Aesthetic restoration of teeth

Modern realities dictate their conditions. Appearance affects not only communication and business contacts, but also the psychological mood. White teeth are an attribute of a successful person. Being afraid to smile and constantly controlling this process is not the most necessary habit.

The condition of the front teeth and lateral incisors is affected by many factors - dyes in food and drinks, smoking, poor-quality water, mechanical chips and individual structural features. Problems of the appearance of the “facade” of a smile are solved by aesthetic restoration.

What is aesthetic restoration of teeth?

10 years ago, the main task of the dentist was to alleviate the physical condition of the patient, and save the tooth with the help of filling material and amalgam. At the same time, the surface of the teeth differed markedly from the real ones in color.

The procedure of aesthetic restoration of teeth is aimed at restoring teeth with the help of a polymer material, which allows you to return not only the functional part, but also the natural whiteness.

A beautiful smile is

• Healthy gums (without bleeding and inflammation);
• Smooth dentition (without chips and protruding parts);
• Natural color (transparent white).

With the help of modern technology and materials, the patient gains psychological comfort and self-confidence.

How is the procedure of aesthetic restoration of teeth?

At the first appointment, the dentist conducts a visual examination and checks the viability of the bone tissue. If necessary, the root canals and walls of the teeth are restored.

Aesthetic restoration technology is aimed at solving the following problems:

• Anatomically irregular shape of teeth;
• Cracks, chips, chips, abrasions, crevices;
• Excessive abrasion;
• Dark color of the enamel (if other bleaching methods are ineffective).

There are 2 main recovery methods:

1. Direct (performed in the patient's mouth) - a filling material with light-reflecting photopolymers is used. The work is performed by a dentist-therapist for 1-2 visits.
2. Indirect (ceramic plates are made separately, taking into account individual sizes) - veneers are used, which, after turning the surface of the tooth, are glued to a special compound. The work is performed by an orthopedic dentist in several visits.

It is possible to restore the shape, color, length both on the front teeth and on the side teeth.

How does aesthetic restoration work with the direct method?

The peculiarity of the technology lies in the sculpting of a crown made of photopolymers or glass ionomer cement directly in the patient's oral cavity.

The main stages of restoration by the direct method:

1. Preparatory measures - hygienic cleaning of the oral cavity from tartar and plaque is carried out (using professional paste and nylon brushes). According to a special Vita scale, the natural color of the patient's teeth is determined, and the appropriate shade of the photopolymer material is selected.
2. If necessary, tissue preparation is performed under local anesthesia and sparing technology - old fillings are removed, parts of the tooth affected by caries are drilled out. Channels and cavities are sealed.
3. For isolation from saliva and wet breath, a rubber dam (latex scarf) is used. Failure to comply with this point will lead to moisture getting between the tooth surface and the restoration material, which provokes the formation of caries and the loss of the entire structure under the influence of daily loads. In the absence of half of the tooth and its depulpation, a pin is installed in the canal for strength.
4. To restore the crown of the tooth, a layer-by-layer technique of applying filling material of different shades of white is used. This allows her not to look "artificial", and not to stand out from the rest.
5. The final stage includes modeling the shape with the help of dental equipment - bur, polishing and grinding nozzle.

Important points of the direct method:

• The choice of a dentist for aesthetic restoration should be approached responsibly. Difficulties arise at the stage of selecting the color of the filling material and modeling the crown. In this case, the doctor must have the skills of an artist and a sculptor;
• The natural color of the teeth changes vertically, if this is not taken into account, the restored crown will stand out;
• Transparency also changes from the incisal edge to the gum, so materials that, after curing, have this quality are preferred.

Disadvantages of the direct method:

• Restoration requires a long time (several hours in a chair);
• After 8-12 months (depending on the food and drinks consumed), the filling slightly changes color;
• Cannot be installed in patients with a pacemaker;
• Oral care becomes more complicated - periodic polishing and professional hygienic cleaning are required.

Advantages of the direct method:

• The aesthetic problem is solved in 1-2 visits;
• The ability to adjust the shape and color of the crown;
• Long service life.

How does aesthetic restoration work with an indirect method?

Microprosthetics with veneers is a modern technique for correcting interdental gaps, chips, and darkening of the enamel. Ideal for restoring the front of the teeth.

A veneer is a plate made of ceramic or porcelain. It is fixed on the outer part of the crown with a special glue.

The main steps of the indirect method:

1. The preparatory stage is the same as with the direct method - removal of tartar and plaque.
2. Grinding of enamel by 0.5-0.7 mm from the front of the teeth. The procedure is performed under local anesthesia.
3. Removal of impressions of teeth. Samples of future veneers are obtained in 2 ways - using a special paste (to get an anatomical shape) or using a virtual model made on professional equipment. The production time in the first case is extended by 12-14 days, in the second it is reduced to 3-4. Until the plates are ready, the patient is advised to wear removable veneers.
4. Final installation - the dentist attaches the finished veneers to a special cement and glue that adheres the surface of the tooth and ceramics (or porcelain). Cement hardens instantly under the influence of a light beam.
5. At the final stage, turning under a real tooth is carried out.

Disadvantages of the indirect method:

• It can not be installed in patients with extensive damage to bone tissue by caries - the walls of the tooth will not withstand turning and will collapse;
• Do not use pads for people with jaw anomalies (bruxism) and increased enamel abrasion;
• Under the influence of external factors, the veneer darkens, periodic professional cleaning and polishing is necessary.

If you have bad habits (biting nails or threads), a traumatic sport - boxing, wrestling, it is recommended to use other methods of aesthetic restoration.

Advantages of the direct method:

• The lining protects the tooth surface from aggressive external factors;
• The veneer gives the smile naturalness and beauty, and the teeth - the correct shape;
• Subject to the rules of care, the plate has a high wear resistance;
• After installation, there is no visual difference between the veneer and real teeth.

The material used for the manufacture of veneers is different:

• Composite is an inexpensive material, the service life is less than that of the others. Changes color under the influence of food dyes;
• Ceramics - they are made for a long time, durable, do not stain. It is installed on both frontal and lateral teeth;
• Hollywood lumineers are very thin, used for aesthetic purposes to correct the color of the tooth, but are not able to hide severe enamel defects.

The price for aesthetic restoration depends on the qualifications of the dentist, the condition of the teeth, the quantity and quality of the required material, the status of the medical institution, and the methodology. The approximate cost of restoration with the help of filling material is from 3,500 rubles, with the help of veneers - from 8,000 rubles.

Before and after veneers