treatments
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 prosthesis, removable complete dentures, removable partial dentures, tooth-based over-dentures, implant-based prostheses, implant-supported fixed prostheses, and implant-retained over-dentures.
Prosthodontics
Dental prosthetics can be broadly divided into two main categories: fixed and removable prosthetics. Fixed prosthetics are solutions anchored to the teeth and/or implants, which cannot be removed by the patient. In contrast, removable prosthetics are used in cases of significant tooth loss, and although existing teeth and implants can help with stability, the chewing force is directed to the bony structure covered by mucous membranes. These prosthetics must be removed daily for proper cleaning.
Fixed dental prosthetics can be used when the teeth are of sufficient quality, position, and stability. They are not only used to replace missing teeth but also for aesthetic reasons, such as restoring crowded, discolored teeth or root-treated teeth. In cases of larger tooth loss, fixed prosthetics provide a quick and aesthetic solution, but they always require preparation of the tooth structure, meaning the abutment teeth must be altered. They can be made from the following materials:
Creating a permanent dental prosthesis takes at least a week. During this time, the prepared teeth may be sensitive and vulnerable, especially in the case of front teeth, where the missing teeth can be aesthetically disadvantageous. A temporary prosthesis requires minimal investment but allows the patient to lead a normal life during this period.
Implant-supported dental prosthetics make it possible to solve back tooth or full tooth loss with fixed prosthetics, replacing removable dentures. Their main advantage is that they protect adjacent teeth from preparation and long-term damage.
The All-on-4 technique is a screw-retained bridge supported by four implants, offering a fixed solution instead of removable dentures. Before the procedure, a 3D CT scan is used to assess the bone availability, and the appropriate implants are chosen. Its advantages include:
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