Prosthodontics

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When over half of the tooth’s biting surface is damaged, a dentist will often use an inlay or onlay.
What Are Inlays & Onlays?
Inlays and onlays can be made of porcelain, gold, or composite resin. These pieces are bonded to the damaged area of the tooth. An inlay (which is similar to a filling) is used inside the cusp tips of the tooth. An onlay is a more substantial reconstruction, similar to the inlay, but extending out over one or more of the cusps of the tooth.
Traditionally, gold has been the material of choice for inlays and onlays. In recent years, however, porcelain has become increasingly popular due to its strength and color that can potentially match the natural color of your teeth.
How Are They Applied?
Inlays and onlays require two appointments to complete the procedure. During the first visit, the filling being replaced or the damaged or decaying area of the tooth is removed, and the tooth is prepared for the inlay or onlay. To ensure proper fit and bite, an impression of the tooth will be taken and sent to a lab for fabrication. Then doctor will apply a temporary sealant on the tooth and schedule the next appointment.
At the second appointment, the temporary sealant is removed and doctor will then make sure that the inlay or onlay fits correctly. If the fit is satisfactory, the inlay or onlay will be bonded to the tooth with a strong resin and polished to a smooth finish.
Considerations
Traditional fillings can reduce the strength of a natural tooth by up to 50 percent. As an alternative, since inlays and onlays are bonded directly onto the tooth using special high-strength resins, they can actually increase the strength of a tooth by up to 75 percent. As a result, they can last from 10 to 30 years. In some cases where the damage to the tooth is not extensive enough to merit an entire crown, onlays can provide a very good alternative.

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What Are Porcelain Veneers?
Porcelain veneers are thin shells of ceramic that bond directly to the front and top surfaces of the teeth. They are an ideal choice for improving your smile and have become increasingly popular due to their simplicity and versatility. With veneers as an alternative, there is no reason to put up with gaps between your teeth, teeth that are stained, badly shaped, or crooked. A veneer placed on top of your teeth can correct these maladies, simply and quickly and help you achieve a beautiful smile!

Will They Look Like Normal Teeth?
When bonded to the teeth, the ultra-thin porcelain veneers are virtually undetectable and highly resistant to coffee, tea, or even cigarette stains. For strength and appearance, their resemblance to healthy, white tooth enamel is unsurpassed by other restorative options. Because they are thin, light can shine through them and they take on the natural color of the underlying tooth.

How Durable Are Porcelain Veneers?
With proper care, porcelain veneers will brighten your smile for well over a decade.
Your dentist will ensure that your veneers are crafted from the highest quality porcelains and are bonded with the most advanced and proven materials available.

The Procedure
This procedure will require three appointments:
• Diagnosis and treatment planning
• Preparation
• Bonding

Diagnosis & Treatment Planning
You will want to take an active role in planning your smile design. Personal Dental Office will review the corrective limitations of this procedure and help you plan your new smile.

Preparation
The second appointment will take one to two hours. Although the porcelain veneer is very thin, the teeth are lightly buffed to allow for the added thickness. Approximately one half of a millimeter of tooth is removed. This may require little or no local anesthesia.
Then a mold is taken of the teeth and sent to the lab for fabrication. In some cases, temporary veneer will be placed at this time. The permanent veneer should be ready in approximately one to two weeks.

Bonding
At the time of your third appointment, doctor will first place the veneer on your teeth with water or glycerin to check the fit and color. At this point, the color of the veneer can still be adjusted by the shade of the cement used to adhere it. Once the color is determined and the veneer is ready to be applied, the tooth is cleaned with specific chemicals to achieve a bond. Special cement is placed between the teeth and the veneer and a visible light beam is used to harden the cement. This appointment takes approximately one to two hours.

Care & Follow-Up
Brush and floss daily. Return for a follow-up visit after one to two weeks.

Maintenance Of Your New Veneers
Brush and floss as you normally would. Don’t be afraid that you will damage your veneers by doing so. Non-abrasive toothpaste is recommended. A good home care regimen will insure the best aesthetic success of your veneer.
You may experience some sensitivity to hot and cold after placement of your veneer. This is due to the amount of enamel left on the tooth after preparation. Sensitivity is totally normal and should dissipate in one to two weeks. If sensitivity persists, please call the office.
If you are a known clencher (bruxer), please be sure to let us know. Your doctor may recommend a custom orthotic for you to wear to minimize stress placed upon your teeth while you sleep.
We hope that your new veneers fulfill your esthetic goal. With proper home care and scheduled visits, they are sure to provide you with a beautiful smile for years to come.

Read more: Cosmetic Dentistry and Porcelain Veneers in Dubai.

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Our goal is to provide dentistry that is undetectable. We replace existing crowns and fillings with restorations that look and feel like your natural teeth.
Where damage to a person’s teeth is extreme and apparently beyond repair, we can use porcelain or porcelain “pasted-on gold” crowns to make the smile appear “as new”. This is an extremely reliable technique for repairing the most severe dental problems, even permanently replacing missing teeth to offer a complete smile and a functional bite. We are renowned for the quality of our work and the fantastic changes we make for people using this technology. These treatments are used for a long-lasting correction of major dental problems. It is usual for these treatments to last for 7 to 10 years, which is as close to permanent as dental treatment can get.

How Long Does It Take?
Fitting a crown requires at least two office visits. Initially, we will remove decay, shape the tooth, and fit it with a temporary crown of either plastic or metal.
On the subsequent visit, we will remove the temporary crown, and then fit and adjust the final crown. Finally, we will cement the crown into place and you have a new beautiful looking tooth.

Key Benefits
• Replaces missing teeth
• Offers support to misshapen teeth or badly broken teeth
• Looks completely natural
• Fixes”smile” and functional chewing problems.

What Is The Capability Of A Crown?
Crown and bridgework is a very reliable solution for major dental problems caused through accidents, diseases, or wear and tear. Major problems can usually be corrected using these techniques. Materials used in these repairs are either high-grade porcelain or porcelain bonded to gold.The higher strength of the porcelain and gold materials is recommended to treat the most serious of dental problems. Where accidental damage has occurred resulting in lost teeth, or teeth have broken away through excessive wear, or as the result of old fillings breaking, crowns and/or bridges can be used as a long-term solution.
Many people have unexplained pain from filled back teeth that is usually due to hairline cracks in the chewing part of the tooth. Placing crowns on these teeth relieves the pain and allows a return of full dental function for these teeth. In front teeth, older fillings can both weaken the teeth and cause appearance problems due to staining or chipping. Porcelain crowns and bridges are suitable in cases where porcelain veneers are not. In teeth with root canal fillings, crowns can prevent breakage.

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All of your teeth play an important role in speaking, chewing, and maintaining proper alignment of other teeth. Tooth loss doesn’t necessarily have to occur as you age. But if you do lose teeth, they must be replaced to maintain proper function of your mouth. Fortunately, there are options for correcting tooth loss.

Options
A bridge — a device used to replace missing teeth — attaches artificial teeth to adjacent natural teeth, called abutment teeth. Bridges are either permanently attached (fixed bridges) or they can be removable.
Fixed bridges are applied by either placing crowns on the abutment teeth or by bonding the artificial teeth directly to the abutment teeth. Removable bridges are attached to the teeth with metal clasps or by precision attachments.
If you’re missing one or more teeth, you may be aware of their importance to your appearance and dental health. Your teeth work together for many daily functions from eating to speaking. With missing teeth, it’s difficult to do these things. Missing teeth can and should be replaced. Fixed bridges are a great way to restore your dental health and appearance.

What Is A Bridge/Fixed Partial Denture?
A bridge (fixed partial denture) is a device that fills the gap where teeth are absent. Fixed bridges are bonded into place and can only be removed by a dental professional. Removable bridges, as the name implies, can be taken out and cleaned. Fixed bridges offer more stability than their removable counterparts.

Why Do I Need A Bridge?
Oral functionality and appearance are important reasons for wearing a bridge. A bridge helps support your lips and cheeks. The loss of a back tooth may cause your mouth to sink and your face to look older.
Dental health is the most important reason for a bridge. Teeth were designed to complement each other. Unusual stresses are placed on the gums and other oral tissues when teeth are missing, causing a number of potentially harmful disorders.
Increased risk of gum disease has proven to be one of the worst side effects of missing teeth and can be minimized with a bridge.
Missing teeth can cause speech disorders as they are used to make many of the sounds we use to speak clearly.

How Is A Bridge Attached?
The attachment procedure usually takes two or three appointments to complete. At the first appointment, doctor will prepare the teeth on either side of the gap by removing a portion of the enamel and dentin.
Since the bridge must be fabricated very precisely to ensure correct bite and to match the opposing tooth, impressions of the teeth are taken and sent to the lab where the bridge will be constructed.
Fixed bridges are typically cemented to the natural teeth next to the space left by the missing tooth. A pontic (false tooth) replaces the lost tooth.Crowns, which are cemented onto the natural teeth, provide support for the bridge.

What Materials Are Used?
Bridges can be constructed from gold alloys, non-precious alloys, porcelain, or a combination of these materials. Porcelain is often bonded to either a precious or non-precious metal.

How Do I Take Care Of My Bridge?
A strict regimen of brushing and flossing will keep the bridge and surrounding teeth clean. This is of critical importance since the bridge relies on the neighboring teeth for support.

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A denture or a complete denture as it is often called, is an appliance that is inserted in the mouth, replaces natural teeth and provides support for the cheeks and lips.
Most dentures are made of acrylic and can be fabricated two different ways:
• A conventional denture is made after all teeth have been extracted and the tissues (gums) have healed.
• An immediate denture is fabricated and inserted immediately after the teeth are extracted and the tissues are allowed to heal under the denture.
• An upper denture has acrylic, usually flesh colored, that covers the palate (roof of the mouth).
• A lower denture is shaped like a horseshoe to leave room for the tongue.

The teeth are made of plastic, porcelain or a combination thereof. Dentures can be fabricated to fit over endodontically treated teeth and a complete denture can be attached to dental implants to allow for a more secure fit of the appliance.
Dentures over a normal course of time will wear and need to be replaced or relined in order to keep the jaw alignment normal. The alignment will slowly change as the bone and gum ridges recede or shrink due to the extraction of the teeth. Regular dentist examinations are still important for the denture wearer so that the oral tissues can be checked for disease or change.