Kannur Dental Care

Prosthodontics – Restorative

Aesthetic Inlays / Onlays

1. Aesthetic Inlays / Onlays

Nowadays, Aesthetic inlays / onlays are the common preference over traditional amalgam filling. Most people tend to choose natural coloured inlays and onlays as a replacement to their fillings for aesthetic reasons. An inlay or onlay is a type of material which is placed inside or over the surface of a decayed or damaged tooth and are seen as a good alternative to a crown. Placed to cover the top surface of the tooth, they are made from a variety of materials which resembles the natural colour of your own teeth to make it more visually attractive.

Benefits of Aesthetic Inlays & Onlays

The main benefit is that they fit in very well with the rest of your teeth. The material used is ‘tooth coloured’ and has a realistic appearance, which is good news from a cosmetic point of view. This procedure is often part of an overall ‘smile makeover, in which various procedures are performed to enhance the appearance of teeth and provide a huge confidence boost. There is no risk of the inlays and onlays becoming discoloured over time. They are also easy to clean as part of a daily dental routine and provide extra support for a tooth.

Veneers / Non Prep Veneers

2. Veneers/Non Prep Veneers

Veneers are thin, custom-made shells crafted of tooth-colored materials intended to cover the front (facial) part of the teeth for improved appearance.

What types of problems EMS do dental veneers fix ?
  • Discolored teeth that can be caused by root canal treatment; stains from tetracycline or other drugs, excessive fluoride or other causes; like the presence of large resin fillings.
  • Teeth that are worn down
  • Misaligned, uneven, or irregularly shaped teeth (for example, have craters or bulges in them)
  • Teeth with gaps between them (to close the space between these teeth)

Several visits are necessary to complete the treatment but the tooth preparation is minimal and confined to the enamel structure. The veneer is bonded to the tooth structure with tooth-colored resin cement. Patients should be aware that this is usually an irreversible process because it’s necessary to remove a small amount of enamel from your teeth to accommodate the shell.

No-Prep Veneers

As the name indicates, this is a type of veneers which requires little or no preparation. There are two types of No-Prep Veneer:
1. Lumineers
2. Willie Geller Veneers – more natural looking and needs a highly skilled and well trained dental technician.

Advantages of No-Prep Veneers

One session/sitting is enough for the completion of procedure as there is no need for you to undergo the preparation of tooth in readiness for the veneer.
It preserves the tooth as well as saves you both time and money.


3. Crown

A crown or a bridge is a cap that is placed over a tooth and held in place by dental adhesive or dental cement to treat problems of decay, fractured teeth and malocclusion, as well as to protect teeth which have undergone root canal treatment or large fillings. They can also be used to change tooth color and shape.

A normal process for a full crown restoration needs 2-3 appointments. Although the majority of crowning treatments are completed in two visits, there is sometimes a need for a third visit, to ensure that it is properly fit. On the first visit, the tooth will be reshaped by filing down the tooth so that the crown can be placed over it. You will be given a local anesthetic before this part of the procedure so that no discomfort is experienced. Next, a mold will be taken of that tooth and of the surrounding teeth to be sent to the lab for the crown fitting. A temporary crown will be placed until the permanent one is ready. The second visit sees the placement of the final restoration and the permanent crown will be fitted comfortably into the mouth. Every effort will be made to ensure that the new tooth feels exactly like one of your natural teeth before going to the final step, which is to cement the crown into your mouth.

Benefits of Crown
  • Permanent restoration for teeth with large fillings
  • Gives protection for badly decayed or fractured teeth
  • To correct minor problems in natural teeth like spacing, irregular shape or severe discoloration.


4. Bridges

A bridge is a cap that is placed over a tooth and held in place by dental adhesive or dental cement to treat problems of decay, fractured teeth and malocclusion, as well as to protect teeth which have undergone root canal treatment or large fillings. They can also be used to change tooth color and shape.

A bridge is a cap that is placed over a tooth and held in place by dental adhesive or dental cement to treat problems of decay, fractured teeth and malocclusion, as well as to protect teeth which have undergone root canal treatment or large fillings. They can also be used to change tooth color and shape.

Bridge / Fixed Partial Denture & It's Types

A bridge or fixed partial denture is planned when one or more teeth are missing and there are healthy teeth on both sides of the open space.

1. All-Ceramic Bridge / Porcelain with Ceramic Substrate

An all-ceramic bridge or porcelain with ceramic substrate is the most aesthetically pleasing among all the bridges. As there is no metal, the translucency is usually excellent. These bridges are usually indicated on front teeth or teeth that are highly visible. We use only the best materials (a combination of beauty, biocompatibility, and strength) for our all-ceramic bridges.

2. A Full Gold Bridge

The primary benefit of a full gold bridge is its durability. A full gold bridge is composed of gold and looks gold. We only use high noble metal for our gold bridges (about 72% gold or 18 carat gold, 3.5% platinum). High noble metal fits better and is much less likely to result in allergies or sensitivities. Full gold bridges are indicated on back teeth with low visibility.

3. Porcelain Fused to Metal (PFM)

Porcelain fused to metal (PFM) is a tooth-colored bridge with high strength. Unlike an all-ceramic bridge, the metal core of the PFM makes it stronger. Tooth-colored porcelain of the highest quality is baked on the outside of the metal core. But because there is metal under the porcelain, it blocks natural tooth translucency and is not as pretty (aesthetically) as an all-ceramic bridge.
However, ceramic bridges do not enjoy the longevity of PFMs. There are many different marginal configurations (the area where the bridge meets the tooth) of a PFM. How well the margin of the bridge fits, affects the health of the gums and ultimately the longevity of the bridge. We choose to do a porcelain butt margin, which is the most aesthetic option (also the most challenging for the dentist and the laboratory technicians to perform well). A porcelain butt joint, when done well, is aesthetic, healthy for the gums, and durable.


5. Dentures

Dentures are replacements for missing teeth that can be taken out and put back into your mouth. There are two main types of dentures: full and partial.  Your dentist will help you to choose the type of denture that’s best for you. A denture, commonly called ‘false teeth,’ is a removable prosthesis used to replace missing teeth. Usually made of acrylic or a combination of acrylic and metal, dentures provide support for the cheeks and lips and help you eat, speak, and function. The duration of the treatment varies on a case-to-case basis. 

Like natural teeth, dentures can accumulate plaque and food debris, particularly in areas where the denture is in contact with your gums and remaining teeth. In addition to the usual brushing, dentures should be cleaned regularly to avoid staining and emitting a bad odor. If possible, dentures should be removed and cleaned after every meal. During the first few days, you will be advised to wear them most of the time except when sleeping. Always remove the dentures before going to bed to allow your gum tissues to rest and promote oral health. Gentle massaging of the gums with a soft toothbrush is encouraged. our jawbones and gums naturally shrink over time and this can cause the dentures to fit less securely. Ill-fitting dentures can give rise to chewing difficulties, soreness, infections and changes in facial support. It is important that you visit your dentist to have your dentures and oral tissues evaluated yearly.

Things to Remember
  • Avoid very hot water as it may distort the denture.
  • Avoid using abrasive cleaners that can roughen the polished surface of the denture.
  • Hold the denture firmly while cleaning. Accidentally dropping the denture may result in chipped or broken dentures. Always wash your denture over a basin of water.
  • Soak the dentures in denture cleanser once a week to remove stains and always rinse them thoroughly before using the dentures again.
  • When you are not wearing the dentures, store them in water. Dentures may lose their shape if left to dry out.
  • Use a soft hand brush or a special denture brush for cleaning your denture.
  • Use a mild detergent to clean dentures.
  • Do not use bleach as this may whiten the pink acrylic.
  • Remove the dentures before going to bed
Suggestion to adapt using denture
  • Increased salivary flow can be found after inserting denture. This is nothing but a natural response of the salivary glands. Swallowing more often will help in this situation, although everything will be back to normal after a few weeks.
  • Pronouncing certain words may be difficult as you are adjusting to the new dentures, but you can speed up the adaptation process by reading out loud and repeating troublesome words. This problem rarely persists beyond two weeks.
  • Minor irritation caused by surface irregularities or pressure spots on the denture-bearing areas are quite common. Consult your dentist, if the discomfort is persistent or if the irritation becomes very painful.