys: titanium, steel( stainless or chromocobalt).
gold and platinum are also used.Dental crowns can be made entirely from expensive metals or only with spraying.With the installation of metal structures, the patient completely restores the chewing function of the tooth, however, such implants do not look the most aesthetic.
The price of a crown made of metal is considered one of the most budgetary.Crowns of gold were at the peak of popularity 20 years ago.Nowadays, the teeth of this precious metal are not a tribute to fashion, but, most likely, kitsch and in the outskirts, gold crowns are still in demand.
As it is known, gold and medical alloy on its basis belongs to to the most safe for the body of metals, that's why it is recommended as a material for earrings after a puncture of the ears.
But still in the mouth, gold does not look as good as in the ears.However, with the chewing function, the metal crowns do quite well, therefore in the segment of dental services they have their place.
Metal-ceramic constructions
Metal-ceramic are an average option, combining reliability and a rather natural aesthetic appearance.Crowns for teeth from this material consist of two parts : internal is made of metal, external - ceramics.
This design has a lot of advantages, but if the gum decreases( even insignificant), a metallic bezel becomes visible.This aesthetic problem is removed if instead of traditional alloys, use zirconium dioxide , which is white.
Ceramic products
Such designs have the most pleasant appearance, but they are not cheap.The material allows you to perform designs with the same shade of naturalness as is inherent in natural teeth.In addition, ceramics are recognized by as the most biocompatible material of from all the above.
Crowns made of ceramic material without metal impurities are used mainly for teeth prosthetics in the smile range, as in the case of chewing, they are not always preferable to others due to lack of necessary strength.
Metal-plastic constructions and plastic
is used for temporary prosthetics of teeth.As a rule, they are used as dental crowns for prosthetics on implants, however, sometimes they are also installed on the turned teeth in the form of a single crown or bridge prosthesis.
The advantage of such implants is the available price .But there are more shortcomings.Among the minuses of metal-plastic structures are the following:
- short life( 1-3 years);
- rapid abrasion of the original color;
- unreliable attachment of the plastic crown to the metal base;
- Transillumination of a metal part through plastic, etc.
The plastic tooth crown of this material is also an orthopedic structure for temporary use.Plastic implants are manufactured in a short time, have a low price.
In addition, the material is light, which is important for temporary dental crowns, installed for the period of engraftment on implants, as well as for turned natural teeth afterwards with the purpose of replacing them with a permanent structure.
Dental crowns on implants
If prosthetics is performed on the basis of implants, the best option will be dental crowns made of ceramic without metal, they will give the necessary aesthetic component.
Because metal has the ability to show through ceramics, which repeats the natural transparency of natural teeth.To ensure a high aesthetic value of the crowns, it is better to pay attention to the zirconium abutment.
If it is necessary to prosthetic root, for which the aesthetic appearance is not so important as opposed to functionality, then the best option will be dental crowns on implants of cermets.Those who do not want to choose between aesthetic appearance and functionality are advised to install the zirconia construction on implants.
Color selection
Technologies of modern dentistry can offer orthopedic designs of natural tooth color today.Of course, we are not talking about metal crowns, but about ceramic, metal-ceramic and plastic.
Ceramics is able to simulate the color of and the transparency of tooth enamel by 100%, so for those around you, the transition from implantable teeth to natural is imperceptible.The same ability is possessed by plastic, which is often used for temporary structures.
Metal ceramics can also imitate natural color if a zirconia frame is made.If you choose a different metal, then the crown base will probably shine through the artificial enamel.Modern dental laboratory equipped with a scale Vita , which allows you to choose the most appropriate shade of enamel.
Cost of construction
The price of one dental crown directly depends on the material, the method of manufacture, the category of the clinic and its location, the qualification of the orthopedic physician.Therefore, prices vary greatly.
For example, the Moscow dental clinics offer to install structures at the following prices:
- Metal crowns at a price of 700 to 16 thousand rubles.
- Metal-ceramic will cost from 3 thousand to 40 thousand rubles.
- Ceramics - approximately at the price of 21 thousand rubles.
If the patient wants to know the more accurate price of one implant, then he needs to come for a full-time consultation with to a doctor in one of the dental clinics.
Which crowns are best for choosing
The choice of crowns for teeth is performed in conjunction with the doctor at the reception.A knowledgeable dentist will talk about possible options for prosthetics, as well as all the pros and cons of each, regarding your individual case.
It turns out that the best crowns will be those that your doctor advised.But, when it comes to the advantages of the material and according to the patients' reviews, then all-ceramic crowns occupy the leading positions.They are made by pressing or refractory models.
Such designs are ideal for replacing anterior natural teeth due to their high aesthetic qualities.Since they accurately reproduce the shade of and the transparency of natural enamel.
Functionality of this material is maintained due to strength, because it is necessary to withstand the chewing load with which the patient's own teeth can so easily cope.
Choose a clinic and a doctor with the understanding that quality work on the installation of a crown on the tooth can not be done cheaply and done in one visit.
If the orthopedic design is manufactured and installed incorrectly, then it can cause various complications of , which will cause periodontitis, malocclusion, damage to neighboring teeth and other unpleasant problems.
Sometimes, after fixing the crown, there is discomfort or pain in the tooth, then you should not postpone to contact the treating dentist .
Patient Testimonials
My sister has a temporary plastic construction on the front teeth.She was immediately warned that this material is short-lived, but it's been 3 years since the moment of prosthetics, and the teeth are still standing, their appearance has not changed at all.Sister hopes that she will be able to spend another year with them, and then, of course, will go to put something more expensive.
This spring the root tooth has disappeared from me.The dentist, to whom I turned, collected a tooth from almost nothing.He began with the treatment of canals, and ended by installing a crown on it.He did everything carefully and carefully, so I did not confine myself to one tooth and entrusted him to cure the rest.
I have an implant of a front tooth made of ceramics, before that there was a cermet.The aesthetic look became much better, the tooth acquired a natural shade and beauty, it became much better than before.Therefore, I advise everyone to put ceramics on the front teeth, although it's expensive, but it's worth it!
Oksana.Saint-Petersburg
