Prosthesis and occlusion
“Recover your smile and chew safely”
- Prosthesis / Teeth-in-one-day.
- Prosthesis / Teeth-in-one-day.
Teeth are lost by various causes, either by decay, gum disease, wear, or trauma. Its loss has several consequences:
- The bone where teeth were housed tends to be reabsorbed.
- The teeth neighboring the lost tooth usually move towards the empty space. Alterations in the position of the teeth can cause damage to the jaw joint.
- When neighboring teeth move, they are no longer in contact with each other and food accumulates in these parts, thus causing decay in these pieces, or gum inflammation.
- Lacking pieces increase the work of the existing ones.
Por ello es muy importante su reposición mediante prótesis.
Therefore their replacement by prosthesis is very important. The prostheses may be unitary (replace a single tooth), partial (replace several teeth), or complete (all teeth).
Besides, prostheses can be:
- Removable: skeletal, partial and complete prostheses.
- Fixed: the patient cannot remove it: it rests on the remaining teeth (bridges) or on implants
Types of prostheses on implants
There are several ways to replace missing teeth with implants; these implants can be removed by the dentist, but are fixed for the patient
- Unit caps: When only one tooth is missing, the implant replaces the root, placing a metal-ceramic cap on it.
- Bridge on implant: In order to replace a section of multiple teeth, fewer implants are placed, joining them with a metal-ceramic (several caps together) or zirconium (more aesthetic) bridge.
- Full-arch prosthesis: When all teeth are missing in one arch or in both. The treatment to be performed is a bit more complex because one must replace a number of functional and aesthetic determinants which allow recovering the normal look in a toothless person. Depending on the case, three types of prostheses may rehabilitate the patient:
- Ceramic metal o ceromers prostheses: They are used in cases that do not require major lip support.
- A hybrid prosthesis is composed of a metal structure as a “soul or skeleton” on which teeth and resin gum will be placed. This type of prosthesis is particularly appropriate when there is resorption of the maxilla or jaw, and it is necessary to give support to the lip. It is also indicated to prevent teeth from looking too long.
- Overdentures: They are indicated for those cases when bone atrophy is so important that its replacement does not allow the proper hygiene of the prosthesis. We will use it as well when the number of implants placed will not allow any other solution. This type of prosthesis, unlike previous ones, is removable, and serves to replace all or nearly all the teeth in an arch. Two to 4 implants are placed, and a casting bar is placed on them to help hold the resin denture. At other times, instead of a metal bar, an anchor (attachment) is placed individually on each implant to hold the denture.
Methods of manufacturing the prosthesis on implants
The metal structures that are placed on the implants and which support prostheses are crucial to ensuring their long-term outcome. Structures have to rest on the implants without transmitting stress to them. In order to achieve this goal we are applying CAD / CAM (computer assisted design / computer assisted manufacturing) technologies, allowing us to design and produce the structures with computers, thus securing adjustments that are measured in microns.
Immediate load or teeth-in-one-day
The development of the knowledge in implantology has allowed that, at present, in a lot of unitary and multiple cases, it is possible to place immediate prostheses, in the same day of the intervention. This has obvious advantages for the patient’s comfort, avoiding in this way to go through a period of functional disability and cosmetic problems, thereby achieving high level results.
If you wake up with a headache, diffuse facial pain or tooth sensitivity you could be one of the large group of people who clench their teeth at night.
Since this phenomenon usually occurs in the hours of sleep most people are unaware of this disorder (called bruxism).
Bruxism can cause problems either directly or indirectly. The teeth can ache and even be mobile. Bruxing people wear their teeth laterally producing flat surfaces and unsupported enamel areas, which can be fractured easily
There are many emotional and physical factors that contribute to developing this neuromuscular activity. Some of these factors are stress, sleep disorders, unstable bites, dental malpositions, or absence of teeth