Options for prosthetics of anterior teeth after extraction

A beautiful smile undoubtedly matters to a person. After all, this is what many people fix their attention on when they meet. A smile leaves an unforgettable impression on the interlocutor. It plays an important role in your confidence when communicating. A beautiful smile will improve contact with your interlocutor, improve behavior and leave behind all sorrows and self-doubt, and will also melt the heart of any stranger. But if the smile is not perfect and there is a defect in the front teeth (cracked dental plate, extracted tooth, crooked bite or tooth fragment, caries), how can we talk about self-confidence? Such a person will become isolated from others, become withdrawn, stop smiling, and will feel awkward when communicating. All this can leave a mark on a person’s profession and on his personal life.

No one wants to show problems with their front teeth to others, so dentures are the best solution for such patients.

When performing prosthetics after removal, it is important to restore and preserve the functions of the organ:

• Correct bite;
• Shape;
• Natural color;
• Gum health.

Prosthetics of the front teeth is also an aesthetic issue, therefore, to create a beautiful smile, it is necessary to use high-quality, durable materials that will visually look good. In dentistry, several methods of installing dentures are used and leading materials are used to give each patient a dazzling smile.

The main indications for the use of anterior dental prostheses are:

• Cracks in the dental plate, chips, broken teeth;
• Lost teeth or congenital adentia;
• Carious teeth;
• Crooked bite;
• Yellowing or darkening of the enamel;
• Crooked teeth, irregular shape and uneven “facial” surface of the tooth;
• Early unsuccessful prosthetics.

To solve your problem and select the correct method for installing dentures after removing your front teeth, you can consult the Dr. Levin dental clinic by calling the clinic.

Prosthetic options for anterior teeth

• Temporary and permanent;
• Removable and non-removable.

Temporary prostheses are needed for emergency filling of the defect. This option is performed for a broken tooth, extraction, and when removing or replacing other dentures. To do this, temporary plastic prostheses or removable dentures are used to close the existing defect. The wearing period of such implants is 30-60 days. This time will be enough to make a permanent prosthesis and sanitize the oral cavity.

Permanent prosthetics are performed after the root implant has healed, with healthy neighboring teeth, and in the absence of inflammatory changes in the oral cavity.

Removable prosthetics can be used in people who, due to contraindications, cannot currently perform such a procedure and it is postponed for some time. Or when it is not possible to install a prosthetic bridge due to the lack of more than four teeth in a row or the supporting teeth are damaged. Such patients are recommended to wear removable dentures.

Fixed prosthetics are carried out according to indications and include the following techniques:

• Implantation;
• Bridge prosthetics;
• Installation of crowns;
• Installation of veneers or lumineers.

There are several options for prosthetics of the upper and lower front teeth

Dentist consultation

The orthopedic dentist conducted an examination, found out the reasons why the front tooth was removed, listened to the patient’s wishes, and assessed the condition of the adjacent teeth and the entire oral cavity. Since the front tooth was removed because it was loose, a panoramic photo of the teeth was taken to assess the condition of the roots and do everything to prevent further tooth loss.

Tooth loss may be associated with periodontal conditions or the presence of certain diseases, such as diabetes. The patient consulted a periodontist at Dial-Dent about tooth loss and received the necessary recommendations.

Implantation of artificial teeth

A modern, long-lasting option for the restoration of front teeth is implantation. This operation involves inserting a special pin into the jaw bone, in the place where a tooth is missing, which will act as a tooth root and will counteract atrophic changes in bone tissue. This pin is made of titanium and does not cause any inconvenience or complications in the future. Then a crown made of ceramic is installed on this titanium rod. Implantation makes it possible not to touch the healthy teeth in the neighborhood. For this procedure, high-quality durable implants from the Nobel Biocare brand are used, which are guaranteed for life. The implanted tooth will not differ in any way from the rest, since the crown is made after measurement and exactly matches the shape and natural shade of the teeth. Another technique for using dentures on the front teeth is installing a bridge.

The name “bridge” was borrowed from technicians, since its installation uses the principle of constructing bridges. A bridge is a type of permanent dental prosthesis; they are used to replace defects of several teeth (up to four) in a row. To do this, special crowns are installed on the adjacent good teeth, between which the prosthesis will be placed. The negative quality of this technique is the need to grind down the surface and remove the pulp of healthy teeth on which crowns will be placed. The bridge also needs to be replaced at least once every few years. But with these disadvantages, this method allows you to avoid surgical intervention.

Orthopedic treatment of complete edentia

In case of complete edentia, the doctor can offer two main correction options: implantation followed by prosthetics or wearing a complete removable denture.

Removable dentures were very popular before the advent of implant prosthetics, accessible to a wide range of people. Now removable dentures are used, but are not considered the optimal solution to the problem. In modern dentistry, several types of removable dentures are used:

✔

acrylic;

✔

nylon.

Acrylic removable dentures consist of a solid base and attached artificial teeth. The lack of flexibility gives these prostheses several special qualities, which are both the main advantage and the main disadvantage. On the one hand, a solid base contributes to an even, healthy load on the entire jaw when chewing food. However, this same property makes the prosthesis more fragile and less comfortable to wear compared to more elastic structures. Acrylic dentures have a porous structure on which bacteria and plaque accumulate; the monomer in their composition can cause an allergic reaction. When choosing this design, we recommend paying attention to Acry Free prostheses, made from the latest type of plastic without toxic substances. They are more modern, durable and flexible, but their cost is higher than other acrylic prostheses.

Nylon prostheses are more flexible and aesthetic. They are made from hypoallergenic materials. However, they have insufficient rigidity, which affects the quality of chewing food and contributes to rapid atrophy of bone tissue. Because of this, nylon dentures made of polyurethane and other materials are not recommended for use in completely toothless jaws.

Prosthetics of anterior teeth using crowns

Sometimes lesions on the front teeth can be more serious. Then prosthetics of the front teeth using crowns is suitable. To make the most natural shape of the tooth being installed and to ensure a tight fit of the crown, it is necessary to grind the affected tooth and, if necessary, remove the pulp and nerve. Then process and seal the canals. After fitting, a ceramic crown is installed on the dental cement mortar. Ceramic or zirconium structures without metal are best suited for dental prosthetics.

The main advantages of such crowns are:

• The base from which the dentures are made must be hypoallergenic. Which is very important. Ceramic crowns do not cause allergic reactions.
• Ceramic crowns look aesthetically pleasing. Based on individual measurements and subsequent fitting, you can ideally select the desired shape and color that will match the natural shade of natural teeth.
• Metal-free crowns do not cause darkening of the gums around the installed tooth and do not leave a metal rim. They also do not lead to alveolitis, gingivitis and periodontitis.
• Ceramic crowns will not cause discomfort when eating food at different temperatures.
• Also, such crowns are lightweight, comfortable and durable.

Prosthetic replacement of anterior tooth after extraction

After tooth extraction, it is better to do its prosthetics using the express implantation technique, in the absence of contraindications. To do this, immediately after tooth extraction, an implant and a special abutment are installed in its alveolar socket to form the correct gum shape. A crown is temporarily placed on it. After the implant has healed for approximately several months, a permanent crown is installed.

The advantages of express implantation include:

• This procedure does not require any additional incisions, which is less traumatic to the gums;
• The implant is installed in an open manner, which also does not require additional surgical intervention;
• This method is perfect for patients who do not want to wait until the hole heals and a bridge or crown can be installed.
• Short healing period;
• There are few side complications that are unpleasant for the patient.

Features of treatment

Complete dentures on implants can be removable or conditionally removable. Removable ones are used for mini-implantation. Conditionally removable dentures are removed only in the dentist's office.

In classical prosthetics on implants, different fastening methods are used.

1. Push-button fixation
   is carried out using abutments - equatorial or spherical. When the prosthesis is fixed, the lock is activated. With some force, the prosthesis can be removed for inspection and hygiene procedures.
2. Another method is beam fixation.
   First, a beam is made to connect the already installed implants. The prosthesis itself is attached to it. Prosthetics using this method are more reliable, but more expensive. From a technical point of view, it is more difficult to carry out.

Installation of dentures for anterior teeth without turning

This is the restoration of damaged teeth, when the neighboring teeth intended for support are not ground down or depulped. In this case, it is worth performing implantation. This is one of the most gentle and atraumatic methods of installing upper and lower teeth. The essence of the method is that in the place of the lost tooth, an implant is installed in the jaw bone tissue, which performs the function of a root. Subsequently, a crown is put on it.

There are also methods that do not require grinding of a layer of healthy teeth, but they are rather temporary.

Problems arising from missing teeth

The absence of even one dental unit in a row leads to serious consequences:

• Due to the lack of lateral support, neighboring teeth begin to shift;
• if a tooth is lost along with the root, the bone tissue in this area begins to quickly atrophy and decrease;
• chewing function is impaired, which leads to problems with the gastrointestinal tract;
• the bite changes, which leads to deformation of the position of the jaw joint and dysfunction of the umbilical nervous system;
• The shape of the face changes, the upper lip begins to recede, and wrinkles appear.

The longer a tooth is missing, the more severe the consequences will be. If a tooth is lost in the smile area, patients are offered different options for restoring the dentition. The method depends on the clinical picture.

Veneers and Lumineers

Veneers and lumineers can be used as aesthetic options for dentures on the front teeth. Veneers are very thin shells of porcelain that are given a color similar to the natural color of the patient's teeth. Veneers completely match the shape of a natural tooth. Such plates are attached to the front surface of the tooth.

Lumineers are transparent and very thin plates about 0.15 mm thick. Placed on the front surface of the tooth. This cosmetic procedure is non-invasive, quick, painless and long lasting.

These qualities determine the indications for the installation of veneers or lumineers:

• Crack and small chip of a tooth;
• Yellowing or darkening of tooth enamel;
• Uneven frontal surface;
• Crooked teeth.

General recommendations

During the period of adaptation to dentures, it is recommended to stop eating solid foods and choose softer foods. It is recommended to eat slowly, cutting food into small pieces. You need to chew food on the right and left sides in turn. To restore chewing skills, pear or apple slices are suitable.

It is necessary to completely avoid chewing gum, toffees, toffees and other viscous, sticky products. They can cause disruption of the fixation of the prosthesis, its breakage, and injury to the mucous membrane.

Do not clean dentures with abrasives, alcohol, alkaline or acidic solutions. The use of hard toothbrushes is not recommended. You should not chew candy, nuts, or seeds.

If you have any doubts or need a professional opinion on a problem with your prosthesis, you can contact the Canadian Center for Innovative Technology and Neuromuscular Therapy for a consultation. Our specialists will answer all your questions!

Installation of prosthetic anterior teeth on the upper and lower jaws

The use of dentures for the lower and upper anterior teeth is almost the same from a practical point of view. The difference may lie in the fact that the installation of dentures for the upper teeth requires more attention from the dentist, since the upper jaw is somewhat less well supplied with blood than the lower jaw, hence healing here will take a little longer. And also, when a person smiles, the front teeth are the first to be seen from above, so it is necessary to pay more attention to the aesthetic side of prosthetics.

Consequences of edentia

A disease such as adentia has a huge number of negative consequences. A person is not able to clearly pronounce individual sounds, speech becomes slurred and unpleasant for others, it is very difficult for such people to find work in the field of social communications where constant communication is required. Some types of food, such as tough and hard foods, simply become inaccessible, since in order to bite off and thoroughly chew meat, you need a full set of teeth. Such a person is doomed to lifelong intake of liquid food. And if at first glance this problem does not seem so terrible, then it is worth considering it from a slightly different angle. Due to the lack of vitamins that the body must receive from solid food, after some time the patient begins to develop diseases of the stomach and intestinal tract, as well as the body as a whole. In this connection, the problem of edentia cannot be postponed until later.

The doors of YuliSTOM dental clinics in St. Petersburg are open 7 days a week!
You can both get advice and get rid of edentia in our dental clinics. Moscow metro station Zvezdnaya, Danube Avenue, 23

Preparing for dental prosthetics

Many people do not like any dental procedures, and this is due to the fear of unbearable pain. You should not be afraid of dental prosthetics, since the most unpleasant thing you will encounter is tooth grinding and depulpation. And all procedures are carried out using local, good, strong anesthetics.

An important diagnostic point is x-ray examination to determine the number and size of roots.

Other stages of preparation include the improvement of neighboring teeth (removal of plaque, treatment of carious damage), which will serve as a support for the prosthesis. If the tooth is significantly damaged, they resort to extraction, treatment of the canals and their subsequent filling.

For prosthetic treatment of anterior teeth, as for any other manipulation, there are contraindications. They are divided into absolute and relative.

Absolute contraindications include:

• 3-4 stages of cancer;
• Conditions after chemotherapy;
• Immunodeficiency conditions;
• Severe somatic diseases in the stage of decompensated state;

Relative:

• Diabetes mellitus (especially type 1);
• Diseases of the heart and blood vessels, such as hypertension with crisis and angina pectoris;
• Smoking, alcoholism;
• Mental disorders;
• Pregnancy;
• Allergic reactions to dental medications and materials.

Result of prosthetics

To restore the aesthetics of the front teeth, 3 visits to the clinic were required (1- consultation with a dentist and periodontist, 2- cleaning and preparation of teeth, 3- securing a bridge). Within 7 days all work was completed. For the bridge prosthesis, the Sculpture FiberKor ceromer was used. The cost of the entire range of dental services was 40,950 rubles. The result is a great-looking smile.

Dental treatment at Dial-Dent means precise planning of the number and duration of visits, as well as drawing up an estimate for treatment, indicating the cost of each stage of work, and appointments at the appointed time. This approach makes treatment convenient for patients with busy work schedules, as it allows them to clearly plan their time and finances. A special feature of Family Dentistry is the solution of complex cases using the most advanced technologies in dentistry, the availability of the necessary diagnostic equipment and various specialists in one clinic.

See other examples of treatment, implantation and dental prosthetics at Dial-Dent here.

Make an appointment for a consultation by phone +7-499-110-18-04 or through the form on the website. You can ask questions about dental treatment and prosthetics to the chief doctor of the clinic, Sergei Vladimirovich Tsukor, at