Which Dental Prosthesis Is Right for You?


A dental prosthesis is a dental appliance that replaces a missing tooth or covers up tooth defects. These dental appliances include implants, crowns, bridges, dentures and veneers, and some of them can be removable or permanently fixed in your mouth. If you think you might benefit from a prosthesis, your dentist or prosthodontist can explain the most effective option for your dental needs.

Types of Dental Prostheses

The range of dental prostheses can seem overwhelming, but it is easy to differentiate the devices once you learn what each one does. Check out these four types of prostheses:

  1. Dental implants. With implants, the clue is in the name. Dental implants are implanted into the bone of the jaw like the root of a tooth and can replace one, several or entire rows of teeth.
  2. Crowns. Crowns cover a single damaged tooth or form part of a bridge, where the crowns are placed on each side of one or more false teeth.
  3. Dentures. Dentures are partial and replace a few false teeth or full and replace rows of false teeth.
  4. Veneers. Veneers are thin shells that cover discolored or chipped teeth to improve their appearance.

Which Dental Prosthesis Is Right For You?

The number of missing teeth, the condition of the remaining teeth and the thickness of the jawbone are some considerations your dentist or prosthodontist will take into account before making a recommendation for a dental prosthesis. If only one or two teeth are missing and the remaining teeth are healthy, a bridge or partial denture could be an effective solution. When few natural teeth remain and they're in bad condition, dentures or implants might be the best option. However, if the jawbone is thin, your dentist may have to graft additional bone into the area to support the implant fixture (this is the titanium post that is placed into the bone).

Your dentist can offer the best advice regarding which dental prosthesis suits your needs, but some factors to keep in mind include cost, appearance and length of treatment. Implants offer a very natural-looking replacement for missing teeth. However, an implant can cost several thousand dollars and treatment may take up to six months.

To replace one or a few missing teeth, a bridge is usually a less expensive choice and the treatment typically only requires two visits to the dentist. Dentures may be an affordable option, but you must wait several months for your mouth to heal and adjust before it's ready for your permanent denture. For veneers, you can choose between porcelain and composite resin veneers. Porcelain veneers are often more expensive than composite resin veneers and will last between 10 and 20 years.

How Are Dental Prostheses Made?

To make a dental prosthesis, your dentist will conduct a thorough assessment of your teeth and oral cavity and take dental X-rays of the teeth involved for the dental prosthesis. This allows your dentist to provide a prosthesis that supports any remaining teeth, lets you eat and speak normally and looks great. In the next step, the dentist usually takes an impression of the existing teeth by asking you to bite into a mold. Then they send the mold to the dental laboratory. According to Decisions in Dentistry, dental prostheses can be made from a range of materials, including porcelain, composite resin, acrylic and zirconia.

After the device is made, the placement procedure depends on which dental prosthesis you're receiving. To fit implants, your dentist must surgically insert a titanium fixture (post) into your bone, and then you must wait several months before getting the prosthetic placed to make sure the implant is properly placed and secured into the bone. If you're receiving a crown, bridge or veneers, your dentist may remove or etch part of the tooth surface to prepare it for the prosthesis. Dentures need to be checked to ensure they fit snugly and comfortably in your mouth.

Dental prostheses can help patients feel more confident by replacing missing teeth or by making discolored or damaged teeth look more attractive. If you think a prosthesis might be the solution to your dental problem, make an appointment with your dentist or prosthodontist to discuss your options for improving your smile.

This article is intended to promote understanding of and knowledge about general oral health topics. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.

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Common Conditions During ADULTHOOD

As we get older, dental care for adults is crucial. Here are a few of the conditions to be aware of:

Gum disease – if your home care routine of brushing and flossing has slipped and you have skipped your regular dental cleanings, bacterial plaque and tartar can build up on your teeth. The plaque and tartar, if left untreated, may eventually cause irreparable damage to your jawbone and support structures, and could lead to tooth loss.

Oral cancer – according to the National Institute of Dental and Craniofacial Research, men over the age of 40 have the greatest risk for oral cancer. About approximately 43,000 people will be diagnosed with cancer of the mouth, tongue or throat area, and the ACS estimates that about 7,000 people will die from these cancers. The use of tobacco products and alcohol increases the risk of oral cancer. Most oral cancers are first diagnosed by the dentist during a routine checkup.

Dental fillings break down – fillings have a life expectancy of eight to 10 years. However, they can last 20 years or longer. When the fillings in your mouth start to break down, food and bacteria can get underneath them and can cause decay deep in the tooth.