Cosmetic enamel restorations: natural biomimetic layering technique

Dental enamel implantation is a new and progressive direction in aesthetic dentistry. The essence of the procedure is to restore the enamel coating by fixing special orthopedic devices - veneers - to the front of the teeth. These are thin plates made of ceramics that are used to correct the color and shape of teeth.

In addition to the fact that the thickness of the coatings is only 0.3-0.6 mm, veneers are similar in elasticity and strength to natural enamel and act as an infallible tool for giving teeth exemplary evenness and aesthetics. Installing veneers helps eliminate curvatures, hide pigment spots, chips, cracks and a number of other defects that have appeared on the surface. Although ceramic plates do not provide a therapeutic effect, they improve the appearance of teeth and make a smile impeccable.

Causes of enamel destruction

There are quite a lot of factors that destroy enamel. The most common ones are:

• Poor oral and dental hygiene.
• The use of hygiene products containing aggressive substances that cause demineralization of enamel.
• Disruption of the digestive system.
• Abuse of sweet, sour foods, which chemically affect the top layer of enamel.
• Systematic consumption of energy drinks.
• Smoking. Tobacco contains nicotine, which destroys enamel.
• An incorrect bite causes the tooth enamel to wear away.
• Injury to teeth.

Reviews

Reviews about the use of varnish are contradictory. Some are satisfied with the resulting effect, while others note a lot of shortcomings. Particular attention is paid to the difficulties of self-application and the unnaturalness of the resulting layer.

If you have experience using dental varnish, you can share your opinion by leaving a review in the comments to this article.

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Benefits of implantation

The main advantages include:

• The ability to restore tooth enamel at different degrees of destruction.
• Teeth regain their natural smoothness and shine.
• Strengthening dental health from exposure to external irritants.
• Prevention of the development of dental diseases, especially caries.

Indications for the use of enamel implantation:

• damage to the enamel, disrupting the aesthetics of the tooth;
• decrease in the level of minerals and salts in tooth enamel;
• development of pathology, accompanied by the appearance of spots on the enamel;
• expansion of interdental gaps;
• malocclusion.

Fixed prosthetics with veneers: installation features

Artificial enamel substitutes are a winning option for solving problems with increased abrasion and deterioration of the color of the natural enamel layer, abnormalities in the outline and location of teeth and other aesthetic defects.

The procedure is painless and occurs in several stages:

• preparation for prosthetics. If necessary, the doctor removes carious formations, renews previously installed fillings, and performs sanitation of the oral cavity;
• then impressions are taken from the jaw and sent to a dental laboratory for the production of plates;
• finished structures using durable dental glue are fixed to the surface of the teeth being restored.

After fixation, the doctor checks the correctness of the bite and evaluates the accuracy of the contact of the implanted units with the adjacent teeth and those located on the opposite jaw. If inconsistencies are identified, adjustments are made. At the end of the procedure, the doctor removes excess adhesive.

Enamel implantation does not cause pain and does not require the use of anesthetics, therefore it is suitable for patients with allergies to painkillers. In addition, a healing abutment is not required for enamel implantation.

Other ways to restore enamel

• Filling, which is prescribed in the complete absence of a layer of enamel. The filling material is applied in a thin layer to the tooth, and after hardening, the chewing element takes on a healthy appearance with smooth and shiny enamel.
• Fluoridation. This is the most famous and accessible method of restoring enamel, in which a substance containing fluoride is applied to the teeth. Fluoride comes in gel form. After fluoridation, teeth become smooth and shiny.
• Microprosthetics, when a veneer or lumineer is attached to damaged teeth. The procedure is effective, but expensive.
• Remineralization. A procedure in which calcium phosphate is applied to the teeth. Over time, the applied substance becomes durable and is able to protect teeth from external irritants. This method of restoring enamel is used only when it is partially destroyed. If there is a complete absence of enamel, the method is not effective.

At the first signs of tooth hypersensitivity, you should immediately contact a dentist, who can determine the cause of tooth hypersensitivity. After diagnosis, the doctor will prescribe a course of treatment.

Why you should get veneers

Implantation of enamel coating can eliminate functional and cosmetic defects and give a person a charming Hollywood smile.

The advantages of installing ceramic plates are undeniable:

• reliable protection. With minimal grinding, teeth receive a wear-resistant and durable protective coating;
• invulnerable aesthetics. The thinnest plates fully reproduce natural enamel due to the increased light conductivity of the material;
• versatility. An extensive color palette makes it possible to choose a shade that is in no way different from the color of neighboring healthy teeth;
• quick effect. You can get a dazzling smile in a couple of visits to the dentist, bypassing long-term wearing of braces and other painful procedures;
• durability. If the rules of care for structures are followed, they retain their original appearance for up to 15 years or more.

The specialists of our clinic in St. Petersburg install veneers with a quality guarantee. Regardless of congenital or acquired defects that need to be eliminated, doctors guarantee success in the most difficult situations.

Alternatives

There are clinical cases when it is impossible to restore a tooth. If half of the tooth or the entire crown part is destroyed, a crown is already needed. The root is damaged - you have to choose between:

• Implantation

A metal pin – an implant – is screwed into place of the removed root. A crown is put on it. Neighboring teeth are not involved. The implant performs the functions of a natural root. It comes with a lifetime warranty

.

• Bridge prosthesis

The artificial tooth is located between two crowns. Load-bearing teeth are ground down for crowns. Does not prevent bone loss. Should be changed every 5-7 years

.

Fluoride varnish

The composition of the varnish, which protects tooth enamel and prevents calcium leaching, includes:

• sodium fluoride;
• shellac;
• fir balsam;
• chloroform;
• ethyl alcohol, etc.

All these substances act in synergy - they provide high-quality disinfection of the treated surface and effectively strengthen it. When enamel comes into contact with sodium fluoride, a hard protective layer is formed. It is thanks to him that the unit ceases to be overly sensitive to salty, spicy and sour foods, and temperature changes.

The mixture has a positive effect on the condition of the gums. After its use, soft tissues become less inflamed and bleed less.

Is it possible to use varnish at home?

It is allowed to carry out a strengthening procedure at home, but you should still consult a doctor first. Difficulties will arise already at the stage of purchasing varnish - you won’t be able to find a high-quality and safe solution on the open market. It must be ordered from a dental center or specialized medical store.

If you do find a drug and the dentist allows you to use it yourself, do not forget about the rules:

• pre-dry your teeth using cotton swabs;
• apply the product in a very thin layer;
• The varnish should dry naturally for about 5 minutes;
• Do not eat anything for twelve hours after the procedure.

Price issue

What drugs are used for the procedure

Most dentists that offer this technique today use the drug InnoDent1, developed about four years ago. It is interesting that the product is positioned as Swiss, although in fact it was invented by a Kazakh scientist and biotechnologist. According to the creator, Swiss raw materials are used for the production of InnoDent, so the information is partly true, but on the other hand, this is a kind of marketing ploy. Today, about 40% of the product is sold in Kazakhstan, and 60% goes abroad, mainly to Russia and Ukraine.

The drug contains an analogue of the human protein amelogenin. According to the manufacturer, it is this substance that promotes the formation of enamel. Interestingly, amelogenin is absent from already destroyed tissues, and, in fact, by applying the product to the teeth, doctors simply start the process of their natural restoration. The mechanism of action of the active component is as follows: it interacts with human saliva, due to which a regular crystal lattice of calcium and phosphate minerals is built on the surface of the tooth.

Swiss raw materials are used for the production of InnoDent

The manufacturer emphasizes that the use of InnoDent will not give an instant result, which, for example, can be achieved by performing direct restorations with composite material. The process of tissue regeneration is slow, and you need to be patient and wait about a month, but the areas of enamel restored with this drug have natural strength, shine and natural color.

Cost of treatment

Dental enamel implantation in dentistry has a low cost - from 2,400 rubles for the treatment of several teeth. If you want to purchase InnoDent De-Senz for home use, you will have to spend about 6,000 rubles on it, but it will be enough to treat the entire oral cavity.

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implantation

1. According to the official website of the manufacturer innodent.net

Expert “The technology has been on the dental services market for quite a few years, there is not a lot of information, scientifically based data and reviews about it, not all clinics in Russia offer it, so it is still difficult to objectively say how effective and safe it really is. I think time will tell whether she will be able to win the trust of specialists and patients.” Dentist therapist, periodontist Marina Igorevna Tarabanovskaya

Consulting specialist

Vagapov Zakir Irkinovich

Doctor rating: 7 out of 10 (3) Specialization: Orthodontist Experience: 16 years

Recommendations after teeth augmentation

If anesthesia was used, then you should refrain from eating for 2-3 hours. If no anesthesia was given, then there are no restrictions on food intake.

During the first days, you should avoid foods that are too cold or too hot. It is better to give up seeds and nuts forever.

Composites easily absorb pigments, so tea, coffee, red wine and dark berries can change the color of the restoration.

When using composite building on the front teeth, it is recommended not to bite off hard fruits and vegetables, but to first cut them into pieces.

Avoid hard brushes and abrasive pastes as composites will scratch and lose their appearance. But irrigators, dental floss and brushing your teeth 2 times a day will help preserve your and restored teeth for a long time.

Article Expert

Milyev Semyon Konstantinovich Dentist-therapist, doctor of the highest category

Work experience: more than 6 years