The Smile Craft

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Prosthodontics (Replacing Missing Teeth)

Prosthodontics deals with replacement of single or multiple artificial teeth in the mouth.

1) Bridges
2) Dentures
3) Fibre reinforced Bridges

Bridges are used for replacing one or more teeth in the mouth.

A dental bridge may be a solution when you have lost a tooth, or when you have a spot that’s causing your other teeth to become loose. This replacement tooth can fill in the area wherever something is missing, creating a natural look whereas helping to revive the tooth. There are four main kinds of bridges, a traditional bridge is that the most typical sort, which has one or more fake teeth control in place with crowns. These crowns are cemented to the teeth encompassing the tooth that’s missing. Another option may be a cantilever bridge, that is supported by a crown on only 1 aspect. If you simply have one tooth next to your missing tooth, you’ll still have this kind of crown secured to your mouth. Maryland bridges provide a lot of conservative approach, using porcelain or metal framework to carry the fake tooth in place. The final kind is an implant-supported bridge, that is commonly used when you have more than one tooth that’s missing. These bridges are control in place by implants, that are secured to your jawbone for maximum stability.

FAQ’s :

1. Is a bridge better than an implant?

The implant is not putting any strain on other teeth. Another great advantage of implants is that they can be used to replace more than one missing natural tooth. In the case of a bridge, a dentist will need healthy adjacent teeth for support. Dental crowns and bridges will have to be replaced every 10 to 15 years.

2. Do dental bridges come out?

When the permanent crown or bridge is ready, the temporary crown or bridge is removed, and the new crown or bridge is cemented over your prepared tooth or teeth. While crowns and bridges can last 10 to 15 years, they do sometimes come loose or fall out.

3. Can you eat with dental bridge?

If you have a dental bridge, you should have no trouble eating. In fact, if the bridge is supporting new implants or dentures, it can improve your eating function. … Bridges can be made from metal, Ceramic or a combination of these materials and are attached to surrounding teeth for support.

4. Are dental bridges removable?

A bridge — a device used to replace missing teeth — attaches artificial teeth to adjacent natural teeth, called abutment teeth. Dental Bridges are either permanently attached (fixed bridges), or they can be removable.

5. How often do dental bridges need to be replaced?

There is no certain amount of time in which a dental bridge should be replaced. If a dental bridge is properly cared for, including good oral hygiene and dental visits twice yearly, dental bridges can last many years. The lifespan of dental bridges tends to be from 7 to 15 years, but can also be more years.

6. How do you take care of a dental bridge?

One of the best ways to care for your dental bridge, which replaces one or more missing teeth, is to keep your remaining teeth healthy and strong. With good oral hygiene, you can keep your dental bridge for 5 to 10 years. Brush twice a day and floss daily to prevent tooth decay and gum disease. Water jet flossers can be used to maintain hygiene.

7. Is a dental bridge painful?

If you are sufficiently numb, the process is not painful. Getting a traditional dental bridge is usually fairly painless. Placing and cementing the dental bridge into place is usually painless and doesn’t need anesthesia. You may feel some mild soreness and tenderness in the gum area for a few days after each step.

8. Why does my dental bridge hurt?

It usually happens because of the gum infection. In case of severe infection, the dental bridge may be removed and a root canal treatment will be needed to treat an infected tooth. Anyway, it is better to consult dentist and identify the real reasons of your pain and discomfort.

9. Why is my bridge sensitive?

Initially you may experience some sensitivity to cold as the tooth may be slightly irritated by the cement. … Crowns and bridges are still susceptible to decay near the gum-line the same as a natural tooth. The crown strengthens the portion of the tooth above the gum-line but this margin area requires special care.

10. Does a dental bridge feel natural?

The dental bridge should feel nearly as real and comfortable to you as your natural teeth did. Many of our patients report that their bridges feel even better than the natural teeth did prior to bridge placement, especially if these teeth had large fillings or restorations in them.

Dentures are prosthesis designed to replace partial or complete missing teeth.

Two types of dentures can be done in patients mouth based on number of missing teeth. Partial dentures are recommended when one or more teeth needs to be replaced or used when some natural teeth remain to support partial dentures and complete dentures are done when all the teeth are missing in lower or upper jaw. Complete denture can be done on one jaw also if all teeth are missing in any upper or lower jaw. There are different materials available to do the same [B.P.S, Sunflex etc.]
Removable partial or full dentures require proper care to keep them clean, free from stains and looking their best. For good denture care:

  1. Remove and rinse dentures after eating. Run water over your dentures to remove food debris and other loose particles. You may want to place a towel on the counter or in the sink or put some water in the sink so the dentures won’t break if you drop them.
  2. Handle your dentures carefully.
  3. Clean your mouth after removing your dentures. Use a soft-bristled toothbrush on natural teeth and gauze or a soft toothbrush to clean your tongue, cheeks and roof of your mouth (palate). If used, remove any remaining denture adhesive from your gums.
  4. Brush your dentures at least daily. Remove and gently clean your dentures daily. Soak and brush them with a soft-bristled brush and nonabrasive denture cleanser to remove food, plaque and other deposits. If you use denture adhesive, clean the grooves that fit against your gums to remove any remaining adhesive. Don’t use denture cleansers inside your mouth.
  5. Soak dentures overnight. Most types of dentures need to stay moist to keep their shape. Place the dentures in water or a mild denture-soaking solution overnight. Check with your dentist about properly storing your dentures overnight. Follow the manufacturer’s instructions on cleaning and soaking solutions.
  6. Rinse dentures thoroughly before putting them back in your mouth, especially if using a denture-soaking solution. These solutions can contain harmful chemicals that cause vomiting, pain or burns if swallowed.
  7. Schedule regular dental checkups. Your dentist will recommend how often to visit to have your dentures examined and professionally cleaned. Your dentist can help ensure a proper fit to prevent slippage and discomfort, and also check the inside of your mouth to make sure it’s healthy.
  8. See your dentist if you have a loose fit. See your dentist promptly if your dentures become loose. Loose dentures can cause irritation, sores and infection.

You typically should avoid:

  • Abrasive cleaning materials. Avoid stiff-bristled brushes, strong cleansers and harsh toothpaste, as these are too abrasive and can damage your dentures.
  • Whitening toothpastes. Toothpastes advertised as whitening pastes often contain peroxide, which does little to change the color of denture teeth.
  • Bleach-containing products. Don’t use any bleaching products because these can weaken dentures and change their color. Don’t soak dentures with metal attachments in solutions that contain chlorine because it can tarnish and corrode the metal.
  • Hot water. Avoid hot or boiling water that could warp your dentures.
FAQ’s :

1. How long do you have to wait to get dentures after teeth are pulled?

The amount of time a patient must wait before dentures are added to the mouth is between three and six months after the teeth have been pulled. Minimum waiting period is one month if only few teeth are extracted. Waiting this amount of time gives the gum tissue ample time to heal.

2. Can I get my teeth pulled and dentures in the same day?

Same day, or immediate, dentures are those placed on the same day as the appointment with the dentist. They can be full or partial dentures which are inserted immediately following the extraction of the natural teeth.

3. How long will new dentures hurt?

In general, it takes about 30 days to get used to wearing dentures. One should have a little patience during this time, as learning to eat and speak again can be a challenge. Expect some soreness to persist at first, especially if you’ve had tooth extractions.

4. Do dentures hurt?

Getting immediate dentures after a tooth extraction may add to your discomfort. While your dentist may use an injectable medication such as novacaine to numb the gum and surrounding teeth, you may have some sensitivity for a few days from both the extraction and the insertion of immediate dentures.

5. Is it hard to eat with dentures?

Whole grain bread and cereals are good for you, but they may stick to your teeth. Eat them with liquids to make them easier to chew and swallow. Denture adhesives may help for eating foods that require a strong bite (like corn on the cob), but you may wish to avoid very hard or very sticky foods.

6. What foods can you not eat with dentures?

Hard foods should be eaten with caution because of the risk of damage to the dentures. They may also dislodge the appliance. These foods include nuts, apples,carrots, and corn on the cob. Instead, choose cooked food.

7. Why do dentures become loose?

The most common reason for loose-fitting dentures is a process known as bone resorption, where the gums begin to shrink. Another common cause of loose dentures is, simply, everyday wear.

8. Can I use regular toothpaste on my dentures?

Use a denture cleanser. (Conventional toothpaste, bleach, vinegar and soap are not designed for denture cleaning and could, in some cases, cause damage. … Moisten a denture brush (not a soft-bristle toothbrush) to clean all surfaces of your denture gently. Brushing too hard can damage any plastic or metal parts.

9. Why do you have to take dentures out at night?

You should remove your dentures at night as this will give your gums and bone a chance to relax from the pressure of the denture during the day.  Dentures should be cleaned at night and stored in water during the night.

The FRC bridge is a minimally invasive and cost-effective way to replace a missing tooth or teeth.

Instead of metal, glass fibre strands (or bundles) are used to create a fibre frame . The missing tooth or teeth are replaced with composite white filling material. The glass fibre bundles are embedded in the white filling material. The fibre frame is attached to the natural teeth with an adhesive. The bond between composite resin and tooth enamel is the strongest bond possible in the mouth. The anchor teeth are undamaged unlike normal bridgework where almost all the enamel of the anchor teeth is removed during the bridge preparation.