There are several levels of decay of a tooth:
At each level of decay of the tooth, we can use different means to delay and if possible never go to the next level of decay.
For the living tooth (1), the prophylaxis associated with the establishment at home of a controlled plaque control, will keep the tooth free from needing care/treatment.
For decayed or dental care teeth that are no longer waterproof (2), it is only when the decay and the old fillings are removed (if this is the case), that we will know the treatment to be performed.
The alternative of ceramic parts (inlay / onlay) avoids a crown which leads to greater decay of the tooth.
Advantages of inlays-onlays:
If the cavity has already contaminated the pulp, root treatment will be necessary.
For devitalized teeth numerous publications have shown that if these teeth are strengthened by a crown, they will remain in the mouth longer.
We are thus delaying the time of extraction. This strengthening can only be done on a clinically correct root treatment.
The plumped teeth must imperatively be reconstituted with a suitable material associated with tenons in the root or by an inlay-core. These root anchors can be achieved in two ways:
Stride reconstruction
Direct method with a composite material associated with fiberized root posts.
Casting reconstruction
Indirect method with a cast metal post made in the prosthesis laboratory. We use the root canals previously closed during endodontic treatment as anchor points.
Nous utilisons comme points d’ancrage les canaux radiculaires précédemment obturés lors du traitement endodontique.
A dental crown can be made in different materials:
Metalic crown
The price and the shade are dependent on the metal used (with or without gold).
Ceramic-metallic crowns
They consist of a metal shell which is covered with a ceramic having the same colour as the tooth.
Ceramic crowns
They use a very advanced design process. They consist of an exceptionally strong ceramic frame covered with a ceramic of the same colour as the teeth. The ceramic dental crown is a very high quality and most aesthetic prosthesis.
When a tooth is extracted from the mouth it is necessary, in order not to damage the neighbouring teeth by overloading and to prevent these same neighboring teeth from moving, to replace them. This replacement can be fixed or removable according to your wishes. Each solution with its advantages and disadvantages will be explained to you and costed.