Fixed dental prostheses

It’s possible that your teeth are so damaged or discolored that this solution is no longer viable. Let’s see what other options we have then!

Alternative:

korona (a fog egészét körbevonó fém-kerámia vagy fémmentes porcelán illetve cirkónium)

Crown

A crown is a fixed prosthesis that covers the entire tooth. The simplest way to imagine it is as a protective cap for a severely damaged, broken, or weakened tooth (stump).

Anyaga lehet:

• Traditional metal-ceramic
• Gold-ceramic
• Metal-free porcelain
• Zirconium
• Plastic (only as a temporary crown): These temporary solutions are used when making crowns and bridges. The filed-down teeth are sensitive and not aesthetically pleasing. Since the tooth is deprived of its outer enamel layer, it requires protection, as it is essentially a wound surface. They can be made in the clinic, allowing us to immediately replace the original tooth. Alternatively, they can be made by a dental technician, which may be somewhat stronger and more refined, but we have to wait about 1 day for it.

In which cases are fixed dental restorations applicable/recommended?

• Severely damaged teeth that cannot be restored with fillings, inlays, or veneers (for example, due to decay).
• Root-treated teeth (mainly to protect against fractures, as these are weakened, lifeless teeth).
• Broken teeth that require a post and core buildup.
• To correct significant aesthetic issues (such as severely discolored teeth, alignment irregularities, or closing gaps between the upper incisors).
• To anchor and secure bridges or removable prostheses.
• As an implant-supported crown.
• When replacing a crown that was previously placed on the tooth (this is almost certainly necessary if the edge of the old metal-based crown turns gray and the tooth becomes sensitive underneath).

How is a fixed dental restoration made?

1. After anesthesia (which is not necessary for root-treated teeth), we shape the tooth by grinding it into a cone-like form.
2. We take an impression (which ensures that the crown will fit precisely), record the bite, and select the perfect tooth color.
3. Ideiglenes műanyag koronát készítünk a rendelőben vagy készíttetünk a fogtechnikus által. (Így senki nem fogja tudni, hogy épp „fogcsináltatás” kellős közepén van, hisz a jó esztétikának köszönhetően nem fognak ismerősei változást észrevenni. Másrészt viszont elkerüljük, hogy a fogai érzékenyek legyenek és állandó hideg-meleg ingernek legyenek kitéve.)
4. The dental technician usually prepares the new prosthesis within 5 working days.
5. A második találkozásunk alkalmával eltávolítjuk az ideiglenes koronát és felragasztjuk a véglegeset. (Természetesen bepróbálást követően és ha Ön is maximálisan elégedett az elért esztétikai eredménnyel.)

Alternatives:

If the tooth is damaged to such an extent that it cannot be restored with a crown, it needs to be removed. In this case, we can choose from the following options:

• Bridge
• Implant (artificial root)
• Removable prosthesis (in cases of multiple missing teeth)

The treatment includes:

• Specialist examination
• If necessary, CT or panoramic X-ray analysis
• Creating a treatment plan
• Local anesthesia
• The preparation of the tooth/teeth for metal-ceramic crowns
• Sulcus (the area between the tooth and the gum) dilation for impression taking
• Impression taking for the dental laboratory.
• Photodocumentation creation
• Sending the impression and photodocumentation to the dental laboratory
• Creation of a porcelain-fused-to-metal crown by the dental laboratory.
• Trial fitting of a porcelain-fused-to-metal crown.
• Permanent bonding of a porcelain-fused-to-metal crown.

Bridge

A fixed restoration used for replacing missing tooth/teeth. It is anchored on the teeth bordering the gap, effectively bridging and replacing the missing tooth. A special form of this is the inlay-retained bridge, where the neighboring teeth do not need to be shaved all around, but only prepared for an inlay.

The material of a fixed dental restoration can be:

• Traditional metal-ceramic
• Gold-ceramic
• Zirconium
• Metal-free porcelain (only shorter bridges can be made from it)

In which cases is it applicable/recommended?

To replace missing teeth (this restores the original chewing function, aesthetics, and speech – especially for front teeth).

How is it made?

Since a bridge can be imagined as a combination of multiple crowns, its creation process is the same as that of a crown. However, in this case, at least two teeth need to be filed down. See the process for crowns!