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Dental Prosthetics

Prosthetics is concerned with the replacement of missing teeth and with jaw-joint. Let’s start with missing teeth (tooth gap). What’s the best way to replace missing teeth? There are many ways to replace missing teeth nowadays. What is important, is to treat the cause of the missing tooth as well as otherwise you will soon lose the new replacement tooth too. The most common causes of tooth loss are Caries and Periodontitis and less often accidents. Frequently teeth are not replaced unless they came out from the front of the mouth, reduced aesthetic motivate the patient to have a tooth replaced. What most people don’t know is, that without the support of stable side teeth, there will be no healthy front teeth. Due to too great a load on the front teeth they will will be lost in time. Treatment of the side teeth is therefore equally necessary. Just how we fill the gap left by the tooth depends on the size of the gap, the quality of the remaining dentition, your general situation and your bank account. Removable replacement teeth, such as a dental prosthesis, or more correctly a partial prosthesis, are not expensive. This type of treatment, however puts a load on the remaining teeth and often after some years results in loss of the anchor tooth and extension of the prosthesis.
Another option for closing the gap would be the dental bridge, or simply the Bridge, as it is called. This is a fixed replacement tooth. The teeth neighbouring the gap are ground and later the bridge is fixed to these teeth and cemented in place. If the neighbouring teeth have large fillings this replacement is particularly suitable.
 If the neighbouring teeth don’t have any fillings on the other hand a tooth implant (Implant) is another option for a fixed replacement. Whatever you decide on remember that the underlying cause for the loss of the tooth needs to be dealt with, as we’ve mentioned. Usually all that is needed is that you improve your brushing technique in the side areas. If the dentist works cleanly the replacement tooth will hold a lifetime.
Jaw-joint pain (facial pain) is another area involving prosthetics. The jaw joint has always had a special place amongst joints in dental medicine. This only served for its medicalisation. The causes of jaw-joint and/or facial pain are usually overloading of the joint from which there develops acute jaw-joint effusion. The classic symptoms usually appear 1-2 days after the joint’s (over-)loading and are:
  • Difficulties in opening the mouth
  • bis hin zur up to the jaw remaining locked closed
  • stabbing pains radiating into the ear
  • disturbed occlusion – the feeling that the teeth no longer fit together

Disturbances of the inner ear should be ruled out. Usually opening of the jaw is not, or is only slightly, affectedby illnesses of the inner ear. In addition inner ear illnesses usually go together with illnesses of the outer ear. Risk factors of problems in the jaw-joint include:

  • Opening the mouth for long
  • Food requiring a lot of chewing
  • Incorrect replaced teeth
  • Habits such as chewing pencils

The treatment is devised according to the cause, whilst the acute problems are treated with common pain killers such as aspirin, or similar pain killer. Treatments with splints don’t do anything unless there’s a placebo effect. In the acute phase protection is important, i.e. soft foods, opening the mouth carefully and little speech. Some people have more sensitive joints than others. Here you simply have to adjust – shorter treatment times at the dentist, avoid chewing gum and food requiring a lot of chewing.