Modern prosthetics

It is recommended that you save your natural teeth as long as it is possible. In the short run, it is cheaper to extract a tooth instead of paying for a root-canal treatment, but in the long run it is more expensive. Gaps eventually make the remaining teeth rotate or shift into the empty spaces, resulting in a bad bite. The imbalance caused by missing teeth can also lead to gum disease and temporomandibular joint (TMJ) disorders. The more teeth you decide to extract, the more expensive it will be to reconstruct your lost teeth and bite in the future.
 
 
Modern Prosthetics
 
There are a number of modern solutions to replace your lost teeth depending on your status of your teeth and economy.

 

  • Porcelain veneers – Porcelain veneers, sometimes also called dental veneers or dental porcelain laminates, are one of the most recent developments in cosmetic dentistry. These wafer-thin shells of porcelain ware bonded directly onto the front side of teeth is an excellent cosmetic solution for stained, chipped, or slightly misaligned teeth.
  • Porcelain crowns – When a tooth is cracked, decayed, or damaged, a crown may need to be fitted onto the tooth. The difference between porcelain crowns is that the core of the crown can be made of different materials as Cobalt-Chrome, Cercon, Gold etc. Cercon crowns is very similar to a natural tooth.
  • Bridge – Replacement of several teeth – A bridge may be recommended if one or more teeth are missing Adjacent teeth are used as columns and hanging crowns are used where the tooth is missing. Alternative to a bridge are implants. Read more about implants >>
  • Porcelain Inlay/Onlay (composite resin or porcelain) – A dental inlay or onlay is used to restore a decayed tooth that have a mild to moderate amount of decay. When a bigger part of the crown is damaged, a stronger material as porcelain has to be used. To make an inlay/onlay, the dentist takes an impression of your teeth and sends it to the dental lab, where permanent, custom-made inlay/onlay is created. The dentist cements the porcelain inlay/onlay directly on the tooth. The porcelain inlay has a more natural shade of white than composite resin.
  • Prosthetics on bar attachments – If the number, position and/or condition of the remaining teeth do not permit the use of bridges, removable dentures with attachments can be made instead. These can often be extended, if further damage is caused to one of the patient’s teeth. If the oral condition is no longer sound, this option offers invaluable advantages.

 
If all your teeth are missing, you can choose bridge on implants or removable dentures. A removable denture is a cheaper solution than bridge on implants. When using removable denture, you can use implants to keep the denture fixated so the denture does not fall off when you eat or talk. The difference between bridge and partial denture is that the denture must be taken out for cleaning every day, which you do not have to do with a bridge which is cemented to adjacent teeth or to implants. With a partial denture your remaining teeth can be used by attachments with or without clasps.
 
Implants, bridge or partial denture? There are pro- and coins with implants, bridges and dentures.
 
Adventages of implants
 

  • Feel like your own teeth – you will have the same feeling when you are biting as it is your own teeth.
  • Permanent solution – With implants and crowns you do not have to take out for cleaning.
  • Keeps the gum healthy and prevent adjacent teeth to move.
  • Used as an anchor for crowns, bridges and dentures.
  • It is an alternative if you cannot use dentures.

 
Disadvantages of implants
 

  • More expensive solution than bridge and denture.
  • Too much bone loss and implants cannot be used.

 
Advantages of dental bridge
 

  • Feels like your own teeth – you will have the same feeling when you are biting as it is your own teeth.
  • Permanent solution – With dental bridge you do not have to take out for cleaning.
  • Keeps the gum healthy and prevent adjacent teeth to move.
  • Gives you a better aesthetic solution than a denture does.
  • Both adjacent teeth can be used to attach the bridge.

 
Disadvantages of dental bridge
 

  • More expensive solution than denture.
  • The adjacent teeth must be ground to fit the bridge.

 
Advantages of dentures and partial denture
 

  • Dentures are the cheapest solution.
  • Can be used in combination with implants to keep the denture in place.

 
Disadvantages of dentures and partial denture
 

  • Impaired bite and feeling of chew.
  • Must be taken out daily for cleaning.
  • Affects the tooth bone negatively if you want to have implants in the future.

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