Prosthodontics
Prosthodontics is the dental specialty primarily concerned with the restoration and replacement of lost or damaged teeth. Sometimes called the “architects of the smile,” prosthodontists are highly trained specialists with a unique understanding of all the elements that go into a beautiful, functional and natural-looking smile—not just the teeth, but also the gums, lips, and facial features. When it comes to planning and carrying out a full-scale smile makeover, a team of dental professionals is often required; many times, that team is captained by a prosthodontist.

 

As their name implies (“prosthesis” = addition or attachment, “odont” = tooth), these specialists plan and carry out procedures related to the replacement of natural teeth, in part or in full, with biocompatible substitutes. Some of these treatments include:


•  Porcelain Veneers — wafer-thin shells of ceramic material that cover the front surfaces of teeth, providing a dramatic change in appearance. These are bonded to teeth that have been prepared by having a small amount of enamel removed, so they don’t appear too bulky. Long-lasting veneers can change the size, shape or color of teeth, and even close small gaps between.


•  Crowns — artificial covers (sometimes called “caps”) that replace the entire visible surface of a tooth above the gum line. Fabricated of metal, porcelain fused to metal, or all-ceramic (porcelain), crowns are cemented to a prepared tooth with intact roots. They are often needed after a root canal procedure, or to repair fractured, broken or misshapen teeth.


•  Dental Implants — when it’s necessary to replace an entire tooth (both roots and crown), this method is considered today’s gold standard. Implants consist of a titanium metal post which is implanted in the jaw in a minor surgical procedure. This screw-like post becomes fused with the jaw bone, providing a solid anchorage for a lifelike crown. Implants can be used to replace single or multiple teeth, or to support other types of dental restorations, such as bridges or dentures. While implant surgery is usually performed by other specialists, prosthodontists often design and place the implant crowns. Implants are initially the most costly tooth replacement method, but may prove an excellent value in the long run, as they can last a lifetime.


•  Fixed Bridges — this tooth-replacement method uses the existing, healthy teeth (called abutment teeth) on either side of a gap to support one or more artificial teeth. A series of linked crowns is fabricated as a single unit, which is then attached to the prepared abutment teeth. These work like a roadway-bridge foundation to hold up the crowns for the missing teeth in between. Bridges are a time-tested tooth-replacement method, but require special attention to cleaning, and potentially compromise the structure of the otherwise healthy abutment teeth.


•  Dentures — are available in many different types, including full, partial, and implant-supported varieties. They can improve the aesthetics and functionality of an individual who is missing teeth—particularly when the dentures are manufactured to a high standard of workmanship and fitted correctly in the mouth. However, wearing dentures typically requires an adjustment period, and some find them uncomfortable in certain situations.

 

Reconstructive Dentistry
Carrying out specialized procedures is one part of a prosthodontist’s job; another is designing and detailing each step of a dental restoration, and making sure the work is performed to plan. Whether it’s a “smile makeover” designed to enhance your appearance, or a restoration after trauma or surgery, a prosthodontist can play an important role in treatment. Among the other services they offer, prosthodontists can also perform screenings for oral cancer, and diagnose and treat temporomandibular joint disorder (TMD) and obstructive sleep apnea (OSA).
With our dental laboratory, which boasts of highly skilled technicians, we can create lifelike restorations from durable, high-tech materials. We ensure that you get well-crafted replacement teeth that will blend into a perfect smile. Our expertise enables us to treat the most difficult and challenging dental problems.
Key Facts

  • About 15 percent of the edentulous population has dentures made each year.
  • Single crown is the most common restorative procedure. Approx 2.3 million implant-supported crowns are made annually.
  • Tooth loss happens due to decay and gums disease, and as a result of injury, cancer, or simply wear.
  • Consequences of missing teeth include significant nutritional changes, obesity, diabetes, coronary artery disease, and some forms of cancer.

 

Frequently Asked Questions

Why is it important to replace missing teeth?

Missing teeth can have a significant effect on your personal appearance. When a tooth is lost and a space is created pressure from normal function and your teeth touching together can cause the remaining teeth to shift. This shift can cause otherwise healthy straight teeth to tilt. These tilted teeth can become unstable which makes them more likely to be lost in the future. Missing teeth will make it more difficult to eat and place more stress on the remaining teeth. The teeth also support facial tissue such as your lips and cheeks. When missing teeth are not replaced and gaps are left open, the tissue can cave in adding years to the person’s appearance.
Are you able to eat with dentures? 
Eating with dentures will take a little practice. You should start with soft foods that are cut into small pieces. As you become used to chewing, you can return to your normal diet.

Are there foods you should avoid if you wear dentures?
There are only a few eating restrictions for denture wearers. Avoid biting down directly on crunchy or hard foods, like whole apples, hard pretzels, crusty bread, or large sandwiches. They can break because of the angle where the denture comes into contact with the hard surface.

Biting is limited only by the stability of the dentures.-Factors which decrease stability of a denture are : Insufficient bone structure (shrunken bone ridges covered by gum tissue), old or worn dentures, and a dry mouth.
If you wear dentures, are dental adhesives necessary? 
Today's dentures have been significantly improved through advances in both dental and materials technologies. As a result, dentures that fit properly usually do not require adhesives to secure them. When you are just getting used to dentures, adhesives may be advised, but otherwise should not be necessary.

A loose denture is a sign that it doesn't fit your mouth correctly. When first getting used to dentures, you may notice them slipping when you laugh, smile, or cough, which is caused by air getting under the base and moving it. The more you wear dentures, the better you will be able to control their movements in these situations.

How do I clean the dentures?
Maintaining oral hygiene is very important. Plaque on the denture can cause irritation to the gums along with bad mouth odour. Rinsing the denture with water after every meal is very important. The denture should be left in a cleanser overnight for killing microorganisms. Toothpastes should not be used on the dentures.