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Prosthetic Teeth – Aesthetic Coating

Prosthetic teeth is a treatment method applied to the patient’s tooth and oral tissue loss. It is also known as denture in public. The dentist determines the appropriate prosthetic treatment for the patient according to the condition of the loss. For prosthetic dental treatment, the patient’s oral health and tissue condition must be suitable. Losses that occur after untreated periodontal diseases can be corrected with prosthetic dental applications. Tooth and tissue loss may occur as a result of some accidents. Lost teeth and tissues; It can affect chewing functions, speech and aesthetic appearance.

Prosthetic dental treatment is a preferred practice in cases of irreversible losses. Before starting the treatment, the patient undergoes a detailed preliminary examination to check whether he is suitable for the prosthesis. If there is any problem in the patient’s existing teeth and tissues that would prevent the use of prosthesis, periodontal treatment can be applied first. After tooth and tissue treatment, an area will be created where the prosthetic tooth can be inserted more easily. Dentures applied without treatment will not be durable and may cause the patient to feel uncomfortable.

Prosthetic dental treatment aims to provide the patient with a healthy mouth structure and create an area that can be cleaned more easily. In this way; Lost chewing function, speech and aesthetic appearance can be restored. The beginning of the digestive system is the mouth. Teeth digest food and initiate the digestion process. Prosthetic dental treatment contributes to the proper functioning of the digestive system by improving the patient’s chewing functions. The color of the prosthetic teeth is chosen as close as possible to the patient’s natural teeth, providing an aesthetically pleasing appearance. With prosthetic dental treatment, the patient’s losses are eliminated and his/her separation from social life is prevented.

Types of prosthetic teeth vary depending on the situation. The appropriate choice is determined after a preliminary examination by the dentist. When making a choice; The extent and condition of the loss in teeth and tissues and the needs of the patient are taken into consideration. Prosthetic teeth are divided into two main groups: fixed prosthesis and removable prosthesis. Fixed prosthetic teeth got this name because they are fixed in the patient’s mouth. Removable dentures can be removed and cleaned when desired.

In fixed prosthesis dental treatment, the prosthesis is glued to the patient’s mouth using the cementation technique. Screw systems may also be preferred for fixing the prosthesis. When the treatment is completed, the prosthesis remains fixed in the patient’s mouth. The patient cannot remove the fixed prosthesis on his own. Fixed dentures provide a comfortable chewing function. Existing natural teeth are cut and reduced in size to fit the prosthesis. The prosthesis made with precise measurements is placed on the reduced teeth.

First, a model is made with the measurements taken for the fixed prosthesis. The prosthesis is created on the model made. Contact with teeth and tissues is examined and rehearsed in detail. The prosthesis contact points are corrected and finalized to avoid discomfort. The treatment is completed by fixing the prosthetic tooth on the existing teeth. The getting used to fixed denture teeth is shorter than the removable types.

Single tooth coating, that is, single crown application, is preferred in cases where there are not many missing teeth. The tooth that has suffered a lot of tissue loss is reduced in size and a prosthesis is applied on it. An area is created in the patient’s mouth that can be cleaned more easily. Aesthetic appearance and functionality are restored with prosthetic teeth. In this application, since the prosthesis will remain fixed in place, the patient can perform dental care like his own teeth. Since it is a small fixed prosthesis, the adaptation period is quite short.

Bridge dental prosthesis can be applied in cases where more than one tooth is lost for various reasons. It is a way to repair the losses in the middle of natural teeth. The patient’s existing teeth, on which the bridge will be fixed, are cut and reduced in size. Missing teeth are crowned with the reduced natural teeth.

Natural teeth to be used as reinforcement during the bridge process must be intact. If there are any problems in the teeth and tissues, these problems must be resolved first so that the prosthesis can be applied more easily. A discontinuous prosthesis can be made with the measurements taken in bridge treatment. The real prosthesis is rehearsed and comfortable use is ensured. In the last stage of the treatment, the discontinuous prosthesis is removed and the patient is fitted with a fixed prosthesis.

Titanium alloy screws placed in the jawbone are called implants. Implants placed in the patient’s jaw create a solid reinforcement. This treatment, which is performed with the help of implants, is used not only in fixed prostheses but also in removable prosthesis treatments. If there is one or more tooth loss, the dentist may choose the implant technique. An implant can be applied during tooth extraction, or the gum can be reopened for the implant after smoothing is achieved. There are implants from different manufacturers for the patient to choose from.

The number of implants to be used in implant-supported prostheses is determined by taking into account the patient’s mouth structure and the condition of the tissues. If the oral structure and tissues are suitable for the all on four technique, 4 implants for the upper and lower jaw will be sufficient. In other implant-supported prosthesis options, 6 to 8 implants in the upper jaw and 8 implants in the lower jaw can be used for fixed prosthesis dental treatment.

The all on four implant technique is a practice developed in the early 2000s. It may be preferred for cases where there is a lot of tissue loss and for patients who want to use a fixed prosthesis. 4 implants are placed in the patient’s lower jaw in an angled form. Thanks to the 3D model created with the help of tomography, the mouth structure is examined in detail. The implant is placed by choosing the most correct positions. After complete smoothing is achieved in the implanted areas, the prosthesis can be attached to the patient. The advantages of the all on four implant technique can be listed as follows.

The number of implants to be used is less.
Surgical intervention time is shorter.
The treatment period is short and it is more affordable than other methods.
In this technique, the prosthetic tooth does not cover the patient’s palate.
It provides ease of use and less loss of taste texture.
It is easier to get used to as there will be fewer foreign objects in the mouth.
It is one of the most suitable options for patients who do not want to use a removable prosthesis.

In the all on four system, the discontinuous prosthesis can be fitted quickly after the implants are placed in the patient’s jawbone. In this way, the treatment process becomes much more comfortable with the help of a discontinuous prosthesis. After complete smoothing is achieved, the prosthesis is fixed on the implants with the final examination. During the treatment period, the dentist’s care and usage recommendations should be followed. Recovery time may vary depending on the patient and the condition of the tissues. With careful oral care, the discontinuous prosthetic tooth is removed after approximately 3 months and replaced with the prosthesis made for the patient.

Dentures used in removable prosthesis dental treatment have a structure that the patient can take off and put on whenever he wants. It is generally preferred for patients who have no teeth left on the back side or who have insufficient number of natural teeth for fixed prosthesis dental treatment. Precise measurements are taken from the patient’s mouth and a model is created. Prosthetic teeth are made on this model and rehearsed before the patient starts using it. Finally, the disturbing points are corrected and the prosthetic tooth is made suitable for the patient.
Total prosthesis is preferred in cases where there are no natural teeth left in the patient’s mouth. It is also known as complete denture. It is applied separately to the patient’s lower and upper jaw. After treatment, it may take time for the patient to get used to the full prosthesis. The adaptation period is generally 4 – 6 weeks. Saliva secretion may increase in the first days due to stimulation of the patient’s glands. Loss and changes that may occur in the tissues over time may affect the harmony of the prosthesis. If the patient does not pay attention to oral health, it may cause discomfort as the mouth structure will change.
Partial denture is preferred in cases where the patient has partial tooth loss. It is also called partial denture. Partial denture treatment can also be applied to replace lost teeth. The prostheses used in this method can be attached to natural teeth in many different ways. The most commonly used method is a type of prosthesis made with metal hook wires called crochet. For this reason, partial denture is also known as hooked denture among the public. This type of removable prosthesis can be attached to crowns on natural teeth or with less noticeable delicate connections in the mouth. Crowns allow the prosthesis to be placed in the patient’s mouth more easily.
Temporary dental prosthesis, as the name suggests, is suitable for short-term examinations. It may be preferred when there are multiple teeth that have become untreatable or lost as a result of an accident. Prosthetic teeth are generally used to eliminate aesthetic concerns and maintain chewing function before applying fixed and permanent treatments. Discontinuous dental prosthesis allows the patient to have a more comfortable recovery period after treatment. It is recommended that the patient using a permanent prosthesis pay attention to what he eats and, if possible, consume soft foods during this period. Soft foods will reduce the pressure on discontinuous dentures and implants. If any problem occurs, a dentist should be consulted.
Implant-reinforced overdenture prosthesis, as the name suggests, is applied by placing the prosthesis on top of the implants. Implants placed in the jawbone act as tooth roots and allow the prosthesis to hold in the mouth. This treatment can be used in patients who have lost all their natural teeth to ensure a more secure hold of the prosthesis. Falling out is more common in prostheses made for the lower jaw. Implants make the prostheses made for the lower jaw more durable. The prosthesis fixed to the mouth through this process improves chewing function and minimizes speech loss.

Special materials are used when making dentures to ensure that they cause less discomfort and last for a long time. Acrylic materials, also known as polymethyl methacrylate or PMMA, are used in the denture base. Special colored acrylic materials make the prosthesis resemble gums. In this way, an aesthetic view compatible with natural teeth and tissues is created. Upper jaw prostheses are made to completely cover the palate. Different techniques are used in prostheses applied to the lower jaw. The lower jaw prosthesis is made in a U form to leave enough space for the tongue.

Porcelain materials are usually used to make dentures look like real teeth. There is a metal structure underneath the porcelain material, which is light permeable like natural teeth, to increase durability. Metal infrastructure, even slightly, may spoil the aesthetic view.

With the developing technology, zirconium, which is used successfully in other areas of medicine, is another well-known material that has become widely preferred in dental prostheses. Zirconium can be used as a porcelain infrastructure and can prevent the unpleasant appearance caused by metal infrastructure. Since this material is light permeable, just like porcelain, it allows dentures to be made that more closely resemble the patient’s own teeth. Zirconium also; It is among the materials frequently used in the medical field because it does not conduct heat and electricity and is resistant to high temperatures and impacts.

Following the dentist’s instructions after prosthetic dental treatment prolongs the life of the prosthesis and provides more comfortable use. Each type of prosthetic tooth has different care and cleaning methods. In addition to denture care, oral care is also important for long-term and comfortable use. Maintenance and cleaning of fixed prosthetic teeth can be done just like natural teeth. Since fixed dentures do not come out of the mouth, the cleaning process can be applied while the denture is in the mouth. Just like natural tooth cleaning, it is recommended to take the same care for dentures.

Effervescent tablets added to water may be preferred for cleaning removable denture teeth. After the tablet is dissolved, the prosthesis can be cleaned by keeping it in the prepared water for a while. A toothbrush or denture brush can also be used to clean the denture. It is also recommended to clean the mouth before reinserting the prosthesis.

The use of prosthetic teeth is not a permanent treatment. Proper care and cleaning of the prosthesis to be used ensures continuity in aesthetic image and comfort of use. In this way, the lifespan of the prosthesis can be extended. After prosthetic treatment, there are natural teeth and tissue in the mouth. For this reason, it is recommended to continue careful oral care and cleaning after using the prosthesis. Following the dentist’s recommendations can prevent irritation and infection in the tissues in the area where the prosthesis fits. Bacterial plaque can form on prosthetic teeth, as in natural teeth. Tartar formed on the denture can cause gum infections.
After tartar cleaning, there is no increase in tooth discoloration or tartar formation. Dental tartar is formed by the hardening of plaque attached to tooth surfaces. Whether or not tartar is cleaned, tartar will continue to form if the teeth are not cleaned properly. For this reason, there is no contact between tartar cleaning and tartar formation.
Food residues need to be removed from the denture. Therefore, it is recommended to clean the prosthesis after meals. Cleaning the denture with a toothbrush or denture brush before going to bed will prevent plaque formation and staining. During the denture brushing process, toothpaste or denture care products may be preferred. The use of abrasive elements in cleaning dentures may cause permanent scratches. This will cause food residues to remain on the scratched parts of the prosthesis. Scratches may cause staining and color change on the prosthesis in the future. It is recommended to rinse the denture properly after using specially produced cleaners to clean denture teeth. Stains and tartar formations on the prosthetic teeth can be cleaned by the dentist with ultrasonic devices.
Scratches and stains may occur due to prosthesis use. Changes in tissues related to oral health will likely impact comfort and functionality. During use of the prosthesis, fractures may occur for various reasons. It is not recommended for the patient to intervene on his own when faced with problems such as prosthesis breakage. It is necessary to consult a dentist specialized in the field as soon as possible. In such cases, if the patient intervenes with the prosthesis on his own, it may cause greater problems. Oral health is negatively affected in cases such as scratches and breaks. These events; Deterioration in chewing functions, aesthetic appearance and speech may occur.

Prosthetic tooth prices vary depending on the patient’s condition and the application to be performed. The treatment method preferred after the preliminary examination by the dentist will also clarify the cost of prosthetic teeth. Denture prices also vary depending on whether the denture is fixed or removable. Discontinuous denture prices are usually included in the treatment price. Information on this subject can also be obtained during the preliminary examination performed by a specialist physician.

Fixed prosthetic tooth prices may be certain during the treatment process. Additional materials such as implants and bone powder used in this process are among the factors taken into account in pricing. The price of permanent dental prosthesis varies depending on the number of implants to be used. Each implant added will change pricing. Single tooth prosthesis prices may vary depending on the implant brand to be chosen and the material used to manufacture the prosthesis. Porcelain and zirconium are the most popular materials used in the production of crowns and prosthetic teeth.