12/06/2018 Dentistry combines several areas of narrower specialization: dentofacial surgery, therapy, orthodontics and orthopedics. All of them are aimed at diagnosing diseases of the teeth and oral cavity, maintaining and restoring their health and beauty. However, each section has its own specifics and a set of techniques used.
For example, orthopedic dentistry deals with the treatment and prevention of congenital and acquired anomalies of the dental system. What diseases does an orthopedic dentist work with and in what cases is it necessary to contact this specialist? We will consider in more detail in this article.
- Modern orthopedic dentistry: tasks and goals
- Microprosthetics
- Fixed prosthetics
- Removable prosthetics
- When to contact an orthopedic dentist?
Modern orthopedic dentistry: tasks and goals
Dental tissue does not regenerate and in case of loss of dental units, a person is forced to resort to prosthetics. The main task of an orthopedic dentist is to offer the patient the most correct and advanced methods for restoring the dentition. The doctor also deals with:
- Treatment of injuries, acquired or congenital anomalies of the masticatory apparatus.
- Restoring the aesthetics and functionality of the dental system in case of complete or partial loss of teeth.
- Prevention of oral diseases such as periodontitis, periodontitis, pulpitis and others.
An orthopedic dentist will help correct your bite, cope with crowded teeth, and give the necessary recommendations for maintaining oral hygiene after implantation or in case of wearing orthopedic structures (braces, removable dentures). His tasks include not only restoring the functionality and beauty of the dentition, but also choosing a gentle treatment method - painless, safe, and not harmful to bone tissue.
For this purpose, orthopedic dentistry has an arsenal of modern techniques, among which are: microprosthetics, the creation of removable dentures, and the installation of fixed structures.
Drawing up a treatment plan
You usually have to visit an orthopedist more than once. During the first consultation, the doctor examines the client’s oral cavity, determines the existing disorders and their severity. To study the location and condition of the roots, a computed tomography or radiography is performed.
The plan may include the following steps:- Choosing a method to eliminate the defect that has arisen.
- Preparation for prosthetics.
- Manufacturing and installation of prostheses.
- Assessing the dynamics of the patient's oral cavity.
Microprosthetics
Microprosthetics is a technique for restoring a dental unit when it is partially destroyed, provided that the root and nervous systems are preserved. Most often, teeth chip when chewing hard food or mechanical injuries. This violates the integrity of the dentition and increases the load on neighboring units. In addition, a chipped incisor or fang is a visible cosmetic defect.
To correct it, an orthopedic dentist may suggest:
- Dental onlays or veneers. They are made from high-strength ceramic compounds that are visually indistinguishable from natural enamel. They are installed using hypoallergenic dental cement, which firmly fixes the onlay to the front surface of the tooth. The thickness of the veneer is up to 1 mm; before fixation, the orthopedic dentist removes part of the hard tissue. The microprosthesis is durable and beautiful, completely restores the functions of the tooth, and does not require special care. This design is used not only for the restoration of chips, but also in the case of darkening of the enamel, the appearance of cracks or areas of discoloration on it.
- Dental inlays. They are made from the same material as fillings, but are made according to an exact impression of the tooth, returning it to its original shape. The products are used primarily for the restoration of chewing teeth. Installation requires minimal preliminary preparation of the oral cavity, for example, no grinding of hard tissue is required. The procedure is painless, does not cause discomfort to the person and is performed in one visit to an orthopedic dentist.
Regardless of the technology chosen, microprosthetics remains one of the most gentle methods of restoring dentition. During the manipulations, the orthopedic dentist does not damage the surrounding tissues, since no grinding of adjacent units occurs. Other advantages of microprostheses include:
- Minimal adaptation period - after recovery there is no sensation of a foreign object in the mouth, diction is not impaired, and there is no need to change eating habits.
- Short production time - unlike other types of dentures, veneers and inlays can be produced within 1-2 days after contacting the dental clinic.
- Long service life - the linings last for decades without requiring restoration or replacement. They also do not need special care - normal oral hygiene is sufficient.
- Maximum aesthetics - products are cast from materials that are externally identical to natural enamel. They do not have a metal frame or fastenings that would be noticeable after installation.
The disadvantages of microprosthetics include the fact that this technique is suitable for correcting only minor defects. If a tooth is completely lost or its nerve tissue is damaged, orthopedic dentistry offers other methods of restoration.
Content:
- Consultation with an orthopedist
- Making a treatment plan
- When to visit a specialist
- Popular Orthopedic Treatment Options
- Preparation for installation of prostheses and restorative procedures
- Why is it important to see an orthopedist on time?
Orthopedic dentistry is a field that specializes in detecting and eliminating violations of the integrity of the dentition and restoring the functions of the dentofacial apparatus.
Orthopedic dentists are involved in the installation of removable and fixed dentures, aesthetic structures (veneers, lumineers, etc.), special leveling devices and systems. Dental orthopedics today includes many in-demand medical services. If earlier it meant only prosthetics, now doctors include in this area also measures aimed at preventing the development of various types of dental deformations.
Fixed prosthetics
In case of complete destruction of one or more teeth, the orthopedic dentist selects a fixed prosthesis for the patient - a structure that replaces the missing units. Products differ in material of manufacture, cost, fixation technology, service life, ease of wearing and indications for installation. The most popular options in prosthetic dentistry are:
- Crowns.
- Bridges.
- Implants.
A crown is a kind of “cap” that is placed on the frame of a tooth or an implanted metal rod. The operation is carried out in several stages:
- Sanitation of the oral cavity - an orthopedic dentist treats foci of caries, inflammation of the gums, and, if necessary, carries out hygienic cleaning.
- Tooth preparation – part of the enamel and dentin is removed. If the tissue is severely damaged, the unit is removed and an implant is installed in its place - a metal rod implanted into the jaw bone.
- Making a crown from an impression. The orthopedic dentist creates a model of the prosthesis, which he sends to the dental laboratory. The technician makes the crown using the technology chosen by the client. The cost of the product, its aesthetics, and service life depend on this.
- Installation of the prosthesis. The crown is placed on a pre-ground base (or implant) and fixed with dental cement. At first, the patient may experience minor discomfort while the chewing apparatus adapts to the prosthesis. In the future, the crown is not felt and completely replaces the lost or damaged tooth.
Orthopedic dentistry is aimed not only at restoring the functionality of the dental system, but also at maintaining the beauty of the dentition. Therefore, crowns are not only reliable and durable, but also aesthetically pleasing. The appearance of the product depends on the selected material. An orthopedic dentist can offer the following types of prostheses:
- Metal.
- Metal-ceramic.
- Ceramic.
The most popular is metal ceramics. The crown has a metal frame onto which dental porcelain (or other ceramic composition) is applied in layers. As a result, the finished structure is durable and outwardly indistinguishable from a regular tooth. In addition, metal ceramics are more affordable than their counterparts made entirely of ceramics.
If not one, but several units are missing, bridge-like fixed prostheses are installed instead of crowns. They are several crowns combined into one design. The two outermost ones are fixed on previously prepared teeth, the rest fill in the missing units. The “bridge” has no visible metal fasteners, so it is invisible when eating or smiling. However, it has a drawback - wearing a bridge increases the load on the supporting teeth, so they are subject to accelerated wear. To avoid this, you can use implantation.
Implantation is another type of permanent prosthetics in orthopedic dentistry, which involves the implantation of a metal rod into the jaw bone, onto which a crown is subsequently placed. A good solution for filling both one and several missing teeth without increasing the load on neighboring units. But implantation is a complex procedure and can only be performed by an experienced orthopedic dentist. In addition, the cost of the operation is quite high and it cannot be performed on people with chronic diseases. In this case, removable dentures are used - metal or ceramic structures that imitate the tissues of teeth and gums. This is one of the most reliable and proven options that orthopedic dentistry can offer.
Types of orthopedic treatment
The doctor chooses the method of prosthetics individually for each patient, based on his state of health, the severity of the pathology, the presence of concomitant diseases and other criteria. The following types of prosthetics are used in orthopedics:
- Ceramic inlays. Durable ceramic structures replace filling material and are installed inside the damaged tooth. Inlays are made according to individual impressions, so they fit tightly to the walls of the tooth. Unlike conventional fillings, they do not shrink or change color over time.
- Veneers or Lumineers. Thin ceramic onlays, which are attached to the visible part of the front teeth, are used to eliminate minor defects - chips, cracks, irregularities.
- Implants. Installation of implants is indicated when the patient has complete absence of teeth. Special metal pins are implanted into the bone tissue, and after healing, a crown is attached to them.
- Crown. A plastic, metal or ceramic prosthesis is a complete imitation of the crown of a tooth and is installed on damaged teeth or implants.
- Bridge structure. A dental bridge is a non-removable structure consisting of two supporting elements (crowns) that are attached to the patient’s remaining teeth and an intermediate element that replaces the lost anatomical units (artificial teeth).
- Removable structures. The most common options for removable dentures are clasp or plate. This is the most budget-friendly option for prosthetics, which is used in the absence of a large number of teeth.
Removable dentures
If the patient is not satisfied with fixed prosthetics for various reasons, the orthopedic dentist selects removable analogues to replace the lost teeth.
It can be:
- Nylon prostheses.
- Clasp dentures.
- Acrylic products.
- Zirconium “teeth”.
Each type is made using a special technology from various materials and differs in its characteristics. For example, “clasp” and artificial teeth made of zirconium dioxide are considered to be the most beautiful. They perfectly imitate natural enamel and look organic in the mouth. However, their production is a difficult task, so the cost of the finished product is quite high.
A more affordable option is acrylic products. Acrylic looks good, is not stained by food coloring, is durable and lasts for 10-15 years. Its main disadvantage is that it causes gum irritation in some patients. In this case, the orthopedic dentist suggests a hypoallergenic material – nylon. It is softer than acrylic, but wears out faster and requires more frequent replacement.
Each type of removable dentures has its own advantages and disadvantages. Therefore, in orthopedic dentistry there is a wide variety of different technologies and materials that allow us to choose the optimal solution for each client. To choose a design that is right for you, you must consult with a qualified physician. An orthopedic dentist will examine the current state of the dentofacial apparatus, soft tissues of the oral cavity and recommend an appropriate way to compensate for missing teeth.
Fixed dentures
This type of prosthesis is permanently in the oral cavity. Using various fixation methods, they are securely fixed and do not require daily manipulations to remove and install them. This mounting option is most comfortable for the patient. After installing the prosthesis (provided that the procedure was performed by a competent orthopedic specialist), you can forget about it. And remember during routine dental examinations.
Non-removable structures include:
- Restorative crowns;
- Bridges.
When to contact an orthopedic dentist?
Orthopedic dentistry allows people to maintain the functionality and beauty of their teeth throughout their lives. This requires only regular visits to an orthopedic dentist. You should contact a specialist if:
- Formation of malocclusion in childhood or adolescence.
- Mechanical injury to the jaw.
- Enamel destruction for various reasons.
- The appearance of chips and cracks on the surface of teeth.
An orthopedic dentist will conduct the necessary tests, recommend ways to restore the integrity of the teeth, and help get rid of crowding or other developmental pathologies. However, the patient must understand that a one-time visit is not enough. Most procedures will require several visits to the clinic, but the result - a snow-white, even smile - will stay with you for life!
The main thing is to choose reliable specialists. Competent and experienced doctors work at the Ulybka dental clinic. You can find out prices for services provided in the field of orthopedic dentistry on our official website in the “Prices” section.
