Implant-supported bridge prosthetics

When it comes to the need to replace three or more teeth that are next to each other, there are several different options available. One of the most effective is implant-supported bridges. This solution has a number of advantages that favorably distinguish it from its competitors. The use of fixed structures of this format allows you to quickly restore the maxillofacial apparatus and achieve the greatest both aesthetic appeal and full functional recovery.

What is an implant-supported denture?

An implant-supported dental bridge, unlike adhesive dentures or other removable bridges, has one distinctive feature. Healthy teeth are not affected in any way. Instead, special dental implants are used as a support, which are implanted into the jaw in the place where teeth are missing

This makes it possible to cover a larger number of missing teeth, as well as to ensure that the living teeth next to the missing teeth remain healthy, as their integrity is not compromise…

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How crowns are removed

Reading time ~ 2 min. Number of readings: 96214

Crowns and bridges are non-removable prosthetic structures. Before use, the patient needs to learn about the procedure.

When are crowns removed?

So, first of all, let's understand when the removal of crowns may be necessary:

Uncementation. When chewing, the cement under the crown partially disintegrates and the patient feels the movement. The loosened structure is removed, the cement residue is removed, and the crown is reinstalled. Painful sensations under the prosthesis. Theoretically, procedures can be carried out through the holes, which after treatment are filled. In fact, not always the method is effective and allows you to get to the lesion Repeated prosthetics. If the tooth next to the onlay is destroyed, it makes sense not to install a separate denture, but to fill the gaps in the tooth row with a single bridge. The onlay is removed, and the patient…
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Ceramic or composite veneers – which is better to choose

Reading time ~ 5 min Number of readings: 7712

To understand which veneers to choose, ceramic or composite, let's take a closer look at what tooth onlays are and what their features are. Veneers are thin plates made of ceramic (sometimes zirconia) or composite material, which are fixed to the front side of the teeth. Such microprostheses are used to correct aesthetic imperfections of the dentoalveolar apparatus, additional protection of enamel. Made from impressions, the onlays imitate the natural shade of the tooth row and do not stand out from it.

Veneering aligns the tooth row, hides defects (uneven teeth, large interdental gaps, cracks or chips of the crown shell), simplifies oral hygiene, serves as an effective means of preventing periodontal disease.

Types of veneers

Microprostheses are divided into composite and porcelain. Composite are divided into:

They are manufactured in the p…

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Why patients are afraid of dentures

Removable and fixed dental structures are the two pillars on which prosthetic dentistry stands. No two clinical situations are alike, and there is no one-size-fits-all method of tooth reconstruction. When a patient comes to see a prosthodontist, he or she expects to get a solution to the problem. And the doctor offers at least 5-6 ways to replace lost teeth. But:

some patients are intimidated by the grinding of teeth, others are intimidated by the possibility of wearing a removable jaw, others are intimidated by the cost of orthopedic treatment, and some of the above.

We would like to add that many are afraid of pain, which has not been experienced by visitors to clinics for a long time. At the doctor's disposal is a choice of local anesthetic drugs for children, people suffering from hypertension, allergic people. In dental centers, sedation is used to reduce anxiety and enhance the effect of anesthetics. Sometimes sedation is made deep, and the patient falls…

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修复前的准备工作

我们迟早都要使用修复医生的服务。给蛀牙戴牙冠、安装牙桥、支架或牙板修复、贴面--无论我们使用哪种方法,治疗的成功与否在很大程度上取决于修复前的准备工作。

具体措施可能因工作类型而异,但有一些普遍原则。如果不遵守这些原则,就有理由更换牙科。一名合格的口腔修复医生会对自己的劳动成果感兴趣。这样的医生深知无小事。

心理准备

大多数人都害怕看牙医。一个因恐惧而僵硬、颤抖的病人不适合与人交谈,也很难与他交流。义齿修复师的工作早在安装义齿之前就已经开始了。首先要做的是建立情感联系。如果医生态度友好、细心,那么他就值得信赖。患者会更愿意与医生讨论自己的问题。

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修复牙齿的材料

虽然口腔修复学作为一门科学形成的时间并不长,但人们自古以来就在使用假牙。兽骨、半宝石、硬木--只有古代医生才不用这些材料制作假牙。但固定方法却相当单调--用金丝,很少用银丝。

现在的假牙是由什么材料制成的?根据具体的临床病例,考虑到患者的意愿、适应症和禁忌症,选择义齿的成分。

对假牙材料的基本要求

尽管义齿修复使用的材料多种多样,但所有材料都必须满足一定的要求:耐用、实用、美观。这就是为什么金冠和铁...

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义齿衬垫:矫正方法

读数时间 ~ 5 分钟 读数次数30413

舒适使用可移动矫形系统的基础是与下颌的安全贴合。但随着时间的推移,结构的固定性会逐渐减弱,功能会降低,进食和说话时会感到不适。修复体(部分、全部)的重镶--包括消除误差、防止结构基底受损、恢复与牙龈的准确接触、支持牙科单元。根据临床情况,这种手术在牙医诊所或实验室进行。

需要重新安置假体时

在固定新的义齿系统后,经过最初 1-3 个月的佩戴后,有必要重新粘贴义齿,以校正义齿与粘膜的准确贴合。由于牙齿缺失已有一段时间,颌关节已经重组。在安装好义齿结构后,需要对义齿进行重新衬垫。

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Fixation of crowns: fixation methods and materials

How important is tooth crown retention and what types of retention are used?

In modern dentistry, preserving natural teeth is considered the most important task. For this purpose, various therapeutic and even surgical treatment methods are used. The placement of artificial crowns can be an independent method, for example, if there is pathological abrasion of enamel or part of the treatment. This occurs during endodontic intervention. The pulp (nerve) is removed from the tooth, the tooth becomes brittle, and a crown is used to protect the tooth from decay.

Indications

Indications for restoration:

Significant destruction of the crown portion; placement of bridges; pathologic erasure of enamel; depulpation; trauma.

Crowns are made of metal, ceramic and metal-ceramic. Porcelain and plastic crowns are practically not used due to fragility. Modern materials are characterized by special strength and wear resistance. T…

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Metal-ceramic crown restoration

June 5, 2023 Reading time ~ 5 min Number of reads: 11853

Metal-ceramic crowns are considered one of the most durable restorations. They consist of 2 layers: a metal base and a ceramic veneer. The metal perfectly withstands even high chewing loads, while the ceramic gives the structure a natural look.

Unfortunately, ceramics are not as strong as dental alloys, and chipping of the top layer in crowns occasionally occurs.

原因

Violation of fabrication technology; Improper (overvalued) occlusion; Change in bite; Strong mechanical impact; Indications for repair

Repair of a chipped crown is only possible if the problem is located in the ceramic layer. In these cases, restoration is possible even with large fragments. But if the metal part is affected, it is impossible to restore the old structure, it can only be replaced.

Therefore, dentists urge to treat dentures with care, their replacem…

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Adhesive tooth restoration

September 4, 2023 Reading time ~ 5 min Number of reads: 5972

Adhesion is a special, molecular bond between the surfaces of two different materials. It is the advent of adhesive systems in dentistry that has made it possible to restore teeth with methods that combine efficiency and aesthetics.

As a result of the use of adhesive compositions, a hybrid layer is formed which, due to micromechanical and chemical bonds, provides a strong bond.

Direct adhesive tooth restoration

Dental fillings, build-ups, and artistic restorations are performed using the direct method. This means that the dentist restores the tooth directly in the patient's mouth, without taking impressions.

Indications for the direct method are restorations of:

Cavities; Cavities destroy hard tissue, creatingcavities of varying sizes. They are filled with filling material using adhesion. Non-carious lesions of enamel; Technology…
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