Fixed prosthodontics is the discipline that studies and carries out the procedure to replace missing teeth with devices solidly anchored to residual dental elements or to osseointegrated implants.
Its main aim is to restore the masticatory and phonatory function, respecting the health of the surrounding bone and gingival tissues, the temporomandibular joints and the neuromuscular balance, to get an harmonic and aesthetically valid result.
The key to get and preserve a proper result over time is the accurate planning and rigorous execution of all clinical steps. As an architect needs metric surveys and planimetric drawings, the prosthodontist needs a huge amount of data in order to design a plan respecting the criteria cited above. The general and dental health patient’s states are analyzed, and bi/tridimensional X-rays, pictures, impressions of dental arches, recordings of their spatial relation, notes about the facial mimic and others are collected.
After collecting data, according to the patient’s needs and requests, the prosthodontist develops a specific, detailed and complete plan, comprising also therapeutic alternatives, and discusses with the patient the best choice for his/her case.
As we said before, the planning and design steps are fundamental to avoid starting wrong therapies that can compromise, even in an irremediable way, the dental and sometimes the general patient’s health condition.
Next, the execution steps are equally important. The choice of proper techniques, correct technologies and state-of-the-art materials and the collaboration with a highly specialized dental technical lab, the use of magnifying loupes (4 – 4.5 x) and a microscope (20x) that allow the surgeon to work with the maximum precision, are crucial factors to get the best result and to guarantee its quality over time.
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