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Prosthodontics is the dental term for restorative
dentistry. It has been a recognised dental speciality
in the United States since 1948. The United States continues
to be considered a world leader in both prosthodontic
practice and training in this area of dental speciality.
Postgraduate training in Prosthodontics,
similar to postgraduate training in Periodontics, Orthodontics
& Endodontics involve up to three years further
training , education and qualification. All clinicians
have already qualified as general dentists and in many
cases may have managed and lead their own primary care
dental practice prior to being accepted onto a post-graduate
dental specialist course.
A Prosthodontist is involved in the replacement of missing
teeth. Patients presenting with dental problems may
have experienced tooth loss through gum disease (either
acquired or hereditary), congenital disorders, dental
trauma following accidents or ongoing dental decay.
The function of a qualified Prosthodontist
is to thoroughly examine a patient’s oral health,
identify the existing and ongoing problems, incorporate
the patient’s dental history and through treatment
planning, outling individualised treatment options,
providing solutions for dental problems. Individualised
treatment plans are drawn up following consultation
in conjunction with comprehensive dental x rays and
dental study models.
The identification and control
of gum and dental disease is central to successful dental
treatment. The restoration of dental function, restoring
patients individual eating and speaking abilities is
central. The return of an individual confident smile
is also the goal of care.
Prosthodontists are
in a central position to coordinate patient treatment
planning, by identifying crucial dental needs, working
and coordinating care, if indicated with an Endodontist
(root canal specialist, who creates a firm foundation
onto which a restored tooth can be placed) if required
and a Periodontist who may be involved
in the management of patients who have been diagnosed
with gum disease. Gum grafts and the placement of implants,
may also be indicated, if patients have been assessed
to be suitable for dental implants to support restored
teeth where the patient is edentulous (has no teeth).
CT scans are indicated prior to the placement of implants
in most cases. This crucial diagnostic tool is central
to the assessment of patient bone integrity prior to
the Prosthodontist individually discussing with a patient
suitability for the placement of implants. It is important
to note that not all patients are suitable for implant
surgery. The risk and benefits will always be indicated
through discussion with a qualified Prosthodontist and
Periodontist.
All patients requiring prosthodontic consultation should
request referral from their dentist and an appointment
will be scheduled as soon as possible.
It is helpful if patients have had recent x-rays taken
to bring them along to the appointment.
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