The latest achievements of modern dentistry. Orthopedics in dentistry Liquid filling for a tooth
Medicine does not stand still, and dentistry is especially actively developing. Which is logical, information technologies are also involved as powerful and accurate tools. In recent years, even the concept of “computer dentistry” has appeared. Probably, all the latest technologies in dentistry that will appear in the future will be associated with computer technology.
Machines to help people
Digital technologies are, first of all, relevant in orthopedic treatment at all stages. Systems have already been developed and are being implemented that completely independently fill out the necessary documents. Automated work includes modeling the oral cavity of a specific client with recommendations on which treatment paths should be optimal in a given situation.
The latest technologies in dentistry allow graphic data to be analyzed and processed extremely quickly, and the patient to be examined in detail, without omissions. The results obtained during the research can be demonstrated to both the patient and colleagues.
It must be said that the first such devices cost a lot of money, but quickly growing competition changed the situation. There are cameras for taking photos and videos in the oral cavity that can be connected to a PC. Using this type of technology is easy. In advanced clinics, traditional X-rays are practically not used; instead, radiovisiographs are used that do not irradiate the patient.
Three-dimensional medicine: the future is already in our hands
Computer programs that record and analyze the patient’s facial expressions have shown effectiveness. These are also new technologies in dentistry. Prosthetics becomes much easier and requires less time if the doctor first has a full-fledged animated model of the oral cavity on his computer screen, where he can rotate it and study it from any angle. Such programs are called 3D articulators.
To select the best treatment option for a particular case, you can use computer treatment planning. By the way, special anesthesia control programs have been developed - the computer can now even cope with the task of pain relief.
Neuromuscular dentistry: new technologies
Only the most modern institute of new technology dentistry can afford the neuromuscular approach. Its advantage is that the neurophysiology of the patient’s oral cavity is also taken into account. Methods have been developed to study how active the masticatory muscles are and what the ideal occlusion is.
The best effect is ensured by the fact that the doctor can simulate the trajectory along which the lower jaw moves and work on the prosthesis taking this information into account. If we are talking about a patient with TMJ dysfunction, then neuromuscular dentistry is the most reasonable option.
The pioneer in this area is the American company Myotronics. The company's specialists developed the K7 system, which has become widespread throughout the world. It is used in the most progressive Russian clinics.
Orthopedics against dental problems
The latest technologies have found application in dentistry and in the work of orthopedic doctors. Modern materials and a fundamentally new approach to prosthetics have helped reduce the time required to eliminate oral defects while maintaining a high level of reliability.
First of all, new technologies in orthopedic dentistry are, of course, materials. Damaged teeth are built up using composites - this is the most effective way. The material is created artificially and includes:
- glass;
- quartz;
- porcelain flour;
- silicon oxide.
The advantage of the composite is its extensive color range. The patient can choose a material that is as close as possible to the natural shade of the teeth. So, the renewed tooth will look exactly like the “native” one.
It is often used in orthopedic surgery. It allows you to make really beautiful and durable dentures, which is why it is used primarily for the front teeth. They will look like real ones, even their coating is like enamel. Ceramics are completely safe for health. Strengthening is provided by a metal frame.
New products in dentistry: all stages of prosthetics are covered
Modern orthopedic dentistry also means new solutions in the following areas:
- connection of materials;
- veneering of dentures;
- methods of manufacturing materials.
A technique for durable joining of composite and metal was developed. It is based on new methods of metal processing: mechanical, physical-chemical, combined. In recent years, there has been a great demand for adhesive technologies. When handled, a super strong adhesion can be guaranteed.
The latest technologies are used in dentistry and when working on veneers, dentures, and onlays. Among the materials, composite is indeed widely used as the highest quality. Visiting the dentist to install such a prosthesis is no longer scary, and no patient will experience pain.
New items in the arsenal of dental therapists
New technologies are the most relevant in root canal treatment. This branch of dentistry is engaged in, which is called endodontics. The main diseases studied in this field are:
- pulpitis;
- periodontitis.
If the root canals have been well treated, the tooth will last a long time despite the removal of the nerve. But complications may arise when pathological processes spread to the jaw bone. Then they talk about cysts and granulomas. Effective modern technologies will help avoid such a disaster.
One of the most effective technologies is depphoresis. It is used if you have to treat a tooth that has already been treated using an outdated method. This technology is irreplaceable if the patient is diagnosed with a granuloma or cyst.
And, of course, we cannot help but mention the new materials used by dental therapists. Recently, glass ionomer cements have become widespread and have shown themselves to be the most promising. These materials have a minimal level of toxicity, but they are durable and beautiful. In addition, due to the increased concentration of fluorides, such cements effectively fight caries.
Dental crowns: new technologies to protect oral health
Modern dental crowns are made from a special material based on metal and ceramics. It was possible to automate the process of crown design and manufacturing.
CAD/CAM is the name given to these advanced technologies in dentistry. Crowns made in this way fit the patient perfectly, and this is ensured by computer modeling of the oral cavity, thanks to which the doctor can examine the most inaccessible areas from all sides at any time.
CAD/CAM is used to create prostheses and onlays, crowns of the most complex types and shapes. The technology is quite expensive, but it significantly reduces the time spent at the doctor’s office and allows you to get perfect crowns, which cannot be said about older methods.
You can't skimp on your health
It's no secret that dentistry with new technologies in Moscow will not be cheap. You can spend much less money if you turn to old, “grandfather’s” methods, or even go specifically to a small town on the periphery of the Moscow region, expecting to find a low price tag.
Doing this is strictly not recommended. Bad dentures can ruin your entire future life and lead to many problems. Therefore, truly reasonable behavior is to turn to specialists who practice the most modern methods.
It is imperative to make sure that modern and effective materials are used in the work.
If you have the opportunity to visit a clinic that offers computer modeling, it is worth the price tag to afford it.
Patient experience: putting it to good use
When choosing a dental clinic, you should definitely study the reviews: find out from friends and acquaintances where they had their teeth treated, what their general impressions were. When collecting information, you need to analyze not only how positive the reviews are, but also how trustworthy they can be.
The latest technologies in dentistry are the key to a flawless smile, as evidenced by reviews from satisfied patients.
Orthopedic dentistry offers assistance in the treatment of violations of the integrity of the dental system using prosthetic methods. Orthopedic dentists diagnose the functionality of the dental system and prescribe the appropriate treatment method. Modern orthopedics in the field of dentistry involves the treatment of diseases associated with dysfunction of the organs of the maxillofacial area, as well as the implementation of dental prosthetics.
Today, high demands are placed on prosthetics. Lost teeth must be replaced or restored in such a way that the resulting tooth not only performs its primary function, but also has an attractive appearance. Prosthetics involves the complete restoration of the aesthetic parameters of the tooth, creating a complete imitation of natural teeth. At the same time, the teeth must cope with biting and chewing food. The remaining teeth should not be damaged: orthopedic dentists need to correctly distribute the load during chewing, as well as create optimal conditions for professional and individual hygiene.
Orthopedic dentistry is a branch of dentistry that deals with dental prosthetics using certain dental techniques and the goal of which is to restore the integrity of the dentition. Dental prosthetics are currently divided into types such as: microprosthetics, removable, fixed and “implant prosthetics”.
The specialists of the dental clinic “V Put” can offer high-quality professional service in offices equipped with the latest dental technology. Dentists who work in the area orthopedic dentistry, apply the latest developments, use the latest achievements in the field of prosthetics and tooth restoration. Modern materials used in work make it possible to install ceramic veneers and all-ceramic crowns. Adhesive cements and systems, new metal alloys, and ceramic masses make it possible to achieve optimal quality in the process of tooth restoration.
Our dentists have completed advanced training courses abroad, which allowed them to gain an understanding of traditional and innovative prosthetic methods used abroad. At the request of our patients, orthopedic structures are produced in Germany, Sweden, and America. Experienced orthopedic dentists who have worked in the field orthopedic dentistry for more than ten years, they have been conducting diagnostics, prescribing treatment and preparing for prosthetics.
If one or more teeth are missing, it is not only unsightly, but also causes a lot of inconvenience. The absence of teeth makes it difficult to chew food correctly and efficiently, which leads to diseases of the gastrointestinal tract. Using artificial teeth, you can restore a person’s healthy smile and improve their quality of life.
Indications for dental prosthetics
People have been making prosthetics since ancient times. The first dentures performed aesthetic functions or emphasized the high status of their owner. The variety of materials and technologies used for dental prosthetics were determined by fashion and ideas of beauty. Ancient dentures were made from shells, stone, wood, and bone.
Today, prosthetics is, first and foremost, a treatment. The latest technologies make it possible not only to create a beautiful smile, but also to completely restore chewing function. From an aesthetic point of view, dentures return the face to its previous shape and straighten out its oval.
Long-term refusal to set teeth leads to gradual resorption of the jaw bone and thinning of the gums. If several units are missing, it seriously changes the shape of the face, causing the cheek or lip to recede.
Modern methods of dental prosthetics replace lost units with dentures, which helps normalize digestion. It is especially important to set up teeth when they are completely edentulous.
Features of prosthetics
Options for setting teeth depend on the number of “holes” in the mouth, the condition of the bone tissue and gums. Any type of modern dentures requires preliminary preparation of the oral cavity. Something will have to be removed, inflammatory processes must be cured. The choice of method for installing artificial teeth depends on the patient’s desire, cost, and condition of the jaw.
Restoration of anterior teeth
The smile line is restored for aesthetic reasons, because its beauty is impossible without a set of even white teeth. Durability fades into the background, since the chewing load on them is small.
The most common solution for restoration is crowns. A cap made of plastic, metal or ceramic is placed on a specially prepared base. To make crowns, an impression is taken from the jaws, and each crown or bridge is created to individual dimensions.
To restore the front wall, advanced technologies are used - installation of veneers and lumineers. They are ceramic plates that vary in thickness. Veneers are up to 0.7 mm thick and require grinding before installation. Lumineers are made with a thickness of 0.3 to 0.5 mm; with this method of dental prosthetics, the enamel is not damaged. Fastening is done using special glue.
Prosthetics for complete absence of teeth
The absence of teeth in the mouth, called complete edentia, requires treatment with prosthetic methods. To restore the functions of the jaws, modern dentures are used, either permanently installed or inserted (we recommend reading: dental bone tissue: how is the destroyed jaw shell removed and restored?). The choice of option depends on the wishes of the patient and the opinion of the doctor, taking into account the condition of the oral cavity.
The following options for dental prosthetics are possible for complete edentia:
- implantation (classical or basal);
- installation of removable nylon dentures;
- removable plate dentures.
Methods of dental prosthetics for large or complete deficiencies must take into account all the features of jaw movements and ensure natural articulation. This is achieved in various ways, one of which is to align the teeth on a spherical surface. The radius of the spherical surface and the choice of the type of artificial teeth influence the complete replacement of the patient’s own organs.
Restoration of chewing teeth
It is necessary to restore chewing functions so that the gastrointestinal tract does not suffer due to their disruption. Aesthetics plays a lesser role, although cheeks that are sunken due to edentia change the oval of the face and age.
The most common method of setting teeth is to install a bridge resting on the 2 outermost units. The lack of supports or the poor condition of the remaining organs exclude the possibility of using them for prosthetics. Dental prosthetics in this case is possible using a removable denture or implantation. Implantation can be one- or two-stage.
Classic two-stage implantation consists of installing implants, their implantation for a certain period of time and subsequent prosthetics. This method involves the manufacture of a temporary removable denture.
One-stage implantation is less traumatic. It allows you to install artificial teeth on the implant immediately; the procedure for installing modern dentures can be completed within a week. The advantage of the technique is the installation of an implant on atrophied bone of small volume. Disadvantages include the high price and the presence of contraindications.
Types of dentures
The structures used in dental prosthetics are divided into permanent and removable. Removable dentures may be incomplete. The material from which they are made and the type of fastenings affect both the durability of the prosthesis and the time it takes for the patient to get used to it.
Both types of prosthetics have positive and negative sides. Removable dentures involve the installation of teeth without sharpening, are inexpensive, but have weak fixation.
Setting up teeth requires preparation of the base: removal of the nerve, filling of canals, turning. The use of implants for modern dentures requires surgical intervention: screwing a pin into the bone, and in some cases, preliminary bone tissue augmentation. But they are distinguished by enviable strength and durability.
Removable dentures
Choosing dental settings that can be removed at night eliminates the need for painful procedures. In a large number of cases, it is preferable to use this arrangement of teeth. Artificial teeth, called false teeth, are used for complete edentia, and in case of partial edentia, it is possible to restore a row with the help of missing units attached to a removable plate. There are several types of such prostheses:
The above options can be seen in the photo. An important role is played by the line along which artificial teeth are installed in completely edentulous cases. The location of the prosthesis relative to the spherical surface of the upper palate affects the duration of adaptation and ease of use of modern prostheses.
Fixed dental structures
Fixed structures are also divided into several types based on the method of setting teeth. The row is replenished using:
In this case, the placement of teeth is done even more carefully. The radius of the spherical surface on which the prostheses are located is taken equal to 9 cm.
Modern materials for prosthetics
Before placing teeth, it is necessary to determine which material is most suitable for the patient. Now many people suffer from an allergic reaction to metals, and there are other contraindications.
Modern dental prosthetics can use a wide range of new materials. Dentistry uses a number of materials to bring the appearance of an artificial product closer to the natural one:
The latest denture technology
The newest and most modern methods of installing artificial teeth are various implantation options. The classic involves the implantation of individual “roots”; 4-D allows the installation of artificial teeth even with a small amount of bone tissue.
Techniques that help build bone tissue are widely used in dentistry. For this, both animal tissue grafting and new Harvest SmartPReP technologies are used, which allow the formation of bone by thickening the blood plasma. Modern methods of dental prosthetics are described in detail in the book by Henning Wulfes “Modern Prosthetic Technologies”.
Possible complications
The use of any new products and innovations in the selection and installation of artificial teeth can still lead to complications. Natural discomfort from setting teeth will quickly pass. Inconveniences caused by unsuccessful selection of artificial teeth can lead to an inflammatory process. The best treatment option is to do everything on the advice of an experienced specialist. The doctor will help you avoid allergic reactions and the development of diseases under dentures.
We are all afraid of going to the dentist, sometimes it even seems that this fear nests somewhere at the genetic level. But it is impossible to avoid regular visits to the dentist, especially considering that dental diseases directly affect the development of other, much more dangerous diseases.
Dental technology has already changed significantly almost everywhere, and the future, which is almost around the corner, promises us even greater changes in this area of healthcare. Imagine getting dentures literally an hour after visiting the dentist, and not after 4 - 5 visits? Can you imagine a telemedicine visit to the dentist? What do you think about the possibility of growing new teeth at the age of 80?
Here we would like to briefly introduce you to the 8 main innovations in dentistry.
Smart toothbrush
You won’t surprise us with “smart” electronic devices, and now these electronics have reached the bathroom. The Kolibree smart electronic toothbrush, together with the corresponding application, allows you to remain confident that you are brushing your teeth correctly, and also offers children fun games that teach them to brush their teeth correctly and regularly.
Philips also released its own brush that works via Bluetooth, including it in its already fairly large line of smart consumer medical devices. It uses a set of sensors to track how you brush your teeth in real time. And it does it extremely simply and clearly. The app shows a 3D map of the user's teeth, showing the teeth they are currently brushing and telling them if they have been brushing too little or too long. It also warns of too much pressure or a harsh cleaning style.
Augmented Reality
The University of Strasbourg in France is using augmented reality for coursework and practical work to demonstrate dental models to students and allow students to compare the prosthetics they create with reference models. Faculty at this university believe that in just a few years, augmented reality technology will completely revolutionize dental education.
A similar device, called the DentSim Simulator, was developed by Image Navigation - it uses augmented reality technology for simulation, allowing students from all over the world to hone their skills. This training system has already been used by 10 thousand dentists from 17 countries.
A virtual reality
Just like augmented reality technology, virtual reality (VR) can be used for training and professional development of dentists. Today, only a couple of students can peek over a surgeon's shoulder as he performs a complex operation, and this significantly complicates the learning process. But a VR camera allows you to broadcast an operation around the world and do it literally “through the eyes of a surgeon” if students use VR glasses. For example, this summer, Nobel Biocare already organized a broadcast of a dental operation, which was available through virtual reality devices.
Virtual reality technology is also useful for patients - recent experiments have shown that VR broadcasts of natural, relaxing scenes work great as a pain reliever for people in the dentist's chair, while leaving a pleasant aftertaste.
Teledentistry
Many people find it difficult to visit the dentist - due to distance, illness, disability or old age. Telemedicine in dentistry is designed to solve this problem by providing easier and cheaper access to treatment. At the same time, it is intended to shift the emphasis from advanced treatment to preventive procedures, allowing patients to consult with a specialist more often and take the necessary measures in a timely manner. In the USA this service is already available. For example, MouthWatch launched a fully integrated turnkey telemedicine system for dentists called MouthWatch. This system is a platform for dentists or hygienists to provide visual consultations to patients in remote locations and evaluate their oral health in real time (or at other times at the patient's request) using a regular web browser.
Computer aided design and 3D printing
Computer modeling and manufacturing technologies using 3D printing are beginning to revolutionize dental laboratories. They are being transformed into significantly cheaper and more efficient digital laboratories.
With the help of new technologies, the manufacturing process, for example, of crowns, is significantly accelerated. The tooth is prepared for installation of the prosthesis, then a picture of it is taken, which is sent to the computer, which controls the machine, which produces a crown suitable for this particular patient right in the office and very quickly.
By using 3D printing, all intermediate stages that create a queue are eliminated, and the doctor’s work is significantly simplified. Such solutions for dentists are already offered by Stratasys, Envisiontech and FormLabs.
Intraoral camera
One of the biggest inconveniences that we encounter in the dentist's chair is the inability to open our mouth even wider, which does not allow the doctor to clearly see what he needs to see, even with the help of his dental mirror. An intraoral camera solves this problem.
Various types of such devices are already offered by MouthWatch, Dürrdental and Carestream Dental. Recent developments in this area make it possible to create revolutionary devices with unique “liquid” lenses that work like the human eye, allowing you to easily obtain a clear, detailed image of all corners of the patient’s mouth.
Tooth regeneration
One of the most interesting and promising areas in dentistry is dental regeneration and caries prevention. Bioactive dentin replacement* allows dentists to completely rethink the way they treat teeth.
Regenerative medicine today relies heavily on research into the use of stem cells and, in particular, research is currently underway to find the source of mesenchymal stem cells that have the ability to form teeth.
In April of this year, scientists from Harvard and Nottingham Universities have already developed a dental filler that allows teeth to heal on their own. This substance works by using stem cells to stimulate dentin growth, allowing the patient to regrow diseased teeth. Imagine that you were able to get rid of your artificial teeth, which will replace your own in old age.
CRISPR
CRISPR is the latest method of genome editing, which nature itself provides us with and which scientists have only now learned to use. Already today, research is being conducted into the possibility of using this method to combat cancer and other serious diseases; it can also be used in dentistry.
Researchers believe that dental specialists will soon be able to identify genes associated with many oral pathologies. And when this becomes known, it will be possible to find a CRISPR solution that will allow you to properly edit the structure of the defective gene and get rid of dental problems in early childhood.
* Dentin is the hard tissue of the tooth, making up its main part.
Materials used: The Verge, Medical Futurists, VRScout, The Guardian, WebMD, Dental Products Report, Nature
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One of the newest and most exciting technologies is laser dental treatment. Dental lasers belong to the surgical family and are used to whiten enamel, remove diseased tissue, and are also used to restore teeth. Depending on the required treatment, the dentist may use the laser for a long time, or may use point touches. This procedure is not safe for the eyes, so the use of special protective glasses is mandatory.
Laser treatment involves minimal use of pain medications. This method has proven itself very well in the treatment of gums, because... bleeding is reduced to a minimum. This is a completely new technology that is just beginning to develop, so not all dentists have been able to master it. And those who have acquired the necessary skills must have a certificate with permission to conduct laser treatment.
Air sanding
This technology completely replaces the procedure of drilling the affected area of the tooth. This occurs thanks to the smallest abrasive particles that clean the tooth cavity of affected tissue, thus preparing it for the installation of a filling. In most cases, this method also does not require the use of anesthesia, because The abrasive particles are very precisely directed to the required area. Another advantage of this method is that healthy tissues are not affected, only damaged ones are removed. This method is ideal for treating early stages of caries.
Digital radiology
This latest digital technology allows dentists to obtain and store diagnostic images using a computer. The image appears on the monitor instantly, it is possible to enlarge it and show the patient all treatment options. Also with this comes the opportunity to send the image electronically to your colleague or insurance company. So far, radiology on digital media has not completely replaced the conventional method, but it is developing at a rapid pace, and soon the use of digital technologies in dentistry will become commonplace.Intraoral camera
Tiny video cameras have now been developed for dental treatment. With its help, the dentist takes pictures of the oral cavity and transfers them to a computer, which is of great help in diagnosing diseases. The camera makes it possible to show a specialist what an x-ray is not always able to convey, which makes it possible to identify problems at an early stage. In addition, it allows the patient to see their mouth through the dentist's eyes, which often leads to more careful dental care in the future.
A fear-free visit to the dentist
The best news for dental patients is that dental treatment can be pain-free. Innovations in the development of technology and injection techniques make it possible to perform anesthesia completely painlessly. In addition, it is becoming fashionable to have specialists in dental clinics who can calm not only a child in the dentist’s chair, but also an adult.
Cosmetic Dentistry and Video Images
The new generation of dental materials looks surprisingly natural, this allows anyone to become the owner of a beautiful smile, a perfectly straight row of teeth, and to correct any defects. There is also the opportunity to design your future smile using new video technologies.
