How the pin is installed in the tooth. Smile for a million or how much does it cost to build a tooth? What care is needed after restoration

If your tooth is badly damaged, it can be removed or recreated with a post. A dental pin is a rod that strengthens the root and outer (crown) part. A filling or an artificial crown is placed on it - and your tooth is as good as new!

There are many types of retainers for crowns - anchor, fiberglass, carbon fiber. There is no way to figure it out without the help of a dentist.

What is a dental pin

The pin is a ready-made design of a standard form, it is used as an additional support. The rod is fixed in the root canal, but only after careful preparation.

A restored tooth with a pin will last much longer (at least 5-7 years) and withstand increased chewing loads.

The seal on the pin

If at least half of the crown remains, a filling is made on the pin. Procedure steps:

X-ray diagnostics.

From the picture, you can estimate the length and shape of the channel, choose the right rod.

1. Treatment of all carious lesions and inflammatory diseases oral mucosa.

Training root canal.

Removal of the pulp (neurovascular bundle), mechanical cleaning washing with antiseptic solution.

Rod installation.

It is fixed into the canal, and the remains are cut off with special forceps, then the canal is filled with cement.

Tooth extension.

It is carried out by layer-by-layer application of a photopolymer composite, in this way the doctor gradually, layer by layer, forms the initial shape and size of the tooth.

Stages of sealing on a pin

Crown on pin

If there is nothing or almost nothing left of the tooth, an artificial crown should be placed. First, the pin is fixed into the canal, then an abutment (connecting element) is placed on it. And if fragments of enamel remain, they are ground to create a support.

After that, the dentist takes impressions of the crowns and sends the impressions to dental laboratory. After 7-10 days, the finished crown is put on and fixed with cement.

Indications

You can not do without an additional fixator in such cases:

• the coronal (outer) part is destroyed by more than 50%;
• fracture of the tooth, when only one root remained from it;
• the need to create a support for fixing the prosthesis;
• treatment of pulpitis (inflammation of the dental nerve), when the tooth is too weak;
• replantation - for example, a tooth fell out due to an injury, but remained unharmed. It can be put back into the hole, previously reinforced with a metal rod.

However, it is possible to put a latch only under 2 conditions:

1. The wall thickness of the tooth root is at least 2 mm.
2. It is possible to unseal the root canal by 2/3 of its length (if it has already been sealed).

• too thin root walls;
• curvature and obstruction of the root canal;
• inflammatory process (periodontitis, osteomyelitis, etc.);
• the presence of a cyst or granuloma;
• pregnancy (it is recommended to simply "wait").

Kinds

Anchor

Consist of gold-platinum or palladium alloy. There are active and passive:

• active - they are threaded and screwed into the root of the tooth, but such an installation can cause serious complications, for example, the formation of cracks;
• passive - fixed in a more gentle way (due to cement).

Titanium

it a budget option metallic anchor pin. Titanium is a durable and hypoallergenic material, well suited for strengthening severely damaged molars.

However, all metal rods have many disadvantages, for example, they are not suitable for the restoration of anterior teeth, create high blood pressure on the root, they are difficult to remove from the canal.

fiberglass

More perfect view tooth rod. Manufactured from continuous glass fibers. They provide a uniform mechanical load, and they are also completely transparent and therefore suitable for anterior teeth. Fiberglass retainers do not oxidize, do not rust and are easily removed from the canal.

carbon fiber

Elastic and durable pins, which in their structure are close to the natural bone tissue of the tooth. They create a rational power stress in the root canal, prevent fractures of the root and crown. This is the universal and most popular type of clamps.

Parapulpal

These are rod structures made of a metal alloy coated with a polymer mass. They are not fixed in dental cavity, and are used mainly for additional retention (holding, strengthening) of the seal. Rarely used.

Complications after installation

After the installation of the dental core, a local allergic reaction to the material used is possible. It manifests itself in the form of swelling, redness, itching. AT rare cases an inflammatory process develops - stomatitis or periodontitis.

Toothache with a pin

FAQ

Does it hurt to put a pin?

The whole procedure is absolutely painless, as it is carried out under local anesthesia. The doctor will give an injection of Lidocaine, Ultracaine, or another pain medication.

Is it possible to do an MRI if there is a pin?

There is no single answer. Some experts believe that any metal products can be heated in a magnetic field. The last word always with the radiologist.

What care is needed after restoration?

A restored tooth on a pin requires careful care. For 2 weeks, it is not recommended to eat too hard food, as well as use toothpicks. When brushing, try to be as careful as possible so as not to injure your gums.

Is there an alternative to dental pins?

When most of the tooth is destroyed, you can put a stump tab. This is a micro-prosthesis, which is made in laboratory conditions individually for each patient. Bottom part the tab is fixed in the dental canals, and the top one serves as a supporting element for artificial crown.

Prices

approximate cost pins:

• fiberglass - 800 rubles;
• titanium - 600 rubles;
• anchor - 400 rubles;
• parapulpar - 300 rubles;
• stump tab - from 2,000 rubles.

The installation of a pin is the last chance to save a hopeless tooth. When choosing a suitable fixative, the doctor takes into account many nuances: the degree of damage to the enamel, the shape and length of the roots, general state oral cavity.

If you are looking for a reliable dentistry or restoration specialist, use the information on our website. Just enter your area of ​​the city in the search bar.

If a tooth is lost, the dentist may suggest that the patient install a dental pin. What is it, what is the installation price, are there any contraindications to it?

The article will give sufficient information on this topic, show photos and reveal possible questions.

What is a dental pin?

Pin - a threaded rod, one end of which is screwed into the root of the tooth, and the other is designed to hold removable or fixed dentures. This method of building teeth is called pin and is used when the upper part of the tooth is severely destroyed.

The following arguments are given in favor of installing a pin structure:

• installing a pin makes it possible to return a beautiful appearance destroyed teeth, even front ones;
• the use of a glass fiber post makes it possible to preserve the integrity of the tooth root;
• the carbon fiber pin has an elastic structure, due to which the load on the root is distributed evenly, and the rod itself is firmly held in it;
• pin teeth are able to fully perform the functions of real ones, while removing the old root is not required;
• a tooth extended on a pin will serve its owner for at least 10 years, or even longer.

The use of pins in dentistry also has disadvantages:

• installation of the rod in a weakened root often leads to thinning of the walls of the tooth and, in the future, to complete destruction;
• when installing the pin in an unprofessional way, there is a risk of the spread of caries;
• metal rods are susceptible to corrosion due to interaction with surrounding tissues or various liquids;
• if it becomes necessary to remove the pin, it may be necessary to remove it along with the root;
• enough high price design affects the decision to install it;
• there is a risk of developing individual intolerance to pin materials.

What materials are they made from?

Pin structures are made from various materials and are metallic and non-metallic.

Metal pins can be:

1. Titanium.
2. Brass.
3. From stainless steel.
4. Gold with impurities of other metals.
5. Palladium.

Non-metallic structures are:

1. Fiberglass.
2. Carbon fiber.
3. Ceramic.

Each type of material, in turn, has its pros and cons. Before you decide to install a pin rod, it is advisable to know in advance about the advantages of different materials.

Types of dental pins

The classification of dental pins depends on the material used and its characteristics:

1. The anchor rod is made of metal and is installed in an active or passive way.
2. The fiberglass pin is particularly elastic, which makes it easy to install and possible subsequent removal. In addition, this material is hypoallergenic and does not interact with foreign substances.
3. Carbon fiber pin constructions have among their advantages an extraordinary elasticity, which allows to reduce the load pressure on the tooth root and does not have a destructive effect on the tooth itself.
4. The parapulpal one consists of a metal alloy, and is covered with a polymer on top. It is mainly used for better adhesion of the filling material to the tooth cavity.

In addition to materials, tooth posts differ in shape and method of anchoring at the root.

The shape of the pin rods depends on the shape of a single root canal and can be of the following types:

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

According to the fixation variations, the pins are divided into:

1. Active - equipped with a thread, thanks to which it is screwed into the root of the tooth. Used as a support for a full crown.
2. Passive - fixed in the root canal using special cement. The strength of this design is low, but the passive method of installation is more gentle on the tooth.

Which type to offer the patient, the dentist decides after examination and necessary research. An x-ray will definitely be taken to make sure that the bone is wide enough, into which the base for the prosthesis will be fixed.

A photo

Indications and contraindications

You can not independently decide on the installation of the pin. To do this, you first need to have evidence for it. These include:

• destruction of the dental crown by 50 percent or more;
• weakened condition of the tooth after undergoing dental treatment;
• the need for prosthetics of the tooth, for which it is necessary to install a support;
• extraction of the tooth for the duration of the treatment of the infection and its subsequent return to the hole.

The pin design cannot be installed if there are the following contraindications:

• the width of the root canal wall is less than 2 mm;
• active carious process in the oral cavity;
• insufficient root length;
• the impossibility of giving a cylindrical shape to the root canal;
• complete destruction of the tooth crown;
• violations of blood coagulation, including in women during menstruation;
• the period of bearing a child;
• mental health disorders;
• acute processes in the periodontium;
• cyst or granuloma in the mouth.

Dental pin - how is the installation carried out?

Preparation for the installation of pins in dental prosthetics begins with a thorough examination of the patient's oral cavity. If problems are found, first necessary treatment. Then everything happens according to this plan:

1. The patient is given an anesthetic injection, after which he loses sensitivity in the place where the doctor will work.
2. The dentist clears the root canal, expanding it to right size. Then he pours special cement into it to better fix the pin.
3. The pin is twisted or simply immersed in the root canal, empty spaces in the gap between it and the walls of the tooth are filled with a polymer composition. Then you need to dry the tooth treated in this way with a halogen lamp.
4. A prefabricated tooth prosthesis is first placed on temporary cement, after which, within a week, the doctor observes how the surrounding tissues react to foreign materials, whether there is any rejection. Convinced of the complete absence adverse reactions, the dentist puts the prosthesis on permanent cement.
5. The last step is just observation. The specialist periodically monitors how the patient feels with the installed pin, whether it is convenient for him to wear the structure. If necessary, the prosthesis can be further improved by grinding.

Rehabilitation

Since pin extension is quite expensive, it will be good to know in advance how to protect it from damage. In the period of several weeks, or even months after the procedure, the patient will have to follow some recommendations:

• it is not advised to eat foods that require active work with the jaws in the first two to three weeks after the pin is installed - the food should be soft or even frayed;
• you will have to give up brushing your teeth for a day, however, subsequently, daily double oral care using a brush and toothpaste should become a habit;
• it is necessary to ensure that the teeth do not come into contact with anything that can violate their integrity: seeds, nuts, toothpicks, etc.;
• you need to visit the dentist at the appointed time and follow his individual recommendations.

Analogues

Restoration of damaged teeth with the help of pin structures justifies itself so well that it is even impossible to name any of its best analogues.

If the pin cannot be installed, a tooth extension can be used using composite polymers. Sometimes the composite is additionally reinforced with flexible ceramics.

Instead of pin extension, it can be used - an individually made-to-order microprosthesis, which is used if for the remaining upper part tooth cannot be crowned.

Video: chatter about dentistry.

Prices

As already mentioned, the price of the restoration procedure using a pin is quite high. The formation of the cost depends on the material used, the shape of the pin, the complexity of manufacturing and installing the denture. If you have to make an individual base for the prosthesis, the price may increase by 200-300 rubles from the cost of a standard pin.

In different regions and clinics, prices may also differ. The approximate cost of a pin structure ranges from 400 to 1500 rubles. Despite the high cost, pin extension fully justifies the money invested in it, restoring a healthy appearance and beauty to a smile.

Tooth loss does not count now big problem, thanks to the pins, it is possible to implant an element on which any crown is fixed. This type of dental surgery is gaining popularity, which generates a great interest of patients in pins. The types of structures, the rules for their installation and other thematic issues will be discussed in this article.

What is a pin

Pin- this design, made in the form of a rod, is used for implantation into the canal holes in order to restore a lost or badly damaged tooth. The installation of the pin is carried out after the preparatory work in the oral cavity, namely on the jaw.

For the manufacture of rods, metallic and non-metallic materials are used, and the design itself has different forms.

Kinds

The structures differ from each other in several ways, which determines their belonging to certain kind.

What materials is it made from

The shape of the root canal

Rod pin structures are made different, have shapes in the form of:

• cylinder;
• cone;
• screw;
• cylinder in a cone.

By fastening the structure

Depending on the fastening and functionality of the tooth, one of the types of pins is selected and inserted:

• anchor- made of different metal alloys, installed with severe destruction of goiters (more than 50%).
• fiberglass– high aesthetic values ​​and elasticity allow to apply this species for prosthetics of the anterior teeth. A feature of the pins is the lack of clearance through the crown.
• carbon fiber– has high strength combined with elasticity. The pin contributes to a uniform distribution of the load in the canal, which eliminates complications.
• Parapulpal- is a metal rod covered with polymeric material. It is often used as a support for a prosthesis.
• gutta-percha- for the manufacture of the rod, a gutta-percha tree balm is used. The design is short-lived, therefore, in dentistry it is used as an additional support.
• Individual- this type of construction is considered the most reliable and durable, since the stump tab is made according to the patient's picture, taking into account any features of the channel opening.

According to the method of fixation

• Active structures are recognized by the thread, which makes it possible to screw them into the bone tissue. This method of fixation is suitable for severe damage to the tooth or its complete absence. The main condition for the use of an active pin is that the root canals should not be pre-expanded.
• Passive rods are fixed in the channel opening due to filling the cavity with cement. This technology is more often used after tooth treatment, when a hole is formed in the process of manipulation, which is subsequently filled with a solution.

How to choose a pin, by what criteria

There are several criteria for choosing pins, but this is definitely not a price sign. The decision to use one or another design is made by a specialist.

The main factors influencing the choice of pin:

• the extent of tooth damage, the condition of the dentin;
• root canal parameters;
• level of load on the restored tooth;
• immersion depth;
• expected or required service life of the structure;
• channel wall thickness;
• the condition of the roots, dentin around the causative tooth;
• material used in the production of rods.

Indications for installation

The pin is placed in the following cases:

• during replantation (fixation of a whole tooth that has fallen out due to a blow or as a result of an injury);
• to create a support when installing a prosthesis;
• when most of the tooth is damaged;
• during the treatment of pulpitis to fix a weakened tooth.

How teeth are made on pins

The implantation of the pin is performed in the following order.

1. Preparatory stage – diagnostics is carried out by a thorough examination of the causative tooth and an x-ray. The orthodontist, having studied the parameters of the channels, selects the type and size of the pin. Preparation is also professional sanitation of the oral cavity. This will help reduce the risk of wound infection and development inflammatory process. Among other things, the discovered problems of a dental nature are eliminated.
2. Root canal preparation provides for the extraction of the neurovascular bundle (pulp). During the procedure, mechanical cleaning, treatment with an antiseptic is performed.
3. Applying a rubber dam- a latex plate is used to isolate the pin tooth from saliva. It is installed on the gum in the place where the implantation of the rod is planned.
4. Pin implantation- the rod is installed in the canal hole, the excess length is cut off with special forceps, after which the canal is filled with medical cement for strong fixation.

After wound healing and complete fixation of the rod, prosthetics is performed with one of suitable ways: building up with filling material, fixing the implant.

rehabilitation period

Despite the fact that the pin implantation operation is an ordinary procedure, after the manipulations, the patient must follow some rules.

• After pinning operation the doctor prescribes antibiotics and, if necessary, other drugs. All instructions must be followed according to the scheme, otherwise the risk of developing an inflammatory process will increase, which will lead to rejection of the structure.
• For daily hygiene procedures oral cavity, it is recommended to purchase a brush with soft bristles, so as not to unnecessarily injure the jaw area with a pin. Brushing your teeth should be done twice a day.
• The menu is designed like this to include soft foods. To do this, in the process of cooking, it is better to chop the products with a grater or blender.
• Forget about toothpicks, at least for a while until the wound heals. Any mechanical load can cause the pin to be rejected from the soft tissues.

Possible Complications

AT postoperative period complications are possible, which are more often caused by an allergic reaction of the body to the material. This problem recognized by following symptoms:

• redness;
• edema.

Often, the symptoms are supplemented by an inflammatory process, which contributes to the development of stomatitis or periodontitis.

Advantages and disadvantages

Pins have a number of advantages, which explains their popularity. But for real assessment restoration element should be familiar with all the pros and cons.

Contraindications

Pins help bring back beautiful smile in many, even very complex cases. However, there are still limitations to the implantation of the structure:

• upon detection of cysts, granulomas;
• if an inflammatory process in the dentin is detected;
• with pathologies of root canals (curvature, blockage, etc.);
• when the channel walls are severely thinned.

Price

The cost of pins is influenced by the material used for manufacturing, as well as the manufacturer. Examples of average prices:

• parapulpal(metal alloy with a polymer coating) - 300-330 rubles;
• anchor- 390-420 rubles;
• titanium- 585-630 rubles;
• fiberglass- 780-840 rubles.

Procedure analogues

Alternative way, which is used for severe tooth decay, is the installation of a stump tab. It is a micro-prosthesis made according to the individual parameters of the patient in the laboratory.

The essence of the operation is to fix the lower part of the tab in the dental canals. The crown is attached to the free upper part of the prosthesis.

The cost of the stump tab is an average of 2200 rubles.

Popular questions

Answers to frequently asked questions will help clarify the situation in many non-standard cases. The information will reflect more complete picture the process of installing pins and their operation.

• Does it hurt?

Almost all patients ask this question, which is explained by deep penetration into the canal and fixation in the dentin. But the fears are really in vain, modern drugs for pain relief, they effectively relieve not only pain, but also inhibit the development of the inflammatory process.

Anesthesia is introduced before the main manipulations, the action lasts for 3-4 hours. Therefore, the procedure is painless.

• What is the service life?

Most types of pins have a long service life; manufacturers install a guarantee on their products for at least 10 years. However, the integrity of the design can be affected by some factors, in particular: the quality of the installation and the absence of mechanical action directed to the jaw area with the implanted rod.

• Is it possible to do an MRI with a pin?

When undergoing an MRI diagnosis, you should first notify the doctor about the existing pin in the jaw. For a more complete picture, you need to clarify what material it is made of. Accurate information will help the specialist to perform correct setting device, avoiding distortion of the image as a result of a bright reaction to the magnetic field of some alloys (for example, nickel, cobalt, etc.).

The presence of a rod structure in the mouth should not serve as a basis for refusing to conduct this type of study.

• A tooth fell out with a pin, what should I do?

The tooth falls out along with the pin for several reasons:

1. destruction of the cement insert fixing the rod;
2. anatomical features root system;
3. medical error when treating or installing a pin.

If such a nuisance occurs, then you should visit the clinic as soon as possible. It is advisable to get an appointment with the same orthodontist who implanted the rod.

• A toothache with a pin, what to do?

Pain in the tooth, where the pin was previously installed, occurs due to the inflammatory process, developing periodontitis, or as a result of an injury to the jaw area.

Another reason is congenital sensitivity, which manifests itself when the teeth come into contact with hot or very cold food / drinks. It is unlikely that it will be possible to determine the provoking factor on your own, therefore it is wiser to contact a professional if pain occurs.

• What should I do if I swallowed a tooth with a pin / just a pin?

If a tooth with a pin or the rod itself has been eaten, you should immediately contact traumatology. They will do it there X-ray and determines the method of extracting a foreign body from the esophagus or stomach.

It is not worth hoping for a natural exit of an eaten tooth, you can only worsen the situation. After resolving the issue of extraction, you need to contact the dentist about implantation.

• A tooth is loose on a pin, what should I do?

If the strength of fixation of the tooth is lost, it is worth visiting dental clinic to find out the reason. The doctor will suggest taking a picture to complete the picture.

Among the main reasons: de-cementing of the connection of the rod and crown, periodontal changes in the area installed implant, the formation of a root crack. The choice of a method to eliminate the problem is made only by a specialist after conducting research.

• What to do if the pin is broken?

If the pin breaks, you should make an appointment with the orthodontist. Each specialist gives a guarantee for his work, so if the period specified by law has not expired, and the cause of the breakdown lies in a poor-quality alloy or a mistake made by a doctor, then the extraction of the remaining element and the implantation of a new one will be at the expense of the clinic.

In the event of a rod breakage due to the fault of the patient, you will have to pay for the work yourself. But in any case, you should first of all consult a doctor.

An x-ray image will reflect the consequences of damage, which will allow the orthodontist to outline the steps to solve the problem.

• The root of the tooth burst with a pin, what should I do?

Cracks in the roots often appear as a result of endodontic treatment, but also form where there were no previously. dental procedures. Among the reasons considered by experts that led to the problem:

1. severe thinning of the root walls;
2. installation of a rod of a larger diameter than required;
3. during the preparation, deviations from the center of the root canal were allowed;
4. injury, mechanical damage jaws.

You can identify a crack with a medical magnifying glass or microscope with a thorough examination, so going to the clinic is inevitable. Treatment is developed taking into account the localization of the crack, the type of tooth, the elapsed time after root deformation, the condition of the soft and bone tissues around the causative tooth.

• Which pins are best for teeth?

Each type of rod has both advantages and disadvantages. According to experts, preference should be given to non-metallic products. In terms of strength, they are not inferior metal structures, from the aesthetic side, win one hundred percent.

When installed in the cavity, the entire channel is filled, which is important for high-quality fixation. Among other things, non-metallic rods are flexible, which contributes to better functionality and long-term operation. The metal does not have flexibility, so the entire load is redistributed to the walls of the channel, as a result of which the root may burst.

Tooth extensions may be required at almost any age, as their destruction can occur at a very different reasons. One of the fairly common and reliable methods of building teeth is the use of a pin.

General description of the methodology

It is not always necessary to extract a badly damaged tooth. Dentists agree that extraction is last resort, and if you can save at least some part, then that's what you should do. The rest can be restored using various materials.

However, this will require strengthening the structure. Otherwise, the artificial crown simply will not stand for a long time.

To strengthen with preserved roots, use pin, which is a small rod inserted directly into the root canal. In fact, this is a supporting tool for the entire structure.

Types of structures

• Anchor. They are manufactured in a factory way and are selected depending on the shape and size of the channel. They can be cylindrical, conical, or a combination of both. The surface is also different - smooth, serrated or threaded.
• fiberglass. Completely hypoallergenic and completely safe. Sufficiently elastic, which does not reduce the reliability of the final design. Additionally, this gives greater accuracy during installation, and subsequently reduces the load on the root.

  Among the properties and advantages of these pins, it should be noted that they do not change color, are not subject to corrosion, since the material does not react with surrounding tissues.

• carbon fiber. The properties of the material make it possible to achieve almost complete compliance with the elasticity of natural dental dentin, which makes the construction very reliable and durable, and also prevents possible root fracture.
• Gutta-percha. Less reliable, but quite often used because of the low price method. These structures are manufactured in the factory and have various sizes.

There are also parapulpal pins, in which, in addition to the main material - a medical metal alloy, an additional polymer coating is added. They are mainly used to provide additional support.

Additionally pins can also differ in the type of their fixation, of which there are two - passive and active:

• Passive- usually used in cases where the installation is required after endodontic treatment. To fix it after installation, various specific materials are used.
• Active- is a solid rod installed in the dentin, which is fixed in hard tissues tooth with a thread. It is used for very strong destruction, otherwise the crown may split due to the creation of additional stress in the tissues.

Indications

Like any other extension technique, the use of a pin has a number of indications.

• complete destruction of the visible part of the tooth, that is, its crown;
• partial, but rather serious loss of the enamel itself, as well as dentin, when one filling will not hold firmly;
• the need to create a supporting structure for the subsequent installation of various orthopedic structures(prostheses) of removable and non-removable type.

Wherein destruction usually exceeds 50%. They can occur both as a result of dental diseases, for example, caries, which was not cured in time, and after mechanical injury from a blow.

These indications should be considered as a possible, but optional, choice of pin extension. In every case experienced specialist be sure to offer the patient several possible methods.

Photo: installed pins for building a tooth

Contraindications

Also the procedure has contraindications:

• It is necessary to restore the frontal tooth, in which the crown part is completely destroyed.
• Inflammatory periodontal disease.
• The patient has a blood disorder.
• Diagnosis of granulomas or cysts.
• Too small root wall thickness (less than 2 mm).

Additionally, neglected caries can be included here, however, after its treatment, the use of the technique is possible.

Carrying out technology

• First of all, it is necessary prepare the root for the installation of the rod. This is done using special tools, gradually expanding the diameter of the hole being created.
• The pin is inserted very carefully so as not to damage the root. In this case, it is partially introduced into the bone in order to make the structure as reliable as possible.
• Then the canal must be carefully sealed, while paying special attention to the apical region, that is, the root tip.
• Already over the fixed pin applied composite material , in order to have a basis for further restoration.
• The last step is either installation of a finished artificial crown, or layer-by-layer application of a light-curing material to create it.

When using the latter method, the doctor simultaneously forms the necessary anatomical shape, and after curing, it sands and polishes the surface to achieve a natural look.

For more information about the process of tooth restoration and its extension, see the video:

Price

One of the most frequently asked questions by patients, after asking if it hurts, is the cost estimate.

Following this list you can calculate the cost of the service yourself on a case-by-case basis and in different clinical situations. Prices start from 5 thousand.

It should be added that if the patient initially carefully monitors his teeth and the entire oral cavity as a whole, and building is required after a tooth injury, then he will probably need fewer additional procedures.

The total amount that the patient will pay for such a procedure consists of many components. Moreover, not only their quantity can change, but also the price within each point.

What is included in the cost of building a tooth with a pin

1. Initial examination and consultation. Estimated price - about 250-350 rubles, but it can reach up to 600 rubles. However, in most clinics this service is either included in the total cost or is free of charge. further treatment there.
2. X-ray. The cost of x-rays may vary depending on the technologies used. A classic x-ray of one tooth costs about 250-300 rubles.

   However, it may be necessary to use an orthopantomograph or radiovisiograph (the price of the service is about 400-500 rubles) or an orthopantomogram (about 1000 rubles).

3. Computer modelling future crown of a decayed tooth. This service may include general list or paid separately. Then its price is from 300 to 1000 rubles.
4. Cleaning and preparation of coronal remains. It is made before processing the channel, so both services (points 4 and 5) are paid together. However, moving parts of the destroyed crown can be additionally removed, which costs about 300 rubles.
5. Root canal preparation: cleaning, unsealing or depulping if necessary. The cost of this stage starts from 1500 rubles. However, it depends on the complexity of processing, the number of tools and duration. Therefore, the price can increase to 2.5-3 thousand.

   Unsealing, carried out for previously treated teeth, costs about 1.5 thousand, and depulpation - from 2 thousand rubles.

6. Antiseptic treatment prepared hole. The price of this stage is usually included in the payment for the previous one, but sometimes a specific amount is negotiated - 200-250 rubles.
7. Pin manufacturing and its direct installation. It all depends on what kind of pin is chosen for installation. For example, the price of an anchor starts at 400 rubles, metal (titanium) - from 600-700, fiberglass - 800-1000 rubles.
8. His strong fixation. It is performed using various filling materials. It can cost from 300 to 800 rubles.
9. Restoration of the upper part, that is directly build-up. The amount paid for this stage depends on which extension method will be used.

   If the doctor recommends the installation of a crown, then restoration under the crown using a micro-filled light-curing composite costs from 2 to 2.5 thousand rubles, depending on the tooth (single-root or multi-root), and when using a virtremer - from 1.3 to 1.6 thousand.

   Additionally, you will need to buy the crown itself, the price of which, depending on the materials used, ranges from 4–15 thousand rubles. If the tooth is restored only with the help of light-cured composites, then such a service costs about 5-6 thousand rubles.

10. Finishing the extended surface if composite materials were used.
11. Checking the strength of the installation of the entire structure, held the next day.
12. Possible additional processing or fit if the restored tooth causes discomfort to the patient. This stage, like the two previous ones, is not paid separately, but is included in the cost of building.
13. Additional procedures carried out during extension. Usually this includes only the mandatory professional cleaning teeth from various deposits, since the quality and reliability of the build-up depends on it.

    Cost of brushing teeth professional methods is about 2-3 thousand rubles.

What else can affect the price?

It should be added that in addition to the amount of payment will be influenced by some other factors. It is they that can be used in most cases if the patient wants to save money by performing extensions.

First of all, this choice of clinic. Each dental clinic or medical Center carry out their pricing policy. The larger, more famous and more reliable the institution, the more expensive services they provide.

According to reviews the difference can be up to 25%. However, it should be added that it is these centers that guarantee their services. After all, they use only high-quality dental materials and have high-level specialists on staff.

The choice of the region where the patient will be treated is also important. In the capital and many other large cities, it will be more expensive, on average by about 5–15%.

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• Nataliya

  March 16, 2016 at 8:14 am

  I recently encountered this problem. Since during pregnancy my teeth went into a terrible state. I had to seek help from specialists. The front tooth was half destroyed, I thought I would have to remove it, but the dentist spoke about the procedure for building a tooth on a pin. Painless reconstruction of the old teeth and smile again like a Hollywood star. Modern nanotechnology and treatments work wonders.

• Anna

  March 16, 2016 at 8:18 am

  When I lost a tooth, I thought for a long time what to do - a bridge or a pin. Some dentists advised to put a bridge, but this is more expensive and will ruin the neighboring ones. healthy teeth. In the end, I decided to put a pin. Fortunately, there were no contraindications. The procedure itself was not terrible, everything was done in one go. But it all depends on the skill of the dentist. Everything went almost painlessly for me, so you need to choose a dental clinic carefully and spare no money.

• Elizabeth

  April 1, 2016 at 0:12 am

  I had problems with my teeth last year - my upper root tooth got sick. I endured, endured, pulled and lasted to such an extent that it was already impossible to restore the tooth. I had to delete it. It's bad to be without a tooth, of course. The dentist advised to increase new tooth using a pin. And you know, I made up my mind. And now a year has passed, and everything seems to be fine, the tooth is holding.

• Marianne

  December 26, 2016 at 6:24 am

  Like many, I have always been afraid of dentists, and therefore tried to avoid going to them until a certain point. She reached such a point that on the front teeth there was already not just caries, but in full pulpitis. I did not want to remove and prosthetize, in connection with which the dentist suggested building up a tooth on a pin. As a result, 15 years have already passed, and everything is holding up well, but of course there are some nuances, you won’t gnaw a carrot.

• Faith

  March 30, 2017 at 10:04 pm

  About thirteen years ago they brought me to summer vacation niece from the village. The girl was 12 years old. Parents are busy with agricultural work, they are not up to the child. And I see that her upper ones are almost half eaten by caries. I took her to the dentist. The doctor said that you can’t put crowns at that age, let’s try to build up. I was worried about how the girl would endure the procedure, but everything went well. Now the niece is already an adult, she has become a mother, and the extended teeth continue to serve her.

• Catherine

  November 27, 2017 at 01:43 pm

  Appeared in childhood little speck on the tooth. Well, in our free clinic on scheduled inspection they reamed everything to the size of the crater and put on a hefty filling. As a result, the tooth collapsed. And he was in front. It was a disaster. Of course, the doctors did not want to restore anything and wanted to build a bridge. Somehow, at 23, I didn’t really want this. It’s necessary to spoil the neighboring healthy ones. As a result, I found a doctor who built it up on a pin. I've been going for 4 years now. It's indistinguishable from the real thing, and it's holding up really well.

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 possibility their recovery is the build-up of 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 different kinds 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 they are screwed into 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.

AT last 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 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 put a crown on a part of the tooth with a pin, in its absence, install artificial tooth 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 hygiene care. 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 for cleaning contact surfaces of 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. 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 pain will keep 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 allergic reaction on 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 this moment they were supplanted by standard pins.
• Luminex technology, which combines the advantages of standard pin designs and stump cast tabs. 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 badly damaged chewing teeth which, after recovery, 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 swallowed foreign body you need to see 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 they cost implanted teeth on pins?

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