It is important to make up for even one missing tooth, since missing teeth lead to dental unbalance besides the aesthetic problems. The neighboring and opponent teeth may shift, move out of their place and the unbalance of the contact points may lead to tooth decay, tendinitis and finally may end up loosing another tooth. The longer is the lack of a tooth, the more complicated is the replacement. Prosthetic dentistry requires a precise job in a strong collaboration between the dentist and the dental technician.
Crowns are made in the dental technique laboratory to the tooth premorsed by the dentist- based on the mould. The crown fits perfectly both functionally and aesthetically to the rest of the teeth. Shall there not be enough dental material to make a crown-e.g. broken tooth, or in case of a root canal-premorse building is needed with padding or with a cog premorse. Crowns can be made of different materials, but basically there are two types; base metal or metal bailing. The dental technician prepares the frame of metal ceramic crowns from a special metal alloy (gold or some none noble metal) and the porcelain that fits the color and the shape of the surrounding teeth is built on that.
The metal free crowns are either made of extruded porcelain or of zirconium which besides being tissue friendly and anti-allergenic are also able to ensure a unique aesthetic result.
Golden porcelain crowns
Golden porcelain crowns have an enormous bearing capacity and also have an extraordinary long lifetime, since the frame of the crown is fixed by a heavy platinum-gold alloy. The golden alloy due to its perfect laying ensures a really precise side closing. The technician makes the skeleton of the crown from plated gold which provides not only a perfect aesthetic result but also a stable structure to its owner due to the porcelain veneering. That is why lots of patients opt for the golden porcelain crown besides its many further advantages, because there is a minimal chance for allergic symptoms.
In such cases when one or more neighboring teeth are missing or got damaged to such an extent that the chewing function of the teeth is inappropriate-bridges provide the best solution. It is almost impossible to live a full life without prosthesis, since missing teeth have several negative impacts on many different parts of our lives such as; during dining, in our appearance and in our communication as well. The lost teeth must be implemented, because it is only way to restore the chewing function, the utterance and the aesthetic and biomechanics unity of the teeth. Based on their structure bridges can be divided into two parts; one is the body or structure-that bridges over the lost tooth or teeth and another are the pillar teeth that are placed on the teeth next to the missing ones. When preparing bridges our doctors first identify whether the neighboring teeth are able to hold the bridges or not. With the help of bridges the patients besides gaining back their normal chewing ability they also get back their bright smile.
Porcelain crown fused to metal
The bridge structure is fixed to the teeth surrounding the missing ones with metal-porcelain crown. The skeleton of the metal-porcelain crown can be made of noble metal alloy or of platinum gold-accordingly we can call them either metal-porcelain or golden crowns.
Very precise bridges can be made of zirconium-dioxid skeletons with similar stability to the metal-porcelain and golden crowns fulfilling much higher aesthetic requirements though, with the help of CAD/CAM technology.
Normally it happens in elderly ages that the number and location of the remaining teeth does not allow the preparation of the fixed bridge replacements. In such cases we prepare removable dentures to our patients.
Full upper-lower plastic base-plate dentures (prosthesis) The denture is layed on the base of the teeth-less chin bone. The denture is fixed by the chewing pressure, the adherence, gravity and the possibly usable territories on the jawline under the teeth. Even within ideal circumstances such a prosthesis moves a little, wearing may cause minor discomfort.
Full upper-lower fixed denture implant
In the majority of the cases both into the upper and into the lower jawline 4 (lower sometimes 2) implants can be inserted. The full removable denture is fixed to the structure made for that. Such a dentil is stable does not when eating or speaking, consequently wearing it does not cause any inconvenience.
Partial removable, plastic base-plate dentures (prosthesis)
Although it is the cheapest denture alternative, it is not an ideal solution to the remaining teeth. The prosthesis presses the gum-bone bases of the remaining teeth so even on a short term can damage or can lead to the total loss of the remaining teeth. The dentil is fixed with wire clasps on the remaining teeth.
Partial removable metal base-plate dentures (prosthesis)
Dental technology casts the base plate and the clasps of the prosthesis from metal casts and the plastic made fake gum and teeth are joined to that. This is a harmless alternative to the remaining teeth. The aesthetic problem of the cast clasps is a disadvantage of the process.
Telescopic anchoraged denture
Shall the number of the remaining teeth be between 1-3 the best solution is the telescopic anchoraged denture. The dentist prepares the remaining teeth, based on the prints the dental technician prepares the perfectly identical primary and secondary crowns. The primer telescope goes to the teeth is fixed with glue cement and the secondary telescope is built into the denture. These crowns are made of platinum-gold alloy, since this is the only way to make perfectly identical frictional surfaces. The telescopic denture guarantees a favorable effect both in its function and in its aesthetics.