Prosthetic applications are very diverse. Teeth that have changed color due to filling, teeth that cannot be filled due to excessive material loss, and teeth that are desired to be enlarged for aesthetic purposes or whose color does not change with whitening can be treated with crowns, that is, veneers. Implants or bridge prostheses can be placed in the remaining area after tooth extraction. Crowns and bridges can be made with zirconium or metal-supported porcelain. It would be better if zirconium is preferred, especially in the restoration of teeth in the smile line. In zirconium application, since the underlying support is white, that is, zirconium, there is no metal reflection from the bottom and no metal color appearance on the gums. Since metal-supported porcelain restorations will cause a metal-colored reflection on the gums, it is better if they are used in the more invisible posterior areas.
Gaps in extraction areas can be restored with a bridge or with an implant. Of course, implants are a much better treatment method. While rumors about implants affect people negatively, as always, it is up to us, physicians, to resolve patients' confusion on this issue. Treatment with implants gives much better results for everyone whose bones are suitable and whose health condition allows it. However, of course, the patient must also want this.
Removable prostheses are also included in the scope of prosthetic applications. Total and partial dentures, whose use is decreasing as implant applications become more widespread, are still preferred by patients who are not suitable for implants. In fact, if removable dentures are implant-supported, it will be much better in terms of retention of the prosthesis. Many people complain that their lower dentures are excessively mobile and that they come out of their mouths while talking. In this type of patients, if the bone is suitable, implant placement (ideally 6 in the upper jaw and 4 in the lower jaw, although 4 implants on the top and 2 on the bottom can also be made) will relieve the patient in terms of using the prosthesis.
In cases of total edentulism, if the bone is suitable, the patient can be treated with a fixed restoration by placing 8 implants in the upper jaw and 6 implants in the lower jaw. If there is not enough bone, a removable prosthesis with or without implant support can be made.
After all prosthesis applications, the care of the teeth, mouth and prosthesis must be properly maintained. It should continue to be done properly. Keeping the area around the implant clean with an interface brush, especially after the implant, is of vital importance in preventing peri-implantitis. In bridge applications, the lower body parts must be cleaned with super floss dental floss. Normal tooth brushing and the use of mouthwash when necessary are also among the requirements of oral care. Oral irrigator is also an additional cleaning tool, but does not replace interdental brushes. The presence of periimplantitis should be questioned with radiographic checks every 6 months after the implant.
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