Why Receive Care From A Prosthodontist?

According to the Journal of the American Dental Association , the prosthodontic dental specialty is one of the oldest, established in 1947.  It is responsible for diagnosis, rehabilitation and maintenance of patients with complex clinical conditions involving missing or deficient teeth, craniofacial tissues or both, and for providing treatment via the use of biocompatible substitutes such as implants.  The essence of the specialty, however, is expert treatment planning*.   The members of this specialty have pioneered many of the techniques now used in practice, focusing on materials that are compatible in the mouth as well as esthetically pleasing.  They look toward the future, evaluating new dental materials first.  Most importantly, they recognize the value of a multi-disciplinary approach to care and don't hesitate to conference first with other dental specialists to develop the optimal plan for care.

Prosthodontists receive an additional three years of training after dental school.  As such, they understand the importance of technique and biocompatibility when using dental materials.  They perform dental implants daily, rather than monthly, and select implant construction specifically suited for the biting load it must endure.  They also rise to the challenge of using man-made materials to accurately mimic natural teeth.  That explains why some people have easily-recognized crowns and dentures completed by dentists, while others have natural-looking crowns and dentures created by prosthodontists that closely resemble a youthful smile.

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A: A lower denture relies on a “ridge”, the jawbone leftover after teeth are removed, and gravity to stay in place.  If you have lost weight or had this denture for many years, the shape of this ridge is different than when first placed so it feels unstable.  Many people tolerate this condition far longer than they should because an ill-fitting denture causes even more destruction of this ridge.  You should make an appointment, bringing your existing denture, and I will evaluate it and discuss your options.
A: If a dark line occurs over time, it is either decay or the edge of the crowns that make up the bridge. I can fix both conditions. The paper-thin edge of a crown is actually metal, used to strengthen the crown, which slides under the gumline when first placed. This metal usually begins to show if your gums recede due to vigorous brushing, periodontal disease, or sometimes aging. It is important to determine the cause of receding gums during a dental exam.
A: Admittedly, there are a handful of diseases that interfere with the use of implants, particularly a type called “endosseous”. This type is most often used to replace single teeth. However, prosthodontists are specialists in implants, placing several types and working with different manufacturers' designs. A conference with your health care providers, combined with a properly-selected implant and proper maintenance, may be all that's needed to keep you out of dentures.
A: When implants first became available 20 years ago, no one realized the importance of the surgical technique and failures were quite common.  Today, there is a 92% success rate.  I have done over 6000 implants with few problems.  I suspect that your dentist is reluctant to try them because the technique is tricky or she has tried a few and had problems.
A: “Fixed prosthodontics” refers to any porcelain, metal, or porcelain-fused-to-metal structure of that is permanently cemented into place to fix existing teeth or replace missing ones.  If it fixes one tooth, it is a “crown”, and if it replaces one or more missing teeth by attaching to natural teeth on each side of the gap, it is a “bridge”.
A: Many people have the same complaint about their lower partial dentures or dentures and often refuse to wear them to eat. That is not a good idea because it puts undue strain on the jawbone and can create bigger problems. Your lower denture will stay put if it's made to attach to the jawbone. Investigate the possibility of dental implants, surgically placed into the jawbone with a projection above the gum, to which an overdenture could fit. The inside of the overdenture has snap-like fixtures that fit over the projections securely.