Ceramic on the front teeth: reviews. Ceramic prosthetics: photo, cost

There is no person who does not care about his appearance. An important detail that affects attractiveness is the condition of the oral cavity, or rather the front teeth.

In the event that you have problems with your teeth, you need to contact the appropriate specialist. Dentistry in Moscow, St. Petersburg, Rostov and other cities of our country is quite affordable. You just need to choose your preferred method of treatment. One of the most qualitative and relatively affordable types of prosthetics is cermet (on the front teeth), reviews of which leave no room for doubt in the choice.

Consider this process in more detail.

Basic concepts

Many dentists use a structure consisting of a metal base, on which a special coating is applied, for prosthetics of damaged teeth. This is metal ceramics. A photo of the results of this type of prosthetics is located below. There are many varieties of crowns, for the manufacture of which various alloys are used.

To comply with all the requirements, metal-ceramic prostheses are made on the basis of chromium alloys with cobalt or nickel. In special cases, for example, at the patient’s personal wish, various combinations of precious metals can be used: platinum and gold. By the way, their use allows you to achieve maximum similarity with healthy teeth.

However, such technologies strongly affect how much cermet costs in the end, since the final amount includes not only the remuneration of the prosthetist, but also the cost of acquiring materials.

Despite this, you should not dwell on too cheap options, because the beauty and dazzling brilliance of your smile will depend on the final result. Cermet, the price of which is lower, and the quality is worse, will differ in color from other teeth, which will not add to your pleasure from contemplating your own reflection in the mirror.

Features of prosthetics

Before proceeding to the description of the positive and negative sides of metal-ceramic prostheses, as well as to the story about the procedure for the procedure itself, we will dwell on some features that will be interesting.

1. Given that during a conversation and with a smile, the front row of teeth is always in sight, their appearance should be impeccable. Therefore, despite the high cost, it is recommended to manufacture cermets based on alloys containing gold and platinum.
   
   The varieties of chromium compounds described above have a grayish color, therefore, when strong light enters the prosthesis (for example, on a sunny summer day), the cermet will have a somewhat unnatural shade.
   
   In addition, there is the possibility of darkening of the gum tissue under the implant, since these metals, although slowly, are oxidized. Of course, you can replace chromium with titanium, because it does not react with oxygen. However, its color also leaves much to be desired.
   
   Gold has the closest natural color, therefore it is quite acceptable for use in prosthetics. The main disadvantage is the high cost of the prosthesis, which, however, is consistent with the quality obtained.
   
   
2. The best effect can be achieved when cermet is used for prosthetics of two, three or four front row teeth in a row. First of all, the use of the bridge allows reducing the cost of the work performed by almost an order of magnitude. In addition, possible differences in the shades of the glaze covering the artificial organ and the colors of the enamel will not be evident when talking, since the teeth entering the prosthesis are located symmetrically.
   
   
3. It is necessary to control that the preparation of the organs of the front row oral cavity, carried out during their preparation for prosthetics, is carried out with strict observance of the necessary technology.

First of all, the lateral surfaces of the teeth in contact with neighboring (healthy) organs are subject to treatment. After that, the so-called supporting platforms with vertical surfaces are created (they look like small ledges). At the final stage, a supporting surface is formed, which looks like a small groove barely protruding above the surface of the gum. By the way, it is absolutely necessary for prosthetics without depulpation. The most recent phase is the treatment of the surface turned towards the tongue.

Technology advantages

If the patient has problems with the teeth, various technologies are used to treat them, only one of which is cermet. Prosthetics using this technique allows you to achieve the maximum similarity in color of the artificial structure and natural enamel. The greatest effect is achieved when several teeth are subject to treatment at once.

Therefore, dental bridges made of cermet and dentures made of the same material are more often used in the treatment of the front row of teeth. Artificial teeth give your smile a natural and attractive look.

Dentistry in Moscow, St. Petersburg and other cities of our country widely uses the described technology. Among other things, the latter has many other advantages (which echoes reviews):

• Provides the most accurate match of the color of the prosthesis to the shade of the natural tooth enamel (as mentioned above), which allows you to achieve the most aesthetic end result.
• If this technology is used in order to insert teeth (cermet), its price is quite affordable, and they will last for a very long time - at least 10 years.
• The shape of the finished dental structure repeats the shape of the tooth with 100% accuracy.
• Dentures and a bridge made of cermet are not destroyed during operation, have increased reliability and strength.
• The installation procedure and the necessary equipment are available in most dental clinics.

Some nuances

Ceramic metal on the front teeth, reviews about which are mostly positive, has some drawbacks. Here are some of them:

• There is a need for the so-called depulpation of the affected organs, which, of course, reduces their service life and reduces overall reliability.
• Before installing the prosthesis, mandatory procedures are performed that prepare the teeth for cermet: preparation and resizing on each side.
• If cermet is used for dental treatment, in this case, prosthetics should be carried out using high-quality materials that completely eliminate the occurrence of allergic reactions.
• There is a risk of an inflammatory process if dentistry, in which the prosthetics were performed in violation of the procedure, did not take care to carefully observe all the prescribed precautions.

Ceramic on implants

What is worth saying here? If you have bad teeth, there is another way to use the described prosthetics. We are talking about a long-used technique for the placement of cermet deposition on pre-installed implants. This method, among other things, allows you to restore the aesthetics and integrity of the front teeth in case of insufficient bone tissue, which is necessary in normal conditions.

It was previously believed that if cermet is used for treatment, prosthetics using a metal alloy is optional. However, now it is used only in conjunction with a special implant that replaces the natural root of the tooth.

This kind of aesthetic restoration is used in several varieties:

• as a single prosthesis located on an artificial root;
• as a bridge that includes several crowns (their number, however, should not exceed 5 pieces);
• like a prosthesis, which can be easily removed if necessary.

The question arises why metal ceramics are sprayed on the installed implants. The fact is that it is very difficult to use only this new material for the production of artificial tooth roots: it is easily destroyed and can crumble already in the oral cavity. However, it allows you to achieve the best aesthetic result, for which it is appreciated.

Therefore, such a combination was created that allows you to achieve the necessary strength and give the smile a "Hollywood" shine.

Preliminary Installation Step

Before proceeding directly to fixing the prosthesis, teeth under cermet need to be carefully prepared. During the initial visit to the specialist, the following events are held.

1. X-ray examination. In the picture, the dentist immediately discovers foci of inflammation, as well as possible negative processes that occur in places previously treated. All existing pathologies should be eliminated if you decide to insert your teeth in this way (cermet, the price of which does not include preliminary procedures, is mounted only on an absolutely healthy organ).
2. At the preparatory stage, among other things, the issue of using the so-called cult tab should be resolved . Its use is indicated in the case when the dentist has established significant destruction of a diseased tooth. In half the cases of seeking help before building the organ, an appropriate pin is installed (with the exception of molars).
   
3. Depulpation. This process must be carried out before the dental crowns are installed. Reviews about this procedure are different and depend on the clinic where the prosthetics are performed. Currently, there are techniques that allow you to install a crown on a tooth with a nerve.

Final procedures

Subsequently, the cermet itself is installed. The service life of the finished prosthesis depends on the quality of all basic procedures. They include such processes.

1. Grinding all the necessary organs of the oral cavity. The quality of this process directly depends on the number of years during which the installed cermet is preserved. Photos of finished teeth are presented in the article.
2. Making the prosthesis itself (crown). It is produced in special production laboratories. The basis is taken by special casts made in advance by the dentist, whose specialization is cermet for the front teeth. Feedback (positive or negative) on the quality of the work performed will depend on how correctly the samples for prosthetics were removed.
3. For the period of time between the creation of the impression and the installation of the prosthesis (in order to protect the treated tooth), a temporary crown made of plastic is installed here. Among other things, this allows you to maintain the aesthetics of the oral cavity during a conversation.
4. In addition to materials, the shade of the finished prosthesis is subject to careful selection. It is selected individually, taking into account the enamel color of adjacent teeth. Cermet, the price of which is more significant, allows you to reproduce all the necessary halftones with the highest accuracy.
5. Before applying the final coating layer, the resulting crown is tried on. This allows you to make additional adjustments to the size of the prosthesis.
6. After the final fit, the glaze begins.
7. The prosthesis is fixed in place using special adhesives, which guarantee reliable fastening of the finished structure in the oral cavity.

Ceramic installation without depulpation

Currently, technologies are widely used to install a ceramic-metal crown on a tooth that was not subject to depulpation.

This process is longer and more laborious, however, it has some advantages over conventional prosthetics.

1. 
   A living organ (that is, a tooth in which nerves are preserved) is much better than a depulped one. The latter after a certain time becomes very fragile. After several years, the organ treated in this way may break down together with the cermet covering it. Largely because of this, specialists insert pins made of various materials into the treated teeth before prosthetics. This procedure is indicated in most cases, with the exception of prosthetics of large chewing teeth (molars). The amount of bone tissue in them and so allows you to securely fix the manufactured prosthesis.
2. A tooth in which nerves are stored better resists the negative effects of the environment. For example, caries is rarely diagnosed in such organs.
3. If the depulpation procedure is abolished, the cost of prosthetics is reduced. After all, the procedure itself for the qualitative disposal of the dental nerve requires considerable financial costs. In addition, the work on installing the internal pin is not paid, since the ceramic-metal crown is put on without it.
4. Among other things, this type of prosthetics allows you to observe the fundamental principle of medicine “do no harm”.
5. Preservation of the nerve allows not to violate the principle of reversibility, because it is not possible to return the dead organ.

Features of prosthetics without depulpation

The advantages of the method are obvious, but prosthetics themselves are associated with certain difficulties. Consider some of the distinguishing features.

1. Pre-treatment is carried out using a large amount of liquid. The work is carried out slowly and with small interruptions, while local anesthesia is used. This is done so as not to expose the dental nerve to high temperature. It is also important to comply with the following requirements:
   
   ● use a special tip for the tool;
   ● The boron for processing should only be new.
   
   If the cutting surface has already been used, the tooth tissue is not cut off immediately, as a result of which the nerve heats up and can die from adverse external influences.
   
2. At the end of the treatment, a special protective coating must be applied. Otherwise, the nerve may be infected with infectious pathogens, which will require its removal before prosthetics.
3. Immediately after tooth preparation, during the same treatment session, temporary plastic crowns are manufactured and installed. This allows you to not only preserve the aesthetics of your oral cavity when talking with others, but also create additional protection for the nerve.
4. Plastic protective caps are fixed with a special cement mortar containing antiseptic drugs.

It should be noted once again that when prosthetics are performed without tooth removal, it is impossible to leave the treated organs without protection, as this can cause many serious complications that will require additional treatment in the future.

Tooth treatment method

When the installation of a ceramic-metal prosthesis does not provide for depulpation, its preliminary turning should be carried out only with a circular ledge.

This method requires a lot of time, expensive materials and modern tools. Often, for a better result, a microscope or a special fiber optic is used.

Denture Care

How long the metal-ceramic prostheses delivered by the dentist will serve you for a long time will be greatly influenced by the correct measures for caring for them.

This process is quite simple and not much different from the way you looked after your teeth since childhood.

Features of ceramic-metal crowns on the front teeth allow them to chew any food products without restrictions. It is very important to clean dentures in the morning and in the evening with the help of toothpastes that do not have abrasive functions. To get rid of food debris stuck in the spaces between the dentures, it is recommended to use a special dental floss.

In addition, after breakfast, lunch, afternoon tea, snacks, dinners and other meals, you need to rinse your mouth with a special composition or just clean water.

In some cases, complications associated with the appearance of inflammatory processes in the gums are possible. It is very important to monitor them and, at the slightest deviation, pay a visit to the dentist to determine the causes of the violation and prescribe appropriate treatment.

Dangerous signs include:

• bleeding
• swelling
• foci of inflammation.

To prevent this condition, you can use any means sold in pharmacies.

Possible complications

Like any other medical intervention in the functioning of the human body, prosthetics using cermet can cause complications. We list the main violations diagnosed most often.

1. Inflammatory processes of the gums. Pathology can be caused by a crown, during the installation of which the recommended procedure was violated or hygiene requirements were not followed. More often, the inflammatory process occurs in the place where a poor-quality prosthesis has a traumatic effect on the tissues of the oral cavity. The method of disposal is the complete replacement of an improperly installed artificial tooth.
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5. Discomfort and pain in the mouth. Most often, such a clinical picture quickly disappears, but with relapses, prolonged or acute pain, you should visit a dental clinic where they will diagnose the problem and prescribe the appropriate treatment.

Prosthetics cost

So, what is the price of installing ceramic-metal crowns on bad teeth. It is different and depends on many factors.

1. The cost of a prosthesis made of high-quality Japanese or German materials using an alloy of cobalt and chromium will be at least 6,000 rubles for one prosthesis. This cost includes the work of a qualified highly qualified dentist.
2. In the case when the choice is made in favor of Russian or Belarusian consumables, the price does not exceed 4000–4500 rubles.
3. If an alloy of gold with palladium or platinum is used for the basis of the denture, the cost increases to 9,000 rubles. At the same time, the price of gold is not included and is calculated separately, based on the amount of material spent. In total, be prepared to give about 15,000-17,000 rubles for the prosthesis.
4. The cost of protective plastic caps used as a temporary means of protecting the treated teeth from inflammation is calculated separately and ranges from 800 to 1200 rubles.

Despite the apparent high cost, you get a fairly high-quality prosthesis that will serve you for many years.

Conclusion

The described prosthetics technique is one of the most common. Its cost is quite affordable, and the result pleases not only with quality, but also with an excellent appearance. The main thing is to choose a specialist who will perform prosthetics, taking into account all the requirements. The result will be high-quality cermet for the front teeth. Reviews about this type of treatment do not leave room for doubt.