Prosthodontics

Dental crowns are tooth-shaped caps that cover damaged or weakened teeth to restore their shape, size, and function. Bridges are fixed prosthetic devices that replace one or more missing teeth by anchoring to adjacent healthy teeth. Dental implants are titanium posts surgically placed into the jawbone to replace tooth roots, topped with crowns to replace the visible portion of missing teeth. Each option has specific advantages depending on your oral health status, bone density, and treatment goals.

The longevity of prosthodontic treatments varies depending on the type of restoration and how well you maintain them. Dental crowns and bridges typically last 10-15 years or longer with proper care. Dental implants can last a lifetime with good oral hygiene, though the crown portion may need replacement after 10-20 years. Complete dentures usually need replacement every 5-7 years, while partial dentures may last 5-10 years. Regular dental checkups and excellent oral hygiene significantly extend the lifespan of all prosthetic devices.

The timeline for prosthodontic treatment varies greatly depending on the complexity of your case and the type of restoration needed. Simple procedures like single crowns may be completed in 2-3 appointments over a few weeks. More complex treatments like full-mouth reconstruction or multiple implants can take several months to over a year to complete. This timeline includes healing periods, especially for procedures involving implants, where osseointegration (bone fusion) can take 3-6 months before final restorations can be placed.

Caring for prosthodontic restorations requires maintaining excellent oral hygiene similar to natural teeth, but with some special considerations. This includes brushing twice daily with fluoride toothpaste, daily flossing (using special floss threaders for bridges), and regular dental checkups. For removable appliances like dentures, proper cleaning and overnight soaking are essential. Avoiding hard foods that could damage restorations, not using teeth as tools, and wearing nightguards if you grind your teeth are also important for maintaining your investment.

Yes, prosthodontic treatment can significantly improve your facial appearance and overall aesthetics. Missing teeth can cause facial collapse and premature aging, while properly designed restorations can restore facial height and support. Prosthodontists consider factors like lip support, facial proportions, and smile design when creating restorations. Full-mouth reconstructions can dramatically transform not only your smile but your entire facial profile, often taking years off your appearance while improving function and confidence.

While prosthodontic procedures are generally safe and successful, potential risks include temporary sensitivity, discomfort during the adjustment period, and rare complications like allergic reactions to materials. For implant procedures, risks include infection, nerve damage, or implant failure, though these occur in less than 5% of cases. Some patients may experience difficulty adjusting to new restorations, particularly with removable appliances. Your prosthodontist will discuss specific risks related to your treatment plan and take measures to minimize complications.

Most patients can eat normally with properly fitted prosthodontic restorations, though there may be an adjustment period and some dietary considerations. Fixed restorations like crowns, bridges, and implant-supported teeth typically allow you to eat most foods without restriction once you’re fully healed. Removable dentures may require avoiding very hard, sticky, or chewy foods that could dislodge or damage the appliance. Your prosthodontist will provide specific dietary guidelines based on your type of restoration and recommend gradually reintroducing different foods as you become comfortable with your new prosthetics.

Traditional dentures rest on your gums and are held in place by suction and denture adhesives, which can sometimes lead to slipping, discomfort, and reduced chewing efficiency. Implant-supported dentures are anchored to dental implants surgically placed in your jawbone, providing superior stability, comfort, and function. While implant-supported dentures require a higher initial investment and surgical procedures, they offer better long-term outcomes including preserved facial structure, improved chewing ability, and greater confidence in social situations. The choice between options depends on your bone density, overall health, budget, and personal preferences.