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Prosthodontic Dentistry

Prosthodontic Dentistry or Prosthetic Dentistry treats missing teeth or treats existing teeth that have significant damage. Restorations are used to replace or restore missing teeth or missing parts of the tooth structure.

Benefits of Prosthetics

The benefits of fixing missing teeth include:

1. Prevents adjacent teeth from drifting into surrounding space of the missing teeth
2. Teeth out of position can damage tissues in the mouth
3. The difficulty of thorough cleaning between crooked teeth runs the risk of tooth decay and periodontal (gum) disease that can lead to the loss of another tooth.
4. Improves  your smile
5. Helps to chew food properly
6. May improve speech
7. Prevent a drooping face by providing support for lips and cheeks

All ceramic system

The all-ceramic system used at Elite Smile Dental Clinic Aesthetic clinic include the IPS Empress system, IPS Empress Esthetic and the new e-max crowns from Ivoclar Vivadent, Procera Nobel Esthetics from Nobel Biocare, and Cercon Smart Ceramic (Zirconium Crown) from Dentsply.

Porcelain fuse to metal crowns do not transmit light through the crown, resulting in a somewhat dull tooth appearance. All ceramic crown, on the other hand, allow for light transmission, so the entire tooth and the surrounding tissue are illuminated and lifelike in appearance.

Light transmit porcelain fuse to metal crown

Light transmit all porcelain crown

Cercon System

With the Cercon system, a high-tech ceramic, Zirconium Oxide, is now available and has already been proven in many extreme situations such as heat shields in the Space Shuttle, brake disks for sports cars and the spherical heads of artificial hip joints. This high-tech ceramic has the potential to give prosthetic care a whole new image, because Cercon smart ceramics it can now be used in dentistry. Verified by the medical application of zirconium oxide for about 20 years No allergic reactions reported in the published literature No interaction with other dental materials Good insulating behavior of the ceramic against cold/warm influences Smooth ceramic surface that supports good oral hygiene Well integrated to follow the natural contours of mouth. Together with natural teeth

Procera System

The secret behind Procera All Ceram is its unique combination of strength and beauty. Over the last few years, new technology has made dental porcelain more practical. Until now, porcelain coated ceramic copings has been neither strong enough nor durable enough for widespread use

With the strength in the core material, Procera All Ceram can be recommended for prosthetic reconstructions anywhere in the mouth. More and more patients are asking for constructions made of material not containing metal or other alloys. Procera All Ceram is made of bio-compatible material (comparable to Titanium) which minimizes the risk of allergic reactions. No need to worry about your allergies when you use Procera All Ceram. The translucent coping offers remarkable esthetic characteristics. When combined with Procera All Ceram Porcelain the advantages are clearly demonstrated.

Procera All Ceram combines excellent and profound strength with beautiful esthetics. The material consists of 99.5 percent pure aluminum oxide and is biocompatible, thereby ensuring excellent long-term esthetics. Procera All Ceram is translucent giving the tooth a natural appearance. At the same time Procera All Ceram is excellent for concealing underlying surfaces, such as amalgam and root fillings. This ceramic is also customized but still industrially produced, ensuring predictable results. You should try quickly in your mouth with minimal adjustments.

IPS Empress System

IPS Empress is an all-ceramic crown system that gives you exceptional esthetics plus strength. A proven ceramic alternative to metallic restorations, IPS Empress offers patient satisfaction with aesthetic, natural looking restorations, by the exclusive use of ceramic materials. The utilization of bonded ceramic restorative materials is intended to reestablish function, shape, contour, color (hue, value and chroma), natural light transmission and strength of natural dentition.

Individually colored tooth restorations can be reproduced in exact shape and shade. The result is an individually fabricated restoration with an excellent fit and all the characteristics of a natural tooth. Even when working in limited space, optimum aesthetic results can be obtained.

The Empress system produces crowns, inlays/onlays and veneers, providing one of the strongest all-ceramic restorations available. The restoration is modeled in wax and invested in a specially formulated investment. The system's furnace then allows the restoration to be pressed in leucite reinforced ceramic porcelain. After removal, the object is finished to the required aesthetic and anatomical specifications, using staining and layering techniques.

As for every all-ceramic system, the presence of a metallic post and core is not advisable, because of the shadow effect or the grayness of the substructure that inevitably results after cementation. This can be overcome by having the post and core fabricated in a ceramic metal, and a ceramic opaque fired to it. This is a two-step procedure with very pleasing results.

In the case of several single crowns or laminates, the same color is strongly recommended for all preparations (i.e., all substrates). To enhance the mechanical properties of this glass ceramic, the prosthetic restoration must be luted with an adhesive technique, using the latest generation dental adhesive. The composite cement must be chosen carefully to maintain the aesthetic properties of the all-ceramic restorations.

Principle: The highly innovative processing technology for all-ceramic offered by IPS Empress is creating new potential for producing natural looking restorations. A. Wohlwend at the University of Zurich further developed the idea of moulding heated ceramic to reproduce accurate ceramic copies of wax models.

Method:In the IPS Empress system, the restoration with all its functional specifications is modeled in wax. Once the wax restoration has been invested and burned out, the heated, softened ceramic is pressed in the mould.

Material: The ceramic is based on glass that contains latent nucleating agents. In a process comprising several stages, controlled crystallization is used to produce leucite crystals, measuring a few microns, in the glass matrix. The semi-finished product of leucite-reinforced ceramic powder is pressed into ingots and sintered. These ingots are the basic components from which we press restorations. The constant high quality of the ceramic ingots ensures the reproduction of the physical values of the restorations.

• IPS Empress all-ceramics provide impressive aesthetic results because the materials look so natural.
• IPS Empress all-ceramic are used to provide absolutely matel-free restorations. They are a biocompatible alternative for people suffering from allergies.
• IPS Empress all-ceramic are used at numerous universities throughout the world.

Reinforced glass-ceramics has been successfully used in all-ceramics in press technology for 15 years. Glass-ceramics can not only be just pressed but also milled by means of a state-of-the-art CAD/CAM technique.
IPS e.max Press are new highly aesthetic lithium disilicate glass-ceramic ingots with optimized homogeneity and high strength. They allow the fabrication of restorations with a high accuracy of fit. The strength of 400 MPa which has been unmatched to date by glass-ceramics enables conventional cementation.
In cases where you have dark color tooth such as from root canal treatment, and tetracycline stain, it is also possible to produce pressed all-ceramic restorations with the help of IPS e.max Press, since the ingots are also available with high opacity.

IPS e.max CAD is based on the same materials technology as IPS e.max Press and ideally unites the CAD/CAM processing technique with a high-performance lithium disilicate ceramic. The IPS e.max CAD blocks are used for fabricating tooth-coloured restorations with high strength in an innovative manufacturing process.

• Anterior and posterior crowns
• Anterior and premolar bridges (only IPS e.max Press)
• Implant superstructures

Independent of the processing, both glass-ceramics IPS e.max Press and IPS e.max CAD offer a natural shade effect and promote light transmission into the restoration.
Thanks to the high strength values, IPS e.max Press and CAD restorations can be adhesively, self-adhesively (Multilink Sprint) and conventionally cemented.

• Highly aesthetic lithium disilicate glass-ceramic
• Lifelike aesthetics independent of the shade of the prepared tooth
• Adhesive, self-adhesive and conventional cementation due to the unrivalled strength of 360-400 MPa

IPS Empress Esthetic

News from the IPS Empress Original System

The IPS Empress pressed ceramic system, which has been clinically proven for more than 15 years satisfies discerning users and patients all over the world. Twenty-five million placed restorations are testimony to the long-standing success of IPS Empress.

The Original System is continuously being developed, setting trends in the market with regard to aesthetics and function. The most recent innovation from the field of all-ceramics is called IPS Empress Esthetic. The material opens up a host of unexpected possibilities, particularly for veneers.

The new IPS Empress Esthetic Line offers heightened aesthetics, enhanced properties and cost effectiveness for the Staining Technique and partially layered veneers in your laboratory.