Characteristics of titanium crowns on teeth: advantages, disadvantages and cost in Moscow

For the manufacture of crowns, different materials are used, differing in properties, cost, and service life. Titanium crowns, for the production of which an alloy based on this metal is used, are distinguished by excellent technical characteristics, durability and other properties. At the same time, the parameters of titanium are comparable to the characteristics of precious metals, but the cost of such designs will be more affordable. The material is biologically compatible with tissues and does not cause allergic reactions or irritations. The crowns are durable and can withstand severe chewing loads.

The Two Dentists clinic provides prosthetic services using titanium-based structures. The use of such products allows you to restore the beauty of your smile and the functionality of your teeth. The period of adaptation is practically absent, there is no tissue damage. The use of such structures provides the following functions:

• support, load distribution;
• restorative;
• aesthetic, returning a number of attractiveness;
• protective, prevention of tissue degeneration.

General characteristics of titanium crowns

Titanium is one of the metals on the basis of which non-removable orthopedic products are made in dentistry. These include single crowns (hollow “caps” covering the visible parts of the teeth) and bridges (consisting of at least 3 attachments). Sometimes the material serves as the basis for removable dentures, but for this purpose it is used less frequently.

What kind of doctor puts crowns on teeth?

Titanium is a traditional type of metal for fixed dentures. It has the following qualities necessary for orthopedic treatment:

• bioinertness – the material is compatible with body tissues and does not cause negative reactions;
• refractoriness;
• wear resistance and corrosion resistance.

Crowns are made on the basis of pure titanium or its alloy with molybdenum, aluminum, and vanadium. Sometimes gold plating is done on the inside of the prosthesis - this increases the structure’s resistance to corrosion processes and reduces the risk of bacterial plaque accumulation. And the outer side is lined with ceramics.

Titanium is a traditional type of metal for fixed dentures

Can I drink alcohol after dental implants?

It is strictly forbidden to drink alcohol before and after surgery. Alcohol can greatly change the rheological properties of the blood, which in turn can lead to significant swelling or prolonged bleeding with a risk to life. A person in a state of alcoholic intoxication is not attentive and cannot soberly assess the situation and make decisions. Plus, being unable to accurately remember the doctor’s recommendations will all lead to unpleasant complications. Smoking causes burns to the mucous membrane and disintegration of blood clots; moreover, smoker’s dental plaque greatly worsens oral hygiene.

Flaws

Titanium crowns have 3 key disadvantages:

1. The impossibility of making a structure using the casting method. At temperatures above +800°C, titanium loses its properties. Therefore, prostheses are only milled from it. The technology is complex; it cannot be used to obtain crowns with a perfect marginal fit. A gap forms between the “cap” and its own tissues, where bacterial plaque accumulates.
2. Poor adhesion to ceramics. Because of this, chips and cracks quickly appear on the outer part of the prosthesis. In addition, they use exclusively low-temperature ceramics, which are incompatible with other metals.
3. Low aesthetics. Titanium-based bridges and crowns do not have the translucency of natural teeth. Therefore, they are not recommended to be placed on the anterior units - they look unnatural against the background of other incisors and canines. Also, low-temperature ceramics are inferior to conventional ones in terms of external characteristics.

In recent years, thin-walled titanium prostheses have been used. They are easier to mill, they better follow the anatomical features, and fit more tightly to the neck of the tooth and the gingival margin.

If the tooth is severely damaged, titanium dentures are not installed

WITH 99% ACCURACY!

“Bionic Dentis” is the only dental clinic in Moscow where you can undergo an analysis of the survival rate of dental implants (Titanium intolerance TEST). Our European partner guarantees diagnostics for implant rejection at the highest level.

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Our clinic is the exclusive representative of the German laboratory IMD Institut für Medizinische Diagnostik Berlin-Potsdam GbR in the Russian Federation and CIS countries, which works with a unique technique for determining intolerance to titanium implants (Titanium intolerance TEST).

The laboratory is accredited by DAKKS Certificate D-ML-13142-01-00, as well as Certificate D-PL-13142-01-00, which guarantees the highest level of molecular diagnostics according to European standards.

We will help you determine in advance whether your implants will take root or not, which will help you avoid such a painful complication as implant rejection and spend money wisely on dental services without the risk of losing them.

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IMPORTANT!

If you are planning to install dental implants, you need to find out in advance whether they will take root with you.

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The installation of dental implants is associated with large financial costs for the patient, which is why it is necessary to know in advance that allergies to implants will not occur.

According to European statistics, 26% of the population has a genetic intolerance to titanium , from which dental implants are made.

Indications for installation

Typically, a titanium dental prosthesis is recommended for replacing severely damaged or lost units, restoring chewing and aesthetic functions. In addition to these reasons, the structure is installed when:

• insufficient mineralization of teeth, increased abrasion;
• hypoplasia (insufficient development), aplasia (congenital absence of a unit or part thereof) and dysplasia (improper formation of the coronal part) in children;
• injuries, chips and cracks;
• severe tooth decay - if it occupies half the contact area or 2/3 of the height;
• replacement of prosthetic structures made of other materials - as a result of their breakage or repeated treatment of abutment teeth.

The only contraindication is severe tooth decay, in which the root system cannot be preserved. Also, in children, it is not recommended to have prosthetic jaw rows until the units have completely erupted.

How are the manufacturing and installation process?

The titanium frame is made using CAD/CAM technology - computer modeling of the prosthesis, followed by milling from a single block using an automatic installation.

The titanium frame is made using CAD/CAM technology

Otherwise, the production of a dental structure is no different from the creation of other prostheses. It happens in several stages:

• diagnostics - X-rays are used to determine the condition of soft and hard tissues, the presence or absence of inflammatory processes;
• sanitation of the oral cavity - as necessary;
• if necessary, depulpation of the tooth under the crown or repeated endodontic treatment;
• turning the tooth for a prosthesis or, in case of severe destruction, restoring the coronal part with a stump insert - it is also made of titanium;
• taking impressions and making diagnostic impressions;
• fitting and fitting of orthopedic structures;
• if the product is suitable, it is lined with ceramics of a suitable color;
• securing the crown with bond (cement) at the last visit.

Prosthetics take 2-6 weeks. The duration depends on the number of teeth being replaced and the volume of preliminary procedures: treatment of caries, extraction, depulpation, etc.

After installation, the orthopedic dentist prescribes 1-2 follow-up visits. On them, the doctor evaluates how the prosthesis fits. The patient’s task is to report possible discomfort or strange sensations.

After installing the crown, you will need to visit the doctor 1-2 more times.

Implant selection criteria

Material characteristics are a very important component of the implantation system. But dental implants made from the same material, manufactured by different companies, or even by the same company - but in different “lines”, can be very different. The success of restoration also depends on the following aspects:

• the implant must be standard, manufactured at a factory: production is carried out using milling, intense plastic deformation (a rarer type). Individual structures made in a regular dental laboratory are not recommended for installation, because their service life is short (about 7 years),
• shape of the structure: now the best are considered to be root-shaped and cylindrical,
• type of thread: it can be sharp with the ability to self-cut, it can be compression - compact the bone tissue around itself,
• surface: it can be smooth and polished by a laser, or rough - processed in an electrolyte solution or using sandblasting. Active substances that stimulate the growth and restoration of bone tissue cells - fluorine, calcium, phosphorus and others - are also applied to the surface.
• sterilization: modern technologies at the production stage allow for 5-stage treatment to remove impurities,
• a correctly selected model for a specific clinical case: therefore, before implantation, patients undergo tests and undergo a computed tomography scan of the jaw. This way, the doctor can identify important features (for example, changes in hormone levels, the presence of inflammation, atrophy of the jaw bone) and choose an implant based on the indications. And in his choice he is helped by 3D planning in a computer program, for example, Simplant, NobelClinician,
• a good implantologist: this item can be put at the top of the list, because the success of implantation depends on the professionalism of the doctor and his responsible approach to the matter.

What are the service life and care recommendations?

Titanium crowns are the most durable. Judging by the reviews, they last at least 12 years. And with proper care, the service life reaches 15-20 years.

The service life of the prosthesis itself is indicated with ideal pre-treatment. If the dentist missed inflammatory processes, did not eliminate carious lesions, or poorly obturated the root canals, there is no point in hoping for a long “life” of the structure.

How long titanium dentures last also depends on the patient and how carefully he maintains oral hygiene. Recommend:

• brush your teeth at least twice a day, ideally after every meal;
• clean not only the crowns, but also the tongue, the inside of the cheeks, and gums from plaque;
• use dental floss, brushes or an irrigator to clean the interdental spaces;
• at the end of each cleaning, rinse your mouth with disinfectant solutions;
• if it is not possible to fully brush your teeth, use a mouthwash, floss, or chewing gum - they will eliminate some of the bacterial plaque and food debris;
• undergo a dental examination every six months;
• Remove plaque and stone 1-2 times a year.

Another tip is not to overload the teeth under dentures: evenly distribute the load when chewing on both sides, do not chew hard objects, etc.

Titanium-based crowns are the most durable of all, they can last more than 10 years

Dental implants – what are they?

Dental implants, implants, implants are all artificial structures that replace missing teeth. They are firmly fixed in the bone tissue of the jaw and serve as a reliable support for fixed or removable dentures in the form of single crowns and bridges of varying lengths (you can see what dental implants look like in the photo above). There are several types of dental implants, but the most popular today are root-shaped dental implants, which have earned favorable reviews from both patients and leading implantologists around the world. Prices for dental implants depend on their quality, features of the installation system, the presence of special coating and other factors. Which implants are better is a topic for a separate article.

The cost of installing turnkey crowns in Moscow

Titanium prostheses are relatively inexpensive. They are at least 1.5-2 times cheaper than metal-ceramic crowns. So, the average cost in Moscow dentistry is as follows:

• 3,000 – 4,500 rubles for a crown made of titanium alloy with aluminum, molybdenum or vanadium;
• 6,000 rubles per unit of pure titanium;
• 6,500-7,000 rubles for a prosthesis with internal gold plating.

The prices shown are for titanium crowns with ceramic lining. Additional costs (treatment, production of a stump inlay, plaque removal, etc.) are calculated individually.

Titanium-based crowns are the best option if you need strong, durable and inexpensive prostheses. They are suitable for replacing and restoring molars and premolars. But it is recommended to install structures made of zirconium dioxide or solid ceramics in the smile area - they look more natural.