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DENTAL PROSTHESES

dental prostheses

Various types of prostheses exist. These range from aesthetic to functional. Some examples are: veneers, crowns or caps, bridges, fillings, and complete prosthetics, which can be removable and/or placed over implants. These are made with latest generation material like porcelain, zirconium, ceramic metal, and acrylic, depending on the prosthesis.


The principal purpose for placing a prosthesis is to recover the ability to chew, swallow, and speak properly. In order to achieve this goal, the prosthetic must comply with a few parameters regarding retention, stability, and support.


The prosthesis doesn’t only offer improved functionality, but often something more important to health, improving the quality of life. Furthermore, it prevents the existing dental structures and support from suffering any new or further deterioration. In addition to that, the prosthesis aims to provide the most natural denture possible, taking into account the age, sex, and facial characteristics of the patient.


Types of prostheses

Removable


  • Removable prostheses made of acrylic resin
  • Full dentures
  • Dentures over implants

Fixed or non-removable


  • Fillings of reinforced resin
  • Ceramic fillings
  • Crown or ceramic metal bridge
  • Zirconium crown or bridge (CAD/CAM system)
  • Ceramic crown or bridge
  • Crown or bridge over implants (can utilize any of the previously mentioned materials)
  • Porcelain crown

What is a filling and when is it needed?

A filling is a conservative restoration made from fortified resin or porcelain which is used to repair molars and premolars that have enough dental structure to retain and protect the restoration. This is a way to repair a tooth when conventional resin isn’t an option. This option isn’t available in teeth requiring extensive restoration; in those cases, we opt for a crown.


What is a crown and when is it needed?

This is a dental prosthetic made of ceramic-metal, zirconium or porcelain and placed in a fixed manner and covers the entire area of the tooth that has been previously prepared. We use crowns to preserve a tooth after it has been affected by extensive cavities, crown fractures, or for aesthetic reasons, such as after having a root canal done.


This treatment is not recommended as a temporary fix such as in a case where the root has been fractured and it is only time before the tooth is no longer viable ; in that case the solution would be extraction.


What is a fixed bridge and when it is necessary?

This is a prosthesis made from ceramic-metal, zirconium or porcelain and used to replace missing teeth, using the adjacent teeth as support or pillars. Leave out the rest of the sentence after pillars. It is called a bridge because we use two teeth as pillars to sustain the prosthetic. The missing teeth are called pontics.


This treatment, like with crowns, is not recommended as a temporary repair.


What is a crown over an implant and when is it necessary?

This is a prosthesis made from ceramic-metal, zirconium or porcelain and placed in a fixed manner, supported by the implant which can be screwed or cemented by way of a third object called a prosthetic attachment (pillar). This is used over one or various implants to restore function.


What is a removable prosthesis and when is it necessary?

This is a prosthesis that can be latched to the teeth (tooth supported) or attached to the teeth and supported by the gums (mucosa supported), which are used when two or more teeth are missing; they are removable in other words, as they can be placed and removed by the patient. This is a viable treatment options when the alternative, implants, cannot be placed.


What is a full denture and when is it necessary?

This is a prosthetic that replaces all of the teeth, made with acrylic resin with the intention of helping the patient recover their ability to chew and speak, as well as improving the facial structure; they are equally removable, which is to say that they can be put in and removed by the patient.


What is a denture over an implant and when is it necessary?

This is a prosthetic that replaces all of the teeth, made with a reinforced acrylic resin; it is different from conventional dentures in that it is supported and retained by implants. It is removable, in other words, the patient can place it and remove it from their mouth for their hygiene.


Materials used according to the type of prosthetic

The materials with which prostheses are made have varied across time, from metal to ceramic to zirconium, which is used today.


Metal


This is used to make the core or the heart of crowns and bridges, as well as to reinforce full dentures and for structures or bodies of removable prosthetics.


Ceramic


Also called porcelain, this material is originally very hard and rigid; it is used to make crowns and bridges; we use this material when a aesthetics are required, like with the front teeth.


Zirconium


This is a latest generation material used to create the heart and core of crowns and bridges; it does not cause allergic reaction and is made using the CAD-CAM system which is a design process assisted by computer milling, and is much more aesthetically pleasing and precise in its creation.


Acrylic Resin


This is an easy-to-handle, economic material; it is used in the bases of removable prostheses, full dentures, and for temporary uses (crowns or bridges made of acrylic resin that protect prepared teeth while the porcelain prostheses are being made).


What does the choice of material depend on.


1. The degree of deterioration of the tooth's structure


2. Aesthetics


3. Control of bacterial plaque


4. Economic considerations


5. Retention. How long the prosthesis will be expected to last


A specialist, who will choose the best option according to your needs and economic situation, will decide this.


Here is some general advice for the care and hygiene of the prosthesis


According to the type of prosthetic, the patient should take into consideration the extent to which the product should be maintained, not including removable prostheses, which require special instructions.


  • Wash the prosthesis after eating, using a toothbrush with soft bristles and hand soap, no NOT use denture paste as this provokes the deterioration and opacity of the prosthesis.
  • Remove the prosthesis to sleep, it is necessary that the tissues of the mouth rest from the pressure of the product.
  • When the prosthesis is not in the mouth, we recommend it be stored preferably in water with disinfectant tablets.

In a fixed prosthesis like fillings, crowns, bridges, or veneers, brush them the same way you would your teeth; additional use of floss and mouth wash is recommended.


Our Happy customers

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Carolina Jimenez

The JR Dental Studio team, I treated myself wonderfully from the first visit I had at their clinic. I felt very calm and confident with the dentists who treated me, as they are highly qualified and experienced. I change the perspective of dentists, I felt simply at home.

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Joe Meren

JR Dental Studio really is as good as it gets for me. I've seen my fair share of dentists growing up-for routine checkups, cleanings, and fillings-and not many measure up. They were very well recommended by my aunt whose positive experience here led me to check them out while I was browsing around for Invisalign. Dr. Ruiz saw me on my first visit and was extremely helpful in guiding me towards my decision to get the Invisalign. He explained the whole process and also let me consider other options. I did not feel pressured to make a decision at that very moment, which I appreciated very much from them. I've had my cleanings done there as well. One of their best practices is that they promote preventive care, which is important to me. I rather they fix something small before it becomes a bigger problem. Overall, I've had a great experience at JR Dental Stuido, and would definitely recommend their services to anyone.

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Joe Meren

JR Dental Studio really is as good as it gets for me. I've seen my fair share of dentists growing up-for routine checkups, cleanings, and fillings-and not many measure up. They were very well recommended by my aunt whose positive experience here led me to check them out while I was browsing around for Invisalign. Dr. Ruiz saw me on my first visit and was extremely helpful in guiding me towards my decision to get the Invisalign. He explained the whole process and also let me consider other options. I did not feel pressured to make a decision at that very moment, which I appreciated very much from them. I've had my cleanings done there as well. One of their best practices is that they promote preventive care, which is important to me. I rather they fix something small before it becomes a bigger problem. Overall, I've had a great experience at JR Dental Stuido, and would definitely recommend their services to anyone.

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