As you know, most species of sharks completely change their teeth several times during their lives, and some of these dangerous predators manage to do this every few weeks. A person lives with one “set” all his life. At the same time, poor ecology, poor oral hygiene, unhealthy food, caries and other dental diseases do their job - they destroy our teeth. Fortunately, modern dentistry has a whole arsenal of tools for their restoration. Which ones exactly - says the chief physician, therapist and esthetician of the AktivStom clinic in Moscow, Yana Valentinovna Fedorova.
Teeth extension methods
Modern dentistry offers various methods and technologies for teeth extension. The choice of method depends on the patient’s financial capabilities and indications. Repairing a badly broken tooth will require such a drastic decision as installing a crown. A small chip can be corrected using composite materials. If a tooth has lost around 10–20% of tissue, then this is an indication for the installation of indirect ceramic veneers (provided that the patient does not suffer from tooth wear).
Reviews
Your feedback is to help potential patients make the right choice. Leave your suggestions or comments so we can work even better.
LEAVE FEEDBACK
Teeth extension using composite materials
Modern filling materials used for the restoration of front teeth harden only under the influence of the rays of a special lamp, most often an ultraviolet one. This gives the specialist the opportunity to carefully restore the natural shape of the damaged tooth. This is especially important when reconstructing large chips. However, after curing, the composite material becomes no less durable than a natural tooth, and if the doctor follows all standards and protocols, the junction of the enamel and the composite will not only be invisible, but also reliable - the tooth restored in this way will last for many years. However, it should be remembered that such restorations still have a service life and after 7 to 10 years they may require replacement.
Vampire smile: how and why they grow fangs today, what risks are associated with the procedure
Modern dentistry has a whole arsenal of techniques and technologies that make it possible to restore the integrity of damaged teeth and the appearance of a smile in a wide variety of clinical cases. But there are other situations when modeling the shape of individual teeth has nothing to do with violations of their integrity. Today we will talk about canine extensions, which are most often carried out with the goal of adding a “zest” to your smile and your image as a whole. Why do people do this, what methods are used to make vampire fangs today, and whether they are so harmless - read further in our article.
How is front teeth augmentation done?
The front teeth are quite often subject to mechanical damage - chips and cracks form on them, and as a result of injuries, a significant part of the tooth can even break off. Also, the front teeth are susceptible to wear; if the problem is aggravated by a direct bite, then the wear becomes pathological. A special type of wear on the front incisors is horseshoe-shaped, which is often found among those who like to chew seeds. In addition, a common problem is gaps between the front teeth. In most such cases, functionality and aesthetics can be restored with the help of tooth augmentation with composite materials.
Another way to correct teeth in the smile area is to build teeth using veneers. These are thin plates attached to the front surface of the teeth. They perfectly imitate natural enamel in color and transparency, and do not add excessive thickness to the teeth. Veneers can be composite (made by a doctor directly in the patient’s mouth) and ceramic (made in a dental laboratory and glued to the teeth using special cement). This method of restoration is suitable in cases of thinning enamel, microcracks, and small chips. Also, extensions using ceramic and composite veneers help get rid of gaps between teeth - diastemas and threes, in cases where you can do without orthodontic treatment.
Why do they grow fangs?
An adult has 4 fangs in his mouth - 2 on the upper jaw and 2 more on the lower jaw. These are the third elements from the central line that close the group of frontal teeth. Usually they do not differ much in length from their “neighbors”. However, recently, more and more often, teenagers and young people, passionate about mysticism and the theme of vampirism, want to lengthen their fangs in order to make their image original and their smile unusual or even frightening. Today this desire can be fulfilled by a dentist.
Most often, this is done using the direct method, but there are other methods. The maximum permissible length of the modified canine should be no more than 4 mm1. If the tooth is longer than this norm, it can create some discomfort and increase the risk of injury to the mucous membrane.
The vampire smile is increasingly in demand among teenagers
Teeth extension with photopolymer
Another feature of composite materials that should not be forgotten is the degree of porosity, which exceeds the porosity of natural enamel. For the patient, this means two things: firstly, in the first few days after augmenting the front teeth with composite materials, you should refrain from consuming coloring foods and drinks, and every six months, when visiting a professional hygiene procedure, you need to pay special attention to the restorations, including the hygienist should polish them thoroughly. As for the external difference between the augmented areas of teeth and natural ones, thanks to modern methods for producing composites, the dentist has the opportunity to choose the color of the restoration to match the color of the patient’s enamel.
Extension of chewing teeth
Chewing teeth are also often subject to destruction, in most cases the cause is caries. After treatment of caries, especially deep ones, large cavities remain, which the specialist fills with filling material after treatment. However, in some cases, only the root and a few thin walls may remain from the tooth, and sometimes even these remain. However, one of the trends in modern dentistry is the use of maximally tooth-preserving techniques. Therefore, if previously a healthy root that had lost its coronal part would most likely have been removed and a bridge-like prosthesis installed instead of the tooth, or, at best, an implant, today they prefer to preserve the root and restore the coronal part by installing an inlay and a crown.
Why removing the root is not the solution to the problem
If there is no natural crown, and instead of it an empty space appears, especially when it is the roots of the upper front teeth, many people habitually rush to the surgeon. They want to remove the remains and quickly install a bridge, eliminating the aesthetic defect.
But first, it’s worth considering the situation with your doctor - there are certain risks during removal: damage to the mandibular nerve, excessive trauma to the gums, and others. In addition, tooth restoration based on its own root is always more gentle than any prosthetic method.
Dentists try to preserve every unit, since the absence of natural teeth leads to a decrease in the quality of life. If you simply remove the roots of permanent teeth, then immediate implantation is needed. In the absence of a unit, destructive processes begin in tissues, and bone volume decreases. Therefore, doctors do not recommend neglecting this problem. Even if there is no chewing molar, which is not visible.
Tooth extension onto a pin
Some dentists still carry out tooth augmentation on a pin, which involves installing a metal rod (pin) directly into the root canal and layer-by-layer application of composite materials on it. Once upon a time, this method was a real breakthrough compared to conventional filling, as it made it possible to preserve the root and completely restore the tooth, even in cases where the coronal part was completely lost. However, subsequently, caries often formed around the pin, which provoked further tooth destruction and loss. Therefore, pins are a thing of the past, giving way to more reliable methods.
Correction with crowns
The installation of crowns as tooth extensions is also used in cases where the tooth is not destroyed, but is sufficiently damaged. Installing a crown is one of the effective ways to restore a broken tooth, this applies to both front and chewing teeth. Crowns are also used in cases where it is not possible to fill a chewing tooth, for example, because the cavity left after caries treatment is too large. This type of permanent prosthetics, such as crowns, is an ideal solution in cases where more than 70% of the crown part of the tooth is missing.
In modern aesthetic dentistry, ceramic and metal-ceramic crowns are successfully used. The installation process itself takes place in two stages. First, the doctor prepares the tooth (removes infected tissue, grinds down the walls), then an impression is taken, from which a crown for a chewing tooth or a crown for a front tooth is made in a dental laboratory. The second stage is the fitting and installation of the finished crown. Modern ceramics, used for the manufacture of inlays and crowns, make it possible to perfectly imitate the texture, color and transparency of natural enamel, as well as select a shade in accordance with the color of neighboring teeth.
Example 9. Restoring the bottom six “from the root”
In this case, I would like to simply dwell on the moment of restoration itself. The patient is older, over 50 years old. And he felt the need to restore the chewing group of teeth. The picture shows the lower 6th tooth, of which practically only one root remains:
The tooth was restored in 1.5 hours
using Cerec technology. The very speed of tooth restoration in one visit to the doctor and the patient’s ability to immediately, as they say, use it in chewing gives a 100% head start on any existing method of tooth restoration. It works really well - you can see for yourself.
Example 10. Restoring the bottom seven
And I end my examples with the classic option of restoring the seventh lower tooth, of which only the root part remains. Removal of the lower 7th root of the tooth was not required; Cerec technology again proved to be excellent:
After modeling in 3D, manufacturing the module itself only took about 20 minutes, after which it was successfully installed on the remaining root:
Indications and contraindications
Depending on the chosen method of teeth extension, indications and contraindications for each specific technique should be determined by your dentist. In this situation, you should not be guided solely by your taste preferences. Otherwise, your uncompromising demand: “I want veneers!” may lead to the fact that the treatment will not bring the desired effect, and the money will be wasted. Don't forget: everything is individual. For example, extensions using photopolymers are not practiced if there is severe tooth mobility. It is also recommended to avoid veneering for those patients who suffer from periodontal disease or do not have the necessary dental hygiene skills.
Main indications for extensions
- Cracks and chips
Microdamages caused by trauma. - Damage to the crown
If the dental crown is deformed or broken. - Consequences of caries
In case of advanced caries, when the tooth root is intact, but the area for filling is too large. - Gaps between teeth
Diastema, which negatively affects aesthetics. - Changing the color of the enamel A
dental defect such as fluorosis - white spots on the surface of the tooth enamel - cannot be eliminated with whitening, but can be corrected with extensions. - Increased tooth abrasion
As a result of demineralization of tooth enamel or a hereditary factor. - Malocclusion
Effective for mild defects in the occlusion of the dentition.
Absolute contraindications to extensions
- Maximum damage to the tooth
If the tooth is destroyed by more than 30%, the extension will not give a positive result. - Allergy
An allergic reaction to individual components of filling materials is rare, but its presence makes extension impossible. - Bruxism
Night and daytime teeth grinding will definitely lead to the destruction of the extended tooth. - Unsuccessful tooth localization
If the tooth is located in such a way that it cannot be isolated from saliva during the procedure, which neutralizes its result.
Make an appointment
right now!
Fedorova Yana Valentinovna
Therapist, Hygienist
What can happen if treatment is not started on time?
For some, it may seem that a chipped tooth is not such a serious defect to pay attention to it; for some people, the aesthetic component and beauty of a smile does not play a significant role, while others are willing to endure such inconveniences as increased tooth sensitivity only would not visit the dentist. However, if you ignore the problem, it can lead to more serious consequences:
- The appearance of carious lesions with damage to dentin and the formation of cavities in the tooth. In advanced cases, caries is complicated by pulpitis and periodontitis. The affected tissue not only causes severe pain, but also leads to extensive destruction, including tooth loss.
- Development of cysts and granulomas
- Displacement and shifting of the dentition due to curvature of the roots or changes in the angle of inclination of the root; the most harmless thing this can lead to is malocclusion.
The occurrence of caries at the site of tooth damage
Most of these diseases are quite difficult to treat, so you should respond promptly to emerging oral problems and not neglect medical care, so as not to become a regular client of the dentist.
How much does tooth augmentation cost?
If we mean tooth extension in the smile zone, then the cost of restoration with composite materials will range from 2,500 rubles to 15,000 rubles per tooth in economy and premium class clinics, respectively. The price of installing ceramic veneers starts from 20,000 per tooth in economic dentistry, and in a VIP clinic the price can reach up to 50,000 rubles per plate. The price for extension of chewing teeth consists of the cost of an inlay, a dental crown on it and the work of an orthopedic dentist, which will cost on average from 10,000 rubles to 50,000 rubles, depending on the materials used and the price segment of the clinic.
Publisher: Expert magazine about dentistry Startsmile.ru
