Prosthodontics – Replacement of missing teeth
The primary role of prosthodontics is to replace missing teeth, and by that improve or restore the patient’s chewing capacity. It prevents diseases of the chewing system, restores the patient’s original outlook, improves pronunciation.
Removable prosthodontics includes totally or partially removable prostheses anchored by buckles, or special prostheses made of flexible resin (Flexite) that do not contain metallic elements, they are lightened and elastic.
Fixed prosthodontics includes crowns and bridges made of metal ceramics or non-metal zircon ceramics. There are also cosmetic cover facets – veneers made of pressed non-metal ceramics and serve for the cosmetic treatment of front teeth sections – gap closing, tooth color adjustment (for tetracycline teeth), tooth shape modification.
Fillings, inlays, onlays
As a suitable dental solution, we use dental fillings referred to as inlays or onlays for the restoration of a moderately damaged tooth. Their use is also recommended in cases where the tooth is broken or cracked, but the damage is not so extensive to require a ceramic crown. They can be made of composite material similar to white fillings or ceramic material and are therefore often used to replace amalgam fillings for a more natural smile.
If the tooth damage is more extensive, ceramic crowns are used for its reconstruction. There are several types of materials. Choosing the right one depends on whether there is one or more teeth to be treated by crown, or whether it is a bridge or front tooth treatment. In any case, the result is the reconstruction of the tooth into its original form.
In the first phase, the tooth is sharpened and the impressions are taken. In the second phase, the crown is made in the dental lab. During the treatment, the treated tooth is protected by a temporary resin crown, that means the patient can eat and talk without difficulty and that their surroundings do not even notice that dental treatment is being carried out. During the next appointment at the dental clinic, the temporary crown is replaced by a new, permanent one.
In case of one or more missing teeth, the construction of a bridge is one of the appropriate prosthetic solutions. In this case, the teeth next to the missing tooth should be sharpened. Careful consideration of the teeth condition based on clinical examination and X-ray picture precedes the decision. It depends on the particular type of to-be-replaced tooth, its relation to the opposite teeth, the extent to which adjacent teeth are affected by decay, or the extent to which they are treated with fillings. It is also necessary to consider the condition of the abutments in order to handle the increased load. According to that, two or more adjacent teeth will be sharpened to create a bridge.
The treatment itself is painless and under local anesthesia. The abutments are sharpened and the imprints are made. Based on that the dental technician makes a denture that is firmly attached to the sharpened teeth. The patient gets a temporary bridge, almost identical to the original one, until the final substitution is completed. So you never leave the clinic toothless.
In specific cases when it is not possible to make a fixed replacement or implants, it is necessary to make removable dentures for missing teeth. In this case, careful analysis of the planned treatment is required, and you will be offered the optimal solution. We always try to choose a solution that will ensure the stability of the denture during its usage and thus the patient’s comfort. Considering the complexity of such treatment, we always prepare a detailed treatment plan before we begin the treatment.
Facets are an ideal solution to conceal the cosmetic deficiencies of the front teeth. They are often used when the patient wishes to correct their color, shape or position. The advantage of the treatment is the need for minimal intervention on the front tooth surface. In this case, we do not sharpen the tooth as much as we do with the crown. The adjusted front surface is generally about 0.5-0.8 mm thick. It is possible to use either thin composite or ceramic facets. After the tooth is sharpened into the desired shape, temporary facets are applied to protect the tooth until the permanent facets are made in the dental lab.