Prosthetic treatment (Prostheses) aims to remove all kinds of edentulism, restore damaged teeth, and gain functionality and aesthetics in the mouth. According to the number of missing teeth and the needs of the patients, prostheses are basically divided into fixed prostheses (veneers, bridges) and removable prostheses (palate, dentures). In addition, aesthetic dentistry applications that have come to the fore in recent years (Porcelain Laminates, Smile Design, Empress veneer, Zirconium Porcelain etc.) are included in the scope of prosthetic treatment and are one of the important areas of expertise in dentistry.
They are prostheses that are fixed to the existing teeth or implants in the mouth by the doctor and cannot be attached or removed by the patient. Fixed prostheses include crown (veneer) and bridge applications. They can be produced from different materials such as plastic (temporary), metal supported porcelain, zirconium supported porcelain, empress porcelain. While deciding which material to use, the choice is made by considering parameters such as the patient’s aesthetic expectation, in which part of the mouth the restoration is to be made, how long toothlessness will be removed, and the economic situation of the person who will have the procedure.
Dental crowns are caps that fit over the damaged tooth and imitate the tooth in shape, size and aesthetics. It can be produced from plastic (temporary), metal-supported porcelain or all-ceramic (Zirconium, Empress) materials. Crowns are fixed on the existing tooth with special adhesives. They are very comfortable to use. Often, teeth with very large fillings, broken teeth (large fractures) and teeth with root canal treatment with excessive tissue loss are tried to increase their durability by making crowns (veneers). In addition, crowns are also used to eliminate situations such as smile design, non-aesthetic tooth positions, crowding.
Dental bridges close the gaps created by one or more missing teeth. Bridges consist of crowns on both sides of the edentulous area and the artificial tooth between them (Bridge body). Bridges are fixed prostheses supported by natural teeth or implants and can be produced from plastic (temporary), metal-supported porcelain or all-ceramic (Zirconium, Empress) materials. If the teeth on both sides of the missing tooth are intact, implant treatment may be a more useful alternative to a bridge.
It is applied to mouths where all teeth are missing.
It is applied to partially edentulous mouths. Retention is provided with nails and hooks on the teeth.
Precision attachment partial dentures (prosthesis with snaps)
It is a type of dental prosthesis applied in cases where there are many missing teeth and treatment cannot be performed with fixed prostheses. It is also known as ‘prosthesis with snap fasteners’ among the people due to the hidden retainers that fit into the slots prepared in the teeth. Precision Retained Prostheses are aesthetic prostheses that do not have any externally visible apparatus such as hooks.
Implant Top Prostheses
Fixed: Bridges or crowns made with support from the implant. Movable: These are total-like prostheses made with the support of preferred implants in mouths with insufficient bone support.
Also known as palatal dentures, they are prostheses that are made in the absence of teeth in the mouth and fit on the lower and upper palates.
How many days does the construction phase take, how many times do I have to come?
Full dentures are prepared in an average of 5 sessions with impressions and various rehearsals. An average of 2 weeks is sufficient for 5 sessions.
Use of full dentures
Because palatal dentures are removable dentures, they are more difficult to use than other dentures. It can be easily placed and removed on the lower and upper jaws, but the comfort and chewing efficiency of the fixed prosthesis is not expected. When it is first worn, bruises and injuries may occur in some areas.
Cleaning of full dentures
The cleaning of full dentures is done under running water with the help of soap and brush. Toothpaste is not used for cleaning. It can be cleaned with normal toothbrushes as well as special cleaning brushes for full dentures. In addition, there are cleaning tablets of some brands, the prosthesis can be cleaned by keeping the prosthesis in a tablet thrown into a water glass.
Ability to eat with full dentures
The retention of the prosthesis, which is custom made by measuring the jaws, depends on the amount of bone in the lower and upper jaws. If the amount of bone is sufficient, prosthesis retention and stabilization are also good and food can be easily grinded with prostheses. When the full denture is first made, it may be difficult until the cheek and lip muscles get used to it, then biting, cutting and grinding functions can be performed comfortably. If the amount of bone in the lower and upper jaw is not sufficient, the prosthesis may move while eating, since the retention and stabilization of the prosthetic teeth will also decrease. In this case, special adhesives can be used or the prosthesis should not move.
It may be necessary to get support from implants placed in the jawbone.
Aesthetics in full denture teeth
Full dentures fill and inflate cheek and lip depressions. The teeth used in prostheses can also be designed as porcelain in the anterior group. In this case, aesthetic satisfaction is high.
Considerations when using
Care should be taken to clean full dentures, and cleaning should never be done with boiling water. At night, the prosthesis should be removed from the mouth and stored in a special container. In addition to these, it should not be forgotten that it is fragile in case of dropping it while putting it on or cleaning it, and care should be taken.
Repair of denture teeth when they break or fall out
Although it varies depending on the shape and size of the fracture, it can usually be easily repaired, and it may be necessary to measure the jaws for repair. Teeth falling from the prosthesis are also easily repaired.
Partial Dental Prostheses (Hooked Prosthesis)
They are prostheses made in cases where fixed prosthesis cannot be applied. Since the prosthesis is attached to the tooth in front of the edentulous area with a hook, it is also called a hooked prosthesis. How many days does it take to make hooked dental prostheses, how many times do I have to come? Partial denture stages are the same as full denture stages. Partial dentures are also prepared in an average of 5 sessions with measurements and various rehearsals. An average of 2 weeks is sufficient for 5 sessions.
Use of partial dentures
Partial dentures are supported by the teeth with the help of hooks. While it is very tight when putting on and taking off, it is more comfortable to put on and take off over time. The comfort and chewing efficiency of fixed dentures cannot be expected in partial dentures.
Lifespan of hooked dentures
Partial dentures serve for many years when provided with good care and hygiene. In cases of weakening or osteoporosis, the prosthesis may become loose and play over the years. Apart from this, depending on the use, flexing and breaking of the hooks may be encountered. In addition, loss of supported teeth may be possible. In this case, the lost tooth can be added to the existing prosthesis.
Precision Attached Dentures (Snap-Up Dentures)
It is a type of dental prosthesis applied in cases where there are many missing teeth and treatment cannot be performed with fixed prostheses. It is also known as ‘prosthesis with snaps’ among the people because of the hidden retainers that fit into the slots prepared in the teeth.
Precision attachment (snap-on prosthesis) prosthesis stages are the same as partial stages. Precision-connected prostheses are also prepared in an average of 5 sessions with measurements and various rehearsals. An average of 2 weeks is sufficient for 5 sessions.