What exactly means prosthetic dentistry?
When the lack of one or several teeth affects your smile and appearance in general. When you have trouble eating, your speech is altered and consequently, your self-esteem is lower, we choose prosthetic dentistry.
With technology and material advances, many better and quicker solutions are available in order to resolve partial or complete toothlessness.
Prosthetic dentistry is a branch of dentistry. It involves the compensation of lost teeth, restoring the aesthetics and functionality of your teeth.
Therefore, prosthetic dentistry deals with the complete rehabilitation of the oral cavity.
PROSTHETIC DENTISTRY – FIXED, MOBILE, OR HYBRID PROSTHESES
Depending on the indications, or rather, the number of teeth lacking, but also the state of the remaining teeth and the tooth-supporting apparatus, patients can have a fixed or mobile prosthesis. There is also something called a hybrid one, which is a combination of fixed and mobile prosthodontics.
Considering the fact that nowadays aesthetics come first, with great confidence we can say that modern prosthetic dentistry completely satisfies patients’ needs today. Minimally invasive procedures, as well as non-metal systems, are a true specialty of UpDent Dental Clinic.
PROSTHETIC DENTISTRY – NON-METAL SYSTEMS
Non-metal systems are highly aesthetic teeth compensations, made of a bio-compatible material, mechanically very resistant. A non-metal system includes non-metal crowns. In this case, the procedure involves filing teeth down in all their circumference. The future compensation reaches the gums, not underneath (as with metal-ceramic crowns) which makes non-metal crowns a much healthier option.
Veneers or so-called shells are compensations in which the tooth is preserved to a maximum degree, therefore it involves filing down only at the front. This is why we call these procedures minimally invasive. Veneers allow us to correct the shape, pulp damage, position to a lesser degree, close space between teeth (diastemata) and they give a completely natural look, color and transparency.
MUST I FILE MY TEETH DOWN?
Prosthetic dentistry does not always entail filing teeth down. Such prosthetic work is entirely non-invasive and is called non-prep veneers in which your tooth remains intact. Inlays and Onlays belong to this group of non-metal systems. It is important to know that these are permanently cemented on top of your teeth.
Non-metal crowns can also be cemented on top of implants.
Apart from non-metal crowns, metal-ceramic crowns can also be cemented on top of teeth or implants.
Advantage of non-metal compensations in comparison with the metal-ceramic ones:
-Material bio-compatibility, which is one of the most important features for compensation success rate.
-Highly aesthetic materials which have characteristics similar to natural teeth
-Teeth are filed down to the gums, not beneath.
All these are fixed prosthodontics that are not removed from the mouth.
Plate and skeletal partial dentures, so-called visil dentures. They are attached to the remaining teeth with special attachments or hooks.
Prostheses on telescopic crowns.
Prostheses on implants.
PROSTHETIC DENTISTRY ON IMPLANTS
When we do not wish to file healthy teeth down, and we must, in a way, compensate for the lacking ones, we insert dental implants.
We also insert dental implants and make adequate prosthodontics on them in the following cases:
Complete toothlessness. When after implant insertion we can make a mobile appliance (prosthesis on locators), but also fixed prosthodontics, depending on the number of implants inserted.
When the state of the remaining teeth that would-be supporters of prosthodontics are not good enough to be burdened with a future compensation.
In the case of complete toothlessness, we insert 4 to 6 dental implants in the upper and lower jaws. In these case we do something called all on 4 or all on 6 prosthodontics and the supporters of those are only dental implants.
DENTAL PROSTHETIC ALTERNATIVES
In the case of non-existent conditions for the insertion of a certain number of implants, we insert a lesser number and choose to do prostheses on the implants. When we talk about partial toothlessness, with some teeth we want to preserve, after the implant insertion and their osseointegration, we make a pertinent prosthesis. The supporters of prosthodontics in this case (e. g. dental bridge) are either implant-implant or tooth-tooth.
Prosthetic dentistry and prosthodontics never combine two different supporters.
This is very important to mention since the tooth has its own physiological movement and a dental implant after it has been osseointegrated holds itself firmly in the bone with no movements. Therefore if one of the supporters is an implant and the other one the tooth, wobbling will occur.