Stage one: diagnostics
On it, the specialist must examine in detail the state of the oral cavity, take X-ray images, and collect anamnesis. The data obtained will help determine the treatment plan, its main stages, as well as prosthetics options.
Important! If the tooth is destroyed by more than 60%, then it may additionally require the installation of a post or stump tab. In case of caries, pulpitis and other dental diseases, it is necessary to first clean and treat the canals. All this affects the final cost and increases the number of treatment stages.
As for the prosthetics options, aesthetics is very important when restoring anterior teeth, therefore, ceramic structures are offered. For the chewing elements of the series, beauty is secondary, but wear resistance comes to the fore, therefore, durable materials are recommended, for example, cermets and zirconia.
If the patient already has metal structures installed or he complains of an allergy, then a competent specialist will offer metal-free solutions and warn about the possible negative consequences of prosthetics with crowns that contain metal. For example, about galvanism.
Second stage: preparation for prosthetics
The teeth on which the dental crowns will be installed must be carefully prepared. To do this, they are cleaned of plaque, and then dissected with a drill. In most cases, the pulp is removed from the abutment tooth.
Important! The doctor grinds hard tissues from all sides so that the artificial structure stands up like a glove, fits snugly, looks natural and does not stand out against the background of neighboring elements of the row.
After preparation, the specialist takes impressions of the jaws, which will be sent to the dental laboratory for the manufacture of the prosthesis. The sharpened stump is covered with a temporary cap that protects sensitive tissues from external influences.
Stage three: fitting the structure
As soon as the framework of the artificial crown is ready, the patient makes a second visit to the clinic. The prosthesis is fixed on temporary cement, after which they are asked to chew, move the jaw and talk about their feelings. This is done to identify shortcomings and their subsequent elimination in the laboratory.
Fourth stage: installation of a permanent crown
Usually, a permanent structure is installed 2-4 weeks after the patient’s initial visit to the clinic with a desire to have prosthetics. This is the final, and therefore the most enjoyable stage. However, you should not immediately relax. After fixing the crown, you need to carefully “listen” to the sensations and tell the doctor (or contact the doctor as soon as possible after installation) if you feel any discomfort.
It is very important to do this, because a prosthesis that is incorrectly installed or does not correspond to the peculiarities of the bite can lead to a violation of the functionality of the temporomandibular system, overload of periodontal tissues, the development of traumatic periodontitis, the formation of cysts and granulomas, and complete loss of a tooth.
The prosthesis, by agreement with the doctor, can first be fixed with temporary rather than permanent cement. This will reveal all possible shortcomings of the treatment process during the rehabilitation period and promptly eliminate them. However, not all patients like this option, as it takes some time and leads to the need to make additional visits to the clinic.
According to the dental portal zubi-protezi.ru