High level and specially certified prosthodontists perform prosthetic therapy at our clinic. Our specialists regularly improve their knowledge at the leading symposia and postgraduate training programmes worldwide. A considerable proportion of our dental prosthetics specialists lecture at Rīga Stradiņš University, thus ensuring a high level of practical and theoretical knowledge of the physicians of our clinic. We choose the most progressive and sustainable solutions of traditional and digital dental prosthetics in our practice to provide you with maximum comfort and top class results.
Production of an individual dental crown, bridges for the replacement of several teeth, partial tooth replacement or full tooth row replacement dentures of the upper of lower jaw is a medical procedure of highly aesthetic value and precision.
The most important factor is the appearance of the tooth or tooth aesthetics, which, apart from high technical knowledge, requires every prosthodontist to possess an artistic talent to ensure that your new smile or part thereof is in harmony with the current situation, or, in the event of more extensive prosthetic work, – in harmony with your facial contours and personality.
Jaw muscles are very strong, since they are intended for chewing food. As research conducted in 1994 demonstrates, the average strength of bite of a male jaw fluctuates from 43 kilograms per 1 tooth in the front teeth to 120 kilograms per 1 tooth in the back teeth (https://pubmed.ncbi.nlm.nih.gov/7744385/), which means that the slightest imprecision in the process of dental crown, bridge or denture production may result in damage to the crown as well as harm to the oral cavity health of the patient.
In most cases, temporary dental crowns are made of plastic or a composite material to temporarily replace the missing natural teeth, while the dental prosthetic procedures are being performed.
The dental crown is produced for 1 tooth; it can be fixed on the existing natural tooth or an inserted tooth implant, which performs the function of the dental crown.
Implant is a recommended option for the support of a dental crown in the event of tooth loss, since, being constantly loaded it will considerably reduce the risk of jaw regression; furthermore, it is functionally and aesthetically more suitable.
This is a type of dental prosthesis that is used in the following cases:
The bridge, as well as the crowns can be made from zirconium oxide and metal, which is covered with a layer of porcelain, metal composite or plastic.
These dental prostheses are either based on the existing teeth or implants, which means that the respective dental prosthesis, after the insertion thereof, is not removable and does not move, which provides psychological and functional comfort, because fixed prostheses best resemble natural teeth in terms of functionality and aesthetics.
The use of removable prostheses can only be recommended in the event, where, due to some reason, the production of fixed dental prostheses is impossible. This means that dental prostheses are not firmly fixed in the mouth and can be constantly removed and replaced again.
Removable prostheses are made of special plastic or a combination of metal and plastic. This limited selection of materials is based on the inability of other materials to ensure sufficient mechanical durability.
Removable dental prosthesis on implants
If the removable prosthesis is the only way to replace missing natural teeth, implants are used for fastening them to reduce the drawbacks of removable prostheses, which ensures comfort that is similar to the comfort provided by non-removable prostheses.
These prostheses are mainly used in the cases with a high number of missing natural teeth, or, where all natural teeth in one or both jaws have been lost. Read more on this issue in the FAQ section “Total denture, ALL on 2 and all on 4”.
This is a highly aesthetic restoration that preserves dental tissue. Porcelain plate is a thin layer of ceramic that is used to cover the surface of the tooth in order to improve the colour, shape, size, position of the tooth, etc.
When dental veneers are produced, approximately 0.5 mm of dental tissue is milled off the external (frontal) surface of the tooth. The physician takes an impression of the milled teeth to enable the laboratory to produce porcelain plates of different types. Temporary veneers are produced for use between fitting sessions. The physician fixes the finished veneers to the teeth using special durable cements. Porcelain plates are usually made for the front teeth. The translucency of porcelain plates successfully imitates natural tooth enamel and it can be adjusted to the required/natural colour of the teeth. The porcelain plates do not stain; nicotine, tea or other external factors do not produce stains on them.
Total removable prosthesis is used in the cases, where all natural teeth have been lost in your upper jaw, lower jaw, or both jaws.
This type of prosthesis is produced from a metal frame that the gum imitating material – methyl acrylate is fixed to, which is used to fix dental prostheses that are made from special plastic.
Unfortunately, the production of total dentures made of ceramic coated zirconium oxide or metal is currently impossible due to the mechanical properties of the materials.
Traditionally, this prosthesis is fixed to the jawbone and gums. The drawback of this system is the natural loss of jaw bone mass over time, as well as the mobility of the prosthesis.
Therefore, a more modern and sustainable solution is to fix this prosthesis on implants by using a special fixation system.
In standard cases, the prosthesis is fixed on 4 implants; however, if due to physiological or financial considerations it is impossible to ensure this type of fixation, the total denture may be fixed on 2 implants. Two implants will not ensure the sensation of natural teeth and stability; however, it will be a much better solution than the production of prosthesis without implant fixation.
The international name of this type of total denture fixation is “All-on-4” and “All-on-2”.
Like in other sectors of medicine, one person cannot specialise in all areas of dentistry. Therefore, upon selecting the dental clinic where you plan to restore your smile, find out whether this clinic contains all the specialists that are required for reaching a therapeutic and aesthetically impeccable result.
Our clinic provides the availability of these specialists in one place.
However, the creation of your smile does not end when your teeth are restored and their position is corrected; therefore, our clinic offers services of a dermatology specialist, who can perform the correction of a gingival smile and reduce bruxism by means of botulinum toxin injections, reducing the need for the use of night mouth-guards. Furthermore, she can also offer medical and aesthetic treatment of the skin of your face (click here to learn more).
Each process of prosthetics consists of the following phases.
Repeated consultations, in the event of complex prosthetic procedures where the prepared therapy plan is discussed and, if required, the approximate visual solution of the therapy is demonstrated. If you agree to commence the therapy, the therapy plan and the list of specialists of our clinic that you need to visit will be issued to you.
In the event of missing teeth, the teeth that surround the empty space start to transform to cover the space, as well as the teeth of the opposite jaw start to grow longer.
These changes may lead to different deformations of your occlusion, which, in turn, can cause problems of a physiological, as well as aesthetic character.