Replacement of Single or Multiple Missing Teeth : Replacement of teeth with crowns, Bridges and Dentures

Modern dental advances provide a host of options for replacing missing tooth-from traditional Dentures to Crowns &Bridges (Metal Ceramic and Metal-free Ceramics) to the latest Dental Implants.

In a normal, healthy mouth, chewing function is well balanced since each upper tooth has proper contact and function with corresponding lower tooth. Because of this natural proper balance, undue strain or irritation on the gum tissue and bone is non-existent. Drifting or spreading of teeth does not occur and oral hygiene is easily maintained. But, this natural proper balance is quickly destroyed when a tooth is lost.

What can happen is that :

The opposing molar may supra-erupt.The unprotected edentulous ridge might be subjected to trauma.The neighboring teeth tilt and proper functional balance is destroyed.The drifting teeth create food impaction areas where decay starts orwhere Periodontal Disease can start.Destruction to the bone will result as teeth drift and tip.The loss of teeth is associated with diminished self-confidence and of course chewingdifficulties. So, it is necessary to replace the missing teeth as early as possible with something that resembles natural teeth to the maximum. With recent developments in dentistry, a number of options are now available to the patients to choose from and all these are readily made available to the patients at our Dental Clinic.The methods of replacing teeth are determined by the position of the gap, its size and thepresence or absence of adjoining teeth. The various procedures available are bridges, dentures and implants.A bridge is permanently fixed to the teeth on either side of a gap.A removable denture, either partial or full, is a common way to replace teeth.An implant into the jawbone can support a crown, bridge or denture.

Dental Crowns -

Simply stated, a Dental Crown is a tooth cap placed to cover the tooth to restore its shape, its size and its strength. A Bridge is a combination of crowns.A Dental Crown may be advised to-protect a weak tooth (for instance, from decay) from breaking especially after a root canal treatment (RCT)restore an already broken tooth or a tooth that has been severely worn down cover and support a tooth with a large filling when there isn’t a lot of tooth structure lefthold a dental bridge in placecover a distorted/disrupted or severely discoloured teeth

over a Dental Implant

Pune Dental Hospital
Dental bridges are placed when there are one or more teeth missing and the objective is to stabilize the bite, prevent the adjacent teeth from tilting, and the opposing teeth from moving/tilting into the space that has been lost. They are meant to replace missing teeth by “bridging” the gap between two remaining teeth. This involves creation of a ponticor false tooth with a Dental Crown on either side. The crowns are fitted over the remaining teeth to hold the false tooth in place.

When there are only teeth on one side of the gap, cantilever bridges may be given. Cantilever bridges consist of two side-by-side crowns and only one is connected to the pontic. There are a few different types of bridges including the Maryland bridge, which can be placed conservatively in the areas that have low torque and two teeth that have never been touched.

Dentures -

Generally refers to the replacement of an entire arch of teeth with a removable appliance with either plastic or porcelain teeth on it. If there are a few teeth left, then it is referred to as a Partial Denture. This will either have acrylic base holding it in place, or it will have metal clasps to secure it to the adjacent teeth. Generally when a denture is placed for the first time, it takes a while to get used to it, since it is a foreign body in your mouth. Dentures should be brushed just like your natural teeth because they can build up tarter on them as well.

Porcelain / Ceramic Laminates and Veneers

Porcelain veneers, sometimes also termed dental veneers or dental porcelain laminates, are one of cosmetic dentistry’s more recent developments. These wafer-thin shells of porcelain which are bonded onto the front side of teeth can be an excellent cosmetic solution for teeth that are stained, chipped, or slightly misaligned.These have definite advantages and disadvantages and it’s important to know when these dental veneers should or should not be utilized. There are various steps involved in having porcelainveneers made. We make sure that we educate and inform all our patients on how to take care of your veneers and what to do if you have a porcelain veneer come off or break.

Maxillofacial Prosthetics/ Replacement Of Missing Parts Of The Face With Artificial Substitutes

A prosthetic face serves a function similar to any other prosthetic device: to replace a missing or damaged body part with an artificial substitute for either functional or cosmetic purposes. Prosthetic faces are custom manufactured from a variety of materials depending on the purpose of the prosthetic and the frequency of its use. In many cases, a prosthetic face is used to conceal a facial deformity resulting from either a birth defect or an injury. Prosthetic faces are also important elements in the special effects industry, finding use in both film and theater.

In medical applications, prosthetic faces can conceal the results of a serious injury or a deformity

such as scarring from severe burns or missing facial sections

that cannot be corrected with cosmetic surgery. This type of prosthetic face can be attached to the wearer with adhesives, though the frequency and duration of wear means they are often designed to be held in place by surgically
implanted attachment devices or magnets. Medical prosthetic faces are not generally considered to be solely cosmetic. They replace missing facial attributes, allow their wearers to more favorably interact with society, and contribute significantly to the emotional well-being of the patient. In many cases, a
prosthetic face is a patient’s only choice when desiring meaningful and undistracted interaction with other people.

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Dr. Aabha Agarkar

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