Metal ceramic on the front teeth: reviews. Prosthetics with cermets: photo, cost

There is no such person who does not care about his appearance. An important detail that affects the attractiveness is the condition of the oral cavity, or rather the anterior teeth.

In the event that you have a problem with the teeth, you need to contact the appropriate specialist. Dentistry in Moscow, St. Petersburg, Rostov and other cities of our country is quite affordable. It is only necessary to choose the preferred method of treatment. One of the most qualitative and relatively accessible types of prosthetics is cermet (on the front teeth), the reviews of which leave no room for doubt in the choice.

Let us consider this process in more detail.

Basic concepts

Many dentists use a construction consisting of a metal base on which a special coating is applied for the repair of damaged teeth. This is the cermet. The photo of the results of this type of prosthetics is located below. There are many varieties of crowns, for the manufacture of which these or other alloys are used.

In order to meet all the requirements, cermet prostheses are made on the basis of chromium alloys with cobalt or nickel. In special cases, for example, with the personal desire of the patient, various combinations of precious metals can be used: platinum and gold. By the way, their use allows you to achieve maximum similarity to healthy teeth.

However, such technologies greatly influence the cost of the cermet as a result, since the final amount includes not only the payment of the prosthetist's work, but also the costs of purchasing the materials.

Despite this, do not stop at too cheap options, because the final result will depend on the beauty and dazzling brilliance of your smile. Metal ceramics, the price of which is lower, and the quality is worse, will differ in color from the rest of the teeth, which will not add to the pleasure of contemplating your own reflection in the mirror.

Features of prosthetics

Before proceeding to a description of the positive and negative aspects of the cermet prosthesis, as well as the story of the procedure for the procedure itself, let us dwell on some of the features that will be of interest.

1. Given that during the conversation and with a smile the front row of teeth is always in sight, their appearance should be flawless. Therefore, despite the high cost, it is recommended to make cermets based on alloys containing gold and platinum.
   
   The above-described varieties of chrome compounds have a grayish color, so if a strong light hits a prosthesis (for example, on a sunny summer day), the cermet will have a somewhat unnatural shade.
   
   In addition, there is the possibility of darkening the gum tissue under the implant, as these metals, although slowly, but are oxidized. Of course, you can replace chrome with titanium, because it does not react with oxygen. However, its color also leaves much to be desired.
   
   Gold, however, is the closest to the natural color, which is why it is quite acceptable for use in prosthetics. The main disadvantage is the high cost of the prosthesis, which, however, fully corresponds to the quality obtained.
   
   
2. The best effect can be achieved when cermet is used for prosthetics of two, three or four teeth of the front row in a row. First of all, the use of a bridge makes it possible to reduce the cost of works almost by an order of magnitude. In addition, possible differences in the shades of the coating of an artificial glaze body and enamel colors will not catch your eye when talking, as the teeth entering the prosthesis are arranged symmetrically.
   
   
3. It is necessary to control that the preparation of the oral cavity organs of the front row, made during their preparation for prosthetics, is carried out with strict observance of the necessary technology.

First of all, the lateral surfaces of the teeth that contact the neighboring (healthy) organs are subject to treatment. After this, the so-called support platforms with vertical surfaces are created (they have the form of small ledges). At the final stage, a supporting surface is formed, which looks like a small groove that barely protrudes above the surface of the gum. By the way, it is absolutely necessary for prosthetics without depulpation. The very last phase is the treatment of the surface turned to the tongue.

Pros of Technology

If the patient has problems with the teeth, different technologies are used for their treatment, only one of which is cermet. Prosthetics using this technique allows you to achieve the maximum similarity in the color of the artificial structure and natural enamel. The greatest effect is achieved in the case when several teeth are subject to treatment at once.

Therefore, dental bridges from cermets and prostheses of the same material are more often used in the treatment of the anterior row of teeth. Artificial teeth will give your smile a natural and attractive look.

Dentistry in Moscow, St. Petersburg and other cities of our country widely uses the described technology. Among other things, the latter has many other advantages (which echoes reviews):

• Provides the most exact match of the color of the prosthesis to the shade of natural enamel of the tooth (this has already been mentioned above), which allows achieving the most aesthetic final result.
• If this technology is used to insert teeth (cermet), the price is quite affordable, and they will last for a very long time - at least 10 years.
• The form of the finished dental structure with 100% accuracy repeats the outline of the tooth.
• Prostheses and a bridge of cermets do not collapse during operation, they have an increased reliability and strength.
• The installation method and the necessary equipment are available in most dental clinics.

Some nuances

Metal ceramics on the front teeth, reviews about which are mostly positive, has some drawbacks. Here are some of them:

• There is a need for the so-called depulpation of the affected organs, which naturally shortens their service life and reduces overall reliability.
• Before installing the prosthesis, mandatory procedures are made, preparing the teeth for cermet: preparation and resizing on each side.
• If cermet is used for dental treatment, in this case, prosthetics should be carried out using high-quality materials that completely eliminate the appearance of allergic reactions.
• There is a danger of development of the inflammatory process, if the dentistry, dentures in which performed in violation of the procedure, did not take care of the careful observance of all prescribed precautions.

Metal-ceramic on implants

What is it worth to say here? If you have bad teeth, there is another kind of use of the prosthesis described. It is a question of a long-used technique for placing metal-ceramic sputtering on pre-installed implants. This method, among other things, allows you to restore the aesthetics and integrity of the front teeth in case of insufficient volume of bone tissue, which is necessary in normal conditions.

Previously it was believed that if cermet is used for treatment, prosthetics with a metal alloy is not necessary. However, now it is used only in conjunction with a special implant, replacing the natural root of the tooth.

This kind of aesthetic restoration is used in several varieties:

• As a single prosthesis, located on an artificial root;
• As a bridge, which includes several crowns (the number of them, however, should not exceed 5 pieces);
• As a prosthesis, which, if necessary, can easily be dismantled.

The question arises, why it is precisely the cermets that are deposited on the installed implants. The fact is that it is very difficult to apply only this new material for the production of artificial roots of teeth: it is easily destroyed and can already crumble in the oral cavity. However, it allows to achieve the best aesthetic result, for which it is valued.

That is why such a combination has been created, which makes it possible to achieve the necessary strength and to give the smile a "Hollywood" brilliance.

Preliminary installation phase

Before proceeding directly to fixing the prosthesis, the teeth under the cermet should be carefully prepared. During the initial visit of a specialist, the following activities are carried out.

1. X-ray examination. In the picture, the dentist immediately detects inflammation foci, as well as possible negative processes occurring in places previously treated. All available pathologies should be eliminated if you decide to insert teeth in this way (cermet, the price of which does not include preliminary procedures, is mounted only on an absolutely healthy body).
2. At the preparatory stage, among other things, the issue of applying the so-called cult insert should be resolved . Its use is indicated in the case when the dentist has established a significant destruction of the aching tooth. In half of the cases of seeking help, an appropriate pin (with the exception of the molars) is installed before the organ build-up.
3. Depulpation. This process must be carried out before the dental crowns are installed. Reviews about this procedure are different and depend on the clinic where the prosthesis is performed. Currently, there are techniques that allow you to install a crown on a tooth with a nerve.

Final procedures

Afterwards, the cermet itself is installed. The service life of the finished prosthesis depends on the quality of all basic procedures. They include such processes.

1. Obtachki all necessary organs of the oral cavity. The quality of this process directly determines the number of years during which the established cermet will survive. Photos of ready teeth are presented in the article.
2. Making the prosthesis itself (crown). It is produced in special production laboratories. The basis is taken by special casts made in advance by the dentist, whose specialization is cermet on the front teeth. Reviews (positive or negative) about the quality of the work performed will depend on how correctly the samples for prosthetics are taken.
3. For a period of time between the creation of the impression and the installation of the prosthesis (in order to protect the treated tooth), a temporary crown made of plastic is placed here. Among other things, this allows you to maintain the aesthetics of the oral cavity during a conversation.
4. In addition to materials, the shade of the finished prosthesis is subject to careful selection. It is selected individually, taking into account the color of the enamel of adjacent teeth. Metal ceramics, whose price is more significant, allows you to reproduce with the highest accuracy all the necessary halftones.
5. Before applying the final layer of the coating, a fitting of the resulting crown is made. This allows additional adjustments in the size of the prosthesis.
6. After the final adjustment, the turn of the glaze application phase begins.
7. The fixation of the prosthesis on the site is carried out with the help of special adhesives, which guarantee reliable fastening of the finished structure in the oral cavity.

Installation of cermets without depulpation

At present, special technologies are available that allow the installation of a cermet crown on a tooth that has not been subjected to depilation.

This process is more time consuming and laborious, but it has some advantages over conventional prosthetics.

1. The living organ (that is, the tooth in which the nerves are stored) is much better than the depulpated one. The latter becomes very fragile after a certain time. After several years, the organ treated in this way can break down together with the cermet covering it. In many ways, because of this, specialists insert dowels from various materials before the prosthesis. This procedure is shown in most cases, except for prosthetics of large chewing teeth (molars). The amount of bone tissue in them and so allows you to securely fix the manufactured prosthesis.
2. The tooth, in which the nerves are stored, better resists the negative effects of the environment. For example, in such organs is very rarely diagnosed caries.
3. If you abolish the procedure of depulpation, the cost of work on prosthetics is reduced. After all, the procedure for a qualitative disposal of the nerve requires a lot of money. In addition, work is not paid for the establishment of the internal pin, as the cermet crown is worn without it.
4. Among other things, this type of prosthetics allows to observe the fundamental principle of medicine "do not cause unnecessary harm".
5. Preservation of the nerve allows not to violate the principle of reversibility, because it is not possible to return the deceased organ.

Features of prosthetics without depulpirovaniya

The advantages of the method are obvious, however, the prosthesis itself is fraught with certain difficulties. Let's consider some distinctive features.

1. Pre-treatment is performed using a large amount of liquid. The work is carried out slowly and with small interruptions, while local anesthesia is used. This is done in order not to expose the dental nerve to an increased temperature. It is also important to comply with the following requirements:
   
   ● use a special tool tip;
   ● The boron for processing must be only new.
   
   If the cutting surface has already been used, the tooth tissue is not cut immediately, as a result of which the nerve warms up and can die from an adverse external effect.
2. After the treatment, a special protective coating must be applied. Otherwise, the nerve can be infected with infectious agents, which will require its removal before prosthetics.
3. Immediately after the preparation of the tooth, during the same treatment session, temporary plastic crowns are manufactured and installed. This allows not only to maintain the aesthetics of your oral cavity when talking to others, but also to create additional protection for the nerve.
4. Plastic protective caps are fixed with a special cement mortar containing antiseptic preparations.

One should once again pay attention to the fact that during prosthetics without depulpation of the tooth, it is impossible to leave the treated organs without protection, as this can cause a number of serious complications that in the future will require additional treatment.

Method of tooth treatment

When the installation of the cermet prosthesis does not involve depulpation, its preliminary turning must be done only with a circular shoulder.

This method requires a lot of time, expensive materials and modern tools. Often a microscope or a special fiber optic is used for a better result.

Care of the prosthesis

On how long and how successfully the dentures delivered by the dentist will be met by metal-ceramic prostheses, the correct measures for caring for them greatly influence.

This process is quite simple and does not differ much from how you have been caring for your teeth since childhood.

Features of metal-ceramic crowns on the front teeth allow them to chew any food without restrictions. It is very important to clean the prosthesis in the morning and in the evening with toothpastes that do not have abrasive functions. To get rid of food leftovers that are stuck between the dentures, it is recommended to use a special dental floss.

In addition, after breakfast, lunch, snacks, snacks, dinners and other meals you need to rinse your mouth with a special compound or just pure water.

In some cases, complications associated with the occurrence of inflammatory processes in the gums. It is very important to monitor them and, with the slightest deviation, pay a visit to the dentist to determine the causes of the violation and the appointment of appropriate treatment.

To dangerous signs should be attributed:

• Bleeding;
• Edema;
• Foci of inflammation.

To prevent this condition, you can use any drugs sold in pharmacies.

Possible complications

Like any other medical intervention in the process of functioning of the human body, prosthetics of teeth with the help of cermets can cause complications. We list the main violations diagnosed most often.

1. Inflammation of the gums. The pathology can be caused by a crown, the installation of which violated the recommended procedure or did not comply with hygiene requirements. More often the inflammatory process occurs in the place where a poor-quality prosthesis has a traumatic effect on the tissues of the oral cavity. The method of disposal is the complete replacement of an improperly installed artificial tooth.
2. Cyanosis of the tissues of the gums. Usually this way the body reacts to the metal elements that are part of the prosthesis design. In addition to unaesthetic appearance, the described symptomatology does not cause any other harm to the body.
3. Difference in shades between the surface of an established denture and the enamel of a healthy organ. In order to avoid such cases, a specialist engaged in cermet, must very carefully approach the procedure for choosing the color of the material.
4. The appearance of the metal substrate under the ceramic layer. Occasionally occurs in patients who have had single-tooth prosthetics. In the event that several organs in the oral cavity are subject to replacement, the unaesthetic base will not be visible in any case.
5. Discomfort and pain in the mouth. Most often, this clinical picture quickly passes, however, with relapses, prolonged or severe pain, you should visit a dental clinic, where they will diagnose the problem and prescribe the appropriate treatment.

Cost of prosthetics

So, what is the price of installing metal-ceramic crowns on bad teeth. It can be different and depends on many factors.

1. The cost of a prosthesis made of high-quality Japanese or German materials using cobalt and chromium alloy will be at least 6,000 rubles per prosthesis. This cost includes the work of a qualified dentist of high qualification.
2. In the event that the choice is made in favor of Russian or Belarusian consumables, the price does not exceed 4000-4500 rubles.
3. If a gold alloy with palladium or platinum is used for the basis of a denture, the cost increases to 9,000 rubles. At the same time, the price of gold is not included and is calculated separately, based on the amount of material spent. In total, be ready to give about 15 000-17 000 rubles for the prosthesis.
4. The cost of protective plastic caps used as a temporary means of protecting the treated teeth from inflammation is calculated separately and ranges from 800 to 1200 rubles.

Despite the apparent high cost, you get a high-quality prosthesis that will serve you for many years.

Conclusion

The described method of prosthetics is one of the most common. Its cost is quite affordable, and the result is pleased not only with quality, but also with an excellent appearance. The main thing is to choose a specialist who will perform prosthetics taking into account all the requirements. The result will be high-quality cermets on the front teeth. Reviews about this form of treatment do not leave room for doubt.