The aim of prosthodontics 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 in this field also involves broad integration of knowledge to enable use of a broader approach, thus ensuring the highest level of care.
A clinician trained specifically in this field 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, our highly trained clinicians 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.
Treatments that fall under the field of prosthodontics include:
As part of any restorative effort, there are design elements 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.
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.
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.
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.
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.
BDS (Hons.) MJDF RCS (Eng), MClinDent (FRP Lond) FICOI, MSc (Dental Implantology)
BDS (Lond) MJDF RCS (Eng)