PROSTHODONTICS

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PROSTHODONTICS

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Prosthodontics is not limited to restoration of missing teeth. It also helps improve your smile and correct your teeth shape and alignment.

 

Restoring the missing teeth is very important. Even a single missing tooth leads to occlusal malfunctions - teeth drifting and tilting, bone loss in the missing tooth area, pain in temporomandibular joints. This is why tooth extraction is performed only as a last resort, and it is recommended to restore the missing tooth as soon as possible. Several tooth restoration techniques are available.

 

Remember, even a single missing tooth disrupts the functioning of the oral cavity.
The teeth work properly only as a full set.

PROSTHETIC CROWNS

Prosthetic crowns restore the proper shape,

color and function of damaged teeth.

 

Crowns may be placed on vital teeth which are severely damaged by caries or trauma, and in situations where all that remains of the tooth is a treated root canal.

 

In case of vital teeth which have numerous fillings or are damaged, the degraded tissue is removed and replaced with a fully functional prosthetic restoration - the crown.

 

Restoration of a tooth that received root canal treatment involves strengthening it by inserting a post and core which remains anchored in the root, restoring part of the missing tooth. Next, a crown is placed on it, resulting in a fully functional restoration.

 

Materials

Posts and cores are produced from fiberglass or from precious or non-precious metals.

Fiberglass posts are teeth-colored and ensure a highly esthetic restoration, with crowns that do not look different from natural teeth.

Metal posts perfectly strengthen even very damaged teeth. They are covered by crowns that restore the shape and color of natural teeth.

 

BRIDGES

A bridge is fitted in order to restore the missing tooth or teeth, ensuring proper functioning of the oral cavity.

 

The teeth adjacent to the gap are used as abutments and take over the function of chewing, while a pontic restoring the missing tooth is hanging between them. Abutment teeth are covered by prosthetic crowns that restore their shape. The shape of the pontic is identical with that of the natural tooth.

 

Materials

Bridges may be manufactured from the same prosthetic materials as crowns. However, in case of front teeth, it is recommended to choose highly esthetic ceramic or zirconium oxide restorations.

Bridges may also be supported on implants.

 

DENTURES

A denture is a prosthetic appliance that can be inserted and removed at your convenience. It is fitted to restore all the missing teeth, or several missing teeth when a bridge is not viable.

 

A full denture restores all the (upper and lower) teeth and is attached to dental arches and gums only by the force of suction. Denture retention can be improved by using dental implants to act as anchors for the appliance. This greatly enhances user comfort.

Another way is to use treated root canals, fitting them with special retention clasps.

A denture that restores a few teeth is attached with special clasps to the existing teeth.

 

Materials

An acrylic denture is used to restore all or nearly all the teeth. It consists of a pink-colored plate with attached artificial teeth arranged so that the patient’s smile before tooth loss is recreated.

A metal/acrylic denture (cast partial) is applied when the patient still has numerous healthy and properly functioning teeth. Owing to the special structure of retention clasps, these teeth take over some of the functions of the missing teeth. This procedure sometimes requires crown restorations, in order to precisely utilize the forces holding the denture in place on the patient’s existing teeth.

A cast partial denture consists of a metal base plate and acrylic teeth attached to it. Metal is a good choice in terms of hygiene because bacteria in the oral cavity tend to avoid metal, while they quite willingly gather on acrylic plates. Also, cast partials offer a much higher user comfort than acrylic ones.

 

CAD/CAM

Implant-supported prosthetic restoration produced in CAD/CAM technology

 

In our clinic, we use software to produce implant templates which enable the surgeon to plan the implant’s position in the bone. The physician uses a 3D image for precise planning, in order to avoid injury to any adjacent anatomic structures, such as the alveolar nerve or the sinus, and to maximize esthetic value of the restoration.

 

Next, the dentist digitally designs the abutment which will be attached to the implant, connecting it with the crown. This enables them to design the gum line, or gum shape, which is particularly important in case of front teeth, where high esthetics is crucial. Then, they design a highly esthetic crown, precisely adjusted to the patient’s bite, which will be seated on the abutment. It can be machine-milled using tooth-colored aluminum oxide ceramics. All sections of such a crown have a natural tooth color. This technology significantly shortens manufacturing time and ensures a more esthetic result. All the elements are produced at our clinic and color adjusted.