Integral Ceramics and Aesthetic Restoration: The Incredible Truth!
Perhaps you have seen in the mouth of some of your relative's gray teeth that are anything but natural ... or maybe you see them in your mouth!
DISCLAIMER
Maybe the dentist cemented a ceramic crown there and after a while, the infamous dark border appeared!
Well…. I'll tell you a simple truth: The most beautiful restoration is the one you can't see!
Well…. I'll tell you a simple truth: The most beautiful restoration is the one you can't see!
In recent years there have been incredible revolutions in dentistry. Unthinkable technologies until a few years ago and simplifications that have improved the standard of care of every dentist! But what I prefer is perhaps also the least widespread:
THE ABOLITION OF METAL (PFM)!
Yes, if even because the gold restorations had probably unparalleled precision and the gray fillings could last even 30 or 40 years, the Metal does not belong to the human mouth.
If someone wants to convince you that in 2020 there is still a space for the metal in the crowns restoration of patients, run away from that clinic ... your health could be in danger there.
People want white teeth because mother nature has made them so! White, bright, translucent, full of nuances, characterizations, fluorescence and so on and so forth!
Let's be clear: it is not that the new aesthetic materials have lower functional performances than metallic materials eh?
If used correctly, they are able to simulate in all respects the physical, mechanical and aesthetic characteristics of natural teeth ... and on this, they do much more than metals!
But even if at the congresses there are now dentists talking only about rehabilitation solutions without metal (we have just returned from Miami where we've attended the world congress of one the most important implant company in the world), in clinical practice things are different!
Absolutely Incomprehensible. Would you buy a nice TV with a screen cathode ray-tube today ?! -- Yet almost all patients accept metal-supported rehabilitations that belong to the culture of 20 years ago !!
The argument is that at the basis of the use of integral ceramics (ie without metal) and composites (ie white filling materials) there is a philosophy that has slowly revolutionized dentistry since the studies of 1955 by Buonocore, to the 1982 Nakabayashi about the adhesive in dentistry.
If before it was based only on mechanical retention to hold metal crowns and fillings in place, in the last 30 years the chemical adhesion to dental structures has become increasingly efficient and this has allowed us to use and study aesthetic materials that are always more beautiful than can be literally glued to the dental structures, adhering in such a way that sometimes even the most trained eye cannot distinguish a real tooth from a reconstructed one.
The biggest advantage of the adhesive approach is the possibility of preserving a much more healthy tooth because it is not necessary to dig retention wells to set a piece of metal in the teeth. This means that, given that nowadays a white filling still actually lasts less than a "lead", the hole I have to make in the tooth for a white filling is 2-3 times smaller than for a gray filling. So even if it lasted half the time, after 2-3 remakes I would have even more healthy teeth than by resorting to a gray filling right away.
Sometimes I see young boys or 40-year-olds who have a metal cemetery in their mouth that could cause the metal detector to sound in the airports but they tell me "yes they are ugly but do you know how long ago they did me?"
And I think, "But who cares how many years are in a mouth ?! The first point they are not really nice, the second point, the hole made to put that piece of metal is an unacceptable cave that has disfigured the teeth biologically and aesthetically.
But if in the past the dentist could be justified by the uncertainties about the durability of white materials, nowadays poking metal into a mouth is unacceptable.
THE ABOLITION OF METAL (PFM)!
Yes, if even because the gold restorations had probably unparalleled precision and the gray fillings could last even 30 or 40 years, the Metal does not belong to the human mouth.
If someone wants to convince you that in 2020 there is still a space for the metal in the crowns restoration of patients, run away from that clinic ... your health could be in danger there.
People want white teeth because mother nature has made them so! White, bright, translucent, full of nuances, characterizations, fluorescence and so on and so forth!
Let's be clear: it is not that the new aesthetic materials have lower functional performances than metallic materials eh?
If used correctly, they are able to simulate in all respects the physical, mechanical and aesthetic characteristics of natural teeth ... and on this, they do much more than metals!
But even if at the congresses there are now dentists talking only about rehabilitation solutions without metal (we have just returned from Miami where we've attended the world congress of one the most important implant company in the world), in clinical practice things are different!
Absolutely Incomprehensible. Would you buy a nice TV with a screen cathode ray-tube today ?! -- Yet almost all patients accept metal-supported rehabilitations that belong to the culture of 20 years ago !!
The argument is that at the basis of the use of integral ceramics (ie without metal) and composites (ie white filling materials) there is a philosophy that has slowly revolutionized dentistry since the studies of 1955 by Buonocore, to the 1982 Nakabayashi about the adhesive in dentistry.
If before it was based only on mechanical retention to hold metal crowns and fillings in place, in the last 30 years the chemical adhesion to dental structures has become increasingly efficient and this has allowed us to use and study aesthetic materials that are always more beautiful than can be literally glued to the dental structures, adhering in such a way that sometimes even the most trained eye cannot distinguish a real tooth from a reconstructed one.
The biggest advantage of the adhesive approach is the possibility of preserving a much more healthy tooth because it is not necessary to dig retention wells to set a piece of metal in the teeth. This means that, given that nowadays a white filling still actually lasts less than a "lead", the hole I have to make in the tooth for a white filling is 2-3 times smaller than for a gray filling. So even if it lasted half the time, after 2-3 remakes I would have even more healthy teeth than by resorting to a gray filling right away.
Sometimes I see young boys or 40-year-olds who have a metal cemetery in their mouth that could cause the metal detector to sound in the airports but they tell me "yes they are ugly but do you know how long ago they did me?"
And I think, "But who cares how many years are in a mouth ?! The first point they are not really nice, the second point, the hole made to put that piece of metal is an unacceptable cave that has disfigured the teeth biologically and aesthetically.
But if in the past the dentist could be justified by the uncertainties about the durability of white materials, nowadays poking metal into a mouth is unacceptable.
Dentists raised with metal can show all the scientific literature they want (but so far the evidence of the superiority of metal restorations no longer exists, so much so that at any congress they are no longer even mentioned), but today dentistry includes partial adhesive restorations in all-ceramic or composite.
And when you have to recur to other materials, like in the case of implants on implants or to mask darkened teeth from old reconstructions, you use zirconium or rather zirconium oxide, called zirconia, a white material that still offers color-matched with the teeth and that guarantees the possibility of camouflaging the restorations in an excellent manner.
And when you have to recur to other materials, like in the case of implants on implants or to mask darkened teeth from old reconstructions, you use zirconium or rather zirconium oxide, called zirconia, a white material that still offers color-matched with the teeth and that guarantees the possibility of camouflaging the restorations in an excellent manner.
And if you really need to insert pins inside the teeth, you use those in fiberglass or quartz, which are transparent or white!
Nowadays it is no longer justifiable either to drastically reduce the teeth or cement metal cords that in the long run break the roots due to the wedge effect they exert on the dental structures. The types of cement used are adhesive. And the materials we use are based on membership.
Even if you find the dentist who wants to convince you that if you restore a tooth with metallic materials or with full crowns, making healthy teeth smaller, the job will last longer, first of all, be wary, because it is absolutely not true, and second what you think of this photo that shows you how light passes through ceramic veneers or full ceramic crowns ...
Still convinced that you want to turn your mouth into a mine of tin, silver, gold and so on and so forth?
Ok, I think it's clear. The metallic materials let leave them to the blacksmiths or at most let's put gold in the safe in these times of economic crisis ... In the mouth, we must only use all-ceramic and metal-free adhesive materials.
Nowadays it is no longer justifiable either to drastically reduce the teeth or cement metal cords that in the long run break the roots due to the wedge effect they exert on the dental structures. The types of cement used are adhesive. And the materials we use are based on membership.
Even if you find the dentist who wants to convince you that if you restore a tooth with metallic materials or with full crowns, making healthy teeth smaller, the job will last longer, first of all, be wary, because it is absolutely not true, and second what you think of this photo that shows you how light passes through ceramic veneers or full ceramic crowns ...
Still convinced that you want to turn your mouth into a mine of tin, silver, gold and so on and so forth?
Ok, I think it's clear. The metallic materials let leave them to the blacksmiths or at most let's put gold in the safe in these times of economic crisis ... In the mouth, we must only use all-ceramic and metal-free adhesive materials.
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Information brought to you by Massimo - Write me with your Panoramic X-Rays view for a free specialist diagnosis by sending an email to meditur@costaricabluezone.com
DISCLAIMER
The Content above even if the above information is written or supervised by a professional in dentistry. A physical examination is a procedure by which the dentists investigate the oral cavity of patients for signs of disease. -- Together with the medical history, the physical examination aids in determining the correct diagnosis and devising the treatment plan. -- Always seek the advice of your physician or other qualified health providers with any questions you may have regarding your medical condition
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