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Prosthetic measures come into question if the dental defects are too large, so that a restorative treatment is no longer possible. In such cases, the tooth may again be built up and stabilized by crowns with using pins.
The loss of a tooth or several teeth may be offset by bridges, partial dentures or full dentures.
As soon as a tooth is missing it can be replaced by an implant. This can save other teeth or achieve greater comfort. Depending on the situation, implants can also be supplied with crowns, bridges or dentures.
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Crowns / bridges
When the filling extends over the major part of the tooth or the root canal is treated, the tooth becomes unstable and can break.
To stabilize the tooth, the tooth is ground and a ​​reference to an impression of the ground tooth, a crown, is made, which completely surrounds the tooth – such as the motorcycle helmet the head. Thus, lateral breaking of the tooth walls or even the splitting of the tooth can be prevented. In endodontically treated teeth a pin is often still incorporated into the root, the crown provides the additional stability. (This pin is often confused with implants. However, an implant with a top replaces a missing tooth. The implant is integrated directly into the bone.)
A bridge is used on gaps which are caused by the loss of teeth. The gap limiting teeth are ground. For them crowns are made that carry a modeled tooth between them, so that the gap is refilled.
Depending on the situation and aesthetic desires, various materials are used. Crowns and bridges are manufactured from non-precious metals (silver-colored), gold or ceramic (tooth colored). In esthetic areas, it is possible to coat the metal with tooth-colored ceramic or tooth-colored plastic.
Crowns and bridges are firmly bonded and cannot be removed by the carrier.
Partial prosthesis / total prosthesis / implant-supported prostheses
With absence of many teeth, a bridge is no longer in question. Through various systems such as clamps or telescopes a prosthesis is anchored on the remaining teeth, which replaces the missing teeth.
If all teeth are missing, these can be replaced by a total prosthesis. It adheres to the gum similar to a suction cup at the window.
To give the prosthesis a firmer grip and more comfort due to more graceful design, additional implants can be placed on which the prosthesis can be attached by various systems. These are the so-called implant-supported prostheses.