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Prosthodontics & Dental Implants

Introduction

    Prosthetic dentistry is a reliable technique used to correct chipped, misshapen, or worn down teeth, as well as to disguise crooked teeth or gaps between teeth without the use of orthodontics. The bonding material is a tooth-colored composite that blends seamlessly with your natural enamel. If you’re dissatisfied with the shape or size of your teeth, cosmetic bonding can help.

    At Wassan Dental our Prosthodontist is a specialist in dentistry involving the diagnosis, treatment, planning, rehabilitation and maintenance of the oral function, health and aesthetics of patients with missing teeth, deficient teeth and with the use biochemical substitutes. Our full-time Prosthodontist specialises in helping on replacement and maintenance of the teeth and ensure maximum the restoration of the best possible appearance of a person’s smile.

    Prosthetic Dentistry is all about doing the dentistry in an aesthetic way. We believe with our Prosthodonist your new smile will enhance your appearance in such a way that it will boost your self-confidence. At Wassan Dental could provide the highest quality prosthetic dentistry services.
    Thanks to significant advances in dental science and technology in the last number of years Prosthodontists, because of their extensive training and experience can offer patients a wide range of professional dental specialist services to enhance patients’ quality of life.
    Typical conditions treated include:

  • Tooth disease or damage (i.e. decay, fractures, restoration breakages)
  • Tooth loss through accidents/trauma/disease
  • Excessive exaggerated tooth wear and erosion (Bruxism, Gastric Reflux)
  • Ill fitting dentures replacing missing teeth
  • Damaged previous tooth replacements, crowns, bridges,etc.
  • Persistent pain/discomfort associated with eating
  • Tooth loss through some common medical conditions/medical treatment
  • Tooth and gum loss through oral/facial cancer treatment
  • Prosthodontic treatments are designed to produce a balance between functionality, longevity and esthetics. Prosthodontic treatments include the following:

1. Fixed Prosthesis

  • Crowns – With crowns, the tooth is reduced from the sides and the top, and then is capped with a fake tooth cemented in place. A crown restores the form and function of the original tooth. Crowns can be done in either tooth-colored materials porcelain or in metal fused with procelain .There are several indications for a crown, including (but not limited to) teeth that are heavily restored and in danger of fracturing, teeth that are already cracked or fractured, teeth that have had root canal therapy. Nowadays zirconium abutments are attached to the implant post, to assure that the new porcelain tooth possesses translucency properties similar to a natural tooth. After impressions are taken a crown is made and shaded to match your existing teeth. The crown is then slipped over the post and cemented. The final prosthetic crown appears as a natural tooth.
  • Bridges – A bridge is used when a patient is missing a tooth but has a tooth on either side. Both of those teeth can be prepared as for a crown, but instead of a single “cap”, a bridge connects all three teeth together and is cemented in place, thereby “bridging the gap.” Again, these can be either tooth-colored or metal.
  • Inlay/Onlay – Sometimes a back tooth needs to be restored, but may not require a full crown. In some of these instances an inlay or onlay can be used to replace portions of a tooth. This is also sometimes a good option for the replacement of old fillings that have given a tooth an undesirable appearance.

Fixed-Prostheses

2. Removable Prosthesis

Removable Prostheses

  • Partials – A partial denture is used to replace several missing teeth in an arch. With a traditional partial denture, metal clasps are used to grab onto some of the remaining teeth to hold it in place. Acrylic is added to the metal framework to replace missing soft tissue (gums), and teeth are added to replace the missing teeth.
  • Dentures – A complete denture is used when a patient is missing all of his or her teeth in an arch. These consist of fake teeth in an acrylic base that simulates the lost soft tissue (gums). The size, shape, color and positioning of the teeth is customized for each patient to provide optimum aesthetics and speech.
  • Combined fixed/removable – In some instances, fixed and removable treatments can be combined. In these cases, some teeth are restored with crown and bridgework, while larger sections of missing teeth are replaced with a partial denture. Often in these instances partial dentures can be directly attached to the crowns or bridges, thus removing the need for the metal clasps that often show with conventional partial dentures.
  • Implants – Implants are titanium fixtures that are placed in the bone of the jaw. Once integrated into the bone, implants can be used to support fixed crowns and bridges, and complete and partial dentures. Implants can even be used as a safe and reliable method to replace an entire arch of missing teeth.

3. Veneers


Before&After Veneers

    Dental veneers are ultra thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your appearance. These shells are bonded to the front of the teeth changing their color, shape, size, or length.
    Veneers are routinely used to fix:

  • Teeth that are discoloured
  • Teeth that are worn down
  • Teeth that are chipped or broken
  • Teeth that are misaligned, uneven, or irregularly shaped
  • Teeth with gaps between them (to close the space between these teeth)
  • The veneering process starts with diagnosing and a treatment planning. During this appointment the dentist will examine your teeth to make sure dental veneers are appropriate for you and discuss what the procedure will involve and some of its limitations. To study closely the doctor may take X-rays and possibly make impressions of your mouth and teeth. In the second stage the dentist trims off the enamel, after which the dentist will make a model or impression of the tooth. This model is sent out to a dental laboratory, which in turn constructs a veneer. It usually takes 1-2 weeks for your dentist to receive the veneers back from the laboratory. For that time the dentist can help you with a temporary dental veneer. Once the veener is ready the teeth will be prepared to fix it with special cement and finally the dentist will evaluate your bite and making any final adjustments in the veneer as necessary.
    The great part about having the Dental Veneers is that they provide a natural tooth appearance and the best thing is that the gum tissue tolerates porcelain well. Veneers offer a conservative approach to changing a tooth’s color and shape, they don’t require the extensive shaping prior to the procedure that crowns do, yet offer a stronger, more aesthetic alternative.

4. Digital Smile Design (DSD)

    Digital Smile Design (DSD) is a multipurpose conceptual protocol which provides remarkable advantages in the diagnostic abilities, facilitated through an extra-and-intra oral aesthetic and structural evaluation. It helps in improved communication between the team members providing a better visual perception, education and motivation for patients. DSD has proved useful in increasing the effectiveness of case presentation and accordingly case acceptance.

    DSD ethically involves the patients in the restorative or smile enhancement process, making them the ‘co-designer’ of their own treatment by sharing objectives, expressing their desires and expectations with the restorative team. The interaction between patient and dental specialist is improved by photos and videos taken at several steps of the treatment. The experiences all over the world have been tremendous. Once the restorative technical requirements are combined with the desires and emotional needs of the patient, great results will be achieved – creating a path to a natural, confident and beautiful smile.

    Nowadays having a mouth free of biological and functional issues is not satisfying for demanding patients. Their desire is to own naturally beautiful smiles that harmonizes with their physical characteristics and most importantly with their personalities. DSD dentists are aware of all the contributing factors that are necessary to make patients more satisfied beyond conventional dentistry. Developing an artistic vision and a set of appropriate skills are needed in order to become a Digital Smile Designer. Each customised patient design can be clearly visualised and improved with the patient’s ideas. Therefore the DSD Concept allows dentists to implement these benefits for patients, creating a smile that reflects their own personality and greatly enhances the experience and the results forall.

    Everyday use of DSD

    The simplicity of this protocol is that it does not require any special equipment, software or major financial investment. Any notebook, tablet or PC, with a basic presentation software such as Apple Keynote or MS PowerPoint present in a dental practice can be used in the process of Digital Smile Design.

    The benefits of communicating and integrating specialties such as periodontics, orthodontics, orthognathic surgery etc. will provide remarkable benefits for the team and the patients.

    The whole concept is based upon the analysis of the patient’s facial and dental proportions, utilising a predetermined series of high quality digital photographs and videos.

    Analysing them provides a unique understanding of the relationship between teeth, gums, lips, smile with the facial features in motion and with emotion. Digital drawings are easily made on the pictures, following a didactical sequence and a digital ruler is provided to precisely communicate with the dental technician and team when designing the smile. Resulting in a clear, attractive and understandable treatment presentation for patients. The achievement of ideal aesthetic and functional results critically depends on teamwork, interdisciplinary communication and case re-evaluation. Finally the communication data can be stored in the cloud facilitating the access of any team member to add important clinical observations.