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Prosthodontics

We the doctors of AD&IC

OUR JOB …………..is recreating your precious smiles!

Prosthodontics is a recognized dental specialty that deals with the replacement of missing or deficient teeth and/or related craniofacial tissues. Where bone, gums and teeth are destroyed, a prosthodontist can re-create the form and function that has been lost and help restore quality of life.

Routine treatments provided by a Prosthodontist include:

Complete and partial dentures

Over dentures

Laminate and Veneers

Crown and bridge work

 

 

 

Best Dental Clinic FMS DENTAL

Complete Denture is a removable replacement of full complement of missing teeth .They are made of acrylic resin. Fabrication of complete dentures is an elaborate and technique sensitive procedure, meticulously carried out at fms by our dedicated prosthodontic team.

Complete Dentures

The complete denture treatment modalities available at AD&IC include:

Acrylic complete denture : Conventional and Immediate

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BPS dentures (Bio-functional Prosthetic system)

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Implant retained overdetures

Are you a candidate for complete dentures??

Complete dentures are given after all the teeth have been lost/removed. So, ideally the treatment should start only after the tissues have healed well. But, in some instances because of social and aesthetic concerns, the patient may not be able to go through a phase without teeth. So, in such cases, taking the patients’ requirements into consideration, an immediate denture can be delivered right after removal of the front teeth.

Complete dentures can be either “conventional” or “immediate.” Made after the teeth have been removed and the gum tissue has begun to heal, a conventional denture is ready for placement in the mouth about eight to 12 weeks after the teeth have been removed.

Unlike conventional dentures, immediate dentures are made in advance and can be positioned as soon as the teeth are removed. As a result, the wearer does not have to be without teeth during the healing period. However, bones and gums shrink over time, especially during the healing period following tooth removal. Therefore a disadvantage of immediate dentures compared with conventional dentures is that they require more adjustments to fit properly during the healing process and generally should only be considered a temporary solution until conventional dentures can be made.

FAQ’s

Why should we wear complete dentures?

Replacing missing teeth enhances your oral, general health and your appearance. Dentures also improve a person’s ability to speak and to eat.

How Are Dentures Made?

The denture development process takes 6-7 appointments. Once your prosthodontist determines what type of appliance best suits you, the general steps are to:

  1. Make a series of preliminary and final impressions of your jaw and take measurements of how your jaws relate to one another and how much space is between them.
  2. Fabrication of models, wax patterns, and/or plastic patterns in the exact shape and position of the denture will be made. You will “try in” this model and the denture will be assessed for colour, shape, and fit before the final denture is cured.
  3. Cast a final denture
  4. Adjustments will be made as necessary.
  5. Recall and assessment of denture.

Will Dentures Make Me Look Different?

Dentures are made to closely resemble your natural teeth so it will enhance your overall personality and improve your smile and built you with more confidence.

Will Eating With New Dentures Be Difficult?

Eating with new dentures will take a little practice and may be uncomfortable for some wearers for a few weeks. Your dentist will guide during this phase.

What Do New Dentures Feel Like?

New dentures may feel a little odd or loose for a few weeks until the muscles of the cheeks and tongue learn to keep them in place and you get comfortable inserting and removing them. Also, it is not unusual for minor irritation or soreness to occur and for saliva flow to increase when you first start wearing dentures, but these problems will diminish as the mouth adjusts.

Will Dentures Change How I Speak?

After getting dentures, you may have difficulty pronouncing certain words. If so, practice by saying the difficult words out loud. With practice and with time you will become accustomed to speaking properly with dentures.

Are Dentures Worn 24 Hours a Day?

Your dentist or prosthodontist will instruct you as to how long to wear dentures and when to remove them. Minor adjustments will be done during your first check-up appointment, after this you should remove dentures before going to bed. This allows gum tissues to rest and allows normal stimulation and cleansing by the tongue and saliva. The denture can be placed back in the morning.

Should I Use a Denture Adhesive?

A denture adhesive may be considered under the following circumstances:

  1. To enhance satisfaction with a properly constructed denture. Adhesives enhance retention, stability, bite force, and an individual’s sense of security.
  1. To assist individuals with dry mouth conditions that lessen denture adherence, such as individuals taking cold medications, those with neurologic disabilities including strokes, and the elderly.
  2. To provide added stability and security for those who place unusual demands on facial muscles, such as public speakers or musicians.

When Shouldn’t Denture Adhesives Be Considered?

There are situations when denture adhesives should not be used. Those cases include:

  1. When it is used as a “fix” for ill-fitting or poorly constructed dentures. If dentures begin to feel loose, cause discomfort or cause sores to develop, contact your dentist as soon as possible.
  2. When a dentist has not evaluated dentures for a long time. Dentures rest on gum tissue and the jawbone, which shrink and deteriorate, respectively, over time. Therefore, the real problem might be a need for a denture adjustment or new dentures.
  3. When oral hygiene practices cannot be sustained.
  4. When any known allergy exists to the adhesive’s ingredients.

How Are Denture Adhesives Applied?

Here are some tips to consider when applying denture adhesives:

  1. Distribute the adhesive evenly on the tissue bearing surface of the denture.
  2. Apply or reapply when necessary to provide the desired effect.
  3. Always apply the adhesive to a thoroughly clean denture.
  4. Remember adhesives work best with a well-fitting denture.

Are There Alternatives to Dentures?

Yes, dental implants can be used to support cemented bridges, eliminating the need for a denture. The cost is usually greater, but the implants and bridges more closely resemble the feel of real teeth. Dental implants are becoming the alternative to dentures but not everyone is a candidate for implants. Consult your dentist for advice.

 

 

 

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REMOVABLE FLEXIBLE PARTIAL DENTURE

Flexible partials are the latest trend in market to provide you with more comfortable experience than traditional plastic partial dentures. They are used when only few teeth are missing and in cases where in a fixed bridge is not possible. Traditional plastic dentures could be traumatic to use and is more prone for breaking. Flexible denture is more comfortable to use and maintain.

BENEFITS

·         High biocompatibility

·         Improved comfort

·         Aesthetics

·         Reduced chair time

When considering a removable partial, many people find the Flexible Partial to be the most comfortable option. The results of the flexible partial are beautiful, and patient satisfaction is very high. The fabrication process is non-invasive, and gives you confidence in your restoration while talking, eating and most importantly, smiling!
We offer two basic types of Flexible denture :

Bredent

Flexible, Comfortable, Unbreakable & Highly Biocompatible
Features :

·         Flex is a monomer-free denture base material for unbreakable and flexible partial dentures

·         Safe processing in the Thermopress 400 injection moulding units allows the fabrication of delicate partial and temporary dentures (layer thickness of 0.5mm can be safely injected)

·         Offer your patients the benefits of materials which are highly biocompatible

·         Simple trimming and polishing

·         Better shade stability and higher stain resistance than other flexible resins

Valplast

Our doctors will explain the   indications and contraindications of partials and help choose the one that’s right for you.

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                                                                                    See the way its bends. These partials bend to suit your needs.



 

OVER DENTURES

Overdentures are replacement of your teeth which rest either on natural teeth or dental implants. The drawback with conventional dentures is that the first denture was usually satisfactory but with each passing year & with each subsequent denture, patients become more intolerant of their prosthesis. The resorption of bone began a vicious cycle of an ill-fitting denture, causing inflammation, which in turn increases the resorptive process, creating an even more unstable base, repeating the entire process once again.

With overdenture you will have more control over your dentures they by fewer complications.

BENEFITS OF OVER DENTURES

Overdentures offer a variety of advantages as compared to conventional dentures. While some of these advantages are purely cosmetic, all of these can affect your quality of life, making you happier and healthier.

Eat the Food You Love

When conventional dentures are secured with adhesives, the hard and chewy foods you love are often difficult to eat. Implant-retained overdentures can also even improve your dietary health by putting more nutritious foods back on the menu. With implant retained overdentures, you can chew your food more completely which aids in digestion. This increases the nutrients your body is able to absorb.

 

 

 

Regain Your Self Confidence

An implant-retained overdenture can help stop the deterioration of your natural facial contours. Keeping this bone alive and stimulated is the only way to halt the resorption (shrinkage) that naturally occurs in areas where your natural teeth have been lost. In addition, because the overdenture is secured with implants you will not have to worry about embarrassing dislodgment.

 

 

 

No More Adhesives

Adhesives for denture retention, while convenient for some, do not truly secure your dentures to your ridge. Conventional dentures that are held-in with adhesives can easily dislodge, affect the taste of the foods you eat and can be very messy. Because the retention and stability is un-matched with implant-retained overdentures, you’ll no longer need the added cost, mess and hassle of adhesives to keep your dentures in place.

 

 

Improve Your Quality of Life

Implant-retained overdentures secure your teeth in your mouth and can reduce or eliminate movement, improve the aesthetics of your smile, improve chewing functions, improve speech and have a positive impact on your physical and psychological health.

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FIXED PARTIAL DENTURE

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FIXED PARTIAL DENTURE (BRIDGEWORK /IMPLANTS)

Have you have lost teeth due to accident, injury, or gum disease? Unhappy with your smile….. want a makeover? Then you have made a right choice being here, at AD&IC we can create a permanent bridge to restore your solid smile. A bridge not only fills the gap, but it also prevents the repositioning of remaining teeth. It can also correct a misaligned bite, improve chewing function, speech articulation and provide internal structure for the face to give you a more youthful appearance.

Crown and Bridge

Crowns and bridges are fixed artificial teeth that deal with the restoration of damaged teeth. Unlike removable devices such as dentures, which can be taken out and cleaned daily, these are cemented onto existing teeth and can only be removed by a dentist.

Crown

Also called as a & quot;cap”, it completely encircles a tooth.

Crowns are usually indicated

 In cases of large restorations,·

 To strengthen non-vital teeth after a root canal treatment and·

 To protect the structure of a tooth that is fractured or broken.·

 Besides strengthening a damaged tooth, a crown can be used for cosmetic or functional reasons to improve its appearance, shape or alignment.·

Crowns can be made of Porcelain fused to metal or all-ceramic to match the color of natural teeth or of other materials like gold, metal alloys and acrylic.

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Bridges

Unlike crowns which are single units, a bridge is made up of 2 or more units. It may be recommended:

 if one or more teeth are missing·

 where implants cannot be done·

 where cost is a consideration·

Bridges are cemented to the natural teeth on either side of the missing tooth. As with crowns, there is a choice of materials for bridges. Your dentist can help you decide which to use, based on the location of the missing tooth (or teeth), its function, aesthetic considerations and cost. Porcelain or ceramic bridges can be matched to the color of your natural teeth.

At AD&IC our in house futuristic laboratory is well equipped with latest technology and well trained technicians to you with best in class crown and bridges. We offer metal ceramic and metal free (all ceramic) crown and bridge works keeping up with the latest trend in esthetics. We practice cad/ cam dentistry.

Types of Crown and bridge available:

1. All metal

2. Metal ceramic

3. Metal free / all ceramic :

Zirconia crowns

IPS e.max SystemNobel Biocare – ProceraSirona – InLab MC XL

How long do Crowns and Bridges Last?

Crowns and bridges can last a lifetime, but require regular checkups and good maintenance of oral hygiene. They do sometimes come loose or fall out, but can be fixed back, if brought back to a dentist immediately. A bridge can lose its support if the teeth or bone holding it in place are damaged by dental disease.

Proper maintenance by brushing twice a day and flossing daily will ensure longevity of the restoration.

To prevent damage to your crown or bridge, avoid chewing hard and sticky food.

If you have questions about crown and bridgework or any other dental prosthetic, call our office. We will be happy to discuss the options and schedule your evaluation.

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All ceramic Crown and Bridge options available at AD&IC are:

IPS e.max System

IPS e.max System

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Sirona - InLab

Sirona - InLab

Germany

Nobel Biocare - Procera

Nobel Biocare - Procera

Sweden

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All Ceramic (metal free zirconium crown)

Metal free ceramic restorations, as the name suggests, do not have a metal framework. These are extremely strong ceramic materials with excellent optical properties. Patients now have a selection from Zirconium Oxide, Aluminium Oxide to Lithium Disilicate. These are clinically proven metal free ceramics which are highly bio-compatible aesthetic and can be used to fabricate restorations that appear life like.

BENEFITS

  • Cosmetic Beauty

All-porcelain crowns are translucent and smooth, matching the size, color and shade of your original teeth. This makes it difficult to notice that a damaged tooth is being hidden and protected.  All-porcelain crowns are a perfect choice for the front teeth restoration.

 

 

 

 

  • No Dark Line

Unlike porcelain-fused-to-metal crowns (PFM), all-porcelain crowns don’t have a problem of a dark line as they all made of white porcelain that perfectly imitates your natural tooth enamel. When porcelain fused to metal is used for a crown, a receding gumline can show some of the dark metal, but an all-ceramic crown will not display such a line.

 

 

 

 

 

  • Non-allergic

All-porcelain crowns are made of biocompatible material, so there is no risk of allergic reactions and gum irritation.

  • Single visit Options

Unlike other traditional techniques which require minimum two dental visits and some turn-around time between the procedures, all-porcelain crowns can be done in one appointment. Our partner lab is equipped with technology that can deliver your crown within 24hrs.

 

All ceramic system offered: 

IPS e.max System

Nobel Biocare – Procera

Sirona – InLab MC XL

IPS e.max® System

A family of products and a variety of processing techniques, e.max is really a complete ceramic system designed to provide esthetic, metal free solutions for most indications. This system is considered to be the most aesthetic ceramic system till date in the market.

Depending on the case requirements, two types of  materials are available for CAD/CAM techniques: the innovative IPS e.max CAD glass-ceramic blocks  (Lithium disilicate)and the high-strength zirconium  oxide IPS e.max ZirCAD.       IPS e.max can be pressed or milled using Enhanced Procera 2G software and the Sirona inLab® MC XL milling machine.

 

Nobel Biocare – Procera and 2G

Patients are becoming more aware of newer technologies and treatment modalities, and are increasingly requesting metal-free digital restorations

At V dent Arts, we have some of the best CAD-CAM systems, Procera forte and Procera 2G being among them.

These CAD-CAM systems are providers of the most comprehensive and flexible crown, bridge and implant solutions in the world.

 

Sirona – InLab MC XL

All-ceramic restorations fabricated on Sirona’s CAD/CAM systems have proved themselves millions of times in clinical practice.

The Sirona Best Quality Label guarantees optimum results – in the interests of our patients. The USP of Sirona is that we can customize the restorations to our patients needs within 24 hours. Patients have variety of material options for their prosthesis.

Cosmetic Smile Design FMS DENTAL HOSPITAL

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CAD-CAM

AD&IC is in pace with current technology and ever rising industry standards. CAD/CAMs are the latest dental innovations which give a micron level accuracy in the fit of the dental prosthesis. This provides much stable crown fit and occlusion thus avoiding revisits to the clinic once the treatment is complete. Hence these latest advancements provide great comfort to our patients.

CAD-CAM is the acronym for computer-aided design and computer-aided manufacturing, it offers high precision and high quality restorations. The whole process involves 3D designing and imaging of the teeth using computer software. Once the restoration is designed by the computer under the direction of a dentist, the information is sent to a sculpting machine which creates the restoration to exact specification. The precision and fit of such crowns are much superior to manually built-up crowns.

Why use CAD-CAM systems to fabricate dental restorations?

Dental CAD-CAM systems have advantages that cannot be matched with respect to the strength of materials and precision of the restorations. Dental materials used here are manufactured using standardized manufacturing procedures under strict quality control. These materials are generally better in quality, strength, and durability than those used to make dental restorations in the traditional casting process. Furthermore, due to computer controlled milling process, the materials are not subjected human error that can lead to problems. Therefore, dental restorations fabricated from CAD-CAM systems possess optimum strength (all-ceramic materials have a flexural strength > 500 MPa). In terms of a restorations precision, because of the accuracy of the scanner, software, and milling machine in a CAD-CAM system, the fit of the dental restorations is quite predictable.

Systems offered: 

Nobel Biocare – Procera

Sirona – InLab MC XL

Amann Girrbach ceramill® motion 2 –5-axis

IPS e.max® System

A family of products, and a variety of processing  techniques, e.max is really a complete ceramic system  designed to provide esthetic, metal free solutions for  most indications. This system is considered to be the most aesthetic ceramic system till date in the market.

Depending on the case requirements, two types of  materials are available for CAD/CAM techniques: the

innovative IPS e.max CAD glass-ceramic blocks  (Lithium disilicate) and the high-strength zirconium  oxide IPS e.max ZirCAD.         IPS e.max can be pressed or milled using Enhanced Procera 2G software and the Sirona inLab® MC XL milling machine.

IPS e.max Press

IPS e.max CAD

IPS e.max ZirPress

IPS e.max ZirCAD

IPS e.max Ceram is the connecting element between the different components of the all-ceramic system. You now only have to use one layering ceramic, which will enable you to achieve highly esthetic results on glass-ceramics as well as zirconium oxide.

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Nobe Biocare – procera and 2G  

Patients are becoming more aware of newer technologies and treatment modalities, and are increasingly requesting metal-free digital restorations

At V dent Arts, we have some of the best CAD-CAM systems, Procera forte and Procera 2G being among them.

These CAD-CAM systems are providers of the most comprehensive and flexible crown, bridge and implant solutions in the world.

Procera Fixed Solutions

Single Crowns                – Zirconia, Alumina, e.max, Titanium, Cobalt Chromium

Abutments                      – Zirconia, Titanium,

Bridges(Upto 14 units)  – Zirconia, Titanium, Cobalt Chromium

Bridges (partial)             – Zirconia, Alumina (2–4 units), Titanium, Cobalt Chromium

PIB (Implant Bridges)    – Zirconia, Titanium,

Laminates                                                     – e.max

Sirona – InLab MC XL

All-ceramic restorations fabricated on Sirona’s CAD/CAM systems have proved themselves millions of times in clinical practice.

The Sirona Best Quality Label guarantees optimum results – in the interests of our patients. The USP of Sirona is that we can customize the restorations to our patients needs within 24 hours. Patients have variety of material options for their prosthesis.

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