Temporary plastic crowns for teeth - reviews, service life, price

From this article you will learn:

How long can temporary crowns be worn?
the best plastic option is PMMA,
how much does a plastic crown cost per tooth – for 2021.

Plastic crowns are a variant of dental crowns that are used for temporary dental prosthetics. The fact is that if you are planning prosthetics with crowns made of ceramics or metal-ceramics, then from the moment of grinding the teeth to fixing the finished crowns, about 10 to 14 more days should pass (this is the time it takes to make them in a dental laboratory). What dictates the need for temporary crowns...

In dentistry, temporary crowns made of plastic are usually used to protect ground teeth from the aggressive environment of the oral cavity, as well as to temporarily restore aesthetics and chewing efficiency. Temporary crowns are also used for implant prosthetics when an immediate or early loading protocol is planned (in this case, a plastic crown or plastic bridge is fixed to the implants either immediately after surgery or during the first 2-4 weeks after surgery).

Plastic crowns: photo

Plastic dental crowns are not used for permanent prosthetics due to their low strength and short service life. For example, the simplest plastic tooth crown, made using the direct method, is designed to last only a few weeks of use. But with more complex laboratory manufacturing, as well as reinforcement of the frame with fiberglass or metal mesh, the service life can sometimes reach 1.5 years. If a plastic crown is made from PMMA (polymethyl methacrylate) using the milling method - about 2 years.

The main advantage of plastic crowns is their ease of manufacture and low price. Because of this, patients often want to get plastic crowns on their front teeth as permanent crowns rather than temporary ones. Below we will talk about the reasons for the negative reviews of such prosthetics (if you regard it as permanent), as well as the significant disadvantages of plastic and metal-plastic crowns that do not allow them to be used for a long time.

Types of plastic crowns –

The traditional option for making such crowns is acrylic plastic. But such plastic can be very different. The most common cheap option is acrylic monomer plastic (most often containing the monomer “methyl methacrylate”). Subsequently, excess monomer can be released from the crown, leading to the development of allergic reactions and inflammation of the gums around the crown. Crowns made from this material have low biocompatibility and wear resistance.

Crowns can also be made of special composite plastic (with the addition of composite) or acetate-free monomer plastic. These plastic options do not contain a toxic monomer, and therefore the risk of allergic reactions in this case is extremely low. But the best manufacturing option is plastic, which is hidden under the abbreviation “PMMA” (polymethyl methacrylate).

What are PMMA plastic crowns:

PMMA crowns are made by milling special plastic blanks (blocks, disks) on a computer-controlled machine. To do this, an impression is taken from the ground teeth, and a plaster model of the teeth made on its basis is digitized. Subsequently, based on the digital impression, the shape of your temporary crowns is modeled on a computer, and their digital profile is sent to a computer-controlled machine, which mills the crowns without human intervention.

Plastic crowns made of PMMA (in Russian transcription - PMMA) not only have maximum accuracy, i.e. they will fit as tightly as possible to the neck of the tooth, but also with the highest degree of biocompatibility. In addition, such crowns may have a higher level of aesthetics, but this will also depend on the PMMA manufacturer. The fact is that PMMA blocks from different manufacturers have different properties, for example, in terms of color - they can be single-layer or multi-layer (Multi-PMMA).

Crowns milled from “multi-layer” PMMA –

“Multi-layer” means that the PMMA resin block will have a gradient of color and transparency, which will allow the crowns themselves made of this material to have the same gradient. This will make even plastic crowns more like real teeth. Reviews of plastic crowns for teeth made of PMMA indicate that their service life can reach about 2 years, which is very long by the standards of temporary prosthetics using plastic. Below you can see how a PMMA disc is milled into a 3-unit bridge.

Milling plastic crowns made of PMMA (video) –

Later in the article we will also show you photos of plastic crowns made from different materials. And you can judge their aesthetics for yourself.

What to do after removing the structure

If the doctor finds an inflammatory process at the site of the removed crown or bridge, therapy will be required in accordance with the cause that caused it (caries, pulpitis, gingivitis, periodontitis, etc.). Accordingly, treatment is first carried out, after which the shape of the tooth is restored, impressions are taken again and a new prosthesis is created (or the old one is returned to its place - if possible).

But it happens that after dismantling the structure, the patient experiences discomfort or even pain. To establish the cause, the doctor needs to carefully examine the tooth and surrounding tissues and assess their condition - this requires an x-ray. It will show the quality of the filled canals and the condition of the structures surrounding the tooth. It happens that the tissues under the crown have changed irreversibly and can no longer be restored. Then repeated prosthetics becomes impossible, the tooth will need to be removed. And you can think about alternatives to prosthetics: installing a bridge or an implant.

The influence of stress on the condition of the tissues of the maxillofacial area. / Korenevskaya N. A., Gorodetskaya I. V. Journal “Bulletin of Vitebsk State Medical University”. 2009
Study of the process of removing dentures by destroying the fixing cement under ultrasonic influence. / Kiselev M. G. Vertinskaya A. P. Journal “Science and Technology”. 2007

Author: Chernov A. R. (Thank you for your help in writing the article and the information provided)

Temporary crowns on teeth (indications for use):

We have already said above that a temporary crown on a tooth made of plastic is most often used to protect ground teeth from aggressive factors in the oral cavity, and also allows you to restore diction and aesthetics - while permanent metal-ceramic or ceramic crowns are being manufactured. This is especially important when it comes to prosthetics of the front teeth. If we are talking about a large number of ground teeth at once, then temporary crowns made of plastic also help restore chewing efficiency - after all, you definitely won’t be able to chew anything with ground teeth.

Some patients refuse to have temporary crowns made, citing large additional costs. But the undoubted fact is that the absence of temporary crowns will negatively affect the ground abutment teeth and the gums around these teeth. The fact is that after preparing a tooth for a crown (grinding off the enamel), the remaining part of the crown of the tooth consists only of a layer of soft dentin, which is completely unstable to bacteria and acids. Therefore, as a result of not wearing temporary crowns, we have a higher risk of developing caries under the crown.

The second very important point concerns the condition of the gums around the tooth. The fact is that after preparing a tooth for a crown, a so-called “ledge” (step) appears in the area of the tooth neck, onto which, in the absence of a temporary crown, the gums will immediately begin to “float”. A slight increase in gum volume, which will occur during 2-3 weeks of waiting for permanent crowns, has extremely negative consequences. This will lead to the fact that after fixing the permanent crowns, the latter will begin to injure the gums around the tooth. As a result, we will get an inflamed bleeding gum margin, as well as unsightly aesthetics of the gums around the tooth under the crown, which is especially important when it comes to the front teeth.

Temporary plastic crowns on implants –

There are a number of methods for dental implantation, when temporary crowns are installed either immediately after the installation of implants (in the first 2-3 hours), or in the first 2-3 days after surgery. Most often, implantation with immediate prosthetics with a temporary crown is used for single missing front teeth - in order to immediately obtain an acceptable level of aesthetics. It should be taken into account that there are several methods for making plastic crowns (including those on implants).

The worst option is when a plastic crown is made from acrylic plastic directly in the mouth (the so-called “direct method”). In this case, the crown will not fit tightly to the neck of the implant, which increases the risk of developing peri-implantitis and impairs the formation of the gum contour around the implant. A little more accurate is the laboratory method, where the crown will be made from an impression in a dental laboratory.

The best option is when a crown made of plastic (namely PMMA, i.e. polymethyl methacrylate) is made by milling on a computer-controlled machine. Such a crown will fit as closely as possible to the implant, plus it does not emit toxic substances, which will reduce the risk of complications and allow you to achieve excellent aesthetics of the gingival margin.

FAQ

There are many questions on the Internet that concern people who are faced with the need to dismantle orthopedic structures. Let's look at the most popular ones.

Is it possible to remove a permanent crown?

Undoubtedly. And this is far from the most difficult manipulation in the dentist’s chair. But it requires professionalism and skill from the doctor. For this purpose, today clinics most often use the Coppa crown remover (push method), Coronaflex (compressed air exposure) and ultrasound - that is, all the methods listed in the article above.

How is a dental bridge removed?

To dismantle the bridge structure, the doctor needs to carefully examine the patient’s oral cavity and decide on the method of removing it. Is it painful to remove a dental bridge? No. With the help of an ultrasonic scaler, the decementing process occurs quickly and without any pain. However, it all depends on the individual characteristics of the particular patient and pain threshold. If you feel any discomfort, you can always ask your doctor to apply anesthesia.

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Is it painful to remove the structure?

Is it possible to quickly remove an artificial device from a tooth? Does it hurt? It all depends on the professionalism of the orthopedist and the chosen method of extraction. So, if the tooth has not previously hurt or the structure has not been loosened, the latter can be removed quite quickly and painlessly. If the most cost-effective removal method is chosen or it is important to preserve the integrity of the crown, the procedure may be accompanied by discomfort. But the patient definitely won’t have to suffer. If pain appears, the doctor will give an injection with an anesthetic.

Can I remove the product myself?

Often a tooth covered with a crown manifests itself as anxiety quite unexpectedly. Moreover, the degree of pain can be very high. Such that a person, under the influence of impulses, loses all common sense and begins to try to get rid of the prosthesis right at home. However, it will be difficult to dismantle it correctly yourself. Yes, and it's not safe.

However, there are only 2 exceptions to this rule:

the orthopedic product has become loose/comes off entirely with its cement base,
the structure has fallen apart and its fragments need to be removed from the mouth.

In any case, in order to avoid complications after self-removal of a fallen prosthesis or part of it, it is important to see your dentist as soon as possible.

Plastic crowns for front teeth: reviews

A temporary crown for an anterior tooth made from traditional acrylic monomer resin will, in most cases, have very modest aesthetics. Moreover, in order to obtain temporary crowns that are more or less aesthetically acceptable, they will need to be made only in a laboratory manner. But you should immediately take into account that such crowns will not have any gradient of color and transparency (as real teeth have - in the direction from the neck of the tooth to the cutting edge).

Temporary crowns for front teeth: photo

Patient reviews of such plastic crowns on teeth will always be negative. Please note that crowns do not have the gradient of color and translucency that real teeth have. Such crowns are only suitable as temporary structures at most - for the duration of the manufacture of permanent crowns in a dental laboratory, i.e. for about 2 weeks. If you plan to make plastic crowns for a longer period (for example, 2-3 months or even up to 2 years), then they should preferably be made from Multi-PMMA plastic.

Fixation of PMMA crowns on the front teeth (video) –

As you can see, the aesthetics of milled PMMA crowns can be several orders of magnitude better than traditional plastic crowns (made from acrylic resin). We have already said above that in this case, better aesthetics can be achieved by using multilayer PMMA discs (abbreviated “Multi-PMMA”). Look at the photo below: a dental technician holds a multi-layer PMMA disc with single crowns made from it. Note the gradient of color and transparency of both the disc itself and the crowns.

Quality of crowns made from multilayer PMMA discs:

How to properly care for plastic crowns? Doctors' recommendations for care

Preventive visits to the dentist's office are necessary - at least once every six months.

Care involves daily brushing of teeth, using dental floss and an irrigator, since pathological bacteria accumulate between the gum and crown, as well as the base and coating of the crown.

A certain diet is also recommended: exclude foods with a high content of dyes, remove solid foods from the diet in order to avoid mechanical injuries to the teeth.

It is important! If you see that there is brown plaque between the gum and the crown, be sure to contact your dentist for treatment. Dark spots are a sign of the accumulation of plaque, bacteria that negatively affect the condition of the gums and other teeth. It may be necessary to make a new crown to replace the old one.

Disadvantages of plastic crowns –

The main reason for the short service life of plastic crowns is their significantly lower strength (compared to any other types of crowns), as well as the high rate of abrasion of the chewing surface. As a result, with prolonged use there is a high risk of fractures and cracks in the frame of plastic crowns. Plastic crowns made of PMMA have higher strength (about 130 MPa, which is comparable to the strength of crowns made of feldspathic ceramics).

The patient can warn the doctor in advance that for some reason he plans to wear temporary crowns for longer than expected (for example, several months or more). In this case, the doctor will probably suggest that you make temporary crowns with reinforced fiberglass or with a frame made of metal mesh, or again, from PMMA. But you need to be prepared that the cost of each such crown will be 2000-3000 rubles more - compared to a regular plastic crown.

How long can you walk with temporary crowns? In general, walking for more than 1 month with temporary plastic crowns (made from ordinary acrylic plastic by direct or laboratory methods) is not recommended. Firstly, they have a rather negative effect on the gums around the crown, promoting the development of inflammation in it. Secondly, they have a fairly low manufacturing accuracy and may not fit tightly around the neck of the tooth, which can lead to saliva and bacteria getting under the crown and rotting of the tooth tissue.

The mechanical strength of a temporary plastic crown will depend on its thickness. For example, for metal-ceramics, the tooth is ground on all sides by an average of 1.5-2.0 mm, and in this case the plastic crown on the tooth is thick and strong enough to last for quite a long time (however, if you plan to wear such crowns for six months and more - in any case, their frame needs to be additionally reinforced). For a ceramic crown, the tooth is ground down only 1.0-1.5 mm, and therefore a temporary crown on a tooth of this thickness will last only a very short time.

Disadvantages of acrylic plastic crowns –

low strength,
rapid abrasion of the chewing surface as a result of friction against antagonist teeth,
plastic is capable of absorbing odors, and therefore after a while begins to emit an unpleasant odor and taste,
plastic is capable of absorbing dyes, and with prolonged use it acquires a dirty gray color,
plastic has pores that are gradually colonized by bacteria and subsequently serve as a source of infection,
chemical components of plastic can cause allergic reactions,
with prolonged contact with the gums, plastic crowns contribute to the development of inflammation in it,
temporary crowns, as a rule, have a fairly low accuracy of fit to the neck of the tooth, which, with prolonged use of crowns, can lead to the onset of rotting of the tooth tissue,
plastic crowns are not suitable for permanent prosthetics also because the supporting teeth under them must be subjected to very strong grinding (in order to make the walls of the crown thicker and stronger).

Important: in some cases, the safety margin of plastic crowns can last quite a long time - from 1 to 2 years (for example, if they were made of PMMA, or the frame was additionally reinforced). But in any case, we still do not recommend using plastic crowns for more than 3 months, because... even the best of them cannot be a replacement for permanent crown options (for example, ceramic or metal-ceramic).

The highest quality plastic crowns, which also fit the necks of the ground teeth as accurately as possible, can only be manufactured using CAD/CAM technology, which involves milling on a computer-controlled machine. In addition, if we are talking about a temporary crown on an implant (especially in the anterior areas of the dentition), it is better to choose only milled plastic crowns with screw fixation.

Plastic crown for a tooth: price

The aesthetics and durability of plastic crowns largely depend on the quality of the plastic used, as well as the manufacturing method.
The simplest fabrication method is the “direct method”, in which the crown is made directly in the patient’s mouth within 1 hour. Crowns made using this method will be the most inexpensive and not very aesthetic (24stoma.ru). Much more accurate is the manufacturing method in a dental laboratory. Such crowns are made within 1 working day and have satisfactory aesthetics. However, their cost will be almost 2 times higher. It is also possible to manufacture a temporary crown on a computer-controlled milling machine (when high precision is needed). This may be necessary, for example, when making a temporary plastic crown intended for screw fixation on an implant.

How much does a temporary crown cost for 2021 –

plastic crown (direct method) – from 1500 rubles,
plastic crown (laboratory) – from 2500 rubles,
plastic crown (milled, with cement fixation) – from 4000 rubles,
temporary crown on an implant (milled, with screw fixation) – from 5,000 rubles.
temporary plastic crown of increased strength (reinforced) – from 5,000 rubles.

If you need to calculate the cost of a temporary plastic bridge, you need to multiply it by the number of crowns in it. For example, a plastic bridge prosthesis for the front or chewing teeth of 3 units (made in a laboratory method) will cost from 7,500 rubles.

Making a temporary crown using the direct method: video

Metal-plastic crowns –

In addition to crowns made entirely of plastic, there are also so-called “metal-plastic crowns” (synonym – metal-plastic crowns). Such crowns have a metal frame, which is lined with a plastic overlay on the front side. Such crowns have more or less acceptable aesthetics, and also have a fairly long service life - up to 5 years.

Structurally, metal-plastic crowns for teeth are made like cast crowns (made of cobalt-chromium alloy) - with an additional plastic facet on the front surface. The advantage of such crowns is their more or less acceptable aesthetics, as well as maintainability. For example, if a plastic veneer chips, it can be repaired directly in the mouth, i.e. a metal-plastic crown does not require removal from the tooth for such repairs.

The disadvantages include their cost, which is already very close to the cost of economy-class metal ceramics made from budget materials (about 5,000 rubles in 2021). An absolute disadvantage is that plastic facets can quickly lose their aesthetic properties and negatively affect the condition of the gums around the crown. We hope that our article: Plastic crowns reviews was useful to you!

Sources:

1. Personal experience as a dentist, 2. “Orthopedic dentistry. Textbook" (Trezubov V.N.), 3. National Library of Medicine (USA), 4. https://www.realself.com/, 5. "Crowns and bridges in orthopedic dentistry" (Smith B.).