prosthetics
Removable Partial Denture and Full Denture
Precision Removable Partial Denture
Tooth Crowns
Most dentistry looks like dentistry. Our goal is to provide dentistry that is undetectable. We replace existing crowns and fillings with restorations that look and feel like your natural teeth.
Where damage to a person's teeth is extreme, and apparently beyond repair, we can use porcelain or porcelain "pasted on gold" crowns to make the smile appear "as new". This is an extremely reliable technique for repairing the most severe of dental problems, even permanently replacing missing teeth to offer a complete smile and a functional bite. We are recognized for the quality of our work and the fantastic changes we make for people using this technology. These treatments are used for a long lasting correction of major dental problems. It is usual for these treatments to last for 20 to 30 years, which is as close to permanent as dental treatment can get.
How long does it take?
Fitting a crown requires at least two visits to our office. Initially, we will remove decay, shape the tooth, and fit it with a temporary crown of either plastic or metal.
On the subsequent visit we will remove the temporary crown, and then fit and adjust the final crown. Finally, we will cement the crown into place and you have a new beautiful looking tooth.
Key Benefits
Replaces missing tooth crowns
Offers support to misshapen teeth or badly broken teeth
Looks completely natural
Fixes "smile" and functional chewing problems.
What are the capabilities of crowns?
Crowns are a very reliable solution for major dental problems caused through accidents, diseases or wear and tear. Major problems can usually be corrected using these techniques. Material used in these repairs is either high-grade porcelain, or porcelain bonded to gold. A higher strength of the porcelain and gold materials is recommended to treat the most serious of dental problems. Where accidental damage has occurred, resulting in lost teeth, or where teeth have broken away through excessive wear, or as the result of old fillings breaking, crowns and/or bridges can be used as a long-term solution.
Many people have unexplained pain from filled back teeth, which is usually due to hairline cracks in the chewing part of the tooth. Placing crowns on these teeth relieves the pain and allows a return of full dental function for these teeth. In front teeth, older fillings can both weaken the teeth and cause "appearance" problems due to staining or chipping. Porcelain crowns are suitable in cases where porcelain veneers are not. In teeth with root canal fillings, crowns can prevent breakage.
Bridges
All of your teeth play an important role in speaking, chewing and in maintaining proper alignment of other teeth. Tooth loss doesn't necessarily have to occur as you age, but if you do lose teeth, they must be replaced to maintain proper function of your mouth. Fortunately, there are options for correcting tooth loss: bridges and implants .
Options
A bridge - a device used to replace missing teeth - attaches artificial teeth to adjacent natural teeth, called abutment teeth. Bridges are either permanently attached (fixed bridges), or they can be removable.
Fixed bridges are applied by either placing crowns on the abutment teeth or by bonding the artificial teeth directly to the abutment teeth. Removable bridges are attached to the teeth with metal clasps or by precision attachments.
If you're missing one or more teeth, you may be aware of their importance to your appearance and dental health. Your teeth work together for many daily functions from eating to speaking. With missing teeth, it's difficult to do these things. Missing teeth can and should be replaced. Fixed bridges are a great way to restore your dental health and appearance.
What exactly is a bridge or fixed partial denture?
A bridge is a device, which fills the gap where teeth are absent. Fixed bridges are bonded into place and can only be removed by a dental professional. Removable bridges, as the name implies, can be taken out and cleaned. Fixed bridges offer more stability than their removable counterparts.
Why do I need a bridge?
Oral functionality and appearance are important reasons for wearing a bridge. A bridge helps support your lips and cheeks. The loss of a back tooth may cause your mouth to sink and your face to look older.
Dental health is the most important reason for a bridge. Teeth were designed to complement each other. Unusual stresses are placed on the remaining teeth, gums and other oral tissues when teeth are missing, causing a number of potentially harmful disorders. The adjacent teeth will fall into the space and the opposing tooth will grow out of its socket, since it is unopposed. Increased risk of gum disease has proven to be one of the worst side effects of missing teeth and can be minimized with a bridge.
Missing teeth can cause speech disorders as they are used to make many of the sounds we use to speak clearly.
How is a bridge attached?
The attachment procedure usually takes two or three appointments to complete. At the first appointment our doctors will prepare the teeth on either side of the gap by removing a portion of the enamel and dentin.
Since the bridge must be fabricated very precisely to ensure correct bite and to match the opposing tooth, impressions of the teeth are taken and sent to a lab where the bridge will be constructed. A temporary bridge will be placed to protect the teeth and provide function and esthetics while the permanent bridge is being made in the dental laboratory.
Fixed bridges are typically cemented to the natural teeth next to the space left by the missing tooth. A pontic (false tooth) replaces the lost tooth. Crowns, which are cemented onto the natural teeth, provide support for the bridge.
What materials are used?
Bridges can be constructed from gold alloys, non-precious alloys, porcelain, or a combination of these materials. Porcelain is often bonded to either precious or non-precious metal.
How do I take care of my bridge?
A strict regimen of brushing and flossing will keep the bridge and surrounding teeth clean. This is of critical importance as the bridge relies on the neighboring teeth for support.
Veneers
What are porcelain veneers?
Porcelain veneers are thin shells of ceramic that bond directly to the front surfaces of the teeth. They are an ideal choice for improving your smile and have become increasingly popular due to their simplicity and versatility.
Placing custom veneers requires a high degree of technical skill as well as attention to cosmetic detail. We place veneers routinely, and design each case individually to match and enhance the characteristics of each patient's smile.
Will they look like normal teeth?
When bonded to the teeth, the ultra-thin porcelain veneers are virtually undetectable and highly resistant to coffee, tea, or even cigarette stains. For strength and appearance, their resemblance to healthy, white tooth enamel is unsurpassed by other restorative options.
How durable are porcelain veneers?
With proper care, porcelain veneers will brighten your smile for well over a decade. Our doctors will ensure that your veneers are crafted from the highest quality porcelains and are bonded with the most advanced and proven materials available.
Refraining from using your veneers as tools to open and cut things will prolong their life, and if accidental breakage or damage occurs, it is usually possible to replace only the veneer involved.
This patient wanted an improvement of her upper front ten teeth. The porcelain veneers idealized the color, contours and display of her back teeth. The lower teeth are planned for veneers in the next phase of treatment.
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Inlay and Onlay
When more than half of the tooth's biting surface is damaged a dentist will often use an inlay or onlay.
What are inlays and onlays?
Inlays and onlays can be made of porcelain, gold, or composite resin. These pieces are bonded to the damaged area of the tooth. An inlay, which is similar to a filling, is used inside the cusp tips of the tooth. An onlay is a more substantial reconstruction, similar to the inlay but extending out over one or more of the cusps of the tooth.
Traditionally, gold has been the material of choice for inlays and onlays. In recent years, however, porcelain has become increasingly popular due to its strength and color, which can potentially match the natural color of your teeth.
How are they applied?
Inlays and onlays require two appointments to complete the procedure. During the first visit, the filling being replaced or the damaged or decaying area of the tooth is removed, and the tooth is prepared for the inlay or onlay. To ensure proper fit and bite, an impression of the tooth is made by the dentist, and sent to a lab for fabrication. The dentist will then apply a temporary sealant on the tooth and schedule the next appointment.
At the second appointment, the temporary sealant is removed. We will then make sure that the inlay or onlay fits correctly. If the fit is satisfactory, the inlay or onlay will be bonded to the tooth with a strong resin and polished to a smooth finish.
Considerations
Traditional fillings can reduce the strength of a natural tooth by up to 50 percent. As an alternative, inlays and onlays, which are bonded directly onto the tooth using special high-strength resins, can actually increase the strength of a tooth by up to 75 percent. As a result, they can last from 10 to 30 years. In some cases, where the damage to the tooth is not extensive enough to merit an entire crown, onlays can provide a very good alternative.
Teeth Restored with Porcelain Inlays
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Removable Partial Denture and Full Denture
For cost reasons, when a patient is missing one or more teeth, a partial denture can be fabricated to replace them. The partial denture is used when some natural teeth remain and is attached to these natural teeth with metal clasps. A complete denture is used, if all of the teeth in an arch are missing. As the name implies, these removable appliances are taken out and cleaned.
Most dentures are made of acrylic and can be fabricated two different ways.
A conventional denture is made after all teeth have been extracted and the tissues (gums) have healed.
An immediate denture is fabricated and inserted immediately after the teeth are extracted and the tissues are allowed to heal under the denture.
An upper denture has acrylic, usually flesh colored, that covers the palate (roof of the mouth).
A lower denture is shaped like a horseshoe to leave room for the tongue.
The teeth are made of plastic, porcelain or a combination thereof. Dentures can be fabricated to fit over endodonticly treated teeth and a complete denture can be attached to implants to allow for a more secure fit of the appliance.
Dentures over a normal course of time will wear and need to be replaced or relined in order to keep the jaw alignment normal. The alignment will slowly change as the bone and gum ridges recede or shrink due to the extraction of the teeth. Regular dentist examinations are still important for the denture wearer so that the oral tissues can be checked for disease or change.
With the improved success rate of implants , fixed bridges and the hybrid fixed or removable prosthesis, you can receive more comfort and stability than you can with a removable partial denture or denture as described above. No more floating, clicking dentures, no more misplaced or broken dentures, no more fixation paste inside of dentures or teeth in a glass.
Implant over-denture cases:
The lower denture in this case was stabilized with 2 implants and clips. A significant improvement in function and comfort was achieved with cost effective, minimally invasive, and quick treatment.
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This patient's lower denture was replaced with 5 implants and a gold base denture screwed into place. It is not removed by the patient.
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Precision Removable Partial Dentures
It is the state-of-the-art of partial dentures that combines an exceptional esthetic approach with a fixed denture but still removable for cleaning purposes only. High precision attachments are inclosed in the prosthetic work giving to the pacient the warranty of a not moving partial denture, full functional support for chewing and a nice natural appearance.
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