Prosthetic Dentistry (Prosthesis)

What is Prosthesis?

All artificial substances designed to regain function and aesthetic details for patients who have lost their teeth for certain reasons are called dental prostheses. If there is missing teeth or complete teeth loss in the mouth, the treatment is continued upon developing various prostheses.

FIXED PROSTHESES

Crown

When there is too much material loss in the teeth due to various reasons such as caries and fractures or when filling cannot be done, the teeth are reduced and coated. It is applied to the implant as a superstructure. This type of prosthesis is known as crown. The most commonly applied and preferred ones are metal supported and zirconium supported porcelains.

The level of light transmittance in the structure of our natural teeth is high. For this reason, our natural teeth stand out with great depth and vitality. The situation is almost similar in porcelain crowns . Due to its light transmittance properties, results obtained are close to natural teeth. Metal-backed porcelain crowns are mostly used in backgrounds. These are more cost-effective compared to other porcelains.

 

Bridge

In case of one or more teeth loss, the teeth on the anterior or posterior part of the tooth are suitably reduced. Fixed veneers are formed with a one-block structure by receiving support from veneer treatments. The spaces appearing in the intermediate part fill in like this.

Advantages of (Zirconium) Porcelain) Without Metal Support:

  • When metal-supported porcelains exposed to certain lights (disco, camera flash, etc.), they are noticed as a dark gap in the mouth. Full porcelains, on the other hand are observed to conduct all light such as natural teeth.
  • Full porcelains create an aesthetic very similar to natural teeth structure. In metal porcelains, dullness and artificiality stand out. This is why full porcelain is preferred for anterior teeth .
  • Since there is no metal in the substructure of porcelains without metal support, there are no dark lines at crown-gum The intended aesthetic appearance is obtained.
  • Metal-supported porcelains are bonded to the tooth. Whereas full porcelains are bonded to the teeth mechanically and chemically. Full porcelain has higher binding and quality properties.
  • Allergy risks that may occur against some metals (nickel, etc.) used in the substructure are not found in full porcelain.
  • Full porcelains maintain their aesthetic appearance when their gums are recessed in metal porcelains, the situation is different. They form a bad image in the area where they meet the tooth.


Where Can It Be Used?

  • In single-tooth crown restorations,
  • 3-6 component bridges (with anatomical length up to approximately 38 mm),
  • On-implant crowns-bridges.

How Should Fixed Dentures Be Cleaned?

You should routinely brush your teeth twice a day and pay attention to cleaning with floss and special brush support. Thus, plaques formed due to bacteria will be eliminated. You should also pay attention to the cleanliness of the plaques at the point where the teeth and gums meet. Difficulties may occur during the adaptation process with the attachment of the teeth. A balanced chewing process is important in the nutrition process. In this way, the tongue, lip and cheek muscles will adapt to the prosthesis in the best way possible.

It is necessary to clean around and under the bridge as well as the connection areas between the natural teeth.

Avoiding chewing hard foods and objects is important in terms of preventing damage to crowns.

REMOVABLE PROSTHESES

Removable prostheses are used where teeth loss is extreme. When creating removable prostheses, healthier results are obtained by utilizing teeth and supporting tissues. It belongs to the group known as hooked prostheses today. Nowadays, removable prostheses are produced in a more aesthetic way with different retaining elements other than the hook. These can also be called precision-connected or snap prostheses.

Total prostheses are used for total teeth loss. More natural looks are obtained with total prostheses.

Removable Prostheses Have Different Names Based on their Properties;

Total-Complete Prostheses

If the person has lost all the teeth in their mouth, total-complete prostheses is compulsory.

Partial-Segmented Prostheses

It is a type of prosthesis designed with a combination of special acrylic and metals in partial tooth loss, which provides attachment to the tooth with metal pieces known as hooks.

Over Implant Prostheses

These are designed as fixed or removable by receiving support from the implant. Zirconium infrastructure can be used for over implant fixed procedures in people with aesthetic concerns.


How Should Removable Prostheses be Cleaned?

  • It is important to wash your prosthesis with water after meals to remove food residues. You should make a habit of brushing your prosthesis regularly especially before going to bed.
  • You can use water, liquid soap or prosthetic care products during brushing.
  • You can also use special prosthesis brushes or normal toothbrushes in consultation with your dentist.
  • The entire surface of the prosthesis should be carefully cleaned.
  • There is no harm in keeping your prosthesis in prosthetic fluids through special tablets from time to time.
  • After cleaning the existing teeth in the mouth, the prosthesis can be cleaned and worn. However, in complete prostheses, it is sufficient for the patient to remove the dentures and rinse their mouth.