Prosthetic Treatment

What is prosthetic dental treatment ?

According to the number of missing teeth in the mouth and by their place, it is one of the important and big branches of dentistry which aims to remove the psychological problems caused by toothlessness by removing these deficiencies and gaining oral integrity, not only aesthetic but also chewing functions.

What are the types of dentures ?

In general, we can group dentures as fixed, removable, and on implant dentures.

Crown (Coating)

They are coatings are made in order to protect the integrity of the tooth in teeth with excessive loss of material, such as large decays and fractures. It is one of the remedies used for discoloration of the teeth, for sealing the gap between the teeth, aligning the teeth outside the tooth clavicle, or for patients not satisfied with the appearance of their teeth. The Crown coating is made by placing a small amount on the reduced teeth.
These treatments can be made in the mouth as a metal aided porcelain crowns, zirconium-supported porcelain crowns, full ceramic crowns, full ceramic or composite lamina veneer crowns, depending on the aesthetic requirements and preferences of the patients.

Metal-supported porcelain coatings

The interior of the metal-supported porcelain coatings is metal. The metal gets into tooth form and covered with porcelain. Although they are high quality products in terms of aesthetics, they are able to have a problem of naturalness in terms of their light transmittance.

Zirconium-supported coatings

Zirconium-supported coatings are aesthetic coating applications with the closest light transmission to the natural tooth. The zirconium coating is an aesthetic solution that removes the allergy risk, creates a healthier fit with gingiva, and also has a much higher light transmittance than metal ceramic coatings. The white of the zirconium color does not present a problem in the light transmittance of the zirconium-supported porcelain coatings, such as metal-supported coatings.
As finishing of shaping the metal form of the tooth form in metal ceramic coatings and the construction of the coating on metal is behind the zirconium-supported ceramic coatings with light transmittance.

Full ceramic coatings

Full ceramic coatings are the most successful coatings used for aesthetic purposes, especially in the front teeth, and are virtually impossible to separate from natural teeth. The light transmittance is rather high, because it does not contain an opaque substrate such as metal or zirconium. As the thickness of such coatings is less, the amount of material removed from the tooth surface is also reduced.

Ceramic or composite lamina crowns

Ceramic or composite lamina crowns are aesthetic applications with a maximum thickness of 0.3 – 0.7 mm applied with only a slight amount of abrasion from the visible front surface of the teeth, without as much reduction as normal tooth cuts. The composite laminae can be made in one session while the patient is in the armchair, but ceramic laminae are made by our office technicians like all other coatings.
Since ceramic laminae are aesthetically made entirely porcelain, they are aesthetically more successful compared to composites.

Bridges

In patients with one or more teeth missing, the teeth facing the gap are used as bridge piers to bridge the gap between teeth.
Today, implant therapy is the healthiest way to compensate for tooth loss. Implant treatments do not affect the adjacent teeth because there is no treatment. However, in cases where implant application is not possible, classic solutions such as bridge are still being applied.

In bridge applications, the materials used in the coating of single teeth are preferred according to different treatment needs. Along with metal ceramic bridges, zirconium ceramic bridges are frequently used according to aesthetic requirements. Full ceramic bridges are an alternative treatment option because they respond more to aesthetic requirements than zirconium ceramic bridges in the case of anterior teeth deficiencies.

Removable denture is used instead of missing teeth in patients all teeth are pulled out and who have lost all or part of their teeth due to gingiva disorders. Removable denture also known as palate denture; can be done in two different ways, fully or partially. Full dentures are dentures made from acrylic base and teeth designed with the support from individual mouth tissues in patients with no teeth in mouth.

Full dentures, especially after all the teeth have been pulled out of by removing all concerns like the old look, the lips to shrink inward, dent in the lower part of the face, it restores both chewing functions and provides patient satisfaction by ending aesthetic worry.

Partially removable dentures are prostheses which are used by patients who have teeth not enough to be used as a fixed denture foot or tooth to be used as a fixed prosthetic foot or in the case of patients who have teeth missing so that they cannot be made by bridges.

Since there is no metal appearance in full (palate) dentures, it may not be possible to say the same thing for a partially moving denture while it does not create any anesthetic concern. Partially removable dentures can create aesthetic worry in the patient when connected to the teeth by metal fittings. The solution to this problem is to make the connections made with the teeth invisible by using sensitive links.