Dental Prosthesis and Care
Dental prostheses are all artificial materials which are prepared for the patients to restore the aesthetic look and the abilities of the teeth such as chewing and speaking, which they had lost for various reasons. Generally, tooth and bone loss occur as a result of untreated gingival diseases. With dental prosthesis the lost dental health is recovered. For this reason, the lost lip and cheek support, speaking function, chewing function, and the aesthetic appearance of the teeth are restored. Psychological support is provided to the individuals who have to live with missing or ruined teeth andwho have forgotten to smile. With dental prosthesis, increasing the life quality of the individuals is aimed. All the terms such as porcelain teeth, crown, dental bridges, pin teeth, dental implant, denture, plate, and hook teeth are all services of dental prosthesis branch.
TYPES OF DENTAL PROSTHESIS
Fixed Dental Prosthesis
It is bonding dental prosthesis that the patients cannot remove on their own, such as crown or dental bridges. It is the replacement procedure of the missing or ruined tooth with materials similar to the color and tissue of the original tooth.
Also known as dental bridges, crown, or cap; the fixed dental prosthesis is the type which is bonded to the teeth in case of a few missing teeth by shaping the supportive teeth. Compared to the removable prosthesis, they are more easily accepted by the patient. However, some conditions should be met for them to be applied. Their cleaning is very important for durable usage. Especially all the gingiva edges of the supportive teeth of dental prosthesis have to be brushed properly.
What are Crown and Dental bridges?
Crown: It is the degrading and coating process of the teeth that are decayed or broken, or which somehow lost excessive amount of material. Crown is the coating operation which is performed to restore, harden, and regain the appearance of aesthetically bad, damaged, broken, thinned, or discolored teeth. Crown is type of capped tooth made of metal-backed porcelain or zirconium in the natural form of the tooth applied on the part which is above the gingiva.
Dental Bridge: In case of missing one or more teeth, downsizing the adjacent teeth and filling the gap between them by getting support from the special coatings that will be done on the adjacent teeth, is called a dental bridge. When a loss of tooth occurs due to some reason, the adjacent teeth start to move towards this cavity. In the adjacent teeth; gingival problems, deterioration in the tooth aesthetics, decreasing in chewing force, and bone losses due to the inclining of the adjacent teeth towards this gap occur. If these tooth cavities are not restored with dental implants or dental bridges for a long time, tooth losses occur in the adjacent teeth, too.
Metal-backed Crown and Dental bridges
Among the materials used in dentistry, gold is the most compatible one with teeth and gingiva. Therefore, in dental prosthesis applications where precious metals are used, heathier and better-looking results are achieved.
Non-Metal Backed, Fully Porcelain Crowns
They are made of hardened porcelain. The most important effect of the crowns is their reaction to the light. The natural teeth are translucent. The deepness and color of the tooth appear. Thanks to the translucence of the non-metal backed porcelain (fully porcelain) crowns, they aredeeperand more colorful. Thus, the closest results to the natural tooth are achieved.
Non- metal-backed Zirconium Dental bridges
Not metal but zirconium alloy, which is white, is used for the base. The greatest advantages of these non-metal backed zirconium dental bridges are that they provide a perfect aesthetic look in the rear area dental bridges, and they are very durable.
Removable Dental Prosthesis
They are the prosthesis which the patients can remove and insert on their own. They have various types such as total dentures, partial dentures, temporary dental prosthesis and on-tooth prosthesis.
The removable prostheses are generally used when a lot of or all teeth are missing. After the tooth pull out, normally waiting for a few weeks is required. In this way, the bone and gingiva in the prosthesis area is given some time to recover. However, the tooth cavity has to be filled immediately after the extraction. The prostheses that is done in this way are temporary . The temporary prosthesis has to be replaced within 6 months.
Removable prostheses are the ones that are done to compansate the tooth losses where the fixed prosthesis can not be applied. Unlike the fixed prosthesis, they can be removed.
Why the Removable Prosthesis Have to be Applied?
They are applied to provide the function and aesthetic of the teeth. Since there is a lot of missing tooth in cases that require removable prosthesis, they should be applied to restore the chewing function and to keep the remaining teeth.
There are two types of removable prosthesis. One is applied in case of partial teeth losses, and the other one is applied when all the teeth are lost.
Total Dental Prosthesis:
There are many ways of treatment to fill the tooth losses. The truest and healthiest of these are chosen by your dentist, considering the location and number of your losses, statues of other tissues, and your general health condition. Total dental prostheses are the ones that are applied to the mouth, where all the teeth are missing. If the patient has lost all of the teeth, the total prosthesis has to be applied.
Partial Dental Prosthesis:
Partial dental prostheses are applied to the mouth which is partially toothless. Clipping is achieved by pins and hooks put on the teeth. These are prostheses that hold on to metal body teeth and existing teeth via metal hooks (wires) or special sensitive holders, that enable to replace the missing teeth with artificial teeth, and that are removable by the patient.
Sensitive Clipper Dental Prosthesis:
They are applied to partially toothless mouths. They are prosthesis which have no apparatus seen from the outside such as hooks. In partial tooth losses, sensitive clipper dental prosthesis is a more aesthetic solution for patients who do not want hooked (partial, local) prosthesis. The sensitive clipper dental prosthesis is also known as secret hook dental prosthesis colloquially. The sensitive clipper dental prosthesis is frequently applied to the patients who have lost their rear molars.
Implant-top Dental Prosthesis
The dental implants are structures that have a specific width and thickness. Therefore, in the area where the dental plant is planned to be located, the jawbone should be high and wide enough to adopt the implant. The quality of the existing jawbone is also another factor that affects the success of dental implants. Besides, the gingiva should be totally healthy before the treatment and during the time that the implant will stay inside the mouth.
As soon as the general health condition is good, there is no upper age limit for dental implant application. However, it should not be preferred for too young patients who have not completed the bone development yet.
The dental prosthesis systems that are installed on dental implants vary. They are divided into two groups; fixed implant-top dental prosthesis and removable implant-top dental prosthesis.
Fixed Implant-Top Dental Prosthesis
The removable dental prosthesis, which may be hard to use are being replaced by the implant supported fixed dental prosthesis. The titanium dental implants that are produced with high technology eliminate many problems in dentistry indeed. The implant-supported dental prosthesis which ends the problems of removable dental prosthesis brings in great comfort to the patients. The dental bridges or crowns which are built by getting support from the dental implant are fixed implant-top dental prosthesis.
Removable Implant-Top Fixed Dental Prosthesis
They are total-like dental prosthesis built by getting support from the dental implants which are preferred when there is not enough bone support.
CLEANINGOF THE REMOVABLE DENTAL PROSTHESIS
In order to prevent the plaque formation, food residues, and tartars; the daily care and cleaning of your dental prosthesis are quite important. The regular care of the mouth and dental prosthesis is a necessary to protect the health of the tissue under the dental prosthesis and to prevent the infections.
Remove the food residues from your dental prosthesis by washing it after the meals.
You need to brush your prosthesis by using toothpastes or prosthesis caring products before sleeping. The abrasive powders should not be used since they can damage the dental prosthesis surface during brushing. For brushing, standard toothbrushes or special prosthesis brushes can be used.
Together with daily brushing, the weekly dental prosthesis care should also be applied by using special effervescent dental prosthesis cleaning tablets.
The relation of the dental prosthesis with the supportive tissues can deteriorate due to the contraction of the tissues in the course of time. The changes in the tissue can also be related to the general health condition of the patient. The relation of the dental prosthesis with the tissues can be restored with various operations. If this is not ensured, the dental prosthesis will get loose, start to irritate the tissues or give pain. If this situation continues, it can cause serious problems.
The dental prosthesis has to be replaced once the compatibility of the prosthesis with the tissue is deteriorated, the teeth are corroded, and they started to be unable to grind the food as good as before. They could also be replaced when the dental prosthesis material begins to form a suitable environment for the bacteria to hold on. Do not try to repair your dental prosthesis in case of discomfort, consult to your dentist immediately.
Use your dental prosthesis as recommended by your dentist. In order to relieve the tissues in your mouth, remove your prosthesis before going to bed. Make sure to keep the prosthesis removed in the water. Never put your dental prosthesis in hot water. Remove the food residues after the meals by washing your dental prosthesis. Pay attention to brush all the sides of your dental prosthesis. You have to brush your dental prosthesis with water and toothpastes or special prosthesis care products before going to bed. The abrasive powders should not be used since they can damage the dental prosthesis surface during brushing. Special dental prosthesis brushes or standard toothbrushes and liquid soap should be used for brushing. The dental prosthesis should be rinsed properly after brushing, before being put into the mouth.
You can be one of the millions who use dental prosthesis comfortably with a patient and positive approach.