Not only do defects in dentition constitute a serious aesthetic issue, but most of all they do not remain indifferent for the entire chewing system. Lack of even one tooth may cause that the remaining teeth are more loaded and forces released during biting of food are unevenly distributed, which in consequence may lead to disorders of its functioning.
The type of prosthesis is selected depending on the quantity, quality of defects and their distribution.
Permanent prosthetic fillings – these are works cemented on the crowning of a grinded tooth, in the root or on an implant. They can be removed only by a physician and it is most often connected with their damaging. These include crowns, veneers, bridges or crown-root inlays.
- Crows are organic prosthetic fillings limited in their range to a single tooth. There are several types of crowns depending on the material they are made of:
a) full-ceramic crowns (made entirely of porcelain).
b) porcelain crowns made on substructure from metal alloys (gold alloy,
chromium-nickel steel, silver-palladium, titanium).
- Porcelain veneers are thin, ceramic plates, which are glued on the frontal (labial or cheek) surface of properly prepared teeth.
- Bridges are prosthetic fillings limited in their range to several missing teeth. They are cemented on "pillars", i.e. patient’s own teeth or implants. We differentiate the bridges as single crowns.
- Crown-root inlays are "sticks" cemented on the tooth’s root.
We distinguish the following inlays:
a) cast (steel, gold),
b) standard (titanium, golden).
c) composite reinforced with fibre glass.
I do not recommend removable dentures. In case of no possibility to perform fixed work on the patient’s own teeth I suggest the patients to perform fixed works on implants.