Prosthetic dentistry defines all kinds of tools, materials and restorations used to replace what is missing. The main reasons for indications of prosthetic dentistry are; deficient teeth, dental hard and soft tissue loss, disorders of chewing, function or phonation, and expectations in terms of aesthetics.
The teeth lost due to infection, cracks or decay in the tooth should be restored by prosthetic planning after the healing process is completed. Over time, the adjacent teeth drift or collapse towards the gaps remaining from the extracted teeth for a long period of time, and the teeth in the opposite jaw grow towards this gap. Consequently, areas that cannot be cleaned are formed and it becomes difficult to plan prosthesis in these areas in the following years, and additional treatment is required for the other teeth.
When we implement the protocols of temporary restoration planning and gingivoplasty before the treatment for the patients for whom we will apply fixed bridge, we can make our patients’ social life easier by masking the deficient tooth particularly in the front with the help of temporary restoration.
We not only perform restorative treatment for teeth with excessive loss due to decay or cracks, but also apply endocrown restoration for teeth subject to endodontic treatment or inlays and onlay restoration using porcelain or porcelain-composite hybrid materials.
The history of fixed dental prostheses, which started with fully metal crowns, has reached a point where fully porcelain restorations as thin as a leaf are used. Today, we can achieve aesthetic results with laminate veneer crowns (leaf porcelains) even without applying any treatment to the teeth with indications. We apply porcelain-fused-to-metal crowns as well as porcelain-fused-to-zirconia crowns and monolithic zirconia crowns in certain cases. Various types of porcelain and zircon are manufactured in the dental material industry to fulfil our increasing aesthetic expectations with the help of the developing technology. The prosthetic dentistry where a wide range of materials such as self-coloured zirconia blocks, zirconia blocks with improved light transmittance, IPS emax porcelain veneer, and nanoceramics (hybrid forms of composite and porcelain materials) are offered as an option can be preferred based on the indications of restorations. The wide range of alternatives both facilitates the work of us dentists and improves the satisfaction of the patients.