ORTHOPEDICS

Dental prosthesis is the most complicated biomechanical construction which should restore the lost tooth approaching to the parameters of natural teeth. The main goal facing the doctors of our clinic is the selection of the prosthesis construction which will not only replace missing teeth but will keep for a long time remaining.

The prosthetic quality is conditional upon doctor’s qualification, dental mechanic and equipment status of clinic. Prosthetic dentistry in «Dent-In» introduced at high level and in full services. Techniques and materials used in modern prosthetics constantly being improved. We are doing the work of any complexity.
By removing a tooth or several teeth, many patients lay prosthesis for an indefinite time without thinking about consequences. The more time passed after the removal of teeth, the harder the subsequent prosthesis.
 

Before the extraction

ÏDisplacement of adjacent teeth in the direction of the defect creates deformation of the dentition 

In the case of significant deformations of dentitions preparation for the prosthesis may include orthodontic treatment with the preliminary surgical stages.

Microprosthesis
Microprosthesis is a modern and promising technique of teeth reconstruction. The essence of the method is to recreate the missing part of the tooth from a ceramic material, reducing the color, shape, opacity, gloss, resistance to abrasion.
To the microprosthesis refer: «in-lay»(âêëàäêà), «on-lay»(íàêëàäêà), «veneer»(âèíèð)- pad on the front surface of the tooth.

Ceramic inlays.
In the past, aesthetics and functionality competed among themselves and in the manufacture of dental restorations the only way was to sacrifice one of the components.
 

 

 

Initial situation

Today may be the simultaneous achievement of both goals, when the tooth restoration is performed using ceramic tabs.
 

 

After implantation of ceramic inlays


There is no need to dissect the healthy tooth tissue as sometimes happens when prosthetic tooth crown. A doctor removes only the old restoration; tissue affected by caries and relieve the mould.

Prepared for implants teeth

Working stone model

   

Prepared ceramic inlays

Prepared ceramic inlays on a stone model

The period of constant production of ceramic inlays, the doctor puts a temporary one.
For tab to be a natural extension of the tooth it is necessary to choose the color and the degree of transparency.
 

 

 

 

Inlays fixed on teeth


Ceramic veneers
 

The initial external view and close-up of the upper front teeth, diastema and darkened composite restoration.
 

Diagnostic wax model of the supposed changes

Color detection

.

 

Vestibulum silicone template manufactured with the help of wax model.

Teeth after preparation

   

After teeth preparation silicone template of wax model fill in with plastic for provisional restorations and fix it a mouth cavity.

Patient’s smile and temporary veneers look after their installation

Manufactured permanent veneers

Final result

Metal-ceramics is used in the case of long provisional prosthetic solution during implants staging. Rarely – during final prosthetic solution when tooth destruction stage is very crucial, in this case in order to provide construction endurance is possible only with the help of hard molten framework. Metal and ceramic mass are choosing due to the concrete situation. The most qualified are constructions on the base of noble metal alloy (gold and platinum, gold and palladium) and on the titanium base.
Metal-free ceramic allows avoiding metal framework using strong transparent base made from the particular ceramic. (Empress in conjunction with cosmo-post technology).
When your tooth is significantly destroyed and root canals are cured in it then it is necessary to restore such tooth with a help of a crown. Time ago porcelain fused metal crown was the only one way of aesthetic prosthesis. Their main disadvantage is in the reflection of diffused light because of that fact porcelain fused metal crowns look brighter than natural teeth.
 

Alumina cap       

     Porcelain fused metal crown

 

 

One more disadvantage of metal-ceramic is a grey shade of marginous gum appearance.
 

Optical characteristics of nonmetallic full ceramic materials allow to reach transparency of teeth because of metal framework absence, what is especially topical when we make crowns prosthesis on anterior teeth.

Porcelain fused metal crown

Crowns on golden framework

 

 

Alumina caps

Overdenture prosthesis

The following types are distinguished: clasp dental prosthesis with clasps and locks, prosthesis on telescopic crowns.

 

Implants on prostodontics

 

 

Implants on prostodontics – is a separate area of prosthesis which requires special doctor’s knowledge. It is possible to manufacture single crowns and bridges on implants. Besides they can be an additional support even with a presence of your own teeth or they can withhold overdenture restoration.
.

Prosthesis on implant
 of anterior tooth loss

Prosthesis on implants
 of the group of
teeth loss 

Prosthesis on implants
 of edentulous jaw

The advantage of implants is in the fact that there is no need to «sew around» healthy adjacent teeth for crowns.