Prosthetic Dentistry

Prosthetic Dentistry

What is complete denture?

They are prostheses placed on the lower and upper jaw gingiva, which are made when there are no teeth in the mouth. Since it takes its support only from the existing bone structure, its use in patients with extreme bone loss could be more difficult than fixed denture. The build phase of such prostheses takes about two weeks. In the first use, it could be difficult to use until the lip and cheek muscles get used to it, and in a new prosthesis, wounds that we can easily overcome can occur. In the following process, food can be eaten easily, but there may be mobility, especially in the lower jaw. Aesthetically satisfactory results can be obtained with such prostheses. If they break or crack for any reason, they can be repaired within a day. They are not applied to patients who have acrylic allergy. It is very easy to clean and care, take your doctor's advice and recommendations into consideration.

What is removable denture (Skeletal teeth prosthesis, palatal obturator, Partial dentures with hooks)?

These prostheses are prostheses that are supported by the existing tooth and soft tissue in cases where the fixed prosthesis cannot be applied for various reasons in the absence of more than one tooth. For tooth support, hooks called clasp and holding onto the teeth are used. In tissue support, the prosthesis sits on the soft tissue. The comfort of use may differ according to the teeth it supports, as long as there is no loosening with the hooks, they do not move while eating. Loosening of the hooks is repairable very easily. Aesthetically, in some cases, it may be difficult to provide aesthetic appearance with the appearance of metal-colored hooks.While most of the problems that may occur in the prosthesis such as breakage and separation of the tooth can be easily repaired, it may not be possible to compensate when the main connector of the prosthesis is broken. For this reason, excessive force should not be applied to the hooks during use and the main connector should not be bent. Partial dentures with hooks can provide aesthetic results by completing the integrity of tooth and tissue losses, but in some cases, tooth cutting is obligatory.

What is precision attachment denture?

These prostheses are preferred because they provide better aesthetic results than partial dentures with hooks in the absence of a large number of teeth. For the building of the prosthesis, several teeth must be covered with fixed prostheses. In this way, thanks to the spacers that fit tightly to each other between the fixed and moving parts, hooks are not used and more balanced loads can be transmitted to the teeth without the overturning force being applied from the hooks to the teeth. The construction of precision attachment denture consists of two stages and can take approximately 3-4 weeks. These prostheses are more comfortable to use than partial dentures with hooks  and the prosthesis has less mobility while eating. The connection between the two prostheses can be metal-metal or metal-plastic. While loss of teeth, loosening or breakage that may occur in the prosthesis can be repaired in a very short time, the problem is more serious in metal-metal connections. As with skeletal prostheses, breaks in the main connector cannot be repaired as well. Cracks and breaks in caps is often repairable.

What is fixed dental prosthesis (Crown, bridge, inlay)?

Fixes dental prostheses are prostheses that include all or part of the natural tissue of the tooth and are built on the tooth or by using implants. It is used to restore lost functions such as eating, chewing and speaking due to the patient's missing teeth. Fixed dental prostheses are divided into metal-supported and metal free supported:Metal supported fixed dental prostheses show sufficient resistance in the mouth, but they are insufficient aesthetically due to the metal infrastructure inside. In addition, they may show a low rate of allergic reaction due to metal infrastructure. Metal-free fixed prostheses are divided into zirconia-based and all-ceramic restorations. Since zirconium restorations can show sufficient resistance, they can be easily used in crown and bridge prostheses. They have sufficient esthetics and their most important feature is that they fit very well with the gingival tissue. This is especially preferred on patients with gingival problems. Zirconium teeth can be used in people with aesthetic concerns, in cases where tooth color cannot be achieved with teeth whitening methods, in the treatment of minor crookedness for which orthodontic treatment is not prescribed, in structurally damaged old fillings, for restoration of worn tooth surface, as a crown or bridge on posterior teeth, and in implant-top prosthesis applications. All-ceramic restorations are mostly preferred for anterior aesthetic restorations and laminate veneerl restorations. They are produced specially in 3D by going through a sensitive work and production stages. Laminate Veneer is an aesthetic smile design application used for damaged teeth that negatively affect tooth appearance. Laminate veneer is the process of gluing a specially prepared porcelain layer in nail thickness, desired color, length and form to the front of the tooth. It is necessary to make a small amount of abrasion on the teeth to which porcelain laminate veneer will be applied. The abrasion operation is determined in direct proportion to the form, color and position of the tooth.

What is implant-supported dental prosthesis?

They are prostheses made on implants applied in the presence of one or more tooth loss. They can be applied as fixed or removable depending on the condition and characteristics of the patient. The most important issue in implant-supported dental prosthesis is appropriate prostheses made with a correct planning. In this way, prostheses with physiological properties closest to the patient's own natural tooth can be applied.

What is All On 4?

The All On 4 technique is an innovative method that allows the prosthesis to be adjusted on the same day on 4 implants placed at certain angles, different from standard implants, in patients who are total edentulous or will lose all their teeth for various reasons.

What is TMD (Bruxism)?

It is temporomandibular (jaw joint) disorder. It is pain and function disorder involving the temporomandibular joint and/or masticatory muscles. Intra-articular disorders are caused by the deterioration of the harmony between the articular surface and the disc. In joint problems, spasm occurs in the muscles and as a result, especially the head, neck, back and waist muscles are affected, which can cause uncomfortable pain in these areas and result in posture disorder in the person. They apply with complaints such as "clicking" sound from the jaw joint, pain in the ear, jaw joint, face and neck muscles and temporal region, difficulty in chewing, difficulty in opening the mouth, and opening the jaw by sliding to one side. Conservative use of orthopedic appliances (splint), some physical therapy methods, drug therapy, and arthrocentesis are among the treatment methods in temporomandibular disorder. Which of these methods will be used is decided according to the diagnosis made after a detailed examination. In cases where the diagnosis is made correctly, more than 85% of temporomandibular disorders are brought under control with conservative treatment.