A crown, sometimes called a cap, is used to cover a damaged tooth and protect it from further breakdown. Crowns are often needed if you have a large filling, a broken tooth or a root canal. They can be made from gold or porcelain or a combination of the two. With modern technology, crowns can be made so that they give you the strength, beauty and feel of a natural tooth.
The main function of a bridge is to provide stability for your bite if there are missing teeth. When a tooth is lost, the surrounding teeth shift and collapse into the empty space. Without a bridge, the resulting misalignment of the teeth can cause instability and stress to the Temporalmandibular joints and muscles. Bridges can be made from ceramics or reinforced with gold for strength. Bridges, unlike dentures, can only be removed by a dentist.
There are two types of dentures: partial and complete (full).
A complete denture is used when the patient has no teeth. A partial denture is used when the patient has some teeth. A partial denture can be used in place of a bridge when surrounding teeth are not strong enough to hold a bridge, or when more than just a few teeth are missing.
Dentures are fully removable by the patient for cleaning. Both are made from taking an impression of your mouth. When requiring a complete denture, the Prosthodontist ensures, by using various procedures, that it fits properly, does not impede good speech and is aesthetically pleasing.
An implant is an artificial replacement for the root of the tooth, made from commercially pure titanium or titanium alloy. Implants are used to anchor crowns, bridges, or dentures. There is no age limit for having implants.
A Prosthodontist works in a team approach with other dental specialists to determine the position, size and number of implants to be placed. An implant is surgically placed in the jawbone by either a Periodontist or Oral Surgeon. After the placement of the implant, the bone around the implant fuses to the implant through a process called osseointegration – usually taking two to six months to occur. Afterwards the patient returns to the Prosthodontist for the restoration of the implant(s) with either crowns, bridges or dentures.
Aesthetic & Cosmetic Dentistry
It’s well known that a good smile enhances self-esteem.
If you have teeth that are crooked, stained, worn or have darkened over time, there are very conservative cosmetic treatments options that a Prosthodontist can provide. Back teeth that are filled can be restored with bonded ceramic inlays or onlays. An onlay is a technique utilizing ceramic material that can improve color, contour, and strength.
Front teeth that are crooked or worn, can be cosmetically restored with porcelain veneers. A minimal amount of tooth structure, 0.5-1.0 mm, of tooth is removed and replaced with a custom fabricated porcelain facing to alter position, size and color of the teeth.
Complex & Advanced Cases
Dr. Isakow has extensive experience with complex cases. He determines the appropriate treatment plan and actively co-ordinates with other specialists in order to reconstruct your smile.
With a demographic rise in this population, this group has dental problems that are unique. Often due to multiple medications, geriatrics have a condition known as xerostomia, or dry mouth. As well due to compromised overall health, an individual may not be able to maintain their dental health as they once did.
As a Prosthodontist with extensive experience treating this growing population, Dr. Isakow is able to recognize problems unique to this group and help in the management of their dental problems and concerns.