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\n\t The incisors and canines make up the smile line, any damage or defect in this area is immediately noticeable. The restoration and reconstruction of the anterior group of teeth is the most complex process of all clinical options. When replacing the supragingival part of the tooth with an artificial crown, it is necessary to achieve a harmonious combination with the adjacent units, soft tissues. The best crowns for the front teeth should have a natural shade and degree of transparency, like the real incisors. At the same time to be not only beautiful, but also strong enough.<\/p>\n

\n\t Orthopedic dentistry uses different methods, technologies and materials to restore the frontal group of teeth. What crowns to put on the front teeth, what method of prosthetics to choose – the doctor decides based on the clinical situation. The patient is offered several treatment options, from which he chooses the optimal one in terms of aesthetics and cost. The physical and optical properties of restorative materials are well studied today, which makes the choice much easier. A comprehensive approach to treatment makes it possible to create prosthetic structures with individual optical characteristics, achieving the best aesthetic result.<\/p>\n

Indications for prosthetics<\/h2>\n

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• Chipped crown (when the defect cannot be corrected by placing a filling);<\/li>\n
• multiple cracks in the enamel;<\/li>\n
• pathological abrasion of enamel;<\/li>\n
• fluorosis;<\/li>\n
• tetracycline teeth;<\/li>\n
• discoloration (darkening, yellowing);<\/li>\n
• destruction of the supragingival part of the tooth more than 70% with preservation of the root;<\/li>\n
• thin, weakened enamel;<\/li>\n
• replacement of an old restoration.<\/li>\n<\/ul>\n

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  Prosthetic options depending on the clinical picture <\/h2>\n

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  • If you need to correct the shape, size, color of incisors, canines, eliminate cracks, small chips, a good solution – ceramic or zirconium veneers. Thin dental onlays (up to 0.3 mm) require minor preparation of the enamel layer. They are fixed to the outside of the teeth with composite adhesive (bond).<\/li>\n
  • In case of volumetric destruction of the supragingival part(more than 60%<\/i>), a dental crown is placed. Before installation, the incisor, canine is given the desired shape (shaped), the root is strengthened with a stump inlay (if necessary), the prosthesis is fixed on the support with dental cement.<\/li>\n
  • If not only the supragingival part, but also the root is destroyed, implantation will help to restore full aesthetics and functionality of the tooth row. If the clinical situation allows, the implant is immediately loaded with a temporary crown, which is replaced with a permanent crown after the artificial root has taken root.<\/li>\n<\/ul>\n

    \n <\/p>\n

    \n\t Immediate prosthetics for single defects is possible only for incisors, canines (up to 5 premolars). The prosthetic structure is removed from the bite (made slightly lower in height). This is necessary to eliminate the risk of loosening the implant due to the load on the denture.<\/p>\n

    What crowns are placed on the front teeth <\/h2>\n

    \n\t The front incisors are not used in chewing food, so in prosthetics of this group of teeth there are more requirements for aesthetics, restoration of correct occlusion. But the material of the prosthesis must be strong enough to withstand the load of biting. To create crowns, metal alloys, metal-ceramics, ceramics (porcelain), zirconium oxide, E-max metal-free ceramics, plastics, etc. are used. The material determines the cost, appearance, durability of the restoration.<\/p>\n

    Types of crowns for front teeth <\/h2>\n

    Metal crowns <\/h3>\n

    \n\t Created from metal alloys, including precious ones, by casting or stamping. The high strength of metal provides long service without the risk of cracking, chipping. Crowns made of gold are easily molded, reproduce in detail the anatomical shape of the tooth. Metal alloy constructions are inexpensive (except for crowns made of gold), comfortable, strong, durable, but do not resemble natural teeth, so they are not suitable for prosthetics of the smile area.<\/p>\n

    Metal-ceramic <\/h3>\n

    \n Metal-ceramic crowns for front teeth are one of the popular prosthetics options due to their low cost (except for gold, palladium, and platinum restorations). They have a strong metal base, on which a ceramic mass identical in color to natural enamel is applied layer by layer. The one-piece casting method minimizes the risk of complications because there is no gap between the inside of the denture and the support.<\/p>\n

    \n <\/p>\n

    \n\t Facing is performed layer by layer – each subsequent layer is subjected to heat (baking) to achieve the highest adhesion between metal and ceramic. The fabrication technology makes it possible to achieve a natural appearance of the prosthesis. But this aesthetics is not enough to make an incisor or canine look natural.<\/p>\n

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