Prosthetics is a branch of dentistry that deals with the reconstruction of lost or damaged teeth and the correction of face aesthetics and motor ability. It is important to keep in mind that prosthetic treatment is not simply about aesthetics – it is about restoring chewing function and preventing the appearance of irregularities in the functioning of the temporomandibular joints.
A tooth which is broken or damaged by decay can be rebuilt with the help of advanced composite materials. Even an oddly broken tooth can often be rebuild with the use of a crown – root inlay and then a crown. The gap created by the lost tooth can usually be filled by a bridge fixed on adjacent teeth.
The dentist might also use a bridge embedded with crowns. Unfortunately, this involves polishing, and thus the destruction of one or two adjacent teeth.
In order to leave the adjacent teeth intact, an adhesive bridge can be used. Most often, they are placed in the anterior region by bonding to the adjacent teeth. Typically, they are used in young patients. Thanks to this, making a traditional bridge is postponed for some time. However, due to the fact that the adhesive bridge is glued, the patient should take into account the eventuality of its detachment. Nonetheless, this remains a viable option as there is always the possibility of re-gluing it.
Extensive gaps can be filled with cast partials. The cast partial perfectly replaces natural teeth because the mechanisms contained in such a device are designed in such a way so as not to destroy natural teeth and not to act adversely on the oral mucosa.
Should a patient loses more teeth, the dentist recommends a removable denture – frame or plate. The type of prosthesis depends on several factors, but primarily on the ability to maintain good oral hygiene by the person using the prosthesis. Based on clinical studies, it was found that plaque forms more quickly in prosthesis users. Not only on teeth covered with the prosthesis, but also on the opposite arch of teeth, where the plate of prosthesis is not adjacent to the teeth.
Partial and complete acrylic dentures should, without fail, be removed every night. Teeth adjacent to the prosthesis need to be thoroughly cleaned and the gums massaged. The mouth should be rinsed with water several times. The prosthesis itself, once removed, should be thoroughly cleaned and then put into a container with water, preferably boiled. Storage of acrylic dentures in dry state is not desirable in view of the fact that moisture absorbed by the material evaporates. This can result in contraction of the prosthesis, causing its deformation and lowering the material’s resistance. The denture should be removed after every meal, cleaned thoroughly from food remains and biofilm. Washing dentures should be performed with the use of special toothbrushes with fibers adjusted so as not to destroy the material.
This type of crown, is made entirely of ceramic, without the presence of other materials. The greatest advantage of this type of crown is that they are made of transparent material, which is attractive to the eye and adapts easily to the colour of other teeth, creating a visual impression very similar to the patient’s natural crowns.
In addition, with the use of ceramic crowns there is no risk of an allergic reaction or hypersensitivity to cold or hot meals.
It is the best solution from all the types of removable dentures. They are made of metal, but do not oppress the patient’s gums, making their use feel more comfortable.
Nylon dentures are made of flexible plastic (Valplast), and they are one of the latest achievements in prosthetics.
This type of dentures is an alternative to partial and total acrylic dentures. One of the main of their many advantages is simply that their use is much easier, more enjoyable and more comfortable for the patient.
Nylon dentures are an excellent solution for patients with allergies to metals, epileptics and people whose dentures are prone to frequent fractures.