Is it worth it to have porcelain teeth for beauty?

Measure it based on your own actual situation and do what you need to do. Here are some clinical cases for your reference.

Porcelain teeth are actually a hollow braces, like a "cap-shaped" object that covers the teeth to be treated. The interior is made of a relatively strong nickel-chromium alloy material, and the outer layer is A layer of porcelain powder that is similar in color to the adjacent teeth is fused, and is then fired according to the tooth model at high temperatures, and then bonded to the patient's teeth. It is a fixed and non-removable restoration. It has a wide range of indications, such as dental fluorosis, tetracycline teeth, incomplete mineralization of enamel, tilt and torsional displacement, excessive interdental space, or repair of residual roots and crowns that have been fully treated. This method is chosen will receive the best results. However, it also has its limitations. Patients with severe periodontal disease, loose teeth, anti-locks, etc. are not suitable for porcelain tooth restoration.

Good porcelain teeth should be strong and durable, natural and beautiful, will not deform and wear under normal bite conditions, will not be affected or corroded by physical and chemical factors, and can withstand stress from all aspects. The force of rotation and movement, while being comfortable and without any foreign body feeling, etc. At present, in addition to nickel-chromium alloy porcelain teeth, there are also titanium alloy porcelain teeth and gold alloy porcelain teeth. Nowadays, the latter is particularly recommended clinically. Although it is expensive, it has little or even no irritation to the gingival margin. The long-term effect is more ideal in use. However, clinically, some people have many "sequelae" after having porcelain teeth.

If you don’t have “venomous tooth tendons”, just make porcelain teeth

Recently, Teacher Lin’s teeth have been sore no matter whether he drinks cold or hot drinks, brushes his teeth, rinses his mouth, or even breathes air. The feeling became more obvious when chewing food, so she went to a clinic near the school for treatment. After examination, the doctor told her that the enamel of her teeth had been worn away by long-term chewing of food, and the inner teeth were now exposed. After all, I suggested that she get a brace to protect this tooth, and it would be fine in the future. Teacher Lin accepted this suggestion, but he did not expect that after wearing braces for less than a week, the tooth soreness not only did not disappear, but became more serious and even more uncomfortable than before. In desperation, she went to the hospital.

I examined her and took X-rays of her teeth at the same time. I found that her tooth had not received any treatment. The doctor at the clinic just repaired it directly with a porcelain crown. For teeth like Mr. Lin's that are severely worn and have dentin hypersensitivity, it is not feasible to directly install them with braces to protect them before complete treatment, because this is equivalent to putting the tooth into practice. If the tooth is completely sealed, the pulp will continue to be congested and inflammation will continue to spread, resulting in pulpitis. At the same time, braces intensify stimulation of the pulp nerve, transmitting pain sensation to the brain nerves, causing severe pain. In particular, the stimulation of metal materials is more prominent. It has no ability to block or isolate hot and cold stimulation. Instead, it increases the reaction of heat transfer and thermal conduction, thereby strengthening the stimulation and leading to the occurrence of pulpitis. Not only does this not solve the problem, but it actually Increased patient suffering.

It should be pointed out that braces are used to protect teeth that have undergone complete treatment and have residual roots and crowns, or teeth that may become unstable or easily fall off or break during chewing. Or after complete treatment, the color of the crown has changed or appears yellow or black, which seriously affects the appearance, and porcelain teeth need to be used for beauty or tooth protection. But this premise is that the pulp of the tooth must be treated first, and then root canal treatment can be completed. In another situation, if a tooth is extracted on one side of the dental arch or on the opposite side, these adjacent teeth that have been fully treated can be used as bridge piers to perform joint porcelain tooth restoration to achieve good function.

Teacher Lin understood a lot from my explanation, so I helped him reprocess it, retaining the braces, using special instruments to penetrate the crown, and perform decompression and drainage. After several treatments, Teacher Lin The pain symptoms disappeared quickly.

Without the shoulder, the original shape of the porcelain teeth was revealed

Before graduating from college, Ms. Qiao resolutely made a decision to make her teeth more beautiful and lay a good foundation for future employment. I decided to undergo endodontic deactivation treatment on my front teeth, and then underwent cosmetic porcelain dental restorations to straighten my teeth to make up for my shortcomings.

However, recently, she found that there was a gap between the edge of her gums and the contact boundary between the porcelain teeth, revealing an abnormal metal object. When she opened her mouth to laugh, it was very dazzling and embarrassing, and it was easy to It was discovered that they were dentures, and Ms. Qiao was so frightened that she rushed to our hospital.

After listening to her story, I examined her and found that the edges of the porcelain crowns were exposed on the teeth in the middle of her upper palate. It seemed that there was a wall between the gums and the porcelain teeth. and developed mild gingivitis. The main reason is that the doctor did not master good professional technology and operating skills during the tooth preparation process. At the same time, he did not take into account the physiological or pathological shrinkage of the gums in the future. In terms of design and technology, he neglected that the edge of the porcelain crown would move toward the gums. Extension, failure to create cervical margin shoulders at critical locations during tooth preparation. The so-called shoulder is mainly used to extend the edge of the porcelain crown to about 2 mm above the tissue within the gingival sulcus, and use the gingival edge to cover the edge of the porcelain crown, because during long-term use, periodontal damage will inevitably occur. If some degradation or shrinkage occurs, this method is used to make up for the above shortcomings, and will receive a natural and satisfactory result.

Cracks appeared in the porcelain teeth due to cutting corners

Sister Liu is a grassroots cadre. A year ago, a fixed porcelain bridge was inserted into the lower right mandibular tooth at a nearby clinic. However, Recently, I found that dirt and some food residues were impacted on the edge of the crown of the tooth, and bad breath and foreign matter often appeared. It was very uncomfortable. Picking it with a toothpick or brushing my teeth did not help. Recently, there were signs of worsening, so I had to go to the hospital for treatment.

I examined her and found that her porcelain fixed bridge had cracks on the edge of the crown, periodontal atrophy, and a large amount of food and debris impacted. I immediately told her that situations like this are mostly because doctors cut corners when preparing teeth, and more often because patients do not strictly follow the required standards in order to save time, convenience and ease of wearing teeth, and the crowns are still left. The adjacent axial corners have not been ground away. When the "cap" of porcelain teeth is put on it, the "ill-fitting" leaves a certain space and irreparable defects. In this way, the teeth do not have normal friction and retention, but rely entirely on adhesive force. During long-term use, oral saliva continues to dissolve the adhesive in the crown, causing the metal-ceramic crown to reveal inner cracks in the future. Food impaction may lead to caries or periodontal disease if it is not treated and improved in time.

After listening to the explanation, Sister Liu agreed to let me remove the old bad restoration and reinstall the metal-ceramic teeth. I will soon be able to exert good chewing function.

The edges of porcelain teeth are rough, leading to periodontal disease

Sister Li is a shopping mall salesperson. She had her front teeth filled with porcelain teeth at a nearby clinic a year ago. The effect was pretty good at the time. , nothing serious, but recently I discovered that my gums were red and swollen, and my gum papillae were exuding a lot and being congested. From then on, I didn’t dare to brush my teeth hard for fear of irritating my gums and causing more bleeding. The effect of the medicine was not satisfactory.

When I examined her, I found that Sister Li’s maxillary front teeth had been inlaid with porcelain teeth, but the edges were rough and uneven, which pressed against the gingival papillae, causing them to rub against each other and collide for a long time. This chronic Progressive stimulation causes the gums to become red, swollen, hyperaemic, and edematous. The gingiva is highly brittle. If it is slightly stimulated, it is easy to cause a large amount of bleeding, and sometimes it is even difficult to stop the bleeding because the inflammation spreads and a large number of capillaries rupture.

I explained to Sister Li that the above clinical symptoms occurred mainly because the crown edge of the porcelain teeth was not prepared according to standards. The excessively rough crown edge pressed against the gingival papilla, causing chronic adverse irritation. , clinically called "bad restoration". But Sister Li still did not agree to remove it. She said that if the teeth she spent so much money on were not seriously damaged, please try to help her keep them, one year at a time. I had no choice but to help her trim the edge of the crown appropriately to minimize irritation. I also helped her formulate a treatment plan, and her symptoms quickly disappeared. I told her to brush her teeth frequently. The main purpose is to have an elastic massage and stimulation effect on the gum papilla, so that the gum papilla can have a normal blood circulation and avoid the recurrence of periodontal tissue disease.

Maintenance of porcelain teeth

Because porcelain teeth have high hardness and brittleness, which are somewhat different from other teeth, care should be taken during use not to overdo it in the same area. Cut hard food with force. If the force is concentrated on a certain stress point, it may cause the porcelain to collapse or fall off.

Another point that must be noted is that personal oral hygiene is very important. It can reduce the occurrence of dental caries, gingivitis and periodontal disease. The more important point is to avoid alveolar bone absorption and tooth loosening, which will ensure the long-term use of porcelain teeth. , providing a good and stable oral environment.

We also remind readers that although more and more people are getting porcelain teeth, we are opposed to pursuing porcelain teeth as a fashion trend. You must listen to your doctor before getting porcelain teeth. opinions and go to a regular hospital for treatment.