classy vipadok

Kuksi 2.1 tooth defect

update steps

2 step. Preparing the crown.

Comments and clarification:

1. For robots with metal ceramics, I use vicorist in the backing of the stump material of a composite of chemical or sub-base hardening (Luxa-Core (DMG), Core-Flo, Bisfill 2B (Bisco)).
2. The surface of the kuksi tooth in case of vicious materials of chemical or sub-base hardening is guilty of being covered with adhesive systems, combined with such materials.

visnovka

From the standpoint of clinical practice, it is necessary to show the reliability and accuracy of the inversion prosthesis method. A technique is given that can be successfully used in the formed clinical situations.

Oleksandr Grigor'ev

kerivnik the primary center"Dental Academy" (Irkutsk). Member of the American Dental Academy since 2003. International lecturer in nutrition of adhesive dentistry and interdisciplinary approach with complex renewal.

Highly aesthetic robots from metal ceramics, press-ceramics and frame ceramics based on zirconium oxide and aluminum - the current reality. Navichki and the mastery of the command and the technician create masterpieces that have made the patients look very good at their result. Years of service to aesthetically reabilitation of the building provide for the special status of the patient, it is an hour to reduce the share.

Ale є і the ringing side of tsiy Happiness: visualization of a fragment of ceramics, a chipped veneer, uncementing of the orthopedic crown, and often with a tooth defect. Mittauvosty Happiness is a moment for our patient to be happy. The restoration is not in love with the eye. Prokhannya about re-vikoristannya crown, yak was uncemented, most often only one patient. I know how to cement the crown while preserving the stump of the tooth is not a warehouse of special difficulties. Ale zovsim іnsha situation, if the uncementing of the supernatant is caused by a tooth defect.

In this keynote, I will show you how you can effectively and accurately carry out the method of inversion (vortex) prosthetics.

classy vipadok

Patient M., 35 years old, has returned to the class with scargs to uncement the crown with aluminum oxide by 2.1. Objectively: the crown is too small to be crumbled on the stump of the 2.1 tooth and without zusil vityagli. The appearance of 1/3 of the kuksi tooth (the inner part of the crown of the bull is filled with a detached fragment).

Kuksi 2.1 tooth defect

The tooth is last used for endowment with further updates from a polymeric pin. Zasnachalsya outside the protection of the polymeric pin on the whole protrusion. Only the inner surface of the crown was broken with a fragment of the stump material.

update steps

1 step. Preparation of kuksi tooth.

The surface of the kuksi tooth of the Bula was slightly dissected with the help of visible small fragments of the composite stump material. We used the adhesive protocol to add acid for 15 seconds, it was clearly sickening, the surface was slightly bloated and the adhesive system was set up. I skimmed with All Bond 3 adhesive (Bisco IL, USA). The price is a universal adhesive of sub-layer hardening, the structure of the polymer matrix has been changed and the maximum stability on the dentinal substance has been changed for polymerization for the development of its hydrophobicity. For the preparation and polymerization of the dentin surface, there is a very boring viewer. Tse is kind.

Prepared tooth cube before renewal

Kuksa, updated by crown

2 step. Preparing the crown.

The inner surface of the crown is covered with insulating material. I have sucked a PRO-V COAT (Bisco IL, USA). Tsei material leaves an absolutely inert surface, which is transformed into a composite. In addition, it is kindly indicated that it has been designated for the isolation of the surface of the tooth tissue from the time-lapse composite material in the form of InLay & Overlay. You can speed up with glucerin or waterborne lubricant gel.

The crown is carefully familiarized with the renewed kuksi of the tooth. Tsey process can suprovodzhuvatisya light zusillam. The crown is even neatly fitted to the renewed tooth stump. Zastosuvannya rozdіlovyh rіdin (in my opinion, PRO-V COAT) allows you to start the procedure for transferring.

3 step. Fixation of the crown for the renewal of the tooth crown.

Victorian materials for the adhesive fixing technique: All Bond 3 adhesive, Z-PRIMER PLUS primer for zirconium oxide, aluminum and metal, Choice 2 light-cured composite cement

I am a vicious adhesive fixation for a crown with aluminum oxide. For the whole inner surface of the crown with aluminum oxide, we sandblast it from the powder of aluminum oxide 50 mcr with a vice up to 2 atm. from an indirect cut to the surface.

Degreased in alcohol or acetone, dry. Apply a primer for zirconium and aluminum oxide Z-PRIMER PLUS (Bisco IL, USA) for 30 seconds on the inner surface of the crown. Hang out. The crown surface is ready.

The inner surface of the frame ceramic is coated with Z-PRIMER PLUS primer (Bisco IL, USA)

The new tooth stump is admitted to the adhesive protocol: etched, All Bond 3 adhesive applied, polymerized. A light-hardened composite cement is applied to the crown. The crown adapts to the tooth stump. The excess cement is given 2 seconds polymerization, tidy up from the edges of the crown and transcoronal polymerization is carried out from the skin side for 30 seconds.

Now you need a lot of tabs.

Namely, if the crown of the tooth is routed in general and the amount of loose tissues of the tooth is finished, the dentist - orthopedist can insert a pin into the canal of the tooth and introduce the crown part from the filling material. A little bit drops, if there are thin lines from the tooth, or only roots. In this case, it is possible to pick up a pin for a tooth renewal; the tooth root fragments can never be damaged once, and as a result, the tooth can be seen. Todi the dentist can try to change the tooth for an additional stump tab.

Kultova tab- cost-effective construction, as it stands in the dental canal for changing the tooth from the middle and renewing the first crown part. The crown part is renewed in such a way that it is possible to fasten a piece crown on it. Tobto, qia part of the inlay of the ma viglyad kuksi of the sharpened tooth. Name and name - stump tab.

The stump inlay is exposed by the method of littya from r_znih alloys.

Yak will stand up stump tab.

Rubbing to a clear edge of the tooth, chipping off until you can see more pink tissue. The canal of the tooth is rapidly expanding and crumbling in a special way. The next step is the most important stage - the root of the yakisnyy zlіpka.

On the basis of grain in the laboratory by the method of litta, a design is prepared, which is a kuksa of a tooth.

Before the hour of the coming, the stump tab is closed and fixed. If you want to, you can still curl the stump tab with a crown.

Naivazhliv_sha umova storing kulšovyh tabs - health of roots and periodontium

Kulšovyh tabs blow

• metal (cobalt-chromium alloy і gold-mixed alloy);
• metal-free (zirconium oxide);

If you plan to use metal-ceramic crowns for prosthetics, then a stump insert made of cobalt-chrome alloy should be prepared. If the crown is protected from zirconium dioxide, then the preparation and prosthetics of the teeth with inlays is also recommended for the material.

Perevagi kolshovykh tabs

• a tooth with an insert NOT vidlamana, on vidminu from vipadks with the installation of a snake pin
• the grip when joining is transferred not only to the pin and roots, but to pass along the axis of the root behind the opening of the larger area of ​​the insertion of the tab and the surface of the transverse root, as if to remove the teeth on the same basis
• the tab can be metal or non-metal, in the form of deposits from the client and tooth shaping (front, back)
• if necessary, the crown is easy to replace
• for the additional help of special kulšovyh inlays, you can easily stick the bite appearance and the expansion of the edges of the teeth is clearly clear and the dentition
• the tab is designed to fit in the teeth;

The stump tab can be either tsilisna or rosebirna pins. Rozbirnі zazvychay vstanovlyuyut on large-root teeth.
Kultova tab partiїї can be found in our price list

The head of the modern dentistry is unaffected on the steps of ruining a bad tooth, saving and renewing it. As long as the stump tab is prepared and fixed correctly, then, if the "hopeless teeth" are needed, it will serve you more than a lot of rocky, vivid, juvenile and aesthetic functions.

The renewal of a kuksi tooth is an admittedly new procedure in dentistry. Kuksa - tse tooth, changes in size, yogo crown part is significant. Even before the reconstruction of such teeth was not possible, now the restoration of the tooth can be done using only a few methods. When a tooth is renewed, a crown is placed on it, prepared individually for the skin patient.

Ways to renew kuksi tooth

Reconstruction of the tooth can be made by the Viconan either for an additional pin lithium construction, or by the method of direct restoration. The rest is the installation of an anchor pin in a single piece of composite material. In case of significant ruinuvannya vikorystovus skloionomerny material.

It is also possible to reconstruct a kuksi tooth without a vikoristanny pin: with a vikorstannya composite cement abo reinforced ceramics.

Competent fachіvets pіdber that option of updating a kuksi tooth from a crown, which will be the most suitable in a particular situation. Part of the service is to lay down the foldability of robots.

Beautiful and happy smile

At the medical center "Euromed A" I know how the role is played by a laugh. Vona can, in her own right, are sponsors, advising the authorities of the vlasniks and helping them to become a "visiting card" of the people.

The service of the renewal of the kuksi tooth before the crown is promoted, and your smile has become wide and happy again. Vikoristovuchi yakisnі materials and modern technologies, Mi add the miraculous robots. Dentistry services from the medical center "Euromed A" - the price of a professional robot and focus on the result.

Is it easy to see how the tooth is renewed? For the cob, it is necessary to grow, which is a tooth stump. Otzhe, tse of preparations, as well as changes in the organ. On a new, in a fake Buda, a crown will be installed. As a rule, the dissection itself is a zhuvalny element of the volodya, with a ledge, on which the crown edge fits well.

If the tooth has a strong grind, then in this vypadku will be left with only one root, the root canal itself, and for the opening of a special support of a pre-dated type, a special attachment should be carefully screwed into it, I will name it. The dentist himself knows which size and type of the pin is to blame, but some of its vibration will increase depending on the width, depth and size of the canal.

On a note: At the dental clinic, in the general order, the dentist will carry out the treatment of the canal, which is necessary, to fill the first one, as well as to give special respect to those who are to blame for the second.

The stems of the root are guilty of being as high as possible, so that when the pin is twisted, the stench does not crack. Moreover, the root itself is guilty of being as insensitive as possible, and with the maximum power of prototyping the jugular function.

Vimogi to pins

It is necessary:

1. Depending on the width and shape of the canal, it will be installed in any future.
2. Mother is the best.
3. It is not possible to allow interaction with dental tissue.
4. Visibility prot_kannya.
5. It can be easy to build.

In order to make the renewal of the kuksi tooth just as successful as possible, it is necessary to vibrate the pin for the skin surrounding molar. The pins themselves can be of a different shape - cylindrical or even cone. The surface of the pins can be smooth or with the pins. And also for the preparation of the victorious material:

• composite;
• titanium;
• metal, folds on the basis of carbon fiber.

In order for the restoration of the tooth to be successful, the dentist must first carry out the filling of the canal and expand it as needed. The molar can also be carefully smoothed, if the dentist promises, to hang and to dry the surface. Place the pin carefully on the cement and go to the stage of the root of the supragingival part of the jugular element.

In some cases, professionals have a crown with a special anchoring therapeutic pin, as well as a composite material, before the restoration of the tooth. But here it is already a question of self-wondering self-wonder at the meeting, why the procedure for the patient is possible.

If you zanuritsya in the past, then it is possible to see, but earlier dentists were able to cope with the problem of renewing a certain segment of a slotted row, and all that, they did not have enough tools, possession of that knowledge. The infection of the current technology has gone far ahead, and it is already possible to introduce a tooth kuksu with absolutely no problems, by ourselves, by turning it into an edge element.

Restoration methods

As a rule, restoration methods can be made of decorative types:

1. Vikoristannya special design. If the tooth of shaping is not large, then it can be a special tab. Ale on this year's day, the storage was practically reduced to zero, there were some marks and the amount of tooth ruptured because of the fact that they were installed. Special linings are more popular in the world of popularity;
2. The method of direct renovation of anchor pins at once with a special material for the renovation of a tooth. Call this way we will demand it in the way that you need to add a piece of jewelry. If necessary, a dentist can change the position of the very tooth at the moment, which is ruined. That material, which is victorious for renewal, volodya decilcom with hardened types. One of the types is the flow of light, the other is filled with chemistry, and up to the third, it is slightly hardened. Material, which is victorious, can be great color, so dentists have the ability to correctly select the required view.

If the zhuvalny element is even more strongly zoomed, then in this case it is recommended to use a special type of material, which can be used independently, as well as spirally with composite materials.

Additional material of Volodya's pevnimy perevagami:

• practically non-toxic;
• maє visoku mіtsnіst;
• high aesthetic characteristics;
• we use the term hardening, so the ability to create a shape is required.

mounting

In order for the dentist to update kuksu, it is necessary to complete everything according to the steps:

1. Preparatory stage. At the tsei moment, the grinding of the crown is made, the canal expands and the canal is formed, and the thread is also accurately drawn.
2. The fixing of the pin is attached to the cement.
3. In addition, as the cement hardens, the structure is formed from the visible part.

Є, obviously, it is not very common in the whole method - because on that the surplus of root, which is far away from the protection, will be more strongly added.

The design, as it was already installed, is to blame for the mother:

• without corrosion;
• vrakhovytsya specialty of the root of the problematic zhuvalny element;
• the appearance of tightness;
• trivial term of service;
• if it is necessary, then you can re-test.

In any case, the skin professional knows that the design is adapted individually for the skin patient.

Prosthetics ALL-on-6 and All-on-4. Patient video

Renovation of a kuksi tooth without pins

Є There are two main ways, behind the addition of which it is possible to add a strong segment of the slot:

1. Reinforced ceramics.
2. Special composite cement.

Victorian lithic tabs

All tabs are displayed from the same material. Tse special monoblock. In this vypadku, there is one not callous moment - the shock absorption rate when it is new. Given the particularity may be the reason for the very root ruin.

In order to make sure the need is high, professional modern dentists use a special kind of construction with a "commander". It is possible to identify the most advanced designs by themselves.

Video by topic

The current dentistry in its achievements has gone to the point where it has become a great success in the development of prosthetics. Even earlier, the teeth are most often lost to the eyes, then at the same time, the fixing of the pins and the root tabs, the new teeth are replaced.

С At the tsiy statty mi razpovimo, it seems to be a stump tab, described by the classification, stages of preparation and prosthetics, the transitions and shortcomings of the pristosuvan, accelerated and іnshі nuances. See in the photo with ceramic inlays, zirconia, metal and in.

What are the best teeth inlays?

Cult tab (in іnshomu - іmplant) - design, how to serve for the replacement and renewal of the tooth, sharpened partly or more. With the establishment of the stump tab, take a practical new tooth, do not see it from the other calls, not the teeth.

Inlay - tse crown and root part. Virib is a sucylolith and shaped like a tooth in a changed viglyad. The pin (root part) is placed in the canal for cleansing, and the final fragment is ground for the installation of a crown (div. Takozh: installation of metal-ceramic crowns). Schob vigotoviti a stump tab, from a tooth to be robbed.

The installation of dental inlays can be called light and economical right, ale є drop, if it is correct. A competent dentist is recommended to check out the situation, to find:

• the crown is more likely to be rounded;
• do not use any methods to fix the crown;
• on the supragingival dilyantsi є defect;
• the teeth have moved incorrectly or not.

It is allowed to pick up the crown crowns in the anchorage of the support for the fixation of the bridge, and in case of pathologies of the periodontium - as the shiniruyuschim construction. Inodi, unaffected for the entire prospect of trimming a new bone tooth, as a result of the installation of the shaft pin tabs, it will be seen. Dentists do not recommend performing the procedure if:

Often the patients have a vicarious meal: chi maє sense install the stump tab, how can you vikoristovuvat the pin? Winnagato is cheaper and simpler. Schob perevagi dentinovyut tabs will be more obvious, besides in the table.

Victorian post can be in two drops - both the tooth is single-root and the crown is sharpened by 40-50%. If the camp is more serious, the shearing is not possible due to the situation.

Etapi preparation and establishment of kuksi

What is required for making pin kuksi? Nasampered - preparation, to complete the development of the root of the tooth, schob z'yasuvati, where there is no proof. Then, from the tooth, there is a sign of malice, by which a piece of wax is prepared, and then there is a residual design. The preparation of the insert for the crown is carried out by one of three methods:

• direct, if the wax is prepared and virib are prepared for the malignancy of one tooth;
• indirect, if the zenyatty is fiercely afraid of both slits from the urahuvannya bite;
• by the method of computer modeling - by sending a tooth sign and a slit, a special program will open the 3D model of the pin inlay.

Then it will be possible to get 1-2 sizes, as needed, to make a stump tab. On the offensive pryomі fahіvets pіdganyає implant for the size of the tooth. When writing the insert, the tooth still needs to fix it behind the additional cement or special glue. The final stage of the procedure is grinding. The video in the statistics shows all stages of the prosthetics in detail.

See photos

Є A number of types of tabs, which are distributed on two groups. Accordingly, the tabs on the crown are made to grow in depletion according to the method of preparation. In a different way, the stench of vikonuyutsya from other materials.

Classification of tabs according to the method of viral distribution of pins and implants on the basis of lithium and distribution. Lit is a complete virib, in the sense of a part and a pin for fixing in the dental canal. The preparation of the stump sucylolithium of the pin inlay is displayed when high temperature and a vice. Vikoristovuyatsya stench for the renewal of single-root teeth.

If a prosthetic tooth has more than two canals, it is recommended to install a loose stump tab. In the whole design, the cleats are known to allow them to be nominally changed in the dental canals. Nas_lki nad_iayno, scho further away from the village it is not imaginable. It is practical to keep the construction together.

Now it comes to respect for the types of tabs in the fallowness of materials, which can be used for getting ready. In the photo and in the attached table below, you will be familiar with the report classification of implants: metal, ceramic insert (zirconium), metal-ceramic insert (metal-ceramic) and composite insert.

Otzhe, the stump tab is prepared for use with new materials (zirconium dioxide, metal oxide, ceramic, etc.) and for new technologies. A stump inlay with zirconium dioxide is a sportive version. Troy is cheaper to install a tsіlnokeramіchno ї tab. Making a composite inlay is simpler. Rejoice in the fakhivtsy, give it a fuck, and if you are awesome, choose the best option.

Plus and minus pin inlays for the crown

Crazy, pin tab - the most effective and adaptable way of dental prosthetics. Pererakhumo all pluses of the design:

Chi є minusi at such a wonderful wine-goer? It's a pity, є, I want їх і not rich:

• visoka vartіst in porіvnyannі with conservative pins;
• the installation procedure will take more than an hour to get vitality, and it will take more than an hour.

How long does the tab stay for an hour?

Oscillations for dental dental inlays are used for different materials, the term of their service is considered as a factor. In the middle price it is guaranteed for 8-10 years. For children, there are more trochas (for example, the stump tab from gold is 15-20 years old). With proper hygiene when empty, the company of terms can be changed.

There are drops, if the triviality of the service of the tab on top of the crown will speed up, or if it’s called raptus vipadaє. Tse will be lost if the technology of the fix is ​​broken. Do not overdo it on the hasty installation procedure and check your pledges in order to secure it. For 24 years, a cement warehouse has been kindly hardened, for which it can be done by a drill. If you lower the whole important stage and start correcting through the first step of writing the fixation, the vibration of the instrument is disgusting to appear on the not yet hardened cement, and the crown at once from the core insert can be simply vipasti.

Possibility to speed up the installation procedure

As with any operative entrusted, the procedure for installing the stump inlay can be unremarkable. It’s not marvelous, even a tooth in front of the front is required to be prepared. For the whole, the preparation procedure is carried out - from the hard tissues of the tooth, pathological changes are seen and the shape of an empty one emerges, handy for the installation of a stump tab. The directors of such procedures will be hopeful, and all the robots will become natural zovnishniy viglyad tooth.

To trample, when carried out at a distance, on all stages of the procedure, the tooth is repaired with a pin insert, to repair the thread, or to bleed. The reason for this is sensitivity.

3 o'clock inappropriate views to pass, I want to deliver the patients who are not handy. It’s as if it’s better not to admit it, it’s more beautiful to see the dentist, who is guilty of making an X-ray sign. In more serious cases, the installation of dental inlays is fraught with pulpitis or secondary caries. For such a problem, there is no problem, it is necessary:

• taking into account all the norms during the installation of the design;
• the patient is prone to the necessary hygiene of the mouthwash.

Гігіна in this vypadku is simple:

• brush your teeth twice a day;
• a tooth with a crown on a stump insert is more beautifully cleaned with a brush with soft bristles, it is also possible to vikoristovuvati special yorzhiki and a dental floss to clean the interdental space;
• rinse your mouth with warm water;
• for prophylaxis, take the dentist to the clinic.