Tooth restoration in the presence of a root: methods, technology, reviews

Teeth collapse for various reasons. Even earlier, doctors believed that a damaged unit should be removed, not treated. Now, restoration of the dentition is allowed even in hopeless cases. For this, prosthetics are used. This procedure, although unpleasant, but allows you to restore the functions of the tooth without losing a healthy root. There are several possible treatment options. About tooth restoration in the presence of a root can be read in the article.

Why do teeth break?

Every day, molars and incisors are subjected to heavy stress. And this happens when eating food of any stiffness. In addition to the natural load, they are affected by physical effects. Jaw injuries are dangerous for the teeth. Even if after this no symptoms are detected, this does not mean that they will not occur later.

A common cause of tooth decay is weakness after pulp removal. They are usually called nerves. It is presented in the form of an interweaving of blood vessels and nerve endings. Due to its elimination comes the "death" of the tooth. It is left without replenishment, with time it is drying up, becoming fragile. Therefore, gradually a dead tooth breaks due to constant load and usually under the root.

The concept

Tooth extension is a complex of methods that restore the dentition. This is not the only method. Dental crowns a dentist is able to restore a damaged tooth in whole or in part.

According to doctors, teeth are not always restored with fillings. The cause may be the global destruction of a diseased tooth. For these cases, there are other methods of building, for example, a pin.

Tooth restoration in the presence of a root occurs as follows: a special shaft is fixed in the bone tissue, onto which composite material is applied. Under the action of ultraviolet light, the material quickly becomes solid. But there are other methods of tooth restoration in the presence of a root, which do not involve the installation of a metal rod.

When is the method used?

There are indications and contraindications for performing tooth restoration from the root. The dentist advises to carry out the extension with:

• slight tooth loss from caries;
• abrasion and thinning of enamel;
• malocclusion;
• tooth injury, due to which its integrity is violated;
• the appearance of interdental fissures;
• a color change that cannot be corrected by brushing or bleaching;
• enamel crack, mechanical damage;
• chipped tooth.

The best development in dentistry was the extension of teeth. Using the procedure, it is possible to eliminate various aesthetic problems, which are usually associated with damage to the front teeth in the smile area. According to patients, recovery procedures are usually easy.

Conditions

Since tooth restoration in the presence of a root is a way to preserve it, several recommendations must be followed to obtain the best result:

1. It is necessary to abandon bad habits for teeth. With bruxism, restored teeth will not last long. This also applies to the use of teeth "for other purposes." For example, they are quickly damaged when opening a bottle of beer, biting threads, cracking nuts.
2. Caries. It must be eliminated before building. Otherwise, under the installed materials, this process continues, and the remains of the teeth will need to be removed.
3. Oral hygiene. Compliance with this rule prolongs the operation of the tooth. It is necessary not only to carry out cleansing procedures, but also to do it correctly.
4. Lack of health problems. Usually, doctors do not recommend tooth restoration from the root in the presence of pathologies of the nervous system or blood.
5. Tooth mobility. For high-quality fastening of reducing materials, mobility must be excluded, otherwise the structure will be removed, and restoration will be a waste of time and money.
6. Reliable fixation of the device implies a sufficient length of the tooth root. If it is small, the strength of the restored tooth decreases. Usually, the optimal length corresponds to the length of the crown, and the wall thickness of the root should be above 1 mm.
7. Need the right bite. Otherwise, this can lead to a heavy load on the tooth that is being expanded, which can be damaged. If the bite is incorrect, the procedure will be meaningless.
8. The material part. The patient must have the necessary amount of funds for the restoration.

According to reviews, tooth restoration at the root of many people is successful. It is only necessary to adhere to the recommendations of a specialist. For a tooth from which little is left, a reliable fastening is necessary, which restores working capacity. Only after strengthening does the restored unit regain its former appearance. There are several ways to restore a tooth if only the root remains. The main ones are as follows.

Filling materials

Among the options for tooth restoration with a healthy root, this method is popular. Filling materials allow to achieve maximum results after high-quality prosthetics. The material has a good appearance, which goes well with the patient’s dental tissues. The use of such compounds does not damage the mucous membrane of the oral cavity and tooth enamel. This is an excellent method of restoring the dentition.

Gradually, the materials do not fade, so artificial teeth do not stand out much from real ones. They have fluoride, so there is the possibility of recovery from damage. With filling materials, experienced professionals are able to provide the natural color of the teeth.

The advantages of this method include:

1. Camouflage imperfections, including clouded fillings, spots.
2. Correction of the shape and size of the restored tooth.
3. The natural appearance of the tooth.
4. Conservation of the nerve, so the tooth remains alive.

Veneers and Lumineers

In the photo, tooth restoration in the presence of a root looks neat. Often, veneers and lumineers are used for this procedure - special overlays. Using the installation of veneers, it will be possible to hide minor tooth imperfections, which include the appearance of interdental crevices, chips, darkening of enamel.

Veneer is a thin ceramic plate that has high strength. Outwardly, it is similar to enamel. The extension procedure by this method involves fixing the plate on the tooth, which provides an excellent effect.

Usually, at least 3 visits to the dentist are needed to complete recovery. The first procedure provides advice, a demonstration of the types of plates. If necessary, an x-ray of the dentition is performed.

During 2 doses, an anesthetic injection is performed, grinding a small layer of enamel on the damaged tooth. Then they make a cast of teeth. At this time, the doctor suggests installing temporary veneers, since the permanent ones are made for a long time.

At the last visit, the plates are tried on and the veneers are fixed with a cement base. Between 2 and 3 doses, about 14 days pass. During this time, create individual veneers.

There are almost no drawbacks to this method, eliminating the need for grinding enamel. Therefore, if possible, it is better to install lumineers. They are almost indistinguishable from veneers, except for the thickness of the plate - lumineers are thinner. Due to this, the integrity of the tooth is preserved, in addition, lumineers are painlessly eliminated if desired. The downside is only the cost. The price of lumineers is more than that of veneers, so not everyone can carry out such a procedure.

Pins

This is a popular method of tooth restoration if only the root remains. A pin is a special rod that is made of a durable material that has biological compatibility with human tissues. Various materials are used for the pin - from titanium to fiberglass. The main task is to fix the tooth and its elevation above the gum surface.

For complex tooth injuries, pins are often used. They return the appearance and basic functions of the unit. According to patient reviews, tooth restoration from the root by this method is performed without complications.

For the side units, metal pins are used, and for the front ones - fiberglass, which can not be seen.

How is the procedure performed?

The procedure includes the following steps:

1. Before installing the pin, the tooth is depulped and prepared for installation. For this, special equipment is used.
2. If necessary, expand the root canal to the required size. For this, mechanical or hand tools or chemicals are used.
3. The root is filled with a plastic material that quickly hardens. The quality of the work determines the final result, so you need to trust a good specialist.
4. Then, a pin is installed in the sealed root canal. It can be made of various materials, it all depends on the tooth.
5. At the end, a seal or artificial dental crown is placed on the pin. UV rays are used to quickly harden the fixing material used.

This completes the procedure. According to patients, it usually goes without complications. But there are also complicated cases of restoration of the roots of damaged teeth.

Should the procedure be followed?

Although there are many advantages to tooth restoration methods, the enlarged organs still lead to some problems:

1. The roots are shaken. This usually refers to pins. These designs are not tight enough to the tooth tissue, so with a heavy load there is such a problem.
2. Cracks and fractures of the root occur. The load on it will be uneven even with the installation of a stump tab, which can lead to tooth decay. This is due to the depulpation procedure. A tooth without a nerve becomes brittle and undergoes destruction, but this cannot be done, otherwise there will be inflammation.
3. There is a risk of secondary caries. If he destroyed the coronal part, then the infection appears in the remaining lower part, especially if the filling of the canals is performed poorly.
4. Bone tissue near the restored tooth is damaged. The pin or tab acts as a wedge that expands the space of the root canals. This can damage the jawbone.
5. Inflamed tissue near the pin or tab. Pain and swelling appear in the gums and bones. Sometimes the body rejects them. A pin or stump tab is considered to be provoking factors for the appearance of periodontitis with the appearance of a cyst.
6. Building up with composite material can be unreliable, although they are used to restore front teeth. They are able to chip, collapse.
7. Metal pins and stump inserts are able to shine through the layers of the composite or crown, which makes the tooth unnatural.

Price

Tooth restoration costs at least 5000 rubles. The price includes the use of painkillers (200-300 rubles), consumables that isolate the tooth from saliva (about 400 rubles). It is important to consider the sterilization of the set of tools used - the cost is not large, about 100 rubles, but still people do not take this into account.

The main amount is spent on filling materials, which are used to build a tooth. Usually this is 3000 rubles. Also, the use of technology with the use of a pin involves the acquisition of an imported product. Cost depending on the clinic may vary.

To save, you need to use a Russian fiberglass pin, the price of which is 60-100 rubles. Usually they perform their function more difficult, fixing the tooth in the root canal.

Output

Whichever extension method is chosen, subsequent care remains important. This affects the life of the new tooth. Therefore, care must be thorough.