Prosthetic dentistry or dental prosthetics is a branch of dentistry pertaining to the restoration and maintenance of oral function, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. Dedicated also to the restoration of the primary occlusion conditions after the loss of natural teeth or after their massive damage. This involves the use of prosthetic restorations, which can be fixed (not removable from the mouth), removable (removable from the mouth), or combined (removable dentures combined with fixed restorations by means of extra coronal attachments, precision attachments, interlocks or telescopic crowns). Removable prosthetic restorations include: acrylic dentures, partial skeletal dentures (with a metal base) and nylon or acetal dentures. Instead permanent restorations include: ceramic restorations – crowns and bridges (porcelain on a metal or non-metallic base – or more aesthetic ones, without metal).
Nowadays, prosthetic dentistry offers very aesthetic and convenient solutions such as porcelain bridges, partial skeletal dentures (also with extra coronal attachment, precision attachments and telescopic crowns). There are also greater possibilities to improve the aesthetic correction and reconstruction of patients’ own discoloured or incorrectly positioned teeth. In such cases, porcelain crowns and laminate veneers give excellent aesthetic and functional effects. Even with regular control and systematic treatment, some problems cannot be avoided and sometimes teeth need to be extracted. The field of prosthetic dentistry, although very old, is still rapidly and dynamically developing. It should be noted that a lot depends not so much on the dentist him- or herself, but on the prosthetist who works with the dentist. Dental technicians gain their experience over years of practice, and it is this experience that gives the final result.
Classic dental prosthetics is a department of dentistry dealing with the reconstruction of damaged and lost teeth with crowns, bridges and movable dentures. Teeth are parts of the human body which are – unfortunately – unable to regenerate thus their loss or damage is biologically irreversible. Classic dental prosthetics allows us to recreate the lost dentition and restore severely damaged teeth whose condition renders them unfit for conventional conservative treatment. There may be different causes of extensive damage to the hard tissues of teeth, including:
The enormous technological advancement in the field of dental materials for the reconstruction of hard tooth tissues / composites, compomers, glass-ionomers / enables the clinicians to produce very aesthetic and durable reconstruction of the lost tooth tissues. However, there is a limit beyond which lesions cannot be treated by direct restorations like filling or cosmetic application of composite, the so-called bonding, in that case it might be necessary an indirect restoration like prosthetic crown.
Dental crowns are prosthetic restorations that enable to rebuild the shape and function of a damaged tooth even if it is no longer possible to restore them traditionally, i.e. with a filling. Our surgery offers all-ceramic crowns and porcelain crowns – both of which give a perfect aesthetic and functional effect. What is the course of the treatment? Here is a simplified scheme:
Porcelain dental bridges are a type of permanent prosthetic restorations. This means that they are permanently cemented on the patient’s own teeth, so they are a very comfortable prosthetic solution. Dental bridges complement one or more tooth losses. The bridge suspended on the patient’s own abutment teeth reconstructs the missing teeth in a both aesthetic and functional way. Our surgery offers both all-ceramic bridges and bridges veneered with porcelain. What is the course of the treatment? Here is a simplified scheme:
Adhesive bridges can be both permanent and temporary restorations. This means that they can be permanently cemented on the patient’s own teeth or serve as a temporary replacement, e.g., during the osseointegration of implants. Compared to traditional porcelain bridges, they do not require grinding of healthy teeth, which makes them much less invasive. Adhesive bridges are attached to other teeth by means of glass fibre wings. Cementing is possible in 3 ways:
Adhesive bridges are usually used to supplement single-tooth gaps; indications for specific types of fixings are determined by the doctor in the course of a dental examination. What is the course of the treatment? Here is a simplified scheme:
The indications are: significant destruction of the tissues of a tooth and the unsatisfactory appearance of the tooth.
The difference lies in the material used to make the prosthetic crown: crowns veneered with porcelain consist of the metal frame onto which the porcelain is laid, whereas all-ceramic crowns are made entirely of porcelain, and give the best possible aesthetic effect.
Indications for prosthetic bridges are any dental losses, on the condition that there are properly located pillar teeth, which can be determined only by means of dental examination.
The time from the first visit to the end of the treatment is about 5-6 days, after which the patient can enjoy being able to chew and smile as before the damage.
An alternative to conventional prosthetic bridges is the restoration of a missing tooth by single crowns on implants; this solution is preferable because there is no need to grind the patient’s neighbouring healthy teeth.
Indications include tooth losses in situations when you want to avoid grinding neighbouring healthy pillar teeth; adhesive bridges are also indicated temporary as a replacement of tooth losses during the time of the osseointegration of implants – usually 3-6 months.
From the first visit to cementing the adhesive bridge – no more than 1-2 days.
Yes, there are: some bite defects, teeth gnashing or the age below 16; whether this kind of prosthetic treatment is possible is decided by the dentist after a dental examination.