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Prosthodontics

Prosthodontics is a branch of dentistry dedicated to making replacements for missing or damaged teeth. Common prosthodontic treatments include dentures, dental implants, crowns and bridges.

A prosthodontist (a type of dental specialist) receives extended training in the fabrication of crowns, bridges, dentures and other restorative treatments. They also routinely treat TMJ disorders.

Who needs prosthodontics?

Prosthodontics can treat a wide range of issues. Your general dentist might refer you to a prosthodontist if you have:

  • Missing teeth.
  • Severely damaged teeth.
  • TMJ pain or dysfunction.
  • Mouth or facial pain.
  • Cosmetic concerns.
  • Obstructive sleep apnea.

What is a prosthodontic appliance?

There are many types of fixed and removable prosthodontic appliances, including:

  • Full and partial dentures.
  • Crowns and bridges.
  • Oral splints.
  • Night guards for TMJ disorder and sleep apnea.

Procedure Details

What are some examples of prosthodontic treatments?

Many dental treatments are prosthodontic in nature. Your general dentist may offer many of these procedures. But they’ll likely refer you to a prosthodontist if your case is complex or if they need to coordinate treatment.

Dental crowns

A dental crown — sometimes called a “cap” — is a restoration that covers a badly damaged tooth. You might need a crown if you have extensive decay or a cracked tooth, or if you’ve recently had a root canal.

Dental bridges

A dental bridge replaces one or more missing teeth in a row. This dental prosthetic consists of two crowns on either side with artificial teeth (pontics) in between them. Once placed, your natural teeth anchor the crowns, and the pontics fill the gap in your smile.

Dentures

There are two main types of dentures: partial and full. Partial dentures replace several sporadically missing teeth. Full dentures replace a full arch of missing teeth. These removable appliances help restore the function and appearance of your smile.

Inlays and onlays

If a tooth is too damaged for a filling but not damaged enough to warrant a crown, then you might need an inlay or onlay. These custom restorations fit into your tooth structure like tiny puzzle pieces.

Dental implants

Dental implants are tiny threaded posts used to replace missing teeth roots. They’re made from surgical-grade titanium or ceramic. Your dental provider places them into your jawbone. Once your implants heal, a prosthodontist can restore them with crowns, bridges or dentures. If you’re missing most or all of your teeth, there are several removable and nonremovable implant-supported options. Talk to your dentist or prosthodontist to find out which treatment is best for you.

Risks / Benefits

What are the advantages of prosthodontics?

Prosthodontic treatments can:

  • Repair badly damaged teeth.
  • Replace missing teeth.
  • Improve your bite (the way your teeth fit together).
  • Correct TMJ issues.

What are the risks of prosthodontics?

Risks are minimal when it comes to undergoing prosthodontic procedures. Like any dental procedure, there’s always a small risk of infection or nerve damage.

If you notice any warning signs, such as fever or drainage near the treatment site, contact your dentist or prosthodontist right away.

When should I see my healthcare provider?

If you have damaged or missing teeth that interfere with your quality of life, make an appointment with a dentist. They can discuss your treatment options with you and tell you whether you need to see a prosthodontist.

If you’ve recently undergone prosthodontic treatment, be sure to call your provider if you notice signs of infection, such as fever, drainage, pain or swelling that doesn’t go away with medication