Nine indicators in favor of dental restoration with E Max veneers

Advantages over classic products

Dentists recommend E-MAX veneers to their patients for aesthetic restoration, since the products are endowed with quality indicators:

1. The material has high strength , because it is a type of lithium silicate glass ceramics.
2. Modern ceramic linings are produced by pressing. As a result of the absence of pores and tension in the material of the structure, it acquires a smooth, uniform surface.
   This property allows the production of very thin veneers (thickness comparable to a contact lens). Thanks to this feature, there is no need to sharpen the teeth.
3. Fixed using dental glue , which protects the enamel from caries.
4. The presence of a wide range of shades and transparency of the enamel is designed for a wide range of patients.
5. Precise positioning of the structure on the tooth is achieved through 3D computer modeling, which eliminates all errors.
6. The records are durable ; they do not fade or fade over time. Even after ten years, they will look like they were just made.
7. Plaque does not accumulate on the onlays, and tartar does not form on them.
8. The material is suitable even for allergy sufferers , has high biocompatibility and does not enter into chemical reactions with saliva and other liquids.
9. There is no gum destruction around the restored area.

Conventional linings may have a number of disadvantages compared to E-MAX products:

1. With insufficient care, food particles may get between the product and the dental element, which can trigger the development of caries.
2. During installation, a mandatory manipulation is grinding off the protective layer of the unit being restored.
3. Products can be made according to a template.
4. Short service life (7 years with good care).

The characteristic features of conventional structures and those manufactured using E-MAX technology are given in the comparative table:

Types of ceramic veneers

On the one hand, all the linings in question are ceramic. Basically, this means that no metal is used in their manufacture.

On the other hand, they are classified according to different criteria.

Manufacturing methods

All ceramic linings are made in several ways.

The first one is refractory

. Ceramic layers are gradually applied to a platinum plate that follows the contour of the tooth and fired. The enamel layer is gradually increased from the neck to the cutting edge, and the dentine layer is cut in the opposite direction. Then the product is adjusted, given a natural look and sent to the clinic.

The second method is layer-by-layer production

. He is the most in demand. Thus, products are made from modern ceramic mixtures - E-max, Empress. Using the pressing method, a thin plate is formed, which is then covered with glaze, giving the teeth a natural shine.

Computer modeling in the manufacture of microprostheses – CAD/CAM – is becoming increasingly widespread. The doctor scans the surface of the teeth, and then a computer program models the onlay. The veneer is milled from a ceramic block on a milling machine. Then it is tinted and glazed.

Material of manufacture

It is not easy to understand the difference between ceramics, porcelain and glass ceramics. All this is one concept: ceramics. It’s just that different mixtures give rise to different properties, and at the same time new terms:

• E-max:
  glass ceramic based on lithium disilicate. A very durable material that allows you to imitate tooth enamel down to the smallest detail.
• Empress:
  glass ceramic based on leucite, with the ability to transmit light, which brings it as close as possible to natural enamel.
• Ceramage:
  microceramic based on zirconium silicate, combines strength and transparency, just like real teeth.
• Zirkonzahn:
  Zirconium dioxide is the strongest dental material available today. It is not as transparent as the others, so the smile turns out to be truly “snow-white”.

Indications

Like any prosthetics, the use of onlays has certain indications and limitations for their installation.

Dental plates made in Germany allow you to get rid of the following disadvantages:

• changes in the color of the enamel associated with certain diseases, taking medications, smoking, excessive consumption of coloring drinks (coffee, tea) that cause spotting or yellowing;
• darkening of old fillings;
• presence of defects in the form of cracks, chips;
• incorrect orientation of the incisors (rotation around an axis, slight crowding);
• thinning and erosion of enamel;
• the presence of interdental gaps (diastema, trema);
• violation of the shape and position of the incisors due to malocclusion;
• in the absence of effect after other restoration techniques.

Features of the manufacture of Cerec veneers and the technique of their installation.

Let's talk here about the pros and cons of solid metal-ceramic crowns.

At this address https://www.vash-dentist.ru/protezirovanie/nesemnyie-p/koronki-np/zolotyie.html we will tell you in which case it is justified to install a gold crown on a tooth.

In what cases are they indicated?

This type of permanent prosthetics makes it possible to restore teeth if you have:

• enamel defects: chips, cracks, stains;
• discoloration as a result of the use of medications;
• yellowed teeth;
• interdental gaps;
• small teeth;
• single incisors protruding from a row;
• crooked teeth;
• ugly fillings.

Contraindications

E-MAX veneers have a number of contraindications for installation. They are the same as for regular records:

• severe destruction of the incisors as a result of caries;
• pathological abrasion;
• malocclusion (straight);
• bruxism;
• presence of bad habits, for example, biting hard objects;
• destruction of the enamel on the inside or the presence of an old filling of large sizes;
• complete neglect of hygiene procedures;
• high risk of incisor injury (for example, when doing boxing).

Veneers will not help correct defects such as a straight bite or loss of a significant amount of tooth tissue.

Summary -

E-max will be the best choice –

• single crowns (regardless of location),
• 3-unit bridges for the front teeth,
• veneers,
• lumineers (thickness from only 0.3 mm),
• if the patient has high aesthetic requirements,
• if the patient has high transparency of tooth enamel.

Zirconium would be the best choice –

• bridges on chewing teeth,
• bridges of 4 or more units,
• single crown supported by an implant,
• bridge prosthesis supported by implants,
• if the patient has bruxism.

Manufacturing stages

Since the linings are individual products, their production involves several stages:

1. The dental technician uses wax to model the plate so that it fits perfectly on the surface of the incisor.
2. To make onlays, the technician uses blanks from E-MAX ceramics.
3. The technician places such a blank in a special oven, where, by pressing, it is transformed into an overlay similar to the wax plate made earlier.
4. Further processing of the finished product is carried out manually.
5. The inner surface of the lining is roughened for a stronger fixation.
6. To give the enamel a natural shine, the plate is coated with glaze.
7. Next, a color scheme is selected to match the color of the patient’s teeth.

Watch the video to see how E max veneers are made.

Pre-treatment procedures and installation

Prosthetics with E-MAX veneers are carried out in several stages:

• The dentist prepares the surface of the incisor. If necessary, it is turned (removing the top layer of enamel 0.5-0.7 mm thick).

• An impression is then made using a special paste and sent to a dental laboratory.
• To prevent the patient from feeling discomfort, temporary onlays are made in the laboratory while the permanent plates are being made.
• Based on the impression, the technician makes a plaster model and then a temporary product.
• Using a set of samples, the dentist selects the desired shade to match the rest of the patient’s dentition.

Before finally fixing the permanent product, the dentist must make sure that the shape and shade match the element being restored.

If there are any deficiencies, the specialist will make adjustments. If the veneer fits perfectly on the incisor, then the next step should be to check the bite and contact with neighboring elements.

After checking all the indicators, if there are no comments, the dentist begins the final fixation of the structure on the tooth.

The restored element is treated with a special gel to enhance strength, and then cement is applied and a veneer is attached. Excess glue is removed with a special tool.

The main differences between Duo PCH veneers and products from other manufacturers.

This publication contains detailed information about ultranir.

Here https://www.vash-dentist.ru/protezirovanie/nesemnyie-p/viniryi-np/restavratsii-komponirami.html we will talk about compositers and indications for their use.

Is there an alternative

For a number of reasons, a patient may not be able to get ceramic veneers. Dentists have other proposals for restoration:

• Composite veneers.
  Composite materials can be a worthy replacement for ceramics. They are easier to install, and most importantly, you don’t have to wait. Composite onlays are made by the dentist during the appointment. They will have to be changed more often than ceramics, but the price is lower.

• Bleaching.
  If the problem is only color, then bleaching can solve it. This procedure is done regularly, but there is no need to prepare teeth for it.

• Remineralization.
  In cases where the patient wants to protect thinned enamel, treatment with special compounds can help. They will reduce tooth sensitivity and strengthen the enamel.
• Crowns.
  It is better to put crowns on severely damaged teeth. They protect teeth from all sides and restore chewing function.

• Lumineers.
  You can do without preparation if you install lumineers. These are ultra-thin plates that are made in the USA using individual impressions. They are more expensive and take more time to manufacture. In addition, lumineers are so thin that you can only lighten your teeth slightly.

Composite Veneers made from light-polymer nanocomposites are installed using the direct method. The most budget option

Crowns Reliable prosthetics for damaged teeth with large damage to the coronal part

Teeth whitening Safe whitening of tooth enamel using the latest techniques and materials

Article Expert

Shirokov Ivan Yurievich Dentist-orthopedist, doctor of the highest category

Work experience: more than 17 years

Rules of care

If certain care rules are followed, the service life of the plates can be extended.

After restoration, it is advisable to follow the dentist’s recommendations:

1. Daily oral hygiene is required at least twice a day (morning and evening) using paste, brushes and other oral care devices. This will provide shine to the product.
2. Avoid eating solid foods.
3. It is forbidden to crack nuts or chew seeds.
4. Minimize the consumption of products containing dyes.
5. At least twice a year, undergo a preventive examination by a specialist.
6. It is necessary to remove dental plaque once every six months.
7. Use a mouthguard for bruxism.
8. Visit the dentist at least once every six months to correct the dental plate.

Life time

The service life of ceramic linings with proper care is up to 10 years. But, products may fail earlier in the following cases:

• If the cement under the structure fails. Then the plate may fall out. The veneer must be taken to a dentist, who will professionally reattach it.
• If a hard object hits the elements of the dentition while eating, biting nuts, or uncorking bottles with your teeth, the lining may crack.

Price

The cost of dental restoration with E-MAX veneers depends on the region, the status of the clinic, the qualifications of the specialist and the clinical case. The average price for producing records in Moscow is at least 25,000 rubles.

The cost is comparable to the installation of zirconium structures. When planning dental restoration with modern onlays, it is necessary to take into account the possible costs of preparatory procedures: caries treatment, professional cleaning.

How much prosthetics costs in Moscow clinics can be seen from the table below:

Disadvantages of E-max –

• High cost - compared to standard metal ceramics (but at the same time it is comparable to the cost of highly aesthetic metal ceramics with “shoulder mass”),
• not on chewing teeth (on 6-7-8),
• not allowed with bruxism,
• it is impossible if the stump of the ground tooth is dark in color,
• it is not advisable if there are a large number of missing teeth (in this case, the entire chewing load is not distributed evenly, but only on the remaining teeth, leading to their overload). We hope that our article on the topic: E-max metal-free ceramic crown, price, reviews was useful to you!

Sources :
1. Personal experience as a dentist, 2. National Library of Medicine (USA), 3. Harvard Medical School (USA), 4. https://www.ivoclarvivadent.us/, 5. https://www .realself.com/, 6. “Crowns and bridges in prosthetic dentistry” (Smith B.).

Reviews

Every person wants to have a flawless and healthy smile. Veneers are about aesthetics and preserving the functions of the restored units. But how effective are they and how long will they last?

Patients who have already tested this restoration method on themselves share their impressions. Many of them were pleased with the changes.

Some people complain that it takes a long time to get used to new teeth. In general, reviews of the use of E-MAX technology are positive.

You can also share your impressions of the restoration in the comments to this article.

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