Not every person has a complete set of teeth; with age, almost everyone has to deal with the issue of restoring lost units. The choice of method depends on several factors, one of which is price. During a consultation with a dentist, the patient receives all the necessary information about how much a dental prosthesis of one type or another costs, how prices for various services are determined, and what can or cannot be saved. Let's look at some of these questions.
What determines the cost of dental prosthetics?
When replacing your own tooth with an orthopedic structure, various methods and technologies can be used, each of which has its own characteristics. Therefore, it is impossible to unambiguously answer the question: “How much does it cost to insert a dental prosthesis?” The amount you will have to spend on restoration depends on the following factors:
- Scope of upcoming work. In particular, the expenditure of time and labor of specialists depends on it. Installing a crown on the patient’s own tooth and complete jaw prosthetics require incomparable expenses.
- Type of structures used. Prosthetic dentistry offers a variety of materials for the manufacture of crowns and dental bridges. Their prices may differ several times. The cost of prosthetics is also affected by the type of prosthetic structure (removable, fixed, clasp, plate).
- Features of fixation. Crowns, bridges and complete dentures can be placed on abutment teeth or implants. In the second case, not only the quality of treatment increases significantly, but also its cost.
- Cost of implants. When fixing dentures on artificial roots, the total costs fluctuate depending on the prices of implant systems.
Seal + pin = Error?!
Since 1792, dentists have been searching for the perfect tooth post. Almost 300 years have passed, and the mythical perfect pin has not been found. Is it really necessary?
Valentina Vladimirovna Khalyavka, general director and orthopedic dentist of the Dental Clinic “Dentist”, speaks about the problem of treating periodontal diseases. (Article from the archives of the magazine “Women’s Health” Copyright entirely belongs to dentist V.V. Khalyavka)
Features of dental pinning, or why specialists at the Dentist clinic prefer more modern tactics.
Filling with a pin - what is it?
Increasing the strength of a tooth means extending its life. One of
The most popular solution to this problem for a long time was the use of pins. They are a ready-made structure that looks like a threaded rod. After expanding the canal mechanically, the pin is fixed directly into the canal of the tooth root, with cement, or screwed in like a screw, after which the remaining stages of restoring the damaged tooth are carried out. A filling with a pin is very often used in practice by dental therapists without a crown and orthopedic dentists with a crown.
IMPORTANT:
Pinning teeth and covering them with a crown is a gross orthopedic mistake, as well as a therapeutic one, which in the future will lead the patient to tooth extraction with subsequent implantation. That is why the most modern dental centers opt for other technologies.
Crown or filling on a post.
The question of which is better, a pin with a filling or a crown, is still relevant for many dentists. However, clinic specialists
“Dentist”, based on long clinical studies and personal observational experience, consider the choice in favor of dental pinning to be unsafe and extremely harmful. In clinical studies, it was proven that a filling on a pin leads to the removal of teeth in 70% of patients. Extraction (removal) of teeth in the roots of which metal pins were installed was carried out in connection with a root fracture. The reason for this is that pinning negatively affects the biomechanics of the tooth. During the endodontic protocol (treatment), the canal is widened, which has an acceptable limit. When a pin is installed, the expansion of the canal goes beyond the permissible limits and the walls of the tooth root become very thin. Inserting a pin into the root leads to a wedging effect. When chewing, the action of external forces becomes excessive, deformations occur, which lead to rupture or fracture of the root. Extraction (removal) of teeth in the roots of which metal pins were installed was carried out due to a root fracture.
IMPORTANT:
According to specialists at the Dentist clinic, the use of pins in everyday practice is a gross mistake, which in the future will lead to tooth extraction.
Thanks to modern technologies and the use of the latest generation of light materials (Enamel and Estet-X), our doctors carry out large dental restorations without the use of pins
. Restorations, like fillings made from the latest generation materials, serve their owners for a long time, more than 15 years!
For teeth with severely damaged coronal parts, we recommend core inlays
made of metal, inlays made of composite materials and zirconium dioxide. These additional expenses will definitely pay off in that you will not soon have to resort to tooth extraction where a filling was previously installed on a pin, further installation of a bridge structure, or implantation. Patients fully support this approach and consider the clinic one of the best in Moscow, which is clearly reflected in their positive reviews.
What dangers and harm does dental pin therapy pose for patients?
I began my career as a therapist-orthopedist-dentist after graduating from dental institute and residency 25 years ago. Few people know that the work of a dentist of any specialty requires the doctor to have in-depth knowledge of physics, namely mechanics and biomechanics, strength of materials and chemistry. And this is not without reason. Did I surprise you?! The entire chewing function of the jaw apparatus operates and works according to the laws of physics. Ignorance by a dentist of the basics of physics and mechanics leads our patients to tooth extraction, breakage of orthopedic structures, rejection of implants, and everything that is called medical error!
Until now, I am faced with metal pins twisted into the canals of the tooth, a “dentist” and I see the consequences that lead to fracture of the roots of the teeth, decementing of crowns, bridges and always, as a result, removal! Patients pay special attention to the issue of preserving natural teeth. The desire to preserve teeth for a long time also increasingly extends to those teeth whose crowns are severely damaged.
IMPORTANT:
Patients are not certified specialists in the field of dentistry; they often do not understand the principles of this or that treatment path, and in fact they should not understand!! They turned to a specialist dentist who will explain, suggest and help!
And so the “walk through agony” begins. A song as old as the world that “dead teeth” (the nerve has been removed) are very fragile and they must be strengthened with a metal pin, or a non-metal one, it is simply necessary to reinforce them, since the filling will not hold, and crown and bridge! If today the dentist does not have knowledge and scientific evidence about the dangers of “pin therapy,” I will try to reach out to patients. After all, these are their teeth and they want to preserve them at any cost!
And how great it sounds: “A restored tooth with a pin will last much longer (at least 5-7 years) and will withstand increased chewing loads.
IMPORTANT:
The opinion that: “Restorations using root pins are a good treatment method that sufficiently ensures fixation of the restoration during orthopedic work” is deeply erroneous and has long been outdated!
Scientific research.
"Long-term clinical studies that have been conducted
Axelsson et al.
(1991) over a 15-year period clearly showed that pins and screws placed in the root canal had an adverse effect on the prognosis of the tooth. At the same time, a total of 71 teeth were removed from 59 patients, of which 48 teeth (69%) were removed after endodontic treatment and installation of a root pin. Extraction of these teeth was performed due to a root fracture. Also Eckerbom et al. (1991) indicated in their clinical studies, which were carried out over 5-7 years, that the rate of extraction of teeth in the roots of which metal pins were installed was higher than that of teeth without a root post.” All these research observations were always available, and each doctor could obtain reliable information if desired.
It has been proven that the root post:
- Does not stabilize the tooth root or strengthen it.
- Does not contribute to the retention of the filling in any situation.
- Does not contribute to the redistribution of load during chewing.
Consequences of the pin + filling design.
- Weakens the root due to its strong expansion.
- The pin + seal makes the structure heavier.
- Leads to root fracture - fracture.
- Removal followed by prosthetics and implantation.
- Corrosion of stainless steel pins, which leads to tooth root fracture.
Why do all pins negatively affect the root of the tooth?
From the physics course we know that all solids experience deformation: shear, compression, bending, torsion. Depending on the material, each item has its own margin of safety. Strength is the ability of a material to resist destruction and for everyone it has its own limit. When carrying out endodontic treatment, we are forced to intervene in the biomechanics of the tooth. Carry out instrumental treatment, namely expansion of the canal. But there is a permissible limit of expansion, beyond which we actually weaken the foundation of the tooth. The human tooth, like the bone (periodontal) in which it is located, experiences elastic deformation, compression and tension deformation during chewing, but perceives it adequately. But as soon as the action of external forces becomes excessive, plastic deformations occur, which lead to destruction.
IMPORTANT:
When installing a screw pin, a wedging effect is created, the pin moves, uneven distribution of the chewing load and, as a result, root rupture.
But what about elastic pins? Yes, apparently they at least guarantee that the tooth root will not be torn in the future. And there is no convincing evidence about the benefits of these pins.
What is the price of pin therapy?
Pinning teeth and covering them with a crown is a gross orthopedic mistake, as well as a therapeutic one, which in the future will lead the patient to tooth extraction with subsequent implantation. This is such a high price for something harmless and not so
an expensive filling made of medium quality material on a pin! Modern technologies and high-quality materials make it possible today to carry out large dental restorations without the use of pins
.
Restorations, like fillings made from the latest generation materials, serve their owners for a long time. For teeth with severely damaged coronal parts, there are more durable and safe designs: core inlays, inlays made of composite materials and zirconium dioxide.
Of course, these are additional costs, but they are worth it, since you will not have to start traditional bridges or implants in two years or less.
IMPORTANT: The patient considers the situation hopeless, the way out of which he does not like.
Dentistry has firmly become commercial in the 21st century, and competition is very high in the market for these services.
There is nothing wrong with that and this is natural. The question is about the quality of services, their adequacy and benefit for the patient? I never followed the lead of patients, and did not allow roles to be changed; the patient became a doctor, the doctor became the executor of his desires. This is an important point, and the material aspect has never been a priority for me in such situations. The moral and professional aspects have always been the leading ones for me when working with such patients, and there were quite a few of them. The answer was and is always the same: “Apparently, you need a doctor of “higher qualification” and “with a different level of knowledge”!!” “The only thing satire should do is alarm. If the addressee of satire is not complete……., he will be wary, sensing arrows” Alexander Shirvindt.
Why is the cost of installing prostheses different in different clinics?
Patients who are indicated for the installation of orthopedic structures, as a rule, are interested not only in restoration methods, but also in how much dental prosthetics costs in various medical institutions. And they discover that edentulous treatment can cost differently even when using approximately the same techniques and materials. This is due to several factors.
In particular, the cost of prosthetics is influenced by the experience of doctors and their level of qualifications, which is confirmed by the presence of international certificates. In addition, prices for services may depend on the type of ownership and attendance of the clinic, the cost of renting premises, and the type of equipment used. Naturally, the cost of treatment will be higher in a well-attended private dental clinic, equipped with new technological equipment, and staffed by experienced, highly qualified doctors.
Indications and contraindications
The extension procedure is indicated in many cases:
- for cracks, chips, crevices and carious cavities;
- for injuries to the dental crown;
- when the color of the enamel changes;
- with increased tooth wear;
- when there are congenital defects, such as an irregularly shaped or small tooth.
In some situations, tooth extension is not carried out, since the treatment will give a short-term effect or will not be effective:
- if there is severe damage to the tooth, in which it is only possible to remove the root and restore the tooth with an implant;
- in case of allergy to restoration materials;
- with bruxism - due to involuntary grinding of teeth and clenching of the jaws, the artificial part of the tooth can be damaged, which will lead to even greater injuries.
In some cases, the procedure may be hampered by the location of the tooth, and it cannot be called “wrong” or “unsuccessful”. For example, a patient is not satisfied with the size of the upper tooth, but it cannot be made longer due to closure - the sharp edge fits perfectly with the lower tooth, and if the size is changed, the occlusion will be disrupted, and the lower tooth will bump into an obstacle, which will not allow the jaw to close. In this case, you can carry out orthodontic treatment and “move” the lower tooth, or change its shape - during the consultation, the doctor will offer possible options.
What is included in the total cost of dental prosthetics?
When installing a denture, the patient has to bear basic and additional costs. The following require separate costs:
- diagnostics of the dental system using radiography;
- treatment of identified dental diseases;
- preparing teeth for prosthetics (depulping, grinding, removal);
- taking impressions or using a computer modeling method;
- installation of temporary prosthetic structures;
- making permanent crowns or bridges in the laboratory;
- fitting, adjustment, installation of prosthesis.
If prosthetics on artificial roots is used, then the total cost of treatment also includes the cost of implantation.
Budget and most expensive dentures
The cost of prosthetics in various clinics can range from 4,000–5,000 rubles. up to 250,000 – 300,000 rub. The cheapest crowns are made of plastic and base metals. Metal-ceramic prostheses are also considered more expensive, costing an average of 12,000 rubles. Designs made from solid ceramics and zirconium dioxide are even more expensive - the price range can range from 19,000 to 35,000 rubles.
The most inexpensive way to restore complete edentia is to install removable acrylic structures. The most expensive option is prosthetics on implants, with the fixation of several bridges or a one-piece complete denture.
Frequently asked questions from patients
If you have doubts about the procedure or are simply worried, do not be afraid of your doctor; your anxiety and desire to control the situation are quite natural. And if you have not yet decided to have teeth augmented, study the answers of the orthopedic doctor at the InWhite Medical clinic to the most common questions from patients.
Why do you feel like your teeth have become too big?
You are accustomed to the previous size of your teeth, and this is how your body draws your attention to the changes. If the sensations have not gone away after two weeks and you still have not managed to get used to it, consult a doctor for adjustments.
What are the restrictions after the procedure?
In the first month, it is better to avoid too hot, cold, spicy and hard foods, as well as tea, coffee, red wine and other drinks with coloring pigments.
How to brush your teeth?
Use a medium-hard brush and a paste without abrasive particles or the addition of fluoride. You can use dental floss carefully, but not with colored mouthwashes.
What to do if a piece of restoration breaks off?
You need to contact your doctor as soon as possible and tell him about the cause of the chip - the tooth chipped on its own or you did not follow the recommendations. This will help the dentist choose a different material or restoration method to avoid chipping in the future.
Is it necessary to remove the tooth nerve before extension?
Of course not! When building up or installing veneers, the tooth remains “alive”, this is the advantage of these procedures over installing a crown.
Is it painful to grow a tooth?
With a mild degree of destruction, it is no more painful than putting a filling, the patient does not feel any discomfort. With a significant degree of destruction, pain may be associated with the installation of the pin, but in this case anesthesia is used.
How much does tooth augmentation cost?
At the InWhite Medical clinic, the price of tooth extension depends on the amount of work, the condition of the damaged tooth, the materials chosen and other nuances that the doctor will definitely tell you about.
The InWhite Medical clinic uses only high-quality and proven restoration materials, and all specialists have many years of experience - you will get the perfect smile without worry or worry!
