Prosthodontics is the specialized field of dentistry concerned with diagnosing, planning and executing restorative and cosmetic treatments. Dentists who choose to specialize in prosthodontics must complete three or four more years of dedicated training following dental school.
A prosthodontist is in essence an architect, who formulates a comprehensive treatment plan and informs the patient as to what is possible. Missing or defective teeth can be extremely detrimental to self-esteem and self-confidence. Using the latest technology, a prosthodontist is able to fill these gaps with functional, natural-looking teeth that boost confidence and enhance the smile.
There are many reasons why a prosthodontist may be consulted, including (but not limited to):
What treatments can the prosthodontist perform?
Prosthodontic treatments are designed to be functional, long lasting and pleasing to the eye. These procedures can only be completed on generally healthy teeth. Issues like gum disease need to be controlled before prosthodontic treatments can begin.
There are an ever-increasing number of hi-tech prosthodontic treatments available including the following:
Dental Implants – Implants are designed to replace the natural teeth in the best possible way. Titanium roots are implanted in the jawbone in the same way as natural tooth roots. Implants look and feel the same as natural teeth.
Dental Veneers – Veneers are porcelain/ceramic covers that are bonded to the natural teeth. Veneers can instantly solve problems like uneven teeth, stained teeth, and chips and damage caused by general wear and tear.
Dental Crowns – Prosthetic crowns are generally made from porcelain, metal or a combination of the two. They have been designed to mimic the natural crown (surface of the tooth) and can last for up to a decade, and possibly longer.
Dental Bridges – Conventional and cantilever bridges are used to support a prosthetic tooth. The natural teeth can support the bridge if they are in good condition, or dental implants may be used as anchors.
Complete Dentures – A complete set of dentures can be created for people who have no teeth due to gum disease or trauma. Complete dentures restore functionality to the mouth and make chewing and speaking easier.
Partial Dentures – Where many teeth have been lost, removable or fixed partial dentures can prove to be an excellent option. They enhance the aesthetics of the smile in addition to improving chewing abilities.
What other problems can a prosthodontist treat?
In addition to performing the treatments described above, the prosthodontist is also adept at treating problems with the jaw (TMJ), alleviating severe snoring, managing sleep apnea, and reconstructing the teeth following oral cancer treatments. Generally, the prosthodontist works in combination with other dental health professionals to ensure the best possible restorative results are achieved.
If you have questions or concerns about prosthodontics, please contact your prosthodontist.
A crown (or cap) is a covering that encases the entire tooth surface, restoring it to its original shape and size. A crown protects and strengthens tooth structure that cannot be restored with fillings or other types of restorations.
Although there are several types of crowns, porcelain (tooth colored crown) are the most popular. They are highly durable and will last many years, but like most dental restorations, they may eventually need to be replaced. Porcelain crowns are made to match the shape, size, and color of your teeth, giving you a long-lasting, beautiful smile.
Reasons for crowns:
What does getting a crown involve?
A crown procedure usually requires two appointments. Your first appointment will include taking several highly accurate molds (or impressions) that will be used to create your custom crown. A mold will also be used to create a temporary crown which will stay on your tooth for approximately two weeks until your new crown is fabricated by a dental laboratory.
While the tooth is numb, the dentist will prepare the tooth by removing any decay and shaping the surface to properly fit the crown. Once these details are accomplished, your temporary crown will be placed with temporary cement and your bite will be checked to ensure you are biting properly.
At your second appointment your temporary crown will be removed, the tooth will be cleaned, and your new crown will be carefully placed to ensure the spacing and bite are accurate.
You will be given care instructions and encouraged to have regular dental visits to check your new crown.
A denture is a removable dental appliance and a replacement for missing teeth and surrounding tissue. They are made to closely resemble your natural teeth and may even enhance your smile.
There are two types of dentures - complete and partial dentures. Complete dentures are used when all of the teeth are missing, while partial dentures are used when some natural teeth remain. A Partial denture not only fills in the spaces created by missing teeth, it prevents other teeth from shifting.
A complete denture can be either “conventional” or “immediate.” A conventional type is made after the teeth have been removed and the gum tissue has healed (usually takes 4 to 6 weeks). During this time, the patient will go without teeth. Immediate dentures are made in advance and immediately placed after the teeth are removed, thus preventing the patient from having to be without teeth during the healing process. Once the tissues shrink and heal, adjustments will have to be made.
Dentures are very durable appliances and will last many years but may have to be remade, repaired, or readjusted due to normal wear.
Reasons for dentures:
What does getting dentures involve?
The process of getting dentures requires several appointments, usually over a period of several weeks. Highly accurate impressions (molds) and measurements are taken and used to create your custom denture. Several “try-in” appointments may be necessary to ensure proper shape, color, and fit. At the final appointment, your dentist will precisely adjust and place the completed denture, ensuring a natural and comfortable fit.
It is normal to experience increased saliva flow, some soreness, and possible speech and chewing difficulty, however this will subside as your muscles and tissues get used to the new dentures.
You will be given care instructions for your new dentures. Proper cleaning of your new dental appliance, good oral hygiene, and regular dental visits will aid in the life of your new dentures.
A dental bridge is a fixed (non-removable) appliance and is an excellent way to replace missing teeth.
There are several types of bridges. You and your dentist will discuss the best options for your particular case. The “traditional bridge” is the most popular type and is usually made of porcelain fused to metal. This type of bridge consists of two crowns that go over two anchoring teeth (abutment teeth) and are attached to pontics (artificial teeth), filling the gap created by one or more missing teeth.
Dental bridges are highly durable and will last many years, however they may need replacement or need to be re-cemented due to normal wear.
Reasons for a fixed bridge:
What does getting a fixed bridge involve?
Getting a bridge usually requires two or more visits. While the teeth are numb, the two anchoring teeth are prepared by removing a portion of enamel to allow for a crown. Next, a highly accurate impression (mold) is made which will be sent to a dental laboratory where the bridge will be fabricated. In addition, a temporary bridge will be made and worn for several weeks until your next appointment.
At the second visit, your permanent bridge will be carefully checked, adjusted, and cemented to achieve a proper fit. Occasionally your dentist may only temporarily cement the bridge, allowing your teeth and tissue time to get used to the new bridge. The new bridge will be permanently cemented at a later time.
You will receive care instructions at the conclusion of the procedure. Proper brushing, flossing, and regular dental visits will aid in the life of your new, permanent bridge.