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Stump inlay or crown - which is better and why?
The question of which restoration method will best restore a decayed tooth, inlay, crown or traditional, worries many patients. However, it is possible to make the final choice in favor of any method only after a preliminary assessment of the condition of the problem tooth, its antagonists, tissues surrounding the tooth, etc., that is, the general conditions for. Without this, arguing about the benefits of inlays or crowns is like arguing about which tastes better: honey or caviar. Installation indications inlays and crowns are different, therefore it is incorrect to compare them ─ it is better to simply familiarize yourself in more detail with the features and scope of these methods.
When will ceramic inlay help?
A tooth destroyed due to trauma or complications of caries can be removed by replacing it with a prosthesis on an implant. But if the tooth tissue is partially preserved, the best solution to the problem tooth restoration ─ this ceramic inlay.
The advantages of such an insert over a filling are indisputable: the insert is much stronger, more durable, more resistant to external influences. To avoid depulpation of a healthy tooth, usually only inlay, crown it also requires deep preparation, after which the tooth becomes "dead". However, if the tooth requires endodontic treatment, or has already undergone it, it may be advisable to prosthetics with an artificial crown, under which the tooth root is pre-installed stump tab on a pin base.
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Tooth restoration with ceramic inlay
When is a crown needed?
A tooth with severely thinned walls is unlikely to be saved by such a type of restoration as a ceramic inlay; in this case, a crown is a much more effective method that strengthens the crown part of the tooth, while the chewing functions of the tooth are preserved in full. Particularly strong and durable restoration will be provided by a crown, if the tooth under it is not just sealed, but strengthened with the help of such a structure as a stump inlay. To restore multi-rooted teeth, the inlay design can be collapsible.
What is a stump tab and what is it for
An artificially formed stump, or inlay for a crown, is not independent, but an auxiliary basis for prosthetics. In restoration structures stump pin inlayplays the same role as a simple pin, but its reinforcing properties are significantly higher. If the doctor believes that a crown should be installed stump tab, manufacturing it can take longer than a simple filling on the posts and then closing the tooth with a crown. However crown and stump inlay form a truly reliable restorative design, while the risk of destruction under the crown of a tooth with a massive filling is invariably high.
Core post inlays Teeth before restoration with stump inlays
Fixation of post-core inlays Final restoration of inlays + crowns
Depending on the possible conditions of prosthetics, the post and stump inlay can be made of various materials. Titanium and zirconium, which have good biocompatibility with teeth, are not always a justified choice for making inlays: in case of breakage, the stump inlay made of titanium or zirconium oxide is removed from the canal with considerable difficulties. For the restoration of chewing teeth, a cast stump made of gold is considered the optimal quality option, but many patients are stopped by its high cost.
More acceptable for most patients in need of prosthetics is the cobalt-chromium stump inlay, which is much lower than the gold one. In addition, the cobalt-chromium alloy is successfully used for the manufacture of metal-ceramic crown frameworks, which avoids metal antagonism in the oral cavity. For anterior restorations, the use of metal inlays is undesirable from an aesthetic point of view. A pin ceramic insert (ceramic stump insert) is more appropriate for prosthetics of the anterior tooth. With increased requirements for aesthetics, a metal-ceramic stump inlay is also used, the price of which is slightly lower than that of an all-ceramic inlay.
Which crown is best? This question arises in all patients who are faced with the need for dental prosthetics. How to make the right choice, which dentures are the most durable and how not to lose money with the price-quality ratio?
For chewing teeth, metal-ceramic is preferable.
In the oral cavity, the digestion process begins, in which teeth, tongue, saliva take part. The main task of the chewing group is to thoroughly grind, chew food, prepare it for the next stage of digestion.
If even one chewing unit is damaged, the chopping quality of food deteriorates. If most of the teeth have suffered, this negatively affects the entire body, since a person loses the ability to chew food efficiently. This inevitably leads to problems with the gastrointestinal tract.
Therefore, the main condition for successful prosthetics is to restore the lost functionality of the jaw. How to choose a material for a chewing tooth crown? In this case, the specialist takes into account the series factors:
- with a limited budget, the best option would be one that can withstand high chewing loads,
- if the tooth has thin brittle walls, it is advisable to use cermets. Then the entire load will fall on the metal frame,
- if you need to save a damaged tooth from further decay, it is best to use one that will not have a negative effect on hard and soft tissues.
For prosthetics of the chewing row, single crowns and can be used. There are several types of crowns and bridges, depending on the material:
Summarize: Since the task of the chewing teeth is to chew food, the crown must withstand high loads. For these purposes, cermet is ideally suited, which, in addition to everything, has a good appearance. If the patient's budget allows, a ceramic structure can be installed.
What is the best crown for the smile zone?
For anterior teeth, it is better to choose ceramic crowns.
If the front tooth is damaged, you cannot pull with prosthetics, as the smile zone suffers. The main condition for prosthetics is a strong healthy root. In this case, recovery occurs in one of two scenarios:
- The root canals are cleaned, sealed, a pin is installed in them, which serves as the basis for the prosthesis.
- For the base, it is used, which is made according to an individual impression.
If the tooth is lost along with the root, an implant is implanted in its place, on which a crown is fixed after engraftment. It will not be possible to save money on the smile zone, since they are visible during a conversation and a smile. For prosthetics of the anterior region, two types of crowns are used:
- Sintered metal - Affordable and not bad in appearance. These are strong and durable products that fully restore the functionality of the jaw. But cermet has some nuancesyou need to know about:
- Metal-free ceramics- modern, aesthetic, durable products that are very difficult to distinguish from real teeth. It is ideal for anterior teeth prosthetics, provided that the patient is willing to spend a considerable amount.
And yet, how is the crown the best? We offer you two lists from which you can draw conclusions for yourself and make your choice.
TOP-4 best
- The most aesthetic crown is made of metal-free ceramics (zirconium dioxide). Not every dentist can tell the difference between a high-quality zirconia crown and a real tooth.
- The most biocompatible with the body is a product with a frame made of gold + platinum alloy. These metals do not cause allergies and complications.
- The most durable is a zirconium oxide product, since with proper care it can serve its owner for up to 20 years. Metal structures can last about the same, but the aesthetics in this case leaves much to be desired.
- The most expensive is metal-free ceramics, the high cost of which is justified by quality and durability.
TOP-4 worst
- The most unaesthetic is the metal crown. Some patients, in order to save money, continue to bet on chewing teeth.
- The most short-lived is the plastic construction, which is not intended for long-term use.
- The most unsafe for health is metal, cermet containing nickel, which often causes allergies.
- The cheapest are metal products.
Dentist visits and dental treatment are an integral part of a person's life. Many are faced with a problem like.
This is an extremely uncomfortable situation, since the load from chewing food is not correctly distributed to the remaining teeth, as a result of which unbearable pain occurs.
Also due to incomplete dentition may occur. And of course, the absence of teeth is a completely unaesthetic picture.
The dentition can be restored by several methods:
Implant installation: features, cons and pros
The most commonly used procedure is. The essence of the procedure is that an implant is inserted into the jaw bone tissue, which becomes a replacement for the missing tooth.
The implant is made of titanium, which is fully compatible with the human body. It is characterized by high strength and resistance to heavy loads. 
The advantage of the implant is that when it is installed, there is no need to grind or modify adjacent teeth. The titanium tooth can be placed anywhere in the dentition. Even the function of the edentulous jaw can be restored thanks to the implantation procedure.
Using this method will allow not only not to touch the bone tissue, but also to remove the unnecessary load from the adjacent teeth that occurs during the meal. is considered not painful and absolutely safe for the client.
The disadvantages include the fact that part of the implant - the crown is not durable. And even with careful care, it will have to be replaced.
Also, patients with diseases of the blood, cardiovascular system and connective tissue, with liver failure and thyroid gland pathologies responsible for the exchange of calcium in the body, oncological processes, mental disorders, allergic reactions to painkillers, antibiotics and antiseptics, this procedure is prohibited.
Maintain healthy teeth and gums. Use not only toothpaste but also floss. Clean 2 times a day. Try to get regular check-ups and dental cleaning with your dentist.
To protect yourself from damage to already installed crowns, implants or dental bridges, try not to get carried away with solid foods.
The question remains open - what should you choose?
It is difficult to answer the question of which crown, bridge or implant is better, it all depends on the specific situation. You should be guided by some factors to choose the necessary dental implantation procedure:
The conclusion is simple in theory, difficult in practice ...
Depending on the complexity and problems, material possibilities and aesthetic preferences, the patient can decide on the method of prosthetics, choosing between a bridge and a crown.
An alternative solution to the problem can be the introduction of two extreme implants, with the installation of a bridge based on the implants after. This solution will save money, but will be no less reliable.
It is recommended to restore teeth with the help of implants if the teeth that are extreme from the defect are alive. Due to the fact that turning and abutment teeth will shorten their life span.
If they succumbed to severe destruction and have defects, or, in such a situation, a bridge is best suited.
