Teeth decay from various causes. Even earlier, doctors believed that the damaged unit should be removed, not treated. Now restoration of the dentition is allowed even in hopeless cases. For this, prosthetics are used. Although this procedure is unpleasant, it allows you to restore the functions of the tooth without losing a he althy root. There are several possible procedures. You can read about the restoration of a tooth in the presence of a root in the article.
Why do teeth break?
Molars and incisors are subjected to heavy stress every day. And this happens when eating food of any hardness. In addition to the natural load, they are affected by physical impact. Jaw injuries are dangerous for teeth. Even if there are no symptoms after that, this does not mean that they will not occur later.
Common causeTooth decay is weakness after pulp removal. Usually they are called nerves. It is presented in the form of an interweaving of blood vessels and nerve endings. Due to its removal, the "death" of the tooth occurs. It remains without recharge, with time it dries out, becomes brittle. Therefore, gradually a dead tooth breaks from a constant load and usually under the root.
Concept
Tooth extension is a set of methods that restore the dentition. This is not the only method. With dental crowns, a dentist is able to restore a damaged tooth in whole or in part.
According to doctors, teeth are not always restored with fillings. The cause may be the global destruction of the diseased tooth. For these cases, there are other extension methods, for example, with a pin.
Tooth restoration in the presence of a root occurs as follows: a special rod is fixed into the bone tissue, on which a composite material is applied. Under the influence of ultraviolet light, the material quickly becomes hard. But there are other methods of restoring a tooth in the presence of a root that do not involve the installation of a metal rod.
When is the method used?
There are indications and contraindications for performing tooth restoration from the root. Dentist advises extensions when:
- small tooth loss from caries;
- abrasion and thinning of enamel;
- malocclusion;
- injury to the tooth, due to which its integrity is violated;
- appearance of interdental gaps;
- changecolors that cannot be corrected by brushing or bleaching;
- enamel crack, mechanical damage;
- chipped tooth.
The best development in dentistry was the extension of teeth. With the help of the procedure, it is possible to eliminate various aesthetic problems that are usually associated with damage to the front teeth in the smile area. According to patients, recovery procedures are usually easy.
Conditions
Since the restoration of a tooth with a root is a way to save it, several recommendations are required to obtain the best result:
- It is necessary to give up bad habits for teeth. With bruxism, restored teeth will not last long. This also applies to the use of teeth "for other purposes." For example, they are quickly damaged when opening a bottle of beer, biting threads, cracking nuts.
- Caries. It must be removed prior to extension. Otherwise, under the established materials, this process continues, and the remains of the teeth will have to be removed.
- Oral hygiene. Compliance with this rule prolongs the life of the tooth. It is necessary not only to carry out cleansing procedures, but also to do it correctly.
- No he alth problems. Usually, doctors do not advise restoring a tooth from the root in the presence of pathologies of the nervous system or blood.
- Mobility of teeth. For high-quality fastening of restorative materials, mobility must be excluded, otherwise the structure will be removed, and the restoration will be an unnecessary waste of time and money.
- Reliable fixation of the device requires a sufficient length of the tooth root. If it is small, the strength of the restored tooth decreases. Usually the optimal length is coronal length and the root wall thickness should be above 1mm.
- Need the right bite. Otherwise, this can lead to a strong load on the built-up tooth, which can be damaged. If the bite is wrong, the procedure will be meaningless.
- Material part. The patient must have the necessary amount of funds for the restoration.
According to reviews, the restoration of a tooth at the root of many people is successful. You just need to follow the recommendations of a specialist. For a tooth of which there is little left, a reliable fastening is necessary, which restores working capacity. Only after strengthening, the restored unit acquires its former appearance. There are several ways to restore a tooth if only the root remains. The main ones are as follows.
Filling materials
Among the options for restoring a tooth with a he althy root, this method is popular. Filling materials allow you to achieve maximum results after high-quality prosthetics. The material has a good appearance, which is perfectly combined with the patient's dental tissues. The use of such compounds does not damage the oral mucosa and tooth enamel. This is an excellent method of restoring the dentition.
Gradually, materials do not fade, so artificial teeth do notvery different from the real ones. They contain fluorine, so there is the possibility of recovery after damage. With filling materials, experienced professionals are able to ensure the natural color of the teeth.
The advantages of this method include:
- Making imperfections, including cloudy fillings, stains.
- Correction of the shape and size of the restored tooth.
- Natural looking tooth.
- Preserve the nerve so the tooth stays alive.
Veneers and Lumineers
In the photo, the restoration of a tooth with a root looks neat. Often, veneers and lumineers are used for this procedure - special linings. By installing veneers, it will be possible to hide minor flaws in the teeth, which include the appearance of interdental gaps, chips, darkening of the enamel.
Veneer is a thin plate of ceramics, which has high strength. Outwardly, it is similar to enamel. The extension procedure in this way involves fixing the plate on the tooth, which provides an excellent effect.
Typically, a minimum of 3 visits to the dentist is required to complete a recovery. At the first procedure, consulting assistance is provided, a demonstration of the types of plates. If necessary, an x-ray of the dentition is taken.
During the 2nd appointment, an anesthetic injection is performed, grinding a small layer of enamel on the damaged tooth. Then they make an impression of the teeth. At this time the doctorsuggests installing temporary veneers, as permanent ones are made for a long time.
At the last visit, the plates are tried on and the veneers are fixed with a cement base. Between 2 and 3 doses, about 14 days pass. During this time, individual veneers are created.
There are almost no drawbacks to this method, excluding the need to grind off tooth enamel. Therefore, if possible, it is better to install Lumineers. They are almost indistinguishable from veneers, except for the thickness of the plate - lumineers are thinner. Thanks to this, the integrity of the tooth is preserved, in addition, lumineers are painlessly removed if desired. The only downside is the cost. Lumineers are more expensive than veneers, so not everyone can have this procedure.
Pins
This is a popular method of restoring a tooth when only the root is left. A pin is a special rod made of a durable material that is biologically compatible with human tissues. Different materials are used for the pin - from titanium to fiberglass. The main task is to fix the tooth and raise it above the gum surface.
Pins are often used for complex tooth injuries. They return the look and feel of the unit. According to patient reviews, the restoration of a tooth from the root by this method is performed without complications.
Metal pins are used for the side units, and fiberglass pins for the front ones, which cannot be seen through.
How is the procedure done?
The procedure includes the following steps:
- Before you installthe pin, the tooth is depulped and prepared for installation. Special equipment is used for this.
- If required, expand the root canal to the required size. For this, mechanical or manual tools or chemicals are used.
- The root is filled with a plastic material that quickly hardens. The quality of the work performed determines the final result, so you need to trust a good specialist.
- Then a pin is placed in the sealed root canal. It can be made from various materials, it all depends on the tooth.
- At the end, a filling or an artificial dental crown is placed on the pin. UV rays are used to rapidly cure the applied luting material.
This completes the procedure. According to patients, it usually passes without complications. But there are also difficult cases of restoration of the roots of destroyed teeth.
Should the procedure be followed?
Although there are many advantages of tooth restoration methods, augmented organs lead to some problems:
- The roots are loosened. This usually refers to pins. These structures do not fit snugly enough to the tooth tissues, therefore, with a strong load, such a problem appears.
- Cracks and root fracture occur. The load on it will be uneven even with the installation of the stump tab, which can lead to tooth destruction. This is due to the depulpation procedure. A tooth without a nerve becomes brittle and is subject todestruction, and you can’t do this, otherwise there will be inflammation.
- There is a risk of secondary caries. If he destroyed the crown part, then the infection appears in the remaining lower part, especially if the filling of the canals was performed poorly.
- The bone tissue around the restored tooth is damaged. The pin or tab acts as a wedge that expands the space of the root canals. This can damage the jawbone.
- Tissues become inflamed near the pin or tab. Pain and swelling appear in the gums and bones. Sometimes the body rejects them. A post or stump tab is considered a provoking factor for the appearance of periodontitis with the appearance of a cyst.
- Building with composite material can be unreliable, although they are used to restore front teeth. They are capable of chipping, collapsing.
- Metal posts and core inlays can show through composite layers or a crown, making the tooth look unnatural.
Price
Tooth restoration costs at least 5,000 rubles. The price includes the use of painkillers (200-300 rubles), consumables that isolate the tooth from saliva penetration (about 400 rubles). It is important to take into account the sterilization of the set of instruments used - the cost is not large, about 100 rubles, but still people do not take this into account.
The main amount is spent on filling materials, which are used to build up the tooth. Usually it is 3000 rubles. Also, the use of technologythe use of a pin involves the purchase of an imported product. The cost may vary depending on the clinic.
To save money, you need to use a Russian fiberglass pin, the price of which is 60-100 rubles. Usually they perform their function more difficult, fixing the tooth in the root canal.
Conclusion
Whatever method of extension is chosen, follow-up care remains important. This affects the life of the new tooth. Therefore, care must be thorough.
