Prosthodontics & Implant Prosthesis

Prosthodontics focuses on the diagnosis and treatment of patients who are missing teeth, have broken/cracked teeth or suffer from severe oral maxillofacial disorders. Our prosthodontists utilize state-of-the-art techniques and procedures to treat these conditions. Common treatments include:

  • • Crowns
  • • Veneers
  • • Bridges (fixed partial dentures)
  • • Implant prosthesis
  • • Complete dentures
  • • Removable partial dentures
  • • Maxillofacial prosthesis

crowns are used to replace missing teeth. They can be made from gold, metal, porcelain and white (Tooth) colored Zirconium. White crowns can greatly improve your confidence and smile.

CERAMIC FUSED TO METAL CROWNS

Porcelain-fused-to-metal dental crowns are the basic crowns with a metal backing which can be almost color matched to your adjacent teeth (unlike the metallic crowns). However, over a period of time; the ceramic overlaying may wear off or the metal underlying the crown’s porcelain can show through. In the gums it may show through as a dark line. They may be required to be upgraded or replaced after few years.

ALL CERAMIC CROWNS

All-ceramic or all-porcelain dental crowns provide better natural color match than any other crown type and may be more suitable for people with metal allergies. All-ceramic crowns are a good choice for front teeth.

ZIRCONIUM CROWNS

Zirconium is the strongest all-ceramic coping material available today. Zirconium is ideal for those who are sensitive to metal or simply prefer the aesthetics of metal-free restorations. Its bio-compatibility has been proven through the years in the medical field.
Zirconium crowns and bridges are so strong they can be used anywhere in the mouth. Zirconium crowns can withstand the biting pressure of the front teeth as well as back teeth grinding. The look of zirconium crowns and bridges is so close to natural teeth that it is hard to tell the difference and it is this quality which makes it very usable within dental work

DENTAL IMPLANTS

Implants are substitutes for lost teeth. In this procedure we need not cut down the teeth either side for crowns to support the bridge.
Designed for toothless areas, this treatment involves implanting artificial dental roots made of titanium which is a special metal to the jaw bone for a natural feel as well as aesthetic satisfaction. This is safe and a better alternative to the existing bridge or denture. Placing an implant requires a small operation. It is carried out under local anesthesia, the same that is given for removal of teeth. Dental implants can be used to support a number of dental prostheses, including crowns, implant supported bridges or denture. They can also be used as anchorage for orthodontic tooth movement. The use of dental implants permits unidirectional tooth movement without reciprocal action.

IMPLANT SUPPORTED DENTURE AND BRIDGE

This is performed when all teeth are absent. Implant supported denture is the permanent solution. It is fixed. There is no bone resorption. Gives a natural look. Taste sensations are not altered. When single tooth is missing

TIME

It takes upto minimum of 6 months, as it is performed in two stages:
1. Implant is placed in the jaw and is left for it to bond with the bone and to heal completely.This takes atleast 3 months in case of lower jaw and 6 months in case of upper jaw.
2. Once this is established, the replacement tooth is attached to the implant.

ADVANTAGES

1. Implants are safe, well established, tried and tested treatment.
2. They are aesthetically perfect.
3. Cleaning around the tooth is same as that of a natural tooth.
4. It doesn’t require support from any adjacent natural teeth hence they are not disturbed at all

FAQS

Would implants be right for me?
First, WE should decide whether implants could be right for you. AFTER implant consultation and discussion and we will let you know the treatment options.
Implants safe? How long IT WILL last?
Implants are a well-established, tried-and-tested treatment. Generally we say implant would last for the lifetime.. But it also depends on your bone changes.
I have some of my own teeth. Can I still have implants?
Yes. You can have any number of teeth replaced with implants – from one single tooth to a completeset.
Can implants always be used to replace missing teeth?
It depends on the state of the bone in your jaw. OUR dentist will arrange for a special radiograph to assess the amount of bone still there. If there is not enough, or if it isn’t healthy enough, grafting or placing of bone may be required prior to placing implants in that area first.
Do implants hurt?
NOT TO WORRY Placing the implants requires a small operation. This will be carried out under local anesthesia itself- the same that is given for removal of teeth. You will not feel any pain at the time, but you may feel some discomfort during the week following the surgery. This is usually due to having stitches in place, and the normal healing process which is relived by the medication prescribed. Can I have the new teeth straight away?
No. The implants need to bond (integrate) with the bone after they have been placed. This takes at least 3 months in the lower jaw and 6 months in the upper jaw. If you are having one, two or three teeth replaced, you will have a temporary restoration in the meantime. If you have complete dentures, then you can wear them throughout the healing period once they have been adjusted after the surgery.
How long does treatment take?
It takes up to 6 months from the initial assessment to the time when the artificial teeth or dentures are finally attached to the implants. However, if only the lower jaw is involved then it may only take around 5 months. A lot depends on how complicated your treatment is. Your dentist will be able to give you a timetable once the surgery has been done. In the meantime however, immediate loading teeth or temporary crowns are placed.
Are the teeth difficult to clean?
Cleaning around the teeth attached to the implants is no more difficult than cleaning natural teeth. However, you’ll be shown methods to help keep your implant area clean and healthy.
If I had gum disease when I had my own teeth, will I get it with the teeth attached to the implants?
Only if you don’t care for them well enough. If you keep them clean, then you should not have any problems.
Can I take the teeth out if they are fixed to implants?
Most artificial teeth attached to implants can only be placed and removed by US. However, if you have complete dentures fixed to the implants by bars, then you’ll be able to take them out for cleaning
Do I have an implant for each missing tooth?
No, unless you’re only having a single tooth replaced. Normally, four to six implants are used to replace all the teeth in one jaw, as each implant can usually support two teeth. For a few missing teeth, two or three implants may be sufficient.
What happens if the implant does not bond (integrate) with the bone?
This happens very rarely. If the implant becomes loose during the healing period or just after, then it is easily removed and healing takes place in the normal way. Once the jaw has healed, another implant can be placed there. Or, WE WILL HELP YOU TO make a bridge, using the implanted false teeth that have ‘taken’.
Is the treatment expensive?
Unfortunately, yes. However, in many situations, the cost of the treatment is only a little more than the cost of more conventional treatment with crowns and bridges. There are advantages to it, too. An implant to replace a single tooth avoids the need to cut down the teeth either side for crowns to support a bridge. Also the implants serve a lifetime and not only till your adjacent teeth remain healthy like in bridges. Moreover, with age as all other teeth are lost, the implants already present can be used to provide fixed complete dentures. Normal dentures often mean you can’t eat or speak well, due to the dentures moving about. But teeth attached to an implant don’t cause this problem. Also, the implants integrate into bone preventing bone loss unlike crowns and bridges, thus delaying the signs of aging.

COMPLETE DENTURE

A complete denture (also known as a full denture, false teeth or plate) is a removable appliance used when all teeth within a jaw have been lost and need to be prosthetically replaced. In contrast to a partial denture, a complete denture is constructed when there are no more teeth left in an arch, hence it is an exclusively tissue-supported prosthesis. A complete denture can be opposed by natural dentition, a partial or complete denture, fixed appliances or, sometimes, soft tissues.

REMOVABLE PARTIAL DENTURE

A removable partial denture (RPD) is a denture for a partially edentulous patient who desires to have replacement teeth for functional or aesthetic reasons and who cannot have a bridge (a fixed partial denture) for any reason, such as a lack of required teeth to serve as support for a bridge (i.e. distal abutments) or financial limitations.
This type of prosthesis is referred to as a removable partial denture because patients can remove and reinsert it when required without professional help. Conversely, a "fixed" prosthesis can and should be removed only by a dental professional.
An Occlusal Splint (also called a Bite Splint, Bite Plane, Night Guard or a Bite Guard) is a removable dental appliance carefully moulded to fit the upper or lower arches of teeth worn at night to reduce the amount of grinding pressure transferred to the teeth. Bite Guard offers relief for the muscles of the jaw and protection of the teeth from wear and breakage.Most of sport person use mouth guard in order to protect teeth,gum and jaw from injury.

MOUTH GUARD/SPORTS GUARD

Teeth grinding and teeth clenching also known as Bruxism, generally it occurs during sleep and can often go unnoticed. Bruxism is the technical term for the grinding of teeth in sleep.
This happens more often during sleep. Most people are totally unaware that they clench and grind their teeth at night. That is, until they wake up with the suggestive sore jaw and a dull headache. . Often, a partner or family member is the first to notice the sufferer’s condition due to the noise associated with this teeth grinding throughout the night. Bruxism is also one of the most common sleeping disorders in the world.
Although some people may also grind their teeth during the day, for the average person, Bruxism or grinding teeth occurs in sleep at night.It goes without saying that consistent grinding will wear down the teeth to stubs. More than that, other consequent problem arise associated with bruxism..

Problems associated with Bruxism

  • 1. Wearing of teeth – chronic teeth grindingof the teeth wears them down.
  • 2. Cracked teeth – when enough pressure is exerted through Bruxism, it can lead to a cracked tooth.
  • 3. Teeth loss – over time, cracked and broken teeth can lead to teeth loss.
  • 4. Receding gums – Bruxism is one of the leading causes of gum recession
  • 5. Sore jaw, neck pain, and headaches – (Teeth) clenchingthe muscles of the mouth can lead to sore muscles in the jaw or neck, sometimes accompanied by headaches.
  • 6. Temporomandibular Joint Disorder – commonly known as TMJ syndrome, this joint disorder affects the point where the mandible (lower jaw) meets the skull. As TMJ syndrome progresses, it can lead to pain and impairment in the normal functioning of the jaw.

Treatment and correction of Bruxism related damage

Since this condition worsens continuously, the Bruxism treatment should start immediately, as soon as the condition is diagnosed. Once the underlying cause, such as stress is identified, appropriate steps should be taken to eliminate it. In milder cases, wearing the Night Guard should suffice to control the situation.
In severe cases, a full mouth rehabilitation is required to reverse the damage already done, followed by wearing the Night Guard to prevent the habit from creating further problems.
During waking hours, most people are aware that they’re doing it and can control it. Some of those people, however, carry this habit on in their sleep. Chronically clenching teeth or a clenching jaw can be bad habit, causing detrimental effects on dental health.
In the medical world, they call the this bruxism. It used to be thought that the cause of bruxing was a bad bite. Dentists would correct this by filing down the teeth themselves. Nowadays, the real primary cause is known to be symptoms of stress and anxiety. Secondary causes are related to sleeping disturbances, certain medications and a misalignment of the jaw bone or teeth. Whatever the cause is, it should be addressed sooner rather than later to prevent the need for dreaded dental procedures, such as:

  • • Root canals
  • • Implants
  • • Fillings
  • • Bridges
  • • Crowns
  • • Dentures

The most effective remedy for bruxism is a professionally fitted night mouth guard.

Mouth Guard For Clenching

Mouth guards immediately prevent further damage to the teeth. Here at DR.YOJNA’S DENTAL CLINIC we take precise impressions from ur mouth registering every minute details of gum and teeth anatomy to make your mouth guard such that they fit snug between the upper and lower sets of teeth to keep them from touching. Some of them work by re-directing the force of the jaw pressure. Others work simply by discouraging the bite at all.

Tips for Quitting the Clench and Grind

Aside for the mouth guard, it is important to get to the source of all the grinding and clenching.
Stress – if this is the problem, reserve some time in the day for de-stressing activities, like exercise, reading or meditation.
Avoid stimulants – caffeine and nicotine, for instance, mimic the stress response in the body, causing tense muscles.
Retrain the jaw – don’t chew gum or the end of a pencil or straw. This is subconscious training that encourages the teeth and jaw clench involuntarily.

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