What crowns are best for the front teeth?

The process of restoring teeth in the frontal zone is one of the most complex and costly, since the doctor faces an important task - to obtain not only excellent functional characteristics, but also to achieve impeccable aesthetics. In this case, the crowns on the front teeth must fully correspond in shade, shape and transparency to their natural counterparts.

Today, the dental market offers several materials suitable for restoring the characteristics of anterior teeth, but despite their diversity, the number of dissatisfied patients does not decrease. This is due, first of all, to the insufficient level of professionalism of specialists, as well as the wrong choice of crown option.

In this article we will provide detailed information about the existing types of prostheses. We will tell you about their main advantages and disadvantages, and also present the prices established in modern clinics. You will learn about these and other points below.

Crowns on the front teeth: current types of treatment

Modern people have received a number of new opportunities in the field of dental treatment. Firstly, pain during treatment procedures has decreased. Secondly, today it is possible to restore the integrity of even a row in which dental units are completely missing. At the same time, artificial analogues will naturally reproduce the aesthetic and functional characteristics of natural teeth.

Thirdly, positive changes have also affected the field of prosthetics. If previously patients only had metal crowns installed, which did not have good aesthetics and were quickly subjected to oxidative processes, now the situation has changed dramatically. Currently, it is possible to fix crowns on the front teeth, which, according to reviews, are not inferior to their natural counterparts in their shade, translucency and strength. At the same time, each patient has the opportunity to choose suitable prosthetic options

We'll talk about this in more detail later.

What are the best crowns for front teeth?

Today, dental clinics use several options for orthopedic structures for front teeth: metal-ceramic prostheses, zirconium crowns, solid ceramic products and improved E-MAX models.

Many visitors to modern dentistry are interested in: “Which crowns are best to fix on the upper front teeth?” In this case, the preferred option would be to install all-ceramic structures. For the manufacture of prostheses of the above type, porcelain material is used, obtained by injection molding or by layer-by-layer application. Alternative designs also include ceramic prostheses on a zirconium base.

Prosthetics on implants

Implantation is a modern way to restore teeth. The operation consists of installing titanium pins on which removable or fixed dentures are placed. Implantation can be one- or two-stage.

With a one-stage operation, immediate loading of the implant and installation of artificial teeth is possible. Chewing function and aesthetics are restored immediately.

A two-stage installation requires a recovery period between the installation of the implant and the prosthesis. Complete restoration of chewing function and aesthetics is possible only after the implantation of the structure.

Also, prosthetics on implants can be removable or non-removable.

For removable prosthetics, a two-stage method is used. Abutments are installed only after osseointegration and are selected depending on the type of fastening, which can be locking or beam.

Installing permanent structure on an implant allows you to restore one or more teeth. The implementation of the design can be one-step or stage-by-stage. The non-removable method allows you to install a prosthesis without grinding or any damage to adjacent teeth.

Attending doctors at the Elident clinic

Mlodik Boris Naumovich

Dental surgeon, implantologist, orthopedist

Clinical experience : 26 years

Vakhrushev Alexander Viktorovich

Dental surgeon, implantologist, orthopedist

Clinical experience : 25 years

Metal-ceramic crowns for front teeth

The basis for this design is a metal base with a thickness of 0.5 millimeters. To obtain the material for such prostheses, a combination of chromium and cobalt is used, but sometimes you can find products made from precious alloys. In laboratory conditions, to create such crowns, they resort to the method of layer-by-layer application of ceramic material onto a metal frame. To ensure maximum strength and solidity of the structure, the ceramic mass is fired under high temperature conditions.

An aesthetic disadvantage of the above orthopedic products is the presence of a metal base under the ceramic layer. Moreover, the porcelain material used must be opaque to eliminate the possibility of it showing through the metal.

However, the light transmittance of dentin and enamel should be taken into account, which makes the outermost part of the tooth transparent in bright light. This indicates the inadmissibility of installing metal-ceramic structures for people with increased enamel transparency. The best option for using such crowns would be for patients with low levels of transparency. But it must be borne in mind that in strong lighting, differences in shade and light transmission may still be visible.

So, crowns for the front teeth made of metal-ceramics, as evidenced by reviews, have the following positive characteristics:

• Acceptable aesthetic indicators;
• Affordable price;
• High structural strength.

The disadvantages of such structures include:

• Negative effects on natural teeth;
• The likelihood of allergic reactions to metal material;
• Risk of cyanosis near the gingival margin.

Metal-ceramic crown »

Ceramic crowns for front teeth

These metal-free crowns for the front teeth are considered indispensable when restoring teeth in the frontal area. They allow you to eliminate some of the aesthetic shortcomings of natural enamel, which include excessive abrasion, developmental pathologies and massive surface damage. In addition, all-ceramic designs are ideal for individuals with a high likelihood of allergic reactions to metal alloys. However, they are not installed in the area of ​​chewing teeth, due to their increased fragility.

The ideal option is to fix such crowns within 1-2 lost units. Bridge crowns made of this material are not installed on the front teeth.

However, today, due to the active use of innovative technologies, you can find dentures made of ultra-strong ceramic material, suitable for recreating any lost tooth. Unfortunately, the cost of such a design will exceed the prices for classic products made from solid ceramics.

So, the “advantages” of the products presented above include:

• Impeccable aesthetic indicators;
• Full compatibility with the human body;
• Absolute identity with natural analogues.

Among the disadvantages of metal-free structures are:

• Insufficient strength;
• Overpriced.

Ceramic crowns for teeth »

Zirconium crowns for front teeth

Zirconium crowns for the front teeth are among the most durable and aesthetically perfect modern designs. Due to the use of zirconium material in their manufacture, it is possible to achieve high reliability indicators characteristic of metal and obtain prostheses with good hypoallergenic qualities.

Ceramic crowns for the front teeth, made on the basis of this material, do not have a metal base, which provides excellent aesthetic parameters. But their main advantage is still increased strength.

It should be noted that, despite the positive characteristics presented, some patients express dissatisfaction with the installed zirconium crowns. This is due, first of all, to the rather low light transmittance. That is, the difference between the transparency of natural enamel and the prosthesis material can also be traced here.

This means that it is better to install these designs in patients with slight transparency of natural enamel, which will provide a completely harmonious aesthetic effect.

However, at the present stage of development of dentistry, there is an improvement in the properties of zirconium crowns. Many manufacturers have taken a course towards creating blocks with higher levels of transparency and pre-painted products with a gradient. This made it possible to develop orthopedic structures that are completely identical to natural teeth.

Thus, zirconium dioxide prostheses are famous for the following advantages:

• Acceptable aesthetics;
• Increased reliability indicators.

The disadvantages of such products include:

• Lack of transparency corresponding to natural enamel;
• Zirconium crowns for front teeth are overpriced.

Zirconium crowns »

Ceramics on a zirconium frame

If you are interested in the question: “Which crowns are best to put on the upper front teeth?”, this option is certainly a winner. Such prostheses are ideal for those patients who dream of ultra-strong structures with excellent aesthetic parameters.

Unlike metal-ceramic prostheses with low aesthetic properties, zirconium-based crowns combine high aesthetic properties and the necessary strength.

Such crowns for the front teeth made of zirconium, as confirmed by reviews, are used not only in the process of single prosthetics, but are also excellent for the manufacture of bridge structures. At the same time, increased strength is achieved through the use of computerized technologies and milling methods.

So, some of the positive aspects when using these products include:

• Ideal aesthetics;
• Excellent reliability indicators.

Negative sides:

• Overcharge.

Which prostheses are better according to indications and budget?

An orthopedic surgeon will tell you which dental prosthetics are better and cheaper, and whether it is worth saving on treatment at all in each specific case.

The cost of prosthetics depends on the number of missing teeth, the type of design chosen and the level of qualification of the specialist. As a budget option, a good choice is an acrylic prosthesis; you should not remember about its fragility and possible allergic reaction. It is also worth considering nylon - it is softer and does not rub the gums.

More expensive options are clasp dentures with clasps or locks. In the second case, the fastening will be strong, but invisible in the mouth.

The most expensive designs are ceramic and zirconium. They are distinguished by excellent aesthetics and performance parameters.

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e.max crowns on front teeth

When considering crowns for the front teeth, we strive to give a clear answer as to which ones are better aesthetically and functionally. The undisputed leader in this direction is Emax glass ceramics. This is an improved modern material, the creation of which is based on the use of lithium disilicate, which has impeccable characteristics. Emax ceramic crowns look perfect on the front teeth because they have light transmission that fully matches natural enamel. The same can be said about veneers made from the above material; they are completely indistinguishable from natural teeth

Today there are 2 known options for Emax materials:

1. E.maxPRESS. Widely used to obtain dentures and veneers. This involves the injection molding method under the influence of pressure and high temperature conditions. Such crowns are indispensable when restoring single teeth or creating short bridge structures.
2. E.maxCAD. In the production of this material, modern computer technologies and computer-controlled machines are used. Such crowns are characterized by less high reliability, which eliminates the possibility of creating bridge structures and ultra-thin veneers. Also among the disadvantages of E.maxCAD is the limited selection of shades, which reduces the chances of obtaining a design identical in color to natural enamel.

How are crowns placed on front teeth?

The question of how to make and install a crown on a front tooth interests many dental visitors. This process is identical to the manufacture of dentures for the chewing area and involves performing several sequential steps:

1. In the case of installing an orthopedic structure on a natural tooth, the dental canals are initially treated, followed by filling them and fixing the pin. This metal rod acts as a support and serves to more securely hold the prosthesis.
2. After the filling is installed, the tooth is prepared to the required size and impressions are taken. After this, the process of producing the orthopedic structure in the laboratory begins, based on the existing plaster models.
3. Fixation of the prosthesis on the front tooth. For this purpose, a special cement composition is used. If you cannot adapt to the installed crowns for a long time, it means that mistakes were made during work.

The Elident clinic employs highly qualified orthopedists who have solid experience in the field of prosthetic installation, regularly learn professional skills from Western colleagues and are focused on providing the highest level of services. This eliminates any discomfort after the prosthetic procedure. At the same time, artificial analogues fully correspond to natural ones in shade and transparency, and are not felt by patients as a foreign body.

Types of dentures

Now let's talk about what types of dentures there are. Currently, in dentistry there are various designs for replacing one or more teeth, as well as for total prosthetics of an entire dentition. Based on the method of fastening dentures in the oral cavity, they are divided into the following categories.

Removable

The design of removable dentures consists of a base - a base and artificial crowns located on it. Such structures can be complete - to replace all the teeth of one jaw - or partial. As for the types of removable dentures, according to their structure they are classified into plate ones, which are attached to the palate by suction, and clasp structures with locks-attachments or clasps for fixation on the supporting teeth. They are easy to use, and usually patients do not have questions about how to install the structure themselves, or how to remove the denture for hygiene procedures or at night. Unlike other types of orthotics, repairing removable dentures in most cases helps extend the life of the dentures. Removable structures are of the following types:

• Nylon
• Acrylic
• Acrylic-free

Conditionally removable dentures

This type includes complete plate dentures for replacing all teeth supported on implants. This is the best option for those who value high quality but want to save money on prosthetics. In this case, both the upper denture and the lower denture are attached to artificial roots with special cement, and only a dentist can remove them if necessary. The main indication for the use of conditionally removable dentures is the inability to install a large number of artificial roots due to inadequate quality of bone tissue or due to lack of funds. Reviews of these types of dentures indicate that they represent excellent value for money.

Fixed

With the help of this type of orthopedic structures, damaged teeth (enamel, cracks, chips and other defects) are restored. They are also used in orthopedic treatment for the loss of one or more teeth. Only a doctor can correctly remove a denture from the non-removable category. And their service life, as a rule, depends on how responsibly the patient will take care of him, and on the types of dentures used.

• Tabs.
  These are microprostheses made of composite materials, ceramics or zirconium oxide, which are manufactured in dental laboratories and are used instead of fillings if the tooth is destroyed by more than 1/3. High-quality dental inlays fit tightly to the tooth and protect it from further destruction.

• Veneers.
  Thin onlays for correcting the color, shape and eliminating various defects of the front teeth. They are produced directly and indirectly. The direct method involves the formation of veneers from a composite material directly on the patient’s ground teeth, and the indirect method involves the creation of ceramic or zirconium oxide plates based on dental casts in dental laboratories. Orthopedic veneers are considered a new generation of dentures.

• Dental crowns.
  These structures are caps made of biocompatible materials that are placed on the ground teeth and fixed with dental cement. Crowns are used when more than 2/3 of a tooth is destroyed. In addition, a dental crown can be used to restore a completely missing tooth by securing it to an installed implant.

• Bridge prosthesis.
  These are permanent orthopedic structures consisting of two crowns and artificial teeth between them. The installation of bridge-type dentures is carried out using grinded teeth or implants implanted into the jawbone. In this case, a proper dental bridge should serve to replace no more than two missing teeth in a row.

• Implant.
  An artificial tooth root that is implanted into the jaw bone and serves as a support for a separate crown, bridge, or full denture when replacing the entire dentition. The orthopedic structure is attached to the implant using an abutment retainer or dental cement. Implants usually come with a lifetime warranty and are permanent dentures and do not need to be replaced.

What to do in case of crown fractures?

The crown of the upper front tooth may need to be replaced, the need for which may arise if there are cracks and chips on it or if the supporting unit is damaged. In such a situation, it is advisable to fix a new orthopedic design. In this case, the best option would be if the crown is placed on the front tooth implant. To avoid unwanted consequences, you must strictly adhere to the recommendations for cleaning the oral cavity and undergo regular examinations by a specialist. If the structure becomes loose, you should immediately visit a dentist.

Our clinics

Clinic "Elident" on Varshavskaya

Varshavskoe highway, 75, bldg. 1, Moscow 117556

• Varshavskaya (500 m, closed until 2021)
• Nakhimovsky Prospekt (1,300 m)

Mon-Sat : 09:00-21:00; Sun : 09:00-19:00.

Online registration

+7 (495) 649-41-19

Elident Clinic in Annino

Varshavskoe highway, 154, building 1, Moscow 117405

• Annino (500 m)
• Academician Yangelya (700 m)

Mon-Sat : 09:00-21:00; Sun : 09:00-19:00.

Online registration

+7 (495) 649-41-19

Alternative options

There are 3 known alternatives to crowns installed in the frontal zone. They are used for partial destruction of natural teeth or loss of 1-2 units.

• Veneers . Such plates are indispensable for the destruction of the outer part of the front tooth. However, in order to understand what is better - veneers or crowns for the front teeth, you should remember that a prerequisite for the use of such corrective onlays is the presence of an inner tooth wall. With the help of veneers, it is possible to obtain good aesthetic results, as well as maintain the maximum size of dental tissues;
• Dental implants . If one or two teeth are missing, bridge structures are usually used to eliminate the deficiency. However, in this case, the dental units closest to the defect are prepared. At the same time, the operational period of prostheses reaches only 10 years. Therefore, the best way out of the situation is to fix the dental systems;
• Use of filling materials . In this case we are talking about the restoration of teeth that have undergone partial destruction. But it is recommended to resort to the filling procedure only if the volume of destruction of the natural crown does not exceed 50%. In other situations, it is advisable to give preference to crowns.

It should be noted that any attempts to restore the integrity of a severely damaged tooth with a filling may result in a root fracture, since metal pins are not able to withstand increased loads.

FAQ

What are the differences in appearance before and after prosthetics?

In the absence of teeth, the appearance changes: the lips recede, the cheek lines become more sunken, the corners of the mouth sag, and folds appear on the skin. The facial expression becomes senile. After prosthetics, defects are eliminated, the face becomes younger, healthier and more attractive.

Will my smile look natural after dentures?

Fixed implants All on 4 look absolutely natural, since all anatomical features are taken into account when creating them.

Cost of crowns for front teeth

Below we will give approximate prices for crowns on the front teeth - this price is set in mid-level dentists.

For example, if you are interested in metal-ceramic crowns for your front teeth, the price for them in metropolitan clinics has a lower limit of 7 thousand rubles per product and higher. This price includes services for the production of the prosthesis and its fixation. All other therapeutic procedures are considered additional costs.

The cost of ceramic crowns for the front teeth is close to 15-16 thousand rubles and more. In turn, you will have to pay at least 20 thousand rubles for zirconium structures. A crown for 2 front teeth or crowns for 4 front teeth will require more significant financial investments from you. But if a specialist of the highest category works with you, the result will pay for all the money spent.

At the same time, temporary crowns made of plastic on the front teeth, which are installed on the patient before fixing permanent orthopedic structures, are considered the most budget-friendly: their cost is equal to only 1-2 thousand rubles.

In our clinic, you can install a high-quality German crown made of metal-ceramic material for only 8-10 thousand rubles. The cost of a high-quality ceramic design for the front teeth is close to 18-20 thousand rubles. If you need to fix a metal-ceramic structure with a zirconium base on an implant, you will have to pay no more than 25-26 thousand rubles, since we regularly hold promotions for premium dental systems.

Article expert (author):

An example of a one-stage implantation operation with immediate loading

Let's consider a specific example - a fracture of a front tooth at the root.
In such cases, the most reliable, durable and predictable form of prosthetics is the implantation of a missing tooth. The picture shows that the tooth was previously treated endodontically. The following treatment plan was proposed: tooth extraction followed by immediate implantation and installation of a temporary crown, installation of a permanent crown after the implant has healed. The patient approved of this plan. Let's look at the operation step by step.

Before the operation, the patient passed all the necessary tests, the oral cavity was sanitized and prepared for surgery.

In the photo, the root of the tooth has just been removed. Simultaneous implantation and installation of a temporary crown are planned.

It is very important to remove the root of the tooth as carefully as possible. Alveolar bone should be preserved as much as possible. For better implant healing, a platelet-rich clot was used.

Installation and adjustment of the plastic abutment. A plastic abutment with such a purpose that it should break before the load is transferred to the bone (in case of an emergency).

In the following photos, a temporary crown blank is installed on the implant. It will be polished, removed from the bite and temporarily glued to the adjacent teeth. This is done in order to reduce the load on the implant on which it is installed until it heals. The crown is also shown after completion of its aesthetic design.

Approximately one hour after tooth root removal, the patient resolves the aesthetic issue and does not experience discomfort during communication. He calmly waits until the implant takes root and it becomes possible to install a permanent crown.

Approximately 40 minutes passed from the moment the tooth was removed until the last photo was taken.