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What is a prosthodontist?

A prosthodontist is an expert in the restoration and replacement of teeth. A prosthodontist make smiles look beautiful and function the way they should. A prosthodontist is the designer of a dental treatment plan. They regularly lead teams of general dentists, specialists, and other health professionals to develop solutions for your dental needs. Planning of the replacement of missing teeth is very important. While completing missing teeth, clearing supporting teeth should be planned with great care. Otherwise loss in supporting tissues may occur.
A dentist is a biologist who is working on a living and dynamic system.
He/she is an artist who changes the appearance of an individual with dental restorations. All the procedures together gives self-confidence to patients and make them happy in their social life. With little touching, they can make big modifications.
A prosthodontist is also a good psychologist.

Fixed Prosthodontics

Fixed Dentures

Today, fixed dentures are the most common type of dental prostheses. It is a kind of restoration that is attached to neighboring teeth or implants in cases where some teeth are missing in the mouth.

Fixed dentures in a manner that is close to the natural structure eliminates loss of esthetics, speech and functional problems due to missing teeth. The most important factors in the success of this dental procedure are; materials used for these dentures that are strong enough to withstand the forces of chewing, biocompatibility and esthetical characteristics.

Fixed dentures can be metal or non-metal based. While metal-based dentures are strong enough to withstand functional forces in mouth, they may cause esthetical problems and sometimes influence the natural look in an unpleasant way. This is because metal prevents direct transmittance of the light.

Due to disadvantages of metal-based dentures, ceramics were developed which are resistant to cracking. Zirconium is the preferred material for this purpose.

In a successful treatment, defining of the correct indication is the most important step. Respecting the knowledge and experience of the dentist in choosing the material is important for the success of the treatment.

Can all the teeth be used in supporting the bridge prosthesis?

Not all the teeth can be used as a supporting tooth. They have to be long and their bone structures must be strong enough.

Can only one tooth be used for attaching to the dental bridge?

In very rare conditions, canine teeth can be used in restoration of lateral teeth. This type of denture is called a cantilever bridge. For this, supporting teeth should have long root and a good bone structure.

Are all the bridges made with two teeth?

The number of teeth that will be used in a bridge construction is defined by the length of the gap of the missing teeth, height of the root of the supporting teeth and their bone structures.

Is eat possible to eat everything with bridge prostheses?

With bridge prostheses, we can eat everything as we do with our natural teeth.

Do bridge prostheses cause mouth odor?

Good constructed bridges do not cause mouth odor. It is usually caused in patients with bad mouth hygiene. Especially cleaning under the bridge should be done with great care. In case there is swallowing and bleeding in surrounding gums, patient should immediately consult with his/her dentist.

Full (Total) Dentures

Total prosthesis is applied to patients whose teeth are removed completely. Due to missing teeth, overall appearance of face is disrupted giving the patient an old look. Patient can’t eat and has health and social problems. With total prosthesis, patient gains his/her nutritional habits and social life back.

Total prosthesis are made off pink resins called acrylic. This system covers the jawbones called alveolar crest. This large prosthesis may disturb the patient in the beginning but is easily accepted by the patient.

How is a total prosthesis hold in the mouth?

Total prosthesis is hold with the adhesive power of saliva. This is similar to adhesion power of water between two pieces of glass. Also, settlement of the prosthesis on the attaching areas increases the holding property of the prosthesis.
One of the most important factors in decreasing adhesiveness is the bone thin under the prosthesis. However, tongue is the most important factor affecting adhesiveness on lower jaw. Movements of the tongue cause prosthesis to get loose and to decrease the adhesiveness.
Another important factor in adhesiveness of prosthesis is the fitting of lips and cheeks to the edges of prosthesis that has a positive effect on adhesiveness.

Do total dentures cause speech disorders?

They won’t cause any disorder if done properly. However when they are first placed in the mouth, there may be some speech problems to some degree, which disappear in a few days. Reading books, magazines etc. loudly will be helpful. It’s important not to force yourself to pronounce difficult words. This may result in mispronouncing of these words permanently.

When can I start eating with my prosthesis?

During first a few days it is quite difficult to eat. You should be careful not to eat hard things and chew big bites.

Try to eat soft foods with small bites and using both side of the jaw. This may be difficult in the beginning but you will get used to it in time.Do the total prosthesis affect tasting?

Tasting is a feeling completely related to tongue. Palate has no role in tasting.

How would be the selection of teeth for total dentures?

Patients usually require white small teeth. However, small teeth in total dentures are not esthetically appropriate. A picture of the patient taken before he/she lost his/her total teeth will help the dentist in selecting the correct teeth. Even if there is no picture in hand, shape and size of teeth can be determined according to proportions of the face. Both the dentist and the patient decide the color of the teeth.

What are the complications of prosthesis?

  • Getting loose
  • Biting the cheek
  • Articular pain
  • Speech disorders

Patients should visit his/her dentist 1 week after the total prosthesis was placed. Maintaining compatibility between prosthesis and tissues might be affected by the compatibility between the teeth of prosthesis. This means that the teeth of the prosthesis should be made compatible with each other.
In case of any complaints, consult your dentist.

Total Prosthetic Use

How does it feel to use total dentures?

It’s discomforting when total denture are first introduced to the patient. Patient’s insufficient knowledge on how to use it and difficulty in acceptance of the denture by the tissues is the source of these problems.

What is adhesiveness of prosthesis?

Tongue, lips and cheek are made of muscles. When teeth are extracted, muscle tissues will fill these places. When the prosthesis is first introduced to patient, edges of the prosthesis contact these places, this is why you may feel discomfortable in the first few days. By time, muscles get used to prosthesis and this increases adhesiveness.

Do the total dentures disturb our esthetic look?

Prosthesis eliminates unpleasant disorders by supporting lips and cheeks. Moreover, it is possible to prepare very esthetic prosthesis with appropriately selected teeth.

Does prosthesis change the way we speak?

Such problems do not occur with prosthesis when done appropriately. However, there may be some sound problems until the tongue get used to it. You should not force yourself to pronounce difficult words, this problem will disappear by time.

Should we keep prosthesis in the mouth for 24 hours?

During first a few days, it will help tissues to get used to it. Later, you can remove them at nights for letting the tissue rest. If the patient wants to keep it in all the time, we recommend them to remove it for at least a few hours a day.

Are the prosthesis adhesives harmful?

For the prosthesis with insufficient bone support, adhesives can be used. Adhesives should be cleaned every evening and new one is used in the following morning, so they’ve will not harm you.

What kind of problems we may face with the prosthesis?

Compared to upper prosthesis, it is easy to get used to it for lower prosthesis. It’s normal to bite tongue, lips and cheek. Drinks accompanying meals will help food to get soften and making the chewing process more easy.

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