Does it hurt to put a crown on the tooth: to grind the teeth under crowns
Does it hurt to put a crown? This question is raised by many people, who soon must go to the dentist – orthopedist. In order to answer the question, it is necessary to thoroughly understand the problem.
A crown is a protective cap. It is installed on the tooth of the patient. Made from metal, plastic, ceramics. The manufacturing involved several materials.
Why do we need crowns?
They establish in several cases:
- In order to keep the root, with much of the destroyed crown part. In this case, is preserved not only the integrity but also the functionality;
- When you restore the missing tooth;
- To conceal aesthetic flaws and anomalies. These include: interdental crevices, irregular shape;
- When increased abrasion of enamel, in order to stop further damage.
Contraindications for include the following: patient age under 16 years of age, periodontal disease, periodontitis, allergic reactions to materials of construction.
Before being staged, the person must pass a preliminary examination, the dental practitioner.
Make choices — the types of crowns
Cermet — perfect color. Do not differ in appearance. Higher durability and long warranty period.
Ceramic — are made without the use of metals. In their composition often includes porcelain or Zirconia. They are characterized by high aesthetics, beauty and practicality. Have a long service life. Ideal for people prone to allergic reactions. But have one big disadvantage — too expensive.
Metal — made entirely of metal. Strong, durable, not too expensive. The big drawback is the poor aesthetics.
Plastic – made of plastic. Used as temporary or purely aesthetic designs.
The best option often offers a doctor. Together with him, the visitor makes a selection based on their financial capabilities and desires. It is not necessary to give preference to low-cost options. More expensive – will last much longer and not forced to constantly refer to a specialist.
Preparation for prosthetics is a very important part. Experts identify the following work plan:
- Treatment of caries, pulpitis, periodontitis;
Most often, the prosthesis has been in pulpless teeth, rarely on living.
Deponirovanie – special medical manipulation, which involves the removal of the nerve (pulp) or nerves from the root canals. Performed by an experienced doctor, using modern anesthetic. After the nerves are removed, the dentist the root canals are sealed with a special paste. Further holds the sealing due to gutta-percha pins.
Deponirovanie and filling of root canals most often takes 2 visits.
Treatment of periodontitis is much longer. The terms depend on the degree of neglect of the inflammatory process.
Getting rid of middle and surface caries does not require multiple visits to the dentist. Often enough 1 visit.
- The sanitation of the oral cavity is mandatory. It is necessary to achieve the health of the entire oral cavity. For this, you need to remove the teeth and the interdental tissue to clean the enamel. To remove the roots completely destroyed;
- Restoring the health of the gums is carried out by: splinting, application of antibiotic therapy, treatment of periodontal pockets with antiseptic solutions, gels and ointments. For home use, your dentist may recommend use of special rinses and toothpastes.
For holding the prosthesis, you must go sometimes a long course of preliminary training. However, it is necessary and is the key to success. People after prosthetic treatment, will forget about the problems, would be to visit the dentist for prevention.
Strong razreshimosti — all is not lost!
If the crown part is ruined, the specialist must first restore it. Restoration is carried out using tabs and pins. The pins have the form of a rod. They come in titanium and metal. They are placed into the root canal and fixed with special materials.
Tabs used for maximum destruction. They restore the anatomic form and bear functional significance. Tab is usually cast orthopedist in advance, individually. It has a small design. She has the body and legs. The number of legs usually equal to the number of root canals.
Modern medicine offers to install crowns on implants. It is very convenient and reliable. Pros:
- The lack of preparation of the healthy tissue;
- Reliable prosthetics;
- Its aesthetic beauty.
A brief overview of the actions of the podiatrist
An orthopedist is a doctor who deals with prosthetics. His work include the installation of crowns, special pins, tabs, removable and fixed dentures and structures.
In some cases, the doctor may combine the position and have the skills of the therapist. In this case, all manipulations carried out by one person.
Admission is usually as follows:
- Primary visit. Examination of the oral cavity. Conducting diagnostic methods. Fluoroscopy;
- The direction of the elimination of pathological processes, sanitation of the oral cavity;
- After training, the doctor proceeds to direct its activities;
- Holds turning the tooth, which in the future will be installed the crown. Many wonder does it hurt to grind your teeth under crowns?
The degree of turning is most often chosen gentle. Manipulation is not painful, but it is unpleasant. The sound of the drill can be annoying and terrible. However, the pain usually does not occur. If not turned pulpless tooth, the dentist performs the epidural anesthetic. Sometimes, when grinding, a technician can accidentally touch the edge of the gums. She begins to bleed. The bleeding is not dangerous. It quickly stops. At home, you can anoint the affected part, the gel Holisal, rinse with a solution of chamomile. Grinding is usually considered the most unpleasant process throughout the procedure prosthesis.
The removal of the cast with the alginate mass
After the training, it is necessary to remove the mold. Orthopedic braces are made individually for each patient, taking into account all physiological features.
The removal of the cast is very entertaining. Can a person with interest to observe the doctor, who will mix a bright paste from tubes. A few movements with a spatula and behold, the weight is ready. It has an intense aroma and neutral taste.
Specialist requests the visitor to open his mouth and puts it on the side of the sharpened teeth a lot, asks to bite her.
After removing the casts, the person is recommended to rinse your mouth with water first, then rinse. In this first part of a visit to a podiatrist is considered over.
During the next visits are fitting design. The fitting is absolutely not a nuisance. It often takes just a few minutes. Fittings are a critical component. During them, the technician looks at how well the crown fits the bite, and cleans all the unnecessary parts, gives it an anatomical shape. During the first fitting, the dentist will select the color corresponding to the tooth enamel.
Temporary fixation design is made on a temporary cement. After the installation, the person testing the tooth in the crown for a certain amount of time. If passing prosthetics, all happy, orthopedist sets it on a permanent cement. The treatment is considered completed.
Modern anesthetics used in dentistry
So does it hurt to put a crown on a tooth?
As it turned out – it’s unpleasant, but generally not a painful procedure. In some cases, if necessary, the doctor may conduct anesthesia. It is carried out using anesthetics, which have a pronounced local effect. Painkillers perfectly block the sensitivity to a certain amount of time. Modern anesthetics have only local effect, in a minimum amount absorbed into the blood, rarely have complications. There are special drugs for pregnant women, lactating and people with burdened anamnesis. Therefore, we should not fear the visit to the specialist, even if you have medical conditions or pregnancy. It is important to remember that health should be holistic!
The most commonly used drugs have names:
In some cases, the most commonly used pain relief:
- Deponirovanie nerve;
- The opening of root canals in periodontitis. Most often, at the request of the patient;
- When turning, without removing the nerve.
In addition to the anesthetic in the injections, there are special anesthetic gels and ointments on the basis of the lidocaine. The application of the drug on the mucosa, reduces the local sensitivity.
Timely installation of crowns, helps keep teeth intact, to preserve them from total destruction. Reduces the risk of loss of teeth, changes in occlusion, the appearance of abrasion of the enamel.