Metal-ceramic crowns

A metal-ceramic crown is a type of fixed prosthesis used to restore the functionality and aesthetics of damaged teeth. It serves as a protective coating that is placed on the prepared tooth, hides defects and returns it to its original shape. Entrust the care of your smile to the doctors of the K+31 clinic.
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Design features

Metal-ceramic dental crowns consist of two key elements:

  • The basis. Metal frame made of durable alloys, such as chromium with nickel or cobalt. In some cases, more expensive materials are used: titanium or palladium. The main function of the frame is to ensure the strength and durability of the crown and resistance to stress during chewing.
  • Ceramic coating. It is applied to a metal frame and imitates the natural appearance of tooth enamel. It is selected taking into account the color of the surrounding teeth.

Metal-ceramic crowns are used not only as individual elements, but also as part of bridges and arches. They can be supported either by the patient’s own teeth or by implants, subject to compatibility. with the materials and abutments used.

Design features

General information about the procedure

Indications and contraindications

Indications for installing metal-ceramic teeth include:

  • Tooth destruction of 60% or more
  • Presence of non-carious lesions, including hypoplasia and fluorosis
  • Severe wedge-shaped defects or pathological abrasion of teeth
  • Uncorrectable malocclusion
  • Mild or moderate periodontitis, in which the crown serves as a support
  • Replacement of outdated dental structures

The decision to use crowns is made by the doctor based on a detailed analysis of the patient’s clinical picture.

Among the contraindications to the use of metal-ceramic crowns are the following:

  • Allergic reactions to metal frame components
  • Complex malocclusion
  • Severe diseases of the gums and soft tissues of the oral cavity
  • Bruxism (teeth grinding)
  • Low height of the dentition or excessive mobility

When installing metal-ceramic crowns on the front teeth, it is worth keeping in mind that slight darkening may occur in the gum area due to the opacity of the material. If high aesthetics is important to the patient, it is recommended to consider alternative prosthetic options.

Advantages and disadvantages of metal-ceramic crowns

Thanks to the combination of a metal frame and ceramic coating, metal-ceramic crowns serve for a long time and provide aesthetic appeal.

The advantages of restoring a tooth with a metal-ceramic crown include:

  • High resistance to mechanical loads, which prevents cracks and deformations
  • Wear resistance, maintained even when eating hard foods
  • Long service life, reaching ten years with proper care
  • Color stability throughout the entire period of use, resistance to staining

The most important advantage is the absence of an adaptation period, since crowns feel similar to natural teeth.

There are certain disadvantages of metal-ceramic crowns:

  • Nerve removal and other dental procedures are often required
  • Allergic reactions to metal components are possible
  • Visual darkening in the area of the tooth root due to the opacity of the metal frame

It is important to evaluate all the pros and cons in advance. Grinding a tooth during procedures can lead to partial loss of hard tissue.

Stages of metal-ceramic prosthetics on a turnkey basis

Installation of metal-ceramic teeth is performed in several stages:

  1. Diagnostics. After the initial examination, examinations are carried out (orthopantomogram, computed tomography), as well as teeth cleaning. If diseases of the teeth or gums are detected, they are treated before fixing the overlay
  2. Preparation. The dentist processes the supporting tooth: removes the top layer of enamel, removes nerves, fills the canals and strengthens the tooth
  3. Taking impressions. The doctor makes impressions of the patient's jaws using an individual impression tray and soft material. Then they are sent to the laboratory to create a crown
  4. Manufacturing. It takes from one to two weeks. During this time, the patient wears a temporary protective crown
  5. Trying on. The finished metal base of the overlay is tried on the tooth, after which it is returned to the laboratory, where it is covered with ceramic of the selected color. If the base does not fit well, it is adjusted, then the ceramic coating is applied.
  6. Fixation. After the final fitting, the crown is fixed to the tooth using dental cement.

The installation of a metal-ceramic crown on a tooth occurs in a similar way, but the overlay is attached not to the tooth, but to the abutment - an intermediate element connecting the implant with the overlay. Fastening is carried out using a screw or specialized cement.

What to choose: metal-ceramic or zirconium crowns?

When choosing crowns, it is important to consider strength and aesthetics. We suggest you familiarize yourself with the comparative table, which indicates the features of metal-ceramics and zirconium.

Characteristics Metal-ceramic crowns Zirconium crowns
Material Metal frame covered with ceramics Zirconium ceramics
Strength High, but lower than zirconium Very high
Aesthetics Good, but metal may show through at the gum line Excellent, all-ceramic
Cost Lower than zirconium Higher than metal ceramics
Hypoallergenic May cause allergic reactions in sensitive people Hypoallergenic
Service life From 5 to 15 years From 10 to 20 years
Application Any teeth, including chewing teeth Any teeth, great for front teeth
Transparency Low, because metal does not transmit light High, imitates natural teeth

Many patients wonder whether the snow-white surface of metal ceramics can lose its color. Ceramic material is colorfast. Its condition does not deteriorate over time, does not depend on the food and drinks consumed. Dental plaque does not linger on the overlay. The appearance of the product remains impeccable for many years.

Varieties

Manufacturing process

The procedure for manufacturing and installing metal-ceramic dental crowns requires precision and attention from both the dentist and and from the patient. At the first stage, the doctor conducts a thorough examination of the patient’s oral cavity and prescribes the necessary laboratory tests. An integrated approach allows you to accurately design the future crown.

After checking the condition of the oral cavity, the doctor begins to treat caries, fill the canals and professional cleaning. Then the tooth is prepared to create a support for the crown and a two-layer impression is taken. This stage is important for correctly determining the center of teeth closure and obtaining a high-quality imprint.

In the laboratory, an orthopedic structure is made based on the imprint. The process consists of the following steps:

  • Turning out the frame. Manufacturing of the metal base of the crown.
  • Frame fitting. Necessary for adjustment and correction of defects, without a porcelain layer.
  • Choice of shade. Selecting the color of the porcelain so that the crown matches the color of your natural teeth.
Installation of metal-ceramic crowns

How are metal-ceramic crowns installed? The installation process of metal ceramics also includes several stages.

  • After treatment and preparation of the tooth for a prosthesis, the doctor takes an impression, which serves as the basis for creating a crown.
  • The patient is temporarily fitted with protective braces while the laboratory produces the orthopedic structure.
  • After making the frame, the doctor tries it on and clarifies the patient’s sensations. It is important to report any discomfort so that adjustments can be made.
  • At the final stage, the final porcelain coating is carried out and the crown is installed in a permanent place.

The entire process of manufacturing and installing a metal-ceramic crown usually takes from 1.5 to 2 weeks and requires three visits to the dentist.

Classification and distinctive characteristics of metal-ceramic dentures

Depending on the frame material, metal-ceramic dental crowns come in the following types:

  • Standard. Made of chrome with the addition of cobalt or nickel
  • Titanium. They have increased strength, but are heavier
  • Premium class. Made of gold or platinum, including palladium

Metal-ceramic crowns are also classified according to the porcelain processing method. Regular crowns undergo a standard firing process, which makes them smooth and durable. Low temperature crowns have a thinner coating to improve aesthetics, but are less dense than conventional crowns.

In case of damage, metal-ceramic crowns can be restored without removal. Because the nerves are removed, the teeth underneath are not susceptible to decay. In addition, crowns do not emit toxic substances even after prolonged use.

Advantages of installing metal-ceramic crowns in the K+31 dental clinic in Moscow

Advantages of metal-ceramics “turnkey” in the dental clinic “K+31” in Moscow:

  1. Qualification of specialists. The clinic’s doctors regularly participate in international conferences and undergo internships abroad, for example, in Germany and the USA, which allows them to apply the latest achievements in dentistry in practice
  2. Modern equipment and technologies. The clinic uses advanced technologies (digital planning, computed tomography), which ensure high accuracy when installing metal-ceramic crowns. This reduces the risk of complications and extends the service life of the crowns
  3. Cooperation with dental laboratories. The clinic cooperates with a leading German laboratory, which guarantees the use of safe and high-quality materials, precise correspondence of the crowns to the size and shape of the patient's teeth
  4. Innovative implantation methods. The use of the All-on-4, All-on-6 method allows you to install a full row of teeth on just four implants, which significantly reduces treatment time and reduces pain for patients.
  5. Comprehensive approach to treatment. Patients receive a full range of services in one place - from diagnostics to rehabilitation

Patients can find out about all the services and prices of metal ceramics not only in the clinic, but also by phone. To find out how much metal ceramics costs and make an appointment with a doctor, fill out the form on the website.

Advantages of installing metal-ceramic crowns in the K+31 dental clinic in Moscow

Answers to popular questions

Dentists from K+31 have addressed the main questions about turnkey metal-ceramic crowns.

How is a metal-ceramic crown installed on a preserved tooth root?

Installing a crown begins with filling the canals and restoring damaged areas of the tooth. Next, the doctor can either install a stump tab to fix the crown, or screw a pin into the remains of the tooth, grinding it down to securely fix the crown.

What solutions exist for installing a crown on an implant?

In case of complete tooth decay, implantation is used. An artificial root, most often made of titanium, is implanted into the jaw. This solution is suitable both for restoring chewing functions and for the aesthetics of the anterior group of teeth. The main disadvantage is the long wait for the implant to heal, which takes about five months.

What is a shoulder orthopedic design?

This is a type of crown with additional mass on the side of the frame. It hangs over the remains of the tooth, covering the darkening area that occurs due to the non-transmission of light by the metal frame.

What sensations may arise during the period of getting used to the new crown?

During the first weeks after crown installation, patients may experience the following symptoms:

  • Light pressure on the gum
  • Tightness in the area of incisors and premolars
  • Diction problems, especially when restoring anterior teeth
  • Discomfort when closing and chewing
  • Slight increase in gum sensitivity

If severe pain occurs, you should immediately consult a doctor. This sign may indicate incorrect installation of the crown.

What kind of care is required for metal-ceramic crowns?

To maintain the quality and durability of metal-ceramic crowns, regularly brush your teeth twice a day using fluoride toothpaste and a soft toothbrush. It is useful to use dental floss to clean between teeth. It is also recommended to have metal-ceramic teeth professionally cleaned by a dentist at least twice a year.

How long do metal-ceramic crowns last?

The service life of metal-ceramic crowns is from 5 to 15 years. It depends on many factors, including the quality of care, the patient's bite characteristics, and the regularity of visits to the dentist.

What restrictions apply after the crown is installed?

After the metal-ceramic crown is installed, you should avoid hard and sticky foods for the first 3-5 days, and refrain from smoking and drinking alcohol for 24-48 hours. It is also important to limit the consumption of very hot or cold drinks to avoid discomfort and possible gum irritation.

Modern methods of diagnostics and dental treatment at "K+31"

Our doctors

Shcherbakova
Valentina Frantsevna
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Natalya Vasilevna
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Natalya Vladimirovna
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Alexei Andreevich
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Nana Nugzarovna
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Sergei Georgievich
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Omar Makhachevich
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Regina Bogdanovna
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Liana Artyomovna
Dentist-surgeon, implantologist
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Olesya Kayinbekovna
Dentist-therapist, microscopist
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Irina Yuryevna
Dentist surgeon, periodontist
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Reviews 10

I can't stand advertising - both listening to it and making it. And Sergey Georgievich doesn't need it. I'm more concerned about people who want to get rid of the rot in their mouth, the unpleasant odor, the gastritis caused by the same rot: if you need an adequate, professional surgeon who patiently explains the situation, offering possible alternatives, then drop all pseudo-important and important matters right now and run, run to S.G. immediately!! And finally, between you and me: if you've noticed even a hint of masochism in yourself, S.G. will disappoint you. Sincerely yours - Raf, who visited S.G.'s office with great pleasure only yesterday and left it with even greater pleasure.
15.12.2024
Mezhlumyan Rafik Sumbatovich
I had my canals with inflammation treated under a microscope by this doctor. A complicated upper sixth. Everything went great! After 6 months, I can say that finally the tooth doesn't bother me. The doctor has a very light hand. Now I will only be treated by him.
06.12.2024
Susekova Olga
I would like to express my deep gratitude to Alexey Andreevich and his assistant, unfortunately I forgot to clarify her name) They are simply masters of their craft, I have never had such pleasant visits to the dentist, absolute professionals in their field, they removed two wisdom teeth at once, I did not even notice how the process went. The doctor explained everything, answered all questions and gave recommendations, and the whole process took place during a pleasant conversation. I recommend everyone to contact only him!
25.11.2024
Kuleshov Kirill Dmitrievich
As a patient, I can see the doctor's attention and attitude during the appointment and pain relief. What I saw was that Yukova M.R. is a responsible, attentive and caring doctor who helped me save a tooth from extraction. Today, during an appointment, another dentist-orthopedist in another clinic took a picture and praised the work and asked for contacts where and who treated this tooth. Top class! Thank you again!!!
09.11.2024
Sagidova S.P.
Valentina Frantsevna is the only doctor I have trusted with my teeth for several years now. An excellent specialist, a professional in her field, always an ideal result. I am very glad that I found my doctor! I recommend
19.10.2024
Semenova Elena Alexandrovna
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.
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