How many tooth tones are there? Determining the natural color of teeth according to the Vita scale: what determines the shade of enamel, what should it be normally? Are veneers harmful: pros and cons, pros and cons

Beautiful, healthy, white teeth have long been an indicator of a person’s success. However, due to the influence of various various factors tooth enamel loses its natural color, becomes stained, and the smile looks unaesthetic. What determines the natural shade of teeth, why they sometimes change color, what the Vita scale is - the answers to these (and many other) questions about tooth pigmentation will be found in this article.

What determines the natural color of tooth enamel?

What the natural color of teeth should be is directly dependent on the shade of their enamel. The latter shade is largely determined by heredity. In most cases, tooth enamel is milky white or translucent. It should also be taken into account that the tissues of the same tooth have different colors; the cutting edge is lighter than the root part. An interesting fact is that the natural color of the front teeth is different - the canines are darker than the incisors. The following factors also affect the natural color of teeth:

  • enamel density - dentin “shines through” through thin enamel, and this layer is naturally yellowish;
  • tooth microrelief - the more pronounced it is, the whiter the tooth color looks;
  • quality of dentin - with age (or due to a number of other factors) it darkens, sometimes the pulp, which has a red-brown color, begins to “shine through” it.

Vita scale for determining tooth shades

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The shade of teeth, which is perceived visually, is determined according to the Vita scale. It is based on the principles of artistic colorimetry. The specialist determines the color of the teeth according to the Vita scale not in one area of ​​the tooth, but in several at once, since they may have differences, even minor ones. Determining the color of teeth using a scale is not difficult. First you need to identify the group - there are only four of them on the Vita scale:


To determine the group, the Vita scale is applied to the teeth (you can see what it looks like in the photo accompanying the article). After the group is established, we begin to determine the brightness of the color of the teeth. To determine the brightness, as well as the color of the teeth, the same technique is used.

There are also four types of brightness, they are indicated by numbers. “4” looks like the darkest, and “1” will be the lightest shade. Teeth color A4 is characterized by the minimum brightness in group A; it is considered very dark. If A3, then we're talking about O dark color with a brownish-red tint. During the whitening procedure, the color of the teeth changes to a lighter and brighter color - A2 or even A1.

Baby teeth in a child and their color

A child’s primary teeth are smaller in size than his permanent teeth, since at the time of their eruption the formation of the jaw has not yet been completed. Another feature of temporary teeth is their thin roots, which dissolve before being replaced by permanent ones. The baby has been using baby teeth for only a few years, so by nature their enamel is thinner than that of molars, and the teeth themselves are white with a slight, subtle bluish tint.


The appearance of spots of any shade on the surface of the tooth - snow-white, black, brown, yellowish - may indicate the development carious lesions. Most early sign caries - demineralization of enamel - looks like White spot"chalky" shade.

If it is detected, you should immediately contact pediatric dentist. Then there is a chance to avoid the procedures of preparation, filling or tooth removal that are unpleasant for the child.

Reasons for color change

Changing the color of teeth occurs under the influence of internal or external factors. In the first case, we are talking about darkening or pigmentation of dentin - it will be difficult to restore the natural shade of enamel in such a situation. External factors primarily contribute to the coloring of the enamel - most whitening technologies are aimed at eliminating “contaminants” of this particular type. The most common reasons causing change enamel shade are presented in the table.

Reasons for color changeExamplesFeatures of teeth shade
InjuryFall, impact, other damage.The enamel of the affected tooth becomes black or gray.
Nerve deathThe dead nerve in the canal causes the tooth to darken from the inside.
Materials of artificial origin in the dental elementCollapsed/defective dentures, fillings made using metal alloys.Stains of yellow, green, brown, grey, blue or black on treated and filled teeth.
GeneticsHereditary predisposition to color abnormalities. Experts identify 140 genetic syndromes and diseases that cause defects in tooth enamel.Pigmentation may be slight, and sometimes the enamel becomes abnormally colored. Often requires microprosthetics with veneers.
AgeOver time, the enamel thins and the dentin darkens, so older people's teeth appear dark.Red-yellow or red-brown color enamels.
Natural dyesSubstances from drinks and food, as well as those released when smoking, can stain tooth enamel.Spots of green, yellow, orange, brown color A.
FluorineFluorosis.Spots and stripes of chalky or brown tint.
Reception medicines Antibiotics of the tetracycline group.Gray-blue or brownish-yellow stripes, usually with horizontal direction. Whitening is difficult; installation of veneers or crowns is recommended.

Methods for restoring natural shades of enamel

If a change occurs normal color teeth (that is, they have become pigmented), in most cases it is possible to restore their natural shade. First of all, you will need to find out the reasons for the color change, the appearance of stripes or spots. After diagnosis, the factors that caused the change in the natural color of the teeth are eliminated. Sometimes this is enough to return natural whiteness, but in some cases additional procedures are required. Basic methods:

  1. professional teeth cleaning and removal of deposits from their surface - if the change in shade is caused by accumulations of stone and plaque, it is enough to get rid of them so that the color of natural teeth changes and they become several shades lighter;
  2. whitening (external or intracanal) - often carried out using formulations based on hydrogen peroxide; if traumatic periodontitis has caused the discoloration of teeth, then the shade can be restored in just one visit to the dentist, in all other cases a course of procedures will be required;
  3. orthopedic methods - installation ceramic crowns or microprosthetics with veneers are indicated when teeth change color due to taking tetracycline medications, if the enamel has low resistance, and also if pigmentation is caused by artificial materials in the tooth.

Installing veneers is one of the most popular methods of creating a beautiful smile. The benefit of using veneers is that it makes it possible to quickly make teeth straight and white. However, it is bad that such technology masks shortcomings without eliminating their root cause. You need to remember this when choosing a method for whitening or straightening your teeth. Veneers are made different color.

Before choosing the color of veneers, you should consult your dentist. If the color of the veneers is too bright, they will make your smile unnatural.

The color of veneers must be selected based on appearance the entire dentition, if microprosthetics of one / several elements is planned. If the entire smile area is subjected to the procedure, or if we are talking not about correction, but about a way of self-expression, then you can select veneers based on your own preferences.

Preventing the preservation of natural tooth color

It is possible to preserve the natural shade of tooth enamel and achieve lasting results after a course of whitening procedures if you follow all the dentist’s recommendations and regularly perform the complex preventive measures. Tooth discoloration can be prevented, but it requires a responsible approach on the part of the patient.

You should avoid taking fluoride in excess quantities, reduce your consumption of drinks and foods that cause staining, and maintain good hygiene oral cavity, visit dental office for preventive examination and professional cleaning annually, treat diseases in a timely manner.


Perfectly white teeth are the standard. It sticks around everywhere, and it looks strange, because most people don't have teeth like that. Nature rarely gives a snow-white smile, most often the enamel has other shades, and before you run for urgent whitening, it’s worth understanding what natural teeth should be like? Do I need to change their color? What are the general shades of enamel, and what influences this?

Teeth colors: full spectrum

Normal enamel is not snow-white, but milky white. As a rule, it is translucent, but over the course of life this transparency disappears, and the teeth begin to stain under the influence of various factors. At the same time, it is not the enamel itself that is responsible for the main shade, but the color of the dentin that shines through it, and it is precisely yellowish. This is why there is no such thing as perfect whiteness.

Moreover, the shade also depends on the age of the person. The younger he is, the denser the layer of enamel remains on his teeth - the dentin does not show through, and the teeth look whiter. With age, the enamel wears off, so the color of the teeth also changes. Its shades can be different:

  • yellow, gray, light brown - acceptable colors of dentin in people in adulthood;
  • red-brown - this is the color of the pulp, which can also be visible through thinned enamel.

At the same time, the colors of the teeth are always uneven. The cutting edges are usually lighter, and the canines are often darker than the incisors. And if teeth in general do not look aesthetically pleasing, their shade can be improved using various techniques.

How to choose “your” teeth color?

Patients at dental clinics often resort to whitening or dentures for teeth that have lost their appearance. However, both procedures should not be limited to maximum “lightening” of the enamel. On the contrary, the final color is selected in accordance with the natural “color” of the natural teeth. It may be lighter than altered enamel, but it is not a radical change. When choosing a shade, a number of factors are taken into account:

  • color of the skin;
  • the shade of the whites of the eyes - the teeth should not be much lighter, otherwise it will look unnatural;
  • hair color - in the background dark hair teeth always seem whiter.

You should select the shade of enamel only in natural light, surrounded by a color-neutral environment. Women should not paint their lips - the color of the lipstick will distort the color of the teeth.

Secrets of shades

In dentistry, special tables and scales are used for the color of tooth enamel. In general, there are 4 main indices:

  • A - A1 - the lightest teeth in the brownish-reddish range, A2 - darker, brownish enamel, A3 - very dark brown enamel;
  • B - yellow tone of the teeth (depending on the intensity of the color, indices B1, B2, etc. are found);
  • C - gray shade (indices C1, C2, etc. are also provided);
  • D - reddish-gray teeth.

In this case, the doctor not only evaluates the shade, but also determines the cause of its occurrence. As a rule, discoloration of teeth is caused by pathological phenomena in the body. This may be the consequences of injuries (they turn teeth black), the impact of poor-quality fillings (gray and black teeth), the effect of medications (yellow, brown shades). Also, teeth may turn yellow in smokers and lovers of strong coffee or coloring products.

Another range of factors influencing the change in enamel color is “dental”. Teeth may become covered with white spots due to fluoride metabolism disorders or fluorosis, while the gray color occurs after tooth depulpation. Sometimes the enamel acquires a pink tint, which is associated with the treatment of dental canals using a resorcinol-formalin mixture. Red teeth are a consequence of the death of the pulp.

All these situations require special analysis, and very often before whitening or prosthetics, the patient must cure the underlying disease or eliminate the consequences of old injuries and poor-quality treatment. After this, in accordance with the shade scale, the optimal enamel color is selected and whitening or replacement of natural teeth that have lost their functions with artificial ones is prescribed.

Various color restoration measures can make your smile brighter. This includes all types of whitening, installation of veneers and lumineers, and selection of crowns or implants. All these treatment options can be selected by a qualified doctor at the MIRA dental center, who will not only determine the cause of the color change, but will also help improve the condition of the enamel, eliminating possible appearance unnatural effect.

Beautiful snow-white teeth are the dream of many people. Anyone wants to talk and laugh without embarrassment. In pursuit of fashion, most of the population wants to whiten their teeth to incredible shades. However, not everyone knows that this can lead to serious damage to the enamel.

Tooth enamel color selection ruler

What determines the natural shade of tooth enamel?

In nature, a snow-white surface of the dental covering is almost never found. Each person has a unique natural enamel color due to a combination of several characteristics. The determining factors are the colors of the dentin and tooth covering. The statement that only the color of the enamel affects the tone of teeth is fundamentally wrong. The fundamental factor is the color of the internal component.

Dentin is the main component of the tooth (more details in the article:). It hosts blood vessels and nerves. It is its shade that determines the color range of the teeth. With healthy dentin, the coating will be light, almost white.

The color of dentin, and therefore teeth, depends on the following factors:


The color of teeth also depends on the characteristics of human perception. There is a misconception that representatives of the Negroid race have whiter teeth than others. This is wrong. It's all about the light shade of the coating, which seems even lighter due to the contrast with dark skin.


The tone of a tooth is also affected by its position in the dentition. For example, canines are yellower than incisors. Don't worry if your teeth are not uniform in color - in almost all people the shade from the cutting edge to the neck becomes darker.

Reasons for changes in enamel color

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Throughout human life, changes in the color of teeth constantly occur. There are many reasons for this:

The darkening of teeth is preceded by the beginning pathological processes which, if left untreated, will lead to disease. These may be jaundice, hemolytic syndromes, when bilirubin accumulates in dentin, liver damage and bile ducts, endocrine diseases. Uncontrolled use of antibiotics, especially tetracyclines, can also lead to darkening of teeth.

Injuries to the maxillofacial apparatus also lead to changes in the shade of teeth. Also, teeth darken from the use of fillings containing metals. Fortunately, dentists are now widely abandoning these materials.

It should be understood that no amount of whitening will help if the cause of the problem is not eliminated first. If the procedure is applied without prior treatment, the consequences will be catastrophic.

Why is the Vita scale needed?

The Vita scale is a standardized scale for visual definition teeth color. When whitening and selecting an implant, this tool is necessary in mandatory. On the scale, shades are sorted into four groups:

  • shades A – reddish brown;
  • shades B – reddish-yellowish;
  • shades C – gray;
  • shades D – reddish-gray.

For each shade from any group, the degree of saturation is determined, which is recorded in a numerical coefficient from 1 to 4. In the photo below, you can clearly distinguish between letter and numerical designations. Any gradations from a1 and a2 to c4 and a3 are absolutely normal.

This scale is available in different forms:

  • in paper form;
  • plastic gradient;
  • ceramic or porcelain model.

The most popular in Russia and Europe last option, since it is least susceptible to distortion visual analyzer person. The table in medicine is used not only to determine the tone of teeth, but also to identify signs of an incipient disease. An experienced doctor is able to determine the presence of problems even in the absence of a Vita scale, but for a young dentist it will be a wonderful hint when examining the oral cavity.

How is color determined?

Initially, the doctor pays attention to the shade and saturation of the enamel. The doctor determines which group on the Vita scale the patient’s teeth belong to and what their natural shade is. To make the doctor's task easier, the patient should prepare for correct definition colors. To do this, you must follow two simple rules:

  • the day before and before visiting a specialist, you should thoroughly clean the surface of your teeth from plaque;
  • you should not shorten the brushing time, which is normally two minutes.

It often happens that patients neglect this advice, which is why the doctor has to carry out an additional cleaning procedure. It takes time. Only after a thorough cleaning of your teeth can the doctor determine the color of your enamel using a scale with minimal error.

We must not forget about the subjectivity of human perception. The following factors will interfere with the use of the Vita scale:

  • artificial lighting in the office;
  • background contrast – patient’s clothing;
  • red shades will shift perception natural color closer to group A;
  • accompanying illnesses.

The most precise definition the color of the teeth will be if there is natural daylight in the office. Thorough cleaning of the surface of the teeth and the patient’s clothing in pastel colors will play a huge role.

How to preserve the natural color of tooth enamel?

Many people turn to dentistry for whitening, because teeth change color constantly. This is possible in the absence of contraindications and concomitant diseases. However, the whitening procedure can cause damage. The enamel is damaged - the only protection of the tooth against aggressive environment oral cavity. Even though this harm is minimal if the procedure is carried out correctly, it is better not to let your oral health take its course.

  • Clean your mouth regularly;
  • use gum rinse and dental floss;
  • visit the dentist at least once every six months;
  • give up bad habits - they have a bad effect not only on the beauty of your teeth, but also on their health;
  • follow the recommendations of a specialist.

Natural tooth color

The natural color of teeth is determined by such parameters as:

  1. genetic characteristics inherent in each race and individual peoples
  2. skin color that enhances or detracts from the whiteness of teeth
  3. The natural color of healthy teeth is almost independent of the person’s living environment.

Certain colors and shades among an ethnically homogeneous population may occur more often or less frequently, and some are practically undetectable. For example, among the Slavs living in the European part of Russia, yellowish-white and yellowish-red shades of teeth predominate, but gray, which is characteristic of the Anglo-Saxon peoples living in the USA and Western Europe, ethnic Slavs have practically none.

Yellow teeth, photo


Gray teeth, photo

Many people believe that the Negroid race has whiter teeth than all other representatives of the Asian and European races. This is wrong. Dark skin and voluminous lips, with a wide red border, create the effect of enhancing the yellowish-white color of the teeth of blacks.


White teeth, photo

What affects the color of teeth

In natural and healthy teeth, two tissues influence tooth color:

  1. tooth dentin
  2. tooth enamel

The main factor determining the color of a healthy, undamaged tooth is the color of the dentin.

What is tooth dentin?

Dentin is the main hard fabric the tooth from which the crown part of the teeth, as well as the roots, are created. The coronal part of the dentin is covered with enamel, and the roots of the teeth are covered with cement. The shades and structure of dentin provide a spectrum of staining ranging from light to dark tones. How younger man, the healthier its dentin, which is expressed in the absence of areas of secondary or sclerotic dentin. And this affects the completeness and uniformity of the internal color of the tooth. Thus, answering the question: “Why do teeth turn yellow in adults after 40 years?”, we must note the significant role of dentin in this.


Tooth dentin, photo

What determines tooth enamel? In its structure, the enamel resembles a transparent quartz lens; the structure of the enamel is determined by the mineral crystals of hydroxyapatites. The thicker and smoother the enamel layer, the better sunlight immerses and passes to the dentin, then on the way back it is refracted and reflected into the eye of the observer, thereby showing the saturation (brightness) of the tooth. Over time, when the density and thickness of tooth enamel decreases, the brightness of the teeth decreases, they become duller, and after thin layer The enamel begins to show through the dentin. Thus, the teeth become duller and darker than in younger years.

In the dentition, the darkest (yellowish) teeth are the canines. The color of the tooth crown is not entirely uniform; closer to the cutting edge, the color of the teeth becomes lighter, and closer to the neck it darkens.

How to choose teeth color

Exist certain situations when dental treatment and prosthetics require choosing the right tooth color. At the same time, there are several parameters that the prosthetist dentist should take into account when giving recommendations to his patient regarding the choice of color composite restorations and denture structures:

  1. If several teeth are missing, then the color of their analogues should match the patient’s natural teeth. First of all, they focus on the neighboring teeth, then on the more distant teeth of the jaw that is subject to prosthetics. IN last resort pay attention to the teeth of the other jaw, which are in the prosthetic area.
  2. It should be taken into account that the color of solid ceramics, zirconium dioxide, metal-ceramics and acrylic (plastic) teeth differ in shine and brightness.
  3. If the patient has no teeth left at all, then any tooth color can be chosen, but it is best to focus on the color of the whites of the eye; teeth that are much whiter than the whites of the eye look a little unnatural.

The conditions in which it is best to choose the color of future dental crowns and bridges, which should match your teeth, are as follows:

  1. The patient's lips should be without colored lipstick
  2. The light in the room should be daylight
  3. The patient's clothing should not be brightly colored

“Vita” scale for determining the color of teeth

For work on different types dentures, orthopedic dentists and dental technicians are guided by various tables to determine the color of teeth. Most widespread received the Vita color scale, which is used by the vast majority of specialists in the world, including in Russia.

According to this scale, natural teeth have 4 shades:

  • A - whitish-yellow tint
  • B - yellow tint
  • C - gray shade
  • D - yellowish-brown tint
  • In each shade, the brightness (saturation) levels of the color are determined, from 1 to 4

The brightest options are 1, the least are 4.

Thus, the dentist and dental technician when determining the color artificial teeth determine hue and brightness.


Vita scale, photo

Color of baby teeth

Normally, the color of a child’s baby teeth is white and transparent. Various deviations in the coloring of temporary teeth indicate mineralization disorders, caries and other diseases. The formation of primary teeth occurs at the 6th week of pregnancy, and by the time of birth the baby has fully formed rudiments of all 20 primary teeth. Taking certain medications, for example, tetracycline antibiotics, leads to dark staining of children's teeth; so-called tetracycline teeth appear, which practically cannot be whitened. Therefore, during pregnancy it is necessary to consult with specialists about taking certain medications.

The tooth has changed color

If a tooth has changed its color, this may indicate a number of diseases that cause dental discoloration.

The following is a list of diseases that can lead to discoloration of teeth:

  1. Tooth trauma - Dentin staining may occur pink color, as a result of a fracture of its crown and rupture of pulp vessels
  2. Tooth with removed nerves - Within 1-2 years, darkening of the enamel is observed, the color becomes grayish.
  3. Installation of an amalgam filling - A black border is observed along the border with the filling due to the penetration of the filling into the dentin.
  4. Fluorosis of teeth - Whitish dots and stripes appear on the tooth surface as a result of impaired fluoride metabolism in the body
  5. Tetracycline teeth - This lesion occurs after the mother of the child took tetracycline antibiotics during pregnancy. The tooth is stained over the entire surface in a brown color of varying intensity.
  6. Resorcinol teeth - Have dentin coloration ranging from pink to dark red. This lesion occurs after filling the root of a tooth with resorcinol with a formaldehyde mixture.


Discoloration (darkening) of the tooth, photo


Tetracycline teeth, photo


Resorcinol teeth, photo

White spot on a tooth, what is it?

Depressed whitish spots or stripes may be a sign of amelogenesis imperfecta; in other words, this pathology is called immature (underdeveloped) tooth enamel. This pathology this is the result of a violation embryonic development teeth.


Amelogenesis imperfecta, photo

Aesthetic restoration of tooth color

To correct the color of teeth, modern dentistry offers several methods that to varying degrees effectively solve the problem of stained teeth. The fastest and cheap ways This is the use of pencils and dyes to mask the dark color of teeth. You can just paint over yours dark teeth V White color. True, such an update is enough for a maximum of a day.

For longer periods, you can use different dental whitening options, ranging from home whitening to laser whitening. The results can last for several years.

A radical solution to the problem of poor color of your teeth is possible by installing ceramic veneers or lumineers, as well as ceramic crowns and zirconium dioxide. IN this option The light color of teeth will remain for a period of 10 to 20 years.

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You will need to wait 2-3 weeks and then come for a second appointment. The doctor will remove the temporary veneers, if you are wearing them, and try on what they found in the laboratory on your teeth.

For this, water-based glue is used. If you like everything, then you will be sent to have your teeth cleaned, and then the plates will be installed on fluoride cement.

Veneers bl2 color

When working with lumineers it is used microscopic technique for maximum precision in the manufacture and installation of plates, and the doctor puts on glasses that magnify several times. Caring for veneers and lumineers They do not require any special care.

As well as natural teeth, you need to brush them twice a day, morning and evening, and undergo an examination and professional cleaning by a dentist every six months. No special toothpastes or brushes are needed. You can use floss, dental floss to clean the interdental spaces, and an irrigator, a device that cleans the teeth and spaces between them with a stream of water.

If the veneers are made of feldspathic porcelain or Cerinate, you should avoid chewing hard and tough foods such as nuts, crackers, etc. Differences from other types of dental restoration Of course, veneers and lumineers are not the only way get a beautiful smile.

The first thing that comes to mind is bleaching. However, it does not in any way affect the shape of the tooth, and the resulting color inevitably loses its whiteness over time; it must be regularly maintained. At the same time, all fillings and crowns are not subject to bleaching. So there is a risk of getting multi-colored teeth: Veneers and lumineers can be matched tone to tone, plus they fit on filled teeth without any problems.

The second type of smile correction is artistic restoration. The doctor places the composite material on the tooth in layers, creating a beautiful surface and color. However, this is long, and if it is necessary to process six teeth in each row, you will have to spend a lot of time. In addition, teeth after such restoration need regular examination and periodic correction - polishing in the doctor’s office at least once a year.

The third type is the installation of crowns. No crown can be installed on a tooth without grinding - neither metal-ceramic nor all-ceramic. Although their service life is not inferior to veneers and lumineers, and the crowns themselves reliably protect teeth, you should still use this method Restoration in the presence of healthy or slightly damaged teeth is not worth it.

Veneers and pregnancy If we are talking about installing veneers with grinding during pregnancy, then this can be done, but as with any intervention during pregnancy, it is better to do this in the second trimester.

In the first three months they are laid important organs and baby tissue, and in order to exclude the slightest influence on these processes, it is better to postpone aesthetic procedures to a later time. If you want to install lumineers or veneers without grinding, then this is possible at any time, since there is no grinding, pain and anesthesia.

In fact, this is gluing porcelain plates to the teeth, which does not affect the condition of the pregnant woman in any way. If you already have veneers and the woman becomes pregnant, then this will not affect either the pregnancy or the teeth: Veneers and sports This applies not only to veneers, but also to natural teeth: They are made of special silicone, and even if the impact falls on the teeth area and veneers, then this mouth guard protects them from damage.

Age Over time, the enamel thins and the dentin darkens, so older people's teeth appear dark. Red-yellow or red-brown enamel color. Natural dyes Substances from drinks and food, as well as those released when smoking, can stain tooth enamel.

Spots of green, yellow, orange, brown. Fluoride Chalky or brown spots and streaks. Taking medications Antibiotics of the tetracycline group.

Gray-blue or brownish-yellow stripes, usually running horizontally. Whitening is difficult; installation of veneers or crowns is recommended. Methods for restoring natural shades of enamel If there has been a change in the normal color of teeth, that is, they have become pigmented, in most cases it is possible to restore their natural shade.

How to choose the color of veneers?

Ceramic veneers on teeth: before and after photos

Such a solution will be of interest to people with severely damaged teeth, who previously had to treat caries or remove the dental nerve. The opaque material is also attractive because it can be used to disguise the changing color of the enamel. This type of veneers is mainly used to restore the smile area. Ultraneers Experts also identify another type of overlay - Hollywood ultraneers or lumineers.

But they are not intended for the restoration of teeth that have been damaged as a result of medical intervention. They are used as decoration, since the thickness of the plate is so small that it cannot be used to disguise the changed color of the enamel.

Therefore, if you have teeth in which the nerve has been removed, then you should not put Hollywood onlays on them. To pick up best option linings, it is advisable to first discuss this issue with your doctor. To do this, he will have to take into account not only the pros and cons of modern veneers, but also the condition of the patient’s teeth.

Indications and contraindications Veneers are effective method correct the bite, and most often they are prescribed for the following defects: Visually visible chips in the enamel, wedge-shaped defect, causing discomfort, as well as significant gaps between teeth; Discoloration of teeth as a result of treatment with tetracycline to a yellowish-gray color; Availability birth defects, a tendency to wear off the enamel, as well as a deformed shape of the incisors; The presence of old fillings or color defects, veneers are also prescribed for dead teeth, which have acquired a dark color; The indication for the use of veneers is diastema, when the front incisors are located at an unusually large distance.

In this case, with the help of veneers, interdental gaps can be reduced; The presence of enamel defects due to fluorosis, erosion or demineralization caused by long-term use braces.

But you need to remember that not all patients are suitable for veneers. First of all, this applies to owners of deformed teeth. To be able to use these onlays, they will first have to cure all carious lesions.

In addition, there should be no weak gums in the oral cavity. Sometimes, with prolonged tooth decay or as a result of treatment, the enamel can become serious damage. In such cases, it is best to install a crown rather than veneers. It is not recommended to use veneers for patients with bruxism. If you have doubts about what is better to choose - onlays or crowns, then first of all you need to take into account the contraindications for veneers.

If you are sure that you can use veneers, then before making a final decision you should familiarize yourself with the advantages and disadvantages of using them. Advantages Veneers are made from a practical material - porcelain. It simplifies the care of the overlays, and they are also protected from the appearance of such unpleasant defect like a raid.

Therefore, if you are in large quantities If you consume coffee, strong tea, red wine, or have a bad habit of smoking, then you can safely use pads that will retain their original appearance years later; When choosing veneers to correct the shape of your teeth, it is best to choose products made from composites, since with their help you will quickly achieve the desired result.

But porcelain plates will act much slower. Having decided to choose composite plates, you will not have to agree to grind down a significant part of the top layer of enamel, thereby protecting your teeth from harmful effects this procedure; The easiest way to make uneven teeth attractive is to install ultraneers on them.

Ceramic veneers E-max-bleach (Bleach)

Then you will be able to show others an even and snow-white smile for many years to come. But remember that the thickness of these plates is so small that under certain conditions they can break off the edges or peel off. If they just break off, then fixing this problem is very simple - the plates can be installed back quite easily.

When mechanical damage the design of the plate, you will have to completely redo your teeth; For patients who have been bothered by dark enamel where the nerve was removed for years, it is best to choose porcelain veneers. If the nerve is still present in the tooth, then the plates on the filled teeth should be installed only after the tooth has been treated in case caries does not begin to develop under the plate.

Disadvantages Veneers require grinding down the top layer of enamel, which causes serious damage to the enamel. If you want to remove veneers, keep in mind that you will no longer be able to return your teeth to their original appearance without special treatment. The fact is that as a result of processing the top layer of tooth enamel, serious damage is caused.

A serious obstacle, due to which the patient may lose the desire to install veneers on teeth, can be their high price. But you can put up with this, considering what an excellent result you can get, because these plates can easily hide any visible defects and consequences of injuries.

Remember that the color of the tooth will remain the same if you do not provide it with appropriate care. Any substances that enter the oral cavity will change the color of the cement base under the porcelain plate. And if you do not provide the necessary care, then after some time the colored cement will become noticeable. A similar disadvantage may occur when using composite plates.

Today, there are two methods of installing veneers on damaged or deformed teeth: Plates made of composite material, which are placed on the teeth during the first visit to the dentist. This method has certain disadvantages that were listed above; Production of veneers in laboratory conditions: If, after evaluating all the pros and cons of veneers, you still decide to install them, then it will not hurt you to get acquainted with the technology of their manufacture and installation.

First of all, you need to discuss this issue with your dentist. First, he will examine your teeth, determine if you have contraindications for the installation of veneers, and then he will sanitize your mouth and prepare your teeth to make an impression or immediately begin installing composite plates.

After completing the preparation procedure for veneers, the doctor will take an impression that will help create ceramic onlays. The process of making veneers takes place in a laboratory and you will have to be patient as it takes on average one week. Before installing veneers, your teeth will have to be treated. It is necessary not only to cure caries and eliminate defects, but also to remove upper layer tooth enamel.

This procedure may be unpleasant for people with sensitive teeth. To avoid painful sensations, the doctor may use painkillers. Until the permanent plates are installed, temporary veneers can be secured to the teeth. The main difficulties in manufacturing are associated with choosing the appropriate color of the overlays and compliance exact dimensions, which must correspond to the previously obtained print.

If these issues have been successfully resolved, then all that remains is to install veneers. Having completed the pre-fitting of the veneers, they are attached to the teeth using fluid composite adhesive and cement. To harden them as quickly as possible, light from a special lamp is used.

At the finishing stage, the dentist is required to remove existing defects and roughness so that the patient does not experience the slightest discomfort while using the veneers. Remember that veneers are not guaranteed to last Hollywood smile on long years, but if you take proper care of them, then you will not soon be faced with the question of restoration or replacement of the linings.

Dima DM, I also uploaded photos for you.

What are veneers and lumineers

Skin color is pale. Hair color is natural blond. Full mouth restoration: top full of crowns and implants, bottom full of implants and veneers. Material zirconium. Beauty.

Veneers made of composite material are by no means so unattractive, you need to discuss this issue together with the dentist, to answer your questions, you need to wash the bones; this is a natural question with the dentist! Although their overall service life is no worse than that of veneers and, in addition, lumineers, you cannot get back the original surface of your fangs without specific treatment, you need to discuss this topic with your dentist. Disadvantages Veneers require stitching of the top film of enamel, like porcelain.

Veneers - review

The story of transformation with photos. Nobody guessed!

Hi all!! I continue the dental theme))

so, I finally decided to install Vi-ni-ry!! after months of much deliberation. Step by step, HOW it was:

1) initial visit to an orthopedic doctor, discussion of the treatment plan, cost, taking impressions. The discussion lasted about 40 minutes, we decided to install 4 veneers on the upper front teeth, because the problem was obvious: the teeth were checkerboard pattern alive and dead, different colors, all with old fillings and chips. In general, horror. We discussed the cost. 1 e-max veneer cost 19,000 rubles. not cheap, I thought. But after looking at the photos of the treatment results, I became even more confident in my decision.

2)visit to the hygienist . Ultrasound and airflow cleared plaque from teeth. Enamel is naturally yellowish, there’s nothing you can do about it. The orthopedist suggested whitening, but after consulting with other doctors, I refused. Let me explain: I have weak enamel, my teeth are very prone to caries. And if I matched the color of the veneers to the color of the whitened teeth, after a while I would have to do whitening again to avoid the contrast of yellowed teeth. And thus “get hooked” on this procedure. And constant bleaching is like lightening your hair; the enamel becomes porous and weak. In short, I refused this option, although it won’t be snow-white, but I’ll keep my teeth longer.

3)grinding of teeth. gluing temporary veneers. This, girls and boys, is the most unpleasant part!! They injected a horse dose of anesthesia into 4 teeth and it began. He drilled for a very long time, it was really very scary. When I looked in the mirror later, my heart sank. The teeth began to look like Alkashkin’s or Baba-Ezhkin’s, small sparse stumps. The orthopedist said that it was because everything was filled with fillings; they all had to be ground down because the veneers do not glue to the fillings. Gradually the anesthesia wore off and my teeth began to ache. Temporary ones were put on. All the way home I was afraid to open my mouth; the air in it hurt. This is considering that out of 4 teeth only 2 were alive. Damn, I don’t know how some people wear down their entire mouth. A day later everything calmed down.

4) installation of permanent veneers. That was fast. Veneers were glued onto the treated dry teeth (more precisely, what was left of them). The color was chosen A2, focusing on the natural color. That’s all)

At first it was uncomfortable, the doctor filed and smoothed out all the irregularities. It felt like there were stones in my mouth. But after a week I completely got used to it, just like my natural teeth! Smooth, reflect light, everything is great. In the photo - top - BEFORE, in the center - Temporary, bottom - AFTER.

Conclusion. If all your teeth are filled or partially pulpless, there is no point in feeling sorry for them. I recommend veneers! The main thing is to think everything through carefully. But if these were healthy, living teeth, I definitely wouldn’t grind them down.

Once again photo with the original and end result. (Before - below, After - above)

Veneers color B1

Patient, 45 years old. I went to the clinic with a desire to change the color and shape of my teeth. The patient initially had healthy teeth, additional treatment were not required. During the consultation, I was offered the installation of Emax ceramic veneers with minimal tooth preparation. The patient chose color B1 for future veneers.

The solution to this problem was the installation of E-max veneers on the upper jaw and Opalescence whitening on the lower jaw.

At the first stage of treatment, diagnostic impressions were taken to create plaster models, Wax Up (future wax smile shape) and computer modeling.

The condition of the patient's teeth before the installation of veneers.

The second stage was fitting of plastic directly into the cavity without grinding down the teeth. At this stage, you can adjust the shape and size of your teeth and see your smile in advance. The patient approved the shape and no additional corrections were required. Color B1 was chosen because the task was snow-white smile, the most natural color. After approval, the enamel was polished and processed, and working impressions were taken to make permanent ceramic veneers. During production permanent restoration, temporary structures were made for the patient.

Smile before restoration with veneers.

The third stage is the fixation of ceramic veneers Emax on upper jaw. And teeth whitening on the lower jaw with Opalescence Boost.

The result after installing B1 veneers on the upper jaw and whitening with the Opalescence system on the lower jaw.

Complete color coverage on the lower jaw was achieved after the second application of the whitening gel.

You can learn more about all shades of veneers in this article.

When installing veneers, the choice of color is very important. This determines how attractive and natural your smile will be. Most patients who decide to change their teeth with veneers do not want to choose a color that matches their natural enamel because it does not seem white enough to them. It's right, because yellow teeth no one is being decorated.

The other extreme is the choice of unnaturally snow-white veneers. Such a smile will catch your eye and look unnatural. The color of the veneers should be in harmony with the color of the skin and eyes, because the main goal of aesthetic prosthetics is to change the smile in better side. Color B1 is suitable for most patients. It is the optimal balance between naturalness and beauty. Experience shows that patients. those who chose designs in color B1 are satisfied and smile with pride. People around them do not realize that a dentist has worked on their teeth, but simply admire them perfect shape and natural shade.

Determining the natural color of teeth according to the Vita scale: what determines the shade of enamel, what should it be normally?

Beautiful, healthy, white teeth have long been an indicator of a person’s success. However, due to the influence of various factors, tooth enamel loses its natural color, becomes stained, and the smile looks unaesthetic. What determines the natural shade of teeth, why they sometimes change color, what the Vita scale is - the answers to these (and many other) questions about tooth pigmentation will be found in this article.

What determines the natural color of tooth enamel?

What the natural color of teeth should be is directly dependent on the shade of their enamel. The latter shade is largely determined by heredity. In most cases, tooth enamel is milky white or translucent. It should also be taken into account that the tissues of the same tooth have different colors; the cutting edge is lighter than the root part. An interesting fact is that the natural color of the front teeth is different - the canines are darker than the incisors. The following factors also affect the natural color of teeth:

  • enamel density - dentin “shines through” through thin enamel, and this layer is naturally yellowish;
  • tooth microrelief - the more pronounced it is, the whiter the tooth color looks;
  • quality of dentin - with age (or due to a number of other factors) it darkens, sometimes the pulp, which has a red-brown color, begins to “shine through” it.

Vita scale for determining tooth shades

The shade of teeth, which is perceived visually, is determined according to the Vita scale. It is based on the principles of artistic colorimetry. The specialist determines the color of the teeth according to the Vita scale not in one area of ​​the tooth, but in several at once, since they may have differences, even minor ones. Determining the color of teeth using a scale is not difficult. First you need to identify the group - there are only four of them on the Vita scale:

To determine the group, the Vita scale is applied to the teeth (you can see what it looks like in the photo accompanying the article). After the group is established, we begin to determine the brightness of the color of the teeth. To determine the brightness, as well as the color of the teeth, the same technique is used.

There are also four types of brightness, they are indicated by numbers. “4” looks like the darkest, and “1” will be the lightest shade. Teeth color A4 is characterized by the minimum brightness in group A; it is considered very dark. If A3, then we are talking about a dark color with a brownish-red tint. During the whitening procedure, the color of the teeth changes to a lighter and brighter color - A2 or even A1.

Baby teeth in a child and their color

A child’s primary teeth are smaller in size than his permanent teeth, since at the time of their eruption the formation of the jaw has not yet been completed. Another feature of temporary teeth is their thin roots, which dissolve before being replaced by permanent ones. The baby has been using baby teeth for only a few years, so by nature their enamel is thinner than that of molars, and the teeth themselves are white with a slight, subtle bluish tint.

The appearance of spots of any shade on the surface of the tooth - snow-white, black, brown, yellowish - may indicate the development of carious lesions. The earliest sign of caries - demineralization of the enamel - looks like a white spot of a “chalky” shade.

Reasons for color change

Changing the color of teeth occurs under the influence of internal or external factors. In the first case, we are talking about darkening or pigmentation of dentin - it will be difficult to restore the natural shade of enamel in such a situation. External factors primarily contribute to the staining of enamel - most whitening technologies are aimed at eliminating “contaminants” of this particular type. The most common reasons causing changes in enamel shade are presented in the table.

Methods for restoring natural shades of enamel

If there has been a change in the normal color of the teeth (that is, they have become pigmented), in most cases it is possible to restore their natural shade. First of all, you will need to find out the reasons for the color change, the appearance of stripes or spots. After diagnosis, the factors that caused the change in the natural color of the teeth are eliminated. Sometimes this is enough to return natural whiteness, but in some cases additional procedures are required. Basic methods:

  1. professional teeth cleaning and removal of deposits from their surface - if the change in shade is caused by accumulations of stone and plaque, it is enough to get rid of them so that the color of natural teeth changes and they become several shades lighter;
  2. whitening (external or intracanal) - often carried out using formulations based on hydrogen peroxide; if traumatic periodontitis has caused the discoloration of teeth, then the shade can be restored in just one visit to the dentist, in all other cases a course of procedures will be required;
  3. orthopedic methods - installation of ceramic crowns or microprosthetics with veneers are indicated when the color of teeth changes due to taking tetracycline medications, if the enamel has low resistance, and also if pigmentation is caused by artificial materials in the tooth.

Installing veneers is one of the most popular methods of creating a beautiful smile. The benefit of using veneers is that it makes it possible to quickly make teeth straight and white. However, it is bad that such technology masks shortcomings without eliminating their root cause. You need to remember this when choosing a method for whitening or straightening your teeth. Veneers are made in different colors.

The color of veneers must be selected based on the appearance of the entire dentition if microprosthetics of one / several elements is planned. If the entire smile area is subjected to the procedure, or if we are talking not about correction, but about a way of self-expression, then you can select veneers based on your own preferences.

Preventing the preservation of natural tooth color

It is possible to preserve the natural shade of tooth enamel and achieve lasting results after a course of whitening procedures if you follow all the dentist’s recommendations and regularly carry out a set of preventive measures. Tooth discoloration can be prevented, but it requires a responsible approach on the part of the patient.

You should refrain from taking fluoride in excess quantities, reduce the consumption of drinks and foods that cause staining, observe good oral hygiene, visit the dental office for a preventive examination and professional cleaning annually, and treat diseases in a timely manner.

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