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For most people, prosthetics are the only possible way to restore the integrity and overall functionality of the dental system.
When selecting a method and model of a prosthesis, the time it takes to complete the entire process, from the first visit to the doctor to installation of the structure, is of great importance.
Preliminary consultation
This stage is mandatory and is carried out in order to ensure high-quality dentures. A preliminary consultation helps the patient understand the many questions he has and allows him to correctly plan the upcoming prosthetics.
The procedure takes no more than 30-40 minutes. During the initial appointment, the dentist carries out the following actions:
- Oral examination, in which the condition of the mucous membrane, teeth, the quality of oral hygiene, the functionality of the masticatory muscles, the mandibular temporal joint, and the patient’s posture are assessed.
Attention is also paid to the condition of existing fillings and the need to replace them is determined.The installed prosthetic structures (if any) are inspected, the degree of sensitivity of the teeth is checked, signs of dental diseases are identified and the stages of their development are determined, the issue of the need for preliminary treatment is resolved.
- Interview and anamnesis collection . Informing about all types of upcoming work, features of preparation for prosthetics, type of anesthesia, progress of the operation, priority and sequence of all manipulations.
- Selection of the most optimal type of prosthetics , material of the prosthesis, method of its fastening.
- Drawing up a preliminary plan for subsequent actions, taking into account the complexity of the clinical case. Clarification of the price of the work, as well as deadlines.
If necessary (if the clinic is complex), consultations with highly specialized specialists are prescribed - a dental surgeon, orthodontist, therapist, periodontist.
Each of the doctors, taking into account the specifics of their specialty, will indicate the possible presence of hidden problems and recommend the optimal solution to the problem of missing teeth. Joint actions of doctors will allow you to accurately plan treatment, prevent complications and ensure high-quality results.
Indications for installation of a soldered prosthesis and design features.
Come here to take a closer look at composite bridges.
At this address https://www.vash-dentist.ru/protezirovanie/nesemnyie-p/problem-s-zubami-v-heyhe.html we’ll talk about the price of dental prosthetics in Heihe.
Diagnostics
Diagnostics is a mandatory procedure in the therapeutic stage of preparation for prosthetics.
Its purpose is to determine the quality and thickness of the jaw bone, the condition of dental roots and canals, identify pathologies that occur in a latent form, and study the features of the bottom of the maxillary sinus and maxillary sinuses.
The results of diagnostic examinations are needed to determine the indications (limitations) for prosthetics, choose the method of tooth restoration and the type of prosthetic structure.
Thanks to a comprehensive study of the dental system, it is possible to prevent complications and extend the life of the prosthesis.
Today the therapeutic stage practices the following types of research:
- CT scan (CT).
An informative diagnostic method that allows you to obtain an accurate three-dimensional image of the patient’s dentoalveolar apparatus, by which the doctor can identify hidden anomalies, assess the condition of the alveoli, check the quality of the jaw bone, and determine root defects.The image is clear enough and can be viewed in all projections and enlarged (if necessary), which has a positive effect on the accuracy of drawing up a treatment plan.
The average duration of a scan is no more than 10 seconds, plus you need to add time for the doctor to draw up a card, prepare for the procedure, position the device, and print out the result.
Computed tomography is convenient for that category of people who have permanent metal prosthetic structures.
- Orthopantomogram.
This is one of the common types of x-ray examination, otherwise known as a panoramic image (with two-dimensional visualization).The orthopantomogram shows a clear picture of the condition of the entire dentofacial apparatus, i.e. Using the image, you can not only study the condition of all remaining teeth, the temporal joint and the jaw bone (its density and volume), but also determine the distance to the maxillary sinuses, consider their condition and location.
A panoramic image also helps to create a correct and competent treatment plan. The duration of the diagnosis is no more than 15 minutes, the image is taken within 5 minutes.
- MRI (Magnetic resonance imaging).
A diagnostic method used to determine the presence of hidden pathologies of the dental system, determining the quality and condition of tissues.Among the advantages is the ability to obtain a clear 3D image without distortions and errors with increased contrast, which allows you to study in detail the area of the proposed restoration. The average duration of the examination is about half an hour.
- Radiovisiography.
This is an X-ray diagnosis of the condition of the dental system, displaying the result on several or one targeted image.They are used both for the study of a single dental element and its roots, and for diagnosing the condition of the periodontal tissues and jaw bone. The approximate duration of the process is 7-10 seconds.
Important! The doctor decides which diagnostic method will be prescribed, based on the characteristics of the clinical case and the scope of the upcoming treatment.
It is impossible to accurately indicate the duration of the clinical stage - it all depends on the age of the patient, his state of health and the duration of obtaining the result, i.e. from 1 day to 10 days (if you wait for the result for HIV infection).
Handling Problem Units
Dental prosthetics involves mandatory processing (preparation) and depulpation.
Grinding is the grinding down of hard dental tissues to achieve a smooth and perfectly even surface. After all, it is precisely this surface that is an important condition for ensuring high-quality fastening of most types of prostheses.
In addition, the teeth are given a shape that exactly replicates the internal cavity of the prosthetic structure, which allows it to be more tightly and accurately secured.
Today, thanks to effective anesthetics and new equipment, preparation is faster (10 minutes is enough for one dental unit) and painless than several years ago.
In practice, teeth grinding can be carried out using one of the following methods:
- Tunneling is a classic technique using a drill with a metal or diamond tip, thanks to which the doctor can grind off any amount of tissue.
- Ultrasonic .
It involves the use of a special apparatus that is capable of transmitting high-frequency vibrations. The tip of the device does not come into contact with the enamel coating, which reduces the risk of accidental damage to the nerve and dentin. Ultrasonic grinding can only remove a small amount of tissue. - Laser . This technique is non-contact and allows you to get the desired result in the shortest possible time. Use is only possible for preparing thin tissues.
- Air-abrasive . The impact on dental tissue occurs using a mixture of water and abrasive particles. The technique is preferable because it eliminates the formation of chips and cracks, and also helps preserve healthy tissue.
- Chemical _
Here the specialist resorts to the help of acids, which are guaranteed to quickly destroy hard tissue. At the end of the process, the softened tissues are removed, and the tooth is given the desired parameters. Chemical preparation is a lengthy procedure (it takes at least 15 minutes to process one element), which is why it is used extremely rarely.
In isolated cases (approximately 10%), tooth depulpation is also performed before prosthetics - this is when inflamed pulp tissue is removed from its root canals.
The procedure takes about 7-10 minutes, is performed under local anesthesia, and only for medical reasons:
- partial exposure of the nerve;
- anatomically incorrect position of the prosthetic element;
- high degree of smoothness of the chewing surface or coronal part;
- mechanical injury, in which there is a high probability of nerve death.
The decision to depulpate the unit being restored is also influenced by the condition of the gums and jawbone, the angle of inclination of the tooth and its position in the row, the volume of the pulp chamber and the type of prosthesis being installed.
Typically, the procedure is carried out before installing metal-ceramic and zirconium crowns, since with this type of prosthetics the pulp becomes more vulnerable due to the removal of a thick layer of hard tissue (2-2.5 mm).
What is a dental crown, when is its installation indicated?
A crown is an orthodontic product used in dentistry to restore all functions of a tooth, as well as its shape. Crowns for installation on teeth are made in the laboratory and can be fixed in different ways - with cement, with the help of locking fasteners, with implants. The main difference between crowns and veneers and fillings is that they completely cover the visible part of the tooth.
Installation of crowns is a restoration procedure that has its own range of indications:
1. Crowns are installed on a tooth if its hard tissues are destroyed by more than fifty percent, but the root is intact and has retained its vitality.
2. If there are aesthetic defects that cannot be corrected by other methods, installing crowns may be the best option. Prosthetics with a crown will help hide defects such as improper growth of the dental unit, malocclusions that cannot be corrected by wearing braces.
3. Installation of crowns on teeth is also indicated for abnormal abrasion of tooth enamel. The installed structure will reliably protect the hard tissues of the tooth from harmful external factors and destruction.
4. For some periodontal diseases. Periodontitis and periodontal disease at a certain phase of development lead to the appearance of tooth mobility. To protect your teeth from falling out, you can install temporary crowns.
Crowns are also installed on teeth in cases where restoration with veneers is impossible, in the presence of visible interdental spaces, or in case of tooth loss as a result of injury.
Taking an impression
To achieve a comfortable and tight fit of the prosthesis, as well as ensure proper closure of the jaw arches, the prosthetic design must precisely correspond to the topographic and anatomical specificity of the patient’s oral cavity. For this purpose, an impression is taken from teeth already prepared for prosthetics.
An impression (otherwise known as a cast) in dentistry is the reproduction of the contours of soft tissues, ground and healthy teeth, alveolar cords, palatal transverse suture, and frenulum on impression material.
Important! Without a cast, it is impossible to correctly make a plaster model and make a structure that is optimal in all respects.
Taking into account the clinic and the type of prosthesis chosen, the following groups of materials can be used for the impression:
- elastic;
- hard;
- polyester;
- thermoplastic;
- modeling.
To take an impression, the doctor fills an impression tray with material, inserts it into the patient’s mouth, and places it on the teeth so that they are completely covered in the impression material.
The hardening of the material lasts about 20-25 minutes, after which the spoon is carefully removed, the impression is taken, washed with running water, disinfected and transferred to the laboratory.
Price
The cost of implantation per 1 day depends on:
- selected protocol with immediate load;
- number of lost teeth;
- material for temporary and permanent prostheses.
Prices for one-stage prosthetics in case of significant absence of teeth are initially lower than for classical ones. There is no bone tissue augmentation; a small number of implants and inexpensive crowns are used. But you need to understand that the real price will ultimately be higher:
- The price does not include a permanent prosthesis. Adaptation ones require replacement; they can be worn for a maximum of a year.
- Conditionally removable structures require special care in the clinic and costs.
- It is almost impossible to achieve a tight fit of the temporary crown, so aesthetics suffer. In this case, a loose fit is fraught with loosening of the abutment bushings, which leads to their breakage and relocation of the structure, and, accordingly, to additional costs.
To summarize: Implantation in one day is possible. But a guarantee of long-lasting results can only be provided if there is a sufficient amount of bone. We recommend the proven classical implantation method - longer, but for life. If you are assured that in 1 day in conditions of insufficient bone tissue it is possible to carry out high-quality restoration, think about it. Carefully study the contract and certificates of the clinic.
Manufacturing of the structure
This is the most time-indefinite stage - on average, the production of a prosthesis takes from 7-10 days to 4 weeks.
The duration of production of a prosthetic structure is individual and depends on many facts:
- technical equipment and productive capacity of the laboratory;
- the degree of its workload;
- the material chosen to create the prosthesis;
- type of fastening;
- localization and extent of the restored area;
- type of prosthetic product;
- anatomical features of the mouth.
The approximate production time for some types of prostheses is:
- single – from 7 days;
- bridge - from 12 days;
- partial or complete withdrawal – from 10 days;
- clasp with clasps – from 14 days;
- similar product with a locking fastening – 3 weeks;
- removable plate with implant support – 4 weeks.
These production times are calculated from the day the impression is received until the final fixation of the prosthetic structure in the patient’s mouth by the orthopedic dentist.
Some laboratories may work on a “rush order” system and offer clients, for an additional payment, to produce their prosthesis much earlier than the deadline specified in the contract.
Let's figure out together whether there can be an allergy to crowns and which material is the most dangerous.
In this publication we will look at the stages of making half-crowns.
Here https://www.vash-dentist.ru/protezirovanie/nesemnyie-p/udachnogo-pri-parodontoze.html we will discuss whether prosthetics are possible for periodontal disease.
What teeth can be inserted to make them look like real ones?
Today, dentists have practically abandoned metal crowns and dentures in the visible part of the dentition. Among the materials from which dental crowns and dentures are made are zirconium dioxide, ceramics, metal ceramics, and plastic. Ceramic and zirconium dentures are most similar to real teeth, but they are expensive. Plus, porcelain (ceramics) does not have the proper strength for a chewing tooth. Typically, those artificial teeth that bear high loads are made of metal ceramics, metal or zirconium dioxide. Metal is used where teeth are not visible in the smile area, and the patient should not be allergic to this material. Zirconium crowns are expensive and therefore not available to everyone. That is why metal ceramics are the most common at the moment. It has one drawback: the necks of the teeth have a metal strip, which can be noticeable, especially if it oxidizes. Overall, this material is durable and aesthetically pleasing. So, if you have a relatively small budget, it’s worth choosing it.
If you have very little money, then which teeth are best to insert so that the prices do not seem exorbitant? In this situation, you can count on temporary plastic prostheses. They can be made either as removable ones, or as full-fledged crowns on stump inlays or a bridge. The service life of plastic is short, but while wearing such prostheses you can save up for a better option. This is especially true when you need to completely insert teeth.
Fitting and correction
The finished prosthetic structure requires mandatory fitting before installation. The use of high-precision equipment in the process of its creation will not provide a 100% guarantee that the orthopedic product is absolutely identical to the characteristics of the client’s dentofacial apparatus.
Fitting lasts about 20 minutes. During this procedure, the doctor marks areas that require additional grinding or reducing the surface thickness.
Based on the amount of work required to fit the structure, it may take from 2 to 4 hours to adjust its parameters.
Important! Above is the time for fitting and finalizing one prosthesis. When there are several of them (for example, they are single), or it is a large bridge, the fitting and adjustment period increases accordingly.
Implantation is the best way to restore missing teeth
Dentures on implants look natural, atrophy does not develop under them and gums do not sag. Healthy crowns are not involved in the process, and there is no need to grind down the enamel. The chewing function of implants is no worse than your own teeth.
Levin Dmitry Valerievich
Chief physician, Ph.D.
Titanium roots are screwed in both for single defects and for complete edentia. The operation can be carried out using the classical method in two stages or using the express method. The latter option is reasonable to use when there is a sufficient amount of bone tissue, when osteoplasty is not required. The temporary crown on the artificial root is fixed in a couple of hours, maximum on the third day. With the classical method, the implant is first introduced, and the prosthesis is fixed at the second stage after 2 months or six months, depending on the clinical picture.
Fixation process
For the final installation of the orthopedic structure, the patient needs to spend 40-60 minutes in the dental chair. At that time:
- the prepared dental element is treated with an antiseptic;
- the oral cavity is dried out;
- a composition that increases adhesion is applied to the abutment tooth;
- The crown is placed on dental cement.
After this, you will have to spend another 30-40 minutes with an orthopedic dentist so that the specialist can assess the quality of pronunciation, degree of comfort and other categories indicating the correct installation of the prosthesis or the need for another adjustment, but on the installed structure.
Important! The correction can still be performed several times, i.e. until the desired result is achieved, which prolongs the period of prosthetics.
In the video, the specialist explains what needs to be done first for dental prosthetics.
Color selection
Based on the color of neighboring teeth, antagonists and characteristics: shade, brightness, intensity, the required tone for the future crown is selected. It will be uneven, like a natural one. The neck has one undertone, the cutting edge has a slightly different one. By mixing different numbers of colors of ceramic powder, the technician achieves the desired result.
The Vita scale is used in dental practice
, where red, brown, yellow, gray lead the groups, and the tones of each of them are indicated by numbers. 1 - the lightest tone and then darker in increasing order.
Lighting in the office is no less important when determining the color of future artificial teeth. All these points are always taken into account by experienced specialists.
Advantages of using innovative technologies
Dentistry has been actively developing and undergoing significant changes in recent years. Innovative technologies have become available to patients, making the process of dental restoration safer, faster, more reliable, more comfortable and of higher quality.
Such technologies include:
- CAD/CAM system. This is an abbreviated name for modern computer technology: where CAD - Computer-Aided Design - means design using computer programs, CAM - Computer-Aided Manufacture - production using computer technology.
The system makes it possible to automate all stages of the manufacturing process of an orthopedic structure. - Three-dimensional prosthetics (3D). It involves the inclusion of high-precision computer technologies in all stages of prosthetics, starting from diagnosing the condition of the dental system, ending with the development and creation of a prosthesis.
- CEREC system. This is a computer technology, the peculiarity of which is the production of a prosthetic structure directly in front of the patient’s eyes, i.e. in one visit to the clinic.
- Nobel Procera . Computer technology makes it possible to produce biocompatible, high-precision, ideal in functionality and aesthetics, durable prostheses.
The demand for new technologies in dental prosthetics is constantly growing. Their popularity is explained by a number of significant advantages:
- The patient's time is saved, i.e. The duration of the entire recovery process and the number of planned visits to the doctor are reduced.
- Cash costs are reduced due to the absence of payment for performing bone grafting in case of insufficient jaw bone volume and a reduction in clinic visits.
- The rehabilitation period is shortened and easier.
- There are no risks of complications associated with inaccurate fit, unnecessary trauma, damage to nerves and the maxillary sinus.
- The end result can be visualized, i.e. The patient can view the progress of prosthetics on the computer and see the result.
- Based on the complexity of the case, you can select the optimal prosthesis model or accurately determine the safe place for inserting the implant.
- Tissue trauma is minimal.
- Automation of the manufacturing process of prosthetic structures helps make them accurate and comfortable.
- The human factor is excluded.
What manipulations are performed when installing an implant?
The main steps when using the classical technique:
- Introduction of an anesthetic drug.
- Cutting the gums and peeling off the mucoperiosteal flap.
- Formation of the bone bed, with its gradual expansion until the desired size is achieved.
- Periodic irrigation of tissues to prevent overheating of the bone.
- Screwing a metal implant into the hole and installing a plug.
- Placement of mucoperiosteal flaps and suturing.
Reviews
The specific timing of prosthetics primarily depends on the type of structure being installed, the amount of work, the dental restoration technique used and the number of stages.
The exact duration is announced by the doctor after receiving the results of an examination of the patient’s dental system.
You can tell us about your experience of undergoing prosthetics and give recommendations on ways to possibly reduce the duration of this process by leaving a comment on this article.
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