THE PROSTHETICS

Conventional bridges – fixed partial denture

This is the prosthetic restoration permanently fixed in the mouth that restores the lack of one or few teeth. In order to fix them it is necessary to use the teeth that are on both sides of the toothless gap(they are previously polished). They are made with the use of suitable alloy that are than covered with porcelain or composite.

Time of treatment: 2-3 visits

1 visit – polishing of teeth, impression, crown a tooth

2 visit – the measure of metal components ( there are some cases in which this part   can be skipped)

3 visit – the fixing of a bridge 

The result of the treatment: aesthetic restoration of the missing tooth or teeth 

The advantages:

• Long life expectancy
• Corrects the occlusion
• Easy to clean
• Helpful in prevention from movement of neighbouring and opposing teeth
• Aesthetic

The disadvantages:

• Quite expensive
• Obtaining the natural look can be difficult in case of significant alveolar or gum atrophy
• Polishing more tissue than in case of bridges fixed on composite

 

The bridges without polishing  

Time of treatment: 2-3 visits

1 visit: the elaboration of the pillared teeth, impression, protection of the place of preparation

2 visit: the measurement of the metal frame ( this part can be skipped in most of the cases)

3 visit: the setting of work 

The results of the treatment: the restoration of the missing tooth without the damage of the others.

The advantages:

• Less expensive than the conventional bridge
• The existing filling and defect can be used
• Less damage to the tissue of a tooth

The disadvantages:

• The gums can shrink ( the spaces between teeth)
• The teeth on which the bridge is fixed have to be in good condition ( no big filling)
• It is not as durable as the conventional one

One visit bridges without polishing  

Time of treatment: 1 visit 

The results of treatment: reconstruction of singular lack of tooth in aesthetic and quick way (1 visit) 

The advantages:

• Quick effect
• Aesthetic
• In case of damage it is possible to repair it in the mouth of a patient
• Possibility of changing the colour
• No need of polishing

The disadvantages:

• Not as durable as conventional bridge
• Restores only 1 or 2 missing teeth

 

Porcelain veneer 

They look like the thin “scales” glued to the tooth. They are used e.g. to change the shape or colour of tooth to close holes between the teeth. 

Time of treatment: 2 visits

1 visit – elaboration of teeth, impression

2 visit – setting

The results of treatment: smooth, naturally looking teeth

The advantages:

• The less loss of the tough teeth tissue then during polishing to fit under bridges
• Preparation in the surface of enamel
• More durable than composite veneer
• Very aesthetic
• The possibility of changing the colour
• Good gum – tolerance
• They do not change colour
• Etching of porcelain gives very good results in connection with enamel

The disadvantages:

• Difficult to repair in case of fracture or break off
• Quite expensive
• The tooth under the veneer has to fulfill some criteria

 

The metal crowns porcelain facing

[Picture] The crown is composed of the layer of porcelain burnt on the thin cap made of the proper metal. The metal part of the crown decides about its durability, and the porcelain part of its cosmetic effect. 

The time of treatment: 2 -3 visits

1 visit – elaboration of the teeth, impression

2 visit – measurement of metal ( in some cases can be skipped)

3 visit – installation 

The results of treatment: This method gives very good results in colour, shape and size of tooth. Can be treated as reinforcment of the damaged crown, as well as the method to close the holes between the teeth (diastem). 

The advantages:

• The teeth can be made brighter to any colour
• The dentist can correct the shape of a tooth
• It is possible to straighten a tooth
• Aesthetics
• Durability

The disadvantages:

• The treatment needs the use of anesthetics
• The polishing of a tooth can sometimes cause the disclosure of pulp and the necessity of root canal treatment
• If the gum shrinks, the connection between the tooth and the crown will be visible

 

The immediate prosthetics

They are made to fill up the tooth just after extraction. They can last usually for 6 months but under special circumstances can survive longer and be treated as the final one.  

The time of treatment: 2 visits

1 visit – impression

2 visit – the extraction of teeth, the delivery of a prosthetic 

The results of treatment: the possibility of improvement or reconstruction of colour, shape and arrangement of teeth just after extraction 

The advantages:

• A patient doesn’t have to appear without teeth
• The protection of dental process during the healing
• Gentle move to final prosthetic
• Can be used as final prosthetic

The disadvantages:

• The creation of final prosthetics may be needed
• It is necessary to use.....
• The frequent matching may be needed
• Because of the problems above the costs may rise

 
The functionally unstable denture 

[ Picture] Made of acrylic in which the teeth are settled. This is the movable filling. 

The time of treatment: till 2 weeks

The result of treatment: nice aesthetic effect. The reconstruction of the lost teeth and the conditions of junction of teeth. Depending on individual predisposition of the patient (the atrophy of dental process) may need changing after 5 – 10 years. Because of the same reason it may need....... 

The advantages:

• The maximum aesthetic is possible
• It is good support for lips and cheeks
• Younger look

  The disadvantages:

• Less efficiency of mastication
• Maintenance may cause problem
• The specific caring is necessary
• Needs changing after 5 – 10 years
• May need .......

 

THE PROGRAM FOR CHILDREN 

Having in mind how the visit at “the school dentist” looked like and what were the consequences – the fear of the dentist in the adults life of a patient we were choosing our staff very carefully and we adapted the rooms appropriately. [Picture].

We use materials which were specially made for our youngest patients.

We created a special program of the complex care for children that consists of:

• The adaptation visit – acquaintance with the dentist and the dentist’s room
• The training of  the correct hygiene of the mouth and the selection of the appropriate accessories
• The individual approach to each of the little patient
• The full-scale preventive treatment : sealing, coating, colourful filling
• Stress free, treatment of the teeth defect without the use of a drill – air – abrasion system