Dental crowns are a way to restore a damaged tooth when you can’t hope for more. The point is to return the tooth to its original shape and help it perform its primary function.
A non-removable denture is a single element, like a cap. This is a replacement for the visible part of the tooth. It is created according to the impressions of the tooth of a particular person. No standard dentures fit all – each is made according to individual measurements, after which it is fixed on the tooth.
During examination and diagnosis, Aesthetic Dental dentists evaluate some parameters indicating installation. Crowns are placed on the teeth in three cases – when the crown part of the tooth is significantly damaged, absent in principle, or has an aesthetic defect.
In these cases, we are not talking about installing a filling or micro prosthetics with an inlay since such less radical methods cannot guarantee an even distribution of the masticatory load. Therefore, a tooth that receives more and less than optimal pressure will split and be removed altogether.
Contraindications include the extreme stage of periodontitis, and the patient’s age is less than 14 years. The prosthesis is corny and will not hold or grind off healthy teeth. Therefore, the option of installing a crown is not suitable here. In other cases, the problem is solved.
The division according to the manufacture materials is accepted – metal, cermet, just ceramics, metal-plastic, plastic, and zirconium. These are the most popular materials and products used in almost any clinic.
But when deciding which dental crowns are better to put, clinical manifestations, indications, personal preferences of a person, financial capabilities, and many other factors are considered. That is, the decision is made by the doctor and the patient jointly after a complete diagnosis of the existing situation.
Metal is the most affordable and budgeted of all types. Almost anyone can afford to install them. However, they are the least aesthetic – they stand out in color from the dentition and are large and shiny.
Metal-ceramic crowns are strong plus have a relatively natural appearance at a low price. Such products, as is evident, consist of two materials and two, respectively, parts. Internal – metal, external – ceramic. Others can see the ceramic part – the same color as natural teeth. However, ceramic-metal has a drawback: when the gum decreases, a metal rim of a different color becomes noticeable for various reasons.
Ceramic crowns do not contain any metal impurities. This is the most expensive option, but it is beautiful. The ceramic is the same color as natural teeth. The same transparency as teeth. Most biologically compatible.
Porcelain crowns are not strong enough to take on the chewing teeth load, but there is simply no better option for the smile zone.
Metal-plastic crowns – this option is suitable when temporary crowns are placed. Usually, it is prosthetics on implants. But sometimes, they can also be worn on teeth that have been turned – as a single crown or in the form of a bridge.
For the front teeth, part of the so-called “smile zone,” aesthetics are essential because they are visible to everyone. It is impossible for a person to be embarrassed to smile, open his mouth, or talk. Therefore, the visual component is essential for this zone.
In the case of the chewing zone, strength becomes a more significant parameter. Therefore, products made of zirconium and cermets are used here.
When crowns are placed on the front teeth on implants, metal-free ceramics are usually also chosen. It unmistakably repeats the transparency of the dental tissue of a natural tooth.
In general, all questions about crowns for the front teeth – which are better, from what – can be answered additionally by the Aesthetic Dental doctor. He has practical experience and an understanding of your situation. For chewing, cermet is quite suitable.
To begin with, the patient undergoes an examination by an Aesthetic Dental orthopedist and receives a conclusion on the need and feasibility of prosthetics. X-ray of the teeth shows the possible need to treat existing caries or pulpitis.
Next, it takes casts for the future manufacture of the prosthesis. The orthopedist grinds the patient’s tooth under local anesthesia to remove the top layer of dentin. And he sets up a temporary structure for the period while a permanent prosthesis is being created, fitting and fixing a new crown.
The stages take place over multiple days. This will be at least three or four visits to the doctor’s office.
Caring for crowns is the same as for natural teeth. It is allowed to use a brush or an irrigator. Metal ceramics can also be cleaned with specialized brushes or toothpicks. Or dental floss. The main thing is to remove plaque formed between the teeth. And move from the gum to the end. After complete cleansing, patients usually use rinse solutions. Specific brands can be checked with an Aesthetic Dental dentist.
The best crowns for teeth are made of pressed ceramics with a higher density. But still, prostheses are often placed on chewing teeth, under the ceramic shell of which a zirconium base is hidden.
The service life of ceramic crowns varies between 5-10 years, and zirconium dioxide – from 20 to 25 years.
Without one tooth, a crown can be installed using an implant. It is implanted into the bone tissue and acts as the tooth’s root. After healing, the implant should take root; for this, it will take about five months. Crowns from the above materials can be placed on the installed implants.
Orthopedic dentists at Aesthetic Dental try to prevent the patient from walking with turned teeth while waiting to install a permanent prosthesis.
Compared with the installation of a crown, tooth extension is considered a more modern and reliable way to restore a damaged tooth, allowing you to preserve its integrity as much as possible and in the shortest possible time in one visit to a specialist to get an excellent aesthetic and functional result.