4945 Stone Falls Center, Suite A, O’Fallon, IL Call (618) 624-2800

Procedures

Prosthodontics: Rebuilding Worn, Damaged and Missing Teeth

Prosthodontics is the branch of dentistry that restores and replaces teeth. In our office it’s the planning that brings crowns, bridges, implants, dentures and veneers together into one result.

TL;DR

Prosthodontics covers the crowns, bridges, implant restorations, dentures and veneers that rebuild a mouth. It is also a recognized dental specialty. Dr. Prane is a general dentist who completed the Navy’s Advanced Education in General Dentistry residency and the Dawson Academy’s core curriculum, and she plans and provides this kind of care in our O’Fallon office. Two of the smile gallery cases are multi-tooth rebuilds of this kind.

What is prosthodontic care?

Prosthodontic care is the work of restoring teeth that are badly worn, broken or missing, so they look natural and meet comfortably when you bite. The individual pieces are familiar: crowns, fixed bridges, implant-supported teeth, dentures and partials and porcelain veneers. Each one has its own page under restorations or cosmetic dentistry.

What makes it prosthodontics is planning across many teeth at once. When the front teeth have worn short, or one arch has lost most of its teeth, each restoration has to agree with its neighbors and with the opposite jaw. That is a different job from repairing a single tooth, and it’s why this page exists apart from the treatments themselves.

Who plans this kind of treatment at Stone Falls Dental Care?

Dr. Carleigh Prane does. Prosthodontists are specialists who train for several extra years after dental school; Dr. Prane is a general dentist whose advanced training went past dental school too. She completed the U.S. Navy’s Advanced Education in General Dentistry residency in Pensacola, and later the Dawson Academy’s core curriculum and hands-on series, which centers on the bite and on how the jaw joints and muscles respond when teeth are rebuilt.

The practice’s own cases show the scale. One upper and lower rehabilitation paired an implant-supported upper denture with lower implants and crowns. Another replaced a three-unit bridge, chipped and showing metal, with an all-porcelain bridge matched to the natural teeth. Both are in the smile gallery.

What has to happen before prosthodontic treatment begins?

The foundation has to be healthy first. Active gum disease or untreated decay will undermine any crown, bridge or denture placed over it, so those are treated before anything else. Dr. Prane looks at the gums, the bone, the bite and the jaw joints, using X-rays and photographs, then lays the plan out in stages so you know the order of the work and the cost of each stage before it starts. Temporary restorations can let you try a new tooth length or bite before the final porcelain is made.

Prosthodontics

The treatments, one page each

Answers

Questions people ask

Do I need a prosthodontist, or can a general dentist rebuild my teeth?

Many general dentists with advanced training plan and complete multi-tooth restorations. Dr. Prane went beyond dental school with the Navy’s AEGD residency and the Dawson Academy’s core curriculum. Whether your case suits a general practice depends on its complexity, and she’ll explain what she sees and what she recommends at the consultation.

What is a full mouth reconstruction?

It’s the rebuilding of most or all of the teeth in both jaws, using some mix of crowns, bridges, implant-supported teeth and dentures. Because every tooth affects the bite, the work is planned around how the jaws close, then done in stages over a period of months rather than all at once.

Can teeth worn down from grinding be rebuilt?

Often they can, with crowns or onlays that restore the lost height and shape. The grinding itself has to be accounted for first, or the new teeth will wear or break the same way. Dr. Prane studies the bite and the jaw joints before planning, so the rebuilt teeth are made to withstand the forces on them.

How long does it take to restore a whole mouth?

Several months is typical, and longer when implants are involved, since the bone needs time to heal around each one. Gum and decay treatment come first, temporary teeth often bridge the gaps, and the final restorations follow. You’ll get the full sequence and timeline at the start.

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