Orthopedics is an area of dentistry that focuses on the diagnostics and treatment of integration and functional disorders of dentoalveolar system with the help of prosthetics. The choice of prosthetic’s type is individual for each patient and depends on various factors. That is why mutual understanding between the doctor and the patient is of utmost importance for the right selection of treatment method. Prosthodontists having extensive practical experience regularly attend courses, research and practice conferences, lectures and seminars being held abroad. In Avanta Clinics we practice the principle of comprehensive treatment. This concept includes patient’s extensive testing prior to the treatment, careful planning and preparation for various interventions aimed to reach hundred-per-cent result. Dentists of various specialties take part in the development of the comprehensive treatment plan. We use the most contemporary methods and techniques of modern orthopedics in the process of prosthetics.
The advantage of orthopedic department in our clinic is the presence of such an important subdivision as dental laboratory.
The presence of highly qualified dental technicians enables to solve the most difficult tasks the earliest as possible in case of different clinical cases. We perform all the known types of prosthetics: restoration of separate teeth and set of teeth with the help of implants, restoration of teeth using PFM crowns, ceramic crowns on the basis of zirconium dioxide and aluminum oxide, hypoallergenic alloy based ceramic crowns, whole ceramic units: zirconium, partial removable and complete removable dentures with plastic teeth (with the use of classical acrylic with a decreased content of monomer which decreases the possibility of allergic reactions), partial removable dentures with a new innovative system, partial removable crome-cobalt dentures, (including attachments of different types), keeping the teeth from nasty forms of diseases such as paradontium, abolition of tooth loosening with the help of splinting apparatus of various constructions.
Nowadays removable dentures remain the most widely spread method of dental prosthetics. They have the highest number of indications and the smallest number of contra indications. And of course they are much more available to the majority of patients. Removable dentures are divided into crome-cobalt and acrylic ones. The latter in its turn is subdivided into partial removable and complete removable. Modern equipment (technology) for preparation of removable dentures or for so called resin transfer molding used in our clinic makes the denture aesthetically look better. The equipment increases its endurance and what is equally important, decreases the possibility of allergic reactions. That is to say, “putting the teeth into a glass” at night becomes unnecessary.
Bugel denture (from the German word “bügel” – translated as “arc” or “arch”) allows using for support in addition to alveolar bone the patient’s remaining natural teeth. Such denture is more compact, more comfortable and more durable. The transfer of the masticatory load in it is much closer to the physiological, as compared to removable dentures.
Bugel dentures with clasps and clasp prostheses with locks.
Fixation of bugel prosthesis with clasps on the teeth is achieved with the help of special hooks, tightly covering the tooth, without damaging the enamel and holding the denture. In this latter case, fixing the bugel prosthesis with locks is very rigid, almost immobile. Whereby most of the masticating pressure is redistributed to the abutment teeth, with special metal-ceramic crowns on. The advantage of a bugel prosthesis with locks is that its locks are hidden inside the prosthesis. Unlike the clasps, it is not visible from the outside, whether there is a removable prosthesis in the mouth or not.
In our clinic we offer flexible nylon dental prostheses using the Valplast system (Valplast, USA). The advantages of nylon removable prostheses are obvious not only to specialists, but also to the patients choosing them.
The general properties of nylon
Nylon is completely devoid of residual monomer. It does not cause an allergic reaction in people who are sensitive to such chemical compounds as acrylic, vinyl, latex and various metals.
– Nylon dentures contain a stable dye, giving them a natural appearance
– Aesthetic dento-alveolar clasps are used to fix the nylon prosthesis
– When using nylon dentures, the load on the supporting teeth is sharply reduced
– Nylon dentures have a pronounced elasticity and differ by increased strength. They are indicated to patients with traumatic occupations, athletes
– Nylon dentures are fabricated according to a special technique resulting in their high accuracy
– Rapid adaptation and reliable restoration of the masticatory function
Partial removable denture
Partial removable denture is used to replace one or more teeth.
Such prosthesis is made completely of plastic (except metal clasps). Due to its lightness, relative simplicity in fabrication, cheapness and easy transformability, if necessary, a partial removable denture is quite popular in patients. The disadvantage is that it takes up a lot of place in the mouth and completely relies on the alveolar process – this leads to thinning of the bones and the necessity of new prosthesis replacement.
In cases of temporary prosthetics, however, this denture is the best option.
Complete removable denture
Often a complete removable denture is the only way to restore all missing teeth. The retention of this denture in the mouth is achieved by the suction effect (like two glasses moistened with a drop of water) and the anatomical protrusions of the jaws. Due to poor retention, especially on the lower jaw, and in case the patient has other problems with the use of a complete removable prosthesis. It is the most effective and probably the only way to restore the masticatory function is restoration on implants.
Telescopic crown retained removable partial dentures
Telescopic crown dentures refer to a form of removable prostheses. Retention of the prosthesis on the tooth is achieved with the help of a coping consisting of two parts. An inner or primary telescopic coping is permanently cemented to an abutment. An outer or secondary part is a metal cap with parallel walls which is attached to the prosthesis.
The secondary coping engages the primary copings to form a telescopic unit. It provides retention and stability to the prosthesis. It should be noted that removable bridges can be fabricated on the same principle. This is necessary in cases when there is no need for a large removable prosthesis, but it is no longer possible to rigidly fix the fixed bridge prosthesis.
Procera and Cerec technologies are also available in our clinic.