Setting the pin in the tooth. A pin in the tooth is an economical restoration of the dentition. How much does the operation cost

The pin in the tooth is a support for fixed or removable dentures.

A pin is a structure that looks like a rod, which serves to strengthen a decayed tooth and is fixed in the dental root canals.

Installation of the structure may be necessary in case of severe tooth decay, when the only way to restore them is to build up teeth on a pin.

Teeth restored with pins are called pin teeth.

What are pins made of?

Dental posts can be made from:

• metal
• non-metallic materials

Metals used to make metal pins:

• Titanium
• Stainless steel
• Brass
• Gold alloys with impurities
• Palladium

Non-metallic materials:

• Fiberglass
• CFRP
• Ceramics

What are dental pins

Modern dentistry offers various types of pins. They are diverse in form, method of fixation and composition.

According to the shape of the root canal of the tooth, the pins can be:

• conical
• Cylindrical
• Cylindroconical
• screw

According to the method of fixation, the pins are divided into:

• An active dental pin is a solid rod that is fixed in the dentin. This is one of the most reliable types of fasteners. The pin has a thread with which it is screwed into the bone tissue. This type of pin is used when it is necessary to restore an almost completely destroyed tooth. When using an active post, additional stress is created, which can cause tooth splitting.
• The passive pin is fixed in the cavity of the root canal with a special substance. Such a pin is used if tooth strengthening is required after treatment.

What to consider when choosing

Pins are used to restore a tooth or attach a denture or crown to the root.

Depending on the degree of tooth decay, the wishes and financial capabilities of the patient, one or another pin design is selected. In any situation, the choice of the type of pinning remains with the specialist.

Moreover, only the doctor who practices as a therapist and as an orthopedist can choose the most suitable design.

When selecting a pin for a patient, the clinician should consider the following:

• The degree of destruction of the tooth root, the thickness of its walls. How deep can the pin be placed.
• How badly the tooth was destroyed, at what level in relation to the gum the root was destroyed.
• The load on the tooth after its restoration. Is the tooth freestanding or supporting for a bridge prosthesis or a removable structure.
• The choice of material taking into account the health of the patient and the possibility of the necessary actions for the restoration of teeth.

In recent years, the use of non-metallic rods is more in demand, due to their more convenient use. For example, restoration of a tooth with a fiberglass pin allows you to fill the root canal of the tooth perfectly tightly and reliably.

If it is intended to create an extended tooth on a post without the use of a crown, then the use of a fiberglass rod will be most preferable, because. this material has a more natural color and interacts well with filling materials.

Indications for the installation of the pin

• Restoration of teeth with more than half of the destruction of the crown part.
• Complete absence of a dental crown.
• To create support when installing removable and fixed prostheses.

Contraindications

• Complete absence of a tooth crown in the anterior region.
• Diseases of the blood.
• Diseases of the nervous system
• The presence of periodontal damage.
• Inflammatory periodontal disease.
• Caries.
• Cysts, granulomas of the oral cavity.
• When the root length is less than the planned height of the tooth crown.
• Root wall thickness less than 2 mm.

Pros and cons of pins

Advantages of using pins:

• The possibility of restoring a damaged tooth.
• The use of fiberglass rods to restore teeth reduces the likelihood of fracture of their roots.
• The aesthetics of fiberglass posts make them suitable for restoring anterior teeth.
• The elasticity of carbon fiber pins allows even distribution of stress in the root canal, which ensures high strength of the rod.
• The use of pins avoids tooth extraction, and also helps to restore its functionality.
• The service life of the pin structure made of cermet is more than ten years.

Disadvantages of using structures:

• Pins can cause tooth decay.
• The development of caries - with poor-quality installation of the pin.
• The disadvantage of some materials used for pins is their lack of flexibility.
• Metal pin structures corrode when interacting with the root canal, with liquids, saliva.
• Insufficiently strong connection with the root of the tooth metal rods.
• The presence of certain difficulties in removing pins made of some materials. In this case, the pins have to be removed along with the tooth root.
• An allergic reaction may cause pin rejection or a severe local reaction.
• Over time, the walls of the tooth can become very thin, which can lead to its further destruction and the impossibility of re-restoration.
• Pinned teeth are quite expensive. The price depends on the material from which the structures are made.

How is the installation of the pin in the tooth. Tooth restoration

When using a standard pin, the tooth root is adjusted to the rod using special tools. Sometimes sets of pins are additionally supplied with tools for their installation. If the kits do not have tools for installing pins, then the doctor uses dental instruments. This approach to work can lead to an inaccurate fit of the rod in the root canal.

The installation of a pin and the restoration of a damaged or lost tooth takes place in several stages:

• The root canal is cleared.
• The rod is inserted into the canal so that it enters the bone. This, in turn, allows you to strengthen the root of the tooth and is necessary for better fixation of the pin.
• Fixation of the structure with filling material.
• Prosthetics: either a crown is put on a part of the tooth with a pin, in its absence, an artificial tooth is placed on the pin.
• Checking the fixation of the crown on the pin. It is carried out in a day. The patient, based on his feelings, determines whether the new construction interferes with him. If necessary, grinding is carried out.

Video: "Dental pins"

Rehabilitation and recovery

In order for the restoration of the teeth to be successful, it is necessary to follow the recommendations of the doctor after installing the pins.

• Take medications prescribed by a doctor, follow a diet.
• Food should be soft, mashed and liquid. It should not injure the oral mucosa.
• To prevent the inflammatory process in the oral cavity, careful hygienic care is necessary. Brush your teeth at least twice a day, being careful not to injure your gums. After brushing, rinse your mouth thoroughly with water.
• It is strictly forbidden to use toothpicks, especially in the area of ​​dental restoration. It is recommended to use dental floss to clean the contact surfaces of the teeth.
• In no case should you try to open bottles with your teeth, crack seeds and nuts.
• You should visit the dentist at least once every 6 months for a check-up.

Complications after pin installation, consequences

• Pain sensations.
• Swelling and inflammation of the gums.
• Periodontitis
• If oral hygiene is not followed, inflammation of the surrounding tissues may occur.

Toothache with a pin

• After installing the pin to the patient, it often seems that the tooth on the pin hurts. This is due to the fact that in the process of tooth restoration, soft tissues are affected. Pain may be caused by the deep entry of the rod into the root canal.
• If a tooth with a pin hurts immediately after the removal of the nerve, then this is natural and the pain will persist for several days. The pain should decrease every day. If, on the contrary, it intensifies, you should immediately consult a doctor.
• Pain may result from an allergic reaction to the material from which the pin is made. In this case, the pain is combined with such manifestations of allergies as hyperemia, stomatitis and deterioration of health.
• In any case, if a pin is placed, and the tooth hurts, you should not cancel the visit to the dentist. He will conduct an examination, if necessary, take an x-ray, explain the causes of pain.

Analogues

Standard pins have the following counterparts:

• Stump cast tabs. Cast pin structures are monoblocks and are made of one material. Twenty years ago, these constructions were used to restore the crown-root sections of teeth. At the moment, they have been replaced by standard pins.
• Luminex technology, which combines the advantages of standard pin designs and stump molded inlays. In this case, standard titanium pins and light guides are used - analogues.
• Creation of a stump without pins.
• Individual pins - stump tabs are more reliable than standard pin designs, which have sufficient ability to be fixed in almost hopeless roots.
• Collapsible individual pin designs. They are installed on severely damaged chewing teeth, which, after restoration, can transfer a significant load.

Prices for installing a pin in a tooth

Frequently asked Questions

• Question: Does it hurt to put a pin in a tooth?

Answer: No, it doesn't hurt. Before installing the pin, the nerve of the tooth is removed (depulped). And when there is no pulp (nerve), then there is no pain.

• Q: Can a post in a tooth cause an allergic reaction?

Answer: Yes, pins can cause an allergic reaction.

• Q: What should I do if the pin is broken?

Answer: Do not take any action on your own. You need to go to a dental clinic. Only a specialist can solve this problem.

• Question: What should I do if I swallowed a tooth with a pin?

Answer: If a foreign body is swallowed, it is necessary to consult a surgeon. He will prescribe an X-ray examination and decide what to do next.

• Question: How is a pin inserted into a tooth?

Answer: A pin is screwed into the root canal and a filling is built up from above. If necessary, carry out prosthetics.

• Question: How much do false teeth on pins cost?

Answer: The price depends on the material from which the pin and crowns are made.

To restore and correct teeth, dozens of methods have been developed today, each of which is designed to quickly and painlessly solve a specific clinical problem. With carious destruction, tabs have proven themselves best, and in the absence of a tooth support, pins come to the rescue. The installation of a pin during dental prosthetics is carried out as follows: one end of the rod is screwed into the root canal, a new beautiful tooth is attached to the other.

What is a dental pin

Dentists call a pin a special threaded rod. With its help, one end of the pin is screwed into the root of the tooth, and a prosthesis is installed on the second end of the structure. The pin method of building up teeth is relevant in cases where the upper part of the tooth is severely destroyed, and the root canals are in a normal state.

Advantages

• Aesthetics. The technology allows you to restore a beautiful appearance to severely damaged and damaged teeth, including the anterior ones.
• Preservation of the tooth root, which does not occur with implantation.
• Functionality. Artificial pin teeth fully cope with the functions of natural ones, without causing any inconvenience and without requiring special care.
• Long service life. The tooth extended on the pin serves more than 10 years.

Risks of pin prosthetics

• In the case when the pin is installed in a weakened root, thinning of the tooth walls with subsequent destruction is possible.
• Incorrect installation can lead to the spread of the carious process.
• Metal pins, although to a small extent, are still subject to corrosion.
• When removing the pin, it may be necessary to extract it along with the root.
• Individual intolerance to the materials from which the pin is made is possible.

Why do you need a pin in the tooth

The decision on the advisability of pin extension is made by the doctor. The indications for using the pin method are:

• The destruction of the dental crown by more than 50 percent.
• Severe weakening of tooth enamel as a result of dental diseases or their treatment.
• The need to create a strong support for prosthetics.
• Extraction of the tooth for the duration of the treatment of the infection, followed by a return to the hole.

Contraindications

In some cases, the pin design is contraindicated. The possibility of installing pins in dental prosthetics is determined by the doctor after studying the anamnesis, examining the damaged tooth and assessing the condition of the oral cavity.

In most cases, inflammatory processes in the oral cavity immediately become an obstacle to placing a pin. In this case, pin structures are installed after the treatment.

Direct contraindications to the installation of pins are:

• absence of a tooth crown in the frontal part;
• narrowness of root canals: width less than two millimeters;
• the impossibility of giving a cylindrical shape to the root canal;
• insufficient root height;
• the presence of cysts and granulomas in the oral cavity;
• violation of blood clotting, including during menstruation in women;
• pregnancy;
• mental disorders;
• any dental diseases of an inflammatory nature in the acute stage;
• complete destruction of the crown of the tooth.

Types of pins in dentistry

Dental pins differ in the material of manufacture, elasticity, method of fixation and shape. The doctor chooses a suitable design after a thorough examination, conducting the necessary studies and interviewing the patient. To make sure that there are no contraindications to the installation of the rod, the width and depth of the channels are sufficient, the doctor must conduct an x-ray examination.

By material

By elasticity

• Elastic pins better protect the tooth from fractures and impacts.
• Inelastic is preferred for supporting restorative structures, prostheses and bridges.

Pin shape

When choosing the shape of the rod, the doctor proceeds from the individual shape of the root canal. The following rod shapes have been developed:

• conical;
• cylindrical;
• cylindro-conical;
• screw.

Installation methods

• Active. The rod is screwed into the root of the tooth with a thread and is used as a support for a full crown.
• Passive. The rod is inserted and fixed in the root canal with a special cement, it does not need to be screwed in. The structural strength is lower, but this method is more gentle on the tooth tissues.

Installation of pins in dental prosthetics

Installed pin

Preparing for the installation of pin structures should not be on the day of the operation, but also at a preliminary consultation. After the dentist has determined the feasibility and possibility of pin prosthetics, he must analyze the condition of the tooth in detail and study the thickness of its tissues. Taking into account all factors, the doctor chooses the optimal materials and types of fastening.

In the event that inflammatory processes and any other pathologies that may complicate the operation have been identified, they are treated. After that, further inspection is required. When the doctor makes sure that there are no contraindications, direct preparation for prosthetics will begin.

The day before the installation of the pin, it is recommended to undergo a procedure for cleaning the teeth from stones and plaque. This will help minimize the amount of bacteria that can get on the wound surface after manipulation. Six hours before the pin is not eaten.

Procedure

First of all, an injection of anesthesia is injected into the gum to anesthetize the place of work. After the anesthesia has taken effect and the doctor has checked the surface for susceptibility, the installation work begins. The dentist prepares the root canal, removes the nerves, clears and, if necessary, widens the canal. The working area is treated with an antiseptic solution.

If a passive post is used, the channel is pre-filled with a cementing mixture, and the rod is immersed in it. The active pin is screwed into the channel, and the voids are filled with a polymer composition. For better fixation, the solution is dried with a halogen lamp.

When the rod is screwed in and securely fixed, a prefabricated artificial tooth prosthesis is placed on it. Temporary cement is used for fixation, this is done in order to check the material for rejection. If the surrounding tissues of the oral cavity have reacted normally to the foreign element, after a week the prosthesis is put on a permanent basis. If necessary, the doctor adjusts it with grinding. After installing the pin, the patient should not have the slightest discomfort, further outcome of treatment depends on strict adherence to the recommendations of the dentist.

Rehabilitation

The first time after installing the pin, you must strictly adhere to a number of restrictions and recommendations. How long the rehabilitation period will last, only the doctor who performed the treatment can say. For the entire period of rehabilitation should:

• Exclude from the diet solid and viscous foods that require active chewing movements. Food should be soft or even grated.
• On the first day, you should not brush your teeth, only rinsing is permissible. In the future, you will need to give preference to brushes with soft or medium bristles.
• Exclude foods and items that can break the integrity of the teeth: nuts, seeds, toothpicks.
• Do not miss visits to the dentist and strictly follow individual recommendations.

How much does it cost to install a pin

The price for installing an artificial tooth on a pin depends on the region and the type of product chosen. In Moscow clinics, dentists traditionally offer more expensive prosthetics. A titanium anchor in the tooth will cost the cheapest, a fiberglass pin will cost 2.5 times more.

It is important to proceed from the expediency of installing one or another type of pin. It is necessary to take into account what will be better for the teeth, in which part of the jaw the manipulations are performed, whether subsequent prosthetics are planned, what is the budget for treatment. An experienced dentist will help you choose the best option.

Does it hurt to put a pin in a tooth

Putting a pin in the tooth does not hurt, since local anesthesia is used with such prosthetics. When the procedure is completed and the effect of anesthesia wears off, there may be some discomfort, but there will be no pain even after the procedure.

Before making a final decision in favor of prosthetics with a pin, you need to consult with the department of dentistry. The doctor must explain how the procedure will take place, why insert this or that material, what are the consequences and whether there are guarantees for the installed design. The pin is placed for a long time, so it is important to choose an experienced specialist who will choose the right material and professionally carry out prosthetics.

Tooth restoration- a fairly popular procedure, which is aimed at restoring a damaged tooth. The need to restore the appearance and functions of the teeth arises in the event of partial or complete destruction of them. Also, restorations may be subject to uneven or worn teeth.

If you have all or part of decayed tooth, in which nerves , and don't want to get rid of it and paste implant , then dentists can offer you to restore it. Despite the fact that a tooth with sealed canals is considered lifeless, as a result of which its tissues are not nourished and gradually weakened, the modern one offers several ways to restore such teeth. An important function of the restoration of the tooth is the reliable closure of the entrances to the canals of the tooth, and in addition, the restoration must restore the tooth without discomfort and complications, such as. Even if only roots remain from the tooth, it can be restored, it is much better than an implant or a bridge.

Causes of tooth decay

The causes of tooth decay are numerous. The main ones are: uncured, fallen out, tooth trauma, chipping of the tooth wall, as well as increased tooth wear. All factors contributing to tooth damage can be divided into internal and external .

External factors contributing to the development and subsequent destruction of teeth include mechanical, chemical and temperature effects on the teeth, as well as non-compliance with personal oral hygiene.

Internal factors are metabolic disorders, as well as unbalanced, malnutrition. Dentists advise restoring the tooth, even if the chip goes far under the gum. The operation is proposed to be done only in case of a fracture of the tooth roots, when it is no longer possible to restore it.

If you have damaged or lost part of a tooth, do not delay going to the dentist, because this can become a source of infection in the body, it may occur. In addition, the neighbors of the decayed tooth will not have any support, which can lead to them leaning towards the empty space. It will be very difficult to correct such a defect.

Ways to restore teeth

There are 3 ways to restore a damaged tooth:

• seal on a pin
• pin tooth (tab)

At the appointment, the dentist will assess the degree of destruction of your tooth, as well as the quality of the canal filling - the presence of voids and density. In case of shortcomings, it can also be carried out canal refilling .

The choice of a method for restoring a pulpless tooth will be chosen by your attending physician, based on the degree of its destruction, on the condition periodontal , oral health in general, your lifestyle and age. It is believed that for a high-quality restoration of a tooth with a filling on a pin, the defect should not exceed a third of the volume of the crown part of the tooth. Restoration with a pin tooth-inlay is most optimally carried out when the tooth is destroyed by about half of its volume, and if the tooth is destroyed by more than half, the best option would be to restore it with a crown.

Restoration of a tooth with a filling on pins

You can restore a tooth with a filling on pins if the nerve of your tooth was removed, but the walls and the tooth itself remained strong enough. In this case, the condition of the tooth root is very important, it must be strong, and the root canal should be sealed with high quality. In this case, the doctor will advise you to restore the tooth in this simple way, in which the post acts as a support that extends into the canal, which supports the filling.

Distinguish anchor , fiberglass , parapulpal and carbon fiber pins. Anchor pins are made of brass, titanium, platinum-gold-palladium alloys, and are active and passive . The active pins are threaded so that they are screwed into the cement during installation, while the passive pins are held only with cement.

Dental pins made of fiberglass are transparent, so they can be placed on the front teeth. Carbon fiber pins are very strong and I use them mainly to prevent root fractures. Pins are screw, cylindrical, conical or combined.

The technology of restoring a tooth with a filling on pins is quite simple, and anesthesia in dentistry makes it also painless. A special tool partially removes the material from the sealed canal, and the pin itself is fixed on the cement with entry into the bone for greater stability. After that, the tooth itself is restored using a filling material, which is layered on top of each other in small portions, repeating the shape and color of the tooth, and hardens by heating a special curing lamp . After that, the treated tooth is ground and polished.

Modern filling materials include composites , which are sufficiently durable, strong and well connected with the tissues of the tooth, and light polymer materials , which have an adhesive base, which allows the filling to be firmly attached to the tooth.

Restoration of a tooth with a filling on pins is a fairly inexpensive and quick procedure, however, it is also very unreliable, because. the walls of the tooth will continue to thin, which can lead to complete destruction of the tooth, and it will have to be removed. In addition, secondary caries may develop.

Restoration of a tooth with a pin tooth

If the tooth is not severely damaged, then the doctor may suggest restoring it with pin tooth(inlay) - a special design consisting of a ceramic crown part and a pin, which is inserted into the root canals and restores the missing piece of the tooth. Previously crown parts were made from cabalchromium alloy , now mostly used ceramics or ceramer . Pin teeth can be used to restore all types of teeth. In this case, the doctor partially unseals the canals, takes casts and puts a temporary filling. In the dental laboratory, the specified one-piece construction is made from the cast, accurately reflecting the missing part of the tooth, which is then fixed on the cement and polished along the bite.

This method of tooth restoration has a number of advantages, since the inlay tooth is a fairly strong structure, like dental pins, it is able to withstand prolonged loads, and at the same time, it is gentle on the enamel of neighboring teeth. In addition, the design made in the laboratory from a cast is usually very high quality and accurate.

However, due to the thinning of the walls of the tooth and the development of secondary caries, this design may fall out. In addition, depulped teeth begin to darken over time, and may differ in color from the design.

Teeth that have been restored with a pin (inlay) or filling on pins need to be monitored, and if they start to bother you or change their color, you should contact your dentist and cover them with a crown.

Restoration of a tooth with a crown

Dental restoration with crowns is the most common method of dental restoration. dental crowns used to restore the appearance and function of teeth that have defects, destroyed by caries or as a result of trauma. Previously, stamped crowns made of precious or medical alloys were common, but now preference is given to modern materials that look more natural and natural.

The most popular crowns are cermet , consisting of two layers - a metal frame and a ceramic outer layer. Porcelain-fused-to-metal crowns are strong enough to provide a metal frame, and the ceramic layer applied to it gives the crown an aesthetic appearance. These crowns can be used to restore both posterior and anterior teeth. Depending on the situation, these crowns can be made so that the ceramic covers only certain parts of the teeth, and the rest of the crown can be made of metal. Cabaltochrome alloys, titanium, alloys with gold, silver or palladium are used as the metal, which do not oxidize. Modern technologies make it possible to very accurately convey all possible shades of teeth without a bluish metallic tint.

The disadvantages of this type of crowns include the fact that the metal frame under the ceramic surface can sometimes appear as a dark line at the edge of the crown, which is not very aesthetically pleasing. In addition, metal-ceramic crowns, due to their strength, contribute to strong wear of opposing teeth.

Also very aesthetic. all-ceramic crowns, made of porcelain or other ceramic material, which allow you to give the crown the color of a real tooth and look natural and aesthetically pleasing. Ceramics do not oxidize, do not wear off and do not have a negative effect on the oral cavity, however, such crowns are inferior to others in strength, so they are most often placed on the front teeth. In addition, all-ceramic crowns are very expensive.

Ceramic crowns on a translucent frame zirconium oxide are the most sparing for tooth tissues in comparison with other crowns. These crowns are made in two stages. First, the framework of the crown is made from zirconium oxide, and then the framework of the crown is covered with a ceramic mass. Zirconium oxide crowns are very durable and do not change their color for a long time.

The crown itself is placed on a restored tooth with a pin or a stump tab. Stump tab It is made of the same material as the frame for the crown and is a structure that enters the dental canals and recreates the stump of the tooth on which the crown is put on. The stump tab takes on part of the chewing pressure, contributes to its uniform distribution over the entire root. For example, if you want to restore a tooth with a crown on a zirconium framework, then the tooth stump should be made of a filling on fiberglass pins or a zirconium inlay. In case of severe tooth decay, the crown and inlay for its restoration should be made of biocompatible materials, such as zirconium oxide.

Restoration of a tooth with a crown occurs in stages: partial unsealing canals and taking a cast of plaster under the tab, after which you will be placed temporary filling . The picture is taken not only from the tooth being restored, but also from the opposite jaw, which will help the technician to take into account the features when making the inlay bite. In the laboratory, a metal tab is cast according to the cast or it is machined using a laser from zirconium. After that, the dentist cements the tab into the roots of the tooth and grinds it and part of his own teeth under the crown. This is a very difficult job, because you need to create a thin uniform ledge about 0.5-2 mm thick so that the crown sits perfectly. After that, casts for the crown are taken from both jaws, and a temporary crown is placed on the patient. A temporary crown or a plastic prosthesis protects the tooth from various irritants, and also creates the appearance of the presence of a tooth. Under laboratory conditions, the framework of the crown is machined or cast, and then the ceramics are laid out by hand and baked in a special oven. Then the doctor fixes the crown on the tooth with cement. The cement is evenly distributed inside the crown, after which it is put on the tooth. It is very important that the crown fits exactly on the tooth. The whole procedure usually takes about 2 weeks.

The main advantage of crowns is that the tooth tissues are better preserved, because. usually the crown sits tightly and tightly, so neither microbes , do not fall under the crown, so caries does not develop. Metal-ceramic crowns are very durable and do not change color over time. However, crowns are quite rigid structures, which is not good for opposing teeth. In addition, the gum, due to the fact that the crown is a foreign object, may begin to move away. To avoid this, crowns are placed on the ledge of the tooth, and not deep in the gum, and crowns with an edge of biocompatible materials or with a solid ceramic edge. Ceramic crowns are considered the most aesthetic crowns that are placed on the front teeth, and crowns on a zirconium oxide frame are considered the most durable, so they are placed on the side (chewing) teeth. The crown should repeat all the cavities and tubercles of the tooth, and sit like a natural extension of the tooth - without notches, in addition, it should not interfere. If you feel discomfort, contact your doctor who can resurface the crown.

Treatment of restored teeth

Teeth that have been restored with a pin tooth (inlay), a filling on pins or a crown must be looked after very carefully and treated with care. We must not forget about individual oral hygiene, and the observance of such simple rules as the correct and regular brushing of teeth , use of dental floss and rinse aid . This will have a beneficial effect on the condition of your teeth and installed structures. It is also necessary to undergo regular preventive examinations.

Let's talk about how teeth are inserted on pins. This is one of the ways to restore decayed teeth.

What causes destruction?

Common causes of dental problems are untreated caries, a fallen filling, a tooth injury (chip), and its abrasion.

Conventionally, all causes can be divided into internal and external. Internal include metabolic disorders, malnutrition, which has a harmful effect on the teeth. These causes often lead to caries. An external factor is a temperature, chemical or mechanical effect on the teeth, which can also provoke the development of caries.

Few people like to go to the dentist for treatment. Often the patient is playing for time, trying to get rid of a toothache on his own - by rinsing the mouth with a solution of soda, taking painkillers. And at this time, caries, which is the cause of pain, destroys the tooth more and more.

This is an unreasonable tactic of human behavior in the event of problems with the teeth. As long as the tooth is not completely destroyed, the dentist can heal it by placing a filling. Modern dentistry today has reached such a level of development that discomfort during tooth treatment is minimized. The doctor makes an anesthetic injection into the gum, and this moment is the most unpleasant thing that you have to go through. After local anesthesia, the treatment becomes almost painless.

If the tooth is still destroyed, but its coronal part is preserved, you can put a filling on the pin. If less than one-third of the crown part of the tooth is left, a crown can be placed on a pin. The crown can also be held on the tooth itself, if its base is preserved.

Crowns are made from metals and metal alloys. Currently, zirconia crowns are gaining popularity. They are durable and have good biocompatibility with oral tissues.

What to do?

The saddest option is when the tooth is completely destroyed, and it has to be removed.

If the tooth is destroyed, but its root is intact, then after examination, sanitation of the oral cavity and depulpation of the tooth, a pin is inserted, on which a crown is put on. This method is called implantation. Neighboring teeth are not affected.

This method is good because caries will not develop under the crown. In addition, it is installed so tightly that neither saliva nor food remains can get under it. The crown does not spoil the tissues surrounding it over time and does not change its color.

But there are also disadvantages to this method of prosthetics. A crown for a person is a foreign body. Therefore, over time, a shift in the edge of the gum can occur. But if you have to choose whether to walk with an empty place instead of a tooth or decide on implantation, you should still lean towards the second option.

The most common method of prosthetics is the installation of a dental bridge.

It is possible to install a dental bridge without turning the teeth adjacent to the extracted one. For example, if the bridge is made of nylon, a strong and elastic material, then it is attached to adjacent teeth with special devices - clasps. The material of such a bridge is highly aesthetic and hypoallergenic. Its disadvantage is that during chewing, the bridge is subject to deformation, which then disappears.

If most of the tooth composition is missing, it is recommended to consider the use of lamellar dentures. They are made of plastic and attached to the gums by suction. This is a fairly durable and reliable option.

If several teeth are missing in a row, a clasp prosthesis is used. It is a design with crowns put on a metal plate. The clasp prosthesis is attached to the gums and healthy teeth using clasps or special hooks.

Pin method of prosthetics

Crowns on pins made of modern materials recreate the structure of the incisors. The pin method of restoration is suitable for almost all teeth.

The pin is a rod that is installed in the channel.

The shape of the pins are divided into cylindrical, conical, screw and combined. The composition of the pins are anchor, metal, fiberglass. They are made of titanium, palladium with gold, fiberglass.

Anchor pins are divided into active and passive. Active ones are screwed into the root of the tooth. Passive ones are simply inserted into the channel and fastened there with a special substance. Fiberglass pins are strong enough and are not inferior in quality to metal ones. They are often used to restore anterior incisors because they are transparent and do not show through the white crown. The cheapest are gutta-percha pins, which are attached to the composite. But they usually do not stand the test of time. Parapulpal pins are not inserted into the root, but are used as an auxiliary support. They are durable, corrosion does not affect them.

The functionality of a tooth can only be restored with a crown.

Core inlays are used to restore a completely destroyed crown. They are mini prostheses on which a crown is put on.

Nowadays, carbon fiber pins are gaining popularity. They have a special composition and are well suited for restoring teeth. The load when using such pins is evenly distributed along the walls of the channel.

The technology for restoring a cutter on a pin is not too complicated. First, part of the cement is removed from the sealed canal. The doctor puts a temporary filling and makes an impression. A prosthesis is made in the laboratory. On the next visit, a pin is inserted into the canal, which is then strengthened. Partially, it enters the bone part of the jaw. A prosthesis is put on top of the pin. Then the resulting implant is ground, polished and brought to a natural shape. The whole procedure takes place under local anesthesia, so it is painless.

This method has a number of advantages. First, this design is very durable. Secondly, the prosthesis made by professionals is of excellent quality.

The method of restoration of the incisor is chosen by the attending dentist, based on the condition of the teeth, the oral cavity in general, your lifestyle and taking into account your age. The choice of the optimal material is also carried out by the doctor.

Simple rules for every day

1. Ask your doctor which toothbrush and paste is right for you.
2. Make it a rule after the main meal to eat a piece of hard cheese - it neutralizes the acid.
3. Include more vegetables and fruits in your diet. Eat more apples and carrots.
4. Drink water to wash away food debris. Rinse your mouth after every meal.
5. Do not chew gum as it can damage fillings.
6. Do not get carried away with whitening pastes - they thin the enamel.

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Dental treatment before prosthetics

As a rule, people go to the dentist with pain and often with severe pain. Why do teeth hurt? Where does this unbearable and continuous pain come from? Often patients have a question, is it possible to insert a tooth without treatment? Most often not. If you touch on the anatomy, you can see that in each tooth there are nerve endings that just cause pain. These nerve fibers are exposed as a result of tooth decay and pain occurs from contact with cold or hot water, as well as from touching sweet or sour foods. Further, as the tooth decays, the nerve becomes more and more exposed to external influences and, accordingly, begins to hurt more and more. And if the tooth is badly damaged, then prosthetics are required, but you need to prepare for it.

Tooth preservation

Modern dentists try to save the teeth of patients, even if they are badly damaged. On the remaining root, it is easier to mount the pin and install the crown. But in order to do this, it is necessary to remove the nerve from the tooth, because if it is left, then the pain will not give the person peace. The dentist finds all the channels and removes the nerve fibers. Then he processes the channels of the destroyed tooth and seals them. Only after that the process of prosthetics begins.

First of all, it must be said that an orthopedic dentist is engaged in prosthetics. This is a specialist who does not treat teeth, does not remove nerves, but only deals with prosthetics, the patient comes to him after a dentist-therapist. It must also be said that it will not work to immediately contact an orthopedist, bypassing a dentist-therapist and a dental surgeon, because even if some part of the teeth is missing, the therapist and the surgeon must still sanitize the oral cavity, that is, cure or remove all sick teeth. In the end, even in order to insert a tooth, if there is no root, the treatment algorithm will still be like this: first the therapist, then the orthopedist. This specialist will examine the x-rays that will definitely need to be taken, and proceed to the choice of a prosthetic method. I must say that here a lot depends on the financial capabilities and wishes of the patient, and there are a lot of prosthetic methods.

Modern methods of prosthetics

Dental prosthetics on a removable basis is due to the use of various structures on which all the teeth of one jaw or several teeth are attached. It must be understood that modern prostheses have little in common with those dentures that were popular in the last century. Today, a removable denture is a high-quality, comfortable, and most importantly, aesthetically acceptable product, which is used in most cases in prosthetics.

Fixed dentures

Dental prosthetics on a fixed basis is due to the use of implants and crowns, as well as bridges that unite several teeth. As a rule, it is implantation that is used in a situation with front teeth. In order to insert a front tooth, an implant can be inserted into the jaw, in the absence of a root. But if there is something left of the tooth, then you can build up the tooth. This process takes place as follows. A pin is inserted into the sanitized root or, more simply, a screw is screwed in, and a special compound is applied to it, from which a new tooth is formed. This design looks aesthetically pleasing.

But if there is nothing: no root, no neighboring teeth, on which you can hang a bridge, then how is a tooth inserted? Then the implant is implanted, but this is a real operation that needs to be prepared for, and it takes a lot of time. As before any operation, before implantation, the patient takes tests up to the ECG, and only after that the doctor begins his work.

When the wound around the pin heals a little, a ceramic tooth is put on it. The implantation of the upper teeth is faster than the lower ones. But a negative indicator of this method is the fact that the implants can be rejected by the body, and all the work will have to be redone. Especially often this situation occurs in the elderly and in patients with weakened immune systems. But if the implants take root and the person takes care of them carefully, and in addition, regularly visits the dentist, then these prostheses can serve him for many years.

sinus lift

When answering the question of how a tooth is inserted, such a concept as sinus lifting should be explained. This is a procedure to increase the length of bone tissue in case of its lack, that is, in case of malocclusion, the doctor may resort to such an operation. And although it is quite complicated, modern dentistry assumes that it is carried out painlessly and with the least traumatism. In general, it must be said that it is necessary to find out how a tooth is inserted from a specialist after a careful examination and detailed consultation. This question is very individual, and only a doctor decides it.

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What's this?

A pin in a tooth is a specialized design that, in its appearance, resembles an ordinary rod. This device is installed directly into the root of the tooth, representing a support for various restorative materials, including fixed bridges or crowns. A post in the tooth is used in order to preserve one's own viable tooth root, the presence of which is a prerequisite for this procedure. At the same time, it is worth noting the fact that the pin installation procedure itself is much cheaper compared to prosthetics.

How is it used?

Given that the pin in the tooth is a fairly old invention, today it is very, very actively used in modern restorative dentistry. In particular, its application can be found in the process of a number of different procedures, such as:

• Prosthetics of teeth with fixed bridges. The use of a pin becomes especially relevant if the prosthesis itself cannot be fixed to adjacent teeth.
• Restoration of a partially or completely destroyed tooth crown through its extension based on a pin in the tooth. What it is? This is a specialized procedure that is used to strengthen teeth, as well as to eliminate the possibility of fractures with the help of special high-strength structures made of titanium, various metals and other strong materials.
• Formation of rather complex combined structures for the purpose of splinting teeth. Allows you to achieve the most stable fixation of mobile teeth in case of periodontitis.
• Full cleaning, drying or treatment of dental canals with various medicines. In this case, a specialized paper pin is used in the tooth. What it is? This device, which is characterized by an extremely high degree of sterility and hygroscopicity.

When is its use contraindicated?

Among the main contraindications that are put forward in the process of carrying out restorative procedures with dental pins, it is worth highlighting the following:

• all kinds of diseases of the nervous system or blood;
• inflammatory periodontal disease or various injuries;
• the presence of oral granulomas and cysts;
• obstruction or curvature of the root canals;
• caries;
• too low indicators of the length of the roots or the thickness of their walls;
• complete absence of the crown of the tooth, located in the frontal section.

Before a dental procedure is carried out, in which a pin is used in the tooth (see photo above), it is imperative to first make sure that the patient has the above indicators completely absent.

Conducting a thorough medical examination allows you to determine how resistant the tooth root is to the planned loads, as well as to establish indicators of wall thickness.

What are they like?

First of all, the choice of pins is carried out by a qualified attending physician who will be able to assess in detail the needs of his patient, after which he will choose the material that is most appropriate for each individual case.

Thus, to select a particular type of pins, several main factors are taken into account:

• how much the root of the tooth is destroyed relative to the gum;
• how strong the load on the restored object will be, as well as how thick its walls are;
• for how long is this design installed;
• what is the maximum possible depth where the pin can be installed in the tooth (see photo above).

By material

First of all, various pins differ from each other in the material from which they are made. As in the case of a standard filling, a wide variety of materials are used to make the pin, each of which has its own characteristics and methods of fixation. Among other things, such devices differ among themselves in the degree of elasticity and strength.

Anchor

A fairly voluminous design, for the manufacture of which specialized elements are used from various alloys based on stainless steel, titanium or various precious metals. They are used in order to ensure the full restoration of serious damage in the dental crown, but it is worth noting the fact that the patient must have sufficiently strong root canals to install them. It is extremely rare to insert such a pin into a wisdom tooth.

metal

Silver metal posts are by far the most common, and they are used primarily to restore a large area of ​​tooth decay, as well as strengthen the crown of the tooth. Among the characteristic advantages that distinguish such an installation of a pin in a tooth is that it is absolutely not subject to corrosion, it is distinguished by good visualization on x-rays, and also does not cause any reaction from the patient's body, which is a rather important factor in the vast majority of cases.

carbon fiber

The extremely high elasticity of this material, which is close to that of the dentin layer, is the main advantage that distinguishes this tooth pin. Why is such a property needed? It eliminates the possibility of fractures of the teeth in the area of ​​​​the roots, and also allows you to significantly strengthen them.

fiberglass

Being a relatively new material from which a tooth pin is made, fiberglass has become quite common today due to the fact that it has a high degree of elasticity and does not cause any allergic reactions in the patient.

If necessary, fiberglass structures can be easily removed from the oral cavity in order to carry out secondary treatment or any other procedures, and at the same time they significantly reduce the overall load on the tooth root, which is especially important.

Ceramic

If the patient needs additional strengthening after the treatment procedure, or if the tooth needs to be restored in case of significant damage to the crown, then such a pin in the tooth is suitable for him. Reviews of the devices in question indicate that they are chosen primarily for the sake of aesthetics, since there is almost no risk of translucence of this product. Among other things, the ceramic pin, if necessary, can be easily removed without violating the integrity of the patient's tooth.

Parapulpal

These structures are made of a specialized stainless alloy, which is coated with a polymer. Their main difference from the previous type is that they act as support for the main prosthetic structure, and at the same time they do not need to be installed directly into the tooth cavity itself.

Stump tabs

It should be noted that the stump tabs are by far the most reliable constructions among all existing for the restoration of various teeth. The manufacture of this product is carried out in accordance with an individual order after a detailed cast of the patient's damaged tooth is made in order to subsequently fix an artificial crown on it.

Gutta-percha

A factory-made pin that is intended to be placed directly into the root canal itself when using composite. Despite the fact that this particular option is financially the most affordable among all existing ones, which is why it is so widespread all over the world today, many do not understand the fact that in fact it is short-lived, and this can also make itself felt. know after a certain time.

Elastic and inelastic

The first type differs in that it allows you to protect the restorative structure of the tooth from the resulting near-root fracture, and this is especially important in certain diseases. At the same time, inelastic pins make it possible to create and maintain a restorative structure for a long time, including also standard bridges.

Fixation type

You also need to consider why you are installing a pin in the tooth. Why this or that design is needed, we have already considered, but in fact they are divided into several categories depending on the fixation option used.

Passive

These are used to provide additional strengthening of the teeth after their treatment. To do this, the product is fixed directly in the cavity of the root canal with a specialized substance.

Active

They are used to ensure the normal restoration of a completely destroyed tooth. It is worth noting the fact that this particular pin is the most reliable method of fastening. In this case, a sufficiently strong rod is used, which is firmly fixed in the dentin by screwing directly into the bone tissue.

How is the installation carried out?

1. Initially, the root canal is cleaned as much as possible.
2. The dentist inserts a pin into the pre-opened canal. In this case, it is important to ensure the best possible fixation of the rod by inserting it into the bone tissue.
3. The structure is completely sealed.
4. The tooth is prosthetized using a crown or a specialized artificial prosthesis.
5. A thorough test of the reliability of the fastening of this design is carried out, based on what the patient feels at the moment. If necessary, an additional adjustment procedure is carried out with a grinding machine.

Are there any downsides?

As in the case of any other intervention in the human body, a pin in the tooth also has certain disadvantages. What are these cons, we will consider further:

• All sorts of complications can develop, as well as the intensity of the destruction of the restored tooth increases significantly. In the overwhelming majority of cases, this can happen due to errors on the part of the manufacturer of the pins used.
• An allergic reaction may occur, the strength of which varies in each individual case. Often there are situations when the pin design is completely rejected, as it is incompatible with the patient's body.
• Secondary destruction of the tooth with the complete absence of the possibility of its further restoration. A similar situation can only occur if the tooth walls are too thin, which will constantly experience severe stress due to the pin inside.
• The need to completely remove the root if it is necessary to extract the pin if it was not firmly fixed during installation.

User Questions

It is worth considering the answers of professional doctors to several questions left by users and potential patients:

• Does it hurt to put?

In the process of carrying out this operation, specialists without fail preliminarily carry out depulpation of the tooth. If the pulp is absent, then in this case the patient will not feel absolutely no pain.

• Is it necessary?

In fact, the use of a pin is relevant in almost all cases, if the tooth crown has been destroyed by more than 2/3. In this case, due to the use of a competent installation of the pin, it will be possible to achieve a complete restoration of the destroyed part of the tooth, and then to achieve its strengthening.

• Why is there pain after installation?

Despite the fact that before the installation, the dental nerves are necessarily removed, in certain cases, patients may experience pain in the area of ​​​​the restored tooth. This phenomenon is normal and in most cases short-lived.

There are several reasons why pain occurs:

• Pain appears immediately after the removal of the nerve, and this is quite natural, its duration can be several days. In the event that pain persists for a long time, it will be necessary to urgently consult a specialist.
• Pain sensations, in parallel with which the general condition of the patient changes, including the development of stomatitis, are the result of the development of a serious allergic reaction to the applied material.
• Unpleasant sensations are often most directly related to too much entry of the pin into the canal. It is possible to determine such a defect only when using a specialized x-ray.

Thus, in the vast majority of cases, all kinds of complaints from patients who underwent the installation of such pins are the result of the fact that their body reacts to these structures with various allergic reactions, or the specialist treated the installation procedure incorrectly.

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What is a dental pin and what is it for?

Dental pins are spoke-shaped reinforcing structures that are used to insert into the canals of a tooth that is completely or partially destroyed. The use of such a restoration technology is possible only when at least ⅕ of its outer part has been preserved.

Thus, it is possible to insert a tooth on a pin under the following circumstances:

• destroyed outer crown of a molar;
• stopping the process of further destruction after treatment of the carious process in the oral cavity;
• the need to create a support for the establishment of a bridge prosthesis.

There are certain contraindications:

• the absence of a crown in the front of the affected tooth;
• carious processes;
• the thickness of the walls of the roots of the affected molar is less than 2 mm;
• insufficient length of the roots to provide the required height;
• poor blood clotting;
• mental disorders;
• pregnancy;
• inflammatory process in periodontal tissues.

The installation of a pin in a tooth is quite often used as a basis at the time of its restoration using composite materials. The implantation of the structure allows you to significantly speed up the restoration work. Along with this, pinning eliminates the presence of restrictions regarding the load on the restored tooth.

The video tells what a tooth pin is:

Types of structures

To understand which pins are best for your teeth, you need to know everything about their varieties. Dentists distinguish the following types:

• standard, which is used for minor tooth decay;
• metal, used in case of significant destruction of the molar;
• fiberglass, which is highly elastic;
• carbon fiber, which are the most durable;
• anchor, made of titanium alloys;
• individual, taking into account the features of the relief of a particular root of the patient.

If we take the shape of the root canal as the basis for classification, then there are conical, cylindrical, cylindrical-conical and screw dental pins. According to the method of fixation, active and passive are distinguished: the first are fixed in the dentin, and the second - in the cavity of the root canal.

Advantages and disadvantages

The main advantage of the technology of treatment with the use of a dental pin is the possibility of restoring even a severely damaged molar. These devices allow you to save the base of the tooth. When using this method, there is no need to replace it with an implant, the design makes it possible to avoid the need to remove the destroyed molar.

In addition, dental pins for teeth do not destroy the root system of the anterior bone elements. This makes it possible to ensure that foreign objects do not irritate the mucous membrane, as is the case with removable dentures. This moment is very important for patients with high sensitivity and allergic reaction to some materials used by the dentist in the treatment.

The next indisputable advantage of pin connections is their long service life. A significant number of devices have a guarantee for a period of 10 years. Often this useful life reaches up to 20 years. However, it is worth remembering that this is possible only if certain rules are observed.

Among the shortcomings of this design are usually distinguished:

1. The likelihood of developing a carious process around an element implanted in the gum.
2. Possible displacement of teeth due to the high strength of the structure, which sometimes leads to damage to the prosthesis and molar roots. In order to eliminate this problem, it is necessary to remove the implanted element along with the tooth.
3. The need to remove the tooth after the pin is completely worn out, since by the end of the period of use the needle will cut through the walls.
4. The high cost of the method.

Does it hurt to put a pin

Modern dentistry has a rich set of tools to provide high-quality anesthesia during the procedure. Local anesthesia is used to install the pin, since there is no need for general anesthesia.

The attending physician, by injecting, achieves a high degree of pain relief. This allows the patient not to feel any pain. Even if discomfort occurs during the procedure, it will be minor and tolerable.

Installation order

The procedure consists of several stages.

Preparation period

Before starting the manipulation, the doctor carefully examines the patient. If during the examination any diseases of the oral cavity are found that can complicate the operation, then they are first treated completely.

The dentist is obliged to check the thickness of the gums and evaluate their general condition. Depending on this, materials and type of fastening are selected. Before proceeding with the procedure, the doctor prescribes a professional cleaning. This is necessary to get rid of plaque, reduce the number of bacteria that can enter the affected area during manipulations.

A few hours before the procedure, the patient is not recommended to eat.

Installation

1. At the very beginning of the manipulations, anesthesia is performed, all other manipulations begin only after the anesthetic substance has fully worked.
2. The patient's dental canal is expanded and cleaned, after which the working surface is treated with an anesthetic.
3. If a passive dental structure is being implanted, the doctor uses a cementing mixture.
4. After that, a rod is implanted into the canal, which is either immersed inward or fixed with twisting movements.
5. The cementing mixture is dried using a special lamp.
6. If the prosthesis is not yet ready, then at this stage the necessary information is collected for its manufacture.
7. The finished prosthesis will be placed on a temporary surface to test for material rejection. The duration of the process is at least a week. If the process of rejection has not developed, then the crown or prosthesis is attached permanently.

The video simulates the process of how the pin is placed:

Rehabilitation

Some time after the procedure, the patient will need to undergo a preventive examination by the attending physician. The specialist will check how the design has taken root and whether it causes inconvenience to its owner. If necessary, the prosthesis will be sent for revision, but the pin will not have to be reinserted.

To ensure successful recovery after the installation of the structure, it is necessary to follow all the instructions of the attending physician:

• take medications and follow the principles of dietary nutrition;
• eat soft, pureed or liquid food, which will avoid injury to the oral mucosa;
• provide thorough hygiene care to prevent the inflammatory process.

Thus, pinning is a great way to restore a decayed tooth. The method has many advantages, some disadvantages. But the main thing is that this remedy will help to restore a healthy and beautiful smile to a person without much pain.

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The concept of a dental pin

A dental pin is a special design that is made from an impression and then installed in a pre-treated root canal. The rod serves as a support for a fixed bridge prosthesis. The pins differ in shape and method of insertion. Rods are of several types:

The shape of the pins may differ due to the characteristics of the root canal, they are:

• cylindrical;
• screw;
• conical;
• cylindric.

The fixation of the rods is divided into two types:

• Active pin. It is fixed in the dentin and is used mainly when a heavily infected tooth needs treatment.
• Passive pin. It is fixed in the cavity of the root canal. It is used to strengthen the tooth after treatment.

Indications and contraindications for installation

• the periodontium is mobile and unstable;
• the root is too small;
• there is root caries;
• channel perforation;
• root cyst;
• blood diseases;
• the length of the root is less than the height of the crown of the tooth;
• small thickness of the walls of the tooth root.

Advantages and disadvantages of the design

The advantages of a dental core include a number of positive factors:

The disadvantages of dental pins are:

• the pin can affect the destruction of the tooth;
• contributes to the development of caries in case of poor-quality implementation of the rod;
• pins made of metal can corrode when in contact with the root canal or saliva;
• metal pins do not connect well with the root of the tooth;
• the possibility of an allergic or local reaction that rejects the pin;
• over time, the walls of the tooth become thinner, resulting in further destruction, as well as the impossibility of restoration;
• the cost of dental pins is quite high and varies depending on the material of construction.

Complications after pin placement

It is not uncommon for the patient to experience pain after the pin is placed, and the reasons are different. When a dentist does not work professionally, problems such as:

Pain after implantation of the pin may also appear due to an allergic reaction to the material from which the structure is made. Secondary signs of allergy to the material of the pin are the appearance of stomatitis, weakness and fever. Complications appear if you do not follow the rules of oral hygiene, which causes inflammation of the dental tissues.

Pain when pressing on a tooth

When pressing on the tooth, a sensation of pain may occur due to the complex treatment process - this is due to the installation of an artificial upper part of a solid formation. This problem goes away with time.

The cause of pressure pain may be a highly placed seal, resulting in a violation of the normal closure of the jaw. Basically, such pain occurs during chewing. To avoid this, it is necessary to stay in the hospital after the filling and root canal treatment to observe the sensations in the oral cavity.

Other causes of pain and consequences

How to get rid of pain?

If the pin was placed qualitatively, but pain occurs on a tooth without a nerve, then the reason may be in congenital sensitivity. You can get rid of it yourself with the help of a paste, which includes fluorine and calcium. Irritation in the tooth may be due to food particles that can be gently removed.

When the dental rod is placed, it is recommended to rinse the mouth with a teaspoon of soda. It is forbidden to disturb the tooth for three days, try not to touch it when eating. It is necessary to use painkillers and apply cold to the cheek at the site of the rod. Analgin is perfect for dulling pain.

Rubbing a denture How much does a gold crown weigh on a tooth

The pin in the tooth is a support for removable and non-removable dentures. This design is presented in the form of a rod, which is necessary to give strength to a destroyed tooth. Its fixation occurs in the dental root canals. A pin is installed only under the condition of severe tooth decay, when there are simply no other ways to restore it. Teeth that have been resuscitated with pins are called pin teeth.

Pins for teeth are presented in a wide variety. All products differ in strength, fastening methods, elasticity. Only an experienced doctor who has the proper experience with the presented designs will be able to select the necessary option.

Anchor

For the manufacture of anchor pins, titanium, palladium, brass, stainless steel, and precious metals are used. Today, this design option is considered the best. They can be used to correct the most difficult cases. The anchor pin has become widespread in statistic practice for the reason that with its help it is possible to restore the tooth, provided that the crown is completely destroyed. At the same time, it is necessary that the root of the unit of the dentition be completely intact. Otherwise, there will simply be nowhere to install the pin.

The advantages of the considered design include the reliability of fixation, as well as the possibility of subsequent installation of the prosthesis. The disadvantages of the anchor pin include low elasticity, susceptibility to corrosion, and difficulties may arise when removing the product.

It is not long to fix the structure, but a similar operation is performed in any dental clinic. The cost of installing an anchor pin is determined taking into account the region. On average, it is 90 rubles.

fiberglass

For the manufacture of the structure, a new material in dental practice is used - fiberglass. Today it is in great demand among dentists, as it has high elasticity and is hypoallergenic. When installing the structure, it does not react with saliva, dentures, and metal is not noticeable. Fiberglass pins have become an excellent alternative to metal structures.

Their advantages include:

• the possibility of restoring the cult at a time;
• fiberglass pins do not lose their appearance over time;
• not susceptible to corrosion;
• easily removed if necessary;
• reduce the stress on the tooth.

The only drawback of fiberglass posts is the high price. It is 170 rubles per unit.

carbon fiber

This design option is obtained from a modern and elastic material. Carbon fiber pins can be classified as non-metallic products. Due to this design, it is possible to evenly distribute the load, preventing channel fracture.

The material has properties close to the dentin layer. Thus, it has high strength and long service life. When installing such products, the patient can safely consume solid food. The cost makes 200 rubles for 1 unit.

Stump

These designs represent a kind of micro-prosthesis. For its manufacture, chromium, gold, cobalt are used. The product is used in case of impossibility to install a crown, as well as in case of serious deformations of the tooth.

Post-stumps are in high demand due to the careful formation of the canal. When they are installed, the chewing load is distributed equally, which prevents the root from breaking. The disadvantage of the design is the lengthy manufacturing process.

Parapulpal

These devices are classified as non-metallic. For their manufacture, materials such as gold, stainless steel are used. The selected material is coated with a special polymer. Serve for retention, reinforcement of filling materials. The installation of the product is carried out in solid tissues, while the pulma is not affected. Since the pin does not penetrate deep into the tooth, the possibility of infection and the development of the inflammatory process is excluded.

The disadvantages of the design include the limited use, since the pin is close to the working surface. Most often, the product is used to give the seal high strength qualities.

Still pins can be divided into two large groups:

1. Standard. They are used to eliminate small defects in the teeth. Their shape can be conical or cylindrical. The fitting of the rod for each patient is carried out using special tools.
2. Individual. In their manufacture, the relief of the root is taken into account. Such a process takes a long time. At the same time, the cost of products is more expensive than the previous ones. The pin is highly reliable, and is also firmly fixed in damaged root canals.

The shape of the pins are divided into the following types:

• screw;
• conical;
• cylindrical;
• cylindric.

Taking into account the method of fixation, the following types of devices are distinguished:

1. Active pin. The design is installed in the dentin. This method is the most reliable. Due to the existing thread, the product is easily screwed into the bone tissue, allowing you to restore an almost completely destroyed tooth. The disadvantages of the design include the fact that due to high voltage, a split of a unit of the dentition may occur.
2. Passive pin. Its fixation is carried out with the help of a special fixing substance in the cavity of the root canal. Apply immediately after treatment. But the reliability of the passive product is not so high.

Before installing the pin, it is necessary to exclude the possibility of developing an allergy. Extremely rarely there is individual intolerance, in which the design does not take root. Then the tooth must be removed. Implantation is not painful and does not require much time. When installing a titanium or fiberglass pin, the patient does not feel any discomfort.

Indications

The installation of pins can only be carried out if the following indications take place:

• regeneration of teeth in which the crown part is destroyed by more than half;
• creation of support when installing fixed and removable dentures.

Contraindications

It is not always possible to install pins, especially if there are the following contraindications:

• complete absence of a tooth crown;
• blood disease;
• diseases of the nervous system;
• periodontal damage;
• periodontal inflammation;
• the length of the root is less than the planned height of the crown of the tooth;
• root wall thickness less than 2 m.

How to install a pin

The tooth on the pin does not lead to the development of painful sensations. But it depends on how the procedure is performed and whether the nerve was previously removed. In addition to the absence of unpleasant symptoms, the installation process takes a lot of time.

It is possible to carry out the installation of the pin if the nerve has been removed and at least one wall has been preserved. This process takes place following the following steps:

1. The doctor performs the removal of the pulp and carefully seals the root canal of the tooth. To check the work performed, it is necessary to send the patient for an x-ray.
2. Preparation of dental tissue. At this stage, the doctor removes all dead cells and prepares the site for the installation of the structure.
3. Using special nozzles, the doctor prepares the channels for installation. To do this, small holes are made in the fabric.
4. The inner part of the product is installed in the holes made. The outer part will act as a support for the seal. It rests on the pin and the walls of the tooth. It is necessary to apply the seal in layers, and then the structure takes the form of a tooth.
5. After installing the pin, the doctor should check the convenience of the design. If the patient feels discomfort, then the restored tooth is polished.

The whole manipulation does not last long. In this case, no pain occurs if the nerve has previously been removed. A correctly installed pin will give the necessary rigidity to the seal, as a result of which it will last up to 10 years.

If a nerve is needed, the doctor should give the patient an injection of anesthesia. If a metal pin is being installed, then pain is not felt.

Rehabilitation

When the pin placement procedure has been performed, the doctor will prescribe certain medications for the patient. In this case, you must follow a diet. The patient should use simple writing, which is easily chewed.

After installing the product, it is necessary to prevent the development of the inflammatory process. So it is worth taking care of thorough oral hygiene. For these purposes, it is necessary to perform regular cleaning of the mouth and use rinses, dental floss. With poor oral hygiene, inflammation of the gums near the restored tooth may develop.

Often, patients experience pain in the area of ​​the installed pin. The reason lies in the fact that the tissue around the screw is injured during its installation. More pain occurs with a fairly deep introduction of the product into the canal of the tooth. When the manipulation was accompanied by the removal of the nerve, the pain syndrome may persist for several days. If after a few days from the moment the pin was installed, the pain did not disappear, then this indicates an allergy to the material from which the pin was obtained.

If painful sensations arise due to the fact that the body rejects a foreign body, then the only correct solution is to remove the device from the oral cavity. Thanks to the use of innovative technologies, rejection occurs in only 10% of cases. As a rule, periodontal disease may occur after the procedure. The reason for its occurrence lies in the banal error of the doctor, the thermal effect on the ligament during the expansion of the channels. Without adequate therapy, you can completely lose a tooth.

Often the described problems arise due to the fault of the patient himself. For example, when a person does not adhere to simple rules of personal hygiene. Teeth cleaning should not take place only on the first day after the manipulation. An infection can penetrate into the affected area and actively develop there.

After the intervention, the patient has swelling and soreness. This phenomenon is quite normal. To stop unpleasant symptoms, it is necessary to apply a cold compress or drink an anesthetic. If such phenomena will bother you for a long time, then you need to urgently visit a dentist.

Be very careful about body temperature. Its rise can cause the development of an infectious process or rejection. In the first few days after the manipulation, this phenomenon is considered normal.

Advantages and disadvantages of pins

The main advantage of the described technology is that regeneration can occur even if the tooth is badly damaged. The base of the tooth will not be affected. It does not need to be replaced with an implant. As a rule, a dental pin is a design with which it is possible to prevent the removal of a decayed tooth.

When using pins, the root system of the front teeth is not disturbed. Doctors guarantee that foreign products will not irritate the mucous membrane, as happens when using removable dentures. This is extremely important for people who are hypersensitive and allergic to certain dental materials.

Another advantage of using dental pins is their long service life. Most designs are designed for 10 years of operation. Although in practice there were cases when the service life reached 20 years. But such a result is achieved under the condition that no excess load was applied to the spoke.

Since a dental post can be made from various materials, it is possible to choose the ideal product for a particular case. For example, if it is necessary to install a ceramic prosthesis, then there is no need to use a metal prosthesis in this case, because it will be visible through the crown material. You can solve the problem with the help of a dental pin obtained from fiberglass. This material is light and does not affect the appearance of the prosthesis.

As for the cons, dental pins have them too. This should include:

1. There is a risk of developing caries around the installed structure. It is possible to detect the disease only at a late stage.
2. Excessive strength of the pin leads to its displacement during operation. This leads to damage to the prosthesis and the roots of the tooth. The only way to solve the problem is to remove the pin along with the tooth.
3. At the end of the service life, the spoke will cut through the walls of the prosthesis. This will cause the complete removal of the tooth, since there are no other ways to fix the problem.

Dental pins are in great demand today in the restoration of a damaged tooth. They exist in a wide range. each of the available products differs in material, strength and installation method. The choice of the necessary pin is carried out by the doctor, taking into account the problem and wishes of the patient.