Crowns for front teeth

When restoring anterior teeth, it is important for patients that the dentures match the appearance of natural teeth. Crowns should be selected taking into account the shape, color and degree of transparency of natural teeth. The key requirement is the absence of a bluish tint to the gums around the crown, which significantly worsens the appearance of the smile.
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Indications for prosthetics

Ideal crowns for the front teeth imitate natural incisors, since they have identical shade and transparency. Indications for installing crowns include:

  • Chips or cracks in a tooth that cannot be repaired with a filling
  • Pathological wear of the enamel or its weakening
  • Discoloration of teeth due to fluorosis or tetracycline staining
  • Destruction of more than 70% of the coronal part with preservation of the root
  • Replacement of old structures

The choice of a specific type of crown and prosthetic technique depends not only on the existing problems in the oral cavity, but also on the individual anatomical characteristics of the patient, his preferences and general health.

Indications for prosthetics

Which crowns are best for front teeth?

The choice of material for anterior dental prosthetics depends on many factors, including aesthetic and functional requirements.

The cost of prosthetics depends on the type of crown, the volume of necessary procedures and the number of teeth that need to be restored. The doctor determines the price for installing a ceramic crown without metal after examination and diagnosis.

The main materials for creating crowns are:

  • Metal Alloys, including precious metals, are used for manufacturing. They provide durability and reliability, but the aesthetic component is inferior due to the difference from natural teeth
  • Metal ceramics Combines the strength of a metal base with the attractiveness of a ceramic cladding. Such crowns perfectly imitate natural teeth, but can cause discoloration of the gums due to oxidation of the metal
  • Metal-free ceramics Includes E-max and zirconia framework designs. They have high light transmittance, low weight, resistance to acids and alkalis. A tight marginal seal prevents the development of caries
  • Plastic Lightweight, but less durable and wear-resistant material compared to metal and ceramics. Plastic structures are susceptible to staining and wear down adjacent teeth over time

The use of ceramic crowns in dentistry

Ceramic crowns have a number of characteristic features:

  • Aesthetics. All-ceramic crowns imitate the appearance of natural teeth, providing natural clarity and color
  • Biocompatibility. The material does not cause rejection reactions, does not stain or undergo oxidation
  • Durability. The service life of such prostheses is from 7 to 10 years with proper care

All-ceramic crowns are fixed primarily to the patient’s own teeth, which ensures their secure retention and natural appearance.

Important! Ceramic crowns require careful handling due to their relative fragility, especially under heavy chewing loads.

High cost and contraindications for installation are also considered disadvantages of this type of restoration.

Features of E-max crowns

About the model

E-max manufacturing technologies include pressing (E-max PRESS) and 3D milling (E-max CAD). Each of them ensures high precision and aesthetics of restorations.

Please note! Pressed E-max models are not recommended for bruxism due to the risk of fracture.

In such cases, the doctor chooses milled structures that can withstand heavier loads. These crowns are used for both single restorations and total prosthetics.

Advantages of crowns

E-max crowns are made of lithium disilicate and glass ceramics. Unlike metal, they have a light shade, do not distort the transparency that is characteristic of natural enamel, and look as natural as possible.

The main advantages of E-max crowns include:

  • Strength and wear resistance. Leucite ceramics can withstand significant loads, which makes it suitable for the restoration of both front and chewing teeth
  • Natural appearance. Thanks to different levels of transparency, E-max provides a smooth transition of color from the root to the top, getting as close as possible to natural teeth
  • Durability. The average service life of E-max is 15-20 years, which is significantly longer than other materials

Application of zirconium dioxide and plastic in dental prostheses

Zirconium dioxide is a new generation material used for the manufacture of crowns using CAD/CAM technologies. It has the following characteristics:

  • Strength and durability. Zirconium crowns are superior in strength to metal-ceramic and all-ceramic crowns, providing a long service life of up to 25 years
  • Aesthetics. Due to their optical properties, zirconium crowns have a natural color transition. The light shade of the base allows you to achieve a natural look when facing with ceramics
  • Biocompatibility. Zirconium is considered a hypoallergenic and bioinert material, which prevents possible allergic reactions and rejection

Although the cost of zirconium dentures is higher than that of metal-ceramic dentures, their strength, durability and aesthetics make them a better choice for long-term use. Plastic crowns are most often used as temporary solutions while the process of making permanent dentures continues. They have the following features:

  • Low cost and ease of manufacture
  • Short service life up to 2 years, with rapid deterioration of aesthetic appearance
  • Possible risks of allergies and gum inflammation, accumulation of odors and coloring due to food coloring

Plastic crowns are suitable for quickly restoring the shape and function of a tooth, but due to their softness they require careful handling. They are also less resistant to chewing loads.

General information about the procedure

The process of dental prosthetics

Installation of crowns on the front teeth consists of the following steps:

  1. Preparation. The doctor assesses the condition of the oral cavity, prescribes an x-ray, removes dental plaque, and treats caries and inflammation. If necessary, old fillings are renewed
  2. Dissection. It involves grinding the tooth under a crown, forming a stump, and, if necessary, depulping and filling the canals. The root is strengthened using a stump tab
  3. Taking impressions. Impression trays with impression material or digital scanners are used to record the shape of the teeth and send the data to the dental laboratory
  4. Making a crown. In the laboratory, an orthopedic structure is created using casting, pressing or milling. Fitting and correction are carried out
  5. Installation. The finished crown is fixed to the support using dental cement. Implants are fixed with cement or screw method

It is not recommended to use crowns if the tooth tissue above the gum is less than 2-3 mm and if the tooth is destroyed by caries to the gum level and below.

Care for artificial crowns

Proper care of artificial anterior crowns increases their lifespan and helps maintain overall oral health. Although artificial teeth are not susceptible to decay, plaque and tartar can still accumulate on their surfaces, leading to various gum and digestive problems.

Basic principles of crown care include:

  1. Brush your teeth twice daily. Use a soft toothbrush and low abrasive toothpaste
  2. Cleaning spaces between teeth. Use dental floss and interdental brushes to remove food debris and plaque in hard-to-reach places
  3. Using an irrigator. This device effectively cleans interdental spaces and under bridge crowns
  4. Control over the condition of joints. Check the junction of crowns and teeth regularly
  5. Avoid eating solid foods and avoiding sudden temperature changes. Such measures will protect the crowns from damage and avoid discomfort in the mouth
  6. Gum care. If signs of inflammation appear, consult a doctor immediately
  7. Cleaning the tongue. Do not forget to regularly clean the surface of your tongue, as bacteria accumulate on it in large quantities

Regular visits to the dentist and professional cleaning also play an important role in the care of artificial crowns.

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Reviews 10

Thanks to Elizaveta Andreyevna for the treated teeth. A wonderful, sensitive, caring, very attentive doctor. I liked her as a specialist, she found all the problem teeth, treated them without causing pain. I highly recommend the dentist. The quality of her work is top notch!
19.08.2024
Marina Aksenova
Thank you very much to Dr. Omar for the parental happiness that the doctor gave us!... Where and to whom we took Maxim... We had hysterics, both our Maxim and we were under enormous stress. In other clinics, doctors sang songs to him, danced and showed him all kinds of cartoons, everything was useless. They only told us to do general anesthesia..... And now we get to Dr. Omar.... MAGIC!!!.... Maksimka leaves the doctor with her teeth cured and makes an appointment to meet again as soon as possible!.... So we cured all our teeth with a smile and great gratitude. Every week he asks to meet with the doctor, just to see if new holes have appeared there..... DOCTOR FROM GOD!!!.... I wish there were more such doctors, not only for children, but also for adults. With great respect and love, your regular clients clinics (Zaitsev sisters, Tatiana and Elena)
05.08.2024
Zaitseva Tatyana
An excellent doctor. The easiest way to remove an eight. fast and low-traumatic operation. Easy and painless recovery. All this thanks to the golden hands of the doctor.
31.07.2024
Sergey
I came to Elena Nikolaevna with acute toothache, 07/28/2024. The tooth was badly damaged, it was difficult to eat and sleep. Thanks to Elena’s careful treatment and approach, I began to feel much better. Very attentive doctor, one of the best dentists in my life. Thank you very much for your welcome.
28.07.2024
Lerskaya Nadezhda Evgenievna
Great doctor! This is something amazing, such a non-traumatic removal! Just some miracles!
26.07.2024
Julia K.
My daughter had a sharp toothache and we urgently had to look for a pediatric dentist. They chose Anastasia Eduardovna. Examination revealed pulpitis. There were 2 options, removing the tooth or trying to save it. The doctor said that of course it’s better to try to save it. We treated our tooth in two visits. At the first appointment, everything was cleaned, a temporary filling was placed, and then we were observed for 2 weeks to ensure there were no complications. After 2 weeks we went to the doctor and got a permanent filling. We are very pleased with the attitude and quality of Anastasia Eduardovna’s work.
12.07.2024
Olga Yurievna
I went to Sergei Olegovich to remove my eights. The case was difficult: they did not erupt, grew strictly horizontally, sat deep in the gums, and even very close to the nerves. I was terrified of deleting them. First, I came to Sergei Olegovich for a consultation. He looked at my picture, immediately described all the nuances of the extraction, and advised me to remove the teeth under sedation, which I am very happy about. At the second appointment, I was put to sleep and I woke up without teeth and without memories of the operation. Sergei Olegovich described all the “side effects” of rehabilitation by day, when what will hurt and how, when there will be swelling and what to do in these situations. Everything happened exactly according to the timing that he predicted. Within a week, all the swelling went down and everything went away. I definitely recommend this doctor.
12.07.2024
Inna
I was looking for a doctor’s appointment with a microscope. I'm glad I ended up with Olesya Kayinbekovna. Great specialist, polite, balanced! I am grateful to her for her genuine desire to help.
12.07.2024
Ruslan
I am very pleased with the work of Dr. Irina Yuryevna Nikolaeva, she is an excellent dentist. She dealt with my caries quickly and without any pain. An attentive, kind, professional attitude towards the patient captivates and forces you to reciprocate with a review)
12.07.2024
Nikolai Igorevich
Very responsive and professional doctor! Excellent removal of a difficult wisdom tooth. We go to him with my wife; he explains and explains everything in detail, accompanies him after removal, answers all questions that arise.
17.06.2024
Fedotov Maxim Olegovich
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