Prosthetic Dentistry

DENTURES

• A denture is a removable replacement for missing teeth and surrounding tissues. Two types of dentures are available — complete and partial dentures.
• Affordable Dentures are offered in a variety of denture styles that include full and partial dentures. We will help you find the best match for your needs.

COMPLETE DENTURES

• Complete dentures are full-coverage oral prosthetic devices that replace a complete arch of missing teeth.
• Complete dentures can be either “conventional” or “immediate.”
• Immediate Dentures are made after the teeth have been removed and the gum tissue has begun to heal.
• A conventional denture is ready for placement in the mouth about eight to 12 weeks after the teeth have been removed.

** ULTIMATE FIT DENTURES/BIOFUNCTIONAL PROSTHETIC SYSTEM(BPS) DENTURES

• High Quality Dentures from Ivoclar Vivadent-Switzerland
• The Ultimate Fit / BPS Denture is our most innovative denture made with patented high-pressure injection technology.
• The dentures are also remarkably strong, lightweight, as well as odor and stain resistant.
• Only certified dental labs and technicians are authorized to fabricate BPS dentures.

**PREMIUM DENTURES (MELIODENT WITH ACRYROCK TEETH)

LOW ABRASIVE RESISTANCE OF THE TEETH TO MASTICATORY / CHEWING FORCES
The Economy Denture is the most affordable denture and is selected by many patients. It is processed by our lab and individually fit for you.

SNAP SECURE DENTURE / IMPLANT SUPPORTED DENTURE

HYBRID DENTURE

• We are committed to providing the dental profession with state-of-the-art and cost-effective implant prostheses. Our team of expert implant specialists has the training, skill and experience to assist you right from case design, case plan and case estimate upto the final delivery of the prosthesis.

BENEFITS OF IMPLANT-SUPPORTED OVERDENTURES

• Minimum number of implants required is at least 2 per jaw.
• Preserves the bone and prevents further deterioration of facial structure.

PARTIAL DENTURES

**CAST METAL PARTIAL DENTURES

• (COBALT-CHROME & TITANIUM)
• AN AFFORDABLE WAY TO REVITALIZE YOUR SMILE.

AN AFFORDABLE WAY TO REVITALIZE YOUR SMILE

A cast metal partial denture involves a metal framework that attaches by way of clasps connected to crowns.

Difference Between Cast Partial & Acrylic Denture

**FLEXIBLE PARTIAL DENTURE
The flexible partial is made from a special material that gives you added comfort and fit.

BENEFITS OF FLEXIBLE DENTURES
Flexible dentures do not use any metal parts so tend to look and feel a lot more natural.

**BIO- DENTAPLAST
High strength, injection moulded, biocompatible denture material.

• Clasp-free partial dentures

(SEMI-FIXED SOLUTION WITH HIGH RETENTION)

Precision Attachments are special attachments used for the perfect fit of removable partial dentures. The attachment prosthesis consists a combination of permanently fixed and removable denture. (semi fixed denture). It is a passive retention mechanism by which the abutment teeth are not exposed to excessive forces.

MAXILLARY EXPANTION SCREW
The appliance compresses the PDL, bends alveolar process, tips the anchor teeth, gradually opens the mid-palatal suture and all other Maxillary anterior teeth: It is estimated that during active suture opening, incisors separate approx. half the distance the expansion screw has been opened.

• TONGUE THRUSTING APPLIANCE
• THUMB SUCKING APPLIANCE
• MOUTH BREATHING APPLIANCE

FACEBOW HEADGEAR

The need for headgear is rare, and it’s typically worn only at night. Headgear is a band that attaches to your braces to put extra pressure on your teeth when special correction is needed.

RESTORE YOUR SMILE’S FUNCTIONALITY AND APPEARANCE WITH DENTAL IMPLANTS

TWO CATEGORIES OF DENTAL IMPLANTS ARE USED IN OUR PRACTICE

• Conventional Implants – 2 Surgical Stage Implants
• Immediate Loading Basal Implants – Single Surgical Stage Implants

A. CONVENTIONAL DENTAL IMPLANTS

HOW ARE CONVENTIONAL DENTAL IMPLANTS PLACED?
There are two distinct phases for every implant procedure – the first is the surgical procedure for placement of the implant and the second is the prosthetic procedure to load the implant(s) with missing tooth/teeth.

SINUS LIFT / AUGMENTATION
Sinus augmentation can help correct this problem by raising the sinus floor thereby providing provision for increased bone height providing an ideal scenario for placement of dental implants.

RIDGE MODIFICATION:
Ridge modification has been shown to greatly improve appearance and increase your chances for successful implants that can last for years to come.

INITIAL SURGERY
Surgical stents may be used to assist in guiding the placement of implants at the right place. The implants are placed into bone as previously planned. The gums are then sutured back. Absorbable sutures do not require removal whereas non-absorbable ones have to be removed after about a week. Check X rays are taken at various stages to confirm the position of the implant.

HEALING (OSSEOINTEGRATION) PERIOD
During this phase, the surrounding bone attaches and integrates onto the implant surface by a process called “osseo-integration”.

ABUTMENT CONNECTION
This surgery is less invasive than the first, but still may require local anesthesia. An incision is made in the gum to expose the head of the implant. Then, the “cover screw” is replaced with a “healing abutment”, which protrudes above the gum. This allows the gum to heal in the correct shape around the abutment before the crown, bridge or denture is attached.

FINAL PROSTHETIC RESTORATION
An impression of the abutments is made for the lab technician to make the new implant-supported crowns / bridgework. The final prosthetic tooth/teeth may be screwed into place or cemented.

WHAT CAN DENTAL IMPLANTS DO?

HYBRID IMPLANT BRIDGE
They are an excellent long-term option for restoring a perfect smile and functionality.

LATEST DEVELOPMENTS IN DENTAL IMPLANTS

B. BASAL DENTAL IMPLANT
Basal Dental Implantology is an advanced implantology system which utilizes the basal – cortical portion of the jaw bones for retention of the dental implants which are uniquely designed to be accommodated in the basal – cortical bone areas. It is highly dense, corticalized and offers excellent support to implants.

ADVANTAGES OF THE IMMEDIATE LOAD BASAL DENTAL IMPLANTS

• Immediate loading
• Avoidance of bone grafting
• Single piece implantology
• Basal / Cortical bone support
• Minimally invasive (‘key hole’ impantology)
• Solutions for unfavorable bone situations
• Extremely low failure rates
• Virtually no incidence of Peri-implantitis…

Peri-implantitis incidence
Peri-implantitis is the single most common cause for failure of conventional implants. This happens mostly because of the rough implant surface as well as the interface problems between the multiple parts of the implant.  Judicious use of monobloc, smooth surface basal implants eliminate the threat of peri-implantitis by almost 98%.

Medically compromised situations
Basal implants work fine in controlled diabetics, in smokers, in patients suffering from chronic destructive periodontitis and in patients who have little or no bone for conventional implants.

Diabetes Mellitus
basal implants work absolutely well in controlled diabetic patients because they are smooth surface implants which do not permit bacterial colonization on the implant surfaces. In addition, the fact that these implants take support from the basal bone is an added advantage as the load bearing areas of the implant (Basal cortical bone areas) are far away from the areas where bacteria attempt to invade (crestal alveolar bone).

Smoking

is known to negatively affect the implant procedure because it cuts down the blood flow to the oral tissue like the gums, teeth and bone, which in turn results in slower healing of the implant site.. In case of basal implants, since the load bearing areas are far away from the areas of the mouth affected by smoking, they take up well. However, it should be borne in mind that smoking immediately after implant surgery will be unfavorable for wound healing even in the case of basal implants.

Acute Destructive Periodontitis
dental implants are contra indicated in patients with acute periodontitis and those with history of destructive gums diseases (often hereditary and run in families). This is because of the high risk of the patient to contract gingival infections leading to failure of the implants.  These patients often present with multiple mobile teeth and painful, inflammed gums which bleed easily. However, smooth surface basal implants work wonderfully well in such patients owing to the fact that they are less prone to bacterial attack (the load bearing area is far away from the area prone to infections in the gum regions and the smooth surface implants do not permit bacterial colonization and multiplication).

• Post treatment care– there are no excessive oral hygiene requirements which patients need to observe
• Cost savings– Avoidance of the bone grafts and second stage surgery, in addition to the phenomenal reduction in the total treatment time helps save costs in a big way.

Thus, with Basal Implants,

* Every patient can get fixed teeth almost immediately after implantation, without undergoing bone grafting / augmentations / sinus lifts etc. & without waiting periods for healing of the implant surgery sites (which can take upto 1 year after implant surgery with bone grafting & conventional implants). There is no requirement of intermediate dentures too.

* Basal implant specialists utilize cortical / basal bone in all areas of the facial skeleton. This bone is resorption-stable and strong. This reason why basal implants permit fixation of bridges soon after surgery by splinting the basal implants.

* Specialized dental technicians helps provide safe and sound bite through the basal implant supported bridges.

* The patient can start chewing / eating soon after the bridges are installed!

COMPARISION BETWEEN CONVENTIONAL & BASAL IMPLANTS 

DENTAL CROWN
Dentists use dental crowns in order to restore your tooth’s strength, shape and size and also helps restore your natural looking smile.

TYPES OF DENTAL CROWNS

A. METAL FREE CROWN/ ALL CERAMIC / ZIRCONIA CROWN
(EXCELLENT AESTHETICS , HIGHLY PRECISE & LIFE LASTING)

DENTAL Zirconia crowns has been the choice of restoration for posterior crowns, due to its superior strength and stability to withstand functional stresses.

The paradigm shift in dentistry for life like restorations that mimic natural tooth structure based on perceived and actual aesthetics and functional patient.

B. PFM CROWN ( PORCELAIN FUSED TO METAL)
DMLS CAD/CAM PFM (PORCELAIN FUSED TO METAL

• A certified system for additive manufacturing of new generation PFMs, DMLS. Uses the German imported EOSINT M270 laser sintering machine. The metal frame is fabricated using CAD files by sintering special Co-Cr-Mb-based powder layer by layer.
• The CAM process facilitates equal space for ceramic binding and avoids ceramic chip-off.
• The fabrication of long span bridges through sintering eliminates rocking.

GOLD CROWN WITH PORCELAIN
(Best Metal- Porcelain Bonding Ever)

They are a hybrid between porcelain and metal crowns. The entire crown has a metal layer underlying and porcelain / ceramic on top of it.

GOLD CROWN —– BEST CROWN EVER (BUT COSTLY)

Gold has been used in dentistry for tooth repair for more than 4,000 years. Dentists today most often combine gold with other metals, such as palladium, nickel, or chromium. They don’t wear down easily and require minimal tooth removal to be applied. These crowns are very durable and can last for decades.

METAL CROWN WITH ACRYLIC FACING — OUTDATED

• Acrylic resins are plastic materials that are processed by means of polymerization in special furnaces at 150-200 degrees Celsius (300-400 Fahrenheit).
• It is not indicated to place acrylic resins on the occlusal side of teeth because of the low resistance. Their main indication is for temporary prosthetic devices.
• The main advantage is their low cost and easy manufacturing but they are significantly inferior to both porcelain and dental composite.

D. ACRYLIC CROWN — TEMPORARY CROWN

Temporary crowns can be made in your dentist’s office, whereas most permanent crowns are typically made in a dental laboratory.

TYPES OF DENTAL BRIDGES

• TRADITIONAL DENTAL BRIDGE
• CANTILEVER DENTAL BRIDGE
• MARYLAND DENTAL BRIDGE
• IMPLANTED SUPPORTED BRIDGE

TRADITIONAL DENTAL BRIDGE

Two crowns with the porcelain infused to metal (False tooth) in between to fix the natural oral system.