All that remains of the tooth is the root: restoration without implantation


01/22/2019 Modern dentistry offers various methods for correcting chips, cracks and other dental defects. One of the popular solutions is extension, which allows you to return the tooth to its original color and shape. What the procedure is and who it is suitable for - you will learn about this from our article.
  • What is tooth augmentation?
  • Indications and contraindications for the procedure
  • Advantages and disadvantages of dental extensions
  • Basic methods of filling
  • Installation of veneers
  • Installation of crowns
  • Extension on a pin
  • Choosing a teeth extension technique
  • Cost of procedures
  • When can a tooth be restored?

    When the walls have completely crumbled, but the root of the tooth has not been destroyed, traditional dentistry sometimes suggests removing it. Today, using new protocols, it is possible to preserve the root and create a new stable unit - any of the functional ones, except for the “eights” (wisdom teeth). To do this, you need the root to be healthy:

    • Not affected by caries, without fractures or cracks. If such defects exist, then only removal followed by implantation is indicated.
    • No cyst. If there is one, then a method of treatment is selected. And only then can you begin to restore.

    If a similar problem happens to you, do not rush to the surgeon. New technologies make it possible to accomplish the previously impossible - to preserve the root of a tooth. What to do in a particular case is decided at the appointment, after diagnosis. The vast majority of patients manage to save the tooth after treatment procedures and install a crown on the root of the tooth.

    Indications and contraindications for the procedure

    Extension is indicated in the following cases:

    • Chips and cracks on the tooth surface.
    • Destruction of enamel or its discoloration, which cannot be eliminated with bleaching.
    • Partial tooth loss due to injury or caries.
    • Malocclusion.
    • Interdental gaps.
    • Age-related wear of enamel, in which the dental unit darkens and becomes sensitive to external influences.

    However, restoration is not suitable for every patient. It cannot be performed if one of the contraindications is present:

    • Untreated caries or gum disease.
    • Severe systemic diseases, such as blood diseases or diabetes.
    • Some mental disorders.
    • Bruxism.
    • Bruxism. Individual intolerance to the components of the filling composite.

    There are also technological limitations: if it is impossible to protect the restored surface from contact with moisture (for example, saliva), then the extension will have to be abandoned - the filling will not harden. Also, some methods cannot be used for dental treatment in children - for example, they do not have pins installed. For most patients, augmentation remains the optimal solution for restoring a lost tooth fragment.

    Examples when only the roots of the teeth in the upper jaw remain

    Example 1. Restoration from one root of a front tooth

    In this example (presented in full here), the situation was created literally by the patient’s hands. She tried to glue part of the tooth with superglue and, under the influence of dangerous substances contained in the glue, the crown of the tooth became completely unusable.

    But the root of the tooth under the crown below remained intact and unharmed.

    The length of the healthy part of this tooth root removed all doubts about the question - is it necessary to restore the root? Certainly! - it is possible and necessary. The tooth was restored in 1.5 hours using Cerec technology. And here in the photo is the happy owner of a new restored front tooth:

    Example 2. Restoring 3 front teeth, of which only the roots remain

    Here is a treatment example where I restored the aesthetics of her smile to a 22-year-old girl. The three front teeth on the upper jaw were completely destroyed. From the upper teeth 1.2, 1.1, 2.1 only
    the roots
    :

    These three teeth were actually an aesthetically unsightly frame made from old fillings. Now we will not analyze the whole case in detail, I would like to draw your attention to the following points:

    • the shape of the roots of the teeth and their condition made it possible to restore them
    • There was no talk at all about any amputation - removal of the roots of the teeth of the upper jaw and implantation.

    Our patient's smile was designed in a computer program:

    So, in the photo below you see a general set for restoring our patient’s dentition, and among the modules there are 3 with a crown and a root.

    The roots of the upper front teeth were quickly and, most importantly, effectively restored:

    and our patient underwent a beautiful transformation and became the owner of a sweet and chic smile:

    This is the enormous potential and aesthetic power of healthy tooth roots! Don't rush to delete them)

    Example 3. Complete restoration of the smile zone on the front teeth of the upper jaw

    This example is actually very popular on the Internet, since the patient is a TV presenter, and as a result of the treatment she found her new smile. Which is extremely important for her profession. I describe the detailed clinical case itself in another article, but here I would like to note the main points related specifically to the restoration of the roots of the front teeth with crowns.

    In the picture below we have removed composite restorations and carious lesions. only the roots remain of the two front incisor teeth.

    :

    Crowns and “crown + root” modules were prepared in the laboratory:

    After installation, the smile began to shine with bright colors:

    You can see the entire chronology of our patient’s treatment in one large picture, step by step:

    How much does it cost to add a tooth to the root?

    How much it will cost to build up 1 tooth depends on the method and materials used, and the amount of work expected. If 2-3 front or side teeth are broken, the cost increases accordingly.

    There are procedures that are paid for separately - they are not performed for all patients, only when indicated:

    • professional cleaning of stones and plaque;
    • treatment of caries, pulpitis, periodontitis and other diseases.

    In our clinic, consultation with a dentist and drawing up a treatment plan are free of charge.

    Why do tooth remains appear in the gums?

    There are many reasons for this phenomenon:

    • Perhaps the tooth has completely crumbled, but the root remains.
    • The crown received a strong blow and a fracture occurred.
    • An incomplete tooth extraction was performed. The remaining fragments cause inflammatory processes in the soft tissues, causing pain.
    • Units with the neurovascular bundle removed are often destroyed. The so-called “dead teeth”. The nutrition of their walls is disrupted, the shell becomes fragile and, due to incorrect loading or due to increased fragility, the natural walls break off “at the root.”

    If the process has already started, then urgent treatment of the tooth root is necessary. Otherwise, the remains of the unit will have to be removed to avoid infection of adjacent teeth and surrounding tissues.

    The situation cannot be ignored: tooth fragments may not bother you at first, but then turn into a serious problem. When trouble occurs, immediately contact the dental clinic to promptly select treatment and find ways to restore the tooth.

    Frequently asked questions from patients

    If you have doubts about the procedure or are simply worried, do not be afraid of your doctor; your anxiety and desire to control the situation are quite natural. And if you have not yet decided to have teeth augmented, study the answers of the orthopedic doctor at the InWhite Medical clinic to the most common questions from patients.

    Why do you feel like your teeth have become too big?

    You are accustomed to the previous size of your teeth, and this is how your body draws your attention to the changes. If the sensations have not gone away after two weeks and you still have not managed to get used to it, consult a doctor for adjustments.

    What are the restrictions after the procedure?

    In the first month, it is better to avoid too hot, cold, spicy and hard foods, as well as tea, coffee, red wine and other drinks with coloring pigments.

    How to brush your teeth?

    Use a medium-hard brush and a paste without abrasive particles or the addition of fluoride. You can use dental floss carefully, but not with colored mouthwashes.

    What to do if a piece of restoration breaks off?

    You need to contact your doctor as soon as possible and tell him about the cause of the chip - the tooth chipped on its own or you did not follow the recommendations. This will help the dentist choose a different material or restoration method to avoid chipping in the future.

    Is it necessary to remove the tooth nerve before extension?

    Of course not! When building up or installing veneers, the tooth remains “alive”, this is the advantage of these procedures over installing a crown.

    Is it painful to grow a tooth?

    With a mild degree of destruction, it is no more painful than putting a filling, the patient does not feel any discomfort. With a significant degree of destruction, pain may be associated with the installation of the pin, but in this case anesthesia is used.

    How much does tooth augmentation cost?

    At the InWhite Medical clinic, the price of tooth extension depends on the amount of work, the condition of the damaged tooth, the materials chosen and other nuances that the doctor will definitely tell you about.

    The InWhite Medical clinic uses only high-quality and proven restoration materials, and all specialists have many years of experience - you will get the perfect smile without worry or worry!

    Examples of canine restoration when only the root remains of the tooth

    Example 4. The pin in the root of the lower tooth was removed, and the canine itself was restored

    In this clinical case, I was restoring the lower canine, and the task was to save the root of the tooth and restore the coronal part of the canine, which was almost destroyed by caries. The anterior wall of the lower canine was made in the form of a filling, and it fell apart from the cutting edge.

    As you can see in the photo, an anchor pin was installed inside the tooth - this is a pin that is screwed into the canal to strengthen the tooth. The tooth under the filling and the root of the lower canine were affected by caries. When the carious tissue was removed, only the root and a small part of the wall

    :

    You and I remember the main topic of our article, which tells us the following - if the tooth root remains, it can be completely restored. And this is not the first time that the unique Cerec technology has come to our aid. Using it and digital scanning, we restored the missing tooth module, which also included the root part:

    Next, we restore the lower front tooth using a CEREC inlay and get an excellent result - the lower canine is completely restored:

    Example 5. The root of the tooth under the crown of the upper canine has not rotted, and therefore the tooth is 100% restored

    In this case, there was a total restoration of the dentition (veneers and crowns) with the replacement of worn-out crowns on the front teeth. One of the upper canines under the crown was seriously affected by caries, but its root was practically healthy - only a small part of the tooth root was damaged, see the following photo:

    The missing “crown + root” module and new crowns were manufactured in a laboratory. In general, everything is in a smile, it looks just great:

    And the owner of a new beautiful smile herself cannot hide her admiration:

    All the main tasks in this total work were successfully solved, but the main thing you should pay attention to is that we managed to save the tooth root here too.

    What does the cost consist of?

    The dentist determines the exact amount of restoration of the damaged areas after taking an x-ray. The amount of treatment ranges from 5,000 to 3,500 rubles. The cost of extension depends on:

    • Selected restoration method.
    • Qualifications of the treating specialist and the clinic.
    • Scope of work.
    • Cost of materials.

    Next, a work plan is drawn up, and together with the patient, a suitable method, materials, duration and scope of work are selected. The patient himself can indicate his financial capabilities, which will also be taken into account by the attending physician.

    What does it depend on

    Prices for medical procedures may vary depending on a number of conditions:

    • The chosen restoration method (the most important factor that determines the estimated cost).
    • The breadth of the affected areas (the volume and cost of restoration work depends on the number of damaged teeth) and the duration of treatment.
    • Required number of procedures.
    • Clinics and qualifications of the attending physician.

    Take into account other expenses for treatment. Consultation and initial examination are usually free, but even on a paid basis it costs no more than 100 - 500 rubles . This includes an examination, x-rays ( 100 – 2,000 rubles , the latter amount is indicated taking into account an image of teeth with significant damage).

    The cost of treatment may increase due to the need for preliminary procedures. For example, you may need:

    • Cleaning the oral cavity. Before restorative procedures, you need to get rid of stones and plaque inside the oral cavity. A proper level of hygiene is required for the prevention of dental diseases and better adhesion of materials and the effectiveness of procedures. For example, the “Air Flow” cleaning method will cost 1,500 – 3,000 rubles.
    • Treatment of caries. Often, tooth augmentation is carried out in the presence of serious damage to the hard tissues of the tooth. The cost of treatment is determined based on the level of affected areas. For example, in advanced situations, endodontic treatment is necessary (canal cleaning, root removal, etc.).

    As a result, the price may increase by another 1,000 - 5,000 rubles .

    How to determine if a root is healthy

    How to understand whether caries has affected the root of the tooth, whether the dentin of the tooth root is intact or whether there are defects? In order to have an objective picture of the process, it is necessary to perform an x-ray of the tooth root and a computed tomogram. A CT scan will determine the true condition of the root and show:

    • The presence of inflammatory processes.
    • It will determine whether there are neoplasms and what size they are (cyst or granuloma).
    • The location of the roots in relation to the neighboring ones, the maxillary sinus.

    This is the only way to see whether it will be possible to cure the tooth root using a tab.

    Example 6. Restoration of teeth 4 and 5, when only one root remains

    In the next total work I would like to highlight the 4th and 5th premolars. In general, the girl’s situation was quite complicated initially at the time she contacted me. Both the lower and upper jaws were restored. Let's look at only the top one.

    Front 4 teeth

    - these are 1.2, 1.1, 2.1 and 2.2 were entirely made of composite material, under which caries developed. And the teeth we were interested in, 1.4, 1.5, 2.4 and 2.5, were covered with metal-ceramic crowns under which there were metal inlays. Today, such structures are rarely used in advanced dentistry, since the same Cerec technology allows you to achieve excellent results with one module “crown + tooth root”, rather than breaking the structure into an inlay and a crown with an additional adhesive layer. In fact, we place a crown at the root of the tooth with the function of the missing root. There will be a separate example on metal tabs a little later.

    So, in the photo below, the crowns were removed, the inlays were removed and carious tissue was removed from teeth 4 and 5, leaving healthy roots

    :

    If only the root remains of a tooth, this does not mean that it cannot be restored. And let this tooth root be pulpless, i.e. dead - such tooth roots feel great in bone tissue and orthopedic structures can be built on them. Using computer technology and 3D scanning, we first restored virtual teeth:

    The following photo shows that on one side we place crowns with an inlay function in place of the 4th and 5th teeth, and on the other opposite side we place half-crowns also with an inlay function.

    That is, these are single modular designs - veneers with a root part, which are currently the best for the patient

    :

    Installing veneers with the root part allows you to completely recreate an aesthetically beautiful dentition:

    The stage of temporary prosthetics, which allows the patient to see his smile, plays an important role in the very process of its new formation, since the patient understands that the main problems with the restoration of the remaining teeth, and in fact the roots of the teeth, are left “far behind”:

    After installing crowns and half-crowns and restoring the front teeth, our patient’s smile was transformed beyond recognition, the so-called. wow effect:


    The clinical example described above can be viewed in detail HERE.

    How much does the procedure cost?

    It is quite difficult to give an unambiguous answer to the question of how much it costs to grow fangs, since much will depend on the chosen technique. Also, other factors will influence the final price, including the quality, quantity and cost of the material used, the pricing policy of the dental center and the professional status of the specialist.

    It can be immediately noted that a vampire smile can cost the patient from 3-4 to 30-40 thousand rubles. With additional decor such as skyes and stones, the cost of the procedure can reach 200 thousand rubles. The price range is significant, so it is better to consult a specialist about choosing a specific technique.

    A standard cosmetic restoration will cost on average 3-5 thousand rubles. But it must be taken into account that for such a procedure it is important that there are no pathological processes in the oral cavity, especially in the acute stage. Treatment of foci of caries and inflammation, enamel hyperesthesia if present - all this will entail additional expenses and increase the total cost.

    Installation of one ceramic composite veneer, the most affordable, will cost from 20 thousand rubles. More expensive solutions made of ceramics and on a zirconium dioxide frame will cost from 25 to 30 thousand rubles. for 1 veneer. If we talk about lumineers, their cost ranges from 45 to 65 thousand rubles. for one overlay. As for installing an artificial crown, its cost will also directly depend on the material. Thus, a metal-ceramic structure can cost from 15 to 20 thousand rubles. A zirconium product will cost 20-25 thousand rubles.

    If you decide to grow fangs, carefully consider all the pros and cons in advance, and be sure to consider the possible risks. This is one of the original options to dramatically change your image, but you need to understand that we are talking about the health of your teeth and oral cavity in general. Sometimes such transformations cause serious damage to the enamel, which most often happens due to a violation of the technique of the procedure or the presence of contraindications in the patient that were not identified in advance. Therefore, if you decide to take such a step, carefully and responsibly approach the choice of a clinic and a good doctor.

    1. Bulycheva T.E. Aesthetics of a smile, 2007.

    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.

    Price for extension of chewing teeth with crowns

    Tooth restoration with an inlay, half-crown, crown (CEREC) with individual aesthetics24,000 rub.
    Tooth restoration with a permanent metal-free all-ceramic zirconium dioxide or Emax crown with individual aesthetics (application method)22,000 rub.
    Tooth restoration with a permanent metal-free crown made of zirconium dioxide, standard aesthetics (staining method)18,500 rub.
    Tooth restoration with a permanent milled metal-ceramic crown11,500 rub.

    Examples of restoration of fifth teeth on the upper and lower jaws

    Example 7. A metal tab and caries left only the root of the 5th tooth

    A patient came to me with a 3.5 tooth. It was a pulpless tooth - the lower five, it did not have any periapical changes or inflammation in the area of ​​the root apex. The tooth was missing the upper half of the crown part of the tooth. This tooth 3.5 initially had a filling, a metal stump insert was installed in the tooth, quite deep, and a filling was already installed on top. Here's a “puff sandwich”:

    As I said in the previous example No. 6, metal tabs are beginning to be used less and less in practice - they have been replaced by modern computer technologies, for example, Cerec. As a result of the atraumatic removal of the metal insert, the bone was preserved, nothing cracked: neither the root nor the remaining bone structure:

    The restoration of the bottom five was carried out using Cerec technology in 1.5 hours

    :

    The “crown + root” module fell into place perfectly, the patient was very pleased with such a quick and effective solution to his problem:

    Example 8. The top five were completely destroyed by caries. But the tooth root survived

    With this example, I want to show you how deep caries can literally “eat” your teeth. And, of course, try to prevent it from developing like this. The patient is a fairly young man who has decided to radically improve his image. This is a laudable decision, but here are the teeth he came to me with:

    Caries on almost all teeth. After removing the carious layer, the remains of the teeth appeared in this form:

    Please note that in place of the upper tooth 5

    There was practically only one root left with a small side wall. In this case, the same technology of tooth restoration using the “crown + root” module and crowns/half-crowns with an inlay function was used. The result of the treatment, as they say, is on the face:

    The goal of treatment, according to the patient, has been fully achieved - a brutal Man

    :

    When and how can you restore a tooth with Cerec?

    A common problem is the development of caries on the frontal units. The result is their complete destruction. The patient sometimes comes too late. Or the previous intervention does not bring the desired result. When several units in the smile area are damaged, and some of them only have tooth root tissue left, you can combine the installation of crowns, veneers and restoration of the upper visible part using special inlays in the root system. Sometimes large-scale intervention is needed - the smile area is corrected, damaged teeth are recreated. You can do a step-by-step restoration of 10 or even 20 teeth above and below.

    Using Cerec technology, if there is a healthy root, it is easy to restore almost every tooth within a few hours.

    • It will be necessary to determine the condition of the root and undergo a course of treatment.
    • Then, after treating the upper roots, it is possible to install a module with the alignment of the tooth crown and the insert into the cavity in the tooth root.

    A smile should always be charming. When restored, the new units are ideal, better than natural ones. In addition, natural teeth darken under the influence of pigments or turn yellow with age. Therefore, next to the restored ones they look unaesthetic.

    To avoid such consequences, units can be corrected with veneers or crowns (when they are 50% destroyed and there is no stable support). To create an impeccable beauty zone thanks to Cerec, you only need a few visits to the doctor.

    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

    Features of Cerec technology

    Cerec root inserts and crowns are made from metal-free materials - it can be ceramic or zirconium dioxide. They can be installed even for allergy sufferers without fear. This technology has completely changed traditional approaches to dentistry.

    Now the restoration process is comfortable and takes a minimum of time. In my clinic, the procedure is carried out in several stages.

    I would also like to note that only one anesthesia is required and there are practically no errors when creating new teeth. Stages:

    1. An intraoral scanner determines the boundaries of the damage. This is especially important when only the roots of the front teeth or molars remain. The remaining tissues, antagonist teeth, and closed rows are scanned.
    2. The information is transferred to a computer, where all the images are combined into an image.
    3. The program creates a three-dimensional model of the remaining tooth, all defects are clearly visible. Then models of the inlay and crown are created that perfectly replicate the anatomical features of the tooth. Dimensions and shape are calculated accurately. It is determined what kind of restoration is needed.
    4. The design is made from blanks on a milling module. The elements are being tried on. In rare cases, correction is required. Shade discrepancies or other issues that displease the patient can be easily corrected within a few minutes.
    5. The completed root inlay fits hermetically to the remaining parts of the tooth, is securely fixed and exactly matches the shape.

    Thus, it is possible to quickly restore units if only the roots of the teeth of the lower or upper jaw remain.

    When is it better to refuse the procedure?

    There is no one-size-fits-all intervention in dentistry. Unfortunately, extensions are contraindicated for a whole group of patients.

    Relative

    the procedure can be carried out with extreme caution

    • Bruxism;
    • malocclusion;
    • poor oral hygiene.

    Absolute

    the procedure is strictly prohibited

    • Allergy to materials;
    • pacemakers;
    • inability to dry the restoration site.

    Benefits of Cerec Restoration

    The innovation has clear advantages compared to traditional prosthetics:

    • The process does not take a week or several days, but only 1.5 hours
      per tooth maximum.
    • Accuracy
      . The computer minimizes errors and eliminates errors.
    • Biocompatibility
      . Fabrics do not reject materials.

    An inlay in the tooth root is created quickly, then the crown is modeled. The price is fully justified by the reliability, long service life of the structures and their aesthetics.

    There is a striking difference between the smiles of patients when they only had the root of the tooth left, and the photo after treatment with Cerec dentures.

    Bottom line

    Building up a tooth with a filling or installing a pin for subsequent layer-by-layer application of composite material is a modern, painless procedure that eliminates any cosmetic defects. Augmenting the front teeth allows you to restore the beauty of your smile and relieves the patient of the feeling of awkwardness when communicating with people.

    The advantage of artistic restoration is its relative cheapness compared to the installation of dentures and a quick solution to aesthetic and physiological problems with teeth. Composite materials quickly become stable and do not cause discomfort in daily use, like prostheses.

    Any tooth with any defect can be restored if the root is preserved. Contraindications to the procedure are severe dental and gingival pathology, bruxism and abnormal jaw structure. In other cases, artistic restoration is carried out.

    Sources used:

    • “Partial removable dentures” (Zhulev E.N.)
    • Shaimerdenova R. Sh. Orthopedic treatment with fixed dentures without tooth preparation // Current issues in dentistry. - Alma-Ata, 1989.
    • “Removable dentures: a textbook” (Mironova M.L.)

    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:

    Should the tooth root be removed? In what cases is this necessary?

    Is it necessary to remove the root of a tooth? The root must be removed if:

    • it is mobile, unstable or has a deep pocket;
    • there are cracks;
    • the root processes are “recessed” into the bone tissue and are located below their level;
    • root tissue is softened or severely destroyed;
    • There are chips in the tooth root.

    Modern surgery is as painless as possible. Doctors perform the procedure while maintaining the integrity of the surrounding tissue. In the absence of inflammatory processes, it is possible to remove the real tooth root with simultaneous implantation of an artificial one.

    Stages of treatment

    How much time and visits it takes to restore a broken tooth and how the manipulation proceeds depends on the defect, location, degree of destruction and restoration technology.

    • Direct restoration

    Restoration of enamel and artistic extension with composites takes 1 visit

    . Their cost is low.

    When restoring enamel with a composite, the dentist simply applies the paste, smoothes it and strengthens it with light. Then the teeth are polished. The chipped tooth is restored by simulating the chipped piece. Then turn on the lamp. Finally, the tooth is ground.

    • Indirect restoration

    Requires at least 2 visits

    . During the first one, the teeth are prepared, an impression is taken, and, if necessary, a photograph is taken. Then inlays, pins or veneers are installed. Severely damaged teeth require more work, especially if crowns are needed.

    CONCLUSIONS:

    As you can see from the examples provided, I, orthopedic dentist Sergei Samsakov, an expert in the field of digital modeling and restoration of teeth using Cerec, manage to restore a beautiful smile even in almost the most hopeless cases. If you have similar problems, do not hesitate, contact us, and we will always find the optimal and, most importantly, beautiful solution to your situation.

    And remember the simple truth: there are no hopeless situations!

    How to repair a broken tooth

    There are two main types of tooth augmentation (restoration).

    • Direct extension. The doctor performs reconstruction directly in the oral cavity using composite materials, which he applies layer by layer. After treatment with ultraviolet radiation, the material hardens and becomes very durable.
    • Indirect extension. During restoration, materials are used that are manufactured on high-precision equipment in a laboratory. These include crowns made of ceramics, metal-ceramics, zirconium, as well as microprostheses - veneers, inlays. Manufacturing and installation may take up to 14 days.

    The choice of material and price depend on how large a piece of tooth needs to be built up. If a small part has broken off, restoration with composites is used; if more than 50% of the tooth surface is destroyed, it can only be restored with an inlay or a crown.

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