The success of prosthodontic treatment for improved facial appearance is directly related to good treatment planning.

Prosthodontists specialize in the aesthetic restoration and replacement of damaged or missing teeth. The primary focus is to restore the health and proper function of the mouth and teeth creating a healthy, long-term environment for the patient.

The success of prosthodontic treatment for improved facial appearance is directly related to good treatment planning. The goal of Tajmeel Dental Center is to achieve integration of dental implants and restorative treatment which replaces a missing tooth or teeth and lost supporting structures, as well as to restore proper aesthetics and function. In order to achieve this goal, it is necessary for the patient and dentist to be able to visualize the final prosthetic results, prior to implant/restorative treatment. Our well experienced specialists have a thorough understanding of all phases of treatment in order to diagnose, treatment plan, and restore natural appearance.

Dental Facts

Why would I need a crown?

There are a number of reasons. For instance:

  • The tooth may have been weakened by having a very large filling
  • Had discoloured fillings and would like to improve the appearance of the tooth
  • Had a root filling which will need a crown to protect it
  • Had an accident and damaged the tooth it may help hold a bridge or denture firmly in place.
What are crowns made of?

Crowns are made of a variety of materials, for example:
Porcelain bonded to precious metal: This is what most crowns are made from. A precious metal base is made and layers of porcelain are then applied over it.Porcelain: Look very natural and are most often used for front teeth but, not as strong as bonded crowns. Porcelain and composite: Sometimes look the most natural. However, these crowns are not as strong as bonded metal crowns. Glass: Look very natural and are used on both front and back teeth. Precious metal (gold and palladium): these crowns are very strong and hard-wearing, but are not usually used at the front of the mouth, where they are highly visible.

Will the crown be noticeable?

No. The crown will be made to match your other teeth exactly. The shade of the neighboring teeth will be recorded, to make sure that the color looks natural and matches the surrounding teeth.

How long does the treatment take?

You will need to have at least two visits: the first for the preparation, impression, shade taking and fitting the temporary crown, and the second to fit the permanent crown.

Does it hurt to have a tooth prepared for a crown?

No. A local anesthetic is used and the preparation should feel no different from a filling. If the tooth does not have a nerve, and a post crown is being prepared, then local anesthetic may not be needed

long will a crown last?

The life of a crown will depend on how well it is looked after. The crown itself cannot decay, but decay can start where the edge of the crown joins the tooth. It is very important to keep this area as clean as your other teeth, or decay could endanger the crown. Properly cared for crowns will last for many years - your dentist will be able to tell you how long.

Will the crown feel different?

Because the shape of the crown will be slightly different from the shape of your tooth before it was crowned, you may be aware of it to begin with. Within a few days it should feel fine, and you will not notice it. The crown may need some adjustment if it feels higher than the surrounding teeth. If it is at all uncomfortable ask your dentist to check and adjust it.

Is there an alternative to a crown?

A veneer may be an alternative to having an anterior crown. Your dentist will advise you of any suitable alternatives.

Are implants safe? How long will they last?

Implants are a well-established, tried-and-tested treatment. The vast majority of modern implants last for at least 15 years.

I have some of my own teeth. Can I still have implants?

Yes. You can have any number of teeth replaced with implants - from one single tooth to a complete set.

Can implants always be used to replace missing teeth?

It depends on the state of the bone in your jaw. Your dentist will arrange for a number of special tests to assess the amount of bone still there. If there is not enough, or if it isn't healthy enough, it may not be possible to place implants without grafting bone into the area first.

Do implants hurt?

Placing the implants requires a small operation. This can be carried out under local anesthesia with sedation or with a general anesthesia. You will not feel any pain at the time, but you may feel some discomfort during the week following the surgery. This is usually due to having stitches in place, and the normal healing process.

Can I have the new teeth straight away?

No. The implants need to bond (integrate) with the bone after they have been placed. This takes about 3 months in the lower jaw and 6 months in the upper jaw. If you are having one, two or three teeth replaced, you will have a temporary restoration in the meantime. If you have complete dentures, then you can wear them throughout the healing period once they have been adjusted after the surgery.

How long does treatment take?

It takes about 12 months from the initial assessment to the time when the artificial teeth or dentures are finally attached to the implants. However, if only the lower jaw is involved then it may only take around 5 months. A lot depends on how complicated your treatment is. Your dentist will be able to give you a timetable once the surgery has been done.

Is it difficult to clean adjacent teeth?

Cleaning around the teeth attached to the implants is no more difficult than cleaning natural teeth. However, there may be areas that give you problems and you'll be shown methods to help.

If I had gum disease when I had my own teeth, will I get it with the teeth attached to the implants?

Only if you don't care for them well enough. If you keep them clean, and don't smoke, then you should not have any problems.

Can I take the teeth out if they are fixed to implants?

Most artificial teeth attached to implants can only be placed and removed by the dentist. However, if you have complete dentures fixed to the implants by bars, then you'll be able to take them out for cleaning.

Do the implants show?

Your dentist will make sure that the implants won't show during all normal movements of the mouth and lips. You will need to be able to see them, so that you can clean them properly.

Do I have an implant for each missing tooth?

No, unless you're only having a single tooth replaced. Normally, five or six implants are used to replace all the teeth in one jaw, as each implant can usually support two teeth. For a few missing teeth, two or three implants may be used.

What if I get hit in the face?

Implants and the teeth they support can be damaged by an accident in the same way that natural teeth can. However, if the false teeth are damaged and the remnants are left in the bone then they may be more difficult to remove than natural teeth would be. After healing, new false teeth can then be placed alongside the fragments.

What happens if the implant does not bond (integrate) with the bone?

This happens very rarely. If the implant becomes loose during the healing period or just after, then it is easily removed and healing takes place in the normal way. Once the jaw has healed, another implant can be placed there.

Is the treatment expensive?

Unfortunately, yes, due to the expensive materials used in the procedure. However, in many situations, the cost of the treatment is only a little more than the cost of more conventional treatment with crowns and bridges.

What are the advantages of veneers?

Veneers make teeth look natural and healthy, and because they are very thin and are held in place by a special strong bond, it requires very little preparation of the tooth.

When would I need a veneer?

Veneers can improve the color, shape and position of teeth. A precise shade of porcelain can be chosen to give the right color to improve a single discolored or stained tooth or to lighten front. A veneer can make a chipped tooth look intact again. The porcelain covers the whole of the front of the tooth with a thicker section replacing the broken part. Veneers can also be used to close small gaps, when orthodontics (braces) is not suitable. If one tooth is slightly out of position, a veneer can sometimes be fitted to bring it into line with the others.

How long will a veneer last?

Veneers should last for many years, but they can chip or break, just as your own teeth can. Your dentist will tell you how long each individual veneer should last. Small chips can be repaired, or a new veneer fitted if necessary.

How are teeth prepared for a veneer?

Some of the shiny outer enamel surface of the tooth may be removed, to make sure that the veneer can be bonded permanently in place later. The amount of enamel removed is tiny and will be the same as the thickness of the veneer to be fitted, so that the tooth stays the same size. A local anesthetic may be used to make sure that there is no discomfort, but often this is not necessary. Once the tooth has been prepared, the dentist will take an 'impression'. This will be given to the dental technician, along with any other information needed to make the veneer. The color of the surrounding teeth is matched on a shade guide to make sure that the veneer will look entirely natural.

How long will it take?

A veneer takes at least two visits; the first to prepare the tooth and to match the shade, and the second to fit it. Before bonding it in place, your dentist will show you the veneer on your tooth to make sure you are satisfied with it. Bonding a veneer in place is done with a special adhesive, which holds it firmly on the tooth.

Will I need a temporary veneer between visits?

Because the preparation of the tooth is so slight you will probably not need a temporary veneer. The tooth will look very much the same after preparation, but will feel slightly less smooth.

What happens after the veneer is fitted?

Only minor adjustments can be made to the veneer after it is fitted. It is usually best to wait a little while to get used to it before any changes are made. Your dentist will probably want to check and polish it a week or so after it is fitted, and to make sure that you are satisfied with it.

How much will it cost?

It is important to discuss charges and treatment options with your dentist before starting treatment.

What is a diastema?

A diastema is a space or 'gap' between teeth - very often your front teeth. This is very common in children and is part of their normal dental development. About 50% of children between the ages of 6 and 8 have these. Most of these spaces close naturally as the mouth and teeth develop. In some cases this gap does not close naturally and a dentist's advice is sought.

What causes a diastema?

There are many factors that can contribute to the development of a diastema, such as:
Abnormal bone structureSome extra tissue between the teeth which prevents them from touching.If you bite your lower lip it may aggravate such a problem.If your teeth have developed in such a way so as to allow space for the front teeth to drift apart.If you have a large tongue it may push the teeth forward.

How will this gap affect me?

A gap between children's teeth often causes concern. It can have an effect on speech, aesthetics, balance and social behavior.

How will my teeth be prepared?

The surface of your tooth will need to be roughened a little so as to give the veneer more chance of bonding to your enamel. A mould will be made of your tooth and a porcelain veneer made using this to make a perfect fitting veneer. Veneers can be trimmed and shaped a little more by your dentist to make them look perfect.

Will it be painful?

No. Your teeth may be temporarily sensitive to cold.

How long will the veneer last?

Veneers can last for many years - but, they are not indestructible and can be chipped or damaged if treated roughly.

What are dentures made of?

The base of a denture is called a plate and can be made of either acrylic (plastic) or metal. The teeth are normally made of acrylic and can be made to match your natural teeth. This is especially important in the case of partial dentures.

Will dentures make me look different?

Replacing lost or missing teeth has substantial benefits for your health and appearance. A complete or full denture replaces the natural teeth and provides support for cheeks and lips. Without this support, sagging facial muscles can make a person appear older and reduce their ability to eat and speak. Dentures can be made to closely resemble your natural teeth so that little change in appearance will be noticeable. Modern dentures may even improve the look of your smile and help fill out the appearance of your face.

Will I be able to eat with dentures?

Eating will take a little practice. Start with soft foods cut into small pieces. Chew slowly using both sides of your mouth at the same time to prevent the denture from moving. As you become more used to your denture, add other foods until you return to your normal healthy diet.

Will dentures change how I speak?

Pronouncing certain words may require practice. Reading out loud and repeating difficult words will help. Over time you will adjust and get used to it, so don't worry. If you find that your dentures occasionally slip when you laugh, cough or smile, reposition the denture by gently biting down and swallowing. If this continues consult your dentist.

Will my sense of taste be affected?

This is quite a common worry, but the fact is that your teeth have nothing to do with your sense of taste. Your taste buds are mainly on your tongue and they will still be there so eventually everything will not taste too different.

How long should I wear my dentures?

During the first few days, you may be advised to wear them for most of the time, including while you are asleep. This will allow you to adjust to your new dentures and let them settle in. After an initial period of adjustment your dentist may advise that you remove them before going to bed. This allows your gums to rest and helps promote oral health. If you decide to keep them in overnight, it is important that you clean them thoroughly before you go to bed, just as you would natural teeth.

Must I do anything special to care for my mouth?

Even with full dentures, you still need to take good care of your mouth. Every morning and evening, brush your gums, tongue and palate (roof of your mouth) with a soft -bristled brush. This removes plaque and stimulates circulation in the mouth. It is vitally important that partial denture wearers brush their teeth thoroughly every day to prevent tooth decay and gum disease that can lead to further teeth being lost.

What is the difference between conventional and Immediate Dentures?

Conventional dentures are made and inserted after teeth have been removed and the tissues have healed. Healing may take several months. Immediate Dentures are inserted immediately after teeth have been removed. To do this, the dentist takes measurements and impressions of your mouth during a preliminary visit. An advantage of Immediate Dentures is that the wearer does not have to be without teeth during the healing period. However, bone and gums can shrink over time, especially during the first six months after teeth have been removed. When gums shrink, Immediate Dentures may require relining or even replacing to fit properly.

What will dentures feel like?

New dentures may feel uncomfortable for a few weeks until you become accustomed to them. The dentures may feel loose while the muscles of your cheek and tongue learn to keep them in place. Should this continue, consult your dentist. It is not unusual to experience minor irritation or soreness during this period. You may also find that saliva flow temporarily increases. As your mouth becomes accustomed to the dentures, these problems should diminish. If any problems persist, particularly irritation or soreness, be sure to consult your dentist as soon as possible and not wait for your regular checkup. Do not take your dentures out though, leave them in, that way the dentist will be able to see where it is sore and sort the problem out quicker.

How do I take care of my dentures?

Dentures are very delicate and may break if dropped. When cleaning dentures it is recommended that you do so over a folded towel or sink of water. When you are not wearing your dentures, they should be stored in a container containing enough water to cover them. Like natural teeth, dentures must be brushed daily to remove food debris and plaque. Brushing helps prevent dentures becoming stained and helps your mouth stay healthy. There are special denture cleaning brushes available but a soft bristled toothbrush can also be used. Avoid using hard-bristled brushes, which can cause damage. The use of an effervescent denture cleaner will help remove stubborn stains and leave your denture feeling fresher.

Will my dentures need to be replaced?

Over a period of time, dentures will need to be relined or re-made due to normal wear or a change in the shape of your mouth. Bone and gum ridges can recede or shrink causing jaws to align differently. Loose dentures can cause health problems, including sores and infections not to mention discomfort. A loose or ill-fitting denture can also make eating and speaking more difficult. It is important to replace worn or poorly fitting dentures before they cause problems.

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