Prosthodontics

Prosthodontics is the area of dentistry pertaining to the diagnosis, treatment planning, rehabilitation, and maintenance of the oral function, esthetics, and health of patients with clinical conditions associated with missing teeth, deficient teeth, and/or compromised maxillo-facial tissues using biocompatible substitutes. Prosthodontic treatment includes contemporary fixed prostheses, full coverage crowns, partial coverage restorations, fixed partial dentures (bridges), porcelain veneers, resin bonded bridges, removable protheses, removable complete dentures, removable partial dentures, tooth-based over-dentures, implant-based prostheses, implant-supported, fixed prostheses, implant-retained over-dentures.

We aim to create healthy and aesthetic prosthodontics. To make a professional and precise replacement for patients, necessary to work with dental labor that has professional skills and an eye for aesthetics.

Dentures can be divided into two major groups: fixed and removable prostheses. Fixed prostheses are anchored on teeth and implants and cannot be removed from the patient's mouth. Removable prostheses, on the other hand, can be used for significant tooth deficiencies. While existing teeth and implants can help with their stability, the chewing force is applied to the bony formula covered with mucous membranes and must be removed daily for proper cleaning.

Fixed dentures

These prostheses can only be made with teeth of the right quality, location, and stability. They are not necessarily only used to make up for missing teeth but are often needed for aesthetic reasons. An indication may be a congested, non-aesthetic, discolored tooth or proper restoration and restoration of crown stability to the root canal. When used for more significant tooth defects, they serve as a quick and aesthetic solution but always involve the preparation of dental material, so the so-called pillar teeth are damaged. This information should always be considered when planning, as there are usually other options, such as using implants. It is called a crown if it is placed on only one tooth and there is no tooth replacement, and a bridge if we connect several teeth to compensate for the lack of teeth.

In terms of material, they can be:

-Metal ceramics: the most basic and cost-effective type of denture. The core of the cermet crown is made up of a metal frame, for which the natural porcelain veneer is layered. The material of the metal frame is most often a nickel-free cobalt-chromium alloy, less usually a gold alloy or titanium, for the appropriate indication.

-Zirconium is often advertised as a metal-free replacement, but this is not true. Zirconium dioxide is a metal alloy. However, its unique feature is white. Due to its high aesthetic properties, it is preferred for use in the front region, achieving a beautiful effect. 

-Pressed ceramic metal-free, so it does not cause metal allergies, so we strongly recommend it even in case of metal sensitivity. A ceramic-reinforced prosthesis created exclusively from ceramics. It can not necessarily be used as a crown but also as a shell if we are making only prostheses designed for aesthetic purposes—a favorite of the “Hollywood” smile. The advantage is that little tooth material has to be prepared; practically, only the top layer of the enamel is removed during the preparation. Pressed ceramic is solid and durable, an excellent choice for front teeth. It closes perfectly, and the prepared tooth fits precisely.

Bridge:

In dentistry, the bridge is suitable for filling the missing teeth. The dental bridge, in terms of its structure, consists of crowns. The crown is made for only one tooth, while the dental bridge provides a complete solution for replacing multiple teeth. There is also a bridge based on adjacent teeth and an implant.

Temporary dentures:

If it becomes necessary to make a denture, it will take at least a week to make it. The prepared teeth are sensitive and vulnerable; in the case of the front teeth, they are also aesthetically particularly disadvantageous. Therefore, creating a temporary denture for this short time is also recommended. Temporary dentures do not require significant financial expenditure. However, we can also live a whole life while preparing the final dental prosthesis.

Removable dentures, as already mentioned, are dentures that can be removed and inserted by the patient every day. It can be made in case of complete tooth loss, during which we talk about a prosthesis, or in case of partial tooth loss, we call it partial denture. In this case, it can be attached to teeth, fixed prostheses, or implants.

Implant dentures:

. The particular direction of dentures is implant dentures. Fortunately, in the 21st century, this is a routine process. Thanks to this method, it is no longer a problem to provide fixed prostheses for end-to-end or missing teeth, thus causing partial or complete removable dentures. This represents an unexpected change in the quality of life for our patients. In many cases, this type of replacement is chosen because it can protect the adjacent teeth that delimit the gap from preparation and thus from permanent damage.

Implant dentures are incredibly diverse and require unique designs. It takes longer to complete the process than to build a bridge or make any partial or complete removable replacement. As implantation is one of the “luxury” sectors of dentistry, the cost of these prostheses is higher than other alternatives. However, the change in the quality of life is invaluable. 

All-on-4: screw bridge replacement for four implants.

With its help, we can create a fixed solution instead of a removable denture or prosthesis. Before using the All-on-4 technique, bone supply was determined using a 3-dimensional CT scan. Before the procedure, we select the most suitable implant size and type for the situation. Overall, it is a cost-effective solution as only four implants are required per denture; painful, lengthy, and costly bone replacement is avoided; the recovery time is short, meaning that the patient can return to everyday life soon. Aesthetics, speech skills, phonetics, and chewing function will be restored, and dentures will be comfortable to wear. Its significant advantage over a prosthesis is that it leaves the palate free. The prepared bridge prosthesis can only be removed from the mouth by a doctor; it is stable and aesthetic and replaces the missing part of the gums. It is a top-rated solution in the Scandinavian countries.

We do our best to make a beautiful smile for our patients and replace the original aesthetic or create something better with our team.