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Bridges

Dental bridges are used to replace missing teeth. A bridge can either be tooth-supported (most common) or implant-supported and is often used as a replacement for a removable partial denture.
Bridges are used to:
Improve appearance, function, speech and chewing efficiency Prevent adjacent teeth from drifting and tilting, and the opposing tooth from growing into the space, causing problems with the bite. Prevent food impaction which can result in gum disease and future tooth loss
A conventional Bridge
There are several types of fixed (cannot be removed) bridges. These include conventional fixed bridges, cantilever bridges, and resin bonded bridges.
When a tooth or teeth are missing, they can be restored by placing crowns on the teeth next to the gap onto which false teeth are fixed. A bridge is cemented in place and cannot be removed by the patient. It should be looked after like natural teeth and the hygienist will demonstrate the use of floss to enable you to look after it correctly.
These can be constructed from metal, porcelain, or a combination of the two.
Implant Supported Bridge
Dental implants can support more than one tooth unit. In this case, the bridge is either cemented or screwed to the implants below. The number of implants needed to support the bridge depends on many factors.
There are always many alternatives to restore a missing tooth or teeth. Implants are frequently used as an alternative to bridges to avoid tooth preparation. The advantages and disadvantages of the different options are explained to our patients as part of the treatment planning process.

Cosmetic Dentistry

Your smile is one of the first things people notice when they meet you. A whiter, brighter smile is beautiful – it can help you feel better about yourself and make a memorable impression.

There is no recognised specialty in Cosmetic Dentistry but smile- and aesthetic reconstruction is part of the Prosthodontists training.

All prosthodontic work should be as aesthetic as possible. Prosthodontists are the dental specialists who long ago determined what constitutes a pleasing smile. Teeth Whitening, reshaping natural teeth, bonding of tooth-coloured material to teeth and porcelain veneers are procedures commonly used to modify a smile.

Your exact desires and expectations are essential to achieve the best possible treatment option and result. Crowns, Bridges and Veneers are prepared in conjunction with the laboratory technicians to analyse the shade, shape and size. We offer a chair side customising service to achieve truly realistic results and meet the individual requirements of our patients.

Tooth Whitening

Nothing is better than a bright white smile!

If your teeth have become dull or discolored due to the staining effects of coffee, tea, cigarettes, or wine – or even due to simple aging – Teeth Whitening can restore your smile’s original brilliance.

While there are a variety of consumer teeth whitening products available on the market today – many advertised as “instant whiteners” – but results vary greatly for each individual. For best results (obtaining the whitest smile possible, even colouration, and other factors), whitening should be undertaken by professionals.

Veneers

Veneers are very thin facings of porcelain that attach to the front of teeth to improve the overall appearance of teeth, and may solve many minor aesthetic problems by modifying the shape and colour of teeth. Veneers are used to correct worn, chipped, misaligned, stained or otherwise discoloured teeth.

Crowns

A crown is a laboratory-constructed restoration, which covers all or part of a tooth in order to improve both appearance and function. Crowns may be used to protect a cracked tooth, restore a tooth with excessive decay, or replace a pre-existing crown. Crowns are indicated for teeth with very large fillings, teeth that have had a root canal, fractured teeth and misshapen and/or discolored teeth.
The purpose of a dental crown is to encase a needy tooth with a custom-designed material. We offer conventional metal based ceramic crowns as well as non-metal based, all-ceramic crowns (zirconia and full porcelain crowns) that are customized to your mouth.
Inlays / Onlays
Inlays and onlays can be used to replace large fillings and fractured teeth. These have the advantages of reducing the amount of tooth which has to be cut away, retaining the inherent strength of the tooth. They are tooth coloured and are bonded in place to ensure a good and lasting fit and appearance. Where decay has removed a substantial amount of tooth, yet the tooth does not require a crown, an inlay can provide an excellent long term restoration.

Implants

The starting point of dental implant therapy is a Prosthodontist.

A dental implant takes the place of the missing tooth’s root, and helps prevent negative consequences of missing teeth. Like the natural root, a dental implant provides the foundation for a dental crown.

An all-ceramic or metal ceramic dental crown and dental bridge, secured to a dental implant, provides a complete and beautiful solution for improving your smile. If you’re missing multiple teeth, a dental implant bridge is highly recommended.
A Dental Bridge on Dental Implants can prevent:
The teeth adjacent to the missing teeth from changing position to fill the gap; Your jawbone from shrinking, making your face appear prematurely older because the missing teeth’s roots are also missing; and, An unattractive smile, if the missing teeth show when you smile. If you’re tired of your current dentures moving around in your mouth, and think denture adhesives are a nuisance and only offer short term solutions.
A fixed denture replacement solution consists of a dental implant bridge (sometimes called permanent dentures) that is supported by four or more dental implants. By using dental implants to secure the permanent dentures, the need for denture adhesive is a thing of the past. Because the dental implants function like the natural roots, the permanent dentures will feel very much like your natural teeth did.

Dentures

Removable Partial Dentures
A partial denture is a removable dental appliance that replaces multiple missing teeth. It can be attached to the teeth with clasps (clasp or conventional partial) or it can be attached to the teeth with crowns with precision attachments (hidden clasps). Both types have a metal framework and plastic teeth and gum areas.
Fixed Partial and Complete Dentures
If you’re tired of your current dentures moving around in your mouth, and think denture adhesive is bothersome, a denture replacement solution may be right for you. A fixed denture replacement solution consists of a dental implant bridge (sometimes called permanent dentures) that is supported by four or more dental implants. By using dental implants to secure the permanent dentures, the need for denture adhesive is a thing of the past. Because the dental implants function like the natural roots, the permanent dentures will feel very much like your natural teeth did.
Removable Complete Dentures
Complete dentures are full-mouth teeth replacements designed for edentulous people. Complete dentures help people who have lost all their teeth due to trauma or poor oral hygiene, giving them better chewing abilities in addition to a more appealing appearance. Many patients experience difficulty wearing conventional dentures because of poor stability and decreased chewing function. The use of dental implants to improve the stability and retention of dentures is becoming very popular.

Root Canal

To save your natural teeth should always be your first choice when dental care is needed. There is no complete replacement for your natural teeth. Root canal treatment can often save the most severely injured teeth. If a tooth cannot be saved , you may consider replacement of the tooth with a bridge or dental implant.
Endodontic treatment (root canal treatment) treats the inside of the tooth. Root canal treatment involves the removal of the inflamed or infected pulp, carefully cleaning and shaping the inside of the canal, and filling and sealing the space. Thereafter, a crown or other restoration will be placed on the tooth to protect and restore it to full function.
Is Root Canal treatment painful?
Many root canal treatments are performed to relieve the pain of toothaches caused by pulp inflammation or infection. With modern techniques and anesthetics, most patients report that they are comfortable during the procedure.
Endodontic Retreatment
Most endodontically treated teeth last as long as other natural teeth. In some cases, a tooth that has undergone endodontic treatment does not heal or the pain continues. The tooth may then become painful or diseased months or even years after successful treatment. Often when this occurs, redoing the endodontic procedure can save the tooth.
Endodontic Surgery
Occasionally, a tooth can’t be saved because the root canals are not accessible, the root is severely fractured, the tooth doesn’t have adequate bone support, or the tooth cannot be restored. When endodontic treatment is not effective, endodontic surgery may be able to save the tooth. The only other alternative is extraction of the tooth. The extracted tooth must then be replaced with an implant, bridge or removable partial denture to restore chewing function and to prevent adjacent teeth from shifting.
Cracked Tooth
People live longer and more stressful lives, and they are exposing their teeth to more years of crack-inducing habits, such as clenching, grinding, and chewing on hard objects. These habits make teeth more susceptible to cracks. Cracked teeth symptoms include unpredictable pain when chewing, or pain when your tooth is exposed to temperature extremes. The pain may come and go, and it may be difficult to locate which tooth is causing the discomfort. Unlike a broken bone, the fracture in a cracked tooth will not heal. In spite of treatment, some cracks may continue to progress and separate, resulting in loss of the tooth. Placement of a crown on a cracked tooth provides maximum protection but does not guarantee success in all cases.

Oral Facial

The maxillofacial area (which refers to the head, face and jaw) is the primary physical attribute that creates lasting impressions. Working with maxilla-facial surgeons, plastic surgeons and ear-nose-and throat surgeons, we provide treatment for patients with birth defects such as cleft palate; conditions such as temporomandibular joint dysfunction (TMD); traumatic injuries; and complex restorations for patients who have undergone surgical or radiation treatment for cancer.
Congenital and Developmental Mouth Defects
Many patients are missing certain teeth because the teeth never developed or may be misshapen. We can determine the best way to replace and/or restore these teeth. Other patients exhibit teeth with poorly developed tooth structure throughout the mouth and require a prosthodontist’s expertise in restoring these teeth to proper form and function.
Cleft Palate/Obturator
Many cleft lip and palate patients exhibit missing teeth in the area of the cleft and would benefit from a prosthodontist’s care in the management of these areas. Although most cleft palates are now successfully closed surgically, there are patients who require an obturator to close the palatal defect.
Defect development after cancer treatment
For patients undergoing chemotherapy or radiation therapy, repairing damaged facial tissues can aid in greater comfort, health and well being. Many patients require rehabilitation of defects that are created in the face due to cancer and traumatic injuries. We, as prosthodontists possesses the skills necessary to fabricate facial prostheses and obturators that will improve the patient’s speech and swallowing, and reconstruct jaw bones to restore a functional dentition.
Prosthetic Facial Structures
Prosthetic eyes, ears and noses can be developed to replace facial defects. Prostheses are made of artificial materials. Along with correcting aesthetic and cosmetic concerns, special devices can help patients who are having trouble swallowing or speaking coherently.
Maxillofacial prosthetic treatment may, in certain circumstances, offer an alternative to reconstructive surgery or plastic surgery. For patients who are in poor health or who have a very large defect or trauma, or in cases where patients are of advanced age, maxillofacial prosthetic treatment may be, in fact, the better option, especially when radiation therapy is being undergone, bones have been damaged or living tissue is not viable to be replaced.

Services to Dentists

We provide a friendly support service to our referring professional colleagues and their patients. Our aim is to provide the very best in multidisciplinary treatment using evidence-based protocols for the benefit of patients. We are available to discuss any questions you may have and provide the following services:
  • Fabrication of facial prostheses like artificial eyes, ears, and noses
  • Fabrication of obturators
  • Partial Dentures
  • Complete Dentures
  • Single Tooth to Full Mouth Rehabilitation with crown and bridgework – implant supported or tooth supported
  • Implant retained and supported prosthesis for edentulous patients
  • Endodontic treatment of complicated cases
  • Maxillofacial prosthetic treatment may, in certain circumstances, offer an alternative to reconstructive surgery or plastic surgery. For patients who are in poor health or who have a very large defect or trauma, or in cases where patients are of advanced age, maxillofacial prosthetic treatment may be, in fact, the better option, especially when radiation therapy is being undergone, bones have been damaged or living tissue is not viable to be replaced.

TMD

As the most complex joints in the body, the temporomandibular joints (TMJ), more commonly referred to as the “jaw joint”, anchor the lower jawbone to the skull and assist in the basic opening and closing movements of the jaw.
TMD stands for temporomandibular joint disorder. The disorder is used to describe a number of ailments associated with the TMJ’s. Although medical science has not yet isolated the cause of TMD, it has been associated with grinding and clenching of teeth, as a side effect of surgery, arthritis and psychological effects.