Stoma’s Prosthodontics team is committed to providing individualized quality care
to patients. Prosthodontist is a dental specialist who restores, creates, and replaces
natural teeth. We specialize in restorative procedures and treatments, including
dentures, partial dentures, crowns, bridges, implants and complex cosmetic dental
restorations. Patients who have a history of oral cancer, trauma, congenital or
developmental considerations or need to have function restored in their mouth need
prosthodontic treatment. Stoma Advanced Dental Care would love for you to smile with confidence!
We correct a wide variety of so-called "permanent" dental problems including:
Teeth compromise the function of the oral cavity, namely speech aesthetics and,
it hampers the overall health of the dentition. A lost tooth can cause the drifting
of adjacent teeth in the area of tooth loss. Proper mastication of food (inability
to properly and thoroughly chew food) may result in poor nutrition, gastrointestinal
disorders, health compromises and a loss of the quality of life.
Stoma Advanced Dental Care offers
Stoma Advanced Dental Care offers a variety of restorative option for your oral rehabilitation.
Each and every denture is customised because we understand that your smile is your
best asset. We take extra time by not cutting any corners to make sure you are getting
the look you want. We ensure proper fit, proper esthetics, and happy patients. We
can make adjustments. If it is not right, we adjust it right then. We believe in
a team approach that involves participation from the patient, assisting staff to
give you perfection.
Dentures can be :
Complete or Standard dentures are made for people who are already missing all their
natural teeth and provides support for cheeks and lips. By replacing missing teeth,
full dentures not only support sagging facial muscles, but also improve a person’s
ability to speak and eat. The top denture relies on "suction" to retain it, and
the hardness of the underlying tissues for its stability. It generally takes 4 or
sometimes more appointments to make a set of standard dentures.
The back of a standard denture ends just behind the hard bone in the roof of the
mouth. This is done because they require as much surface area as possible to maximize
retention and stability. In the case of people who gag, the back of the denture
can be cut forward making the denture base look more and more like an arch.
The first appointment consists of an oral examination, sometimes X-Rays, and a set
of impressions of the upper and lower edentulous (toothless) ridges (gums). These
impressions are poured with plaster to form accurate models of the shape of the
edentulous ridges. Other parameters are determined such as the shade, size and shape
of the teeth that will be placed on the new dentures.
Upon occasion, the dentist may recommend surgical alteration of the ridges to remove
flabby tissue which will interfere with the stability of the denture, and alter
the shape of the underlying bone allowing for a better fit. At Stoma Advanced Dental Care, the first
set of impressions are used to make custom fitting impression trays for a second,
more accurate impression.
The second appointment consists of deciding how "long" to make the teeth, determining
the plane of the tooth setup (when you smile, the teeth should be parallel to a
line between the pupils of your eyes), and the correct relationship of the upper
and lower teeth so that when you bite together, the upper and lower teeth line up
correctly. This is done using a lose fitting denture base and a rim of wax to approximate
the position of the teeth. This appointment is often called the CJR (central jaw
relation), or the MMR (maximum mandibular retrusion) to denote the relationship
of the upper and lower jaws.
Both upper and lower wax rims are adjusted to fit correctly in the patient's mouth
so he can speak correctly without the wax rims "clicking" together, and so that
the upper and lower rims fit together evenly. Ideally, the wax rim should be visible
slightly below the patient's lip when the lip is at rest. When the patient smiles,
the position of the lip is marked in the wax to help the lab decide which set of
teeth are appropriate for this patient. Once these relationships are correct, the
rims are sent to the lab where they are used to fabricate the wax-try-in.
The third appointment is called the "wax try-in". The lab returns the loosely fitting
tray from the second appointment with the actual final plastic teeth lined up along
the outer edge of the wax rim. The wax try- in looks just like a real denture, except
that the base fits loosely on the gums, and the teeth are embedded in wax instead
This gives us the opportunity to see how the denture looks and works before we are
committed to the setup. At this point, if something is wrong, it can be changed.
If the teeth look too long, or the patient clicks when talking, or the midline is
wrong, we can send the denture back to the lab where a technician can melt the wax
and reset the teeth to specification.
We try the denture in as many times as necessary until the teeth look and function
like we want them to. What you see is what you get! When everything is perfect,
the denture is sent back to the lab to be processed and finished.
The fourth appointment is the insertion date when the patient walks out of the office
with new dentures. The plastic tends to shrink while being processed, so some adjustment
is usually necessary before they will get the suction that you might associate with
a new denture.
Removable Partial Denture
Removable Partial Denture (RPD) are the cheapest tooth replacement options. They
can be used for both single and multiple tooth replacements. A removable partial
denture fills in the space created by missing teeth and fills out your smile. Removable
partial dentures usually consist of replacement teeth attached to pink or gum-colored
plastic bases, which are connected by metal framework, and attach to your natural
teeth with metal clasps or precision attachments.
RPD is suggested for a partially edentulous dental patient who desires to have replacement
teeth for functional or aesthetic reasons, and who cannot have a bridge (a fixed
partial denture) for any number of reasons, such as a lack of required teeth to
serve as support for a bridge (i.e. distal abutments) or due to financial limitations.
When we recommend a removable partial denture. A thorough examination is conducted
of your teeth, soft tissue (gums and cheeks), remaining bone, surrounding anatomy
along with X-rays (radiographs). Next impressions are taken of the mouth for primary
cast and designing of the prosthesis.
A bridge is used to replace missing teeth. They help maintain the shape of face,
and alleviate stress on your bite. A bridge replaces missing teeth with artificial
teeth, looks great, and literally bridges the gap where one or more teeth may have
been. If you have missing teeth, contact Stoma Advanced Dental Care to schedule an appointment for partial
dentures or a dental bridge. A dental bridge will span the space of your missing
teeth. These tooth replacement methods offer the following benefits for patients
suffering from tooth loss:
Restore the appearance of your smile
Maintain the spacing of your surrounding teeth
Recover your ability to chew
Bridges can be
The bridge must be fabricated very precisely to ensure correct bite. An artificial
tooth is placed between two crown units and require two visits for placement. On
your first visit, the dentist will file down the two healthy teeth on either side
of the space to accommodate the crown units. Crowns are cemented onto the natural
healthy teeth to provide support or anchor the bridge. Once your teeth have been
reshaped, an impression of your teeth will be used to design your custom bridge.
The process may take up to three weeks.
On your second visit, the custom bridge will be permanently secured by bonding the
crowns to your two healthy teeth.
If the dentist notices that a tooth is decayed or seems weakened/cracked a crown
may be necessary to make sure that there are no additional problems with the tooth.
Many people complain of unexplained pain from filled teeth, which is usually due
to hairline cracks in the chewing part of the tooth. Placing crowns on these teeth
relieves the pain and allows a return of full dental function for these teeth. Porcelain
crowns are suitable for teeth with root canal fillings, crowns can prevent breakage.
Crowns offer the following benefits for patients:
Offers support to misshapen teeth or badly broken teeth
Fixes "smile" and functional chewing problems.
Where damage to a person's teeth is extreme, and apparently beyond repair, we can
use porcelain or porcelain "pasted on gold" crowns to make the smile appear "as
new". This is an extremely reliable technique for repairing the most severe of dental
problems, even permanently replacing missing teeth to offer a complete smile and
a functional bite. We are renowned for the quality of our work and the fantastic
changes, we make for people using this technology. These treatments are used for
a long lasting correction of major dental problems. It is usual for these treatments
to last for 20 to 30 years, which is as close to permanent as dental treatment can
The process of installing a crown takes 2 visits to the dentist. On the first visit
the tooth will be reshaped by filing down the enamel so that the crown can be placed
over it. You will be given a local anaesthetic before this part of the procedure
so that you do not experience any discomfort. Once the tooth has been reshaped,
a mould will be taken of that tooth and the surrounding teeth. This mould will be
sent to a dental lab so that your new crown can be made so that it fits in the spot
created for it and looks the same relative to the surrounding teeth. Before leaving,
your dentist will fit you with a temporary crown until your permanent crown is ready.
The permanent crown takes about 2-3 weeks. The dentist will fix another appointment
to fit the permanent crown. You will be given a local anaesthetic to numb the area
and the tooth may be chiseled a little to fine-tuned for a perfect fit, dental cement
will be used to ensure that the tooth sets in place.
When you look in the mirror, you will see your old smile. Crowns are durable and
will usually last about 10-15 years. You should care for it as you would any of
your other teeth with regular brushing and flossing. Call us today if you would
like to learn more about how crowns can help restore your smile.
The entire implant process is performed over the course of a few months. The first
part of the process is to install the implant itself, where a screw is placed into
the jaw bone. An incision is made in the gum so that the implant can be inserted.
Multiple implants can be placed at once if necessary. After the implants are placed
the gums are sutured.
Dental implants are a permanent and appealing solution to replace missing or extracted
teeth. They are better than other alternatives like bridges because no additional
teeth need to be altered to place the new tooth.
Stoma Advanced Dental Care recommends dental implants more than any other tooth replacement method so
that our patients may enjoy the following benefits:
Ability to eat whatever you want without diet restrictions
Easy maintenance of implants
Permanent tooth replacement
A beautiful, restored smile
Protect bone health after tooth loss
Restored ability to speak clearly
Maintain the space of surrounding teeth.
Dental implants are metal anchors, which act as tooth root substitutes. They are
surgically placed into the jawbone. Small posts are then attached to the implant,
which protrudes through the gums. These posts provide stable anchors for artificial
The implant must be allowed about 3-6 months to heal, and during this time the jaw
bone will form around the implant in a process called osseointegration. During this
healing time you can have temporary crowns installed so that you can eat and speak
normally and maintain a proper aesthetic appearance for your smile.
Inlays & Onlays
Inlays & Onlays
More conservative than a crown, inlays and onlays are two methods of restoring normal
tooth structure after decay or other damage to the biting surface of the affected
tooth. A treatment with inlays or onlays will solve the problem caused by the decay
or fracture, so that your tooth will have its strength and healthy appearance once
more. After the procedure, the tooth can bear up to 50 to 75 percent more chewing
An inlay is used to repair the biting surface of an affected tooth; this surface
is found on the top part of the tooth where indentations can be seen, and is the
surface that comes into contact when biting into food. The damaged portion is repaired
by the inlay, which is indirectly placed on the biting surface to restore the tooth’s
normal form and function.
An onlay, on the other hand, can be used when your tooth’s biting surface is more
extensively damaged than an inlay can deal with – when more than one biting surface
needs to be repaired. Onlays can prevent the decayed or damaged part of your tooth
from getting bigger, so you can avoid dealing with a more complicated dental problem
such as root canal treatment.
Inlays and onlays work on improving the appearance of damaged teeth with the removal
of the decayed parts, and then replacing these portions with a material that very
closely resembles the appearance of your natural teeth such as porcelain. Once the
decayed tooth parts are removed – and the cavity or holes filled up – your smile
will again be healthy-looking and attractive.
Stoma Advanced Dental Care recommends the treatment because of the following reasons:
Less tooth structure is removed for preparation for inlays and onlays, so most of
the healthy tooth structure is preserved. You do not have to worry about disturbing
and removing parts of your tooth that are healthy.
Inlays and onlays brings back the healthy appearance of your smile. The damaged
portions of your teeth, which are very unsightly, will be removed; inlays and onlays
will then be used to restore the tooth’s form and function. As the inlays and onlays
use tooth-coloured material, the restoration will look like a very natural part
of your smile (unlike very obvious-looking silver amalgam fillings).
Teeth that are restored with tooth-coloured inlays and onlays are less prone to
sensitivity, unlike those that have silver amalgam fillings. The original strength
of the affected tooth can also be restored and in some cases, even improved, with
You can expect the inlays and onlays to last for a very long time, especially if
you practice good oral hygiene and go to the dentist regularly for checkups. You
can enjoy your natural-looking, healthy smiles for a long period of time!
Inlays and onlays are performed using very similar procedures. Both require two
trips to the dentist. At the first appointment, the dentist begins the procedure
by numbing the area using a local anesthetic. The decay or damage is removed using
a drill, preparing the tooth for its new surface. After all the damage is removed,
an impression is made of the prepared tooth so the inlay or onlay material can be
cast in a form that will fit the tooth exactly. A temporary restoration is placed
on the tooth to protect it until the laboratory makes the new structure and it can
be bonded to the tooth. This can take about two to three weeks.
Using the impression, a laboratory prepares the new tooth surface using gold, porcelain,
or composite resin. Upon return to the dentist's office, the temporary restoration
is removed and the surface is cleaned to prepare for the new structure. The dentist
will then try in the new restoration to ensure that there is a correct fit that
doesn't interfere with your bite. If the fit is good, using special cement or bonding,
the inlay or onlay is permanently attached to the tooth. Some minor adjustment may
need to be made to the restoration if there are interferences. To finish the procedure,
the dentist will polish the cemented or bonded structure and tooth
Bonding is a great procedure for correcting teeth that are chipped, gapped, or discolored.
It is one of the easiest and most conservative cosmetic dental procedures for repairs,
and it is done by applying a tooth-colored composite resin to the teeth.
Dental bonding can be done in a single dental visit, making it a popular choice
for many patients. At Stoma Advanced Dental Care we provide dental bonding for patients who need to repair
a fractured or chipped tooth, close an unwanted gap(s) between teeth, and improve
the appearance of discoloration of a tooth or multiple teeth. Little preparation
is needed for dental bonding, and it is a virtually pain free procedure.
A bridge may be used to replace missing or damaged teeth, help maintain the shape
of your face, and alleviate stress on your bite. A bridge replaces missing teeth
with artificial teeth, looks great, and literally bridges the gap where one or more
teeth may have been. They also promote the health of the entire mouth by preventing
decay and the demineralization of the jaw bone where the tooth is missing. Your
bridge can be made from gold, alloys, porcelain, or a combination of these materials,
and is bonded onto surrounding teeth for support.
The success of any bridge depends on its foundation — the other teeth, gums, or
bone to which it is attached. Therefore, it's very important to keep your existing
teeth, gums, and jaw healthy and strong.
Dental crowns are tooth shaped "caps" that are placed over teeth in order to restore
its shape, size, strength, and/or to improve its appearance. Crowns are most often
used for teeth that are broken, worn, or partially destroyed by tooth decay. They
are made of either metal or porcelain.
Stoma Advanced Dental Care offers crowns specifically made for each patient and are color matched to
the other natural teeth for the most attractive appearance. We look forward to serving
you and helping you to restore your smile and your confidence.
An implant is a synthetic tooth root in the shape of a post that is surgically placed
into the jawbone. The "root" is usually made of titanium: the same material used
in many replacement hips and knees, and a metal that is well suited to pairing with
human bone. A replacement tooth is then fixed to the post. The tooth can be either
permanently attached or removable. Permanent teeth are more stable and feel more
like natural teeth.
The ideal candidate for implants is a non-smoker who has good oral health, including
a sufficient amount of bone in the jaw, and healthy gums with no sign of gum disease.
Dental veneers are thin shells that are bonded to the front surface of the teeth
in order to aesthetically improve their appearance. We use the highest quality dental
veneers to improve the appearance of discolored, worn down, misaligned, or chipped
teeth. Dental veneers are a simple enhancement that have dramatic results, by completely
transforming your smile and make an uneven smile look even.
Veneers are virtually undetectable and highly resistant to coffee, tea, or even
cigarette stains. Because they are thin, light can shine through them and they take
on the natural colour of the underlying tooth.
Our responsibility does not end after your treatment is over. Stoma Advanced Dental Care schedules regular
recall appointment for our patients to evaluate their response to treatment and
the condition of the restoration.
Fixed bridges are bonded into place and can only be removed by a dental professional.
Removable bridges, as the name implies, can be taken out and cleaned. Fixed bridges
offer more stability than their removable counterparts.
The information on this web site is only intended as an introduction to this procedure
and should not be used to determine whether you will have the procedure performed
nor as a guarantee of the result. The best method of determining your options is
to consult dentist at Stoma Advanced Dental Care who will be able to answer specific questions related
to your situation.