Prosthodontics / Management of Missing Teeth


Tooth loss can occur due to a variety of reasons
  • Dental and gum disease - The most common reason for tooth loss is gum (periodontal) disease. Infection of the tooth supporting structures gradually destroys tooth support and ultimately tooth may be lost if not intervened. Dental caries (decay) can also progress to such an extent that the tooth is no longer salvageable and needs to be removed to prevent further spread of infection.
  • Trauma - Teeth can be "knocked out" from trauma, such as in an accident or assault. Teeth may break or fracture in such a way that they must be extracted. This can also happen due to teeth clenching and grinding habits (bruxing).
  • Congenital absence – Sometimes teeth may be missing by birth. The baby teeth may appear but the permanent teeth may be missing.
  • Other health conditions- Apart from gum diseases, some health conditions like diabetes and osteoporosis may affect tooth support and bone density. Deterioration of support may result in tooth loss.
Consequences of tooth loss

Besides health problems, missing teeth lead to unsightly gaps in a smile. This affects appearance and decreases self-confidence. Tooth loss causes

  • Speech problems
  • Problems in chewing leading to avoiding some foods
  • Social embarrassment
  • Anxiety and self-consciousness
  • Movement and weakening of remaining teeth and their possible loss
  • Nutrition problems
  • If baby teeth are lost early, there is no sufficient space for the adult teeth to erupt and leads to teeth malalignment.

In order to prevent all those problems, there are many options for tooth rehabilitation:

Fixed Dental Crowns and Bridges

A crown is a hollow cap that is fixed onto a tooth and covers it entirely. It is used in cases where there is lack of tooth structure or for a tooth that is weakened by decay, damage or is discolored. They are also usually required after Root Canal Therapy. A crown can be placed to strengthen the tooth or to improve its appearance, shape or alignment.

Schematic diagram of dental crown   Schematic diagram of dental bridge A bridge is used to a fixed replacement for one or more missing teeth. Teeth neighboring the empty space are used as anchors to place a bridge. Crowns and bridges may also be fixed upon dental implants.

We specialize in metal-free porcelain crowns and bridges that are translucent and very closely resemble your other natural teeth. Being metal-free, there is no ugly grey line at the edge as seen in the case of older metal based crowns.
Schematic diagram of dental crown   Schematic diagram of dental bridge  

We also specialize in Zirconium crowns and bridges that are durable and esthetic. We use this latest advanced technology in cosmetic dentistry with great results and its esthetics & strength is exemplary. The look of zirconia is so close to natural teeth that it is hard to tell the difference. It is also a very strong substance that can endure wear and tear. It allows light to pass through as a normal tooth would and that gives a natural look, unlike other metal cores that block the light.

Teeth adjoining space of missing upper front teeth prepared   After ceramic bridge fixing  
Teeth adjoining space of missing upper front teeth prepared   After ceramic bridge fixing  

Zirconium crowns have become the preferred choice for dental crowns.

We employ sophisticated CAD CAM technology for precise and accurate crown and bridge work.

Crowns and bridges are permanently fixed to natural teeth. They are very easy to maintain, just like brushing natural teeth, crowns and bridges can be brushed too.

Removable Dentures

Removable partial denture   These are removable replacement for missing teeth. There are two types of dentures-complete and partial. Complete dentures are used when all the teeth are missing. Partial dentures are used when some natural teeth are still remaining.

Our Prosthodontists specialize in dentures that resemble natural teeth helping our patients eat and speak better. Dentures fill out the appearance of the face and profile improving appearance and smile.
Removable partial denture    

Patient with complete tooth loss   Removable dentures given   Patient wearing complete removable dentures  
Patient with complete tooth loss   Removable dentures given   Patient wearing complete removable dentures  

Unlike fixed crowns and bridges, dentures are not permanently fixed. They have to be removed every night and placed in denture solution or water. These prosthesis have to be cleaned everyday. Occasionally they may lead to gum sores. If dentures are loose fitting, it causes difficulty in chewing, eating and speech. Denture slipping causes embarrassment and loss of self confidence.

Dental implants

These are an excellent treatment option. An implant is an artificial root that is anchored to the bone and on which a crown is placed. It looks and feels like a real tooth and does not require other teeth for support.