Crowns on the front teeth

The author of the article:

Anastasia Vorontsova

To put crowns on front teeth it must be remembered that such teeth require high aesthetics.

Given this, at present two options for crowns can be offered to patients - non-metal ceramics and cermets.

Let's try to figure out which of them are most suitable for installation on the front teeth.

Ceramic prosthetics

The cermet crown is made of metal, which serves as the frame of the structure, and ceramics applied on top of it.

Cermets are most often used for restoration and restoration of the anterior teeth.

The popularity is explained not by the fact that cermet crowns are the best for prosthetics of teeth falling into the smile zone, but by the fact that they have good aesthetics at a relatively inexpensive cost.

Among the advantages of ceramic-metal crowns, the following advantages can be distinguished:

Good aesthetic performance.
High strength and reliability.
Adherence to the tooth surface with high accuracy.
Long service life.
The cost of metal-ceramic crowns is the average between them and the cost of metal crowns. This version of prosthetics is an ideal ratio of price and quality.

Ceramic-metal constructions are not without drawbacks.

These include minuses:

During tooth preparation, a thick layer of hard tissue is removed.
In most cases, tooth removal is an indication for fixing ceramic-metal crowns.
After installing the crown after a short period of time, cyanosis appears in the area of contact between the structure and the gum. If gums are exposed during a smile, then cyanosis will be noticeable to others, which will negatively affect aesthetics.
Due to the fact that metal ceramics lack transparency, artificial teeth will be noticeable against the background of real ones. Therefore, it is better to resort to prosthetics with metal-ceramic when replacing a group of teeth, for example, from canine to canine. With this method of restoration, artificial crowns will not be striking to others when talking and smiling.
The metal that makes up the crown can cause an allergic reaction.

Video: “Ceramic-metal crown”

Prosthetics with non-metal ceramics

For the manufacture of metal-free ceramic crowns, materials such as zirconia and porcelain are most often used.

In rare cases, crowns are made of plastic. This is the cheapest, but not the most reliable option, which is subject to very rapid wear.

You should know that only single crowns are made from porcelain. If the patient needs a bridge, then it is made of zirconium-based ceramics.

According to aesthetic indicators, porcelain and zirconium dioxide are no different.

Ceramic structures are made without the use of metal.

For anterior teeth, extruded ceramics are usually used, which is not sufficiently durable. Therefore, it is not recommended to install it on the chewing group of teeth.

Benefits

The advantages of non-metal ceramics made of porcelain and zirconium include:

The highest esthetics. Ceramic crowns completely repeat the color and transparency of real teeth. The properties of the ceramic structure make the tooth covered with a crown indistinguishable from other teeth.
Resistance to aggressive environmental factors of the oral cavity. Designs retain color and transparency throughout their life.
Duration of use of crowns.
Biocompatibility and hypoallergenic design.

The disadvantages of ceramic crowns include a very high cost and a limitation in the choice of material.

Porcelain is only suitable for the manufacture of single structures. Plastic crowns have a limited service life.

Indications

It is advisable to carry out prosthetics of the front teeth with crowns in the following cases:

If you need to protect the root filling.
With severe damage to the tooth as a result of injury.
If the installation of a bridge is indicated.
For better aesthetics.
If the tooth is very weak due to the installation of a large filling.
After installing the pin or stump tab with the preserved tooth root.
After implantation.

How to install

At the initial visit to the dentist, an anamnesis is collected, and the patient's oral cavity is examined.
If necessary, dental treatment, root canal filling is performed.
Then, material is selected for the manufacture of crowns on the front teeth and, accordingly, the color of future crowns is specified.

The installation of crowns on the front teeth occurs in several stages:

The tooth is anesthetized and turned to the thickness of the future crown, which depends on the material selected.
Removing casts from the jaws and sending them to the dental laboratory.
Manufacturing designs in the laboratory.
Fitting and fitting the finished structure.
Fixing the crown on the tooth using a special cement mortar.

When prosthetics of the front teeth with crowns, you will have to visit the dentist’s office at least twice.

Which are better

Which crowns are better to put on the front teeth: zirconium or porcelain, cermet or plastic?

Based on their cost, the most affordable are plastic and ceramic-metal crowns. But it should be noted that plastic prostheses wear out quickly, and cermet ones can cause allergies.
Next - porcelain structures that combine high aesthetics and reliability, but they are quite expensive.
The leader in terms of performance in terms of functionality are zirconium crowns, the cost of manufacture and installation of which will be the highest.

Thus, the choice in favor of a particular design should be made, first of all, from the patient’s presence of a certain amount of money, and only then their advantages and disadvantages should be considered.

Cost

The main aspect that distinguishes among themselves crowns on front teeth - price.

It depends on the material, the qualifications of the dentist, the quality of the clinic equipment.

In some cases, a reduction in the cost of prosthetics is possible.

For example, in the manufacture of a bridge structure, when only a part of the teeth falls into the smile zone, the crowns on which are advisable to make from ceramics or cermets.

The rest of the crowns, which will not be noticeable during the conversation, can be made from other cheaper material.

As a result, the cost of such a prosthesis will be much lower.

There is also another advantage here: when turning such teeth, it will not be necessary to remove a large amount of hard tissue, which will allow the vitality of such teeth to remain longer.

Dental crown	Price, rub.)
Ceramic-metal crown	From 6000
Ceramic crown on the front tooth	21000
Plastic crown	from 1000
Ceramic crown on a gold frame	23000

Reviews

Currently, it has become a reality to replace one or more teeth, while restoring their full functional and aesthetic features. Patients who have installed ceramic or ceramic-metal crowns on their front teeth are satisfied, because the crowns have a long service life and are comfortable.

Put ceramic-metal crowns on the front teeth. I felt discomfort. Crowns were sent for rework, but the situation did not change. Unfortunately, as it turned out later, before installing the crowns, it was necessary to correct my wrong bite.
My front teeth have collapsed. First, the dentist put the pins and covered them with seals. Then he installed metal-ceramic crowns on them. Two and a half years have passed. The color of the teeth has not changed at all, but only cyanosis appeared near the gums. They say it was necessary to make cermets on a gold frame.
On the front tooth, after a piece of enamel broke off, a ceramic crown was placed. The crown has been standing for four years, does not fade, does not change color. Others do not even realize that my tooth is not real.
A year ago, I placed zirconium crowns on the front teeth of the upper jaw. The result is excellent. No one notices that my teeth are not mine.