Dental restoration and prosthetics
- Temporary prostheses
- Removable and fixed structures
- Prosthetics on implants
- Digital dental restoration
Dental prosthetics is a variety of technologies and designs, among which there are removable, conditionally removable, and fixed prosthetics. Each type has its own indications, advantages and disadvantages.
The dentist will help you to understand a variety of prosthetic options and to choose the optimal one. It will take into account the smallest features of a smile – in both static and motion, will understand the peculiarities of a tooth that needs a crown, will apply computer modeling.
Dental prosthetics are necessary, even if the empty spaces after extraction are not visible, and the patient is bypassed with the existing teeth. Prosthetics can be used both in the absence of a tooth, and in case of its significant destruction. Dental reconstruction is an important procedure for both health and appearance.
Find out the details
- What happens if you leave everything as it is and do not replace the lost teeth?
- Temporary prostheses
- Removable prosthetics
- Conditionally removable prosthetics
- Fixed prosthetics
- Prosthetics on implants
- Digital dental restoration
What happens if you leave everything as it is and do not replace the lost teeth?
- The chewing load will be uneven;
- Bone tissue atrophies;
- The teeth above or below will no longer perform their function effectively;
- Adjacent teeth will begin to shift, loosen, and gaps between the teeth may appear;
- The symmetry of the face will be broken, because of this, wrinkles appear on one side, the chin line changes;
- From the unobvious consequences of the absence of a tooth: pain both in the joint itself, and in the muscles surrounding it, migraines;
- The digestive system began to overload.
It is important for us that a patient who has just extracted a tooth does not experience the psychological discomfort associated with its loss. That is why we install temporary structures – they help, for example, to wait for the time of implantation and the manufacture of a permanent prosthesis, without worrying about missing teeth.
These designs are installed immediately after tooth extraction, are not intended for long-term wearing, and after a while are changed to permanent ones. Their presence does not in any way affect the rate of healing of the hole and does not damage the adjacent teeth.
In order to supply temporary structures, the dentist creates a template according to a photo protocol. The patient is then given first-order temporary structures. They are made directly in the clinic from fast-hardening plastic. They are needed so that the patient, after removal, can leave the clinic with teeth. Over the next few weeks – usually up to three – second order temporary structures are produced. They are made of composite, they are not as massive as the first, more precise and aesthetic.
The patient can independently remove such an orthopedic structure and put it back. In this case, the design can be made for the entire jaw and attached to the gums, as if “sticking” to them. Or it may be partial: in this case, it partially “sticks” to the gums, and partially attaches to the teeth or implants.
Full dentures are made from acrylic or nylon. Acrylic dentures are a traditional option with an attractive cost. Nylon structures are also strong and reliable, but at the same time they are flexible, elastic and not as massive as acrylic ones. It is very difficult to break such a prosthesis, and due to the bioinertness of the material, it does not cause allergies.
An example of a partial removable denture is a clasp denture. It is a frame on which a base with teeth is fixed. Among all types of removable prosthetics, the clasp is the most comfortable, compact and perfectly distributes the chewing load.
Before getting a removable denture, the patient goes through two stages of preparation. At the clinical stage, the dentist takes impressions and determines the height of the bite. At the laboratory stage, individual models are made using digital technologies, the manufacture of structures.
Once every three to nine months, a patient with a removable denture comes to the clinic for relining. And at home care, it is important to use special brushes, pastes, and hygienic rinses for the oral cavity.
If removable prosthetics bring discomfort, both physical and psychological, then it is worth considering an alternative.
Conditionally removable prosthetics
Removable prosthetics are extensive and don’t always mean «teeth in a glass». There are a so-called conditionally removable prosthetics, when the structure can be removed, but only in a dental office. In this case, the structure itself is fixed not only by the gums, but also by the implants. Once every six to twelve months, the dentist removes the prosthesis to subject it and the oral cavity to hygienic treatment.
There is a wide range of materials for prosthetics frameworks: cobalt-chromium alloy, titanium, zirconium, fiberglass and others. This means that you can choose not only a more aesthetic design, but also a more durable one.
The most common is considered a cobalt-chrome alloy, which has an optimal price, but low aesthetics due to its metallic shade. A conditionally removable zirconium prosthesis, for example, is lighter, more aesthetic, less prone to wear and tear. With such a prosthesis, you can go to the dentist less often – once a year. Structures made of zirconium will live longer: its wear life is about 25 years. But the price of zirconium dioxide prostheses is much higher.
On the frameworks of conditionally removable structures, either composite or E.Max ceramics can be applied.
Distinguish between fixed prosthetics on one’s own teeth and fixed prosthetics on implants.
The first is used when the teeth are severely damaged and cannot be restored with filling. These can be inlays, onlays and crowns. The terms of their production are from 5 to 21 days.
Fixed dentures on implants consist of an abutment and a crown. The abutment is a link between the implant and the crown, the crown is not fixed. Abutments are available in standard and custom designs. The standard abutment cannot be matched exactly to the tooth shape and therefore requires more crown material. The custom abutment recreates the shape of the tooth stump, so the thickness of the crown material will be uniform.
The amount of material used for crowns is really important. The more material, the greater the mass of the crowns and the lower their strength. Therefore, crowns on standard abutments are more likely to be vulnerable to all kinds of chipping and damage. Conversely, when the thickness of the crown material is uniform, the chewing load on the tooth is evenly distributed and the installed prosthetic solution lasts longer.
Prosthetics on implants
The leading way to restore lost teeth is implant prosthetics. An implant is placed in place of the missing tooth, onto which the abutment and prosthesis are fixed. Orthopedic solutions on implants are removable, conditionally removable and fixed. The choice of method depends on the number of implants and materials used for prosthetics.
Digital dental restoration
Today, leading museums use digital technology to restore paintings, doing all the work with light and calibrated pixels. Smile restoration technologies are equally impressive. Even at the stage of planning prosthetics, the dentist can use computer modeling to see what the patient’s future smile will be like. For example, CAD / CAM allows you to design dental crowns using 3D models and press the framework of the crowns, creating the most accurate designs.
CAD / CAM is a two-stage dental restoration system. CAD, or Computer-Aided Design, is the design of a smile using computer technology. CAM, or computer-aided manufacturing, is the manufacture of prostheses using computer technology.
CAD / CAM technology takes into account all the necessary physiological characteristics of the patient: the shape and color of the teeth, the smile line, the movement of the temporomandibular joint. Precision through an individual approach is the main strength of this technology. Thanks to this, it was possible to make durable and aesthetic crowns, and also to reduce the recovery time after dental procedures.
The specialists of the «Your Dentist» clinic in Odessa use only progressive digital prosthetics in their work. This approach is not a luxury; it is a necessity for a high-quality smile restoration.
Frequently asked questions
You probably care about questions that other patients have already asked. Look through the answers to them, but if you still have doubts –
just contact us!
- What crown materials are used in the clinic?
A patient who needs prosthetics may be 18 or 81 years old – the specialists of the «Your Dentist» clinic will select crowns for everyone that are indistinguishable from natural teeth. For prosthetics in the clinic, E.Max is mainly used on a zirconium frame or an all-metal frame. Such designs are not only highly aesthetic, but also very durable.
In order to be sure of the reliability of the chosen type of prosthetic, it is necessary to pay attention to the all-oaxanatomic works made by the milling method. They are extremely durable and, among other things, do not chip. Whole anatomical orthopedic structures are excellent for chewing teeth.
Zirconium frameworks are valued for their high bioinertness. This means that such constructions do not have a toxic effect on the body and are not rejected.
You can choose a more familiar option – both in terms of prevalence and price – cermet. Such material is reliable, performs its functions well, and differs in cost than metal-free work. However, the aesthetic characteristics of cermet are worse, in particular, due to the fact that this material does not transmit light. For anterior teeth, it is better to choose another option.
- How long crowns can be in use?
Crowns are subject to abrasion, chipping and other mechanical damage. Therefore, their service life is from 5 to 15 years, depending on the materials, prosthetics technique and how carefully the patient monitors the oral hygiene.
- Is the care of fixed or conditionally removable dentures different from regular dental care?
Essentially, no. If the dentist did not say to come more often, then visiting the clinic comes down to the traditional “once every six months.” At home, it is better to use dental floss, brushes and an irrigator – a device that delivers a powerful pressure of water to clean teeth from plaque, and massage the gums.
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