A crown is a dental restoration which completely caps or encircles a tooth or dental implant. Crowns can be needed when significant decay or fractures threatens the ongoing health of a tooth. It will improve the strength and appearance of the tooth.
The most common method of crowning a tooth involves using a dental impression of a prepared tooth to fabricate the crown outside of the mouth. The patient will leave with a custom-made temporary crown while the permanent crown is being fabricated. The temporary crown will help prevent the shifting of teeth until the permanent crown can be inserted at a subsequent dental appointment.
Various types of materials can be used for the fabrication of crowns. Some examples are all porcelain, porcelain fused to metal or full metal. Dr. Lobodiak will advise you what material he feels is best for your individual case. Because of the expansion properties and durability benefits, many of our crowns will be fabricated with gold at no additional cost to the patient.
Dr. Lobodiak’s crown and bridge lab specialist has over forty (40) years of experience. The lab is located on-site, where individualized attention is given.
A bridge is a fixed, single-piece, multi-unit dental restoration used to replace a missing tooth or teeth by joining permanently to adjacent teeth or dental implants. It spans or bridges the edentulous area (space where tooth/teeth are missing). The teeth used to support the bridge are called abutments (anchor teeth). The missing tooth or teeth is called a pontic(s).
While your bridge is being fabricated, you will be fitted with a custom-made temporary bridge. This will protect your tooth/teeth and gums until your permanent bridge is inserted. Bridge fabrication uses the same or similar process and materials as crowns.
A dental filling is a material used to restore the function, integrity and morphology of missing tooth structure. This technique involves placing a soft or malleable filling into the prepared tooth and building up the tooth before the material sets hard. A direct filling is called a composite or tooth colored filling. This type of filling is cured with a special light making them immediately hard like the tooth structure.
The most important factor in considering whether a filling is sufficient is the amount of decay or fracture. For the most part, the extent of the decay will define the extent of the preparation, and in turn, the subsequent method and appropriate materials for restoration.
Dentures are prosthetics fabricated to replace missing teeth either for the maxillary arch (top/upper) and/or mandibular arch (bottom/lower). An upper denture can be easier to get adjusted as they are retained with some degree of suction because of the upper palate. Lower dentures can be more of a challenge because they are mostly retained by the muscles of cheeks, lips and the tongue. Implant supported dentures are an alternative for a more secure fit if proper bone support is present for implant placement.
“Complete” is a term used for any replacement denture(s). The patient will be required to leave out their dentures for 48 hrs prior to the final impression appointment. The same instructions will be given for lab relines.
“Immediate” is a term used for the initial placement of any denture. If a patient will be requiring multiple extractions with the placement of an immediate, Dr. Lobodiak will generally recommend an “interim.” This interim denture will be placed immediately after extractions and will be worn for approximately 6 months as the tissue changes and shrinks. During this time, soft liners will be placed at various intervals to facilitate the gum shrinkage. At the end of that approximate six month period, a final denture will be fabricated. The interim can be kept as a temporary replacement for any future needs.
Dr. Lobodiak has his own, on-site laboratory to construct his dentures. This enables him to supervise the various steps of the fabrication process. There can be as few as 3 or as many as 6 or more appointments during this time. This meticulous process allows for the best fit possible and aesthetic results.
After any denture placement and adjustment is complete, a check-up every two years is recommended. There is a general consensus if a denture is relined every two years, it will keep the denture well adapted to the bony ridge; therefore, not allowing the body time to build the soft, flabby tissue in between the bone and denture base. This is when adhesives are readily used.
Removable Partial Dentures
A removable partial denture is for patients who are partially edentulous (some missing teeth). It may be placed for aesthetic or functional reasons, such as insufficient teeth to support a bridge (sometimes called a “fixed” partial). A similar process is used for removable partials as dentures.
As in dentures, Dr. Lobodiak utilizes his on-site lab for the fabrication process. The only part of the construction which may be farmed out is the metal work that can be involved in a partial denture.
A dental implant is a surgically placed artificial tooth root used to support restorations which will resemble a tooth or group of teeth. They can be stronger and more durable than their restorative counterparts. They will be used in conjunction with other restorative procedures for maximum effectiveness.
For example, a single implant can serve to support a dental crown replacing a single missing tooth. Implants can be used to support a dental bridge for the replacement of multiple missing teeth. They also can be used with dentures to increase stability and reduce gum tissue irritation. Implants need to be cleaned by a professional every six months, just as your natural teeth.
Dental implant success is related to quality and quantity of the bone available at the site and the patient's oral hygiene. The consensus is that most traditional dental implants carry a 95% success rate.