A dental prosthesis is an intraoral (inside the mouth) prosthesis used to restore (reconstruct) intraoral defects such as missing teeth, missing parts of teeth, and missing soft or hard structures of the jaw and palate.
Prosthetic Dentistry include:
- 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 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)
1.) The Premium Denture is very high in natural appearance. It features enhanced natural appeal, wear and stain resistance, with detailed customization.
2.) The Premium Denture is often available in week time period, however, in some cases it may take longer.
** ECONOMY PLUS DENTURES (LUCITONE WITH ACRYROCK TEETH)
The EconomyPlus Denture is made with more expensive teeth for a more natural-looking denture. After you have approved the look of your EconomyPlus Denture, the lab will custom finish your denture in the permanent acrylic base material. It’s like designing your own smile!
**ECONOMY DENTURES (ROUTINE ACRYLIC WITH NORMAL TEETH SET)
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
- 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.
We offer several types of partial dentures – cast metal, flexible , acrylic And Bio-Dentaplast. The cast metal, flexible & Bio-Dentaplast partials are our best partials.
**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.
An acrylic partial denture (APD) is one option for replacing missing teeth and is also the most cost effective treatment option.
Acrylic partial dentures tend to feel more bulky. This partial has an acrylic base into which the denture teeth are set and is attached to your natural teeth with small metal clasps.
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
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
Today, Dental Implants are considered the standard of care for prosthetic replacement of missing teeth in dentistry. A dental implant is a surgical fixture that is placed into the jawbone and allowed to fuse with the bone over the span of a few months. The dental implant acts as a replacement for the root of a missing tooth. Today, the success rate for dental implants is close to 98%.
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 has been shown to greatly improve appearance and increase your chances for successful implants that can last for years to come.
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”.
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 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.
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).
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
|CRITERIA||CRESTAL (AXIAL / SCREW) IMPLANTS||BASAL IMPLANTS|
|Shape and structure|
Root form – designed to imitate roots of a tooth
The implants look like an inverted T
|Endosseous section||Screw shaped with machined / sandblasted / HA coated surfaces.||Flat / blade like surfaces with spaces permitting bone in growth.|
|Technique||Insertion thro’ crestal bone and communication with oral cavity much more than basal implants||Insertion thro’ lateral aspect of basal bone. Load bearing area of implant has no communication with the oral cavity.|
|Bone requirement||Vertical bone – both crestal and rarely a small portion of basal bone.||Basal bone is what is needed. Horizontal aspects of the bone are fully utilized along with the inner and outer cortices.|
|Armamentarium||A large set of instruments are necessary for procedures||Instrumentation is completely different and are mostly surgery related|
|Bone grafting procedures||Essential in cases of deficiency in bone height. Grafting procedures give unpredictable results||Not required|
|Bone displacement||Considerable bone substance displacement / loss occurs and varies with size and length of implant. Crestal bone is more susceptible to resorption||Displace upto 60% less bone substance. Bone integrity and perfusion are barely impaired. Basal bone – highly resistant to resorption|
|Mucosal penetration diameter||Larger. Chances of peri implantitis, vertical bone loss, crater like bone loss and infections are relatively high||Smaller (1.9 – 2.3mm. only). The whole vertical implant part is polished – hence, chances of problems seen as in the case of crestal implants relatively very low.|
|Anatomy – proximity to Maxillary Sinus & Inf.Alveolar Nerve||Very important consideration and technique is to be modified accordingly. Bone augmentation essential in most cases.||Overcoming unfavorably placed Maxillary Sinus and Inferior Alveolar Nerve is possible|
|Abutment angulations||Two piece implants have to have pre-angulated abutments. KOS single piece implants provide angulated as well as bendable abutment provisions.||All BOI implants have bendable abutments.|
|Loading||Two piece implants often require delayed loading & two surgical phases at times||Immediate loading|
|Healing||Prolonged healing time – clinically significant||Bone healing time not clinically significant|
|Masticatory forces||Act in the vertical direction along the sides of the screw structure||Transferred to the basal plate deep into the cortical bone areas which are able to accept large loads and have great capacity for regeneration.|
|The Bone-Implant Relationship||The bone needs to be modified to suit the implant which is selected for the site of implantation||The implant selected for the site can be modified to suit the available bone height and width|
|Applications in destructive periodontitis & after multiple extractions of teeth||Placement nearly impossible and success is unpredictable.||Placement of implants very much possible and results are excellent.|
|Smoking patients||Failure rate is nearly 100%||Best option for smoking patients|
|Controlled diabetic patients||Crestal implants always run a risk of failure in cases where there are blood sugar variations||Blood sugar variations may not affect the survival of the implant at all.|
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.
DENTAL ZIRCONIA CROWN SERIES
- DENTAL ZIRCONIA PLATINUM / PLATINUM PLUS
Dental Zirconia Platinum – a biomedical grade material from Germany used for the fabrication of Crowns, Bridges , Custom implant abutments ,inlay, onlays and primary telescopes.
- DENTAL ZIRCONIA PREMIUM / PREMIUM PLUS
The paradigm shift in dentistry for life like restorations that mimic natural tooth structure based on perceived and actual aesthetics and functional patient.
- DENTAL ZIRCONIA CLASSIC
Dental Zirconia Classic has a flexural strength of 1450MPa, and crowns and bridges up to 16 units are possible.
- DENTAL ZIRCONIA ULTRA PLUS
Dental Zirconia Basichas a flexural strength of 1450MPa and is indicated for crowns and bridges up to 5 units (3 and 2 continuous pontics may be given in anterior and posterior regions respectively).
- DENTAL ZIRCONIA SOLID PLUS
This crown eliminate the layer of porcelain over the crown thereby making the crown much stronger. It is a great choice for posterior teeth. It is suitable for patients with bruxism and for cases with less interproximal space. Crowns and bridges up to 3 units are indicated.
- DENTAL ZIRCONIA BRUXCARE
These are monolithic zirconia restorations with no ceramic layering, which makes the restoration completely chip-proof. It causes low wear on opposing dentition. It has a flexural strength of 1550MPa.
BEFORE & AFTER
- CASE 1 – FULL CERAMIC CROWNS
- CASE 2 – FULL CERAMIC CROWNS
- CASE 3 – FULL CERAMIC CROWNS
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)
C. METAL CROWN
NICKEL CHROMIUM CROWN —- NOW OUTDATED
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.
Lost or missing teeth can leave embarrassing visible gaps between your natural teeth.
The teeth supporting your bridge will be shaped and prepared so that they’ll successfully hold the bridge in place.
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.
CANTILEVER DENTAL BRIDGE
In cantilever bridge, crowns only one tooth to support the missing tooth.
MARYLAND DENTAL BRIDGE
It is also called a resin-bonded bridge. In this treatment, the false tooth is carried with a metal framework, looks like porcelain wings act one side of the bridge and get fixes to restore the natural look.
IMPLANTED SUPPORTED BRIDGE
If you happen to see more missing teeth, Then you will be advised to go for implanted supported dental bridge. It is a surgical method to substitute false tooth instead of the missing tooth.