DENTAL СROWNS/ BRIDGES
What are Dental Veneers?
It is called dental veneering to coat all or a particular range of the surface of tooth with various synthetic materials.
Recently, metal-supported and metal-supportless porcelains and zirconiums have started to be used in place of plastic and acrylic-based materials used in previous years. Different types of coatings are made in different situations. In cases where aesthetic concerns are at the forefront and if there are not problems such as caries and broken tooth, an aesthetic appearance can be provided by coating the outer surface of the teeth with a thin layer of porcelain called laminate. If the dental caries has progressed, there is no loss of substance in the root of the tooth, and it is a painless tooth, porcelain and zirconia coating can be applied over.
Porcelain Laminate Veneer,
Laminate porcelains are similar to prosthetic nails in terms of the application form. They are very aesthetic and robust. They are natural-looking due to their light transmission properties. Porcelain laminate application may be preferred in small teeth, split teeth, teeth seeming to be at the back and we want to get in the front, and teeth with mild crowding. The front surfaces of teeth are etched 0.3 mm-0.7 mm before the application, but in some cases this etching process is not applied. Laminate porcelain can be applied over the teeth in the form of artificial nails with small arrangements. This aesthetic work with high degree of protection is not affected by heat, cold and food with chemical content. While breaking and cracking occur on the teeth of people who cannot often visit their dentists, laminate porcelain can be more robust. The first appointments take half an hour or one hour, and if your plannings are made good, your laminate porcelains can be installed in 3-4 days. It is a method of application we prefer in terms of protecting our own teeth and aesthetics.
Description About Types of Dental Bridges and Dental Bridge,
The teeth right next to the cavity caused by our missing teeth are diminished, and the prostheses to be put over them also fill in this cavity. This process is called a bridge. Its types such as zirconium, metal-supported and full-porcelain are available.
If the teeth next to the cavity of our missing teeth are robust, usually implantation is recommended instead of bridge. If there is caries or a different problem in the adjacent teeth, bridge application is recommended. Bridge applications are more economical than the implantations and provide treatment in less time (5-10 days at least 2 sessions). Success is achieved in terms of aesthetics. Dental floss can be used and teeth can be brushed after bridge application.
The aims of filling in the cavities can be listed as follows,
- - Provide a balanced chewing in the mouth,
- - Distribute force evenly,
- - Prevent gum diseases and decays,
- - Prevent damage to other teeth,
- - Provide aesthetic appearance.
What are the advantages of dental bridges?
The patients can be irritated by the reduction of the teeth on the left and right to fill in the cavities when they lose their teeth. There is the concern about the loss of healthy teeth and most of the time we decide to leave that area empty and continue our lives. However, tilting, straining and decaying may start later with the pressure of upper or lower teeth, differing according to the cavities in the adjacent teeth, and thus the order of our chewing system is distorted. Cutting 1-1.5 mm from the teeth on the left and right and placing prosthesis over will protect the patient’s oral order significantly.
In which cases is dental bridge treatment preferred?
The cavities created by tooth losses bother the patient both aesthetically and functionally.
- - Cavity occuring while laughing distorts aesthetics,
- - Chewing deficiencies,
- - The need to load on one side while chewing,
- - The need to change the way of speaking and laughing is felt.
In such cases, we recommend to implement bridge to the patient, and we gain aesthetics and functionality by filling in that region.
What are the types of dental bridges?
Bridges consisting of various materials are recommended to the patient according to the region of the missing teeth and their state in the mouth. All of the upper surfaces of the bridges are made of a material called porcelain compatible to the dental tissue in terms of color and aesthetics. There are several alternatives in the interior of the porcelain. These may be metal-supported, and alla re gold alloyed. There may be an internal material consisting of rather stiff resistant core called zirconium. At the same time, the footing of bridge may not be similar. Implants consisting of titanium may also be the footing of bridge. The materials to be used are planned according to the patient’s condition, the condition of the gums, and the length of the region where the prosthesis is to be applied. This selection may vary according to the economic state and the condition of tissues.
What are metal-supported crowns and porcelain bridges?
They are types of porcelain prostheses in the infrastructure of which crown and nickel alloyed material is used.
Crown nickel is of worthless mineral varieties and of opaque alloy varieties, and it has the property of opaqueness. This material with the property of opaqueness is not recommended to be used in the front teeth in terms of aesthetics. Metal-supportless porcelain is preferred in the front teeth. As crown nickel is a robust alloy, it is preferred to be used in the back region. Gold alloy is used in the patients sensitive to nickel as a valuable metal infrastructure. This gold alloy, which is compatible to the tissue and which does not stain the gums, is preferable.
What are metal-supportless crowns and porcelain bridges?
It is a type of crown bridge prostheses that we call full porcelain reinforced by compression.
Our natural teeth have a property of light transmittance. It is preferred to use full crown porcelain which is similar to this property of our natural teeth structure and which allows aesthetic appearance in the best way. As solid zirconium metal is used in the infrastructure of full porcelains, the triple and quadruple bridges can also be used comfortably in the rear regions. These bridges, which do not stain the gums, which cause less gum diseases, and the lower region of which are white, allow us to make healthier practices.
What should the people with dental bridges in their mouths care for?
The periods to visit the dentist play an important role here in terms of the occurance of problems such as pain in the teeth consisting the footings of the prosthesis (bridge).
One should avoid the foods which are hard and which can cause abrasion in the teeth.
We should use the dental floss and toothbrush correctly.
The participation of the dentures in chewing is important. A patient who has prosthesis should not find his/her prosthesis odd and should feel free to use it.
How to care for dental bridge?
The life of the prosthesis implemented on the patient depends on the care taken by the patient for the dental bridge, his/her chewing, and the controls of the dentist. The most important things after the implementation of prosthesis are its compliance with the gums and the maintenance and cleaning to be done in this area. Some patients think that tartar and gum diseases will not occur in that area after prosthesis. On the contrary, as prosthesis is a surface more catchy than the enamel surface, that area should be well brushed and the prosthesis interfaces should be kept clean with dental floss. The life of the prostheses which are not well cared is short. If the patients visit their dentists regularly and well care for their prostheses, their lives can exceed even 5 years.
As food remains will be accummulated more in the bridge interfaces, interface maintenance is important. If oral cleaning is not made with an extra interface such as dental floss and mouth shower, it can lead to severe inflammation in the footings of the bridge and the gaps in the body of the bridge. And in the future, gum problems may arise and swinging of the footings of the bridge may occur. In order to avoid these bad consequences, we recommend to brush your teeth at least 2 times a day, and clean the interfaces with dental floss before bedtime.
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