Prosthetics – dental community practice dr

Carious, damaged or missing teeth affect not only the chewing function, but also the well-being – at any age. The main causes of tooth loss are caries (destruction of hard tooth substance) and periodontitis. If a defect in the tooth has to be closed or a tooth has to be replaced, many patients are faced with the question of which restoration, which dentures are most suitable for them personally. When choosing dentures, factors such as aesthetics, durability, wearing comfort, costs, material properties and their compatibility etc. play a different role for each patient.

When is a crown necessary??
If the tooth decay has progressed so much that a filling (made of amalgam or plastic or as an inlay of gold or ceramic) can no longer be placed, the tooth does not have to be pulled for a long time: with one "Crown" In the original form of the tooth, the purchase function can be restored and the remaining tooth protected from further destruction. Crowns are made of different materials and in different versions:

Ceramic crowns: The modern and proven metal-free crowns are made of high-strength special ceramic, such. Empress 2, made. For this purpose, a basic framework is first made in a special process, which is then veneered in a proven manner. Without a metal framework, there are no limits to aesthetics. The light can shine through and thus the light behavior of a natural tooth is perfectly imitated. Side effects of metal alloys, e.g. Allergies, corrosion or taste impairments are eliminated. This method impresses with the highest degree of aesthetics, functionality and material resistance and represents an absolute top performance in dentistry and dental technology.

veneered: The veneer crown is today the most commonly used crown type. It has a thin metal core, which is encased in ceramic. The ceramic mass is applied to the metal framework in an elaborate layering and firing process so that it can visually reproduce the natural tooth. They offer good cosmetic results with excellent stability through the metal framework.

Full cast crowns: A full-cast crown consists entirely of a metal alloy that can be high-gold, gold-reduced or precious metal-free. Which alloy is ultimately chosen is also a question of price. In general, high-gold alloys are used because they are easy to process and – especially important for sensitive people – are better tolerated by the body. But all other alloys are tested and an alternative.

When are bridges necessary??
If tooth decay, periodontitis or an accident leads to tooth loss and thus to a small to medium-sized tooth gap, it should be closed again to avoid consequential damage to the chewing system. Firmly glued bridges provide an excellent opportunity to replace the missing teeth functionally and aesthetically perfect again. The teeth adjacent to the tooth space get crowns and thus serve as pillars for the bridge members, which replace the missing teeth. It ensures the chewing function, since the exact measurement of the jaw determines your individual chewing pattern, stabilizes the remaining teeth and allows the restoration of a perfectly flawless, aesthetically pleasing set of teeth corresponding to the given function. As with the crowns, there are also bridges made of different materials and in different designs.

Removable dentures – when partial dentures are necessary?
If tooth decay and periodontal disease have already fallen victim to so many teeth that the remaining dentures could no longer provide sufficient support, a removable denture must be made. Although the required partial dentures are also anchored to the residual teeth, they only carry a portion of the chewing loads. Depending on the number and arrangement of the remaining teeth, a considerable proportion of the chewing forces is transmitted to the edentulous areas of the jaw, on which the partial dentures rest on the gums. The type of partial denture to be made in each individual case depends decisively on the number and arrangement of the remaining teeth, their degree of destruction and firmness as well as the desires, demands and financial possibilities of the patient. These criteria crucially affect the durability, strength, design, aesthetics and comfort of the denture.

Full dentures – if there are no teeth left:
A full denture will be required if all teeth have been lost. The structure and optical design of the prosthesis allow a variety of possibilities. Despite a complete restoration of the chewing system with a denture base and simple replacement teeth made of plastic, it can in terms of comfort and support, aesthetics, individuality and material properties only very limited meet the demands for a perfect, the current state of science and technology corresponding dentures. The best and highest quality restoration for the edentulous or partially edentulous jaw is the implant-supported denture (see Implants). Depending on the number of implants inserted, it is possible to give a removable full denture a firm hold or even to anchor a fixed bridge. Compared to the conventional full denture, this form of care offers the patient significantly better grip, comfort and chewing comfort, and thus safer treatment of their fellow human beings and a significantly improved quality of life. For many enthusiastic patients, these decisive criteria make the sometimes significantly increased costs for an implant-supported denture seem inexpensive.

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Christina Cherry
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