Dental prosthetics

Dental prosthetics

Once the tooth is badly damaged, or the biggest part of the tooth is broken off, or the seal is so big that it no longer meets the masticatory load, the tooth needs to be restored with an assistance of a crown so that it can function and look properly.

If you have lost a tooth or several teeth, it is recommended that you replace them with the help of dental prosthetics.

Fully restored teeth rows prevent teeth from shifting and your dental occlusion from deformation. If in long term you are missing one or more than one tooth, the remaining teeth are taking on a bigger increased load and they may change their location – drift, as well as teeth can start to wear down faster.

If you are missing a couple of side teeth, the front teeth are taking on a bigger increased load, and they are not meant for such loads. The front-teeth main mission is biting, because they only have one facet. As a result, because of the increased load the front-teeth are wearing down a lot faster, as well as they are slowly sliding foreword, or in other words popping out, which might cause bone loss and inflammation – periodontitis (also called parodontosis). To avoid such complications, we advise to replace the missing teeth (with the exception of the 8thteeth). We can achieve this with crowns, bridge dental prosthesis, removable prosthesis or implants.

Bridge prosthesis

It is called Bridge prosthesis because of the crowns that are related among themselves, and between these crowns there are artificially created teeth. Just like crowns, they are built on teeth and looking from a side you can’t tell the difference, they look just like natural teeth.

Metal-ceramic crowns

On a very thin and precise metal frame we are creating ceramic crowns that completely restore the strength, the form and the appearance, in terms of color and gloss, of a tooth. Over the time, they do not change their color.

Gold-ceramic crowns

Gold-ceramic crowns or Galvano-ceramic crowns – are pretty much just like metal-ceramic crowns, only the metal frame is molded from a gold alloy. The gold-ceramic crowns aesthetic appearance is even closer to the natural teeth than metal-ceramic crowns.

Zirconium crowns

Ceramic crowns are created on zirconium oxide frame. Zirconium has a much higher durability than metal and it has pseudoelasticity – self-healing effect. In terms of aesthetics these crowns hold the highest results. The white frame provides a completely natural tooth impression. (All of these are zirconium crowns)

Metal-free ceramic crowns

Very thin, aesthetically high quality pressed ceramic crowns. These are not recommended for the bridge prosthetics with several parts. During the preparation period of the crown, the teeth can be restored with a temporary plastic crown.

 

Removable dentures on implants

This type of dental prosthetics is more frequently used on total teeth loss. In cases when all teeth are lost, denture fixation is greatly enhanced by the inclusion of implant prosthetics.

By using these fixed prosthetics on implants, the person can feel comfortably talking, smiling and even eating. The patient can forget about the worries that usually come with removable dentures.

In cases when all teeth are lost, at least two implants have to be implanted, so that the dentures are fixed properly. When using four implants, the result can be even more satisfying.

Inlays

Individually designed solid-metal alloy pin, which is based in the tooth’s channel. Thanks to this method it is possible to restore the tooth’s root. Later on a metal-ceramic or zirconium crown is based on the inlay.

Removable dentures on implants

This type of dental prosthetics is more frequently used on total teeth loss. In cases when all teeth are lost, denture fixation is greatly enhanced by the inclusion of implant prosthetics.

In this way it is possible to achieve the results that are equivalent to not removable dental prosthetic fixation. By using these fixed prosthetics on implants, the person can feel comfortably talking, smiling and even eating. The patient can forget about the worries that usually come with removable dentures.

In cases when all teeth are lost, at least two implants have to be implanted, so that the dentures are fixed properly. When using four implants, the result can be even more satisfying.

Veneers

Veneers are thin porcelain plates, which are glued on with special, very resistant cement on the front surfaces of the teeth.

The height recovery of worn teeth

In cases when teeth are worn down the height of the lower third of the face drastically changes and it can be seen even without opening your mouth.

The groove in the chin beneath the lips becomes deeper, lip corners tend to slide downwards, grooves from the nose to the lip corners become deeper, and as a result, the face looks older. But most importantly in the case of worn down teeth, the face-jaw joint suffers the most. The joint should take that much pressure, it’s overloaded, because it moves in wrong angles. The fallowing changes might be possible in the joint: cartilage deterioration that is accompanied with snapping noise when opening mouth very wide; inflammation, characterized by joint pain; headaches and masticatory muscle pain.

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Dr. Signe Mālmane : 

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