Dental Implantation or Prosthetic Rehabilitation: What to Choose?
This is the restoration of missing teeth or their fragments using preparatory restorations, fixed structures (veneers, inlays, crowns, and bridges fixed on teeth or implants), and removable dentures (partial, complete removable dentures, immediate dentures, clasp dentures).
Partial prosthetics are considered in case a patient still has remaining natural teeth. If all the teeth are missing, a complete removable denture is fitted. Dentures can be attached to implants, which is called an Implant-Supported Denture. Such dentures can be removable, partial, and cement-retained.
Inlays in prosthetic rehabilitation are used to restore the shape of the tooth. This type of dental product is regarded as an analog of fillings, but unlike filling material, inlays are made in laboratory conditions from ceramics; they are durable, fall out less often, and have high wear resistance.
Stump inlays are an intermediate option between the crown and the filling. This type of dental inlays is used in case of significant destruction of the crown part of the tooth. Stump inlays do not require grinding a tooth to a stump, as with artificial crowns.
Veneers look like thin plates. This type of prosthesis is used to restore the aesthetic appearance of a smile. The famous Hollywood smile is achieved with the help of veneers. Hypoallergenic materials (composite, ceramics, zirconium dioxide) are used for veneer manufacture.
Veneers and their other type, lumineers, do not treat but radically mask such dental defects as a trema, diastema, cracks, chips, staining, and discoloration of tooth enamel. Veneers are a complete alternative to teeth whitening and can also replace braces.
After placing veneers or lumineers, it is necessary to follow particular service rules since chewing coarse food, and frequent coffee drinking and smoking can damage them. The smile zone with veneers or lumineers has no flaws in terms of both shape and color.
This type of prosthesis is used to restore decayed teeth, or rather, their crown part. The crowns are mainly indicated when the outer part of the tooth is destroyed by more than 50%. They are made from zirconium dioxide, porcelain-fused metal, and ceramics.
Porcelain-fused metal is more often used for grinding units, as it is more durable. Ceramic micro-prosthetic restorations are suitable for a smile zone, as they have better aesthetic properties. Zirconia crowns can be placed in any part of the dental arch.
All removable dentures consist of a pink plastic base on which plastic, composite or ceramic teeth are fixed.
The type of manufacturing material classifies the following options for removable dentures:
Several factors influence the way the removable dentures are fixed. Such factors include:
The following types of fixation methods are used to fix removable dentures in the oral cavity:
Different types of dentures can be used depending on the size of the gap or attachment options, namely:
A combined support using the various elements of the mentioned options is also possible.
A bugel prosthesis is a removable partial denture attached to the remaining natural teeth by cast metal clasps or locks.
This prosthesis frame is a pink plastic base with attached plastic, composite or ceramic teeth is welded made of an alloy for medical applications.
A telescopic denture – is also a removable denture attached to natural teeth and implants. Unlike the bugel prosthesis, it does not have clasps or locks. It has the so-called telescopic crowns consisting of two parts, allowing fixing it.
The primary crown (inner telescope) is attached to a natural tooth or implant and is made of metal. The secondary crown (outer telescope) is embedded in the partial denture and is fitted over the primary crown along with the denture.
Implant-supported prostheses are used when there are few or no natural teeth left. Dental implants are artificial tooth roots that are implanted into the jawbone. Depending on the condition, a crown, bridge, or prosthesis can be attached to the implant.
This prosthetics option can be applied in case of partial and complete edentulism. The implant-supported prosthetics technique is based on introducing artificial roots into the jawbone, after which crowns are placed on the artificial roots. Fixed implant-supported prostheses are the radical and most effective way to restore dentition and chewing function and eliminate facial asymmetry resulting from tooth loss.
Yes, composite materials lose particles over time, and pigments get into empty micro-spaces.
There are several types of implant load.
We often use a protocol for loading the lower jaw after 2 months and the upper one after 4-6 months.
Sometimes we apply immediate loading: prosthesis connected to the dental implant right after the implant placement. This method is used most often for esthetic reasons important for a patient. This allows preserving the anatomy of the soft tissues around the teeth and feeling comfortable.
In case we use Trabecular Metal Implant from Zimmer Biomet, we can fix the crowns six weeks after the implant surgery.
Here the name “temporary” says it all, meaning you can only use it for a short period. It is used until a permanent crown is made. If during this time it comes off (the temporary crown is fixed to the tooth with temporary cement), you will need to contact your dentist for re-cementation. If you cannot get your temporarily installed crown replaced with a permanent one, please note that you should not have it for more than a month. However, this figure can vary. And it all depends on the case. Since the temporary structure cannot correctly perform all tooth functions, it is not worth delaying it by replacing it with a permanent tooth.
Depending on the clinical situation, we will make a crown for you within 3-8 days.
Dentures can be fixed, overdenture, and removable. Fixed dentures are always a high-quality, reliable, and durable solution. With such a prosthesis, the patient’s jawbone is preserved, and the prosthesis itself provides excellent stability and makes a patient feel confident. The only drawback is the inability to remove them after the initial installation easily. An overdenture restoration is retained by natural teeth or dental implants and is a good option if a sufficient number of implants for a fixed restoration cannot be placed. If an overdenture is implant-retained, it will also preserve the jaw bone. Such prostheses are removable, easier to repair, and clean professionally. Removable dentures are fitted in cases it is impossible to install fixed or overdenture restorations for various reasons. The advantage of removable dentures is that the patient can remove them without assistance, affordable price, and ease of manufacture.
Composite veneers are made directly in the office by the dentist.
A simpler method is for the doctor to apply composite material layer by layer directly to the tooth, after which it is polished.
We also use the injection method of veneer fabrication.
Once the teeth’ shape has been pre-approved, a transparent mouth guard with small openings for the injection of liquid composite is made.
If dental veneers are placed appropriately, this will not happen. In addition, it should be stressed that the breakage of dental veneers depends mainly on the patient’s eating habits. Grinding your teeth, biting your nails, and biting tough food can cause the veneers to break.
Several conditions must be fulfilled to keep veneers long, such as brushing after every meal, flossing, and timely professional cleaning and polishing in the dental office.
Adaptation to bugle (clasp) prosthesis takes different amounts of time depending on the individual patient. On average, adaptation takes 2-4 weeks, but in some cases, it can take up to several months. Initially, the patient feels slight discomfort, problems with articulation, increased salivation, and slight prosthesis mobility when chewing.
These will eventually disappear, and after a few weeks, the patient will feel comfortable with the denture.
Removable complete dentures have several disadvantages affecting comfort, aesthetics, and functionality. Here are the main ones:
The service life of removable dentures depends on the type of denture, the materials used, the quality of care and the patient’s characteristics. On average, dentures last 5-7 years. The main reasons why they need to be replaced are as follows: