Oatland Dental Lounge
Oatlands Dental Lounge, 127a Oatlands Drive,
1st Floor Alfred House Weybridge, Surrey, KT13 9LB
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Prosthodontics

The aim of a Prosthodontist is to restore the dentition to achieve the best possible functional and aesthetic outcome and relates to rebuilding natural teeth and restoring missing gaps with artificial (prosthetic) replacements. Training also involves knowledge of the other dental specialties to enable an integration of a patient's treatment plan using a broader approach, to ensure the highest level of care.

A Prosthodontist is responsible for planning and completing complex restorative treatments, and can also be seen for a second opinion, regarding simple or more complex or involved treatment plans.

This may involve a routine procedure such as making a crown for a damaged tooth or it could involve more complex procedures, such as full mouth reconstruction for dentistry which has failed over the years. In the majority of cases, the work of the Prosthodontist lies somewhere between these two clinical situations.

Trauma, the ageing process, disease, and decay can cause damage to teeth, and when it is widespread a Prosthodontist specialist will gather in depth information following a thorough assessment, to devise a treatment plan to restore the function and appearance of your teeth. This can be likened to an architect assessing a site for building, such that sound plans can be made to give a predictable outcome.

When we grind our teeth from side to side the back teeth are protected to some extent by the canines.
The back teeth are ‘separated’ as the canines meet. If the canines wear away then the back teeth will come together. This can cause fracturing of the sides of the back teeth particularly those that already have fillings and are weak. Restoring the canines can help prevent further damage.

Many people grind and clench their teeth while asleep. This not only causes damage to the teeth but also results in lasting pain sometimes it’s headache, sinus pain, jaw ache or neck and back pain. The grinding motion leads to abfraction, chipped teeth and lost canine guidance and damage to the tongue as it is chewed during the night.

There is a relatively simple solution to clenching. If you keep the front teeth apart it is very difficult to clench. Because the back teeth are separated. A special device is made to fit over your teeth. It can be worn on the top or bottom teeth according to your grinding action. It’s made to fit comfortably and securely and should assist in a “damage free” peaceful night’s sleep.

Treatments that fall under the care of a Prosthodontist include:

As part of any restorative effort, there are design elements utilised by a skilled Prosthodontist to ensure aesthetic proportions and pleasing, natural results. These basic elements include:

The Horizontal Smile Line
This element uses an imaginary horizontal line that connects both eyes and another connecting both canine teeth. The two imaginary lines should be parallel for the most attractive result.

Vertical Symmetry
This element takes into account mid-line symmetry in your smile, meaning the imaginary line that divides the upper and lower portions of your smile. Differences in the size or shape of your front teeth can flaw the symmetry of your smile.

Smile Line
This element is an imaginary line that connects the biting edges of your top teeth. A Smile Line that gently follows the curve of your lower lip is the most attractive.

Gingival or Gum Line
This element produces an enhancing frame to your teeth by symmetrically following your upper lip. Best results are achieved when only pink triangles of gum tissue is visible between your teeth when you smile.

Embrasure
This element refers to the triangular spaces between the tips of your teeth, with the most attractive appearance being when the embrasures are smaller between front teeth and then increase in size. Masculine embrasures tend to be more squared, while feminine embrasures have a softer, more rounded appearance.

Tooth Proportion
This element defines the most attractive tooth height to width ratio, known as a ratio of 0.7:1.

The Golden Triangle
This famous element, also known as the Golden Proportion, is present throughout nature as an appealing balance in design. Used as the starting point of reconstruction and smile design, The Golden Triangle indicates the amount of tooth surface visible when looking directly at someone’s smile. This foundation of design is known as the ratio of 1.6:1:0.6.

Dr Neil Paryani

BDS (Hons.) MJDF RCS (Eng), MClinDent (FRP Lond) FICOI, MSc (Dental Implantology)

Dr Poonam Paryani

BDS (Lond) MJDF RCS (Eng)

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