Dental Prostheses

All structures made with suitable materials for the restoration of the natural tooth structure and aesthetic of lost teeth in order to protect the heal of teeth and tissues are called prostheses.

Dental prostheses are divided into three:

1- Fixed Dentures

2-The Partial Removable Prosthesis (full or partial dentures)

3-Implant prostheses (fixed or movable superstructures)

Fixed Dentures

Single Crowns: A type of prosthesis made on a single tooth. Made by dentists by shrinking natural teeth and cannot be removed by the patient.

Dental Bridges: Is a prosthesis made to replace missing teeth by getting support from natural teeth on both sides of a tooth deficient area.

Things to consider after fixed dentures

1- Nothing should be drink and eat for four hours.

2- Very cold and very hot foods and beverages should not be consumed for the first 24 hours.

3- Dentures and teeth should be brushed regularly.

4- You will notice that there is a gap where your missing teeth are, and this gap is made hygienically.

5- These areas should be cleaned with the help of special interface brushes or dental floss.

6- After the prosthesis is installed, you can feel the sensitivity of hot cold for a year.

7- If you have any other complaints other than sensitivity, the doctor should be consulted.

The Partial Removable Prosthesis

Complete Dentures: Complete denture is a prosthesis made by the patient losing all the teeth in her\his mouth. It is usually made from a substance called acrylic and is rarely made with metal support. The use of porcelain teeth in full dentures is preferred depending on the special circumstances. Therefore, the dentist must decide on the materials to be used.

Partial Dentures: Is a type of prosthesis that allows to hold the teeth with metal parts called crochets (hooks)made by using acrylic and metals together when there are few teeth in the mouth.

Precision Retained Dentures: These are metal-supported prostheses that are partially applied to toothless mouths but have no hooks instead of which use different holders.

Things to consider after removable dentures

1- Prostheses must be removed at night.

2- Food may enter under the prosthesis while eating, so it should be removed and washed after each meal.

3- After removing it at night, it should be washed with a toothbrush and kept in a water filled container.

4- The patient should not wear the old prosthesis after making new prostheses and remember that it takes some time to get used to.

5- Newly installed dentures may hurt a little so patient should show the wounds in his mouth to the dentist.

Implant Prostheses

Implant is a dental artificial root which is placed in the jaw bone and made of suitable material in order to restore the function and aesthetic of the teeth. Prostheses made on these screws are divided into two as fixed and movable. Fixed superstructure are porcelain crowns applied to one or more teeth. Movable superstructures are totally similar structures applied to toothless mouths. Implant screws are structure that have a specific thickness and width. Therefore, the jaw bone in the area to be implanted must have a certain width and height. The quality of the existing bone is also one of the factors that affect the implant success. Also, gums must be completely healthy before treatment and as long as the implant remains in the mouth. As long as the general health condition of the patient is good, there is no upper age limit to prevent the implant application, but it is not preferred to apply to very young patients whose bone development has not been completed.Loads on the implant should be minimized for 1-6 months, which is the recovery period, to ensure that the implants are fully integrated with the bone. It can never be said that the prosthesis to be made is superior to a healthy natural tooth. Therefore, the primary goal in contemporary dentistry is preventive dentistry.

Considerations When Using Prostheses and Frequently Asked Questions

Prostheses are prepared after a long and laborious treatment process.  There are issues to be considered after this stage.

First Day

When using a prosthesis for the first time, it can take some time to get used to and be patient. Initially, the perceptions will feel the prosthesis as a foreign body, and it will be time to get used to the tissues (muscles mucosa and tongue) until the new condition is accepted. Chewing and speaking habits will also adapt to the new situation over time. Dentist recommendations should be followed. Soft and non-sticky foods should be consumed on the first day. During the habit, it should be extremely slow and try to eat equally on both sides. The longer you leave a meal, the faster you get used to prosthetics. If the prostheses slide during chewing, this should not disturb the person. It is quite natural that there are places that hurt on the first day.  Therefore, it should be checked by the dentist shortly after the prosthesis is attached. Normally, the upper jaw prosthesis does not cause much trouble.  Covering the palate may bother some. However, this is also one of the problems of the habituation period. Lower jaw prostheses require more patience than upper jaw prostheses.  Tongue can adversely affect the retention and posture of the prosthesis.

What Should Be Considered For Biting And Chewing?

Too big pieces of food should not be taken into the mouth initially.  The food should be cut into small pieces and eaten with the help of the posterior teeth. Breakout motion with front teeth should not be done as much as possible.  Because this movement can cause long-term melting and permanent damage to the bone below.

What to do if the prosthesis hurts the patient?

If the prosthesis causes bumps in the mouth, the dentist should be consulted immediately. Dentist finds and eliminates the causative agent. Biostimulation with a soft tissue laser for treatment is very effective. After the first check, a dentist’s control may be required in about 1 week.  The patient should never make corrections on the prosthesis.

How should the prosthesis be maintained and cleaned?

Because the prosthesis is mobile, that is, it can be attached and removed by the patient, the care, cleaning and care to be performed by the person is very important in terms of prosthesis and patient health. The prosthesis used is also effective on general health as it replaces the teeth that are the beginning of the digestive system.  If the maintenance and cleaning of the prosthesis is not done properly, it may become harmful due to the microorganisms it carries.


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