Treatments
Dental Prostheses
Prosthodontics is a branch of dentistry that deals with restore of appearance and functionality of missing teeth by using fixed or removable dental restorations. Prosthetic dental treatments are performed for functional and cosmetic reasons. They are designed to restore the natural look and the function of teeth, gum and other parts of the face. In addition, it is a branch that deals with dental joint problems. It provides solutions with both fixed and removable prostheses for aesthetic losses, eating and speech difficulties caused by missing teeth.
Following tooth extraction, bone loss begins in the jawbone. Although this bone loss does not create a very important problem at the beginning, it can cause problems in later ages. Bone deficiency causes prosthesis retention problem for people using removable prosthesis.
Teeth tend to move to the empty spaces. If there is no tooth in the opposite jaw, the teeth begin to elongate into the empty space. The teeth moving away from their original positions suffer from bone loss and gum problems occur. This complicates the restoration of teeth.
The teeth adjacent to the missing tooth tilt into the empty space. Therefore, the distance between the teeth is decreased. Parallelism of the teeth is disrupted, bone loss occurs around the root, gum diseases develop. As a result, while these diseases can be treated more easily, both the process is prolonged and the treatment method becomes more difficult.
Teeth tipped causes formation of gaps between teeth. These gaps cannot be easily cleaned, causing food to accumulate and teeth to decay.
The health of the temporomandibular joint can be maintained with healthy teeth and balanced chewing using both sides. Factors such as tooth loss and unilateral chewing negatively affect the health of the temporomandibular joint. If the chewing muscles do not perform in a balanced way, pain occurs in the joints, it is common to hear sounds from the joints, this decreases the quality of life.
Nutrition problem (Food cannot be broken down and is swallowed whole. Digestion problems start.)
Speech problem (The letters cannot be pronounced properly because the sounds come out without hitting the teeth.)
Psychological problems (shyness, loss of self-confidence, inability to smile, unhappiness, social phobia)
Temporomandibular joint problems (pain in the joint, sounds coming out from joints)
Impairment of oral and dental health (decay and gum diseases due to changing positions of the teeth)
Speech is one of the most important properties that enable us to express ourselves. One of the most important elements of the speech is teeth. We can pronounce the letters as a result of that the sounds coming out of the mouth hit the teeth. The position of the teeth is very important to pronounce especially some letters.
“F” and “V” sounds are formed by the contact of the lower lip and upper incisors.
“D” and “T” sounds are formed when the tip of the tongue touches the upper incisors facing the palate.
The “S” sound is created when the upper and lower incisors come too close to each other. The “S” sound may turn into “Ş” and “J” sounds in case of irregularities in positions of the teeth and when prostheses are made incorrectly.
The presence of dentures does not mean that we should pay less attention to our oral hygiene. On the contrary, we need to pay more attention.
Instructions to be followed for the care of removable prostheses:
Removable prostheses must be removed and cleaned after meals. The mouth should be rinsed with water and the prosthesis should be washed with water.
At the end of the day, the prosthesis should be cleaned with a brush. Tablets dissolved in water should be used daily for cleaning.
Agents such as bleach should not be used in the cleaning of dentures. These types of chemicals roughen the surface of the prosthesis and cause more stain retention. It also causes the prosthesis to become more fragile by disrupting its chemical structure.
What happens if the prostheses are not cleaned properly ?
Bad breath
Aesthetic problems
Tissue irritation and formation of fungal under the denture
Wounds and infections in soft tissues
Impairment in denture fitting due to irritations
Zirconia restorations are highly aesthetic and biologically compatible with the tissues surrounding the tooth. It is a crown material frequently preferred due to its aesthetics and durability.
The purpose of the dental restorations is to treat the function lost, aesthetics and speech impairments of the patients. The prostheses do not only offer solutions to health-related problems, but also meet aesthetic needs. People who have problems in their social life due to missing or ruined teeth gain their self-confidence by having necessary treatment. In this way, people with improved psychology express themselves better in social life.
As time affects all systems in our body, it has also effects on our teeth. With aging, discolouration, fractures, cracks, deformities, wears caused by grinding and gum problems appear in teeth. Cases such as insufficient dental hygiene, decays formed due to consuming acidic and sugary foods or an accident may result in loss of tooth structure. The restorations used to replace these lost tissues are called crowns.
In which cases are crown restorations used?
Teeth ttah have lost excessive structure caused by decay, fracture or any other reason
Discolouration problems
Deformities
To close the gaps between teeths
In existence of large sized fillings
As a preventive treatment for teeth that have undergone root canal treatment and whose durability have decreased
To close the gaps resulted after periodontal procedures
In which cases are bridge restorations used?
In case of tooth loss, it is performed by getting support from adjacent teeth on both sides of the gap. The teeth on both sides of the gap are prepared and the gap is closed with the restoration called as bridge.
How are crown and bridge restorations are performed?
First of all, supporting teeth of the bridge procedure are trimmed (prepared) a certain amount. Restoration material determines the trimming (preparation) amount. If a material without metal base is used, teeth are trimmed less.
Temporary teeth are placed to ensure the comfort of the patients after the procedure. Thus, the chewing, speech and aesthetic needs of the patients are met until the restorations are completed.
During the treatment process, the appropriate tooth color is chosen by taking the patient’s desires into account. Restorations are prepared based on the measurements taken. After try in sessions, as a result of the evaluation of the dentist and the patient in terms of aesthetics and function, restorations are adhered to the tooth with special materials.
Full ceramic teeth imitate the translucency of the enamel crowns due to not having a metal base and being made up of full ceramic and they are more transparent than zirconia crowns. They look very natural because of high translucency. It is very difficult to distinguish them from natural teeth.
On which teeth can empress crown be applied?
It is a restoration especially applied on front teeth not imposed to excessive chewing force and premolars.
In which cases is empress crown preferred?
Teeth that have lost excessive material caused by decay, fracture or any other reason
Discolouration problems
Deformities
To close the gaps between teeth
In existence of large sized fillings
To close the gaps resulted after periodontal procedures
Smile design
Post core restorations, popularly known as screwed tooth, are often confused with implant restorations. The restorations made by getting support from the root of the teeth whose upper part is destroyed but whose root part is strong are called post core restorations. While titanium and gold screws were used in the past, fiber structures are used as screws today.
Some teeth that normally need to be extracted can be saved with the help of this treatment method. In this way, tooth can function in the mouth for a long time. In order to make this restoration, root canal treatment must be definitely applied to the tooth. There should not be any infection at the root apex. Following the post core application, a crown is placed on the upper part of the tooth.
