What are Prosthetic Dental Treatments?
Thanks to modern dentistry, there is now what is known as prosthetic therapy or dentures. With this treatment, severely damaged or missing teeth can be completely reconstructed. Typically, if left untreated for gum disease, teeth will fall out. In addition, some accidents can lead to loss of teeth. With the prosthetic treatment, the aesthetics and the natural chewing function of the teeth can be restored.
Why is prosthetic dental treatment necessary?
Disturbances in the shape, structure, color and position of the teeth can cause aesthetic and dysfunctional problems. Extremely advanced caries (tooth decay) or loss of substance on the tooth, e.g. due to a blow, cannot necessarily be treated with a filling. The developmental non-preservation of the teeth can lead to toothless gaps in the mouth for medical reasons. In addition to aesthetic consequences, these empty areas can also have »eating disorders» language disorders (incorrect articulation of letters) »psychological problems (self-consciousness, loss of self-esteem, attempt not to laugh)» oral health disorders (change in position of teeth, tooth wear, tooth decay, etc.) »Pain in the temporomandibular joint, causing language and movement disorders (temporomandibular joint problems. as well as your health.
What types of prostheses are there?
- Fixed prostheses
1.1 Crown prostheses
1.2 bridge prostheses
- Removable prostheses
2.1 Full (total) prosthesis
2.2 Partial or full dentures
- Implant-supported prostheses
- Fixed prostheses:
These prostheses are firmly connected and anchored to your own teeth. They cannot be removed by the patient and are usually more natural and aesthetic than removable prostheses. In addition, they offer a better chewing function and do not contain any prosthetic materials that extend behind the roof of the mouth or the tongue.
1.1 What is a crown prosthesis?
It is the process of shrinking and disguising teeth due to excessive loss of material due to tooth decay, fractures, or other reasons.
In which cases ll do a crown prosthesis take place?
Crown prostheses are used in the restoration of large teeth without adequate tooth support to prevent the breakage of weak teeth. They are used as the top structure of dental implants in the correction of broken, deformed and discolored teeth.
Thus we achieve an optimal appearance of your teeth and ideal oral health / oral hygiene.
Our teeth all work together while chewing, speaking, singing, and laughing. If our teeth are lost, for example a molar, these tasks become more difficult and can give the appearance of an older and battered appearance. With the help of a bridge prosthesis, these everyday tasks can be supported while maintaining the natural shape of your face.
Losing a molar can make your face look older and more battered.
Fortunately, thanks to the latest dental technology, it is possible to reconstruct tooth loss using various methods … such as an all-ceramic crown prosthesis
For people with teeth that have already been ground down, ceramic crowns can be made without a metal support. One of the most important properties of ceramic crowns is their response to light, which allows the depth and vitality of the tooth to emerge.
The light transmission of ceramic crowns without a metal support is much higher and thus achieves a more natural appearance.
What are the advantages of an all-ceramic crown?
While all-ceramics are very similar to the natural tooth structure due to their transparency, metal-ceramic, a cloudiness and artificiality is present, even if they are very well made. For this reason, all-ceramics are preferred, especially on the front teeth. Metal-supported ceramics form a dark shade with some light sources (disco, flash light for cameras, etc.) and thus appear like gaps. All-ceramic, on the other hand, like natural teeth, allows any kind of light to pass through.
Metal-supported ceramics are mechanically attached to the teeth, whereas all-ceramics are mechanically and chemically attached to the teeth. Because of this, the adhesion is much higher than that of the metal-based ones. “Since there is no metal in the base of non-metal-supported ones, there is no dark-colored line in the area between the crown and the gums. This makes for a more aesthetic look. »If the gums recede, the all-ceramic retain their aesthetic appearance, whereas metal-ceramic in the connection area with the tooth creates a bad image. »With all ceramics there is no risk of damage to the metals used in the base (nickel etc.)
1.2 What is an bridge prosthesis?
Bridge prostheses are called restorations that are applied to one or more missing teeth. With bridge prostheses, the gap is created by reducing the size of the neighboring teeth and the support by a special
Disguise on the teeth, filled.
Why should I have a prosthetic bridge made?
When a tooth is lost, the neighboring teeth begin to shift. As a result, there are gum problems on the neighboring teeth, bone loss due to overturning, impairment of aesthetics and changes in chewing force. If this empty space is not restored for a long time, losses can also occur in the neighboring teeth.
How are crown prostheses manufactured?
In the case of a crown or bridge prosthesis, the tooth is reduced in the thickness of your respective materials for the overlap. In the dental laboratory, the restorations that are supposed to replace the missing tooth are fixed on the natural teeth with special adhesives.
Are there different types of prostheses ?
Bridge prostheses can vary depending on the material used (metal alloys, ceramic materials) and the area of application (adhesive bridges, all-ceramic bridge prosthesis, implant-supported bridge prosthesis). After the examination, the dentist determines which treatment option is most suitable.
What should I do to protect my breasts ?
Protecting our teeth is very important. It is necessary to brush the teeth at least twice a day and to clean the spaces between the teeth with dental floss or special brushes. These toothbrushing products are very helpful in cleaning up a layer of bacteria called plaque. Plaque leads to gum disease and tooth decay. It is especially important to carefully clean the area around the denture bridge, the area below it and the connection to the natural teeth. Dental floss and special brushes will help you get to these areas.
Most important, however, is to see your dentist regularly. Remember that the dentist is the most important point of contact during the phase planning and construction of the bridge in order to guarantee a long service life for the bridge.
Zirconium-based bridges without metal support
In this application, a white alloy with zirconium as a base is used instead of metal. This state-of-the-art product is the only material that combines the aesthetics and durability of the base. The greatest advantage of this system is that it has an extremely aesthetic appearance with the bridges in the rear area with very high durability.
Where can ö be used neck prostheses?
»Restoration of single-tooth crowns» 3-6-unit bridges (with an anatomical length of up to 38 mm) »Implant-supported crowns – bridge work
Highest technology for excellent results
Heretofore, zirconia has not been used in dental applications due to its high manufacturing cost. Thanks to a project developed at the Swiss Federal Institute of Technology in Zurich, zirconium oxide has become economically feasible for use in dentistry. Zirconium has also been used in medicine since the 1960s. The safety of the material has been researched and proven through long-term studies. Zirconium, at the top for use in hip joint prostheses, has been used for various purposes in various areas of the body. In addition, it was found that it does not cause any side effects or health damage / consequences such as allergies. Zirconium is an element that is resistant to high temperatures and impacts, is light and translucent and does not conduct heat or electricity. It’s also a healthy material that doesn’t cause bad taste, gum problems, or bad breath. A wax model of your teeth is made over the model made with the dimensions of your teeth. A computer-aided device uses the information from this model to prepare the basis of your teeth by grinding the zirconium oxide block. The work is completed by placing ceramics in a suitable color on the structures that have been prepared for abrasion. In the meantime, the dental industry can successfully carry out metal-free, strong and aesthetic restorations with this high-tech product, zirconium oxide.
- Removable prostheses:
In cases in which the supporting teeth can no longer bear the future load, for example due to a large lack of teeth, removable prostheses are used. If there are teeth in the mouth that can be used as supports, this is called a partial denture. The partial denture is a prosthetic application with tooth and tissue support. For the tooth support, tips called brackets are attached under the arched area, in the vicinity of the tooth to the gum, thus ensuring the hold. The surface of the tissue on which the prosthesis sits provides the tissue support. In this way, the force is distributed across teeth and tissues. Full and partial dentures are devices that complete missing teeth, restore lost function, articulation and aesthetics to the patient, and ensure the health and continuity of the tissue and teeth remaining in the mouth.
2.1 What is a full (total) prosthesis?
If the person has lost all of their teeth in their mouth, a full (total) prosthesis must be made. These are prostheses that remain in the mouth with the support of the remaining bone tissue in the upper and lower jaw through vacuum force, are made of acrylic and are popularly called “palatal prosthesis”.
2.2 What is a partial (removable) prosthesis?
It is used when teeth are partially missing in the mouth. Partial dentures include plastic teeth that are used in place of the missing teeth in the mouth and thus complement them. The plastic teeth are connected to one another with a pink or tooth-colored base, similar to a metal base. The most important parts, however, are metal brackets or precision fasteners that hold the teeth in place.
What is a pre cision fixation (attachment prosthesis)?
The brackets on the partial dentures can cause aesthetic discomfort, especially on the front teeth. Teeth with insufficient gum health can also result in loss of teeth due to the force of the brackets. In these cases the force can be distributed to a single tooth by joining the crowns and teeth together. The metal brackets can cause damage and wear to surrounding healthy teeth. Precision fixation is a type of prosthesis in which the toothless areas are supported with partial dentures and the disorders of the shape, color and position of the teeth located / localized in the mouth are corrected in full dentures. The teeth to be used as supports are prepared. In the manufacture of the fixed crowns, finished materials called precision fasteners are attached to the areas near the edentulous area. In this way, instead of the unaesthetic clamps that come on the crowns, a fastening system is ensured that cannot be seen in the mouth and does not interfere with the aesthetics. In contrast to the classic partial dentures, these prostheses are much more superior in terms of durability and health.
- Implant studs Prostheses:
Full dentures are no longer the only chance for toothless mouths in recent years. Implants placed in the jawbone and prostheses made by supporting it make the patient feel as if they are chewing with their own teeth. For this reason, they are often preferred.
Prostheses and care
Having a prosthesis doesn’t mean you pay less attention to your oral hygiene and care. On the contrary, your regular visits to the dentist will ensure the life of your dentures as well as your oral health.
Why should I clean my prostheses every day ?
Daily cleaning is important in order to avoid the formation of plaque, food particles and tartar, which can cause the following problems: »Appearance and aesthetic problems» Bad breath »Irritation of the tissue under the prosthesis» Infections in the mouth
Which points have to be considered when cleaning a denture?
»Be sure to remove your prosthesis after every meal in order to clean the inside and outside surfaces with a toothbrush and soap. »When brushing the teeth, water and various toothpastes or care products for prostheses are used. »No abrasive powder may be used, otherwise the surface of the prosthesis will be scratched and residues will begin to collect on these surfaces and discoloration will occur. »Both special denture brushes and normal toothbrushes can be used. It is important to ensure that all surfaces of the prosthesis are carefully cleaned. »From time to time you can store your prosthesis in a special liquid for prostheses. »You should not use prostheses that have been exposed to chemical substances until they have been cleaned. »Stains and deposits in the prosthesis can only be cleaned by the dentist using ultrasound equipment. “It is also extremely important to clean the tissues inside the mouth on which the prosthesis is placed. If you place the prosthesis in a mouth that is not clean after cleaning, the cleaning will be free. After removing and cleaning the dentures, clean the toothless areas in the mouth with a soft toothbrush or gauze bandage. »If you still have teeth in your mouth, make sure to clean them with a toothbrush and toothpaste. »The cleaning of the brackets, which in the case of partial dentures ensures that the denture adheres to the teeth in the mouth, is also extremely important in order to protect the teeth in the mouth. Failure to clean the food residue around the brackets as well as in the inner surface will damage the teeth. It is essential to clean after every meal. »Be sure to keep the removed prostheses in a container filled with water. »Do not, or anyone else, perform any procedures such as grinding or additional repairs without the supervision of your dentist. Contact your dentist immediately if you have any problems with your denture. »Go to your dentist regularly for checks. These controls will help prevent future problems. »Please note that your prostheses also have a lifespan and should be replaced at least every two years and at most five years. Otherwise, the harmony of your prosthesis with the changing tissue will be disturbed and it will be more difficult to use.
Questions about similar to prostheses are often asked … ..
How long does it take to get on the prosthesis ö ?
Using your prosthesis, which you will find heavy and bulky in the first few weeks, will become easier over time as the tissue in the mouth area adapts. Even if you will have difficulty inserting and removing in the beginning, this will be overcome with some practice. Follow your dentist’s recommendations.
Do I have to wear the prosthesis daily, especially at night?
No. You will be given the necessary information on how to use it. However, it is desirable to wear it all the time during the start-up period. Even if this circumstance causes temporary discomfort, it is necessary for you to feel as soon as possible
get used to your prostheses and your doctor can make the necessary adjustments. During this time, there may be areas where the prosthesis is pressing and in these areas, white spots and pain can develop due to the pressure. In this case, your dentist will make the necessary grindings and provide relaxation.
Will I have trouble eating with the prosthesis?
As your teeth are completed, you will be able to eat more comfortably. Even if you have difficulty at first, eating soft foods, dividing them into small pieces, and chewing them slowly can solve this problem. Make sure to use both sides when chewing so that your prosthesis receives equal and balanced pressure. Avoid very hard and sticky foods. It is also not recommended to chew gum until you are used to the prosthesis.
What are metal clips and what are pre precision fasteners?
Metal brackets make it possible to hold the visible surface of the tooth as if by a hug, the main disadvantage being that they create an aesthetically difficult to accept appearance. The precision fixings, on the other hand, are almost invisible due to the placement using the tooth crown and, of course, more aesthetic. The clamps can come loose depending on usage and can be restored to their previous state by your doctor’s checks, which are carried out at certain time intervals. A similar situation is also the case with precision fastenings. Here, however, the problem is solved by sending your prosthesis to the laboratory for a short time and replacing the plastic area in the prosthesis where the precision fastenings are located. The prostheses with precision fastenings are more expensive because they are more labor and cost-intensive compared to the clasp prostheses. They also take up more time in the manufacturing phases in terms of duration and sessions. After talking to your doctor, you can decide which prosthesis is most suitable for you.
Are the teeth hones to which the metal clips are attached damaged ?
Will a crown be required?
Crowning the teeth with metal brackets is not the right thing to do, except in cases where a crown is required from a prosthetic point of view. The main reason for this incorrect / incorrect or incomplete information is the insufficient cleaning of the teeth that are located under the brackets, as this does not provide ideal oral care by the patient. Ideal planning by your doctor and optimal care of your oral hygiene will prevent your teeth from rotting.
When should my prostheses be reworked?
Your dentures may need to be reworked over time. Age-related atrophy of the tissues in the mouth can prevent the prosthesis from sitting properly. Your prosthesis may be too large for reasons such as bone loss. In such cases, your dentures will have to undergo minor interventions again by your doctor. This process is usually done by a process called relining in two sessions or as a primer in one session. In short, it is about filling the gaps in the prosthesis. Since this increases the harmony with the tissue, the use of the prosthesis will again be easier for the patient. The brackets of your partial prosthesis, however, can loosen due to use and your doctor can fix them again by means of checks at certain intervals and bring them into the previous position. A similar situation is also the case with precision fastenings. Here, however, the problem is solved by sending your prosthesis to the laboratory for a short time and replacing the plastic area in the prosthesis where the precision fastenings are located.
Can I make corrections to my prosthesis?
No. We recommend that you do not carry out your own interventions on the prosthesis such as grinding, correction, etc. Should you damage the prosthesis that your doctor carefully made, or in particular a part that is extremely important for strength or chewing, it may require repairing or re-manufacturing your prosthesis. You must resolve the complaints about your prosthesis together with your doctor.
