Prosthetic Dentistry
Prosthetic applications in dentistry can be grouped under two main objectives. The first is the procedures performed to meet the patient’s need for functioning, and the second is the procedures performed for aesthetic purposes. Prosthetic procedures are also divided into two as fixed and removable prostheses. Fixed prostheses are divided into different types as lamina zirconia emax metal supported/unsupported porcelains. Removable dentures are divided into two as full edentulous dentures and partial edentulous dentures. Implant-based prostheses can be used in both types of prostheses.
Implant technology was discovered by Swedish doctor Per Ingvar Branemark in 1952, and the first dental implants were produced in 1965. Dental implants made of pure titanium are made of the least allergenic substance found in nature and their compatibility with tissues is close to perfect. Implant technology, with its history approaching 60 years, is now a form of treatment accepted by all health authorities. Dental implants are available in the market with hundreds of brands produced by different companies and it is preferred that the implants applied have a history of at least 5 years.
Although implants are always the first choice in tooth deficiencies, in some cases where implants cannot be made, tooth deficiencies must be eliminated with removable or fixed prostheses. Since the mouth is in a dynamic structure, the teeth are in motion. After a lost tooth, adjacent teeth or corresponding teeth may move and lengthen, or they may close the gap by lying on its side. This causes a decrease in chewing efficiency with healthy teeth. Even if there is only one missing tooth, the chewing rhythm in the mouth is disturbed due to the large number of teeth that have lost their chewing power, and it is possible to see tooth decay, gum problems, and even jaw joint problems when many teeth are lost.
Lamina and zirconia are at the forefront of the prosthetic procedures applied in discolored teeth with impaired aesthetics that cannot be resolved with orthodontic treatments, except for the loss of function. Lamina nail thickness restorations give extremely aesthetic results. The completion of missing teeth can also be removed with zircons in appropriate cases. The most important issue in aesthetic procedures is that the treatments that can be done with the patient’s expectations are compatible. While the aesthetic expectations of our patients are met, the balance in the mouth should not be disturbed. This issue can be easily resolved by communication between the patient and the physician.