Dental Fillings on frontal teeth

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Chipping of a frontal tooth can be a traumatic experience. A beautiful smile is the business card of nice appearance and that is why many people invest in expensive dental treatments. If you have a frontal tooth that has rotten,  fractured or chipped you can fix this situation in several ways.

You should remember that each case has its specificity and the treatment can vary from one patient to another – for a personalized solution we recommend to call us for appointment.

In most cases, we are able to solve the problem in one visit by performing a dental obturation (filling) or a direct faceting, in the dental practice, on the tooth in question. In case of a more severe injury, appropriate treatment shall require more time – faceting in the laboratory, a dental crown.

We have had not such a small number of patients (especially female patients) who have stopped smiling for a long time because of dental problems they had on the frontal teeth. This has made those people become more introverted, sad, depressed, changing their daily mental state. I truly believe that “QUALITY OF LIFE” is affected in the case of these persons. From my point of view, anything that affects your quality of life must be urgently eliminated because “life is short” is not just a saying, but a REALITY.

At ArtisticDent, every dental treatment performed starts from three premises that guide us in our work:

  1. functionality
  2. reliability
  3. aesthetic

Causes of dental injuries on frontal teeth

Dental caries

Dental caries is the most common lesion at frontal teeth. It can be located on the proximal sides of the tooth (towards the neighbouring teeth) or on its vestibular face (tooth neck caries). From my experience, I have noticed two trends:

  • patients who have dental caries on a frontal tooth will generally have caries at all frontal teeth
  • those who do not have and will never have caries on their frontal teeth.

Although we can blame genetics for these aspects, you should retain that, as with dental caries, it’s also about bacterial action. Healthy oral hygiene habits, proper dental brushing, regular visits to the dentist – have a positive impact on your oral health and your flawless smile.

Dental Fracture

Dental fracture, due to mechanical trauma, represents the second cause, in terms of frequency, of frontal teeth lesions. It shall be treated roughly the same as dental caries treatment.

Dental Erosion

Dental erosion is another type of dental injury and is frequently encountered in people who consume citrus fruit excessively.

Treatment methods for frontal teeth injuries

Dental filling

It is the most common and at the same time the least invasive treatment that is performed on frontal teeth.

Technique

  1. The vital tooth is anesthetized;
  2. The dental tissue affected by caries is removed under the control of a substance called Caries Detector. This substance helps you in two ways: A. You are sure there is no trace of the caries, B. You do not touch the healthy dental structure around the caries;
  3. Small micro-holes (70 microns deep) are created in the remaining healthy walls with the help of a substance called dental demineralizing agent;
  4. Bonding is applied, a molecular structure that looks like a man with two hands, one of them will enter those micro-holes and the other will enter the structure of the composite (the filling material). This will create a chemical bonding between the composite and the dental structure, and there is no risk for the filling to fall off.
  5. Tooth-coloured composite shall be applied (there is a very large variety of colours which allows us to make the filling exactly the colour of the tooth)
  6. This filling is then finished and polished.
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Advantages

We recommend this technique in most cases, even in some cases with very large destructions of the dental structure because:

  • at any time in the future this filling can be transformed into a dental  facet/ crown in the laboratory, but if this happens in  10 years this tooth will continue to be natural for another 10 years
  • the gum around the tooth will always prefer to sit on enamel than on ceramics
  • lower costs
  • shorter time of the treatment

Direct faceting in the dental practice

This is a technique that is particularly used in the case of dental fractures and consists of:

  1. Vital tooth is anesthetized;
  2. The caries (if any) is removed, the enfractal enamel edges are removed (those small enamel beads that “scratch the tongue”);
  3. A small threshold of 0.5-0.8 mm is created around the fracture area;
  4. The shape of the incisal edge of the tooth (of course according to the colour of the dental structure of the patient) is made from the composite;
  5. This composite reconstruction is finished and polished.

Advantages

  • minimally invasive technique on dental tissues
  • short working time (one session at the dentist’s)
  • low costs
  • at any time, this reconstruction can be turned into faceting or a crown in the laboratory.
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Disadvantages

  • slightly lower resistance in time. Here, I would like to stress out that direct facets in the dental practice made in ArtisticDent clinic have a minimum guarantee of 5 years. (This period varies depending on the clinical case and it can range up to 10 years). We recommend this technique particularly because of the first advantage of the technique that we have talked about.

Indirect Frontal Teeth Restorations

A. Indirect Faceting in the Laboratory

Solid and resistant, this type of reconstruction is recommended in situations where a frontal tooth no longer has enough healthy dental structure to which we can stick a composite filling, but still it does not require a dental crown.

They are thin coatings applied to the frontal part of the tooth. They transform the frontal teeth which have caries, are fractured, chipped, stained into teeth with the shape and colour as close as possible to natural.

B. Dental Crowns

Dental crowns are ceramic ”caps” (popularly called “porcelain”), with the appearance as close as possible to the natural state, made in the dental technique laboratory. They can be used for resistance and aesthetics purpose in order to improve the appearance of the teeth. They are generally used for teeth that have been devitalized (the nerve has been removed).

I will come back with a future article about these indirect restorations, in order to detail the techniques and results thereof.

Reconstructions on frontal teeth are some of the most difficult aspects of our job. The materials used in dental works are of very good quality but nothing compares with the dental enamel. Therefore, our recommendation is to take care of your teeth. And I mean by that a thorough dental hygiene, regular check-ups with the dentist and you should go to high quality dental practitioners.

Performance of fillings on frontal teeth is a real challenge. Repairing a frontal tooth and giving it a colour similar to all other natural teeth requires professionalism and competence. Dental materials reflect light differently from the natural tooth; moreover the tooth has different nuances from the gum to the top: this gradient of colours is difficult to obtain.

However, we ensure you that in our clinic you will benefit of the best and most experienced “hands”; the best dental materials; the best treatment options under the coordination of Dr. Sorin Găgeanu.

In conclusion, I would like to share with you the opinion of a patient of our clinic regarding the mental impairment caused by “ugly” frontal teeth.

”The loss, the lack of teeth has caused me both physical and mental pain. I had started avoiding going out with friends, avoiding the newly met persons. I was always afraid that somebody might say something funny, I will feel like laughing and then those around me will see that some of my teeth are missing. Trust, self-esteem have significantly reduced. I’m only 26 years old and now I’m learning how to smile and laugh.” Mihaela A. – patient.

Conclusions

  1. DO NOT let your teeth reduce your QUALITY LIFE level!!!!
  2. Make intelligent choices about the clinic and the dentist who will treat your teeth!
  3. Think about the reliability of a dental treatment!
  4. Don’t be too thrilled to have found a dental practice where an obturation (filling) costs 50-100 RON – the consequences of a deficient work and future frustrations do not deserve such a compromise!

I wish you a very high QUALITY OF LIFE!

Respectfully, Dr. Sorin Gageanu

2018-06-07T09:02:57+00:00

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