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| Schematic diagram showing implant components and how a crown is placed on implant which in turn placed in a bony socket in the jaw bone |
People often ask me; can I get a fixed artificial teeth? While most of the time, they can get it, but in few unfortunate one, it remained impossible to provide a fixed partial denture due to their unfavourable oral conditions. In those cases, we suggest them, “you should take an implant supported prosthesis”.
A crown is provided to protect the weakened natural tooth, regain its shape, maintain or enhance the esthetics and regain the functional ability of a person. A bridge is a prosthesis that is constructed to replace the one or more missing teeth and is supported by the neighbouring teeth.
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| A posterior tooth prepared for full crown (pink area) B-Buccal aspect, L-Lingual aspect |
They can be constructed in variety of the materials as follows:
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| Schematic diagram showing implant components and how a crown is placed on implant which in turn placed in a bony socket in the jaw bone |
Implant supported prostheses that include over-dentures, crowns and bridges are the treatment of choice in modern dentistry. They are very predictable in nature and have a track record of very successful life span serving their purpose. But, there are certain conditions where the dental implants cannot be provided due to the inherent nature of the disease. The implant supported prostheses are contraindicated in the following conditions:
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Domain 6. Patient Care
6.1 Clinical Information Gathering
It covers the collection and recording of information that is necessary and relevant.
As an Australian dentist you must be able to:
1. obtain and record a relevant history of the patient’s medical, social and oral health status
2. perform an examination for health, disease and abnormalities of the dentition, mouth and associated structures
3. select necessary clinical, pathology and other diagnostic procedures and interpret results
4. take radiographs relevant to dental practice
5. evaluate individual patient risk factors for oral disease
6. maintain accurate, consistent, legible and contemporaneous records of patient management and protect patient privacy
6.2 Diagnosis and Management Planning
It covers the identification of disease or abnormalities that require treatment or investigation As an Australian dentist you must be able to:
1. recognise health as it relates to the individual
2. diagnose disease or abnormalities of the dentition, mouth and associated structures and identify conditions which require management
3. determine the impact of risk factors, systemic disease and medications on oral health and treatment planning
4. formulate and record a comprehensive, patient-centred, evidence-based oral health treatment plan
5. determine when and how to refer patients to the appropriate health professional
6. obtain and record patient informed consent and financial consent for treatment
6.3 Clinical Treatment and Evaluation
It covers the provision of evidence-based patient-centred care.
As an Australian dentist you must be able to:
1. apply the principles of disease and trauma prevention and early intervention in the management of the dentition, mouth and associated structures
2. apply the principles of behaviour management
3. manage a patient’s anxiety and pain related to the dentition, mouth and associated structures
4. manage surgical and non-surgical treatment of diseases and conditions of the periodontium and supporting tissues of the teeth or their replacements
5. manage surgical and non-surgical treatment of pulp and periapical diseases and conditions with endodontic treatment
6. manage the loss of tooth structure by restoring the dentition with direct and indirect restorations
7. utilise patient removable prostheses to rehabilitate, restore appearance and function, prevent injury and stabilise the occlusion
8. utilise fixed prostheses to rehabilitate, restore appearance and function and stabilise the occlusion
9. manage oral conditions, pathology and medically related disorders and diseases associated with the dentition, mouth and associated structures
10. manage skeletal and dental occlusal discrepancies
11. manage the removal of teeth and oral surgical procedures
12. administer, apply and/or prescribe pharmaceutical agents
13. evaluate and monitor the progress of treatment and oral health outcomes
14. manage dental emergencies.
15. manage medical emergencies.