Prosthetic and restorative dentistry

Our mouth and teeth are very important to us. The mouth is our organ that immediately notices the cavity and the slightest change, and can also adapt to the changes made. In order to use the prosthesis made, it definitely needs a period of adaptation. It should fit your mouth and palate. Let’s think like a shoe; most of the time, it can be knocked out, and the teeth also knock on your palate in the same way. In such cases, do not remove it from the mouth for a day so that you can get used to the teeth. The impacted areas are determined and corrected, and a comfortable tooth is provided to the patient’s mouth.

Types of Prostheses;

1. Fixed Prosthesis: It is a crown-bridge type bonded prosthesis that the patient cannot remove himself. Fixed prostheses are prostheses that are attached to the mouth with a special adhesive, which are very difficult to remove and cannot be put on, and these are called crown-bridge bonding prostheses.

2. Removable (Partial) Prosthesis: Prostheses that can be easily attached and removed by the patient are called removable prostheses.

a) Complete (Total, Palatal) Prosthesis: It is the prosthesis applied in cases where all natural teeth are lost. Such prostheses are popularly called “dentures”.

b) Skeleton (Partial, Half Palate) Prosthesis: If a removable prosthesis is required in cases where some main teeth are present and some are not, such prostheses are partial dentures. Partial dentures are either in the form of classical acrylic prostheses or are made of a single piece of casting called skeletal prosthesis (metal casting). These are held in place by wires called crochets that attach to the main teeth.

c) Precision-retained dentures (snaps, anchors): They are flexible, aesthetic, semi-fixed dentures that are applied to partially toothless mouths and do not have any externally visible apparatus such as hooks.

d) Implant Top Prostheses: It is done in 2 ways;

Fixed: Bridges or crowns made with support from the implant. The ones made with zirconium or porcelain are ideal.

Movable: They are total (palate)-like prostheses made with the support of preferred implants in mouths with insufficient bone support, although they are mobile, the retention is excellent.

e) Snoring Plaques: During sleep, with the softening of the muscles, the lower jaw falls back and snoring occurs, breathing is cut off dangerously, the snoring sound produced by the vibration of the soft palate during sleep occurs not while exhaling, but when taking it. Snoring is a very serious social problem. Snoring, which causes extreme fatigue, causes the next day to be unproductive. Exercise and diet have a very important effect on the treatment. With the snoring plate, snoring is stopped by preventing the lower jaw from falling back.

f) Night Plaque: Teeth Grinding (bruxism) is very common in our society and individuals with this habit are generally unaware of it. Bruxism can be seen more in individuals who are stressed, sensitive and meticulous. It manifests itself as abrasion, fracture, gingival recession, excessive sensitivity in the teeth, cracks, irritation on the cheeks, muscle and jaw joint pain. Night guards placed on the lower teeth of the patient for treatment are the most important tool used in the symptomatic treatment of teeth grinding. Night protectors may not always be sufficient alone, so depending on the severity of the disease, it may be beneficial if muscle relaxants are used in addition to night protectors. However, psychotherapy without medication as much as possible is also very helpful.

After meals, the dentures should be removed from the mouth and the existing teeth should be brushed first, then the dentures should be cleaned with the help of water and a brush, and the dentures should not be removed from the mouth at night, unless otherwise stated by the physician. If dents occur on the edges of the palate, these punctures are removed under the control of the physician, and the patient’s pain is relieved.

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