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Restorations

Should a tooth be missing or badly defective because of caries, it can be rebuilt or substituted by means of restorations.

Restorations are divided into three categories:

1. Permanent restorations: This includes partial crowns, crowns and bridges.

2. Removable restorations: This refers to dentures or partial dentures.

3. Combined restorations: These consist of two parts. In the first place, a permanent crown (for example, a telescope crown), which acts as an anchor and, in second place, a removable denture.

1. Permanent Restorations

This includes partial crowns, crowns and bridges.

The goal of this treatment is to save a tooth which has been destroyed by caries. A suitable material is expected to restore this tooth's function, phonetics and appearance.

For this measure, three different materials are available: Gold alloys, metal-ceramic fused to high noble metal and fully ceramic restorations.

These can be cemented-in or adhesively-anchored (gap-free micromechanical anchoring with synthetic materials).

The choice of a suitable restoration for your teeth is largely dependent upon the amount of tooth substance that has been lost, the location of the defect (over or underneath the gums) and the functional diagnostic (for example, grinding or clenching teeth).

The purpose of this restoration is to safeguard and protect the remaining tooth-substance as well as to produce a permanent, lasting reconstruction.

A crown is a true-to-nature copy of the outer substance of the tooth. It is placed over the filed-down tooth like a new sheath and covers it completely.

With a partial crown, not all parts of the tooth are covered by the restoration, It does, however cover the entire occlusional area.

A bridge is a permanent provision which compensates for the loss of a tooth in a deceivingly authentic manner. This technical construction harmoniously integrates itself into the structures of the oral cavity.

It is necessary to replace a missing tooth in oder to avoid problems in the future. These could lead to dysfunctions in the mouth- and facial areas.

It is especially important to mention possible consequences for the remaining teeth: Wandering and tipping of teeth, elongation (lengthening or outgrowing of teeth as a result of missing contact to the neighboring tooth) and dysfunctional occlusion.

The requirement for reconstructing missing teeth with a bridge is the existence and stability of the neighboring teeth. In order to secure lasting success, the space to be filled between two abutment teeth should be small.

Alternately, it is possible to substitute a missing tooth with an implant.

2. Removable Prothesis

Through destruction, whether through caries or periodontal disease, some or all teeth could be missing. In Germany 22% of the population between the ages of 65-72 is toothless.

It is our aim to reconstruct these structures to their natural function and appearance. Even with a reduced number of teeth or without any, we are in a position to produce a functional provision.

We differentiate between partial- and complete dentures.

A partial denture compensates for a larger loss of teeth. Herewith, the denture takes the place of the missing teeth. The denture is secured by fastening it onto the neighboring teeth with brackets.

A complete denture compensates for the loss of all teeth. These dentures consist of a synthetic base which acts as the support for individually-selected teeth, fashioned out of ceramic or synthetic materials.

These dentures are set directly onto the mucuous membranes. Given the favorable condition of the supporting jawbone and mucuous membranes and an exact fitting, the denture's adherance is based upon the suction between it and the the mucuous membranes.

This hold can be reduced by the not-so-favorable condition of jawbone and mucuous membranes - also because of reduced salivation, due to the intake of medication.

In this case the denture's adherance can be greatly improved with a few implants.

3. Combined Provisions

This Provision consists of two parts: a permanent and a removable part. The permanent part consists of a crown or a telescope crown (double crown). The removable part consists of a metal-based denture with ceramic or synthetic teeth.

We differentiate between the precision attachment removable partial prosthesis and the telescope prosthesis. In comparison to prostheses which are held in place by brackets, the means of holding these in place are invisible.

Precision attachment removable partial denture: The remaining teeth are capped with permanent crowns. These crowns have invisible gadgets for holding attachments. The removable prosthesis has the fitting counter-piece integrated into it. This combination secures the invisible hold of this prosthesis.

The Telescope denture has a double-crown system.

This consists of an inner crown (inner telescope) which is soundly cemented onto the remaining teeth and an outer crown (outer telescope) which is integrated into the removable part of the denture.

The inner telescope consists mostly of an alloy, highly similar to gold. If desired, it can also be produced out of a tooth-colored material (zircon).

If the number of teeth is reduced, there is a definite advantage to dentures, due to their adaptability. This means that, in case of an additional loss of teeth, the denture can be modified and the function of the remaining teeth restored.