What kind of implantation is needed in the absence of teeth

What is teeth lamination

Some believe that teeth lamination is some kind of new unique technology. But in fact, such a name in dentistry is nothing more than another marketing ploy that attracts the attention of more patients. Lamination here hides the service of covering enamel with special materials (composite), as well as various overlays made of ceramics, zirconium dioxide, and ceramic composite.

Teeth lamination is the coating of enamel with special materials.

If you see names such as “veneering”, “laminates”, “lamination” in dental advertising, then know that we are talking about the same thing. During the procedure, specialists will cover the outer, that is, the frontal area of your teeth, with a thin layer of material or the thinnest plates, the main purpose of which is to hide all external imperfections in the smile area.

Today, not only teeth are laminated, but also nails, eyelashes, hair, and, of course, documents. In fact, the concept of “lamination” comes from the Latin lamina, which translates as “plate”. It is implied that an additional layer is applied to some surface, which makes it more beautiful, stronger, more perfect, and protects it from external influences.

Advantages and disadvantages

Compared to other reconstruction technologies, the procedure has a number of advantages:

Tissues are injured less than when fixing veneers;
Long service life;
Painless;
With semi-direct or indirect methods, you can predict the result, and also check whether the shade is suitable before starting work. The doctor places the plate on the tooth to see how natural the color looks.

The disadvantages include the high cost of the service and the fact that the enamel is still damaged.

What are the indications for the procedure?

The purpose of the procedure is primarily to improve the external condition of the teeth located in the frontal area of the smile. This is not a therapeutic event, but a cosmetic or restoration one. That is, it is designed to bring your smile closer to the ideal, eliminate an unsightly shade of enamel, grayness or yellowness, minor cracks and chips, interdental spaces, hide old fillings, slight curvature or irregular shape of teeth. Lamination is also recommended for patients who have not received the desired and long-term results from whitening procedures, or for whom whitening is simply contraindicated: with severe forms of fluorosis and hypoplasia, with “tetracycline” teeth, wedge-shaped defects and erosion.

The procedure is recommended for gray and yellow teeth

Laminates on teeth perform not only an aesthetic, but also a protective function. They reduce hyperesthesia or increased sensitivity of tissues, as they serve as a kind of barrier to food, acids and sugars that we eat with food. They also make the enamel less susceptible to cold and hot, prevent the penetration of bacteria, the development of caries and destructive processes.

How to make tooth inlays

This is a worthy alternative to the usual filling, but the process of creating a prosthesis is not as simple as it seems at first glance. Moreover, it can take a long time.

After the cavity of the diseased unit is cleared of traces of caries, an impression is made. Using special equipment, you can obtain a three-dimensional image of the molar. The specialist then makes a plaster model. The finished product is attached to cement. How are restoration elements made from different materials?

Metal. Alloys differ.
Ceramics. After creating a porcelain frame, ceramic mass is gradually and very slowly applied to it.
Zirconium dioxide. Obtained by milling and digital modeling.
Composite When exposed to light and heating, the structure polymerizes.

How is the procedure performed?

In fact, there are several lamination methods: direct and indirect.

Direct method

The procedure takes very little time, and you only need to visit the doctor once. At the appointment, the specialist carries out all the manipulations directly in the patient’s mouth: layer by layer, he applies the composite material to the restored area and exposes it to an ultraviolet lamp, then covers everything with a fixing varnish, grinds and polishes.

The undeniable advantages of the method are that it saves time and also money for the patient. In addition, materials applied to the enamel can be removed or adjusted at any time in the dental office.

You can restore your smile using composite materials

This lamination option is considered the most budget-friendly, but, unfortunately, it is very short-lived. The fact is that composites do not have the necessary shine and transparency that natural enamel has. In addition, over time they become dull and stained by food, even with good oral hygiene. To maintain the original beauty of composites, you need to visit a doctor at least once every 3-4 months for grinding and polishing.

Indirect method

Let's talk about how indirect teeth lamination is done. At the first appointment, the specialist will take impressions of the jaws, as the laminates will be created according to your individual parameters in a dental laboratory. And only during the second visit to the clinic, which usually takes place 2-3 weeks after taking impressions, the doctor actually performs lamination, that is, using special glue, he fixes thin plates on the teeth.

The most popular types of laminates: composite veneers1 (can be created by direct and indirect methods), classic veneers (from zirconium dioxide and pressed ceramics E.Max, Empress), the thinnest original American lumineers (DUO-PCH and Cerinate), ultraneers (the Russian manufacturer positions they are similar to lumineers, although they are less durable and not as thin).

This method is quite expensive, and you don’t get the result right away, since you have to wait for the onlays to be made in the laboratory. But in the end, the quality of work, as a rule, exceeds all expectations, that is, the patient receives an ideal snow-white smile, which, with proper care, will delight for at least 7-10 years. At the same time, the materials used to create indirect laminates completely imitate the appearance and shine of natural teeth, and are not stained by products and retain their beauty throughout their entire service life.

Look at the result after teeth lamination in the photo below. What happened before and what happened after is a big difference. Indeed, the appearance of a smile is radically transformed. Do you agree?

The photo shows teeth before and after installation of veneers

Direct lamination method

In this case, teeth lamination is carried out directly during one visit to the dentist. The doctor performs the procedure directly in the patient's mouth - for this he uses a composite material, applying it layer by layer. And then with a lamp, under the influence of which the restoration hardens. Afterwards, polishing is carried out to give the tooth the desired shape.

The main advantage of the method is, of course, saving time. And also the low cost of restorations. However, doctors advise paying attention to the main drawback: due to the fact that the procedure is performed using composites, the result will need to be constantly maintained, namely, every 4-6 months, contact the dentist so that the overlays are polished and made to shine again, like real ones enamel. The service life is from 3-5 years or more, it depends on the material, the initial quality of the restoration, as well as your attitude towards the extended teeth.

Do I need to grind off the enamel before laminating?

Various sites on the Internet are replete with information that the enamel in composite restorations, as well as when installing indirect laminates (created in the laboratory), does not need to be ground. But that's not true. When installing any onlay, as well as before laminating teeth, the top layer of enamel is slightly filed off. What is it for:

to give the restored smile a natural look: layers of material that the doctor applies to the teeth, or laboratory onlays, although thin, still make the crown more voluminous and convex. To remove excess volume, the doctor has to act on the enamel,
provide reliable fixation to the materials: enamel is smooth and shiny by nature. If you leave it in its natural form, then even when using special adhesives there is still a risk that the fastening will be reliable. It is to ensure better adhesion that doctors slightly file the enamel, making its surface slightly rough,
hide imperfections: if the tooth is slightly crooked or has a dark color, and immediately put a thin overlay on top of it without any manipulation, then there will be no point in this, since the restoration will look unnatural.

Before installing microprostheses, a specialist grinds the teeth

Indirect lamination method

Teeth lamination can also be performed indirectly. How the laminate is made in this case: the doctor first takes impressions of the jaws and sends them to the laboratory, where the onlays are created by technicians, and not only composites, but also porcelain and zirconium dioxide can be used to make them. The manufacturing process for laminates can take up to several weeks or even months before they are placed on the teeth. During the manufacturing process, the patient will need to wear temporary caps made of plastic, which will protect the enamel from damage, bacteria and temperature irritants.

Doctors admit that onlays created in the laboratory sometimes have to wait a long time, and their price is higher, but they are much stronger, more beautiful and durable compared to those made directly.

This is interesting! Direct lamination with a composite is performed by a dental therapist, but the installation of indirect laminates is carried out by another doctor - an orthopedic dentist.

Is it necessary to undergo professional hygiene before lamination?

The procedure is required. Firstly, it will remove plaque and deposits that can make the enamel structure uneven. Secondly, such a measure will help to identify pathologies hidden from the doctor’s eyes and eliminate them. For example, caries may hide under a thick layer of plaque at the initial stage of the disease, in the form of a chalky spot. Thirdly, professional hygiene will eliminate bacteria and normalize the microflora of the oral cavity, which means that the infection will not get under the laminate, which will allow you to enjoy the result of lamination without risk to oral health for as long as possible.

“I smoked for a long time, but recently I quit completely. Before that, I tried to whiten the enamel using chemical procedures, but the positive result lasted for a maximum of six months. And now the doctor suggested lamination. It seemed to me that the procedure was more natural and natural, something like whitening. There is no such harmful effect, and now the result, I hope, will be longer.”

Kisa, review from baby.ru

Before installing onlays, be sure to carry out professional oral hygiene

It is important to undergo professional hygiene not only before lamination, but also after it (1-2 times a year). Modern devices allow this procedure to be performed in a gentle and as gentle manner as possible, so your restorations will remain safe and sound.

Read in detail about how professional cleaning takes place and what stages it consists of in the feature article on the website.

Sections we recommend

On these pages you will find more information about teeth lamination and smile restoration methods:

Consultation with an orthopedist
Microprosthetics
Aesthetic dental restoration

Literature:

Yudina N. A. “Systematization of microprostheses of the anterior group of teeth and justification for the choice of aesthetic design: veneers, laminates, ultraneers, lumineers or composites?” // Modern Dentistry No. 2, 2012
The official website of Cerinate Smile Design Studio, a manufacturer of lumineers.

Author of the article: Victoria Igorevna Nikitina
Staff copywriter of the portal Stom-Firms.ru Author specializing in medical texts

Is it possible to laminate only one tooth?

Theoretically, this can and is allowed. But doctors recommend lamination of not just one, but preferably all teeth located in the smile zone, at least 8 upper ones. This measure will help to achieve naturalness and the ideal shade throughout the entire row in the visible area. Otherwise, the restored teeth may differ from those on which the procedure was not performed.

A lot in this matter depends on the type of lining you choose. Thus, it is possible to restore 1-2 units of a row with composite materials and veneers, but none of the professional specialists will simply supply you with original lumineers for 1 tooth. Lumineers are distinguished by their ideal whiteness, to which it would be simply unrealistic to match adjacent teeth with other restoration methods.

In some cases, it is possible to restore one tooth

How is direct restoration performed?

first, the oral cavity is sanitized, all foci of inflammation and bacterial plaque, if any, are removed,
the doctor carefully isolates the working surface from saliva, for example, using a rubber dam,
the enamel is partially sanded off, treated with an antiseptic and adhesive,
Next, layers of composite material are applied until the doctor achieves the desired shape and color of the restoration: each layer is exposed to an ultraviolet lamp and hardens,
in the final stage - application of fixing varnish, sanding and polishing.

How much does the service cost?

Teeth lamination is a procedure, the price of which directly depends on the type of veneer you choose. If this is just a direct composite restoration, then the cost of transforming one element of a row starts from 8,000 rubles. You need to pay more for the installation of veneers and ultra-veneers: from ceramics - from 25 thousand rubles, from ceramic composite - from 35 thousand rubles, from zirconium dioxide - from 40 thousand rubles.

The cost of original lumineers, created directly in a US laboratory, starts from 70 thousand rubles.

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dental restoration

Biryukova R.R. Aesthetic restoration of the frontal group of teeth // Bulletin of medical Internet conferences. – 2021.

Expert “It is advisable to carry out lamination only if the person does not have significant pathologies in the smile area and the structure of the teeth being restored is not disturbed. For example, there are no artificial crowns or large fillings, deep caries, or malocclusions – in particular, deep and straight ones. The procedure is also contraindicated for bruxism and increased enamel abrasion. Otherwise, the visual effect that the patient is striving for will not be achieved, and the restoration itself will be short-lived.” Implant surgeon Ruslan Davudovich Samadov

Consulting specialist

Orlova Elena Vladimirovna

Doctor rating: 9.5 out of 10 (2) Specialization: Dentist-therapist Experience: 32 years

Restorative dental onlays

Due to oral diseases, poor diet or age-related changes, the smile loses its attractiveness.
The most common problems: darkening, the appearance of white spots, minor chips or uneven teeth. To eliminate these defects, teeth lamination is prescribed in aesthetic dentistry. This is a cosmetic procedure without a therapeutic effect, which in rare cases helps reduce enamel hypersensitivity. In the article Stom-Firms.ru we will tell you in detail about lamination, when and how it is done, and whether the procedure has any disadvantages.

Comments

How to brush teeth with laminates?

Mari K. (03.11.2020 at 13:08) Reply to comment

Editorial staff of the portal UltraSmile.ru (06.11.2020 at 09:24) Reply to comment

If I have crowns and they were not made perfectly white, because... The enamel of my teeth is yellow by nature. Is it possible to laminate a certain shade? To match the color of the crowns.

Julia (11/20/2020 at 4:00 pm) Reply to comment

Hello! I have been thinking about this procedure for a long time... Please tell me, do I understand correctly that my tooth is being ground down, and then it will not be possible to remove the veneering? So it’s no longer possible to return to natural teeth?

Nastya Li (11/20/2020 at 05:52 pm) Reply to comment

As we age and our teeth lose their shape, is lamination a good option for old age?

Quiet (11/20/2020 at 6:09 pm) Reply to comment

Hello!!! My teeth are naturally yellowish-gray. I didn't bleach them with anything. Since I work as a teacher and consider my appearance unaesthetic due to my teeth, I came to the conclusion that I need lamination. After reading about teeth lamination, many questions arose. Is this harmful to the enamel? What should I do if I need dental sanitation or treatment after lamination? Help me please

Adele (11/20/2020 at 7:19 pm) Reply to comment

Six months ago I installed veneers on my teeth. Yesterday I noticed that one of them seemed to have moved a little away from the tooth, what should I do?

Alla (11/30/2020 at 4:22 pm) Reply to comment

Editorial staff of the portal UltraSmile.ru (04.12.2020 at 10:02) Reply to comment

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General advantages and disadvantages of different types of lamination

Before doing teeth lamination, you need to evaluate all the pros and cons of the procedure. It is clear that each type of lamination has its own disadvantages and advantages, but there are a number of common points on which they are similar.

The advantages are as follows:

the ability to eliminate several different defects at once comprehensively and quickly,
there is no need to prepare for the procedure for a long time: the main thing is to undergo treatment of diseased teeth, if any, and perform professional oral hygiene,
protection from aggressive environmental factors,
there is no need to perform depulpation (removal of the nerve), as with prosthetics with crowns,
variety of restoration methods: each patient can choose the one that suits them based on cost and other criteria (service life, aesthetics),
a gentle effect on the patient’s natural teeth: before fixing the onlays, the doctor, of course, grinds off a small layer of enamel and grinds it down, because laminates will not last long on a perfectly smooth surface, and the quality of their fastening will be very short-lived. In addition, the smile will look unnatural, because... If you don’t grind down the enamel to a thickness equal to the thickness of the overlays, it will be noticeable, unnecessary volume will appear, and you can get the effect of a “horse smile.” However, this procedure is considered minimally invasive; the tissue is not significantly damaged during the process, and in some cases, preparation can be almost completely avoided (for example, when choosing lumineers).

As for the shortcomings, there are not many of them. In particular, this is the impossibility of carrying out aesthetic restoration by laminating the chewing teeth, because overlays are installed only in the smile area. But, in principle, there is no need for this. The second drawback is the contraindications: in particular, reviews suggest that some patients are upset because the method cannot solve serious bite problems or correct significant defects.

How to install tabs

To install a seemingly simple accessory and hide defects, you need to go through many successive steps.

Diagnostic studies. A medical examination is not enough, the patient is sent for an x-ray or computed tomography. This way the doctor will be able to fully assess the scale of the problem and develop a therapeutic regimen.
Preparation. When damaged areas are removed, pathologies invisible to the eye may be revealed.
The cast from which the prosthesis will be made, the choice of material and color.
Scanning and creating a three-dimensional model of the operated area.
Manufacturing (what a dental inlay looks like and is installed on a tooth is discussed above) of a microprosthesis, which takes approximately 7-10 days.
Treatment before installation for better fixation of surfaces.
Installation of the structure on a dental cement composition.
Receiving recommendations from a dentist about the rules of care, use and nutrition.

When should you think about lamination?

If you are not satisfied with the appearance of your smile, then talk to your dentist about the possibility of whitening your teeth using lamination. It is usually recommended in the following cases.

The natural color of natural enamel is too dark. In this case, standard whitening methods will not give much effect. If you have already tried many methods, but have not achieved the desired result, it is time to try restorative bleaching.
Enamel is very durable, but even it can become scratched over time. They not only disrupt the overall aesthetics of the smile, but also cause the development of carious processes. In this case, lamination will help solve two problems at once - to achieve a snow-white smile and protect teeth from destruction.
If there are minor chips, then with the help of lamination you can disguise them, while simultaneously correcting the smile as a whole.
Gaps between teeth look very unattractive. If they are not too wide, and you would not like to resort to braces to eliminate them, then lamination will be the optimal solution.

If it is difficult for you to imagine what your teeth will look like after lamination, then we invite you to look at a few photos.