Be Called Back
?
  • Home
  • Restorative Dentistery
Back to articles
01-Guide-Refaire-ses-dents 4 July 2023

Restorative Dentistery

Lecture : 12 min. par Harmonie Bodyexpert.online

​​Good dental health is a cornerstone for both physical and mental wellbeing. Yet, achieving strong, healthy teeth extends beyond routine dental hygiene and a nutritious diet. We often encounter several severe dental issues – misaligned teeth leading to a compromised smile and psychological discomfort, teeth needing replacement due to accidents such as a bicycle crash, a devitalized premolar with the risk of loosening and contaminating surrounding teeth, jaw grinding during sleep, inadequately treated cavities from childhood, or receding gums.

All these problems demand immediate attention, but the high cost of treatment and the limited coverage provided by the National Health Service (NHS) and private health insurance can often deter individuals from seeking necessary care. Many crucial dental procedures, whose benefits to patients’ health and wellbeing are undeniable, remain unaffordable in countries like the UK, Ireland, the US or Canada. Overburdened dental clinics further exacerbate the situation, imposing waiting times of several months.

However, an increasing number of people are now turning to dental tourism as a solution. This avenue allows them to access dental care of comparable, or sometimes even superior quality, at significantly reduced prices – often 40 to 80% lower than those at home.

A restorative treatment adapted to your problem

Restoration of one or more teeth

What are the cases that can lead to the loss of one or more teeth?

Poor oral health stands as a leading cause of tooth loss. This often results from bacterial buildup between teeth and a diet high in acidity or sugar, which gradually erodes tooth enamel and can lead to infection. If decay is left untreated, it can result in pulp necrosis and tooth devitalization, eventually causing the tooth to fall out. Tooth loss can also occur due to external impacts, accidents, or conditions like bruxism (teeth grinding), often resulting from dental malocclusion. This can trigger aseptic necrosis (a condition occurring without microbial involvement), leading to premature wear and tear of one or more teeth. Furthermore, gum inflammation that isn’t properly managed can develop into gingivitis or periodontitis. The latter condition is particularly critical as it can result in tooth loss; it is estimated that 30 to 40% of tooth loss can be attributed to periodontitis. Therefore, early detection and proper treatment of these oral health conditions are of paramount importance.

What are the symptoms?

A dental infection, stemming from either pulp necrosis or aseptic necrosis, can be difficult to identify. It may present as a varying degree of toothache and/or fever, or as an abscess that may or may not be visibly inflamed. The pain associated with these conditions can be intermittent, sometimes subsiding with the use of anti-inflammatory drugs, only to re-emerge unexpectedly. This can lead to chronic necrosis, with patients mistakenly believing they are cured while the infection continues to undermine gum or bone tissue. Initial symptoms of a gum infection may be painless, but notable due to bleeding gums during tooth brushing. As the infection becomes chronic, gums may grow sensitive, swollen, and reddened, eventually making chewing a painful process.

This infection can escalate from gingivitis to periodontitis, characterized by an abscess followed by a discharge of pus between the teeth, which often causes bad breath. In all these instances, timely recognition of symptoms and immediate professional dental intervention are crucial to prevent further progression and complications.

What can be done about it?

As soon as symptoms such as discomfort or temporary pain emerge, it’s crucial to consult a dentist. After identifying the cause and extent of dental issues, the dental practitioner will suggest appropriate solutions to restore one or more teeth. Often, in cases of partial or complete tooth loss (edentulism), a dental prosthesis is highly recommended. This artificial device, which can be either removable or fixed, replaces missing teeth. It enables the patient to chew comfortably, prevents bone degradation in the jaw, and restores a pleasing facial appearance – all of which are critical for the patient’s overall wellbeing.

A dental prosthesis may be needed when a tooth is damaged, worn, or lost, or when a patient is partially or completely toothless due to various reasons (accidents, genetic or bone diseases, poor oral hygiene, etc.). Depending on the diagnosis and the dentist’s suggestions, numerous types of dental prostheses are available.

In cases where an individual tooth and its root are missing or too severely damaged, and if the patient’s bone base is healthy, a titanium dental implant embedded into the jawbone is the most robust (and priciest) solution. This implant serves as a foundation for a monolithic ceramic crown, which is screwed onto the implant. This artificial tooth, made of ceramic, alloy, or metal-ceramic, replicates the function, shape, and aesthetics of the natural tooth.

A dental crown not attached to an implant can be bonded to the original tooth and fit perfectly between adjacent teeth. It’s a minimally invasive way to restore a damaged tooth. If the tooth is healthy, it will be trimmed to support the crown but without a post. The dental crown, suitable for any age group, allows normal chewing, enhances oral health, and improves the smile.

Dental veneers, a type of surface dental prosthesis, involve adhering a thin ceramic film to the front teeth for an aesthetically pleasing smile. They can also restore discolored, stained, partially broken, or chipped teeth. They adjust the teeth in the smile line, correcting alignment, spacing, or overlapping, when these defects are minor. Made from composite resin or ceramic, with proper oral hygiene, they can last between 10 and 30 years, especially if top-quality brands are chosen.

The solutions recommended by Body Expert

To replace a single broken or damaged tooth, a dental crown on a tooth or a dental veneer can be recommended. But not all crowns and veneers are equal, the best quality/price ratio must be found by the patient. Body Expert recommends Straumann titanium implants and 100% zirconia monolithic ceramic crowns, for maximum chewing resistance, with a hand-applied 7-layer Emax finish, for a natural look and adapted to each patient. The same choice of high quality and maximum resistance for Emax veneers, 100% porcelain with a 7-layer Emax manual finish, which require a light filing, unlike Lumineers veneers, but for a much more natural and personalized result.

Possible but less qualitative solutions (dental bridge)

When one or more teeth are missing, and their neighbors are damaged or fragile and require crowns after treatment, or if the presence of nearby implants limits the possibilities of intervention, the creation of a bridge on teeth will avoid the installation of an implant to replace the missing tooth or teeth. This partial removable prosthesis restores an incomplete dentition by replacing one or more missing teeth, whether adjacent or not. It rests on the gums and existing dentition, and is held in place by clasps on healthy neighboring teeth. It can be made with a gingival resin base that mimics the gums, into which the resin artificial teeth are integrated. Cheap and easy to produce,, these partial dentures are more often chosen as transitional prostheses before implants are placed. Resin has several disadvantages: it dries out the patient’s mouth, discolors quickly, and breaks easily if dropped. The removable prosthesis with a metal frame, covered with pink resin and on which the artificial teeth filling the edentulous area are fixed, is more durable, light and easy to remove, and better preserves the gums and adjacent healthy teeth. However, it does not last longer than 10 years and the appliance is fragile: it can break if it is dropped.

Redoing all your teeth

What cases can lead to the loss of all one’s teeth

As in the case of partial edentulism, the loss of all teeth can result from an accident or impact on the jaws, periodontitis affecting the gums, poor dental hygiene leading to cavities and chronic dental infections. Complete tooth loss can also be caused by medical treatment (chemotherapy, etc.) or surgery. But age is the risk factor most often associated with complete edentulism, along with gum recession, plaque accumulation, dry mouth… Other parameters to take into account are poor diet, mineral and/or vitamin deficiencies, especially C, and smoking…

Which symptoms are corrected?

Complete edentulism is a daily suffering for the patients who suffer from it, from a social, dietary and aesthetic point of view. By choosing to have all their teeth replaced, patients regain the pleasure of eating, speaking, smiling… In short, they regain their appetite for life.

What solutions are there for a complete set of teeth to be restored?

In the case of a completely edentulous upper jaw, lower jaw or both, the best prosthetic solution consists of screwing titanium implants into the jawbone, onto which a complete dental prosthetic arch will be fixed, with false gums and ceramic dentures: the All-on-6. Fixed or removable ceramic or metal dentures vary in terms of the time required for fitting, the materials used, their strength and their price. Thanks to medical progress in the field of implantology, fixed dentures are now more recommended than removable dentures. They are more expensive and more complex to install than removable dentures, but they are much more durable, comfortable and aesthetically pleasing. Bone grafting is sometimes required before implants can be installed. Finally, dental implants have the ability to activate the jawbone like a healthy natural root. However, they require impeccable oral hygiene.

The solutions recommended by Body Expert: dental implants, full dentures on All-On-6 implants.

Fixed “All-On” dentures support 10 to 14 artificial teeth per jaw. They are mounted on six (All-On 6) or eight (All-On 8) dental implants. These implant-supported full bridges are more comfortable, durable and easier to maintain than conventional dentures. The jawbone regains its functionality and offers a very satisfactory aesthetic result.

Possible but less qualitative solutions (All-on-4, dentures…)

The Removable Complete Supra-Implant Prosthesis (PACSI) is a screw-retained implant prosthesis supported by two, four or six implants. An interesting alternative to conventional dentures for totally edentulous patients, especially for the elderly, PACSIs are less expensive and easier to manufacture, offer better comfort and simplified maintenance. However, their lifespan does not exceed ten years, due to their resin construction.

Fixed implant-supported dentures, also called stabilized dentures, are removable dentures attached to two to four dental implants. Suitable for completely edentulous patients, these dentures are much more comfortable than removable appliances, whose upper false palate interferes with speech and food appreciation. The implant-supported dentures are better fixed and offer better chewing comfort than conventional dentures. This semi-removable treatment must be removed and cleaned every night, and its clip-on buttons are usually changed every two years. And its lifespan does not exceed a decade.

The complete removable prosthesis can replace a completely edentulous lower or upper jaw. At the top, the prosthesis rests on the palate and the gum, while at the bottom, it is fixed only to the gum. These dentures are held in the mouth by a suction cup effect. They are made with a metal mesh embedded in the resin, which increases the longevity of the denture, but will never last more than ten years.

Correcting a dental malocclusion

Types of malocclusions and their symptoms

Dental malocclusion, also known as occlusal dysfunction, differs depending on the direction in which the teeth are aligned. Reverse dental occlusion, or reverse bite malocclusion, is the most common. Once the malocclusion has been diagnosed, various treatments are adapted to each case. From braces to metal brackets to removable aligners such as Invisalign®.

Dental veneers, with selective grinding of the teeth to restore their ideal spacing, can in some cases be preceded by dental crowns. The system replaces a much longer orthodontic treatment, allows to find aligned teeth, a natural and comfortable chewing, and a perfect smile. At the same time, the patient can undergo osteopathic treatment, or even relaxation methods, to eliminate muscular problems, back pain or migraines. Finally, for more serious operations, particularly on class 2 or 3 malocclusions, maxillofacial surgery will play a fundamental role, allowing the jaws and their teeth to be replaced in an ideal way. These operations, performed under general anesthesia, may involve the manufacture and fitting of custom-made dental implants to give the patient a normal bite and a radiant smile.

The solutions recommended by Body Expert: Veneers, implants, veneers…

Dental veneers can solve various dental and aesthetic problems: discolored or stained teeth, damaged natural enamel, partially or totally broken teeth, replacement of an old damaged or grayed-out ceramic-metal veneer, or to give your front teeth a beautiful natural shape. Veneers help to restore the alignment of your teeth and offer a more practical and less cumbersome alternative to dental crowns, which require a larger tooth size. Veneers are also more attractive than Invisalign, and can be fitted to almost any dentition, and require less tooth size than a crown. Above all, they offer a durability of more than 20 years, provided that you have perfect oral hygiene. However, veneers may be contraindicated in certain cases of malocclusion. In the case of bruxism, veneers lengthen the teeth very slightly and can aggravate the friction. For a tooth without nerves, poly-carried or too damaged, it is better to opt for a crown or a dental implant.

Aesthetic dental treatments :

What can be improved?

Aesthetic dental treatments can improve the alignment of teeth, correct their color and make them whiter, but also correct the gummy smile, when the lips come up higher than the gums and reveal teeth that seem short.

What are the possible solutions?

When the front teeth overlap slightly, or gap, they can be corrected by placing dental veneers. Depending on the degree of overlap, it may be necessary to file down the supporting teeth before fitting dental veneers. Several types of dental veneers are available, with Body Expert favoring Emax dental veneers over Lumineers veneers.

If the teeth do not need to be realigned, but are yellowed due to poor dental hygiene or smoking and/or tea and coffee abuse, there are several treatments that can be used to restore the natural whiteness and brightness of the teeth and the smile. Starting with Teeth whitening, also known as dental lightening, a simple and painless aesthetic dentistry treatment using a hydrogen peroxide-based gel as well as laser or LED lamps, to make stains disappear in depth. Not to be confused with scaling, which consists of removing the tartar accumulated around the teeth, and which, carried out once a year, is reimbursed by the Social Security.

The gummy smile shows the teeth and gums partially or completely. The lips turn up too much when they contract, revealing the teeth and gum tissue in a more or less embarrassing way. Some patients, with a complex, will even prevent themselves from smiling, so as not to attract the gaze of others. An aesthetic solution may then be necessary to correct this part of the face and to find a more harmonious smile. Several treatments are available, depending on the patient’s case, from simple laser treatment to botox injections, gingivoplasty or a sinus lift.

The solutions recommended by Body Expert: the Hollywood Smile

At Body Expert, the Hollywood Smile is not just about applying dental veneers. Indeed, to obtain a perfect result, the use of several cosmetic dentistry techniques is essential. The Hollywood Smile treatment can be used to correct the color of the teeth by means of tooth whitening, but also to correct alignment, missing teeth and the gum smile. This combination of treatments is designed for men and women who wish to have a bright, flawless smile for professional and personal purposes. Using a combination of techniques, Hollywood Smile can correct smile imperfections with teeth whitening, dental veneers to correct misalignment and finally, gummy smile correction.

Teeth reshaping: the beneficial impact on physical and mental health

All the studies and numerous opinions and testimonies collected by Body Expert show that, whether it is a question of dental veneers or dental implants, redoing your teeth has a very positive impact on patients who have decided to take the plunge. It allows them to regain their dental health, the consequences of which can be measured on their general health and psychological well-being. It also has a major impact on patients’ self-confidence and socialization, often enabling them to renew contact with others and smile in a natural, relaxed way. Provided, of course, that excellent oral and dental hygiene is observed, as well as dietary hygiene, having your teeth restored is for life.

Restorative Dentistery: how to pay less

Many dental treatments are not or poorly refunded by the European national health systems. As a result, except for dental bridges and routine dental care (cavities, scaling, etc.), dental implants and veneers are not covered and therefore are inaccessible to many patients. Rather than giving up on care that they consider indispensable, and rightly so, for their physical and psychological health, some turn to medical tourism to have their dental care carried out abroad. Indeed, several nearby countries offer dental care at rates 40 to 80% cheaper than in France, Belgium or Switzerland, with at least equal quality and without waiting times.

This is the case of Spain and Hungary, and especially Turkey, the European champion in all categories of medical tourism, from hair transplants to dental care and plastic surgery. If Spain, thanks to low-cost flights, offers an interesting first alternative, with costs between 20 and 40% less expensive, Hungary has also become very popular over the last twenty years. Its capital Budapest is a pioneer in dental tourism, and its clinics and practitioners enjoy a reputation for excellence, at prices 40-60% lower than in France.

Turkey: the ideal destination for the most demanding treatments

The savings are even greater when patients choose to get their teeth done in Turkey, with prices up to 80% lower than in UK. Four hours’ flight distant from UK, Istanbul, the economic, tourist and cultural capital of Turkey, offers an ideal setting for dental work, especially for heavy treatments that are poorly reimbursed by social security: implants, crowns, bone grafts, dental veneers or even maxillofacial surgery, all these treatments can be carried out in the best conditions of hygiene and comfort, with a quality of surgery equal to, or even better than, that in France, Belgium or Switzerland. Furthermore, Body Expert’s partner clinics use state-of-the-art techniques and materials, guaranteeing the best possible result for its patients. In addition, the prices offered by Body Expert generally include the cost of accommodation in a top-of-the-range hotel and the presence of an accompanying translator, from the preparation of the medical file to the post-operative care, including the operation and the equipment.

Tableaux comparatif des prix pour les soins dentaires les plus courants

UK USA Netherlands Spain Hungary Turkey
12 High quality dental veneers £5400 to £10000 $10 000 to $25000 8000 to 18000€ 5760 5400 3540
4 high-end dental implants £7000 $12000 to $45000 8000 to 15000€ 4800 to 7600 3920 to 6080 1320 à 2600
All-On-6 per jaw £14000 to £24000 $22000 to $34000 14000 to 31000€ 9500 to 13300€ 7800 to 10500€ 4400 à 6300

Note that the top of the range at Bodyexpert is :

  • 100% porcelain veneers with an Emax finish (7 layers by hand)
  • Implants from the Straumann range
  • All-on-6 is made up, per jaw, of 6 Straumann implants and 12 100% zirconia crowns for maximum resistance and a 7-layer Emax finish by hand for a natural aesthetic result.

Tips for good dental health after dental work

Good oral hygiene and a healthy diet are the best way to ensure that your teeth stay beautiful and white for as long as possible after dental work. Brushing after every meal, flossing to clean the gaps between the teeth and prevent the accumulation of bacteria, regular mouthwashes… Not forgetting a visit to your dentist, at least once a year, for a general check-up and possible scaling.

A healthy and balanced diet is also important, avoiding carbonated and sugary drinks, soft, salty and industrialized food that weakens the teeth and gums and is detrimental to general health. Finally, regular and excessive consumption of alcohol, tobacco, coffee and tea can be detrimental to oral health.

 

1587 vues

0 commentaires

Il n'y a pas de commentaires pour le moment.

Leave a Reply

Your email address will not be published. Required fields are marked *