What is Fixed Prosthesis Application?
Fixed prosthesis application is the process of combining science and art to replace insufficient or excessively lost teeth substances by using materials similar to dental tissue and color.
Is It Possible To Save Excessively Damaged Teeth?
Before porcelain crowning, the existing tooth can be strengthened by taking support from the root canal of the excessively damaged teeth with the treatment option called post-core. This is a procedure that is sometimes completed in a single session and sometimes it may take several sessions according to the type of used material.
Can A Tooth Be Crowned Alone?
The tooth, which is excessively damaged or aesthetically unacceptable, can be treated alone by crowning technique with various materials.
Are There Different Material Alternatives For Teeth Crowning?
There are different material alternatives such as metal, metal-backed porcelain, full porcelain (reinforced porcelain, zirconium-substructured porcelain) when the teeth are being crowned.
Metal-based porcelain crowns: It consists of porcelain structure which is aesthetic and hygienic and the metal infrastructure that carries it.
Full porcelain crowns (Reinforced porcelain, Zirconium-based porcelain restoration): Porcelains without metal which have light permeability similar to natural teeth can be used in front of the group of teeth where aesthetics appearance is important. Reinforced porcelain or zirconium is used as infrastructure. Since metal infrastructure is not required, better aesthetic results can be obtained.
Metal crown: All made entirely metal (gold, chromium, cobalt). It is used for the teeth which take place in back area of the mouth where does not pose an aesthetic problem and chin area when there is not enough place for porcelain crown. The usage is limited.
What Does Porcelain Lamina, Commonly Known as Leaf Porcelain, Mean?
Porcelain laminas are very thin porcelain structures that stick to the front surfaces of the teeth. With porcelain laminas gaps between the teeth can be closed, the teeth can be lengthened and reshaped. On the other hand, owing to the the porcelain laminas the broken, cracked and excessively discolorated teeth can be made aesthetically beautiful. In addition, in those who want permanent whiteness who do not like the color of the tooth, in patients who do not like their smile, for the purpose of smile design, in the teeth discolored due to antibiotics usage, in the correction of slightly crooked teeth that not necessary orthodontic treatment can be corrected in a few sessions.
How To Make Porcelain Laminates?
After the decision is made, your tooth is prepared for porcelain laminates. Enamel tissue less than 1 millimeter is often removed from the front and cutting surface of your tooth and measured from your tooth. With the help of this measure, almost leaf-thick porcelain laminates in the appropriate color that suitable for the theeth and complete the smile are made and then bonding made to your teeth with special adhesives.
What Does Removable Prosthesis Mean? How Many Types Of Removable Prosthesis Are There?
In cases which all of the main teeth should be extracted, there are also types of prostheses that can be placed immediately in the mouth as soon as the extraction of natural teeth if the patient does not want to be toothless.
What Are The Treatment Options For Missing Teeth?
In the absence of one or more teeth, we have alternatives to implant and bridge treatment.
Bridge: In the absence of one or more teeth, it is applied to close the tooth deficiency by taking support from of neighboring fulcrum teeth in appropriate number that will carry the load to the missing teeth in order to prevent the loss of aesthetics, phonetics and function in the person.
Implant-top crowns and bridges: In one, several or all dental deficiencies, titanium screws in the root form placed by surgeons in the jawbone are fixed (bonding) prostheses made after integration with the bone (approximately 2-6 months). Depending on the condition of the case, these restorations can be produced as metal, metal-porcelain, zirconium-porcelain or only porcelain.
What Are The Stages of Fixed Prosthesis?
The treatment procedure with fixed prostheses requires at least 4 sessions.
Preparation and measurement: The tooth or teeth to be restored are reduced in accordance with the amount of restoration to be applied and the precision measurement of the whole mouth is taken for laboratory model and procedures. Color determination is obtained as a result of reconciliation with the patient.
Infrastructure rehearsal: In the laboratory, the zirconium or metal infrastructure prepared on the model is rehearsed and harmonated in the oral environment.
Porcelain rehearsal: The stage before the end of the restoration. The relationship between the porcelain that prepared in the laboratory and neighboring, antagonist teeth and surrounding tissues is checked. Color and aesthetics are controlled the compatibility according to your face and smile. Appropriate characterizations are decided at this stage by informing the patient. Final approval of patient should be received. It is sent to the laboratory for polishing.
Polishing and cementation: The restoration polished in the laboratory is tried in the mouth for the last time, if there are not any problems, the restoration is fixed on the tooth after the patient’s approval, the restorations are cleaned after the adhesive hardens. Restorations are now ready for the usage of patient.
Patient information: Since all oral hygiene and care has a direct effect on the life of restorations, care techniques related to teeth and surrounding tissues are explained. The patient is informed if there are necessary methods for restorations (bridges) in particular. Appointments are made for routine checks.
Removable Prosthesis
What Does Removable Prosthesis Mean? How Many Types of Removable Prosthesis Are There?
A removable prosthesis is an artificial device that replaces the missing teeth and can removed by the patient.
In cases where there is not any natural teeth, the total prosthesis is done. Such prostheses are popularly known as dentures.
Removable prostheses made in cases where some main teeth exist and some are extracted are called partial prostheses.
Such prostheses are attached to the main teeth and provide retention with material called clasp. Sensitive connected aesthetic prostheses can also be made to patients who think that these clasp materials are not aesthetic due to the appearance.
In cases which all of the main teeth should be pulled, there are also types of prostheses that can be placed immediately in the mouth as soon as the natural teeth pulled out if the patient does not want to be toothless.
When the healing process is completed and the tissues shrink, this prosthesis becomes incompatible and permanent prostheses of the patient are started to be made.
Finally, there are also over-the-tooth prostheses applied on several natural teeth or roots in the mouth following some special preparations by the dentist. These natural teeth or roots provide retention and stability to the prosthesis.
Will I Get Used To My Prosthetics Right Away and Eat As Before?
Getting used to prostheses is an situation that takes some time.
In this process, patients need to take small bites in their mouths and chew the food slowly without opening their lips. Even in very well-made prostheses, this is a process that varies from person to person. In this process, patients need to take small bites in their mouths and chew food gradually without opening their lips. Initially, it is useful to chew both sides by placing the bite on both sides of their mouths.
It is recommended to eat soft food in the first days when prostheses are placed. If the prostheses causes disturbing in some areas, these areas will be corrected by the dentist. Eating normally and comfortably in total prostheses generally requires 4-6 weeks. Patients should spend this time paying attention to the recommendations of their dentist and they be “determined” to use their prosthesis the most importantly. Because if they immediately remove new ones and put on their old prosthetics at the slightest discomfort, it may take a long time to get used to their new prosthesis.
Will I Be Able To Speak Normally With My Prosthetics?
Prostheses may cause changes in the mouth such as difficulties in the pronunciation of some sounds. In this situation, reading exercises should be done loudly in front of the mirror and words that can not be pronounced correctly should be repeated frequently and tried until to be normalized.
Will I Use My Prosthetics 24 Hours a Day?
Patients need to use their prosthesis continuously in the first days in order to get used to it as soon as possible. But after get used to the usage of prosthesis, it is recommended to remove it at nights and keep it in a wet paper towel. This allows soft tissues to rest. In special cases where prostheses can not be removed at night, it is recommended that patients remove their prosthesis when they are alone and rest their oral tissues.
Should I Use Prosthetic Adhesives?
The constant use of prosthetic adhesives is not desirable. However, there is no harm in using it for a short period of time when necessary. Your dentist will explain the usage of these adhesives when it is needed.
Will I Be Able To Use My Prosthesis Lifelong?
There is not longlife usage of prostheses. Although it is said that prostheses should be checked every five years under normal conditions; this period varies according to the patient.
The reason for prostheses can not be used lifelong is changes in living tissues.
Prostheses get wide, begin to fall and it makes difficult to eat.
This situation is not depends on prosthetics. It is the result of changes in completely living tissues. In this case, the prosthesis needs to be filled, discordant substance must be completely replaced or a new prosthesis should be made. The dentist will make the decision on this issue.
How Long Will It Take To Make My Prosthetics?
The production of removable prosthesis takes five sessions from the measurement under normal conditions. However, the number of sessions may increase if necessary .Patients may need to come a few more sessions to get used to the mouth after the prosthesis is placed. In this case, it may take 1-1.5 months in general for a removable prosthesis to be completed and the patient can use the prosthesis. In this regards, our patients should know that a certain period of time is required to build and get used to it.
Should I Go To The Dentist After Getting Used To My Prosthetics?
Under normal conditions, for control process “every six months” is recommended. Because the dentist should examine the prostheses and oral tissues, see possible pathological changes and perform the procedures as soon as possible if there is any change. The planning of this control process depends on dentist’s decision.
Is There Any Alternative To Classic Removable Prostheses?
The most contemporary alternative to classical removable prostheses is implant-assisted prostheses .This is especially the case for sub-total prostheses. With the implant procedure, both the retention and stability of the prostheses increase. In order for these prostheses, which are higher in terms of cost, to be applied, all local and systemic conditions must be suitable. The prosthetic dental treatment dentist will provide the necessary information after examine you.
RECOMMENDATIONS FOR PATIENTS WHO WILL USE NEW PROSTHESIS
It takes time and patience to learn how to use new prosthetics. Even if you have used prostheses before, your new prostheses are different from those you have used. Therefore, you will need to change your old habits and gain new habits. The first few weeks, you will need the time to get used to it. During this time, some corrections will be required to adapt your prosthesis to your oral structure. If you show patience, you will find that you use your prosthesis easily.
Usage Of Prosthesis
• Tongue, lips and cheeks have a huge effect on the control of the prosthesis. If you have used prosthesis before, you will get used to your new prosthesis in a shorter time and easily.
• Do not remove it while lying down in the first days to get used to your prosthesis.
• After getting used to using your prosthesis, prostheses should be removed and oral tissues should be rested. Those who do not prefer to remove their prosthesis at nights should rest their oral tissues by removing their prosthesis during the day, when appropriate.
• Prostheses should be kept damp in a box when removed at night.
• Prosthetic powders and other adhesives should never be used unless recommended by your dentist
Care Of The Prosthesis
