Stomatologic Prosthetics

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The leading goal of children’s age prosthetic therapy is to enable a smooth development of the orofacial system after loss of a dental crown or a whole tooth. Children’s prosthetic work has mostly a temporary character. Besides the main purposes, such as rehabilitation of its function, phonation and personal appearance, dentures at children provide for additional functions: enable complete teeth development and growth of alveolar ridges of jaws, thus serving an orthodontically preventive purpose. All kinds of dentures have to be constructed in such a manner that they are easily replaceable when the growth of alveolar ridges requires it. Lost teeth are replaced so that it does not impede the growth of jaws. When reconstructing crowns of temporary or permanent teeth, aspect of a personal visage is not the most important one. The main effort should be put in preserving a tooth vitality. Hard dental tissues defects of temporary and permanent dentition are replaced with crowns made of platinum - gold alloy. Some kinds of nice looking crowns may be used for permanent dentition restoration when articulation is favorable. Finalization of permanent teeth with a composite material is possible only for some defects where a line of fracture allows it. Devitalized permanent teeth may be fitted with a root post and an esthetic crown. At temporary teeth, a denture must not obstruct the root canal and disturb the root resorption. Here, crowns made of dental precious metals are utilized. Missing permanent teeth are replaced with dentures in majority of cases; the orthodontic teeth movement is applied in indicated exceptional cases only. Dentures have to be made so that they restore teeth functions, prevent shifting or tilting of adjacent teeth into the gap, improve a patient’s look and enable for a proper pronunciation. As a rule, removable dentures (space-maintainers) are applied until the growth and development of alveolar ridges is finished. Removable dentures must not be fitted with clasps. Missing temporary teeth (mostly the frontal teeth) is also replaced with dentures without clasps. Lateral teeth are rarely replaced; if they are, a removable denture is used.