Prosthetics
Perhaps prosthetics is a big investment when we’re considering complete restoration of all teeth, which includes big prosthetic constructions (bridges, crowns, dentures) but we should also have in mind that’s a long-term investment (10-20 years), often a lifetime investment, and that’s a need towards which we can’t be indifferent. Prosthetics offers variety of possibilities and solutions from which we can choose in the process of decision-making and the construction of prosthetic appliances in the cases of complete or partial tooth lost. That’s why prosthetics has it’s rightful place as queen of stomathology; although we must mention prosthetics wouldn’t be able to accomplish everything without the previous preparation of the teeth and the mutual participation of the other branches of stomathology.
Unfortunately many people understand the real importance and the valuable role of the teeth in their lives when it’s too late i.e. when they loose them. We do not exaggerate when we say that teeth are functional and aesthetic organ:
- speaking proper pronunciation of letters and sounds – phonetics;
- Chewing and grinding of food – mastication;
- The looks of the lower part of the face – physiognomy;
- Aesthetics- the position of the teeth defines the beauty of the smile.
For all this reasons every premature lost of teeth makes a complete disorder on the functionality of this important organ, as well as the appearance of one person and that destroys their self-confidence. Besides our best efforts to preserve the teeth in some cases they cannot be saved. And that’s why we have prosthetics.
The services in this branch are divided in two major groups:
- Mobile prosthetics
- Fixed prosthetics
Mobile prosthetics it’s a solution for complete and partial teeth lost (although lately it’s being more and more replaced with fixed prosthetics because of the use of implants). Mobile prosthetics is a better solution in those cases when fixed cannot be applied because of the specific teeth order. We in Stomadent Vital make:
- Complete (classic) dentures - are made in the cases of complete teeth lost and when the patient refuses implants.
- Partial (classic) dentures – they are made when there are some teeth left in the mouth, but because of their bad order fixed bridges cannot be made.
- Vizil – are made of a metallic skeleton that include different attachments, according to the plan of the treatment and the possibilities we have with the given situation of the patient’s mouth. And off course we should try to get the best functionality and aesthetics of the teeth.
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Fixed Prosthetics – where fixed constructions are made, which are not removable but are fixed to the rest of the teeth.
Dental Bridges – metal-ceramic, are prosthetic dental appliances that compensate the missing teeth, and are supported by the rest of the teeth. The inner part of the dental bridge is made of metal and is completely invisible, and the visible part is made of a high quality ceramics – porcelain. The technique of work consists of preparation of two adjacent teeth that surround the empty space, or preparation of more teeth when we’re talking about bigger constructions. If you are a candidate for a dental bridge, you are given a local anesthetic so we can prepare the teeth required to support the bridge. If the support teeth are decayed or badly broken down, we may have to build them back up before they can be used as support teeth for a bridge.
Next, we take an impression of the prepared teeth with a putty-like material that is used to create a model of your teeth. Your bridge is fabricated based on this model by a skilled lab technician so that it precisely fits the prepared teeth. It is important that your restoration fit perfectly to avoid additional oral health problems such as tooth decay.
While your bridge is being fabricated, we fit you with a temporary bridge so the teeth and gums can be protected from damage until your permanent bridge is ready.
To complete the dental bridge procedure, you must return to the dental office for a second visit to have the bridge fitted and cemented.
We make sure the color and the form of the dental bridge are adequate with the rest of the natural teeth, so we can achieve the best aesthetic solution.
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Dental Bridges – full-ceramics – unlike the metal-ceramic bridges, full-ceramics do not contain metal on the inside i.e. the inner part is also made out of ceramics. Rising demands (requests) for superior esthetic restorations are more and more present in dentistry. That’s why we present the advantages of full-ceramics compared to metal-ceramics, especially when we want to accomplish perfection in esthetics, and to avoid the formation of metallic edges under the gums. This can happen after many years of using metal-ceramic constructions. In order for this to happen many factors should be considered such as: the way the supporting teeth were prepared; the condition of the gums; the personal oral hygiene. In the choice of the ceramics and the technique of work always we follow the latest brands that guarantee long-lasting quality of the dental construction. Continuing good results can only be achieved by meeting all this factors.
Crowns – are individual prosthetic constructions that require presence of a tooth that will be carrier of the crown, or there should be at least the tooth’s root.
Crowns are made in the following cases:
- When the natural tooth due to caries has lost its function and aesthetics almost completely
- When there’s a discoloration of the tooth (yellow, gray, dark teeth) or when there’s a devitalization of the tooth (teeth that had endodontic treatment)
Crowns as well as the bridges can be made out of metal ceramics or full ceramics. Here we have the same techniques of work that we mentioned before when we talked about dental bridges.
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